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VA RIN: 2900-AP20 Publication ID: Fall 2016 
Title: Third Party Billing for Medical Care Provided Under Special Authorities 

The Department of Veterans Affairs (VA) proposes to amend its medical regulations to clarify that VA will not bill third-party payers for hospital care, medical services, and nursing home care provided by VA under certain statutory provisions, which we refer to as special-treatment authorities.” These special-treatment authorities direct VA to provide care to veterans based upon discrete exposures or experiences that occurred during active duty or active military, naval, or air service. VA is authorized but not required by law, with certain exceptions, only to seek to recover or collect reasonable charges for care provided to veterans for non-service-connected disabilities. This proposed rule would establish that VA would not exercise its authority to collect or recover reasonable charges from third-party payers for care and services provided under the special-treatment authorities.

Agency: Department of Veterans Affairs(VA)  Priority: Substantive, Nonsignificant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Proposed Rule Stage 
Major: No  Unfunded Mandates: No 
CFR Citation: 38 CFR 17.101   
Legal Authority: 38 U.S.C. 1710    38 U.S.C. 1720(D)    38 U.S.C. 1720(E)    38 U.S.C. 1729    ...   
Legal Deadline:  None
Action Date FR Cite
NPRM  02/00/2017 
Regulatory Flexibility Analysis Required: No  Government Levels Affected: None 
Small Entities Affected: No  Federalism: No 
Included in the Regulatory Plan: No 
RIN Information URL:  
RIN Data Printed in the FR: No 
Agency Contact:
Kristin Cunningham
Chief, Business Office (16)
Department of Veterans Affairs
Veterans Health Administration, 810 Vermont Avenue NW.,
Washington, DC 20420
Phone:202 461-1599