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US HB873
Bill
Status
1/31/2025
Primary Sponsor
Richard McCormick
Click for details
AI Summary
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Amends Section 1097b(a) of title 10, United States Code to require the Secretary of Defense to pay the lowest authorized reimbursement rate when multiple rates are available for TRICARE care or services
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Establishes location-specific reimbursement rates for TRICARE based on where care was provided: inpatient hospitals, on-campus hospital outpatient departments, off-campus hospital outpatient departments, ambulatory surgical centers, and physician offices
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Requires reimbursement rates to be based on the actual location of service delivery, regardless of where the health care provider's headquarters is located
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Mandates that reimbursement claims include a unique, geographically specific national provider identifier code identifying the service location
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Takes effect on January 1, 2026
Legislative Description
To amend title 10, United States Code, to modify the rate of pay for care or services provided under the TRICARE program based on the location at which such care or services were provided.
Armed forces and national security
Last Action
Referred to the House Committee on Armed Services.
1/31/2025