S.Amdt. 1214

1. Adds SEC. 705. INTEGRATED CARE MANAGEMENT OPTIONS UNDER THE UNIFORMED SERVICES FAMILY HEALTH PLAN at the end of subtitle A of title VII

   Adds a section

   In S. 1867 · Placed on Calendar Senate

   (b) Frequency of Submittal of GAO Reviews.--Subsection (b)(2) of such section is amended by striking "bi-annual basis" and inserting "biennial basis".

   Inserted: SEC. 705. INTEGRATED CARE MANAGEMENT OPTIONS UNDER THE UNIFORMED SERVICES FAMILY HEALTH PLAN.

   Inserted: (a) Report on Strategy for Integrated Care Management Options.--

   Inserted: (1) In general.--Not later than June 1, 2012, the Secretary of Defense shall, in conjunction with the Secretary of Health and Human Services and the designated providers under the uniformed services family health plan (USFHP), submit to Congress a report setting forth a strategy for providing integrated care management options for individuals who would otherwise qualify as covered beneficiaries under section 724 of the National Defense Authorization Act for Fiscal Year 1997 (10 U.S.C.1073 note), without regard to the amendments made by section 703 of this Act, utilizing appropriate elements of the uniformed services family health plan, TRICARE for Life, and the Medicare program.

   Inserted: (2) Elements.--The strategy required by this subsection shall include the following:

   Inserted: (A) Mechanisms for ensuring an adequate population base to sustain the uniformed services family health plan, including the termination of restrictions on enrollment of covered beneficiaries under the age of 65 if considered feasible for that purpose.

   Inserted: (B) Mechanisms (including the utilization of demonstration projects currently authorized by law) to permit covered beneficiaries who are also eligible for the Medicare program to receive integrated and coordinated care through the uniformed services family health plan, including mechanisms--

   Inserted: (i) to secure greater continuity of care for such beneficiaries who also have access to health care benefits through TRICARE for Life;

   Inserted: (ii) to improve coordination and integration of health care management for such beneficiaries who also have access to health care benefits through TRICARE for Life; and

   Inserted: (iii) to utilize innovative care management strategies to improve quality and health outcomes, and reduce unneeded utilization of health care services on a long-term, sustainable basis.

   Inserted: (C) Specific actions for the Department of Defense, and other departments and agencies of the Federal Government, to carry out the strategy.

   Inserted: (D) Specific milestones to evaluate progress in carrying out the actions specified under subparagraph (C), and to determine accountability for meeting such milestones.

   Inserted: (E) An identification of current authorities to be used in carrying out the strategy, and a description of any additional authorities considered advisable to carry out the strategy.

   Show 4 more inserted paragraphsShow less

   Inserted: (b) Report on Actions Regarding Integrated Care Management Options.--Not later than one year after the date of the enactment of this Act, the Secretary of Defense shall, in conjunction with the Secretary of Health and Human Services, submit to the President and Congress a report that describes the activities and efforts of the Department of Defense and the Department of Health and Human Services in developing and evaluating integrated care management options for individuals who would otherwise qualify as covered beneficiaries under section 724 of the National Defense Authorization Act for Fiscal Year 1997, without regard to the amendment made by section 703 of this Act, through the uniformed services family health plan, in conjunction with TRICARE for Life and the Medicare program.

   Inserted: (c) Modification of Effective Date of Transition Enrollment Limitations.--Notwithstanding the effective date of September 30, 2011, otherwise specified in paragraph (2) of section 724(e) of the National Defense Authorization Act for Fiscal Year 1997, as added by section 703(2) of this Act, the effective date of such paragraph shall be the later of--

   Inserted: (1) the date of the submittal to Congress of the report required by subsection (b) of this section; or

   Inserted: (2) the date that is one year after the date of the enactment of this Act.

   Original wording

   At the end of subtitle A of title VII, add the following:

Read automatically from the Congressional Record. Check the original before relying on it.

As printed