Sec. 734. Applied behavior analysis
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/bill/114/hr/4909/eh/section-734·A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
In furnishing applied behavior analysis under the TRICARE program to individuals described in paragraph
(2)during the period beginning on the date of the enactment of this Act, and ending on December 31, 2018, the Secretary of Defense shall ensure that the reimbursement rates for providers of applied behavior analysis are not less than the rates that were in effect on March 31, 2016. Individuals described in this paragraph are individuals who are covered beneficiaries (as defined in section 1072 of title 10, United States Code) by reason of being a member or former member of the Army, Navy, Air Force, or Marine Corps, including the reserve components thereof, or a dependent of such a member or former member. Upon the completion of the Department of Defense Comprehensive Autism Care Demonstration, the Assistant Secretary of Defense for Health Affairs shall conduct an analysis to— use data gathered during the demonstration to set future reimbursement rates for providers of applied behavior analysis under the TRICARE program; and review comparative commercial insurance claims for purposes of setting such future rates, including by— conducting an analysis of the comparative total of commercial insurance claims billed for applied behavior analysis; and reviewing any covered beneficiary limitations on access to applied behavior analysis services at various military installations throughout the United States. The Assistant Secretary shall submit to the congressional defense committees the analysis conducted under paragraph (1). Notwithstanding the amounts set forth in the funding tables in division D, the amount authorized to be appropriated in section 1405 for the Defense Health Program, as specified in the corresponding funding table in section 4501, for Private Sector Care is hereby increased by $32,000,000. Notwithstanding the amounts set forth in the funding tables in division D, the amount authorized to be appropriated in section 4301 for operation and maintenance, as specified in the corresponding funding table in section 4301, for the Office of the Secretary of Defense (Line 300) is hereby reduced by $32,000,000. It is the sense of Congress that amounts should be appropriated for behavioral health treatment of TRICARE beneficiaries, including pursuant to this section, in a manner to ensure the appropriate and equitable access to such treatment by all such beneficiaries.