119-hr1699

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 1699 Introduced in House

    (IH) ]

<DOC>

119th CONGRESS
 1st Session
 H. R. 1699

 To direct the Secretary of Defense to carry out a pilot program under 
 which a TRICARE Prime beneficiary may access obstetrical and 
 gynecological care without a referral, and for other purposes.

_______________________________________________________________________

 IN THE HOUSE OF REPRESENTATIVES

 February 27, 2025

 Mr. Horsford (for himself, Ms. Houlahan, Ms. Salazar, Ms. Strickland, 
Ms. Jacobs, Ms. Tokuda, Mr. Turner of Ohio, Mr. Johnson of Georgia, Ms. 
 Goodlander, and Ms. McBride) introduced the following bill; which was 
 referred to the Committee on Armed Services

_______________________________________________________________________

 A BILL

 To direct the Secretary of Defense to carry out a pilot program under 
 which a TRICARE Prime beneficiary may access obstetrical and 
 gynecological care without a referral, and for other purposes.

 Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

 This Act may be cited as the ``TRICARE OBGYN Treatment and Access 
without Lags in Care Act'' or the ``TOTAL Care Act''.

SEC. 2. PILOT PROGRAM ON ACCESS TO OBSTETRICAL AND GYNECOLOGICAL CARE 
 UNDER TRICARE PRIME PROGRAM.

    (a) Pilot Program.--Beginning not later than 180 days after the 
date of the enactment of this Act, the Secretary of Defense shall carry 
out a pilot program under which--

    (1) the referral requirement in 

section 1095f

    (a)

    (1) of 
 title 10, United States Code, does not apply with respect to 
 obstetrical and gynecological care for covered participants, 
 including the ordering of related obstetrical and gynecological 
 items and services; and

    (2) covered participants may elect to designate an 
 obstetrical or gynecological care provider under the TRICARE 
 program as an additional designated primary care manager under 
 such section.

    (b) Duration.--The Secretary shall carry out the pilot program for 
a period of five years.
            (c) Report.--Not later than four years after the date of the 
enactment of this Act, the Secretary shall submit to the congressional 
defense committees a report on the pilot program that includes the 
following:

    (1) An assessment of any increases or decreases to TRICARE 
 Prime enrollment during the period in which the Secretary 
 carries out the pilot program.

    (2) An assessment of any changes in the associated costs of 
 providing obstetrical and gynecological care under TRICARE 
 Prime.

    (3) Any other matters the Secretary determines appropriate.
            (d) === Definitions. ===
-In this section:

    (1) The term ``congressional defense committees'' has the 
 meaning given that term in 

section 101

    (a)

    (16) of title 10, 
 United States Code.

    (2) The term ``covered participant'' means a female 
 beneficiary enrolled in TRICARE Prime who elects to participate 
 in the pilot program.

    (3) The terms ``TRICARE Prime'' and ``TRICARE program'' 
 have the meaning given those terms in 

section 1072 of title 10, 
 United States Code.
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