H.R. 7589House117th Congress (2021-2023)Passed House

Reduce and Eliminate Mental Health Outpatient Veteran Copays Act

Introduced April 26, 2022

AI-Generated Summary

Updated February 8, 2026 at 10:56 AM UTC

The REMOVE Copays Act changes federal law so the Department of Veterans Affairs cannot charge veterans a copayment for their first three mental‑health outpatient visits each calendar year. The prohibition applies to visits with qualified mental‑health professionals for mental‑health or substance‑abuse treatment, but it does not affect any copays for prescription medications. The rule takes effect 180 days after the law is enacted and applies to eligible veterans receiving outpatient mental‑health care.

Key Provisions

  • Prohibits the VA from imposing or collecting a copayment for a veteran’s first three mental‑health outpatient visits in a calendar year.
  • Excludes medication copays from the prohibition, so prescription drug charges can still apply.
  • Defines a “mental‑health care outpatient visit” as an appointment with a qualified mental‑health professional for mental‑health or substance‑abuse treatment.
  • The prohibition becomes effective 180 days after the act’s enactment date.

Legislative Activity

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13 earlier actions
SenateIntro Referral Latest Action

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

September 29, 2022

View full timeline
HouseIntro Referral

Introduced in House

April 26, 2022

HouseIntro Referral

Referred to the House Committee on Veterans' Affairs.

April 26, 2022

HouseCommittee

Referred to the Subcommittee on Health.

May 10, 2022

HouseCommittee

Subcommittee Hearings Held.

June 22, 2022

HouseCommittee

Subcommittee on Health Discharged.

September 20, 2022

HouseCommittee

Committee Consideration and Mark-up Session Held.

September 21, 2022

HouseCommittee

Ordered to be Reported (Amended) by Voice Vote.

September 21, 2022

HouseFloor

Mr. Takano moved to suspend the rules and pass the bill, as amended.

September 28, 2022 • 8:12 PM

HouseFloor

Considered under suspension of the rules. (consideration: CR H8185-8186)

September 28, 2022 • 8:13 PM

HouseFloor

DEBATE - The House proceeded with forty minutes of debate on H.R. 7589.

September 28, 2022 • 8:13 PM

HouseFloor

Passed/agreed to in House: On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote.

September 28, 2022 • 8:18 PM

HouseFloor

On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H8185)

September 28, 2022 • 8:18 PM

HouseFloor

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

September 28, 2022 • 8:18 PM

SenateIntro Referral

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

September 29, 2022

Floor Debate

2 members

What members said about H.R. 7589 on the floor

1 Republican1 Democrat
Mark Takano
Rep. Mark TakanoD-CA-41 · Sep 28, 2022

Madam Speaker, I move to suspend the rules and pass the bill (H.R. 7589) to amend title 38, United States Code, to prohibit the imposition or collection of copayments for certain mental health…

Mike Bost
Rep. Mike BostR-IL-12 · Sep 28, 2022

Madam Speaker, I yield myself such time as I may consume. Madam Speaker, I rise in support of H.R. 7589, the REMOVE Copays Act. As its name suggests, this bill would remove copayments from every…

Bill Text

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Latest
Referred in SenateIssued September 29, 2022

IIB

117th CONGRESS

2d Session

H. R. 7589

IN THE SENATE OF THE UNITED STATES

September 29, 2022

Received; read twice and referred to the Committee on Veterans' Affairs

AN ACT

To amend title 38, United States Code, to prohibit the imposition or collection of copayments for certain mental health outpatient care visits of veterans, and for other purposes.


1.

Short title

This Act may be cited as the Reduce and Eliminate Mental Health Outpatient Veteran Copays Act or the REMOVE Copays Act.

2.

Prohibition on collection of copayments for first three mental health care outpatient visits of veterans

(a)

Prohibition on collection

Chapter 17 of title 38, United States Code, is amended by inserting after section 1722B the following new section (and conforming the table of sections at the beginning of such chapter accordingly):

1722C.

Copayments: prohibition on collection of copayments for first three mental health care outpatient visits of veterans

(a)

Prohibition

Except as provided in subsection (b), notwithstanding section 1710(g) of this title or any other provision of law, the Secretary may not impose or collect a copayment for the first three mental health care outpatient visits of a veteran in a calendar year for which the veteran would otherwise be required to pay a copayment under the laws administered by the Secretary.

(b)

Copayment for medications

The prohibition under subsection (a) shall not apply with respect to the imposition or collection of copayments for medications pursuant to section 1722A of this title.

(c)

Mental health care outpatient visit defined

In this section, the term mental health care outpatient visit means an outpatient visit with a qualified mental health professional for the primary purpose of seeking mental health care or treatment for substance abuse disorder.

.

(b)

Applicability

The amendments made by subsection (a) shall apply with respect to mental health care outpatient visits occurring on or after the date that is 180 days after the date of the enactment of this Act.

Passed the House of Representatives September 28, 2022.

Cheryl L. Johnson,

Clerk.