VA releases proposed rules to make it easier for veterans to seek private care

Military health
Veterans who cannot access care within the new proposed standards would be able to choose between eligible community providers and care at a VA medical facility. (vadimguzhva)

It may soon be easier for veterans to seek private healthcare after the Department of Veterans Affairs announced a proposed rule to change access standards for community care and urgent care.

The standards, proposed to meet the requirements of the $55 million MISSION Act signed into law by President Trump in June 2018, would allow veterans to seek care with either VA or community providers. Among other things, the reform bill is expected to change where veterans can receive care, create hiring incentives to bring on more VA healthcare providers and establish a commission to examine the VA's aging infrastructure.

The latest proposal would take effect in June. 

Free Daily Newsletter

Like this story? Subscribe to FierceHealthcare!

The healthcare sector remains in flux as policy, regulation, technology and trends shape the market. FierceHealthcare subscribers rely on our suite of newsletters as their must-read source for the latest news, analysis and data impacting their world. Sign up today to get healthcare news and updates delivered to your inbox and read on the go.

Following the change, veterans who cannot access care within the new proposed standards would be able to choose between eligible community providers and care at a VA medical facility.

RELATED: Senate passes VA MISSION Act, raising concerns of privatization

    Specifically, officials said, the VA proposed a 30-minute average drive time standard for veterans seeking primary care, mental health and non-institutional extended care services. For veterans seeking specialty care, the VA is proposing a 60-minute average drive time standard.

    Further, the VA is proposing appointment wait-time standards of 20 days for primary care, mental health care, and non-institutional extended care services. It is proposing a wait-time standard of 28 days for specialty care from the date of the request with certain exceptions.

    “Our medical services must meet our veterans’ needs and reinforce the trust that forms the basis for every interaction with VA. Our new access standards are a vital part of this effort," VA Secretary Robert Wilkie said in a statement.

    RELATED: Wilkie provides update on state of the VA 60 days into his tenure as secretary

    Officials said eligible veterans will have access to an urgent care benefit by selecting a provider in VA’s community care network, but they may be charged a copayment.

    The VA is accepting public comment on the proposed access standards in the Federal Register over the next several months.

    The release of the rule comes just a few days after Wilkie released a statement promising a plan that would "revolutionize VA healthcare" as part of the VA's implementation of the MISSION Act, calling the VA’s patchwork of seven separate community care programs "a bureaucratic maze."

    He warned that critics might call it privatization of the VA. Indeed, top veterans groups gave mixed reviews when the MISSION Act passed.

    "Although these new standards represent an important win for America’s veterans, they will not be without controversy," Wilkie said. "Some will claim falsely and predictably that they represent a first step toward privatizing the department."

    Suggested Articles

    A group of House lawmakers want CMMI's mandatory kidney care model to be as narrow as possible and change how it calculates payments.

    Humana and Microsoft announced a seven-year strategic partnership to build predictive solutions and intelligent automation to support Humana members.

    Humana filed suit Friday against more than a dozen generic drugmakers alleging the companies engaged in price fixing.