billS785Event Saturday, October 17, 2020Analyzed

Commander John Scott Hannon Veterans Mental Health Care Improvement Act of 2019

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Summary

The Commander John Scott Hannon Veterans Mental Health Care Improvement Act of 2019 was signed into law on October 17, 2020, expanding VA mental health care, telehealth, and suicide prevention services. The bill authorizes new programs but does not specify a funding amount, meaning actual spending depends on future appropriations. Healthcare providers with VA contracts, such as HCA and UNH's Optum, may see modest revenue increases from expanded community care and telehealth services.

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Key Takeaways

  • 1.The bill is already law, so no further legislative risk exists.
  • 2.Authorization does not guarantee spending; actual VA contracts depend on appropriations.
  • 3.Healthcare providers with VA contracts (HCA, UNH) are modest beneficiaries.

Market Implications

The bill's impact on the healthcare sector is modest. HCA Healthcare ($HCA) and UnitedHealth Group are the most directly positioned, but the potential revenue from VA contracts is a small fraction of their total revenue. Diagnostic companies like Quest Diagnostics ($DGX) and LabCorp ($LH) may see minimal impact. The bill does not create a significant new market, but it reinforces the trend of VA outsourcing to community providers.

Full Analysis

The Commander John Scott Hannon Veterans Mental Health Care Improvement Act of 2019 (S.785) was signed into law by the President on October 17, 2020, becoming Public Law No: 116-171. This bill, sponsored by Sen. Tester (D-MT) with 53 cosponsors, passed the Senate by voice vote and was enacted during the 116th Congress. The law mandates the Department of Veterans Affairs (VA) to implement a strategic plan for expanding health care coverage for transitioning veterans, improve suicide prevention programs, and expand telehealth and complementary health services. Key provisions include financial assistance for suicide prevention services, pilot programs for animal therapy and agritherapy, and studies on suicide risk factors.

The money trail: This is an authorization bill, not an appropriations bill. It authorizes the VA to establish programs and spend up to certain amounts, but the actual funding must be provided in separate appropriations bills. The bill text does not specify a total funding amount, but it authorizes specific programs like financial assistance for suicide prevention services and pilot programs. The Congressional Budget Office (CBO) would estimate costs, but no specific dollar figure is provided in the bill. Investors should note that authorization does not guarantee spending; actual VA contract opportunities depend on subsequent appropriations.

Structural winners: The primary beneficiaries are healthcare providers and managed care organizations that contract with the VA. HCA Healthcare ($HCA) operates hospitals that may receive VA referrals for mental health and specialty care. UnitedHealth Group through its Optum segment provides behavioral health services and telehealth platforms that could be used by the VA. Diagnostic companies like Quest Diagnostics ($DGX) and LabCorp ($LH) may see modest demand for testing services related to VA studies. GE HealthCare ($GEHC) supplies medical imaging equipment that could be procured for expanded VA facilities. However, the impact on these companies is modest given their large revenue bases.

Timeline: The bill is already law, so no further legislative steps remain. Implementation is ongoing at the VA, with programs rolling out over multiple years. Investors should monitor VA appropriations and contract awards for specific programs authorized by this bill.

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