[Congressional Record Volume 168, Number 158 (Thursday, September 29, 2022)]
[Senate]
[Page S5730]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]
SA 6205. Mrs. GILLIBRAND 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 C of title VII, add the following:
SEC. 753. COMPTROLLER GENERAL STUDY ON COVERAGE OF MENTAL
HEALTH DISORDERS UNDER TRICARE PROGRAM AND
RELATIONSHIP TO CERTAIN MENTAL HEALTH PARITY
LAWS.
(a) Study and Report Required.--Not later than 270 days
after the date of the enactment of this Act, the Comptroller
General of the United States shall--
(1) conduct a study to identify and assess the similarities
and differences with respect to coverage of mental health
disorders under the TRICARE program and coverage requirements
under mental health parity laws; and
(2) submit a report containing the findings of such study
to--
(A) the Secretary of Defense and the congressional defense
committees; and
(B) with respect to any findings concerning the Coast Guard
when it is not operating as a service in the Department of
the Navy, the Secretary of Homeland Security, the Committee
on Transportation and Infrastructure of the House of
Representatives, and the Committee on Commerce, Science, and
Transportation of the Senate.
(b) Matters To Be Included.--The report under subsection
(a)(2) shall include the following:
(1) A description of any overlaps or gaps between coverage
requirements under the TRICARE program and under the mental
health parity laws with respect to treatment for the
continuum of mental health disorders (including substance use
disorder).
(2) An identification of any existing or anticipated
effects of any such overlaps or gaps on access to care by
beneficiaries under the TRICARE program.
(3) An identification of denial rates under the TRICARE
program for requests by beneficiaries for coverage of mental
or behavioral health care services and the overturn rates of
appeals for such requests, disaggregated by type of health
care service.
(4) A list of each mental or behavioral health care
provider type that is not an authorized provider type under
the TRICARE program.
(5) An identification of any anticipated effects of
modifying coverage requirements under the TRICARE program to
bring such requirements into conformity with mental health
parity laws, including an assessment of the following:
(A) Potential costs to the Department of Defense, the
Department of Homeland Security (with respect to matters
concerning the Coast Guard when it is not operating as a
service in the Department of the Navy), and beneficiaries
under the TRICARE program as a result of such modification.
(B) The adequacy of the TRICARE program network to support
such modification.
(C) Potential effects of such modification on access to
care by beneficiaries under the TRICARE program.
(D) Such other matters as may be determined appropriate by
the Comptroller General.
(c) Briefing.--Not later than 120 days after the date on
which the Secretaries receive the report submitted under
subsection (a), the Secretaries shall provide to the
congressional defense committees a briefing on any statutory
changes the Secretaries determine necessary to close gaps in
the coverage of mental health disorders under the TRICARE
program, including any such gaps identified in the report, to
bring such coverage into conformity with requirements under
mental health parity laws.
(d) Definitions.--In this section:
(1) The term ``mental health parity laws'' means--
(A) section 2726 of the Public Health Service Act (42
U.S.C. 300gg-26);
(B) section 712 of the Employee Retirement Income Security
Act of 1974 (29 U.S.C. 1185a);
(C) section 9812 of the Internal Revenue Code of 1986; or
(D) any other Federal law that applies the requirements
under any of the sections described in subparagraph (A), (B),
or (C), or requirements that are substantially similar to
those provided under any such section, as determined by the
Comptroller General of the United States.
(2) The term ``Secretaries'' means--
(A) the Secretary of Defense; and
(B) with respect to any matters concerning the Coast Guard
when it is not operating as a service in the Department of
the Navy, the Secretary of Homeland Security.
(3) The term ``TRICARE program'' has the meaning given such
term in section 1072 of title 10, United States Code.
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