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TOTAL Care Act

12/30/2024, 1:23 PM

Summary of Bill HR 10307

Bill 118 hr 10307, also known as the "TRICARE Obstetrics and Gynecology Access Pilot Program Act," aims to provide TRICARE Prime beneficiaries with easier access to obstetrical and gynecological care. Currently, TRICARE Prime beneficiaries are required to obtain a referral from their primary care provider before seeking care from an obstetrician or gynecologist. This bill seeks to eliminate this requirement and allow beneficiaries to directly access these services without a referral.

The bill directs the Secretary of Defense to carry out a pilot program to test this new approach to accessing care. The pilot program will evaluate the impact of allowing TRICARE Prime beneficiaries to access obstetrical and gynecological care without a referral on patient outcomes, healthcare costs, and overall satisfaction with the TRICARE program.

In addition to establishing the pilot program, the bill also includes provisions for reporting requirements and oversight to ensure that the program is implemented effectively and that the needs of TRICARE Prime beneficiaries are being met. Overall, the TRICARE Obstetrics and Gynecology Access Pilot Program Act aims to improve access to care for TRICARE Prime beneficiaries and streamline the process for obtaining obstetrical and gynecological services.

Congressional Summary of HR 10307

TRICARE OBGYN Treatment and Access without Lags in Care Act or the TOTAL Care Act

This bill requires the Department of Defense (DOD) to implement a five-year pilot program under which female beneficiaries enrolled in TRICARE Prime may receive obstetrical and gynecological care without a referral. (Generally, the TRICARE Prime program requires a beneficiary to obtain a referral for care through a designated primary care manager.)

Under the pilot program, participating female beneficiaries may elect to designate an obstetrical or gynecological care provider under the TRICARE program (i.e., the various programs carried out by DOD, including TRICARE Prime) as an additional designated primary care manager.

Current Status of Bill HR 10307

Bill HR 10307 is currently in the status of Bill Introduced since December 5, 2024. Bill HR 10307 was introduced during Congress 118 and was introduced to the House on December 5, 2024.  Bill HR 10307's most recent activity was Referred to the House Committee on Armed Services. as of December 5, 2024

Bipartisan Support of Bill HR 10307

Total Number of Sponsors
3
Democrat Sponsors
3
Republican Sponsors
0
Unaffiliated Sponsors
0
Total Number of Cosponsors
4
Democrat Cosponsors
2
Republican Cosponsors
2
Unaffiliated Cosponsors
0

Policy Area and Potential Impact of Bill HR 10307

Primary Policy Focus

Alternate Title(s) of Bill HR 10307

To direct the Secretary of Defense to carry out a pilot program under which a TRICARE Prime beneficiary may access obstetrical and gynecological care without a referral, and for other purposes.
To direct the Secretary of Defense to carry out a pilot program under which a TRICARE Prime beneficiary may access obstetrical and gynecological care without a referral, and for other purposes.

Comments

Joaquin Moore profile image

Joaquin Moore

422

11 months ago

I think this new bill is gonna help a lot of folks like me who need some extra care. It's sad that so many people struggle to get the care they need, but this bill could really make a difference. Who do you think will benefit the most from it?

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