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VA RIN: 2900-AP60 Publication ID: Fall 2016 
Title: Expanded Access to Non-VA Care Through the Veterans Choice Program 
Abstract:

The Department of Veterans Affairs (VA) revised its medical regulations that implement section 101 of the Veterans Access, Choice, and Accountability Act of 2014 (hereafter referred to as "the Choice Act"), which requires VA to establish a program to furnish hospital care and medical services through eligible non-VA health care providers to eligible veterans who either cannot be seen within the wait-time goals of the Veterans Health Administration (VHA) or who qualify based on their place of residence (hereafter referred to as the "Veterans Choice Program" or "the Program"). These regulatory revisions are required by the most recent amendments to the Choice Act made by the Construction Authorization and Choice Improvement Act of 2014, and by the Surface Transportation and Veterans Health Care Choice Improvement Act of 2015.

 
Agency: Department of Veterans Affairs(VA)  Priority: Economically Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Final Rule Stage 
Major: Yes  Unfunded Mandates: No 
EO 13771 Designation: uncollected 
CFR Citation: 38 CFR 17.1505    38 CFR 17.1510    38 CFR 17.1525    38 CFR 17.1530   
Legal Authority: sec 101 Pub. L. 113-146, 128 stat 1754    sec 4005 Pub. L. 114-41, 129 stat. 443    38 U.S.C. 501   
Legal Deadline:  None

Statement of Need:

The Department of Veterans Affairs (VA) amends its medical regulations concerning its authority for eligible veterans to receive care from non-VA entities and providers as required by certain new laws.  The Veterans Access, Choice, and Accountability Act of 2014 (the Choice Act) directs VA to establish a program to furnish hospital care and medical services through non-VA care health care providers.  The Construction Authorization and Choice Improvement Act  defined additional criteria to determine that a veteran’s travel to a VA medical facility is an unusual or excessive burden, and the Surface Transportation and Veterans Health Care Choice Improvement Act  added further requirements.

Summary of the Legal Basis:

Pub. L. 113-146, section 101 (38 U.S.C. 1701 note); Pub. L. 114-19, section 3(a)(2); Pub. L. 114-41, section 4005

Alternatives:

Anticipated Costs and Benefits:

Risks:

Timetable:
Action Date FR Cite
Interim Final Rule  12/01/2015  80 FR 74991   
Interim Final Rule Effective  12/01/2015 
Interim Final Rule Comment Period End  03/30/2016 
Interim Final Rule; Correcting Amendment  04/25/2016  81 FR 24026   
Final Rule  09/00/2017 
Regulatory Flexibility Analysis Required: No  Government Levels Affected: None 
Small Entities Affected: No  Federalism: No 
Included in the Regulatory Plan: Yes 
RIN Information URL: www.regulations.gov  
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
Email: kristin.cunningham@va.gov