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VA RIN: 2900-AQ08 Publication ID: Fall 2023 
Title: Reimbursement for Emergency Treatment 

The Department of Veterans Affairs (VA) amended its regulations concerning payment or reimbursement for emergency treatment for non-service-connected conditions at non-VA facilities to implement the requirements of a 2016 court decision. This rulemaking expanded eligibility for payment or reimbursement to include veterans who receive partial payment from a health-plan contract for non-VA emergency treatment and establishes a corresponding reimbursement methodology. This rulemaking also expanded the eligibility criteria for veterans to receive payment or reimbursement for emergency transportation associated with the emergency treatment, in order to ensure that veterans are adequately covered when emergency transportation is a necessary part of their non-VA emergency treatment.  In September of 2019, the Court of Appeals for Veterans Claims issued a decision invalidating a portion of this regulation.  Further regulatory action will be held pending the conclusion of this ongoing litigation.

Agency: Department of Veterans Affairs(VA)  Priority: Section 3(f)(1) Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Final Rule Stage 
Major: Yes  Unfunded Mandates: No 
CFR Citation: 38 CFR 17.1002    38 CFR 17.1003    38 CFR 17.1005   
Legal Authority: 38 U.S.C. 501   
Legal Deadline:  None
Action Date FR Cite
Interim Final Rule  01/19/2018  83 FR 974   
Interim Final Rule Effective  01/19/2018 
Interim Final Rule Comment Period End  03/12/2018 
Final Action  02/22/2023  88 FR 10835   
Final Rule Comment Period End  04/24/2023 
Final Action Effective  04/24/2023 
Final Action  04/00/2024 
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:
Joseph Duran
Director, Policy and Planning (10D1A1)
Department of Veterans Affairs
3773 Cherry Creek North Drive,
Denver, CO 80209
Phone:303 372-4629