{ "legislationId": "119_S_4131", "lastUpdate": "2026-03-25T12:36:17.526Z", "history": [ { "timestamp": "2026-03-25T12:36:17.526Z", "source_url": "https://www.congress.gov/119/bills/s4131/BILLS-119s4131is.htm", "model": "gemini-flash-lite-latest", "prompt_sent": "\nROLE: Fact Checker.\nZADANIE: Porównaj SOURCE (oryginał) i SUMMARY (streszczenie przygotowane przez inne AI).\n\nTwoim celem jest wykrycie \"ZMYŚLONYCH KONKRETÓW\" (Fabricated Entities) w SUMMARY.\n\nSOURCE:\n[Congressional Bills 119th Congress] [From the U.S. Government Publishing Office] [S. 4131 Introduced in Senate (IS)] 119th CONGRESS 2d Session S. 4131 To require the Secretary of Veterans Affairs to carry out a pilot program to provide market-based rate adjustments to certain providers for furnishing qualifying specialized surgical services to veterans under the Veterans Community Care Program, and for other purposes. _______________________________________________________________________ IN THE SENATE OF THE UNITED STATES March 18, 2026 Mr. Cassidy introduced the following bill; which was read twice and referred to the Committee on Veterans' Affairs _______________________________________________________________________ A BILL To require the Secretary of Veterans Affairs to carry out a pilot program to provide market-based rate adjustments to certain providers for furnishing qualifying specialized surgical services to veterans under the Veterans Community Care Program, and for other purposes. Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, SECTION 1. SHORT TITLE. This Act may be cited as the ``Veteran Access to Neurosurgery Act of 2026''. SEC. 2. PILOT PROGRAM FOR MARKET-BASED RATE ADJUSTMENTS FOR QUALIFYING SPECIALIZED SURGICAL SERVICES UNDER THE VETERANS COMMUNITY CARE PROGRAM. (a) In General.--Commencing not later than one year after the date of the enactment of this Act, the Secretary of Veterans Affairs shall carry out a pilot program to permit qualified providers to negotiate market-based rate adjustments for furnishing qualifying specialized surgical services to veterans under the Veterans Community Care Program (in this section referred to as the ``pilot program''). (b) Duration.--The Secretary may carry out the pilot program for the five-year period beginning on the commencement of the pilot program. (c) Locations.--The Secretary shall carry out the pilot program in not less than two Veterans Integrated Service Networks of the Department of Veterans Affairs with a large number of veterans residing in locations that are in rural or highly rural areas. (d) Determination of Market-Based Rate Adjustments.--In carrying out the pilot program, the Secretary shall provide a market-based rate adjustment to a qualified provider in furnishing qualified specialized surgical services to a veteran if-- (1) the provider demonstrates that the rate adjustment is necessary to furnish such services; (2) the rate otherwise applicable to such services under the Veterans Community Care Program is insufficient to cover the cost of furnishing such services; and (3) the veteran lives in a geographical area where there are no other qualifying specialized surgical services furnished by the Department of Veterans Affairs, either direct care or through the Veterans Community Care Program, available within either a 60-day wait-time or distance of 100 miles. (e) Regulations.--Not later than 180 days after the date of the enactment of this Act, the Secretary shall prescribe, through notice and comment rulemaking, regulations necessary to implement this section. (f) Inspector General Review.--Not later than one year after the date of the enactment of this Act, and not less frequently than annually thereafter for the duration of the pilot program, the Inspector General of the Department of Veterans Affairs shall-- (1) conduct a review of the pilot program to ensure compliance by the Secretary with requirements under the pilot program and to ensure the efficiency and effectiveness of the pilot program; and (2) submit to the Secretary and the appropriate committees of Congress a report containing the findings from such review. (g) Annual Report.--Not later than one year after the date of the enactment of this Act, and not less frequently than annually thereafter for the duration of the pilot program, the Secretary shall submit to the appropriate committees of Congress a report on the pilot program that includes, for the year covered by the report, the following: (1) The number of patients served under the pilot program. (2) The different types of qualifying specialized surgical services furnished under the pilot program and the number of veterans furnished each such service. (3) The total costs incurred in furnishing services under the pilot program. (4) A description of any measurable outcomes in terms of health results for patients under the pilot program. (5) Any policy recommendations for improvement of the pilot program or recommendations as to whether the pilot program should be extended or made permanent. (6) Such other information as the Secretary determines relevant to include. (h) Definitions.--In this section: (1) Appropriate committees of congress.--The term ``appropriate committees of Congress'' means-- (A) the Committee on Veterans' Affairs of the Senate; and (B) the Committee on Veterans' Affairs of the House of Representatives. (2) Qualified provider.--The term ``qualified provider'' means a board-certified surgeon. (3) Qualifying specialized surgical services.--The term ``qualifying specialized surgical services'' means services relating to neurosurgery. (4) Veterans community care program.--The term ``Veterans Community Care Program'' means the program under section 1703 of title 38, United States Code. \n\nSUMMARY TO EVALUATE:\nTitle: Improving Veteran Access to Neurosurgery Services in Rural Areas Act\nSummary: This bill creates a pilot program to help veterans in rural areas get neurosurgery faster and closer to home. It allows the government to pay doctors higher market rates when local VA services are unavailable or have long wait times.\nKey Points: Neurosurgery specialists can negotiate higher pay to cover the actual costs of treating veterans., The program focuses on veterans living in rural areas with limited medical options., Veterans can use this program if they face a wait over 60 days for surgery., It also applies if the veteran would have to travel more than 100 miles for care., The initiative will run for five years in at least two major regional networks.\n\nZASADY OCENY:\n1. Sprawdź wszystkie LICZBY, DATY i KWOTY w SUMMARY. Jeśli którejś brakuje w SOURCE -> is_valid: false.\n2. Sprawdź wszystkie NAZWISKA, ORGANIZACJE i MIEJSCA w SUMMARY. Jeśli którejś brakuje w SOURCE -> is_valid: false.\n3. Sprawdź wszystkie konkretne DZIAŁANIA PRAWNE . Jeśli tego mechanizmu nie ma w SOURCE -> is_valid: false.\n\nWAŻNE: Abstrakcyjne pojęcia (np. \"transparentność\", \"zaufanie\") są dozwolone jako wnioski.\n\nOUTPUT (JSON):\n{\n \"is_valid\": true/false,\n \"issue\": \"fabricated_entity\" / \"contradiction\" / \"none\"\n}\n\nWYMAGANIA FORMATOWANIA:\n1. Odpowiedz WYŁĄCZNIE surowym obiektem JSON.\n2. NIE używaj bloków kodu Markdown.\n3. NIE dodawaj żadnych wstępów ani wyjaśnień przed ani po JSONie.\n4. JSON musi być poprawny i gotowy do parsowania.\n\n", "ai_response_raw": "{\n \"is_valid\": true,\n \"issue\": \"none\"\n}" }, { "timestamp": "2026-03-25T12:24:36.299Z", "source_url": "https://www.congress.gov/119/bills/s4131/BILLS-119s4131is.htm", "model": "gemini-flash-latest", "prompt_sent": "\nJesteś ekspertem od prawa Stanów Zjednoczonych, który ma za zadanie analizować dokumenty ustaw, uchwał oraz innych dokumentów legislacyjnych, a następnie przygotowywać z nich informacje w przystępny sposób dla obywateli. Twoim celem jest przedstawienie informacji tak, aby obywatele mogli sami ocenić wpływ legislacji na ich życie, nawet bez posiadania specjalistycznej wiedzy legislacyjnej. Skup się na faktach i obiektywnych skutkach wprowadzanych zmian, unikając wartościowania i osobistych opinii. Wszelki żargon prawny jest zabroniony. Prezentuj informacje w jasny, zwięzły i angażujący sposób, tak aby były zrozumiałe dla osoby bez wykształcenia prawniczego. Unikaj długich, złożonych zdań. Zamiast pisać \"projekt ma na celu nowelizację kodeksu podatkowego...\", napisz \"Zmiany w podatkach: nowe ulgi i obowiązki dla...\". Kontynuuj swoją pracę, dopóki nie rozwiążesz swojego zadania. Jeśli nie masz pewności co do generowanej treści, przeanalizuj dokument ponownie – nie zgaduj. Rozplanuj dobrze swoje zadanie przed przystąpieniem do niego. W podsumowaniu i kluczowych punktach, jeśli to możliwe i uzasadnione, podkreśl, jakie konkretne korzyści lub skutki (pozytywne lub negatywne) wprowadza ustawa dla życia codziennego obywateli, ich praw i obowiązków, finansów osobistych, bezpieczeństwa i innych ważnych kwestii (np. kategorycznych zakazów i nakazów czy najważniejszych konkretnych alokacji finansowych i terytorialnych).\n\nTwoja odpowiedź MUSI być w formacie JSON - i zawierać następujące klucze.\nZanim zwrócisz odpowiedź, dokładnie zweryfikuj, czy cała struktura JSON jest w 100% poprawna, włącznie ze wszystkimi przecinkami, nawiasami klamrowymi, kwadratowymi oraz cudzysłowami. Błędny JSON jest nieakceptowalny i uniemożliwi przetworzenie Twojej pracy.\n\nPrzeanalizuj dokładnie poniższy tekst dokumentu prawnego. To jest treść, na podstawie której masz wygenerować podsumowanie i kluczowe punkty:\n--- POCZĄTEK DOKUMENTU ---\n[Congressional Bills 119th Congress] [From the U.S. Government Publishing Office] [S. 4131 Introduced in Senate (IS)] 119th CONGRESS 2d Session S. 4131 To require the Secretary of Veterans Affairs to carry out a pilot program to provide market-based rate adjustments to certain providers for furnishing qualifying specialized surgical services to veterans under the Veterans Community Care Program, and for other purposes. _______________________________________________________________________ IN THE SENATE OF THE UNITED STATES March 18, 2026 Mr. Cassidy introduced the following bill; which was read twice and referred to the Committee on Veterans' Affairs _______________________________________________________________________ A BILL To require the Secretary of Veterans Affairs to carry out a pilot program to provide market-based rate adjustments to certain providers for furnishing qualifying specialized surgical services to veterans under the Veterans Community Care Program, and for other purposes. Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, SECTION 1. SHORT TITLE. This Act may be cited as the ``Veteran Access to Neurosurgery Act of 2026''. SEC. 2. PILOT PROGRAM FOR MARKET-BASED RATE ADJUSTMENTS FOR QUALIFYING SPECIALIZED SURGICAL SERVICES UNDER THE VETERANS COMMUNITY CARE PROGRAM. (a) In General.--Commencing not later than one year after the date of the enactment of this Act, the Secretary of Veterans Affairs shall carry out a pilot program to permit qualified providers to negotiate market-based rate adjustments for furnishing qualifying specialized surgical services to veterans under the Veterans Community Care Program (in this section referred to as the ``pilot program''). (b) Duration.--The Secretary may carry out the pilot program for the five-year period beginning on the commencement of the pilot program. (c) Locations.--The Secretary shall carry out the pilot program in not less than two Veterans Integrated Service Networks of the Department of Veterans Affairs with a large number of veterans residing in locations that are in rural or highly rural areas. (d) Determination of Market-Based Rate Adjustments.--In carrying out the pilot program, the Secretary shall provide a market-based rate adjustment to a qualified provider in furnishing qualified specialized surgical services to a veteran if-- (1) the provider demonstrates that the rate adjustment is necessary to furnish such services; (2) the rate otherwise applicable to such services under the Veterans Community Care Program is insufficient to cover the cost of furnishing such services; and (3) the veteran lives in a geographical area where there are no other qualifying specialized surgical services furnished by the Department of Veterans Affairs, either direct care or through the Veterans Community Care Program, available within either a 60-day wait-time or distance of 100 miles. (e) Regulations.--Not later than 180 days after the date of the enactment of this Act, the Secretary shall prescribe, through notice and comment rulemaking, regulations necessary to implement this section. (f) Inspector General Review.--Not later than one year after the date of the enactment of this Act, and not less frequently than annually thereafter for the duration of the pilot program, the Inspector General of the Department of Veterans Affairs shall-- (1) conduct a review of the pilot program to ensure compliance by the Secretary with requirements under the pilot program and to ensure the efficiency and effectiveness of the pilot program; and (2) submit to the Secretary and the appropriate committees of Congress a report containing the findings from such review. (g) Annual Report.--Not later than one year after the date of the enactment of this Act, and not less frequently than annually thereafter for the duration of the pilot program, the Secretary shall submit to the appropriate committees of Congress a report on the pilot program that includes, for the year covered by the report, the following: (1) The number of patients served under the pilot program. (2) The different types of qualifying specialized surgical services furnished under the pilot program and the number of veterans furnished each such service. (3) The total costs incurred in furnishing services under the pilot program. (4) A description of any measurable outcomes in terms of health results for patients under the pilot program. (5) Any policy recommendations for improvement of the pilot program or recommendations as to whether the pilot program should be extended or made permanent. (6) Such other information as the Secretary determines relevant to include. (h) Definitions.--In this section: (1) Appropriate committees of congress.--The term ``appropriate committees of Congress'' means-- (A) the Committee on Veterans' Affairs of the Senate; and (B) the Committee on Veterans' Affairs of the House of Representatives. (2) Qualified provider.--The term ``qualified provider'' means a board-certified surgeon. (3) Qualifying specialized surgical services.--The term ``qualifying specialized surgical services'' means services relating to neurosurgery. (4) Veterans community care program.--The term ``Veterans Community Care Program'' means the program under section 1703 of title 38, United States Code. \n--- KONIEC DOKUMENTU ---\n\nPAMIĘTAJ: Twoja odpowiedź MUSI być wyłącznie poprawnym obiektem JSON. Nie dodawaj żadnych dodatkowych znaków, komentarzy ani tekstu przed znacznikiem '{' ani po znaczniku '}'. Cała odpowiedź musi być parsowalna jako JSON.\nNa podstawie POWYŻSZEGO dokumentu, wypełnij poniższą strukturę JSON:\nOto struktura JSON, której oczekuję (wypełnij ją treścią):\n{\n \"pl_ai_title\": \"Nowy, krótki tytuł dla aktu prawnego po polsku, oddający sedno wprowadzanych zmian (np. maksymalnie 10-12 słów).\",\n \"pl_summary\": \"2-3 zdania zwięzłego podsumowania treści aktu prawnego po polsku, napisane z perspektywy wpływu na życie codzienne obywateli.\",\n \"pl_key_points\": [\n \"Pierwszy krótki punkt po polsku dotyczący najważniejszych wprowadzanych rozwiązań lub zmian.\",\n \"Drugi krótki punkt po polsku...\"\n ],\n \"eng_ai_title\": \"A new, short title for the legal act in English, capturing the essence of the changes (e.g., max 10-12 words).\",\n \"eng_summary\": \"2-3 sentences summarizing the legal act in English, from the perspective of its impact on citizens' daily lives.\",\n \"eng_key_points\": [\n \"First short bullet point in English regarding the most important solutions or changes being introduced.\",\n \"Second short bullet point in English...\"\n ],\n \"de_ai_title\": \"Ein neuer, kurzer Titel für das Rechtsdokument auf Deutsch, der den Kern der Änderungen erfasst (z.B. max. 10-12 Wörter).\",\n \"de_summary\": \"2-3 Sätze Zusammenfassung des Rechtsdokuments auf Deutsch, aus der Perspektive seiner Auswirkungen auf das tägliche Leben der Bürger.\",\n \"de_key_points\": [\n \"Erster kurzer Stichpunkt auf Deutsch zu den wichtigsten eingeführten Lösungen oder Änderungen.\",\n \"Zweiter kurzer Stichpunkt auf Deutsch...\"\n ],\n \"fr_ai_title\": \"Un nouveau titre court pour l'acte juridique en français, saisissant l'essence des changements (par exemple, 10-12 mots maximum).\",\n \"fr_summary\": \"Résumé de 2-3 phrases de l'acte juridique en français, du point de vue de son impact sur la vie quotidienne des citoyens.\",\n \"fr_key_points\": [\n \"Premier court point en français concernant les solutions ou changements les plus importants introduits.\",\n \"Deuxième court point en français...\"\n ],\n \"es_ai_title\": \"Un nuevo título breve para el acto jurídico en español, que recoja la esencia de los cambios (por ejemplo, máximo 10-12 palabras).\",\n \"es_summary\": \"Resumen de 2-3 frases del acto jurídico en español, desde la perspectiva de su impacto en la vida cotidiana de los ciudadanos.\",\n \"es_key_points\": [\n \"Primer punto breve en español sobre las soluciones o cambios más importantes que se introducen.\",\n \"Segundo punto breve en español...\"\n ],\n \"it_ai_title\": \"Un nuovo titolo breve per l'atto giuridico in italiano, che colga l'essenza delle modifiche (ad es. massimo 10-12 parole).\",\n \"it_summary\": \"Riepilogo di 2-3 frasi dell'atto giuridico in italiano, dal punto di vista del suo impatto sulla vita quotidiana dei cittadini.\",\n \"it_key_points\": [\n \"Primo breve punto in italiano riguardante le soluzioni o le modifiche più importanti introdotte.\",\n \"Secondo breve punto in italiano...\"\n ],\n \"nl_ai_title\": \"Een nieuwe, korte titel voor de rechtshandeling in het Nederlands, die de essentie van de wijzigingen weergeeft (bijv. max. 10-12 woorden).\",\n \"nl_summary\": \"Samenvatting van 2-3 zinnen van de rechtshandeling in het Nederlands, vanuit het perspectief van de impact op het dagelijks leven van burgers.\",\n \"nl_key_points\": [\n \"Eerste korte punt in het Nederlands betreffende de belangrijkste geïntroduceerde oplossingen of wijzigingen.\",\n \"Tweede korte punt in het Nederlands...\"\n ],\n \"pt_ai_title\": \"Um novo título curto para o ato jurídico em português, capturando a essência das mudanças (por exemplo, máx. 10-12 palavras).\",\n \"pt_summary\": \"Resumo de 2-3 frases do ato jurídico em português, na perspetiva do seu impacto na vida quotidiana dos cidadãos.\",\n \"pt_key_points\": [\n \"Primeiro ponto curto em português sobre as soluções ou alterações mais importantes introduzidas.\",\n \"Segundo ponto curto em português...\"\n ],\n \"category\": [\"Categorize the document into one category by default, based on the field it primarily concerns. Choose up to 3 if the document also touches upon SIGNIFICANT issues from other categories. You MUST select categories ONLY from the following list: Health, Education, Family, Taxes, Labor, Security, Environment, Courts and Law, Transport, Benefits, Real Estate, Media and Culture, Local Government, Migration, Agriculture, Public Investments, Informatization, Economy. If the document does not definitively fit any of these, you MUST use \"Other\". If you use \"Other\", it should be the ONLY category selected. Do NOT invent new categories. The response must be an array of strings, e.g., [\"Taxes\", \"Family\"].\"]\n}\n\n", "ai_response_raw": "{\n \"pl_ai_title\": \"Program poprawy dostępu weteranów do operacji neurochirurgicznych w regionach wiejskich\",\n \"pl_summary\": \"Ustawa wprowadza program pilotażowy, który ma ułatwić weteranom z obszarów wiejskich dostęp do specjalistycznych operacji neurochirurgicznych. Dzięki wyższym stawkom dla lekarzy, pacjenci nie będą musieli czekać dłużej niż 60 dni ani podróżować powyżej 100 mil na zabieg.\",\n \"pl_key_points\": [\n \"Lekarze neurochirurdzy będą mogli negocjować wyższe stawki za operacje dla weteranów, aby pokryć koszty leczenia.\",\n \"Program dotyczy głównie osób mieszkających na wsiach i w regionach, gdzie brakuje specjalistów.\",\n \"Weterani zyskają dostęp do leczenia prywatnego, jeśli czas oczekiwania w placówkach państwowych przekracza 60 dni.\",\n \"Zasady te obowiązują również, gdy najbliższy szpital wojskowy znajduje się w odległości większej niż 100 mil.\",\n \"Pilotaż potrwa 5 lat i obejmie wybrane regiony o najniższej dostępności usług medycznych.\"\n ],\n \"eng_ai_title\": \"Improving Veteran Access to Neurosurgery Services in Rural Areas Act\",\n \"eng_summary\": \"This bill creates a pilot program to help veterans in rural areas get neurosurgery faster and closer to home. It allows the government to pay doctors higher market rates when local VA services are unavailable or have long wait times.\",\n \"eng_key_points\": [\n \"Neurosurgery specialists can negotiate higher pay to cover the actual costs of treating veterans.\",\n \"The program focuses on veterans living in rural areas with limited medical options.\",\n \"Veterans can use this program if they face a wait over 60 days for surgery.\",\n \"It also applies if the veteran would have to travel more than 100 miles for care.\",\n \"The initiative will run for five years in at least two major regional networks.\"\n ],\n \"de_ai_title\": \"Gesetz zur Verbesserung des Zugangs von Veteranen zu neurochirurgischen Operationen\",\n \"de_summary\": \"Dieses Gesetz führt ein Pilotprogramm ein, um Veteranen in ländlichen Gebieten einen besseren Zugang zu neurochirurgischen Eingriffen zu ermöglichen. Durch marktübliche Vergütungen für Ärzte sollen lange Wartezeiten und weite Anfahrtswege verkürzt werden.\",\n \"de_key_points\": [\n \"Fachärzte für Neurochirurgie können höhere Honorare für die Behandlung von Veteranen aushandeln.\",\n \"Das Programm richtet sich an Veteranen in ländlichen Regionen mit medizinischer Unterversorgung.\",\n \"Anspruch besteht, wenn die Wartezeit über 60 Tage liegt oder die Entfernung zum nächsten Arzt 100 Meilen übersteigt.\",\n \"Das Pilotprojekt ist auf fünf Jahre angelegt und wird in mindestens zwei Regionen getestet.\",\n \"Die Wirksamkeit des Programms wird jährlich durch den Generalinspekteur überprüft.\"\n ],\n \"fr_ai_title\": \"Loi visant à améliorer l'accès des vétérans aux services de neurochirurgie\",\n \"fr_summary\": \"Cette loi crée un programme pilote pour faciliter l'accès des vétérans vivant en zone rurale aux opérations neurochirurgicales. Elle permet d'ajuster les tarifs des médecins pour réduire les délais d'attente et les distances de déplacement.\",\n \"fr_key_points\": [\n \"Les neurochirurgiens pourront négocier des tarifs basés sur le marché pour soigner les vétérans.\",\n \"Le programme cible les zones rurales où les services de santé spécialisés sont rares.\",\n \"Les vétérans y ont droit si l'attente dépasse 60 jours ou si le trajet est de plus de 100 miles.\",\n \"L'initiative durera cinq ans dans au moins deux réseaux régionaux de santé pour vétérans.\",\n \"Des rapports annuels évalueront les résultats de santé et l'efficacité du programme.\"\n ],\n \"es_ai_title\": \"Ley para mejorar el acceso de los veteranos a la neurocirugía\",\n \"es_summary\": \"Esta ley establece un programa piloto para que los veteranos en zonas rurales reciban cirugías cerebrales y de columna más rápido. Permite pagar tarifas de mercado a los médicos cuando no hay opciones cercanas en el sistema de salud para veteranos.\",\n \"es_key_points\": [\n \"Los neurocirujanos podrán negociar pagos más altos para cubrir los costos de atención a veteranos.\",\n \"El plan se enfoca en veteranos que viven en áreas rurales con pocos especialistas disponibles.\",\n \"Se aplica si el tiempo de espera supera los 60 días o si el hospital más cercano está a más de 100 millas.\",\n \"El programa durará cinco años y se evaluará anualmente su impacto en la salud de los pacientes.\",\n \"Se implementará inicialmente en al menos dos redes regionales de servicios para veteranos.\"\n ],\n \"it_ai_title\": \"Legge per migliorare l'accesso dei veterani ai servizi di neurochirurgia\",\n \"it_summary\": \"Questa legge introduce un programma pilota per garantire ai veterani delle zone rurali un accesso più rapido agli interventi neurochirurgici. Prevede l'adeguamento delle tariffe per i medici per eliminare lunghe attese e spostamenti eccessivi.\",\n \"it_key_points\": [\n \"I neurochirurghi potranno negoziare tariffe di mercato per le prestazioni fornite ai veterani.\",\n \"Il programma è destinato a chi vive in aree rurali con scarsa disponibilità di specialisti.\",\n \"I veterani possono accedere al servizio se l'attesa supera i 60 giorni o la distanza i 100 miglia.\",\n \"Il progetto durerà cinque anni e sarà monitorato per verificarne l'efficacia clinica.\",\n \"L'Ispettore Generale verificherà ogni anno la corretta gestione dei fondi e del programma.\"\n ],\n \"nl_ai_title\": \"Wet ter verbetering van de toegang tot neurochirurgie voor veteranen\",\n \"nl_summary\": \"Deze wet stelt een proefprogramma in om veteranen in landelijke gebieden sneller toegang te geven tot neurochirurgische operaties. Door marktconforme vergoedingen voor artsen worden wachttijden en reisafstanden verkort.\",\n \"nl_key_points\": [\n \"Neurochirurgen kunnen hogere tarieven onderhandelen voor de behandeling van veteranen.\",\n \"Het programma richt zich specifiek op veteranen in afgelegen gebieden met weinig zorgopties.\",\n \"Toegang is mogelijk bij een wachttijd van meer dan 60 dagen of een reisafstand boven de 100 mijl.\",\n \"De proef duurt vijf jaar en wordt uitgevoerd in geselecteerde regio's met veel plattelandsveteranen.\",\n \"Jaarlijkse rapportages moeten aantonen of de gezondheid van patiënten hierdoor verbetert.\"\n ],\n \"pt_ai_title\": \"Lei de Acesso dos Veteranos a Serviços de Neurocirurgia\",\n \"pt_summary\": \"Esta lei cria um programa piloto para facilitar o acesso de veteranos em áreas rurais a cirurgias neurológicas. Permite o ajuste de taxas pagas aos médicos para reduzir o tempo de espera e as distâncias de viagem.\",\n \"pt_key_points\": [\n \"Neurochirurgiões poderão negociar taxas de mercado para atender veteranos pelo programa.\",\n \"O foco são veteranos residentes em zonas rurais com carência de especialistas.\",\n \"O benefício aplica-se quando a espera excede 60 dias ou a distância supera 100 milhas.\",\n \"O programa terá duração de cinco anos e passará por auditorias anuais de eficiência.\",\n \"O governo deve relatar o número de pacientes atendidos e os resultados de saúde alcançados.\"\n ],\n \"category\": [\"Health\", \"Benefits\"]\n}" } ] }