What does CODIFICATION OF REQUIREMENTS FOR ELIGIBILITY STANDARDS FOR of Veterans’ ACCESS Act of 2025 do?

This section amends Section 1703B of Title 38, United States Code, to establish eligibility access standards for covered veterans to receive non-Department hospital care, medical services, or extended care services (excluding nursing home care) through the Veterans Community Care Program. For primary and mental health care, the Department must schedule appointments within a 30-minute average driving time (or shorter, as prescribed by the Secretary) and within 20 days (or shorter). For specialty care, the Department must schedule appointments within a 60-minute average driving time (or shorter) and within 28 days (or shorter). Telehealth appointments are not considered when determining if the Department can furnish care meeting these standards. Wait times are calculated from the date of the original, canceled appointment if the Department cancels an appointment. Agreements for longer drive times or later appointment dates must be documented in the veteran’s electronic health record. The Secretary must periodically review these access standards, at least once every three years, in consultation with various entities including Federal agencies, veteran patients, and healthcare providers. The Secretary must submit a report on the review findings and recommendations to Congress.

What does REQUIREMENT THAT SECRETARY NOTIFY VETERANS OF ELIGIBILITY FOR of Veterans’ ACCESS Act of 2025 do?

This section amends Section 1703(a) of Title 38, United States Code. The Secretary is required to notify covered veterans in writing of their eligibility for care or services under the Veterans Community Care Program. This notification must occur as soon as possible, but no later than two business days after the Secretary becomes aware of the veteran's eligibility and their seeking of care. For veterans eligible for care under subsection (d), the Secretary must provide periodic reminders of their ongoing eligibility. Notifications and reminders may be provided electronically.

What does CONSIDERATION UNDER VETERANS COMMUNITY CARE PROGRAM OF of Veterans’ ACCESS Act of 2025 do?

This section amends Section 1703(d)(2) of title 38, United States Code. The amendment adds subparagraphs (F), (G), and (H) to consider veteran preferences. Subparagraph (F) requires consideration of a covered veteran’s preference for where, when, and how to seek care. Subparagraph (G) requires consideration of continuity of care. Subparagraph (H) requires consideration of whether a veteran requests or requires caregiver or attendant assistance.

What does NOTIFICATION OF DENIAL OF REQUEST FOR CARE UNDER VETERANS of Veterans’ ACCESS Act of 2025 do?

This section amends title 38 of the United States Code, specifically section 1703. It redesignates subsection (o) as subsection (p) and inserts a new subsection (o). If a veteran's request for care or services under section 1703 is denied, the Secretary must notify them in writing. The notification must occur as soon as possible, but no later than two business days after the denial. The notification must include the reason for the denial and instructions on how to appeal using the Veterans Health Administration's clinical appeals process. If the denial is due to not meeting eligibility access standards under section 1703B(a), the notice must explain why the veteran did not meet those standards. Notifications under this subsection may be provided electronically.

What does DISCUSSION OF TELEHEALTH OPTIONS UNDER VETERANS COMMUNITY of Veterans’ ACCESS Act of 2025 do?

This section amends title 38 of the United States Code, specifically section 1703. It redesignates subsection (p) as subsection (q) and inserts a new subsection (p). The new subsection (p) requires the Secretary to inform veterans of telehealth options when discussing care or services. Telehealth must be available, appropriate, and acceptable to the veteran to be considered.

What does EXTENSION OF DEADLINE FOR SUBMITTAL OF CLAIMS BY HEALTH CARE of Veterans’ ACCESS Act of 2025 do?

This section amends Section 1703D(b) of title 38, United States Code. The amendment changes the deadline for the submittal of claims by health care entities and providers under the prompt payment standard.

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Veterans’ ACCESS Act of 2025

Last updated: 7/23/2025 · Introduced: 1/28/2025

Author: Mike Bost (R-IL)

AI TL;DR will appear after bill summary generation completes.

119th Congressin committeeS. 275(In Committee)Official page

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Other Sections

Includes provisions on preamble, codification of requirements for eligibility standards for, and 5 more.

7 sections

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TITLE II

-MENTAL HEALTH TREATMENT PROGRAMS

3 sections

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TITLE III

-OTHER HEALTH CARE MATTERS

3 sections

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