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United States · Bill · HR

H.R. 4013 (103rd)

VA State Health Care Reform Pilot Program Act

openUnited States· United States Congress· EN

Introduced

11 March 1994

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Message on Senate action sent to the House.

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Source updated

7 February 2024

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Summary

TABLE OF CONTENTS: Title I: Veterans Health Administration Staffing Levels Title II: Pilot Programs Title III: Health Care Resource Agreements Veterans Health Programs Improvement Act of 1994 - Title I: Veterans Health Administration Staffing Levels - Prohibits any reduction, during the five-year period beginning October 1, 1994, in the number of full-time equivalent employees in the Veterans Health Administration (VHA) of the Department of Veterans Affairs other than as specifically required by law or by the availability of funds. States that during such period no law imposing hiring restrictions on executive agencies to achieve workforce reductions shall apply to the VHA. Directs the Secretary of Veterans Affairs to report to the veterans' committees on VHA streamlining activities. Title II: Pilot Programs - Veterans Health-Care Pilot Program Act of 1994 - Authorizes the Secretary to establish and operate a pilot program in up to five States which have established a health care reform plan. Authorizes the Secretary to: (1) provide health-care services to veterans and their dependents on the same or a similar basis as the State reform plan; (2) comply with State law in establishing and operating a veterans' health plan in such State; (3) conduct the pilot program in some or all Department health-care facilities in the State; and (4) establish appropriate catchment areas in the State for enrollment in the pilot programs. Outlines conditions for participation in the pilot programs, including a finding that the workload in one or more Department health care facilities in a State would otherwise decline to a level which would impair the ability to meet assigned missions. Allows a pilot program to be implemented only after the plan has been submitted to the Congress and 30 days have elapsed. Exempts certain high-priority veterans (e.g., those with severe disabilities) from the payment of premiums or copayments in connection with care received under a pilot program. Establishes in the Treasury a revolving fund for conducting the pilot programs. Authorizes appropriations to the fund for FY 1995 through 2000. Provides for: (1) authorized transfers from other accounts to such fund; (2) authorized fund receipts and disbursements; and (3) transfer to the Treasury of excess funds. Requires annual reports. Terminates the pilot programs on September 30, 2000. Title III: Health Care Resource Agreements - Authorizes the director of a Department health care facility serving veterans who reside in a State with a State health reform plan to enter into agreements with health plans and other health care providers to furnish or obtain any health care resource. Requires to provide for reimbursement to the Department based on a methodology that provides appropriate flexibility to establish an appropriate reimbursement rate.

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