S.Amdt. 3974

SA 3974. Mrs. GILLIBRAND submitted an amendment intended to be
proposed to amendment SA 3867 submitted by Mr. Reed and intended to be
proposed to the bill H.R. 4350, to authorize appropriations for fiscal
year 2022 for military activities of the Department of Defense, for
military construction, and for defense activities of the Department of
Energy, to prescribe military personnel strengths for such fiscal year,
and for other purposes; which was ordered to lie on the table; as
follows:

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

SEC. 704. MODIFICATIONS TO TRICARE OPERATIONS MANUAL WITH
RESPECT TO COVERAGE OF AUTISM THERAPY.

(a) In General.--Not later than one year after the date of
the enactment of this Act, the Secretary of Defense shall
modify the operations manual under the TRICARE program, or
successor manual of the Department of Defense, with respect
to coverage of autism therapy as follows:
(1) To allow a covered beneficiary one year to obtain a
confirmatory diagnosis of autism spectrum disorder.
(2) To require that the person completing the Pervasive
Developmental Disorder Behavior Inventory Teacher Form meet
the criteria in the Pervasive Developmental Disorder Behavior
Inventory Manual regarding frequency and duration of contact
with the client.
(3) To require that the services provided for autism
spectrum disorder focus primarily on measuring outcomes for
the covered beneficiary as the primary recipient of services.
(4) To eliminate the prohibition on billing for services
provided outside of the home, clinic, office, school, or via
telehealth.
(5) To require that medically necessary services authorized
in a school setting be delivered by a trained behavioral
provider as determined by the applied behavior analysis
supervisor.
(b) Definitions.--In this section, the terms ``covered
beneficiary'' and ``TRICARE program'' have the meanings given
those terms in section 1072 of title 10, United States Code.
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