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Guard Veterans Healthcare Act draws bipartisan support and scrutiny over Medicare funding shift

House Committee on Veterans' Affairs · December 4, 2025
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Summary

HR 4077 would let VA seek reimbursement from Medicare Advantage and Part D plans for care delivered at VA; sponsors called it a bipartisan fix to a reimbursement loophole and cited CBO savings, while witnesses warned it could shift costs to Medicare and urged data sharing as an alternative.

Representative Lloyd Doggett and other sponsors framed HR 4077, the Guard Veterans Healthcare Act, as a bipartisan measure to close a longstanding reimbursement gap that prevents the Department of Veterans Affairs from collecting payments from Medicare Advantage and Part D plans for care the VA provides. Doggett and co‑sponsors argued the change would align VA with other providers and cited media reporting and a Congressional Budget Office estimate of roughly $10 billion per year in collections.

Supporters, including the Veterans of Foreign Wars and other veterans service organizations, said closing the duplication…

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