[Congressional Record Volume 167, Number 190 (Thursday, October 28, 2021)]
[Senate]
[Page S7481]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]

  SA 3974. Mrs. GILLIBRAND submitted an amendment intended to be 
proposed to amendment SA 3867 submitted by Mr. Reed and intended to be 
proposed to the bill H.R. 4350, to authorize appropriations for fiscal 
year 2022 for military 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. 704. MODIFICATIONS TO TRICARE OPERATIONS MANUAL WITH 
                   RESPECT TO COVERAGE OF AUTISM THERAPY.

       (a) In General.--Not later than one year after the date of 
     the enactment of this Act, the Secretary of Defense shall 
     modify the operations manual under the TRICARE program, or 
     successor manual of the Department of Defense, with respect 
     to coverage of autism therapy as follows:
       (1) To allow a covered beneficiary one year to obtain a 
     confirmatory diagnosis of autism spectrum disorder.
       (2) To require that the person completing the Pervasive 
     Developmental Disorder Behavior Inventory Teacher Form meet 
     the criteria in the Pervasive Developmental Disorder Behavior 
     Inventory Manual regarding frequency and duration of contact 
     with the client.
       (3) To require that the services provided for autism 
     spectrum disorder focus primarily on measuring outcomes for 
     the covered beneficiary as the primary recipient of services.
       (4) To eliminate the prohibition on billing for services 
     provided outside of the home, clinic, office, school, or via 
     telehealth.
       (5) To require that medically necessary services authorized 
     in a school setting be delivered by a trained behavioral 
     provider as determined by the applied behavior analysis 
     supervisor.
       (b) Definitions.--In this section, the terms ``covered 
     beneficiary'' and ``TRICARE program'' have the meanings given 
     those terms in section 1072 of title 10, United States Code.
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