[Congressional Record Volume 170, Number 121 (Thursday, July 25, 2024)]
[Senate]
[Page S5524]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]
SA 3180. Mr. CASEY submitted an amendment intended to be proposed by
him to the bill S. 4638, to authorize appropriations for fiscal year
2025 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. 710. LIMITATION ON COPAYMENTS FOR OUTPATIENT VISITS FOR
MENTAL OR BEHAVIORAL HEALTH UNDER TRICARE
PROGRAM.
(a) Limitation on Mental or Behavioral Health Copayments.--
(1) Limitation.--Chapter 55 of title 10, United States
Code, is amended by inserting after the item relating to
section 1075a the following new section:
``Sec. 1075b. TRICARE program: limitation on copayments for
certain mental or behavioral health visits
``(a) Limitation on Copayments.--Notwithstanding any other
provision of this chapter, the Secretary of Defense may not
charge to a covered individual a copayment in an amount
greater than the amount described in subsection (b) for an
outpatient visit for mental health or behavioral health under
the TRICARE program, regardless of whether such outpatient
visit is furnished by a specialty care provider.
``(b) Amount Described.--The amount described in this
subsection with respect to a covered individual is the amount
of a copayment that would be charged to the covered
individual under the TRICARE program for an outpatient visit
for primary care services during the year in which the
covered individual is being charged pursuant to subsection
(a).
``(c) Covered Individual Defined.--In this section, the
term `covered individual' means an individual enrolled under
the TRICARE program, regardless of the beneficiary category
of the individual with respect to such program or the duty
status of the individual.''.
(2) Clerical amendment.--The table of sections for such
chapter is amended by inserting after the item relating to
section 1075a the following new section:
``1075b. TRICARE program: limitation on copayments for certain mental
or behavioral health visits.''.
(3) Applicability.--The amendments made by this subsection
shall apply with respect to outpatient visits for mental or
behavioral health occurring on or after the date of the
enactment of this Act.
(b) Temporary Limitation on Other Specialty Care
Copayments.--
(1) Temporary limitation.--During the one-year period
beginning on the date of the enactment of this Act, the
Secretary of Defense may not increase the amount of a
copayment charged to a covered individual for any service
described in paragraph (2) beyond the amount that the
Secretary would have charged to the covered individual for
such service during fiscal year 2021.
(2) Services described.--A service described in this
paragraph is a service--
(A) that is furnished to a covered individual by a
specialty care provider under the TRICARE program; and
(B) that is not covered under section 1075b of title 10,
United States Code, as added by subsection (a).
(3) Applicability.--The limitation on copayments specified
in paragraph (1) shall apply with respect to specialty care
received on or after the date of the enactment of this Act.
(c) Report on Effects of Limitations.--
(1) In general.--Not later than one year after the date of
the enactment of this Act, the Secretary of Defense shall
submit to the Committee on Armed Services of the Senate and
the Committee on Armed Services of the House of
Representatives a report on how the limitation under section
1075b of title 10, United States Code (as added by subsection
(a)), has affected, or may affect, the health care system of
the Department of Defense.
(2) Elements.--The report required under paragraph (1)
shall include--
(A) any findings by the Secretary as to whether the
limitation under section 1075b of title 10, United States
Code (as added by subsection (a)), may result in an increase
in copayments charged for services described in subsection
(b)(2) after the period specified in subsection (b)(1)
concludes; and
(B) recommendations by the Secretary on how to avoid such
an increase, as applicable.
(d) Definitions.--In this section:
(1) Covered individual.--The term ``covered individual''
has the meaning given that term in section 1075b of title 10,
United States Code, as added by subsection (a).
(2) TRICARE program.--The term ``TRICARE program'' has the
meaning given that term in section 1072 of such title.
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