Sec. 783. Pilot programs of Defense Health Agency relating to sexual health
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The Director of the Defense Health Agency shall carry out a five-year telehealth pilot program for sexual health (in this subsection referred to as the telehealth pilot program ). An individual is eligible to participate in the telehealth pilot program if the individual is a member of the uniformed services on active duty enrolled in TRICARE Prime, without regard to whether a health care professional has referred the individual for such participation. Eligible individuals seeking to participate in the telehealth pilot program shall submit to the Director an application for participation at such time, in such form, and containing such information as the Director may prescribe.
Any application form under subparagraph
(A)shall be accessible online. In selecting participants for the telehealth pilot program from among eligible individuals who have submitted an application in accordance with paragraph (3), the Director may establish a cap limiting the number of such participants only if— the Director determines that such limited participation is necessary as a result of limited provider availability; and not later than 30 days after making such determination, the Director submits to the congressional defense committees a report that includes— a description of the limited provider availability upon which the Director has based such determination; an identification of the total number of eligible individuals who have submitted an application in accordance with paragraph (3); and an estimated timeline for lifting the cap established. Under the telehealth pilot program, the Director shall furnish to any eligible individual who elects to participate in such program a telehealth screening. During such screening, a health care provider shall— conduct a remote assessment with respect to the individual’s sexual health, including any medication conditions related to the individual’s sexual health provide comprehensive counseling on the full range of methods of contraception available to the individual, in accordance with the clinical practice guidelines established under section 718 of the National Defense Authorization Act for Fiscal Year 2016 ( Public Law 114–92 ; 129 Stat. 686; 10 U.S.C. 1074d note); as applicable, diagnose the individual or, pursuant to subparagraph (B), order appropriate follow-up diagnostic services as necessary as a result of the assessment under clause (i); and prescribe such prescription medications, including contraceptives or Pre-Exposure Prophylaxis, as may be determined necessary by the provider as a result of such assessment. In diagnosing an individual under subparagraph (A)(iii), a health care provider may furnish to the individual such laboratory diagnostic services as may be necessary for the diagnosis (including mail-order laboratory diagnostic services). The Director shall ensure that prescriptions under subparagraph (A)(iv) may be filled through either military medical treatment facility pharmacies or the national mail-order pharmacy program under the TRICARE program. If a health care provider prescribes medications to an individual pursuant to a screening under the telehelath pilot program, that health care provider shall conduct such follow-up remote appointments as may be necessary to monitor the health of the individual following fulfilment of the prescription. The Director shall coordinate with each military commander or director of a military medical treatment facility to facilitate the provision through the facility of laboratory and other services necessary for the furnishment of screenings and the fulfilment of prescriptions under the telehealth pilot program. In carrying out the telehealth pilot program, the Director may enter into contracts under such program with providers of mail-order laboratory services and providers of mail-order contraceptives or Pre-Exposure Prophylaxis for the furnishment of laboratory services or the fulfilment of prescriptions under paragraph (5). Not later than one year after the date of the enactment of this Act, and annually thereafter for five years, the Secretary of Defense shall submit to the congressional defense committees a report on the status and effects of the telehealth pilot program. Each such report shall include, with respect to the year covered by the report, the following: The number of health care providers who have furnished services under the telehealth pilot program, dissagregated by whether the provider is a TRICARE network provider. The average wait time for screenings under the telehealth pilot program. Any effect of the telehealth pilot program with respect to the Defense Health Agency. Such other information relating to the status or effect of the telehealth pilot program as may be determined relevant by the Secretary. The Director of the Defense Health Agency shall carry out a five-year pilot program to require certain sexual health screenings (in this subsection referred to as the pilot program ). Under the pilot program, the Director shall ensure that, during the period in which the pilot program is carried out, each covered member completes a sexual health screening on an annual basis and prior to any deployment of the covered member. The Director shall ensure that, prior to a covered member receiving a sexual health screening under the pilot program, the covered member is provided notice, and submits an acknowledgment, that the results of such screening shall be subject to the confidentiality provisions under paragraph (3). Following the provision of a sexual health screening to a covered member under the pilot program, the covered member may elect to receive a follow-up appointment related to such screening. Any such follow-up appointment shall be conducted by the provider specified in paragraph
(4)responsible for reviewing the results of the screening. Except as provided in subparagraph (B), the results of a sexual health screening furnished to a covered member under the pilot program shall be transmitted for review to the provider specified in paragraph
(4)at the military medical treatment facility nearest to the location at which the screening was furnished. Such results may not be transmitted to or otherwise accessed by the following: Any individual in the chain of command of the covered member. The primary health care provider for the unit of the covered member. The results of a sexual health screening furnished to a covered member under the pilot program may be transmitted for review to, or otherwise accessed by, the primary health care provider for the unit of the covered member at the election of the covered member. If a sexual health screening under the pilot program is furnished as part of a periodic health assessment (or other similar assessment) provided to a covered member, the results of such screening shall be separated from the other results of the assessment for purposes of separate transmission and review in accordance with subparagraph (A). The Director shall ensure that at each military medical treatment facility there is a health care provider with a specialty in sexual health or infectious diseases who shall review screening results under the pilot program. Not later than one year after the date of the enactment of this Act, and annually thereafter for five years, the Secretary of Defense shall submit to the congressional defense committees a report on the status and effects of the pilot program. In this section: The term covered member means a member of a uniformed service described in section 1074(a)(2) of title 10, United States Code. The term military medical treatment facility means a facility specified in section 1073d of title 10, United States Code. The terms TRICARE Prime and TRICARE program have the meaning given those terms in section 1072 of such title.
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- 129 Stat. 686
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Sec. 783
Pilot programs of Defense Health Agency relating to sexual health
Stat.129 Stat. 686
Cites 3Cited by 0 across 0 sources