HI HCR186

Urges the U.S. Department of Defense and Defense Health Agency to extend Secretarial Designee health care authorization renewals to a two-year cycle for individuals affected by the November 2021 Red Hill Bulk Fuel Storage Facility water contamination on Oahu.

Requests expanded access to civilian medical providers under TRICARE for affected military families, civilian residents, and Department of Defense personnel who experienced health symptoms including headaches, nausea, respiratory irritation, and skin conditions.

Calls for implementation of "warm handoff" referral practices between military treatment facilities and civilian providers to improve care coordination, particularly for servicemembers who have relocated to areas without nearby military treatment facilities.

Recommends establishing reimbursement or voucher programs to assist individuals with out-of-pocket medical costs related to Red Hill fuel exposure, especially those in regions lacking military health services.

Directs certified copies be sent to the President, Secretary of Defense, Director of the Defense Health Agency, and Hawaii's Congressional delegation.