[Congressional Record Volume 165, Number 104 (Thursday, June 20, 2019)]
[Senate]
[Pages S4193-S4194]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]

  SA 839. Ms. BALDWIN (for herself and Mr. Moran) submitted an 
amendment intended to be proposed to amendment SA 764 submitted by Mr. 
Inhofe and intended to be proposed to the bill S. 1790, to authorize 
appropriations for fiscal year 2020 for military

[[Page S4194]]

activities of the Department of Defense, for military construction, and 
for defense activities of the Department of Energy, to prescribe 
military personnel strengths for such fiscal year, and for other 
purposes; which was ordered to lie on the table; as follows:

       At the end of subtitle A of title VII, add the following:

     SEC. 705. CHIROPRACTIC HEALTH CARE SERVICES FROM THE 
                   DEPARTMENT OF DEFENSE FOR CERTAIN COVERED 
                   BENEFICIARIES.

       (a) Plan Required.--Not later than 30 days after the date 
     of the enactment of this Act, the Secretary of Defense shall 
     complete development of a plan to provide chiropractic health 
     care services and benefits for eligible covered beneficiaries 
     as a permanent part of the TRICARE program.
       (b) Contents of Plan.--The plan developed under subsection 
     (a) shall require that a contract entered into under section 
     1097 of title 10, United States Code, for the delivery of 
     health care services shall--
       (1) include the delivery of chiropractic services to 
     eligible covered beneficiaries;
       (2) require that chiropractic services may be provided only 
     by a doctor of chiropractic; and
       (3) provide that an eligible covered beneficiary may select 
     and have direct access to a doctor of chiropractic without 
     referral by another health practitioner.
       (c) Implementation of Plan.--The plan developed under 
     subsection (a) shall provide for implementation of the plan 
     to begin not later than 60 days after the date on which the 
     plan is completed.
       (d) Definitions.--In this section:
       (1) The term ``chiropractic services''--
       (A) includes diagnosis (including by diagnostic x-ray 
     tests), evaluation and management, and therapeutic services 
     for the treatment of a patient's health condition, including 
     neuromusculoskeletal conditions and the subluxation complex, 
     and such other services determined appropriate by the 
     Secretary of Defense and as authorized under State law; and
       (B) does not include the use of drugs or surgery.
       (2) The term ``covered beneficiary'' has the meaning given 
     that term in section 1072(5) of title 10, United States Code.
       (3) The term ``eligible covered beneficiary'' means a 
     covered beneficiary excluding a dependent of a member or 
     former member of a uniformed service.
       (4) The term ``dependent'' has the meaning given that term 
     in section 1072(2) of title 10, United States Code.
       (5) The term ``doctor of chiropractic'' means only a doctor 
     of chiropractic who is licensed as a doctor of chiropractic, 
     chiropractic physician, or chiropractor by a State, the 
     District of Columbia, or a territory or possession of the 
     United States.
       (6) The term ``TRICARE program'' has the meaning given that 
     term in section 1072(7) of title 10, United States Code.
                                 ______