To amend title 38, United States Code, 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 provided, and for other purposes.

This bill would change how the Department of Veterans Affairs pays healthcare providers under its Community Care Program by requiring payment rates to be based on the specific location where care is delivered rather than the provider's main headquarters. It mandates that the VA establish separate payment rates for different types of care sites, including hospital outpatient departments, ambulatory surgical centers, and physician offices, starting in 2027. The legislation also requires each care site to have a unique National Provider Identifier and ensures that claims for payment include this identifier to track where services were provided. Additionally, it clarifies how off-campus outpatient departments affiliated with larger providers should be treated and billed separately.