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<dc:title>117 S1875 ES: Veterans' Emergency Care Claims Parity Act</dc:title>
<dc:publisher>U.S. Senate</dc:publisher>
<dc:date></dc:date>
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<dc:language>EN</dc:language>
<dc:rights>Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.</dc:rights>
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<congress display="yes">117th CONGRESS</congress><session display="yes">2d Session</session><legis-num display="yes">S. 1875</legis-num><current-chamber display="no">IN THE SENATE OF THE UNITED STATES</current-chamber><legis-type display="yes">AN ACT</legis-type><official-title display="yes">To amend title 38, United States Code, to provide a deadline of 180 days for the filing of claims for payment for emergency treatment furnished to veterans, and for other purposes.</official-title></form><legis-body style="OLC" display-enacting-clause="yes-display-enacting-clause"><section section-type="section-one" id="S1" commented="no" display-inline="no-display-inline"><enum>1.</enum><header display-inline="yes-display-inline">Short title</header><text display-inline="no-display-inline">This Act may be cited as the <quote><short-title>Veterans' Emergency Care Claims Parity Act</short-title></quote>.</text></section><section id="id5B41241084754543B9690E803A4C1A07" commented="no" display-inline="no-display-inline" section-type="subsequent-section"><enum>2.</enum><header display-inline="yes-display-inline">Claims for payment from Department of Veterans Affairs for emergency treatment furnished to veterans</header><subsection id="idA23ACE398A934B2C8B1A2561FB5CF75F" commented="no" display-inline="no-display-inline"><enum>(a)</enum><header display-inline="yes-display-inline">Treatment for non-Service-Connected disabilities</header><paragraph id="id768391E693154723851EE9778BA235F3" commented="no" display-inline="no-display-inline"><enum>(1)</enum><header display-inline="yes-display-inline">In general</header><text display-inline="yes-display-inline">Section 1725 of title 38, United States Code, is amended— </text><subparagraph id="idAF82F23F1EAD436AB6982FCAA318DF5B" commented="no" display-inline="no-display-inline"><enum>(A)</enum><text display-inline="yes-display-inline">by redesignating subsection (f) as subsection (h); and </text></subparagraph><subparagraph id="id2A7BE03790B64D94B9023BA0FC0C9756" commented="no" display-inline="no-display-inline"><enum>(B)</enum><text display-inline="yes-display-inline">by inserting after subsection (e) the following new subsections (f) and (g): </text><quoted-block style="OLC" display-inline="no-display-inline" id="id239E5911C2A140C485B97FC518B8727B"><subsection id="id56BBD080DD744D7CB4B24C4BC3E0C73F" commented="no" display-inline="no-display-inline"><enum>(f)</enum><header display-inline="yes-display-inline">Submittal of claims for direct payment</header><text display-inline="yes-display-inline">An individual or entity seeking payment under subsection (a)(2) for treatment provided to a veteran in lieu of reimbursement to the veteran shall submit a claim for such payment not later than 180 days after the latest date on which such treatment was provided.</text></subsection><subsection id="idDAFE1114D8014585A887FBEFC7764484" commented="no" display-inline="no-display-inline"><enum>(g)</enum><header display-inline="yes-display-inline">Hold harmless</header><text display-inline="yes-display-inline">No veteran described in subsection (b) may be held liable for payment for emergency treatment described in such subsection if—</text><paragraph id="idEC88700D98B141CC842967966B2A071A" commented="no" display-inline="no-display-inline"><enum>(1)</enum><text display-inline="yes-display-inline">a claim for direct payment was submitted by an individual or entity under subsection (f); and</text></paragraph><paragraph id="id9ECD04F00835424E841BD61794E4EB65" commented="no" display-inline="no-display-inline"><enum>(2)</enum><text display-inline="yes-display-inline">such claim was submitted after the deadline established by such subsection due to—</text><subparagraph id="id71352A616A0F41F8B6578BB4D741BF4A" commented="no" display-inline="no-display-inline"><enum>(A)</enum><text display-inline="yes-display-inline">an administrative error made by the individual or entity, such as submission of the claim to the wrong Federal agency, under the wrong reimbursement authority (such as section 1728 of this title), or submission of the claim after the deadline; or </text></subparagraph><subparagraph id="idB82CFD3ACCAB4AA1A775A9CCBFB9890F" commented="no" display-inline="no-display-inline"><enum>(B)</enum><text display-inline="yes-display-inline">an administrative error made by the Department, such as misplacement of a paper claim or deletion of an electronic claim.</text></subparagraph></paragraph></subsection><after-quoted-block display="yes">.</after-quoted-block></quoted-block></subparagraph></paragraph></subsection><subsection id="id41DB6E3D3D4E4244B86DFC1D14D01D50" commented="no" display-inline="no-display-inline"><enum>(b)</enum><header display-inline="yes-display-inline">Treatment for and in connection with service-Connected disabilities</header><text display-inline="yes-display-inline">Section 1728 of such title is amended—</text><paragraph id="id527AB1AD5ADE4640AF37A8D74FDC08ED" commented="no" display-inline="no-display-inline"><enum>(1)</enum><text display-inline="yes-display-inline">by redesignating subsection (c) as subsection (d); and </text></paragraph><paragraph id="id9C1CE79B143341809E6A3E13CBA44194" commented="no" display-inline="no-display-inline"><enum>(2)</enum><text display-inline="yes-display-inline">by inserting after subsection (b) the following new subsection (c): </text><quoted-block style="OLC" display-inline="no-display-inline" id="id8855E8D9A70C4CA8A006C2A3A08D6A88"><subsection id="id50B83A96B43D474B95496C755540BF1E" commented="no" display-inline="no-display-inline"><enum>(c)</enum><text display-inline="yes-display-inline">No veteran described in subsection (a) may be held liable for payment for emergency treatment described in such subsection if—</text><paragraph id="id3A108957240341D9983E49A6C79EE168" commented="no" display-inline="no-display-inline"><enum>(1)</enum><text display-inline="yes-display-inline">a claim for direct payment was submitted by an individual or entity under subsection (b)(2); and</text></paragraph><paragraph id="id74EEE7FDB8E249F7BE13E858F7935F9A" commented="no" display-inline="no-display-inline"><enum>(2)</enum><text display-inline="yes-display-inline">such claim was submitted after a deadline established by the Secretary for purposes of this section due to—</text><subparagraph id="id35F741FCD8C1494CB058722C44D68CC2" commented="no" display-inline="no-display-inline"><enum>(A)</enum><text display-inline="yes-display-inline">an administrative error made by the individual or entity, such as submission of the claim to the wrong Federal agency or submission of the claim after the deadline; or</text></subparagraph><subparagraph id="idD46BFD730B6F4464A03B6C59CF3CA6B0" commented="no" display-inline="no-display-inline"><enum>(B)</enum><text display-inline="yes-display-inline">an administrative error made by the Department, such as misplacement of a paper claim or deletion of an electronic claim.</text></subparagraph></paragraph></subsection><after-quoted-block display="yes">.</after-quoted-block></quoted-block></paragraph></subsection><subsection id="id9D26CA1CC88F4407B3C399A051489CE1" commented="no" display-inline="no-display-inline"><enum>(c)</enum><header display-inline="yes-display-inline">Conforming amendments</header><text display-inline="yes-display-inline">Such title is amended—</text><paragraph id="id1327EBDF26034D43B3331B3301CA75C6" commented="no" display-inline="no-display-inline"><enum>(1)</enum><text display-inline="yes-display-inline">in section 1705A(d), by striking <quote>section 1725(f)</quote> and inserting <quote>section 1725(h)</quote>;</text></paragraph><paragraph id="id27B72FCA039149D6B34654015AE03110" commented="no" display-inline="no-display-inline"><enum>(2)</enum><text display-inline="yes-display-inline">in section 1725(b)(3)(B), by striking <quote>subsection (f)(2)(B) or (f)(2)(C)</quote> and inserting <quote>subsection (h)(2)(B) or (h)(2)(C)</quote>; </text></paragraph><paragraph id="idFBEBA5F4AB7A4CCA96E57F42EB7BFCBC" commented="no" display-inline="no-display-inline"><enum>(3)</enum><text display-inline="yes-display-inline">in section 1728(d), as redesignated by subsection (b)(4), by striking <quote>section 1725(f)(1)</quote> and inserting <quote>section 1725(h)(1)</quote>; </text></paragraph><paragraph id="idBBD681CCF4A8492B94728790372FC55D" commented="no" display-inline="no-display-inline"><enum>(4)</enum><text display-inline="yes-display-inline">in section 1781(a)(4), by striking <quote>section 1725(f)</quote> and inserting <quote>section 1725(h)</quote>; and </text></paragraph><paragraph commented="no" display-inline="no-display-inline" id="idCCE37A5707914D0280458A711BDA916E"><enum>(5)</enum><text display-inline="yes-display-inline">in section 1787(b)(3), by striking <quote>section 1725(f)</quote> and inserting <quote>section 1725(h)</quote>.</text></paragraph></subsection></section><section id="id2A20E3750B354F68982A35913F8A6E1D" commented="no" display-inline="no-display-inline" section-type="subsequent-section"><enum>3.</enum><header display-inline="yes-display-inline">Publication of clarifying information for non-Department of Veterans Affairs providers</header><subsection id="id48FEB85E03104D47BD1FAB91E12530D9" commented="no" display-inline="no-display-inline"><enum>(a)</enum><header display-inline="yes-display-inline">In general</header><text display-inline="yes-display-inline">The Secretary of Veterans Affairs shall publish on one or more publicly available internet websites of the Department of Veterans Affairs, including the main internet website regarding emergency care authorization for non-Department providers, the following information: </text><paragraph id="id2FC6E6F504DD4D269D17556297F7103D" commented="no" display-inline="no-display-inline"><enum>(1)</enum><text display-inline="yes-display-inline">A summary table or similar resource that provides a list of all authorities of the Department to authorize emergency care from non-Department providers and, for each such authority, the corresponding deadline for submission of claims.</text></paragraph><paragraph id="id6FB7EEFC25F8458194297D04BDACBB9D" commented="no" display-inline="no-display-inline"><enum>(2)</enum><text display-inline="yes-display-inline">An illustrated summary of steps, such as a process map, with a checklist for the submission of clean claims that non-Department providers can follow to assure compliance with the claims-filing process of the Department. </text></paragraph><paragraph id="id4FC559AA0B9646CC8440E2094843EDD0" commented="no" display-inline="no-display-inline"><enum>(3)</enum><text display-inline="yes-display-inline">Contact information for the appropriate office or service line of the Department to address process questions from non-Department providers.</text></paragraph></subsection><subsection id="idB6AC2B112B5E4A6AB5EC6ED463B231E8" commented="no" display-inline="no-display-inline"><enum>(b)</enum><header display-inline="yes-display-inline">Periodic review</header><text display-inline="yes-display-inline">Not less frequently than once every 180 days, the Secretary shall review the information published under subsection (a) to ensure that such information is current.</text></subsection><subsection id="id982419F497244818AC408A5B0EDC28AF" commented="no" display-inline="no-display-inline"><enum>(c)</enum><header display-inline="yes-display-inline">Clean claims defined</header><text display-inline="yes-display-inline">In this section, the term <term>clean claims</term> means clean electronic claims and clean paper claims (as those terms are defined in section 1703D(i) of title 38, United States Code). </text></subsection></section></legis-body><attestation><attestation-group><attestation-date date="20220407" chamber="Senate">Passed the Senate April 7, 2022.</attestation-date><attestor display="no"></attestor><role>Secretary</role></attestation-group></attestation><endorsement display="yes"></endorsement></bill> 

