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.

HR 874 modifies how the VA pays for community care provided to veterans under its Community Care Program. It requires the VA to set location-specific payment rates for care delivered at specific facilities (like inpatient hospitals, outpatient departments, or physician offices), regardless of where the provider is headquartered. The bill also mandates that providers include a geographically specific national provider ID code in payment claims and directs the VA to pay the lowest applicable rate if multiple rates apply. These changes take effect January 1, 2026.