[Congressional Bills 104th Congress]
[From the U.S. Government Publishing Office]
[H.R. 2442 Introduced in House (IH)]







104th CONGRESS
  1st Session
                                H. R. 2442

To require the Secretary of Defense to conduct a demonstration project 
to provide covered beneficiaries under the military health care system 
  with the option to enroll in the Federal Employees Health Benefits 
                                program.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                           September 29, 1995

  Mr. Pastor introduced the following bill; which was referred to the 
  Committee on National Security, and in addition to the Committee on 
   Government Reform and Oversight, for a period to be subsequently 
   determined by the Speaker, in each case for consideration of such 
 provisions as fall within the jurisdiction of the committee concerned

_______________________________________________________________________

                                 A BILL


 
To require the Secretary of Defense to conduct a demonstration project 
to provide covered beneficiaries under the military health care system 
  with the option to enroll in the Federal Employees Health Benefits 
                                program.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. DEMONSTRATION PROJECT FOR HEALTH CARE ACCESS THROUGH FEDERAL 
              EMPLOYEES HEALTH BENEFITS PROGRAM.

    (a) Demonstration Project Required.--The Secretary of Defense shall 
conduct a demonstration project in at least one region of the TRICARE 
program to provide covered beneficiaries described in subsection (b) 
with the option to receive health care prescribed by section 1077 of 
title 10, United States Code, through the Federal Employees Health 
Benefits program under chapter 89 of title 5, United States Code, in 
addition to the other health care options available to the covered 
beneficiaries. The Secretary shall carry out the demonstration project 
during the two-year period beginning on the date covered beneficiaries 
first enroll under the project.
    (b) Persons Eligible for Participation.--Eligibility to participate 
in the demonstration project is limited to covered beneficiaries under 
chapter 55 of title 10, United States Code, who--
            (1) reside in the TRICARE region in which the demonstration 
        project is conducted, but outside of the enrollment catchment 
        area used for TRICARE Prime; or
            (2) reside in the TRICARE region in which the demonstration 
        project is conducted and are entitled to hospital insurance 
        benefits under part A of title XVIII of the Social Security Act 
        (42 U.S.C. 1395c et seq.).
    (c) Special Rule for Medicare Participants.--The payment 
limitations contained in paragraph (3) of section 1086(d) of title 10, 
United States Code, shall apply in the case of covered beneficiaries 
described in subsection (b)(2) who participate in the demonstration 
project.
    (d) Definition of TRICARE.--For purposes of this section, the term 
``TRICARE'' means the managed health care program that is established 
by the Secretary of Defense under the authority of chapter 55 of title 
10, United States Code, principally section 1097 of such title, and 
includes the competitive selection of contractors to financially 
underwrite the delivery of health care services under the Civilian 
Health and Medical Program of the Uniformed Services.
    (e) Report on Implementation Plan.--Not later than six months after 
the date of the enactment of this Act, the Secretary of Defense shall 
submit a report to Congress containing the plan prepared by the 
Secretary to implement the demonstration project.
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