,i  #aaith ,,congress  #ast ,session    
,h4 ,r4 #hgd  ,,in ,,the ,,house ,,of   
,,representatives  ,january #ca1        
#bjbe,mr4 ,mc,cormick introduced the    
following bill2 which was referred to   
the ,committee on ,veterans' ,affairs   
,a ,,bill  ,to amend title #ch1 ,united 
,states ,code1 to modify the rate of pay
 for care or services provided under the
 ,community ,care ,program of the       
,department of ,veterans ,affairs based 
on the location at which such care or   
services were provided1 and for other   
purposes4  #a4 ,rates of pay for a      
provider of care or services furnished  
to a veteran under the ,community ,care 
,program of the ,department of ,veterans
 ,affairs  7a7 ,rates ,section #agjc7;i7
 of title #ch1 ,united ,states ,code1 is
 amended-- 7#a7 in paragraph 7#a7--     
7,a7 by striking ,except as provided in 
paragraph 7#b71 and to the extent       
practicable and inserting 7,a7 ,to the  
extent practicable2 and  7,b7 by adding 
at the end the following new            

subparagraphs3  7,b7 ,the ,secretary    
shall establish rates for payments under
 subparagraph 7,a7 that are specific    
with respect to the following locations 
at which the care or services were      
provided 7regardless of the location of 
the headquarters of the provider73 7i7  
,an inpatient hospital4  7ii7 ,an       
on-campus hospital outpatient           
department4  7iii7 ,an off-campus       
hospital outpatient department4  7iv7   
,an ambulatory surgical center4  7v7    
,the office of a physician4  7,c7 ,the  
,secretary shall ensure that a claim for
 payment under this paragraph includes a
 unique1 geographically specific        
national provider identifier code that  
identifies the location of the provider 
as described in subparagraph 7,b74  2   
and  7#b7 by adding at the end the      
following new paragraph3  7#g7 ,if the  
,secretary may pay more than one rate   
under this paragraph for care or        
services1 the ,secretary shall pay the  
lowest such rate4  4  7b7 ,effective    

date ,the amendments made by subsection 
7a7 shall take effect on ,january #a1   
#bjbf4