- VeteransIncreases veterans’ access to care by raising or tying mileage reimbursements to the GSA rate and eliminating deductibl…
- Local governmentsExpands the set of eligible transport providers (VSOs, local veterans agencies, approved personal care providers), pote…
- Local governmentsMay create modest administrative and service delivery demand (e.g., claims processing, oversight, and coordination with…
HEAL Act
Referred to the Subcommittee on Health.
This bill amends 38 U.S.C. §111 and related provisions to change how the Department of Veterans Affairs reimburses travel for veterans. It sets a mileage rate reference (including text inserting a 41.5 cents per mile figure and also directing the Secretary to set the rate equal to the GSA privately owned automobile rate), prohibits the VA from imposing a deductible for travel for examination, treatment, or care, and expands who may be treated as eligible transportation providers to include certain approved personal care providers, veterans service organizations, and local government veterans service agencies (including employees and volunteers).
Adequacy and mechanism of the mileage rate (41.5 cents stated vs. tying to the GSA rate): liberals worry it may be too low, conservatives worry it could become an unfunded rising obligation.
Relative to its intended legislative type, this bill is a substantive statutory amendment that targets veterans' transportation reimbursement by changing specified provisions of title 38 and expanding eligible payees.
This bill amends 38 U.S.C. §111 and related provisions to change how the Department of Veterans Affairs reimburses travel for veterans.
It sets a mileage rate reference (including text inserting a 41.5 cents per mile figure and also directing the Secretary to set the rate equal to the GSA privately owned automobile rate), prohibits the VA from imposing a deductible for travel for examination, treatment, or care, and expands who may be treated as eligible transportation providers to include certain approved personal care providers, veterans service organizations, and local government veterans service agencies (including employees and volunteers).
It also adjusts language in section 111A about veterans’ service providers and clarifies that reimbursements are limited to amounts allowable under section 111.
On content alone, the bill is a limited, technical expansion of an existing benefit for veterans that avoids ideologically charged issues, which historically increases the chance of enactment. The main barriers are procedural (scheduling, CBO/budget considerations) and minor drafting/clarity issues rather than substantive controversy.
Relative to its intended legislative type, this bill is a substantive statutory amendment that targets veterans' transportation reimbursement by changing specified provisions of title 38 and expanding eligible payees. The bill correctly identifies statutory sections to modify and adds categories of providers, but contains inconsistencies in rate-setting language and lacks fiscal, administrative, and oversight detail appropriate to the magnitude of the change.
Adequacy and mechanism of the mileage rate (41.5 cents stated vs. tying to the GSA rate): liberals worry it may be too low, conservatives worry it could become an unfunded rising obligation.
Who stands to gain, and who may push back.
These are examples from the analysis, not a ranked list of the most-affected groups.
- Federal agenciesRaises federal program costs (higher per-mile reimbursements and broader eligibility), which could increase VA discreti…
- Local governmentsExpanding reimbursement to a wider set of providers, including volunteers or local agency employees, may increase fraud…
- Potential burdenIf reimbursements are set at higher rates or tied to the GSA rate, there could be modest increases in vehicle miles tra…
Why the argument around this bill splits.
Adequacy and mechanism of the mileage rate (41.5 cents stated vs. tying to the GSA rate): liberals worry it may be too low, conservatives worry it could become an unfunded rising obligation.
A mainstream liberal/left-leaning observer would likely view this bill positively as a targeted expansion of access to care by reducing travel cost barriers for veterans and broadening who can be reimbursed for providing rides.
They would welcome the prohibition on deductibles and the explicit inclusion of veterans service organizations and local agencies as transport providers.
They would be attentive to whether the mileage rate is sufficient and whether expanded provider eligibility includes safeguards for safety, fair compensation, and equitable access.
A centrist/moderate observer would see clear merits in reducing barriers to VA care (no deductible for travel) and in expanding eligible community providers, but would want clarity on costs, implementation mechanics, and fiscal effects.
They would be cautious about ambiguous language that inserts a 41.5 cents per mile amount while also directing the Secretary to set the mileage rate to the GSA rate.
Centrists would likely support the goals but seek technical fixes, cost estimates, and guardrails against administrative complexity and potential fraud.
A mainstream conservative observer would generally approve of efforts to help veterans access care but would be wary of increasing federal reimbursements or expanding the categories of reimbursable providers without clear cost controls.
They would be skeptical of any provision that appears to increase ongoing federal spending absent offsets.
They would also focus on the potential for fraud, administrative expansion, and the propriety of reimbursing volunteers or private organizations.
The path through Congress.
Reached or meaningfully advanced
Reached or meaningfully advanced
Still ahead
Still ahead
Still ahead
On content alone, the bill is a limited, technical expansion of an existing benefit for veterans that avoids ideologically charged issues, which historically increases the chance of enactment. The main barriers are procedural (scheduling, CBO/budget considerations) and minor drafting/clarity issues rather than substantive controversy.
- No CBO or cost estimate is included in the text; the fiscal magnitude (annual cost) of raising the per-mile rate and expanding reimbursable payees is unknown and could affect support or require offsets.
- The bill text references both a specific cents-per-mile figure and a statutory tie to the GSA-prescribed rate; this drafting ambiguity could require technical corrections and delay implementation.
Recent votes on the bill.
No vote history yet
The bill has not accumulated any surfaced votes yet.
Go deeper than the headline read.
Adequacy and mechanism of the mileage rate (41.5 cents stated vs. tying to the GSA rate): liberals worry it may be too low, conservatives w…
On content alone, the bill is a limited, technical expansion of an existing benefit for veterans that avoids ideologically charged issues,…
Relative to its intended legislative type, this bill is a substantive statutory amendment that targets veterans' transportation reimbursement by changing specified provisions of title 38 and expanding eligible payees. T…
Go beyond the headline summary with full stakeholder mapping, legislative design analysis, passage barriers, and lens-by-lens tradeoff breakdowns.