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The Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA) is a health benefits program in which VA shares the cost of certain health care services and supplies with spouses, children, and survivors of veterans who meet the eligibility criteria and who are not eligible for TRICARE, a health care program administered by the Department of Defense that is also authorized to provide care to certain family members of veterans. CHAMPVA is authorized by 38 U.S.C. 1781. Under 38 U.S.C. 1781(b), CHAMPVA "shall provide medical care in the same or similar manner and subject to the same or similar limitations as medical care is furnished to certain dependents and survivors of active duty and retired members of the Armed Forces under chapter 55 of title 10 [United States Code] (CHAMPUS)." We therefore propose to update our regulations due to changes in the TRICARE standard program, as well as changes in legal authority. This proposed rule would amend part 17 of title 38, Code of Federal Regulations to update current regulations concerning CHAMPVA, 17.270-17.278.