Sec. 704. ACCESS TO HEALTH CARE UNDER THE TRICARE PROGRAM FOR BENEFICIARIES OF TRICARE PRIME
564 words·~3 min read·
/statute-compilations/comps-11831/sec-704A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
## SEC. 704 ACCESS TO HEALTH CARE UNDER THE TRICARE PROGRAM FOR BENEFICIARIES OF TRICARE PRIME **[**[10 U.S.C. 1073 note](/us/usc/t10/s1073)**]** ###
(a)Access to Health Care The Secretary of Defense shall ensure that beneficiaries under TRICARE Prime who are seeking an appointment for health care under TRICARE Prime shall obtain such an appointment within the health care access standards established under subsection (b), including through the use of health care providers in the preferred provider network of TRICARE Prime. ###
(b)Standards for Access to Care ####
(1)In general Not later than 180 days after the date of the enactment of this Act, the Secretary shall establish health care access standards for the receipt of health care under TRICARE Prime, whether received at military medical treatment facilities or from health care providers in the preferred provider network of TRICARE Prime. ####
(2)Categories of care The health care access standards established under paragraph
(1)shall include standards with respect to the following categories of health care: #####
(A)Primary care, including pediatric care, maternity care, gynecological care, and other subcategories of primary care. #####
(B)Specialty care, including behavioral health care and other subcategories of specialty care. ####
(3)Modifications The Secretary may modify the health care access standards established under paragraph
(1)whenever the Secretary considers the modification of such standards appropriate. ####
(4)Publication The Secretary shall publish the health care access standards established under paragraph (1), and any modifications to such standards, in the Federal Register and on a publicly accessible Internet website of the Department of Defense. ###
(c)Access to Specialty Behavioral Health Care ####
(1)Monitoring The Secretary shall continuously monitor the ability of beneficiaries under TRICARE Prime to receive an appointment for specialty behavioral health care under TRICARE Prime within the access standards established under subsection (b)(2)(B) for such health care. ####
(2)Expansion of behavioral health accreditation standards #####
(A)Determinations The Secretary shall expand required behavioral health accreditation standards in a State if the Secretary makes the following determinations: ######
(i)Access to specialty behavioral health care in that State fails to meet the access standards established under subsection (b)(2)(B) for more than 12 consecutive months. ######
(ii)The expanded accreditation standards are adequate to ensure quality of care. #####
(B)State credentials The Secretary may include in expanded behavioral health accreditation standards under subparagraph
(A)appropriate credentials issued by State-level organizations. #####
(C)Briefings If the Secretary expands behavioral health accreditation standards under subparagraph (A), the Secretary shall provide to the Committees on Armed Services of the Senate and the House of Representatives a briefing on such expansion, including how such expansion affects access to specialty behavioral health care. #####
(D)Notifications If the Secretary makes a determination under clause
(i)of subparagraph (A), but does not make a determination under clause
(ii)of such subparagraph, the Secretary shall submit to the Committees on Armed Services of the Senate and the House of Representatives a notice explaining both such determinations. ####
(3)Termination The authority of the Secretary under this subsection shall terminate on January 1, 2028. ###
(d)Definitions In this section: ####
(1)TRICARE prime The term “TRICARE Prime” means the managed care option of the TRICARE program. ####
(2)TRICARE program The term “TRICARE program” has the meaning given that term in section 1072(7) of title 10, United States Code.
Connectionstraces to 1
Traces to 1 document
U.S. Code
Citation graph
cites case law
Sec. 704
ACCESS TO HEALTH CARE UNDER THE TRICARE PROGRAM FOR BENEFICIARIES OF TRICARE PRIME
Cites 1Cited by 0 across 0 sources