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H.R. 439
U.S. House•In House Committee
Summary
H.R. 439, the Veterans Foreign Medical Coverage Equality and Modernization Act of 2025, was introduced in the House on Jan 15, 2025 by Rep. Nick LaLota (R) with 22 co-sponsors. It was referred to Subcommittee on Health, and last saw action on Feb 20, 2025: Referred to the Subcommittee on Health.
Record
Text
H.R. 439 has 22 co-sponsors.
hb439/introduced-in-house.txt119 HR 439 IH: Veterans Foreign Medical Coverage Equality and Modernization Act of 2025U.S. House of Representatives2025-01-15text/xmlENPursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.I 119th CONGRESS 1st Session H. R. 439 IN THE HOUSE OF REPRESENTATIVES January 15, 2025 Mr. LaLota introduced the following bill; which was referred to the Committee on Veterans' Affairs A BILLTo amend title 38, United States Code, to require the Department of Veterans Affairs to furnish hospital care and medical services outside a State to veterans with service-connected disabilities rated as permanent and total, and for other purposes.1.Short titleThis Act may be cited as the Veterans Foreign Medical Coverage Equality and Modernization Act of 2025 .2.Department of Veterans Affairs furnishing of hospital care and medical services outside a State to veterans with service-connected disabilities rated as permanent and total(a)In generalSection 1724 of title 38, United States Code, is amended—(1)in subsection (a), by striking and (f) and inserting (f), and (g) ; and(2)by adding at the end the following new subsections:(g)The Secretary shall furnish hospital care and medical services outside a State to a veteran with a service-connected disability rated as permanent and total who is otherwise eligible to receive hospital care and medical services if the Secretary determines that—(1)the hospital care or medical services furnished are consistent with the standard medical practice in the United States; and(2)in the case of any prescription medication furnished, such medication is approved by the Food and Drug Administration.(h)In carrying out this section, the Secretary shall ensure that—(1)reimbursements made to veterans and medical providers can be made by direct deposit payments in such a manner as to expedite such reimbursements, improve efficiency, and reduce administrative costs; and(2)the appropriate mobile applications of the Department provide for—(A)the digital submission and real-time tracking of any forms and supporting documentation required for the receipt of hospital care or medical services, or reimbursement for such care or services, under this section; and(B)the availability of any benefits authorization letter, predetermination letter, or continuity of care document associated with hospital care or medical services furnished under this section..(b)Effective dateThe amendments made by subsection (a) shall take effect on the date that is 90 days after the date of the enactment of this Act and apply with respect to hospital care or medical services furnished on or after such date.(c)ReportNot later than two years after the date of the enactment of this Act, the Secretary of Veterans Affairs shall submit to Congress a report on the amendments made by this Act. Such report shall include an analysis of the implementation of such amendments, any challenges encountered, and the efficacy of the hospital care and medical services furnished pursuant to such amendments.
Tracker
The tracker indicates the progress of this legislation as it moves through the legislative process.
- Introduced2025-01-15
- Passed House
- Passed Senate
- Conference
- To President
- Became Law
CRS Summary
The summaries are the Congressional Research Service’s, one per stage. Read them in full.
Introduced in House Jan 15, 2025
hb439/introduced-in-house.mdShown Here:
Introduced in House (01/15/2025)
Veterans Foreign Medical Coverage Equality and Modernization Act of 2025
This bill requires the Department of Veterans Affairs (VA) to furnish hospital care and medical services abroad (i.e., outside any state) to a veteran with a service-connected disability rated as permanent and total who is otherwise eligible for such care if the VA determines certain requirements are met. Specifically, the VA must furnish such care to an eligible veteran if it determines (1) the hospital care or medical services are consistent with the standard medical practice in the United States, and (2) any prescription medication furnished is approved by the Food and Drug Administration.
For any care provided abroad, the VA must ensure (1) reimbursements made to veterans and medical providers can be made by direct deposit; and (2) the VA’s mobile applications provide for digital submission, real-time tracking of required forms, and the availability of specified documents associated with care or services, such as a benefits authorization letter.
Sponsors
Rep. Nick LaLota (R) sponsors H.R. 439, and 22 members have co-sponsored it.

Rep. · R–NY-1 · Sponsor
Introduced Jan 15, 2025

Rep. · D–NV-3 · Co-sponsor
Joined Jan 22, 2025

Rep. · R–NJ-2 · Co-sponsor
Joined Feb 4, 2025

Rep. · D–TX-16 · Co-sponsor
Joined Feb 24, 2025

Rep. · D–CA-46 · Co-sponsor
Joined Mar 5, 2025

Rep. · D–NV-1 · Co-sponsor
Joined Mar 6, 2025

Rep. · R–FL-27 · Co-sponsor
Joined Mar 18, 2025

Rep. · D–NC-1 · Co-sponsor
Joined Mar 27, 2025

Rep. · D–NY-3 · Co-sponsor
Joined Apr 7, 2025

Rep. · R–NY-17 · Co-sponsor
Joined Apr 14, 2025
Committees
H.R. 439 went before 2 committees: Health Subcommittee and Veterans' Affairs.
Actions
H.R. 439 has taken 3 actions since Jan 15, 2025, the latest on Feb 20, 2025.
| Chamber | Action | |||
|---|---|---|---|---|
Feb 20, 2025 | House | Referred to the Subcommittee on Health.Health Subcommittee | ||
Jan 15, 2025 | House | Introduced in House | ||
Jan 15, 2025 | House | Referred to the House Committee on Veterans' Affairs.Veterans' Affairs Committee |
Votes
H.R. 439 has not gone to a roll call.
Titles
H.R. 439 goes by 3 titles, 1 of them short titles.
- Veterans Foreign Medical Coverage Equality and Modernization Act of 2025 — Display Title
- To amend title 38, United States Code, to require the Department of Veterans Affairs to furnish hospital care and medical services outside a State to veterans with service-connected disabilities rated as permanent and total, and for other purposes. — Official Title as Introduced
- Veterans Foreign Medical Coverage Equality and Modernization Act of 2025 — Short Title(s) as Introduced
Lobbying
3 clients hired 3 firms and 21 registered lobbyists who named H.R. 439 in 17 quarterly filings, 2025 to 2026. Reported under the Lobbying Disclosure Act; a filing’s income covers everything its registrant worked that quarter, so the amounts below are the filings’, not this bill’s.
Filed under Veterans, Taxation/Internal Revenue Code, Budget/Appropriations, Civil Rights/Civil Liberties, Government Issues, Medical/Disease Research/Clinical Labs, Medicare/Medicaid, Transportation.
Clients
Who paid to be heard, by how many filings named the bill.
| Client | Business | State | Firms | Filings | Reported |
|---|---|---|---|---|---|
| DISABLED AMERICAN VETERANS | — | District of Columbia | 1 | 6 | — |
| PARALYZED VETERANS OF AMERICA | — | District of Columbia | 1 | 6 | — |
| AMERICAN CITIZENS ABROAD, INC. | Exempt nonpartisan social welfare organization advocating for Americans residing abroad. | District of Columbia | 1 | 5 | — |
Firms
Registrants who filed on the bill, by filings.
| Registrant | Clients | Filings | Reported |
|---|---|---|---|
| DISABLED AMERICAN VETERANS | 1 | 6 | — |
| PARALYZED VETERANS OF AMERICA | 1 | 6 | — |
| AMERICAN CITIZENS ABROAD, INC. | 1 | 5 | — |
Lobbyists
Named on the filings that cite the bill. The 20 named most often, of 21.
| Lobbyist | Firms | Clients | Filings |
|---|---|---|---|
| HEATHER ANSLEY | 1 | 1 | 6 |
| JEREMY VILLANUEVA | 1 | 1 | 6 |
| JON RETZER | 1 | 1 | 6 |
| JULIE HOWELL | 1 | 1 | 6 |
| MORGAN BROWN | 1 | 1 | 6 |
| NAOMI MATHIS | 1 | 1 | 6 |
| PETER DICKINSON | 1 | 1 | 6 |
| SHAMALA CAPIZZI | 1 | 1 | 6 |
| CHARLES BRUCE | 1 | 1 | 5 |
| JOSEPH LEMAY | 1 | 1 | 5 |
| MARYLOUISE SERRATO | 1 | 1 | 5 |
| SHANE LIERMANN | 1 | 1 | 5 |
| ANTHONYA JAMES | 1 | 1 | 4 |
| JOY ILEM | 1 | 1 | 4 |
| LISA ELIJAH | 1 | 1 | 4 |
| ANTHONYA HOLLINS | 1 | 1 | 2 |
| DANICA GONZALVES | 1 | 1 | 2 |
| JENNIFER HUNT | 1 | 1 | 2 |
| KEVIN MILLER | 1 | 1 | 2 |
| MARQUIS BAREFIELD | 1 | 1 | 2 |
Filings
The documents themselves, on the Senate’s Lobbying Disclosure site, largest reported first.
| Client | Registrant | Period | Reported | Document |
|---|---|---|---|---|
| DISABLED AMERICAN VETERANS | DISABLED AMERICAN VETERANS | 2026 first_quarter | $175.9K | 1st Quarter - Report |
| DISABLED AMERICAN VETERANS | DISABLED AMERICAN VETERANS | 2025 fourth_quarter | $161.3K | 4th Quarter - Report |
| DISABLED AMERICAN VETERANS | DISABLED AMERICAN VETERANS | 2026 second_quarter | $149.2K | 2nd Quarter - Report |
| DISABLED AMERICAN VETERANS | DISABLED AMERICAN VETERANS | 2025 third_quarter | $141.4K | 3rd Quarter - Report |
| DISABLED AMERICAN VETERANS | DISABLED AMERICAN VETERANS | 2025 second_quarter | $141.4K | 2nd Quarter - Report |
| DISABLED AMERICAN VETERANS | DISABLED AMERICAN VETERANS | 2025 first_quarter | $141.4K | 1st Quarter - Report |
| PARALYZED VETERANS OF AMERICA | PARALYZED VETERANS OF AMERICA | 2026 second_quarter | $112.1K | 2nd Quarter - Report |
| PARALYZED VETERANS OF AMERICA | PARALYZED VETERANS OF AMERICA | 2026 first_quarter | $108.2K | 1st Quarter - Report |
| PARALYZED VETERANS OF AMERICA | PARALYZED VETERANS OF AMERICA | 2025 second_quarter | $89.2K | 2nd Quarter - Report |
| PARALYZED VETERANS OF AMERICA | PARALYZED VETERANS OF AMERICA | 2025 first_quarter | $88.6K | 1st Quarter - Report |
| PARALYZED VETERANS OF AMERICA | PARALYZED VETERANS OF AMERICA | 2025 fourth_quarter | $87.2K | 4th Quarter - Report |
| PARALYZED VETERANS OF AMERICA | PARALYZED VETERANS OF AMERICA | 2025 third_quarter | $87.2K | 3rd Quarter - Report |
| AMERICAN CITIZENS ABROAD, INC. | AMERICAN CITIZENS ABROAD, INC. | 2025 fourth_quarter | $70K | 4th Quarter - Report |
| AMERICAN CITIZENS ABROAD, INC. | AMERICAN CITIZENS ABROAD, INC. | 2025 second_quarter | $70K | 2nd Quarter - Report |
| AMERICAN CITIZENS ABROAD, INC. | AMERICAN CITIZENS ABROAD, INC. | 2026 first_quarter | $30K | 1st Quarter - Report |
| AMERICAN CITIZENS ABROAD, INC. | AMERICAN CITIZENS ABROAD, INC. | 2025 third_quarter | $30K | 3rd Quarter - Report |
| AMERICAN CITIZENS ABROAD, INC. | AMERICAN CITIZENS ABROAD, INC. | 2026 second_quarter | $20K | 2nd Quarter - Report |
Classification
The Congressional Research Service files H.R. 439 under Armed Forces and National Security, one of its 31 policy areas, and gives it 5 legislative subjects.
CRS Subjects
CRS assigns every bill one policy area from its 31; H.R. 439’s is Armed Forces and National Security.
hr439/policy-areas.txtLegislative Subjects
H.R. 439 carries 5 of CRS’s legislative subjects, from Congressional oversight to Veterans' medical care.
hr439/subjects.txtConstitutional authority
The clause the sponsor cites as Congress’s power to enact H.R. 439, as entered in the Congressional Record.
[Congressional Record Volume 171, Number 8 (Wednesday, January 15, 2025)][House]From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]By Mr. LaLOTA:H.R. 439.Congress has the power to enact this legislation pursuantto the following:Article 1, Section 8 of the United States Constitution[Page H186]
Source: congress.gov · legiscan.com