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TOTAL Care Act
3/26/2025, 8:05 AM
Summary of Bill HR 1699
Bill 119 hr 1699, also known as the TRICARE Obstetrics and Gynecology Pilot Program Act, aims to allow TRICARE Prime beneficiaries to access obstetrical and gynecological care without needing a referral. TRICARE Prime is a health care program for active duty service members, retirees, and their families.
The bill directs the Secretary of Defense to carry out a pilot program to test this new policy. This means that a TRICARE Prime beneficiary who needs obstetrical or gynecological care would be able to see a specialist directly, without having to first get a referral from their primary care provider.
The purpose of this pilot program is to evaluate the impact of removing the referral requirement on access to care, patient satisfaction, and health outcomes for TRICARE Prime beneficiaries. The bill also includes provisions for reporting and evaluating the results of the pilot program. Overall, the TRICARE Obstetrics and Gynecology Pilot Program Act seeks to improve access to care for TRICARE Prime beneficiaries in need of obstetrical and gynecological services by removing the referral requirement.
The bill directs the Secretary of Defense to carry out a pilot program to test this new policy. This means that a TRICARE Prime beneficiary who needs obstetrical or gynecological care would be able to see a specialist directly, without having to first get a referral from their primary care provider.
The purpose of this pilot program is to evaluate the impact of removing the referral requirement on access to care, patient satisfaction, and health outcomes for TRICARE Prime beneficiaries. The bill also includes provisions for reporting and evaluating the results of the pilot program. Overall, the TRICARE Obstetrics and Gynecology Pilot Program Act seeks to improve access to care for TRICARE Prime beneficiaries in need of obstetrical and gynecological services by removing the referral requirement.
Congressional Summary of HR 1699
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 1699
Bill HR 1699 is currently in the status of Bill Introduced since February 27, 2025. Bill HR 1699 was introduced during Congress 119 and was introduced to the House on February 27, 2025. Bill HR 1699's most recent activity was Referred to the House Committee on Armed Services. as of February 27, 2025
Bipartisan Support of Bill HR 1699
Total Number of Sponsors
3Democrat Sponsors
3Republican Sponsors
0Unaffiliated Sponsors
0Total Number of Cosponsors
19Democrat Cosponsors
14Republican Cosponsors
5Unaffiliated Cosponsors
0Policy Area and Potential Impact of Bill HR 1699
Primary Policy Focus
Alternate Title(s) of Bill HR 1699
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
Sponsors and Cosponsors of HR 1699
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