JAMA Network June 30, 2020
The US Department of Veterans Affairs (VA) has long partnered with the non-VA health care community to ensure veterans receive timely or specialty care unavailable within the Veterans Health Administration (VHA). Historically, this was provided through the VA’s fee-based Patient-Centered Community Care programs and then through the Veterans Choice Act of 2014. In June 2019, the final rule for the Maintaining Internal Systems and Strengthening Integrated Outside Networks (MISSION) Act was enacted as a replacement for the Choice Program.1
The MISSION Act relaxes the criteria by which veterans are eligible to access nonurgent care outside the VHA and will cover care in their local community if: (1) the needed service is not available at a VA facility; (2) the veteran...
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