[Congressional Record Volume 168, Number 156 (Tuesday, September 27, 2022)]
[Senate]
[Page S5079]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]
SA 5705. Mr. CRUZ submitted an amendment intended to be proposed to
amendment SA 5499 submitted by Mr. Reed (for himself and Mr. Inhofe)
and intended to be proposed to the bill H.R. 7900, to authorize
appropriations for fiscal year 2023 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 B of title VII, add the following:
SEC. 728. IMPROVEMENTS TO PROCESSES TO REDUCE FINANCIAL HARM
CAUSED TO CIVILIANS FOR CARE PROVIDED AT
MILITARY MEDICAL TREATMENT FACILITIES.
(a) Clarification of Fee Waiver Process.--Subsection (b) of
section 1079b of title 10, United States Code, is amended to
read as follows:
``(b) Waiver of Fees.--Each commander (or director, as
applicable) of a military medical treatment facility shall
issue a waiver for a fee that would otherwise be charged
under the procedures implemented under subsection (a) to a
civilian provided medical care at the facility who is not a
covered beneficiary if the provision of such care enhances
the knowledge, skills, and abilities of health care
providers, as determined by the respective commander or
director.''.
(b) Modified Payment Plan for Certain Civilians.--Such
section is further amended--
(1) by redesignating subsection (c) as subsection (d);
(2) by inserting after subsection (b) the following new
subsection (c):
``(c) Modified Payment Plan for Certain Civilians.--(1)(A)
If a civilian specified in subsection (a) is covered by a
covered payer at the time care under this section is
provided, the civilian shall only be responsible to pay for
any services that are not covered by the covered payer or any
copays, coinsurance, deductibles, or nominal fees otherwise
owed by the civilian.
``(B)(i) The Secretary of Defense may bill only the covered
payer for care provided to a civilian described in
subparagraph (A).
``(ii) Payment received by the Secretary from the covered
payer of a civilian for care provided under this section to
the civilian shall be considered payment in full for such
care.
``(2) If a civilian specified in subsection (a) does not
meet the criteria under paragraph (1), is underinsured, or
has a remaining balance and is at risk of financial harm, the
Secretary of Defense shall reduce each fee that would
otherwise be charged to the civilian under this section
according to a sliding fee discount program.
``(3) If a civilian specified in subsection (a) does not
meet the criteria under paragraph (1) or (2), the Secretary
of Defense shall implement an additional catastrophic waiver
to prevent financial harm.
``(4) The modified payment plan under this subsection may
not be administered by a Federal agency other than the
Department of Defense.''; and
(3) by adding at the end the following new subsection:
``(e) Definitions.--In this section:
``(1) The term `covered payer' means a third-party payer or
other insurance, medical service, or health plan.
``(2) The terms `third-party payer' and `insurance, medical
service, or health plan' have the meaning given those terms
in section 1095(h) of this title.''.
(c) Applicability.--The amendments made by subsections (a)
and (b) shall apply with respect to care provided on or after
the date that is 180 days after the date of the enactment of
this Act.
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