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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.

USA119th CongressHR-873| House 
| Updated: 1/31/2025
Richard McCormick

Richard McCormick

Republican Representative

Georgia

Cosponsors (1)
Elijah Crane (Republican)

Armed Services Committee

  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted
This bill proposes to amend title 10, United States Code, to significantly alter how healthcare providers are reimbursed under the TRICARE program . Its primary goal is to ensure that payment rates for care or services are directly tied to the specific physical location where those services are rendered, rather than a general rate. Specifically, the legislation mandates that if the Secretary has the option to choose among multiple reimbursement rates for a service, the lowest authorized rate must be paid . It further requires the Secretary to establish distinct reimbursement rates for services provided at various locations, such as inpatient hospitals, outpatient departments, ambulatory surgical centers, and physician offices. To facilitate this, claims for reimbursement will need to include a unique, geographically specific national provider identifier code , with these changes taking effect on January 1, 2026.
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Timeline
Jan 31, 2025
Introduced in House
Jan 31, 2025
Referred to the House Committee on Armed Services.
  • January 31, 2025
    Introduced in House


  • January 31, 2025
    Referred to the House Committee on Armed Services.

Armed Forces and National Security

Health care costs and insuranceMilitary medicine

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.

USA119th CongressHR-873| House 
| Updated: 1/31/2025
This bill proposes to amend title 10, United States Code, to significantly alter how healthcare providers are reimbursed under the TRICARE program . Its primary goal is to ensure that payment rates for care or services are directly tied to the specific physical location where those services are rendered, rather than a general rate. Specifically, the legislation mandates that if the Secretary has the option to choose among multiple reimbursement rates for a service, the lowest authorized rate must be paid . It further requires the Secretary to establish distinct reimbursement rates for services provided at various locations, such as inpatient hospitals, outpatient departments, ambulatory surgical centers, and physician offices. To facilitate this, claims for reimbursement will need to include a unique, geographically specific national provider identifier code , with these changes taking effect on January 1, 2026.
View Full Text

Suggested Questions

Get AI-generated questions to help you understand this bill better

Timeline
Jan 31, 2025
Introduced in House
Jan 31, 2025
Referred to the House Committee on Armed Services.
  • January 31, 2025
    Introduced in House


  • January 31, 2025
    Referred to the House Committee on Armed Services.
Richard McCormick

Richard McCormick

Republican Representative

Georgia

Cosponsors (1)
Elijah Crane (Republican)

Armed Services Committee

Armed Forces and National Security

  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted
Health care costs and insuranceMilitary medicine