119-hr873

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 873 Introduced in House

    (IH) ]

<DOC>

119th CONGRESS
 1st Session
 H. R. 873

 To amend title 10, United States Code, to modify the rate of pay for 
 care or services provided under the TRICARE program based on the 
 location at which such care or services were provided.

_______________________________________________________________________

 IN THE HOUSE OF REPRESENTATIVES

 January 31, 2025

Mr. McCormick introduced the following bill; which was referred to the 
 Committee on Armed Services

_______________________________________________________________________

 A BILL

 To amend title 10, United States Code, to modify the rate of pay for 
 care or services provided under the TRICARE program based on the 
 location at which such care or services were provided.

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

SECTION 1. TRICARE REIMBURSEMENT RATES.

    (a) Rates.--

Section 1097b

    (a) of title 10, United States Code, is 
amended--

    (1) in paragraph

    (1) , by inserting ``and paragraph

    (3)
        (A) '' 
 after ``Subject to paragraph

    (2) ''; and

    (2) in paragraph

    (3) , by striking ``In establishing'' and 
 inserting the following:
 ``
        (A)
            (i) Except as provided by paragraph

    (1) , if the Secretary may 
determine among more than one reimbursement rate to pay a health care 
provider for care or services provided under the TRICARE program, the 
Secretary shall pay the lowest rate authorized for such care or 
services.
 ``
            (ii) The Secretary shall establish reimbursement rates for care 
or services paid to health care providers under the TRICARE program 
that are specific with respect to the following locations at which the 
care or services were provided (regardless of the location of the 
headquarters of the health care provider):
 ``
            (I) An inpatient hospital.
 ``
            (II) An on-campus hospital outpatient department.
 ``
            (III) An off-campus hospital outpatient department.
 ``
            (IV) An ambulatory surgical center.
 ``
            (V) The office of a physician.
 ``
            (iii) The Secretary shall ensure that a claim for reimbursement 
includes a unique, geographically specific national provider identifier 
code that identifies the location of the provider as described in 
clause
            (ii) .
 ``
        (B) In establishing''.

    (b) Effective Date.--The amendments made by subsection

    (a) shall 
take effect on January 1, 2026.
 <all>