S.Amdt. 6316
What it does: Adds SEC. 706. CONTRACEPTION COVERAGE PARITY UNDER THE TRICARE PROGRAM at the end of subtitle A of title VIIWhat it changes
1 change to S.Amdt. 5499
Adds SEC. 706. CONTRACEPTION COVERAGE PARITY UNDER THE TRICARE PROGRAM at the end of subtitle A of title VII
Adds a sectionInserted: SEC. 706. CONTRACEPTION COVERAGE PARITY UNDER THE TRICARE PROGRAM.
Inserted: (a) Pharmacy Benefits Program.--Section 1074g(a)(6) of title 10, United States Code, is amended by adding at the end the following new subparagraph:
Inserted: "(D) Notwithstanding subparagraphs (A), (B), and (C), cost-sharing requirements may not be imposed and cost-sharing amounts may not be collected with respect to any eligible covered beneficiary for any prescription contraceptive on the uniform formulary provided through a retail pharmacy described in paragraph (2)(E)(ii) or through the national mail-order pharmacy program.".
Inserted: (b) TRICARE Select.--Section 1075 of such title is amended--
Inserted: (1) in subsection (c), by adding at the end the following new paragraph:
Inserted: "(4)(A) Notwithstanding any other provision of this section, cost-sharing requirements may not be imposed and cost-sharing amounts may not be collected with respect to any beneficiary under this section for a service described in subparagraph (B) that is provided by a network provider.
Inserted: "(B) A service described in this subparagraph is any method of contraception approved by the Food and Drug Administration, any contraceptive care (including with respect to insertion, removal, and follow up), any sterilization procedure, or any patient education or counseling service provided in connection with any such method, care, or procedure."; and
Inserted: (2) in subsection (f), by striking "calculated as" and inserting "calculated (except as provided in subsection (c)(4)) as".
Inserted: (c) TRICARE Prime.--Section 1075a of such title is amended by adding at the end the following new subsection:
Inserted: "(d) Prohibition on Cost-sharing for Certain Services.--(1) Notwithstanding subsections (a), (b), and (c), cost-sharing requirements may not be imposed and cost-sharing amounts may not be collected with respect to any beneficiary enrolled in TRICARE Prime for a service described in paragraph (2) that is provided under TRICARE Prime.
Inserted: "(2) A service described in this paragraph is any method of contraception approved by the Food and Drug Administration, any contraceptive care (including with respect to insertion, removal, and follow up), any sterilization procedure, or any patient education or counseling service provided in connection with any such method, care, or procedure.".
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
SA 6316. Mrs. SHAHEEN submitted an amendment intended to be proposed to amendment SA 5499 submitted by Mr. Reed (for himself and Mr. Inhofe) and intended to be proposed to the bill H.R. 7900, to authorize appropriations for fiscal year 2023 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. 706. CONTRACEPTION COVERAGE PARITY UNDER THE TRICARE PROGRAM.
(a) Pharmacy Benefits Program.--Section 1074g(a)(6) of title 10, United States Code, is amended by adding at the end the following new subparagraph:
“(D) Notwithstanding subparagraphs (A), (B), and (C), cost-sharing requirements may not be imposed and cost-sharing amounts may not be collected with respect to any eligible covered beneficiary for any prescription contraceptive on the uniform formulary provided through a retail pharmacy described in paragraph (2)(E)(ii) or through the national mail-order pharmacy program.”.
(b) TRICARE Select.--Section 1075 of such title is amended--
(1) in subsection (c), by adding at the end the following new paragraph:
“(4)(A) Notwithstanding any other provision of this section, cost-sharing requirements may not be imposed and cost-sharing amounts may not be collected with respect to any beneficiary under this section for a service described in subparagraph (B) that is provided by a network provider.
“(B) A service described in this subparagraph is any method of contraception approved by the Food and Drug Administration, any contraceptive care (including with respect to insertion, removal, and follow up), any sterilization procedure, or any patient education or counseling service provided in connection with any such method, care, or procedure.”; and
(2) in subsection (f), by striking “calculated as” and inserting “calculated (except as provided in subsection (c)(4)) as”.
(c) TRICARE Prime.--Section 1075a of such title is amended by adding at the end the following new subsection:
“(d) Prohibition on Cost-sharing for Certain Services.--(1) Notwithstanding subsections (a), (b), and (c), cost-sharing requirements may not be imposed and cost-sharing amounts may not be collected with respect to any beneficiary enrolled in TRICARE Prime for a service described in paragraph (2) that is provided under TRICARE Prime.
“(2) A service described in this paragraph is any method of contraception approved by the Food and Drug Administration, any contraceptive care (including with respect to insertion, removal, and follow up), any sterilization procedure, or any patient education or counseling service provided in connection with any such method, care, or procedure.”.
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Senate amendment submitted
September 29, 2022