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S 1974 103th Congress Senate Armed Forces and National Security Comprehensive health care Congress Congressional reporting requirements Department of Veterans Affairs Economics and Public Finance Executive reorganization Federal employees Government Operations and Politics Government trust funds Health Health care reform Health insurance State laws Veterans' hospitals Veterans' medical care

VA State Health Care Reform Pilot Program Act

Introduced: March 24, 1994 See on congress.gov
This bill died when the 103rd Congress ended
It never became law before the 103rd Congress (1993–1994) adjourned, and bills don't carry over to the next Congress. It would have to be reintroduced. You can still save it for reference, but it won't receive updates.
 Everywhere this bill has been 11 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Jun 8, 1994
Indefinitely postponed by Senate by Unanimous Consent.
Jun 8, 1994
Senate passed companion measure H.R. 4013 in lieu of this measure by Voice Vote.
Jun 8, 1994
Senate incorporated this measure in H.R. 4013 as an amendment.
Jun 8, 1994
The committee substitute as amended agreed to by Voice Vote.
Jun 8, 1994
Measure laid before Senate. (consideration: CR S6623-6626)
May 23, 1994
Placed on Senate Legislative Calendar under General Orders. Calendar No. 436.
May 23, 1994
Committee on Veterans. Reported to Senate by Senator Rockefeller with an amendment in the nature of a substitute. With written report No. 103-268.
Apr 14, 1994
Committee on Veterans. Ordered to be reported with an amendment in the nature of a substitute favorably.
Mar 24, 1994
Read twice and referred to the Committee on Veterans.
Mar 24, 1994
Sponsor introductory remarks on measure. (CR S3690-3691)
Mar 24, 1994
Introduced in Senate
 Amendments to this bill 1

Amendments propose changes to this bill. Members vote on amendments separately before the final bill vote. An agreed amendment becomes part of the bill; a failed amendment does not.

1 agreed to

AmendmentSponsorPurposeStatusLatest action
SAMDT 1,765 To revise certain provisions relating to the funding of the pilot programs. Agreed to Jun 8, 1994
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 Plain-English summary Congressional Research Service

VA State Health Care Reform Pilot Program Act - Authorizes the Secretary of Veterans Affairs to carry out pilot programs on the participation of the Department of Veterans Affairs health care system in the health care systems of States that have adopted comprehensive health benefit plans. Allows up to five States to be used for such pilot programs. Requires the Secretary to provide benefits to persons through the Department health care system in such a State as if such system were a provider of benefits under the State plan. Prohibits a State from refusing Department participation in a State health benefit plan unless the chief executive officer of such State certifies that the Department plan or its facilities are inadequate to meet the State health benefit plan.

Requires the Secretary to designate a health system director for each State in which a pilot program is carried out. Authorizes the Secretary to carry out any necessary administrative reorganization of Department health care systems or facilities in a program State. Allows the Secretary to exclude Department facilities from participation in a pilot program. Authorizes a health system director to enter into contracts and agreements for the provision of health care services and related services in connection with the pilot program. Excludes such contracts and agreements from certain Federal law. Requires review by the Central Office of the Department of contracts and agreements of $250,000 or more.

Outlines provisions concerning: (1) the use of Department personnel in a pilot program; (2) eligible persons; and (3) copayments and other charges (and their waiver with respect to certain veterans).

Establishes in the Treasury the Department of Veterans Affairs Health Care Reform Fund to be used for pilot program purposes, with a separate account established for each program.

Requires the Secretary to collect, and report to specified congressional committees concerning, information with respect to the provision of health care benefits under each pilot program.

What's happening now June 8, 1994

Indefinitely postponed by Senate by Unanimous Consent.

 Related & companion bills 1
 Bill text 2 versions

Source documents hosted by congress.gov.

 Committees of jurisdiction 1
Cite this page click to expand
APA
U.S. Congress. (2026). S. 1974: VA State Health Care Reform Pilot Program Act. 103rd Congress. Open America. https://openamerica.io/bill/103-S-1974/
MLA
"S. 1974: VA State Health Care Reform Pilot Program Act." 103rd Congress, 2026, Open America, https://openamerica.io/bill/103-S-1974/.
Bluebook (legal)
S. 1974, 103rd Cong. (2026), https://openamerica.io/bill/103-S-1974/.
Markdown link
[S. 1974: VA State Health Care Reform Pilot Program Act](https://openamerica.io/bill/103-S-1974/)
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