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1 S. 1875, Veterans' Emergency Care Claims Parity Act, as Ordered Reported by the Senate Committee on Veterans' Affairs on July 28, 2021 1 (September 14, 2021)

handle is hein.congrec/cbovemcy0001 and id is 1 raw text is: Congressional Budget Office
Cost Estimate

September 14, 2021

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Increas or Dcre     -)
in the Deicit

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S. 1875 would require any health care provider not affiliated with the Department of
Veterans Affairs (VA) to submit a claim for reimbursement within 180 days of providing
emergency care to veterans. Under current law, providers may take two years to submit
claims for emergency care provided without prior authorization for conditions that are
connected to or were caused by their military service; the deadline is 90 days for conditions
that are not connected to veterans' military service. The bill also would shield veterans from
financial liability for unpaid claims that are not submitted on time or that are delayed as a
result of administrative errors made by the provider or the department.
CBO expects that most providers who submit claims after 180 days under current law would
accelerate their processing to meet the new deadline. However, some of those providers who
would get paid under current law may not meet the new deadline, resulting in fewer
reimbursements. Given the uncertainty about how providers would respond, CBO is unable
to estimate the reduction in discretionary spending.
Section 3 of the bill would require VA to publish and maintain at least one website offering
detailed instructions for non-VA providers to submit claims for reimbursement. VA currently
publishes similar information on emergency care provided outside VA facilities. Thus, CBO
expects that satisfying that requirement would impose minimal costs on the department. In
See also CBO's Cost Estimates Explained, www.cbo.gov/publication/54437;
How CBO Prepares Cost Estimates, www.cbo.gov/publication/53519; and Glossary, www.cbo.gov/publication/42904.

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