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I
116TH CONGRESS
1ST SESSION H. R. 3012
To direct the Secretary of Veterans Affairs to conduct outreach to veterans
regarding the effect of delayed payments of claims for emergency medical
care furnished by non-Department of Veterans Affairs medical providers
by the Office of Community Care and to direct the Secretary to submit
to Congress an annual report regarding such delayed payments.
IN THE HOUSE OF REPRESENTATIVES
MAY 23, 2019
Mr. ROUZER (for himself, Mr. MEADOWS, Mr. LAMALFA, Mr. HUDSON, and
Mr. FERGUSON) introduced the following bill; which was referred to the
Committee on Veterans’ Affairs
A BILL
To direct the Secretary of Veterans Affairs to conduct out-
reach to veterans regarding the effect of delayed pay-
ments of claims for emergency medical care furnished
by non-Department of Veterans Affairs medical providers
by the Office of Community Care and to direct the
Secretary to submit to Congress an annual report regard-
ing such delayed payments.
Be it enacted by the Senate and House of Representa-
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tives of the United States of America in Congress assembled,
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•HR 3012 IH
SECTION 1. SHORT TITLE.
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This Act may be cited as the ‘‘Veterans’ Credit Pro-
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tection Act’’.
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SEC. 2. OUTREACH TO VETERANS REGARDING EFFECT OF
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CERTAIN DELAYED PAYMENTS BY DEPART-
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MENT OF VETERANS AFFAIRS OFFICE OF
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COMMUNITY CARE.
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(a) OUTREACH.—The Secretary of Veterans Affairs
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shall conduct outreach, including through national and
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local veterans service organizations, to inform veterans of
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how to resolve credit issues caused by delayed payment
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of an eligible claim for emergency hospital care, emergency
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medical services, or other emergency health care furnished
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through a non-Department of Veterans Affairs provider.
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(b) ANNUAL REPORT.—
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(1) IN GENERAL.—During the five-year period
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following the date of the enactment of this Act, the
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Secretary of Veterans Affairs shall annually submit
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to Congress a report on the effectiveness of the Of-
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fice of Community Care (or successor office) in pro-
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viding timely payment of proper invoices for emer-
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gency hospital care, emergency medical services, or
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other emergency health care furnished through non-
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Department of Veterans Affairs providers by the re-
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quired payment date.
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(2) PERIODS COVERED.—
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•HR 3012 IH
(A) The first report submitted under para-
1
graph (1) shall cover the five-year period pre-
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ceding the date of the report, to the greatest
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extent practicable. With respect to covering the
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part of such period that occurred before Octo-
5
ber 1, 2015, the report shall evaluate the provi-
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sion by the Veterans Integrated Service Net-
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works of payments described in such paragraph.
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(B) The reports following the first report
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shall each cover the period following the date on
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which the prior report was submitted.
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(3) MATTERS INCLUDED.—The reports under
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paragraph (1) shall include, for the period covered
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by the report, the following:
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(A) The number of veterans who contacted
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the Secretary regarding a delayed payment that
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negatively affected, or will potentially negatively
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affect, the credit of the veteran.
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(B) The number of proper invoices sub-
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mitted, listed in a table for each quarter and
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fiscal year of each such period that includes—
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(i) the total amount owed by the Sec-
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retary under the proper invoices;
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(ii) the payment status of each proper
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invoice, as of the date of the report; and
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•HR 3012 IH
(iii) the period that elapsed until each
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proper invoice was paid, including an ex-
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planation of any delayed payment.
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(C) Any comments regarding delayed pay-
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ments made by medical providers.
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(D) A description of the best practices that
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the Office of Community Care (or successor of-
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fice) can carry out to provide timely payment of
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a proper invoice, including a plan to improve
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such timely payments.
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(E) With respect to pending claims for re-
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imbursement for emergency hospital care, emer-
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gency medical services, and other emergency
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health care furnished through non-Department
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of Veterans Affairs providers—
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(i) the total number of such pending
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claims for each hospital system of the De-
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partment, as of the last day of the period
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covered by the report;
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(ii) the total number of veterans who
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submitted such a pending claim in each
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State, as of such day;
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(iii) the aggregate amount of all such
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pending claims in each State, as of such
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day;
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•HR 3012 IH
(iv) as of such day—
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(I) the number of such pending
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claims that have been pending for 30
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days or longer;
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(II) the number of such pending
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claims that have been pending for 90
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days or longer; and
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(III) the number of such pending
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claims that have been pending for 365
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days or longer; and
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(v) for each hospital system, for the
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period covered by the report—
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(I) the number of claims for re-
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imbursement for emergency hospital
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care, emergency medical services, and
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other emergency health care furnished
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through non-Department of Veterans
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Affairs providers approved during
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such quarter;
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(II) the number of such claims
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denied during such quarter; and
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(III) the number of such claims
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denied listed by each denial reason
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group.
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(c) COMPTROLLER GENERAL STUDY.—
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•HR 3012 IH
(1) IN GENERAL.—The Comptroller General of
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the United States shall conduct a study that evalu-
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ates the effectiveness of the Office of Community
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Care in providing timely payment of a proper invoice
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for emergency hospital care, emergency medical serv-
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ices, or other emergency health care furnished
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through non-Department of Veterans Affairs pro-
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viders by the required payment date.
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(2) SUBMITTAL.—The Comptroller General
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shall submit to Congress a report on the study con-
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ducted under paragraph (1), including the total
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amount of interest penalties paid by the Secretary of
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Veterans Affairs by reason of a delayed payment.
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(d) DEFINITIONS.—In this section:
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(1) The term ‘‘delayed payment’’ means a prop-
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er invoice that is not paid by the Secretary of Vet-
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erans Affairs until after the required payment date.
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(2) The term ‘‘proper invoice’’ has the meaning
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given that term in section 3901(a) of title 31,
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United States Code.
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(3) The term ‘‘required payment date’’ means,
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with respect to proper invoices for emergency hos-
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pital care, emergency medical services, or other
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emergency health care, the date that payment is due
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•HR 3012 IH
pursuant to standards determined appropriate by
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the Secretary.
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Æ
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