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GUARD Veterans’ Health Care Act

USA119th CongressHR-4077| House 
| Updated: 12/3/2025
Lloyd Doggett

Lloyd Doggett

Democratic Representative

Texas

Cosponsors (5)
David Schweikert (Republican)Gregory F. Murphy (Republican)Greg Landsman (Democratic)John Joyce (Republican)Mark Takano (Democratic)

Ways and Means Committee, Veterans' Affairs Committee, Energy and Commerce Committee

  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted
This legislation aims to enhance the Department of Veterans Affairs' (VA) ability to recover healthcare costs from various sources, thereby ensuring better utilization of reimbursements for veterans' health care. A key provision allows the VA to recover expenses from Medicare Advantage plans and Medicare prescription drug plans when it provides covered health care items or services to enrolled veterans, regardless of the disability's service connection. These plans will be required to reimburse the VA for such services, with the recovered funds deposited into the VA Medical Care Collections Fund, effective for plan years beginning January 1, 2026. The bill also significantly modifies and strengthens the VA's existing authority to recover reasonable charges from third parties for care provided to veterans for non-service-connected disabilities . It clarifies the United States' right to recover from various sources, including tort liabilities and health benefit policies, and expands the types of third-party liabilities subject to recovery. Furthermore, it mandates that third parties respond to VA claims within 45 days by paying, agreeing to a payment, or providing specific reasons for refusal or requesting additional information. To ensure compliance, the legislation introduces new enforcement mechanisms, including interest penalties for late payments and civil penalties for non-compliance or willful failure to pay clean claims. Third parties are also required to identify veterans receiving VA benefits and submit relevant information to the VA, and they are prohibited from distributing settlement proceeds without satisfying VA claims. These changes aim to streamline the recovery process and ensure the VA is appropriately reimbursed for the care it provides.
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Timeline
Jun 23, 2025

Latest Companion Bill Action

S 119-2145
Introduced in Senate
Jun 23, 2025
Introduced in House
Jun 23, 2025
Referred to the Committee on Veterans' Affairs, and in addition to the Committees on Ways and Means, and Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Dec 3, 2025
Committee Hearings Held
  • June 23, 2025

    Latest Companion Bill Action

    S 119-2145
    Introduced in Senate


  • June 23, 2025
    Introduced in House


  • June 23, 2025
    Referred to the Committee on Veterans' Affairs, and in addition to the Committees on Ways and Means, and Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.


  • December 3, 2025
    Committee Hearings Held

Armed Forces and National Security

Related Bills

  • S 119-2145: GUARD Veterans’ Health Care Act
Administrative remediesCivil actions and liabilityGovernment information and archivesHealth care costs and insuranceMedicarePrescription drugsVeterans' medical care

GUARD Veterans’ Health Care Act

USA119th CongressHR-4077| House 
| Updated: 12/3/2025
This legislation aims to enhance the Department of Veterans Affairs' (VA) ability to recover healthcare costs from various sources, thereby ensuring better utilization of reimbursements for veterans' health care. A key provision allows the VA to recover expenses from Medicare Advantage plans and Medicare prescription drug plans when it provides covered health care items or services to enrolled veterans, regardless of the disability's service connection. These plans will be required to reimburse the VA for such services, with the recovered funds deposited into the VA Medical Care Collections Fund, effective for plan years beginning January 1, 2026. The bill also significantly modifies and strengthens the VA's existing authority to recover reasonable charges from third parties for care provided to veterans for non-service-connected disabilities . It clarifies the United States' right to recover from various sources, including tort liabilities and health benefit policies, and expands the types of third-party liabilities subject to recovery. Furthermore, it mandates that third parties respond to VA claims within 45 days by paying, agreeing to a payment, or providing specific reasons for refusal or requesting additional information. To ensure compliance, the legislation introduces new enforcement mechanisms, including interest penalties for late payments and civil penalties for non-compliance or willful failure to pay clean claims. Third parties are also required to identify veterans receiving VA benefits and submit relevant information to the VA, and they are prohibited from distributing settlement proceeds without satisfying VA claims. These changes aim to streamline the recovery process and ensure the VA is appropriately reimbursed for the care it provides.
View Full Text

Suggested Questions

Get AI-generated questions to help you understand this bill better

Timeline
Jun 23, 2025

Latest Companion Bill Action

S 119-2145
Introduced in Senate
Jun 23, 2025
Introduced in House
Jun 23, 2025
Referred to the Committee on Veterans' Affairs, and in addition to the Committees on Ways and Means, and Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Dec 3, 2025
Committee Hearings Held
  • June 23, 2025

    Latest Companion Bill Action

    S 119-2145
    Introduced in Senate


  • June 23, 2025
    Introduced in House


  • June 23, 2025
    Referred to the Committee on Veterans' Affairs, and in addition to the Committees on Ways and Means, and Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.


  • December 3, 2025
    Committee Hearings Held
Lloyd Doggett

Lloyd Doggett

Democratic Representative

Texas

Cosponsors (5)
David Schweikert (Republican)Gregory F. Murphy (Republican)Greg Landsman (Democratic)John Joyce (Republican)Mark Takano (Democratic)

Ways and Means Committee, Veterans' Affairs Committee, Energy and Commerce Committee

Armed Forces and National Security

Related Bills

  • S 119-2145: GUARD Veterans’ Health Care Act
  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted
Administrative remediesCivil actions and liabilityGovernment information and archivesHealth care costs and insuranceMedicarePrescription drugsVeterans' medical care