S. 544Senate115th Congress (2017-2019)Enacted

A bill to amend the Veterans Access, Choice, and Accountability Act of 2014 to modify the termination date for the Veterans Choice Program, and for other purposes.

Sponsored by Jon TesterSen. Jon Tester (D-MT)
Introduced March 7, 2017

AI-Generated Summary

Updated April 15, 2026 at 1:35 PM UTC

This bill changes the Veterans Access, Choice, and Accountability Act of 2014. It removes the built‑in three‑year sunset for the Veterans Choice Program, ends the rule that the VA must act as a secondary payer for non‑service‑connected care, lets the VA collect those costs from third‑party insurers, and permits the VA to share veterans’ medical records with non‑VA providers who are delivering care.

Key Provisions

  • Deletes the language that ends the Veterans Choice Program three years after the law’s enactment, effectively allowing the program to continue beyond that date.
  • Eliminates the requirement that the VA be a secondary payer for care related to non‑service‑connected disabilities, and adds a new rule that the VA can recover reasonable charges from third‑party insurers for such care, depositing the recovered funds into the Medical Community Care account.
  • Allows the VA to disclose veterans’ medical records to non‑VA entities (including private and other federal agencies) that provide authorized health care, with a restriction that those entities may not re‑disclose or use the records for other purposes.

Legislative Activity

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16 earlier actions
Became Law Latest Action

Became Public Law No: 115-26.

April 19, 2017

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SenateIntro Referral

Introduced in Senate

March 7, 2017

SenateIntro Referral

Read twice and referred to the Committee on Veterans' Affairs.

March 7, 2017

SenateCommittee

Senate Committee on Veterans' Affairs discharged by Unanimous Consent.(consideration: CR S2163-2164)

April 3, 2017

SenateDischarge

Senate Committee on Veterans' Affairs discharged by Unanimous Consent. (consideration: CR S2163-2164)

April 3, 2017

SenateFloor

Passed Senate without amendment by Voice Vote. (text: CR S2163)

April 3, 2017

SenateFloor

Message on Senate action sent to the House.

April 3, 2017

HouseFloor

Received in the House.

April 3, 2017 • 6:09 PM

HouseFloor

Held at the desk.

April 3, 2017 • 7:20 PM

HouseFloor

Mr. Roe (TN) moved to suspend the rules and pass the bill.

April 5, 2017 • 2:08 PM

HouseFloor

Considered under suspension of the rules. (consideration: CR H2722-2726)

April 5, 2017 • 2:09 PM

HouseFloor

DEBATE - The House proceeded with forty minutes of debate on S. 544.

April 5, 2017 • 2:10 PM

SenateFloor

Passed/agreed to in House: On motion to suspend the rules and pass the bill Agreed to by voice vote.(text: CR H2722)

April 5, 2017 • 2:42 PM

HouseFloor

On motion to suspend the rules and pass the bill Agreed to by voice vote. (text: CR H2722)

April 5, 2017 • 2:42 PM

HouseFloor

Motion to reconsider laid on the table Agreed to without objection.

April 5, 2017 • 2:42 PM

President

Presented to President.

April 7, 2017

Became Law

Signed by President.

April 19, 2017

Became Law

Became Public Law No: 115-26.

April 19, 2017

Floor Debate

17 members

What members said about S. 544 on the floor

8 Republicans9 Democrats
David P. Roe
Rep. David P. RoeR-TN-1 · Apr 5, 2017

Mr. Speaker, I move to suspend the rules and pass the bill (S. 544) to amend the Veterans Access, Choice, and Accountability Act of 2014 to modify the termination date for the Veterans Choice…

Jon Tester
Sen. Jon TesterD-MT · Mar 30, 2017

Mr. President, I rise today in support of the bipartisan Veterans Choice Program Improvement Act. I will start my remarks by saying that Chairman Isakson was here earlier, and he had a meeting he had…

Mark Takano
Rep. Mark TakanoD-CA-41 · Apr 5, 2017

Mr. Speaker, I thank the ranking member, the gentleman from Minnesota, for yielding. Mr. Speaker, I rise today in support of S. 544. This legislation ensures that the approximately $1 billion left in…

Jerry Moran
Sen. Jerry MoranR-KS · Mar 30, 2017

Mr. President, I appreciate the remarks, as well as the working together with the Senator from Montana as we tried to make certain that a program that is so valuable to veterans across the…

Timothy J. Walz
Rep. Timothy J. WalzD-MN-1 · Apr 5, 2017

Mr. Speaker, I yield myself such time as I may consume. Mr. Speaker, I, too, rise in strong support of S. 544 to eliminate the sunset on the Veterans Choice Program. This bill will basically allow…

Show 8 more
Jerry Moran
Sen. Jerry MoranR-KS · Apr 3, 2017

Madam President, I thank the Senator from Montana for his efforts to see that this legislation gets passed. I am pleased to see that we have been joined in a unanimous way by the Senate, Republicans…

John McCain
Sen. John McCainR-AZ · Apr 3, 2017

Madam President, I want to thank the Senator from Kansas for all the hard work he has done, and the Senator from Montana. On the rare occasion I come to praise him, I would like to give him my deep…

Beto O'Rourke
Rep. Beto O'RourkeD-TX-16 · Apr 5, 2017

Mr. Speaker, I would like to begin by thanking the chairman of the full committee, and I join the ranking member of the full committee in honoring the work of Chairman Roe, his staff, and his…

Jon Tester
Sen. Jon TesterD-MT · Apr 3, 2017

Madam President, I ask unanimous consent that the Committee on Veterans' Affairs be discharged from further consideration of S. 544 and the Senate proceed to its immediate consideration. Madam…

Ann M. Kuster
Rep. Ann M. KusterD-NH-2 · Apr 5, 2017

Mr. Speaker, I, too, want to commend our chairman, Mr. Roe, and ranking member, Mr. Walz, for their bipartisan efforts. I rise to speak on S. 544, the bill that will eliminate the sunset on the…

Julia Brownley
Rep. Julia BrownleyD-CA-26 · Apr 5, 2017

Mr. Speaker, I thank the gentleman from Minnesota, our ranking member, for yielding me time and for his tireless advocacy on behalf of our Nation's veterans. As the ranking member of the House…

Leonard Lance
Rep. Leonard LanceR-NJ-7 · Apr 5, 2017

Mr. Speaker, I certainly commend the chairman of the committee, Dr. Roe, for his leadership on this issue, as well as the ranking member for his leadership. I rise in strong support of S. 544, which…

Ruben J. Kihuen
Rep. Ruben J. KihuenD-NV-4 · Apr 5, 2017

Mr. Speaker, I thank Chairman Roe and Ranking Member Walz for their bipartisan work on this issue on behalf of our veterans and our country. It is very refreshing to see bipartisanship here in this…

Show 6 more
Gus M. Bilirakis
Rep. Gus M. BilirakisR-FL-12 · Apr 5, 2017

Mr. Speaker, while the Veterans Choice Program is by no means perfect--the chairman said this, as well as the ranking member--many of our men and women who wore our Nation's uniform rely on it for…

Ryan A. Costello
Rep. Ryan A. CostelloR-PA-6 · Apr 5, 2017

Mr. Speaker, I thank the chairman for his leadership. Mr. Speaker, I rise today in support of the Veterans Choice Program Improvement Act. This legislation protects access to health care for our…

J. Luis Correa
Rep. J. Luis CorreaD-CA-46 · Apr 5, 2017

Mr. Speaker, I thank Chairman Roe and our ranking member, Mr. Walz, for all the good work for all of our veterans. Mr. Speaker, I rise also in support of the Choice Act and urge my colleagues to also…

Mike Coffman
Rep. Mike CoffmanR-CO-6 · Apr 5, 2017

Mr. Speaker, I stand today in support of legislation to remove the sunset date on the Veterans Choice Program and, in turn, bring continuity to our Nation's veterans currently receiving their health…

John Cornyn
Sen. John CornynR-TX · Apr 3, 2017

Madam President, I ask unanimous consent that the order for the quorum call be rescinded.

Thomas R. Carper
Sen. Thomas R. CarperD-DE · Mar 30, 2017

Mr. President, I ask unanimous consent that the order for the quorum call be rescinded.

Bill Text

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One Hundred Fifteenth Congress of the United States of America

1st Session

Begun and held at the City of Washington on Tuesday, the third day of January, two thousand and seventeen

S. 544

AN ACT

To amend the Veterans Access, Choice, and Accountability Act of 2014 to modify the termination date for the Veterans Choice Program, and for other purposes.

1.

Modification of termination date for Veterans Choice Program

Section 101(p)(2) of the Veterans Access, Choice, and Accountability Act of 2014 (Public Law 113–146; 38 U.S.C. 1701 note) is amended by striking , or the date that is 3 years after the date of the enactment of this Act, whichever occurs first.

2.

Elimination of requirement to act as secondary payer for care relating to non-service-connected disabilities and recovery of costs for certain care under Choice Program

(a)

In general

Section 101(e) of the Veterans Access, Choice, and Accountability Act of 2014 (Public Law 113–146; 38 U.S.C. 1701 note) is amended—

(1)

in the subsection heading, by striking Other health-care plan and inserting Responsibility for costs of certain care;

(2)

in paragraph (1), in the paragraph heading, by striking to Secretary and inserting on health-care plans;

(3)

by striking paragraphs (2) and (3);

(4)

by redesignating paragraph (4) as paragraph (2); and

(5)

by adding at the end the following new paragraph:

(3)

Recovery of costs for certain care

(A)

In general

In any case in which an eligible veteran is furnished hospital care or medical services under this section for a non-service-connected disability described in subsection (a)(2) of section 1729 of title 38, United States Code, or for a condition for which recovery is authorized or with respect to which the United States is deemed to be a third party beneficiary under Public Law 87–693, commonly known as the Federal Medical Care Recovery Act (42 U.S.C. 2651 et seq.), the Secretary shall recover or collect from a third party (as defined in subsection (i) of such section 1729) reasonable charges for such care or services to the extent that the veteran (or the provider of the care or services) would be eligible to receive payment for such care or services from such third party if the care or services had not been furnished by a department or agency of the United States.

(B)

Use of amounts

Amounts collected by the Secretary under subparagraph (A) shall be deposited in the Medical Community Care account of the Department. Amounts so deposited shall remain available until expended.

.

(b)

Conforming amendment

Paragraph (1) of such section is amended by striking paragraph (4) and inserting paragraph (2).

3.

Authority to disclose certain medical records of veterans who receive non-Department of Veterans Affairs health care

Section 7332(b)(2) of title 38, United States Code, is amended by adding at the end the following new subparagraph:

(H)
(i)

To a non-Department entity (including private entities and other Federal agencies) that provides hospital care or medical services to veterans as authorized by the Secretary.

(ii)

An entity to which a record is disclosed under this subparagraph may not redisclose or use such record for a purpose other than that for which the disclosure was made.

.

Speaker of the House of Representatives

Vice President of the United States and President of the Senate