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H.R. 1644
U.S. House•In House Committee
Summary
H.R. 1644, the Copay Fairness for Veterans Act, was introduced in the House on Feb 27, 2025 by Rep. Lauren Underwood (D) with 5 co-sponsors. It last saw action on Mar 25, 2025: Forwarded by Subcommittee to Full Committee by Voice Vote.
Record
Text
H.R. 1644 has 5 co-sponsors.
hb1644/introduced-in-house.txt119 HR 1644 IH: Copay Fairness for Veterans ActU.S. House of Representatives2025-02-27text/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. 1644 IN THE HOUSE OF REPRESENTATIVES February 27, 2025 Ms. Underwood (for herself, Mr. Moulton , Mrs. Hayes , and Ms. Norton ) introduced the following bill; which was referred to the Committee on Veterans' Affairs A BILLTo amend title 38, United States Code, to eliminate copayments by the Department of Veterans Affairs for medicines relating to preventive health services, and for other purposes.1.Short titleThis Act may be cited as the Copay Fairness for Veterans Act .2.Improvement to preventive health services furnished by Department of Veterans Affairs(a)Elimination of medication copaymentsSection 1722A(a)(3) of title 38, United States Code, is amended—(1)in subparagraph (C), by striking or ;(2)in subparagraph (D), by striking the period at the end and inserting ; or ; and(3)by adding at the end the following new subparagraph:(E)to medication that is or is part of a preventive health service..(b)Elimination of hospital care and medical services copaymentsSection 1710 of such title is amended—(1)in subsection (f)—(A)by redesignating paragraph (5) as paragraph (6); and(B)by inserting after paragraph (4) the following new paragraph (5):(5)A veteran shall not be liable to the United States under this subsection for any amounts for preventive health services.; and(2)in subsection (g)(3), by adding at the end the following new subparagraph:(C)Preventive health services..(c)DefinitionSection 1701(9) of such title is amended—(1)in subparagraph (K), by striking ; and and inserting a semicolon;(2)by redesignating subparagraph (L) as subparagraph (O); and(3)by inserting after subparagraph (K) the following new subparagraphs:(L)evidence-based items or services that have in effect a rating of A or B in the current recommendations of the United States Preventive Services Task Force;(M)immunizations that have in effect a recommendation from the Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention with respect to the individual involved;(N)with respect to services for women—(i)the preventive care, screenings, and contraceptives provided for in the Health Resources and Services Administration Preventive Services Guidelines in effect as of December 30, 2022; and(ii)any contraceptive approved, granted, or cleared by the Food and Drug Administration, any related contraceptive care, and any related services; and.
Tracker
The tracker indicates the progress of this legislation as it moves through the legislative process.
- Introduced2025-02-27
- 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 Feb 27, 2025
hb1644/introduced-in-house.mdShown Here:
Introduced in House (02/27/2025)
Sponsors
Rep. Lauren Underwood (D) sponsors H.R. 1644, and 5 members have co-sponsored it, 3 of them from the day it was introduced.

Rep. · D–IL-14 · Sponsor
Introduced Feb 27, 2025

Rep. · D–DC-0 · Co-sponsor
Joined Feb 27, 2025 · Original

Rep. · D–CT-5 · Co-sponsor
Joined Feb 27, 2025 · Original

Rep. · D–MA-6 · Co-sponsor
Joined Feb 27, 2025 · Original

Rep. · D–CA-7 · Co-sponsor
Joined Mar 5, 2025

Rep. · D–IL-3 · Co-sponsor
Joined Sep 18, 2025
Committees
H.R. 1644 went before 2 committees: Health Subcommittee and Veterans' Affairs.
Actions
H.R. 1644 has taken 5 actions since Feb 27, 2025, the latest on Mar 25, 2025.
| Chamber | Action | |||
|---|---|---|---|---|
Mar 25, 2025 | House | Subcommittee Consideration and Mark-up Session HeldHealth Subcommittee | ||
Mar 25, 2025 | House | Forwarded by Subcommittee to Full Committee by Voice Vote.Health Subcommittee | ||
Mar 10, 2025 | House | Referred to the Subcommittee on Health.Health Subcommittee | ||
Feb 27, 2025 | House | Introduced in House | ||
Feb 27, 2025 | House | Referred to the House Committee on Veterans' Affairs.Veterans' Affairs Committee |
Votes
H.R. 1644 has not gone to a roll call.
Titles
H.R. 1644 goes by 3 titles, 1 of them short titles.
- Copay Fairness for Veterans Act — Display Title
- Copay Fairness for Veterans Act — Short Title(s) as Introduced
- To amend title 38, United States Code, to eliminate copayments by the Department of Veterans Affairs for medicines relating to preventive health services, and for other purposes. — Official Title as Introduced
Lobbying
5 clients hired 5 firms and 42 registered lobbyists who named H.R. 1644 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, Budget/Appropriations, Taxation/Internal Revenue Code, Medicare/Medicaid, Health Issues, Civil Rights/Civil Liberties, Education, Medical/Disease Research/Clinical Labs.
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 ASSOCIATION OF COLLEGES OF NURSING | — | District of Columbia | 1 | 3 | — |
| MISSION ROLL CALL | Nonprofit organization serving veterans | South Carolina | 1 | 1 | — |
| NATIONAL WOMEN'S LAW CENTER ACTION FUND | social welfare organization to promote equal rights and opportunities for women | District of Columbia | 1 | 1 | — |
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 ASSOCIATION OF COLLEGES OF NURSING | 1 | 3 | — |
| MISSION ROLL CALL | 1 | 1 | — |
| NATIONAL WOMEN'S LAW CENTER ACTION FUND | 1 | 1 | — |
Lobbyists
Named on the filings that cite the bill. The 20 named most often, of 42.
| 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 |
| JOSEPH LEMAY | 1 | 1 | 5 |
| SHANE LIERMANN | 1 | 1 | 5 |
| ANTHONYA JAMES | 1 | 1 | 4 |
| JOY ILEM | 1 | 1 | 4 |
| LISA ELIJAH | 1 | 1 | 4 |
| RACHEL MINAHAN | 1 | 1 | 3 |
| 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 |
| ROSCOE BUTLER | 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 ASSOCIATION OF COLLEGES OF NURSING | AMERICAN ASSOCIATION OF COLLEGES OF NURSING | 2025 third_quarter | $80K | 3rd Quarter - Report |
| AMERICAN ASSOCIATION OF COLLEGES OF NURSING | AMERICAN ASSOCIATION OF COLLEGES OF NURSING | 2025 second_quarter | $70K | 2nd Quarter - Report |
| AMERICAN ASSOCIATION OF COLLEGES OF NURSING | AMERICAN ASSOCIATION OF COLLEGES OF NURSING | 2025 first_quarter | $70K | 1st Quarter - Report |
| NATIONAL WOMEN'S LAW CENTER ACTION FUND | NATIONAL WOMEN'S LAW CENTER ACTION FUND | 2025 first_quarter | $40K | 1st Quarter - Amendme… |
| MISSION ROLL CALL | MISSION ROLL CALL | 2025 fourth_quarter | — | Registration - Amendm… |
Classification
The Congressional Research Service files H.R. 1644 under Armed Forces and National Security, one of its 31 policy areas, and gives it 8 legislative subjects.
CRS Subjects
CRS assigns every bill one policy area from its 31; H.R. 1644’s is Armed Forces and National Security.
hr1644/policy-areas.txtLegislative Subjects
H.R. 1644 carries 8 of CRS’s legislative subjects, from Family planning and birth control to Women's health.
hr1644/subjects.txtSource: congress.gov · legiscan.com