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S 1853119th CongressIn Committee

Parity for Native Hawaiian Veterans Act of 2025

Introduced: May 21, 2025
HealthcareVeterans Affairs
Standard Summary
Comprehensive overview in 1-2 paragraphs

The Parity for Native Hawaiian Veterans Act of 2025 would make two main changes to how the Department of Veterans Affairs (VA) serves Native Hawaiian veterans. First, it adjusts the definition used for eligibility for direct housing loans, aligning Native Hawaiian veterans with the definition used for Native American veterans under the Native American Housing Assistance and Self-Determination Act (NAHASDA). This is intended to expand or clarify who qualifies for VA direct housing loan programs. Second, it strengthens VA medical care for Native Hawaiians by creating a new reimbursement mechanism. VA would reimburse Native Hawaiian health care systems for the costs of care provided to eligible veterans—whether the care is delivered directly through the system, purchased/referral care, or travel contracts—thereby supporting Native Hawaiian health care providers and ensuring access to care. The bill also exempts Native Hawaiians from certain cost-sharing requirements for VA-supported care. The sponsors are Senators Hirono and Schatz, and the bill was introduced in the Senate in May 2025.

Key Points

  • 1Changes the housing loan eligibility definition: Section 3765(3)(B) of title 38, U.S. Code, would be amended to use the Native American definition as defined in NAHASDA (25 U.S.C. 4221), aligning Native Hawaiian veterans’ access to direct housing loans with that used for Native American veterans.
  • 2New VA reimbursement for Native Hawaiian health care: Adds new Sec. 1703H to Chapter 17 of title 38, requiring VA to reimburse Native Hawaiian health care systems for the costs of care provided to eligible veterans, regardless of whether the care is delivered directly, purchased/referral, or via travel contracts.
  • 3Definition of Native Hawaiian health care system: The new reimbursement section references the Native Hawaiian health care system as defined in the Native Hawaiian Health Care Improvement Act (42 U.S.C. 11711, section 12).
  • 4Expanded cost-sharing exemption: Amends 38 U.S.C. 1730A(b) to add a new paragraph exempting care for Native Hawaiians (defined as in the NHCHCA) from certain cost-sharing requirements.
  • 5Clerical/table-of-sections update: Inserts the new 1703H item into the table of sections for Chapter 17, clarifying the placement of the new provision within the Code.

Impact Areas

Primary group/area affected- Native Hawaiian veterans: Access to VA direct housing loans may broaden; reduced or eliminated cost-sharing for VA-related care; improved funding support for care received through Native Hawaiian health care systems.Secondary group/area affected- Native Hawaiian health care systems: Eligible for reimbursement from VA for care provided to veterans, improving financial sustainability and capacity to serve veterans.- VA medical and housing programs: Administrative changes to implement new definitions, reimbursement processes, and cost-sharing exemptions.Additional impacts- Federal budget and administration: New reimbursement obligations and potential expansion of eligible beneficiaries could affect VA budgeting and workload.- Legislative alignment: Creates parity between Native Hawaiian veterans and Native American veterans in housing benefits and access to care through Native Hawaiian health care systems.
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