[Congressional Record Volume 168, Number 158 (Thursday, September 29, 2022)]
[Senate]
[Pages S5816-S5817]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]

  SA 6310. Ms. BALDWIN (for herself and Ms. Collins) 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 A of title VII, add the following:

[[Page S5817]]

  


     SEC. 706. ELIMINATION OF CERTAIN HEALTH CARE CHARGES FOR 
                   MEMBERS OF THE SELECTED RESERVE.

       (a) TRICARE Reserve Select.--Section 1076d of title 10, 
     United States Code, is amended to read as follows:

     ``Sec. 1076d. TRICARE program: TRICARE Reserve Select 
       coverage for members of the Selected Reserve

       ``(a) Members of Selected Reserve.--
       ``(1) In general.--A member of the Selected Reserve of the 
     Ready Reserve of a reserve component of the armed forces is 
     eligible for health benefits under TRICARE Reserve Select as 
     provided in this section.
       ``(2) Termination of coverage.--Eligibility for TRICARE 
     Reserve Select coverage of a member under this section shall 
     terminate upon the termination of the member's service in the 
     Selected Reserve.
       ``(b) TRICARE Reserve Select Family Coverage.--
       ``(1) In general.--While a member of a reserve component is 
     covered by TRICARE Reserve Select under this section, the 
     members of the immediate family of such member are eligible 
     for TRICARE Reserve Select family coverage as dependents of 
     the member.
       ``(2) Continuation of coverage.--If a member of a reserve 
     component dies while in a period of coverage under this 
     section, the eligibility of the members of the immediate 
     family of such member for TRICARE Reserve Select family 
     coverage shall continue for six months beyond the date of 
     death of the member.
       ``(c) Premiums.--
       ``(1) No premiums for individual coverage.--A member of a 
     reserve component covered by TRICARE Reserve Select 
     individual coverage shall pay no premium for such coverage.
       ``(2) Family coverage.--
       ``(A) In general.--A member of a reserve component covered 
     by TRICARE Reserve Select under this section shall pay a 
     premium for any member of the immediate family of such member 
     covered under TRICARE Reserve Select family coverage. Such 
     premium shall apply instead of any enrollment fees required 
     under section 1075 of this title.
       ``(B) Uniform application.--The Secretary of Defense shall 
     prescribe for the purposes of this section one premium for 
     TRICARE Reserve Select family coverage of immediate family 
     members of members of the reserve components, that shall 
     apply uniformly to all such immediate family members.
       ``(C) Premium amount.--
       ``(i) In general.--The monthly amount of the premium in 
     effect for a month for TRICARE Reserve Select family coverage 
     under this section shall be the amount equal to 28 percent of 
     the total monthly amount determined on an appropriate 
     actuarial basis as being reasonable for that coverage.
       ``(ii) Appropriate actuarial basis.--The appropriate 
     actuarial basis for purposes of clause (i) for each calendar 
     year after calendar year 2009 shall be determined by 
     utilizing the actual cost of providing benefits under this 
     section to dependents of members of the reserve components 
     during the calendar years preceding such calendar year.
       ``(D) Payment of premiums.--
       ``(i) In general.--The premiums for TRICARE Reserve Select 
     family coverage payable by a member of a reserve component 
     under this subsection may be deducted and withheld from basic 
     pay payable to the member under section 204 of title 37 or 
     from compensation payable to the member under section 206 of 
     such title.
       ``(ii) Requirements and procedures.--The Secretary shall 
     prescribe the requirements and procedures applicable to the 
     payment of premiums under this subsection.
       ``(E) Collection of premiums.--Amounts collected as 
     premiums under this subsection shall be credited to the 
     appropriation available for the Defense Health Program 
     Account under section 1100 of this title, shall be merged 
     with sums in such account that are available for the fiscal 
     year in which collected, and shall be available under 
     subsection (b) of such section for such fiscal year.
       ``(d) Cost-sharing Amounts.--
       ``(1) Network individual coverage.--Except as provided in 
     paragraph (2), a beneficiary covered by TRICARE Reserve 
     Select individual coverage shall pay no charge for any health 
     care service to which the beneficiary is entitled pursuant to 
     such coverage.
       ``(2) Out-of-network individual coverage.--With respect to 
     out-of-network health care services, a beneficiary covered by 
     TRICARE Reserve Select individual coverage shall be subject 
     to the same out-of-network cost-sharing requirements as those 
     to which beneficiaries described in section 1075(c)(1) of 
     this title in the active-duty family member category are 
     subject to for the corresponding year.
       ``(3) Family coverage.--A beneficiary covered by TRICARE 
     Reserve Select family coverage shall be subject to the same 
     cost-sharing requirements as those to which beneficiaries 
     described in section 1075(c)(1) of this title in the active-
     duty family member category are subject to for the 
     corresponding year.
       ``(e) Regulations.--The Secretary of Defense, in 
     consultation with the other administering Secretaries, shall 
     prescribe regulations for the administration of this section.
       ``(f) Definitions.--In this section:
       ``(1) The terms `active-duty family member category', 
     `network', and `out-of-network' have the meanings given such 
     terms in section 1075(i) of this title.
       ``(2) The term `immediate family', with respect to a member 
     of a reserve component, means all of the member's dependents 
     described in subparagraphs (A), (D), and (I) of section 
     1072(2) of this title.
       ``(3) The term `TRICARE Reserve Select' means--
       ``(A) medical care, excluding dental care, at facilities of 
     the uniformed services to which a dependent described in 
     section 1076(a)(2) of this title is entitled; and
       ``(B) health benefits under the TRICARE Select self-
     managed, preferred provider network option under section 1075 
     of this title made available to beneficiaries by reason of 
     this section and subject to the cost-sharing requirements set 
     forth in subsection (d).
       ``(4) The term `TRICARE Reserve Select family coverage' 
     means coverage under TRICARE Reserve Select of any members of 
     the immediate family of a member of a reserve component, as 
     described in subsection (b).
       ``(5) The term `TRICARE Reserve Select individual coverage' 
     means coverage under TRICARE Reserve Select of a member of a 
     reserve component, as described in subsection (a).''.
       (b) Conforming Amendments to TRICARE Select.--Paragraph (3) 
     of section 1075(c) of title 10, United States Code, is 
     amended to read as follows:
       ``(3) With respect to beneficiaries in the reserve and 
     young adult category--
       ``(A) for beneficiaries covered by section 1076e or 1110b 
     of this title, the cost-sharing requirements shall be 
     calculated pursuant to subsection (d)(1) as if the 
     beneficiary were in the active-duty family member category or 
     the retired category, as applicable, except that the premiums 
     calculated pursuant to section 1076e or 1110b of this title 
     shall apply instead of any enrollment fee required under this 
     section; and
       ``(B) for beneficiaries covered by section 1076d of this 
     title, the cost-sharing requirements shall be calculated 
     pursuant to subsection (d) of such section.''.
       (c) Applicability.--This section shall apply with respect 
     to the provision of health care under the TRICARE program 
     beginning on the date that is one year after the date of the 
     enactment of this Act.

     SEC. 707. FORMS AND STUDY RELATING TO IMPROVED COVERAGE FOR 
                   MEMBERS OF THE SELECTED RESERVE.

       (a) Forms.--
       (1) In general.--Not later than 180 days after the date of 
     the enactment of this Act, the Secretary of Defense shall 
     develop forms to be used by civilian health care providers 
     under the purchased care component of the TRICARE program for 
     medical care for members of the Selected Reserve of the Ready 
     Reserve of a reserve component of the Armed Forces eligible 
     for TRICARE Reserve Select.
       (2) Information to include.--Forms developed under 
     paragraph (1) shall include opportunities for a civilian 
     health care provider to indicate, with respect to a member of 
     the Selected Reserve, the following information:
       (A) Medical Readiness Classification.
       (B) Fitness for deployment.
       (C) Any other information the Secretary determines 
     necessary.
       (b) Study.--
       (1) In general.--The Secretary of Defense shall conduct a 
     study on--
       (A) the phasing out of mass medical events and periodic 
     health assessments for members of the Selected Reserve 
     eligible for TRICARE Reserve Select; and
       (B) the replacement of such events and processes with the 
     new TRICARE Reserve Select coverage model under section 1076d 
     of title 10, United States Code, as amended by section 
     706(a), and the use of forms by civilian health care 
     providers as specified in subsection (a).
       (2) Report.--Not later than 180 days after the date of the 
     enactment of this Act, the Secretary shall submit to the 
     Committees on Armed Services of the Senate and the House of 
     Representatives a report containing the findings of the study 
     conducted under paragraph (1).
       (c) Definitions.--In this section, the terms ``TRICARE 
     program'' and ``TRICARE Reserve Select'' have the meanings 
     given those terms in section 1072 of title 10, United States 
     Code.
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