TITLE VII - NDAA for FY 2017

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1 TITLE VII - NDAA for FY 2017 SECTION 701 TRICARE SELECT AND OTHER TRICARE REFORM Establishes TRICARE Select as the self-managed, preferred provider option that would replace TRICARE Standard and Extra in all areas beginning on January 1, (Disregards Administration s proposed restructuring of TRICARE plans that included a modernized schedule of retiree fees.) At least 85% (by January 1, 2018) of the TRICARE Select beneficiary population must be covered by the preferred provider network although beneficiaries maintain freedom of choice of provider. All current retirees are grandfathered under the current enrollment fee structure and copays in TRICARE Prime and Extra/Standard (now to be called Select), except that SecDef may establish an annual enrollment fee of $300/family and increase the cat cap to $3,500 for TRICARE Select retiree beneficiaries (but not until 2020, after reporting on improvements in access to care, network adequacy and beneficiary satisfaction). Beginning in 2038, retirees who first entered the military on or after January 1, 2018, will have a set of fees including family enrollment fees of $900 for Select and $700 for Prime (compared to the 2016 Prime family enrollment fee of $578). TRICARE Prime beneficiaries are required to obtain a referral through their PCM prior to obtaining care (Secretary may waive this requirement) and a preauthorization for inpatient hospitalization, inpatient care at SNF/rehabilitation facility only prohibits preauthorization requirement for specialty care if the provider is in the network. Requires the SecDef to establish an open enrollment period, with a grace period during the first year of open enrollment, and to allow enrollment for qualifying events for annual participation in either TRICARE Prime or Select. Requires the SecDef to brief the HASC/SASC NLT March 1, 2017, on the transition plan for implementing the annual enrollment period. This section also requires the GAO, NLT September 1, 2017, to submit to the HASC/SASC a RTC on the baseline assessment of network adequacy and beneficiaries' access to care under the TRICARE health care provider network. Requires the SecDef to submit an implementation plan, NLT June 1, 2017, to the HASC/SASC to improve access for TRICARE beneficiaries. Requires GAO to submit, NLT December 1, 2017, to the HASC/SASC a review of the implementation plan submitted by the SecDef. NLT January 1, 2018, requires SecDef to carry out a pilot program to demonstrate/assess the feasibility of incorporating valuebased health care methodology in the purchased care component of TRICARE. Requires the SecDef to submit a report to the HASC/SASC NLT 180 days after enactment on the value-based health care methodology (high-value medications and services with reduced/eliminated cost shares). GAO is required to submit to the HASC/SASC NLT March 1, 2021, a review and assessment of the preliminary results of the pilot. SECTION REFORM OF ADMINISTRATION OF THE DHA AND MTFs Effective 10/1/2018, DHA shall be responsible for the administration of each military medical facility (MTF), including with respect to: (1) budgetary matters, (2) IT, (3) health care administration and management, (4) administrative policy and procedure, (5) military medical construction and (6) any other matters the SecDef determines appropriate. The commander of

2 each MTF shall be responsible for: (1) ensuring the readiness of employees at the facility, and (2) furnishing the health care and medical treatment provided at the facility. Requires the SecDef to establish within the DHA a professional staff to provide policy, oversight and direction of all matters related to the administration of the MTFs. SecDef shall establish a DHA Assistant Director for Health Care Administration (with education/experience of CEO leading large/civilian health care system) responsible for: (1) establishing priorities for health care administration/management; (2) establishing policies/procedures for provision of care at MTFs; (3) establishing priorities for budgeting for care at MTFs; (4) establishing policies/procedures for clinic management/operations at MTFs; and (5) establishing priorities for IT at/between MTFs. SecDef shall also establish DHA Deputy Assistant Directors for Information Operations (responsible for MTF IT operations), Financial Operations (responsible for budgeting matters and financial management with respect to the provision of direct care across the MHS), Health Care Operations (responsible for policy, procedures, and direction of health care administration in the MTFs), and Medical Affairs (responsible for direction of clinical quality and process improvement, patient safety, infection control, graduate medical education, clinical integration, utilization review, risk management, patient experience, and civilian physician recruiting). These Deputies and will report to the Assistant Director for Health Care Administration. The appointments of positions above shall be made by NLT 10/1/2018 and shall not increase the number of FTEs of the DHA. Further, the Director shall coordinate with the Joint Staff Surgeon to ensure that the Director most effectively carries out the responsibilities of DHA as a Combat Support Agency. Revises and codifies the roles and responsibilities of the SGs: (1) as an advisor to the Secretary of the Military Department and the Service Chief; (2) as the chief medical advisor of their Service to the DHA Director on matters pertaining to the military health readiness requirements and safety of Services members; and (3) to recruit, organize, train and equip medical personnel of their Service. SecDef shall develop a plan to implement this section, including efforts to eliminate duplicative activities carried out by DHA and the military departments and implementing in a manner that reduces the number of members, civilian employees and contractors related to MHS headquarters activities, and submit an interim RTC NLT 3/1/2017 and a final RTC NLT 3/1/2018. Requires GAO to submit a review of the plan to Congress NLT 9/1/2018. SECTION 703 MTFs To support the medical readiness of the armed forces and the readiness of medical personnel, requires the SecDef, in consultation with the Secretaries of the military departments, to maintain MTFs as follows: Medical Centers SecDef shall maintain medical centers in areas with a large population of beneficiaries. The medical centers shall serve as referral centers and are required to consist of: (1) inpatient and outpatient tertiary care facilities that incorporate specialty/subspecialty care, (2) GME, (3) residency training programs, and (4) Level 1 or 2 trauma capabilities. Hospitals SecDef shall maintain hospitals in areas where civilian health care facilities cannot support health care needs of beneficiaries. The hospitals shall provide inpatient/outpatient services to maintain readiness and such other programs and functions as the

3 Secretary determines appropriate. They shall consist of inpatient/outpatient care facilities with limited specialty care that SecDef has determined is cost-effective or not available from civilian health care facilities in the area. Ambulatory Care Centers: SecDef shall maintain ambulatory care centers in areas where civilian health care facilities can support health care needs of beneficiaries. Ambulatory care centers shall provide outpatient health services to maintain readiness and consist of outpatient care facilities with limited specialty care that the SecDef has determined is cost-effective or not available from civilian health care facilities in the area. SecDef may designate some medical centers as regional COEs for unique and highly specialized health care services, including poly-trauma, organ transplant, and burn care, and may also establish satellite COEs to provide specialty care for certain conditions, including PTSD and TBI. As an exception to this infrastructure realignment, SecDef may not modify an MTF s services unless SecDef determines covered beneficiaries will be able to access the services through the purchased care system. (A related section is section 725.) Requires SecDef, in collaboration with the Secretaries of the military departments, to submit an updated MHS Modernization Study report to the congressional defense committees NLT 270 days after the date of the enactment. Requires the SecDef to submit to the congressional defense committees, NLT 2 years after the date of the enactment, an implementation plan to restructure or realign the MTFs. NLT 60 days after SecDef submits the report, GAO is required to submit to HASC/SASC a review of the report. SECTION 704 ACCESS TO URGENT AND PRIMARY CARE UNDER TRICARE PROGRAM Requires the SecDef NLT 1 year after enactment, to ensure urgent care is available through 11:00PM at MTFs the SecDef determines to be appropriate. In locations where MTFs with urgent care access are not available, members and covered beneficiaries may access urgent care through the TRICARE network providers. Eliminates the preauthorization requirement for urgent care. Requires SecDef to publish information about changes to access to urgent care under TRICARE on primary publicly available website of DoD, every MTF and MCSCs. Requires that NAL directs covered beneficiaries seeking access to care to the source of the most appropriate level of health care required to treat the medical condition. NLT 180 days after enactment, SecDef shall expand the primary care clinic hours at MTFs during the week and on weekends beyond the standard business hours of the installation. The SecDef shall determine the hours that each primary care clinic at a MTF is available based on needs of the MTF to meet the access standards and the primary care usage patterns of beneficiaries at such MTF. SECTION 705 VALUE-BASED PURCHASING AND ACQUISITION OF MANAGED CARE SUPPORT CONTRACTS Requires SecDef to develop/implement value-based incentive programs as part of any contract awarded for the provision of health care services to covered beneficiaries. Transfers contracting

4 responsibility for the acquisition of MCSC under TRICARE (initiated after the date of enactment of NDAA for FY17) from DHA to USD(AT&L). Requires SecDef to develop/implement by January 1, 2018, a new acquisition strategy for MCSCs under TRICARE and to modify contracts existing prior to the implementation of this strategy to ensure consistency with the strategy. Requires the SecDef to ensure that local, regional, and national health plans have an opportunity to participate in the competition for contracts. NLT 60 days before the date which the SecDef first modifies a contract awarded to implement a value-based incentive program or the MCSC acquisition strategy, the SecDef shall submit to HASC/SASC a report on the implementation plan. NLT 180 days after the date on which the SecDef submits the report, GAO shall submit a report to HASC/SASC assessing the compliance of the SecDef with the requirements. (A related section is section 706.) SECTION 706 ESTABLISHMENT OF HIGH PERFORMANCE MILITARY- CIVILIAN INTEGRATED HEALTH DELIVERY SYSTEMS NLT 1/1/18, requires SecDef to establish military-civilian integrated health delivery systems through partnerships with local or regional health systems in private sector and (through MOU/contract) to improve access, enhance the experience of the beneficiaries in receiving health care, improve health outcomes for beneficiaries, share resources between DoD and the private sector, maintain services with MTF that are essential for the maintenance of operational medical readiness skills of DoD health care providers, and provide members of Armed Forces with additional training opportunities to maintain such readiness skills. Each military-civilian integrated health delivery system shall: (1) deliver high quality care; (2) achieve greater efficiency in delivery of health care; (3) improve population-based health outcomes; (4) focus on preventive care; (5) coordinate/integrate health care across the continuum of care; (6) facilitate access to health care providers; (7) encourage patient participation in health care decisions; (8) use evidence-based protocols; and (9) improve coordination of behavioral health services with primary health care practices. Requires SecDef to incorporate value-based reimbursement methodologies into the MOU/contracts. (A related section is section 705.) SECTION 707 JOINT TRAUMA SYSTEM NLT 180 days after enactment requires the SecDef to submit to the HASC/SASC an implementation plan to establish a Joint Trauma System within the DHA. NLT 180 days after the date the SecDef submits to the HASC/SASC the implementation plan, GAO shall submit a review of the plan. The SecDef shall implement the plan after a 90-day period has elapsed following the date on which the GAO is required to submit to HASC and SASC. The Joint Trauma System shall serve as a reference body for all trauma care provided within the military health system; establish standards of care for trauma services; coordinate the translation of research from the COEs in DoD into standards of care; and coordinate the lessons learned from joint trauma partnerships into clinical practice. SecDef may enter into an agreement with a nongovernmental entity with subject matter experts to review combat casualty care since 2001 and report on recommendations to establish a comprehensive trauma system for the Armed Forces.

5 SECTION 708 JOINT TRAUMA EDUCATION AND TRAINING DIRECTORATE Requires the SecDef, in collaboration with the Secretaries of the Military Departments, to establish a Joint Trauma Education and Training Directorate to ensure that traumatologists maintain readiness and are able to rapidly deploy. The Directorate may enter into partnerships with civilian academic medical centers and large metropolitan teaching hospitals that have level I civilian trauma centers. These military trauma surgeons and physicians, along with the clinical support teams, would be embedded within civilian trauma centers to maintain professional readiness to treat critically injured patients. Requires the SecDef to establish a personnel management plan for wartime medical specialties and requires Secretaries of military departments to carry out the plan. Requires the SecDef to submit an implementation plan to the HASC/SASC NLT July 1, SECTION 709 STANDARDIZED SYSTEM FOR SCHEDULING MEDICAL APPOINTMENTS AT MTFs NLT 1/1/18, the SecDef shall implement a system for scheduling medical appointments at MTFs that is standardized (both processes and procedures) throughout the MHS. Upon implementation, no MTF may use an appointment scheduling system other than such system. Each MTF shall have a centralized appointing process that includes ability to make appointments by phone or online. Requires SecDef to implement standards for the productivity of health care providers at MTFs. NLT 1/1/2017, SecDef shall submit a comprehensive plan to Congress that addresses the manual appointment process at MTFs, the automated appointing process and the timeline for full implementation throughout the MHS. NLT February 1, 2018, SecDef required to brief the HASC/SASC on implementation of the system for scheduling medical appointments and productivity standards. NLT March 1 of each year, SecDef shall submit a RTC on the total number of medical appointments at MTFs for which a beneficiary failed to appear without prior notification during the one-year period preceding the submittal of the report. SECTION 711 EXTENDED TRICARE PROGRAM COVERAGE FOR CERTAIN MEMBERS OF NG AND DEPENDENTS DURING CERTAIN DISASTER RESPONSE DUTY During a period in which a member of the NG is performing disaster response duty, the member shall be treated as being on active duty for a period of more than 30 days for purposes of eligibility of the member and dependents of the member for TRICARE if such period immediately follows a period in which the member served on full-time NG duty. Requires SecDef to charge a State for costs of providing TRICARE coverage to NG members (and their families). SECTION 712 CONTINUITY OF HEALTH CARE COVERAGE FOR RESERVE COMPONENTS Requires SecDef to study options for providing health care coverage to certain current and former members of Selected Reserve (who are not serving on active duty, who are not eligible

6 for TAMP or FEHBP). Requires RTC 180 days after enactment on the findings and recommendations. The SecDef/Director of OPM may carry out a pilot program (at the election of SecDef) (for no less than 5 years) under which OPM provides commercial health insurance coverage to eligible reserve component members who enroll in a health benefits plan. The pilot shall include a variety of national and regional health benefits plans that provide at a minimum the same benefits as TRICARE and the ACA. MTFs may contract with qualified carriers to provide care for those enrolled in the pilot and receive reimbursement. An eligible reserve component member may not receive benefits under this pilot if serving on active duty for more than 30 days or if eligible for FEHBP. The eligible reserve component member shall pay an annual premium (equal to 28% of total annual amount of premium). During any period in which the eligible reserve component member is serving on active duty for more than 30 days, the member is not responsible for paying any premium and the SecDef shall pay 100% of the premium for coverage of the dependent of the member and such cost sharing amounts as applicable. In contracting for health benefits plan, OPM may contract with qualified carriers in a manner similar to FEHBP. NLT 1 year after establishment of the pilot and annually for the following 3 years, requires SecDef to provide a RTC on the pilot program. NLT 180 days before the pilot terminates, requires SecDef to submit RTC with recommendation regarding whether to make the pilot permanent or to terminate the pilot. SECTION 713 PROVISION OF HEARING AIDS TO DEPENDENTS OF RETIRED MEMBERS Authorizes SecDef to sell hearing aids to dependents of retired members. SECTION 714 COVERAGE OF MEDICALLY NECESSARY FOOD AND VITAMINS FOR CERTAIN CONDITIONS UNDER THE TRICARE PROGRAM Requires TRICARE to cover medically necessary food and vitamins for digestive and inherited metabolic disorders. Effective date is 1 year after enactment. SECTION 715 ELIGIBILITY OF CERTAIN BENEFICIARIES UNDER THE TRICARE PROGRAM FOR PARTICIPATION IN FEDVIP Authorizes DoD in collaboration with OPM to offer individuals who meet the eligibility requirements in subsection (a) the opportunity to purchase vision and dental insurance currently available to Federal employees under the Federal Employees Dental and Vision Insurance Program (FEDVIP). Effective date is January 1, SECTION 716 APPLIED BEHAVIOR ANALYSIS Effective as of the date of enactment through December 31, 2018, DoD shall ensure the reimbursement rates for the provision of ABA therapy to individuals (limited to Armed Forces covered beneficiaries) are not less than the rates that were in effect on 3/31/16. Upon completion of the demo, SecDef shall conduct an analysis to use data gathered to set future reimbursement rates, review comparative total of commercial claims for ABA, review any limitations on access

7 at MTFs, and determine whether the use of ABA under the demonstration has improved outcomes for covered beneficiaries with autism. The SecDef shall send the analysis to HASC/SASC. SECTION 717 EVALUATION AND TREATMENT OF VETERANS AND CIVILIANS AT MTFs SecDef shall authorize a veteran or civilian to be evaluated/treated at an MTF if the evaluation/treatment is necessary to attain the relevant mix/volume of medical casework required to maintain medical readiness skills, the providers at the MTF have the competency/skills to treat the individual and the facility has the available space, equipment, etc. The evaluation/treatment of covered beneficiaries has priority over care/treatment of veterans/civilians. The MTF shall bill the civilian for the care. DoD shall enter into a MOU with the VA under which the VA will reimburse the MTF for costs for providing care to a veteran. SECTION 718 ENHANCEMENT OF USE OF TELEHEALTH SERVICES IN MHS NLT 18 months after enactment, the SecDef shall incorporate, throughout direct and purchased care the use of telehealth services including mobile health applications to improve access, to perform health assessments, to provide diagnoses, interventions, and supervision, to monitor outcomes, to improve communication and to reduce health care costs. Telehealth services shall include real-time interactive communications and remote patient monitoring, allow beneficiaries to schedule appointments and communicate with providers and allow providers to assess, evaluate, diagnose, supervise and monitor patients. The SecDef shall develop a standardized payment method to reimburse providers, including using reimbursement rates that incentivize the provision of telehealth services. The SecDef shall reduce or eliminate as appropriate copayments or cost shares for the beneficiary who receives telehealth services. Services shall be covered to the same extent as if the services were provided in the location of the patient. NLT 180 days after enactment, SecDef shall submit RTC describing the full range of telehealth services to be available in direct and purchased care and the copayments/cost shares (if any) as well as the plan for standardized payment methods. NLT 3 years after the start of providing these telehealth services, SecDef shall submit a RTC describing the impact of providing telehealth services. NLT 180 days after enactment, SecDef shall prescribe an interim final rule to implement this section. NLT 180 days after prescribing the interim final rule and considering public comments, SecDef shall prescribe a final rule. SECTION 719 AUTHORIZATION OF REIMBURSEMENT BY DOD TO ENTITIES CARRYING OUT STATE VACCINATION PROGRAMS FOR COSTS OF VACCINES PROVIDED TO COVERED BENEFICIARIES The SecDef may reimburse state vaccine agencies for the cost of vaccines provided to TRICARE beneficiaries. The amount of reimbursement shall be the amount assessed by the state vaccine agency to purchase vaccines for TRICARE beneficiaries, but may not exceed the amount DoD would reimburse an entity for providing vaccines to the number of TRICARE beneficiaries who were involved in the State program.

8 SECTION 721 AUTHORITY TO CONVERT MILITARY MEDICAL AND DENTAL POSITIONS TO CIVILIAN MEDICAL AND DENTAL POSITIONS Requires SecDef, in collaboration with the Secretaries of the military departments, to establish a process to define military medical and dental personnel requirements necessary to meet operational medical force readiness requirements. Reinstates authority for a medical or dental position within DoD to be converted to a civilian medical or dental position if the SecDef determines that the position is not necessary to meet operational medical force readiness requirements. In carrying out the conversion, the SecDef shall convert an applicable military position to a civilian position with a level of compensation commensurate with the skills and experience necessary to conduct the duties of the civilian position. The SecDef may not place any limitation on the grade or level to which the military position is converted. Requires RTC within 90 days of enactment that describes the process established to define military medical and dental personnel requirements necessary to meet operational medical force readiness requirements and provides a complete list (by position) of the military medical and dental personnel requirements necessary to meet operational medical force readiness requirements. SecDef may not convert any positions until 180 days after report submission. SECTION PROSPECTIVE PAYMENT OF FUNDS NECESSARY TO PROVIDE MEDICAL CARE FOR THE COAST GUARD Requires Secretary of Homeland Security to make a prospective payment to the SecDef of an amount that represents the actuarial valuation of treatment or care provided to members of the Coast Guard, former members of the Coast Guard, and their dependents at facilities under the jurisdiction of DoD except for any period during which the Coast Guard operates as a service in the Navy. SECTION 723 REDUCTION OF ADMINISTRATIVE REQUIREMENTS RELATING TO AUTOMATIC RENEWAL OF ENROLLMENTS IN TRICARE PRIME Discontinues requirement for annual TRICARE Prime renewal notices. Beneficiaries paying their enrollment fees quarterly or annually will continue to receive appropriate billing statements. SECTION 724 MODIFICATION OF AUTHORITY OF USUHS TO INCLUDE UNDERGRADUATE AND OTHER MEDICAL EDUCATION AND TRAINING PROGRAMS Provides USUHS with authority to grant appropriate certificates, certifications, and undergraduate degrees in addition to advanced degrees. Allows USUHS to assist the METC in awarding academic credit for education and training programs to the enlisted technical medical personnel in the various Services. SECTION 725 ADJUSTMENT OF MEDICAL SERVICES, PERSONNEL AUTHORIZED STRENGTHS, AND INFRASTRUCTURE IN MHS TO MAINTAIN READINESS AND CORE COMPETENCIES OF HEALTH CARE PROVIDERS

9 NLT 1 year after enactment, the SecDef shall implement measures to maintain the critical wartime medical readiness skills and core competencies of health care providers within the Armed Forces. These measures shall ensure that: (1) the medical services provided at MTFs maintain critical wartime medical readiness skills/core competencies and ensure medical readiness of Armed Forces; (2) authorized strengths for military/civilian personnel throughout the MHS maintain critical wartime medical readiness skills/core competencies and medical readiness of Armed Forces; (3) the infrastructure in the MHS (including infrastructure of MTFs) maintains critical wartime medical readiness skills/core competencies and ensures medical readiness of Armed Forces; and (4) any covered beneficiary affected by these measures will be able to receive through the purchased care sector any medical services eliminated from MTFs. As an exception to the adjustment of medical services, personnel authorized strengths, and infrastructure, the SecDef is not required to implement any of these measures at MTFs located in a foreign country if the SecDef determines that beneficiaries in that country would not have access to medical services similar to medical services in the U.S. (A related section is section 703.) SECTION 726 PROGRAM TO ELIMINATE VARIABILITY IN HEALTH OUTCOMES AND IMPROVE QUALITY OF HEALTH CARE SERVICES DELIVERED IN MTFs Beginning NLT 1/1/2018, the SecDef shall implement a program to establish best practices for delivery of health care services for certain diseases/conditions at MTFs, incorporate these best practices into daily operations, eliminate variability in health outcomes and improve quality of care at MTFs. In conducting this program, the SecDef shall develop, implement, monitor, and update CPGs reflecting best practices for delivering health care. Requires SecDef to monitor the implementation of the CPGs and to update those guidelines periodically through a process of continual assessment of evidence-based best practices within the direct care component of the MHS and private sector. (A related section is section 728.) SECTION 727 ACQUISITION STRATEGY FOR HEALTH CARE PROFESSIONAL STAFFING SERVICES Requires DoD to develop/carry out a plan to implement a performance-based, strategic sourcing acquisition strategy with respect to entering into contracts for services of health care professional staff at MTFs located in a State. Requires all MTFs to use the contracts awarded under the strategy, but it would provide a process to obtain a waiver of this requirement to use another acquisition strategy. NLT July 1, 2017, the SecDef shall submit a RTC on the status of implementing the new acquisition strategy. SECTION ADOPTION OF CORE QUALITY PERFORMANCE METRICS NLT 180 days after enactment, DoD shall adopt, to the extent appropriate, the core quality performance metrics agreed upon by the Core Quality Measures Collaborative (collaboration between Center for Medicare and Medicaid Services (CMS), major health insurance companies, and other entities to reach consensus on core performance measures) for use by the MHS and in

10 contracts awarded to carry out the TRICARE Program. The core quality performance metrics shall include the following sets: (1) Accountable care organizations, PCMH and primary care; (2) Cardiology; (3) Gastroenterology; (4) HIV and hepatitis C; (5) Medical oncology; (6) Obstetrics and gynecology; (7) Orthopedics; and (8) Other sets of core quality performance metrics released by the Core Quality Measures Collaborative as the SecDef considers appropriate. Requires SecDef to include the core quality performance metrics mandated under this section in those metrics publicly available on the DoD website. (A related section is section 726.) SECTION 729 IMPROVEMENT OF HEALTH OUTCOMES AND CONTROL OF COSTS OF HEALTH CARE UNDER TRICARE PROGRAM THROUGH PROGRAMS TO INVOLVE COVERED BENEFICIARIES SecDef shall establish a program to incentivize covered beneficiaries to participate in medical intervention programs established by Secretary by lowering TRICARE enrollment fees by a certain percentage or lower copays/cost shares for beneficiaries with chronic diseases who met participation milestones under the program. Lifestyle Intervention Incentive Program SecDef shall establish a program to incentivize lifestyle interventions such as smoking cessation or weight reduction by lowering TRICARE enrollment fees by a certain percentage or lower copays/cost shares for beneficiaries with chronic diseases who met participation milestones under the program. Requires SecDef to establish a program to incentivize the maintenance of healthy lifestyle among covered beneficiaries, such as exercise and weight maintenance that may include lowering fees for enrollment or cost-share amounts. NLT 1/1/2020, SecDef shall submit a RTC on the implementation of these programs. NLT 1/1/2018, SecDef shall prescribe an interim final rule to carry out this section. SECTION 730 ACCOUNTABILITY FOR THE PERFORMANCE OF THE MILITARY HEALTH SYSTEM OF CERTAIN LEADERS WITHIN THE SYSTEM Commencing NLT 180 days after enactment, the SecDef in consultation with the Secretaries of the military departments, shall incorporate into annual performance review of each military and civilian leader in the MHS, as determined by the Secretary, measures of accountability for the performance of the MHS. The measures to assess performance shall include: quality of care, access to care, improvement in health outcomes, patient safety, and other matters as appropriate. NLT 180 days after the date of enactment, SecDef shall submit a RTC on the incorporation of measures of accountability for the performance of the MHS. SECTION 731 ESTABLISHMENT OF ADVISORY COMMITTEES FOR MTFs SecDef shall establish, under prescribed regulations, an advisory committee for each MTF. The Committee shall provide the commanding officer or director of the MTF advice on administration and activities of such facility. SECTION 741 EXTENSION OF AUTHORITY FOR JOINT DOD-VA MEDICAL FACILITY DEMONSTRATION FUND AND REPORT ON IMPLEMENTATION OF INFORMATION TECHNOLOGY CAPABILITIES

11 Extends the authority for the Joint DoD-VA Medical Facility Demonstration Fund by 1 year, until 9/30/2018. NLT March 30, 2017, requires SecDef to submit RTC on plans to implement all the information technology capabilities required by the executive agreement required by Section 1701 of the NDAA for FY 2010 that remain unimplemented as of the date of the report. SECTION 742 PILOT PROGRAM ON EXPANSION OF USE OF PHYSICIAN ASSISTANTS TO PROVIDE MENTAL HEALTH CARE TO MEMBERS OF THE ARMED FORCES SecDef may conduct a pilot project to assess the feasibility/advisability of expanding the use of PAs specializing in psychiatric medicine at MTFs in order to meet increasing demand for mental health care provided at such facilities through the use of psychiatry fellowship program for PAs. If the SecDef conducts this pilot, SecDef is required to send a RTC within 90 days of completion of the pilot program. SECTION PILOT PROGRAM FOR PRESCRIPTION DRUG ACQUISITION COST PARITY IN THE TRICARE PHARMACY BENEFITS PROGRAM Authorizes the SecDef to conduct a pilot program to evaluate whether, in carrying out the TRICARE pharmacy benefits program under section 1074g of title 10, United States Code, operating a program utilizing acquisition cost parity for prescription drugs obtained at retail pharmacies will maintain or reduce prescription drug costs for the Department of Defense. The pilot requires that for prescription medications, including but not limited to non-generic maintenance medications, that are dispensed to retired TRICARE beneficiaries that are not Medicare eligible, through any TRICARE participating retail pharmacy, the Department of Defense shall obtain rebates so that the medications are available to DoD through retail at the lowest rate available in all points of service. If the SecDef carries out the pilot, the SecDef shall commence the pilot NLT 10/1/17 and shall terminate it NLT 9/30/18. SecDef is required to submit a RTC: (1) NLT 90 days after the date of enactment containing an implementation plan; (2) an interim RTC NLT 180 days after the date the pilot commences, and (3) a final RTC NLT 90 days after the date the pilot terminates describing the results of the pilot. SECTION 744 PILOT PROGRAM ON DISPLAY OF WAIT TIMES AT URGENT CARE CLINICS AND PHARMACIES OF MTFs Requires the SecDef to conduct a pilot program (for no more than 2 years) NLT 1 year after enactment for the display of wait times at urgent care clinics and pharmacies at MTFs. Requires SecDef to submit RTC within 90 days of completion of the pilot program that would include a determination of the feasibility of expanding the posting of wait times in emergency departments in MTFs. SECTION REQUIREMENT TO REVIEW AND MONITOR PRESCRIBING PRACTICES AT MTFs OF PHARMACEUTICAL AGENTS FOR TREATMENT OF PTSD NLT 180 days after enactment, SecDef shall: (1) conduct a comprehensive review of prescribing practices at MTFs of pharmaceutical agents for treatment of PTSD; (2) implement a process to

12 monitor the prescribing practices at MTFs of pharmaceutical agents that are discouraged from use under the DoD/VA Clinical Practice Guideline for Management of PTSD; (3) implement a plan to address any deviations from the guideline. SECTION 746 DOD STUDIES ON PREVENTING THE DIVERSION OF OPIOID MEDICATIONS The SecDef shall study the feasibility, the effectiveness in preventing the diversion of opioid medications, and the cost-effectiveness of: (1) requiring that such programs, in appropriate cases, dispense opioid medications in vials using affordable technologies designed to prevent access to the medications by anyone other than the intended patient, such as a vial with a locking-cap closure mechanism; and (2) the Secretary providing education on the risks of opioid medications to individuals for whom such medications are prescribed, and to their families, with special consideration given to raising awareness among adolescents on such risks. NLT 1 year after enactment the SecDef shall provide a briefing on the results of the studies conducted. SECTION 747 INCORPORATION INTO SURVEY BY DOD OF QUESTIONS ON EXPERIENCE OF MEMBERS OF THE ARMED FORCES WITH FAMILY PLANNING SERVICES AND COUNSELING NLT 90 days after enactment, the SecDef shall initiate action to integrate into the Health Related Behavior Survey of Active Duty Military Personnel questions designed to obtain information on the experiences of servicemembers with accessing family planning services and counseling. SECTION 748 ASSESSMENT OF TRANSITION TO TRICARE PROGRAM BY FAMILIES OF MEMBERS OF RESERVE COMPONENTS CALLED TO ACTIVE DUTY AND ELIMINATION OF CERTAIN CHARGES FOR SUCH FAMILIES NLT 180 days after enactment, SecDef shall complete an assessment of the extent to which families of members of reserve components serving on active duty (pursuant to a call or order to active duty for a period of more than 30 days) experience difficulties in transitioning from health care arrangements relied upon when the member is not in such an active duty status to health care benefits under TRICARE. The assessment shall address the following: (1) the extent to which family members are required to change providers when they become eligible for TRICARE; (2) the extent to which providers in the private sector are in the TRICARE network, are participating provider in TRICARE, agree to charge no more than 115% of the TMAC; (3) the extent to which such family members encounter difficulties with change in health care administration (claims, authorizations); (4) the reasons and effects of findings for 1-3 (above); and (5) recommendations for changes/ legislative action to address findings. NLT 180 days after completing the assessment, SecDef shall submit a RTC detailing the results of the assessment. Expands authority of SecDef to eliminate balance billing for family members of the reserve components of Armed Forces serving on active duty. SECTION 749 OVERSIGHT OF GME PROGRAMS OF MILITARY DEPARTMENTS NLT one year after enactment requires SecDef to establish/implement a process to provide oversight of the GME programs of the military departments to ensure those programs fully

13 support the operational medical force readiness requirements for health care providers within the Armed Forces or the medical readiness of the Armed Forces. Requires SecDef, within 30 days of the establishment of the oversight process, to submit RTC that describes the process. Requires GAO to conduct a review of the oversight process and to provide a report to the HASC/SASC within 180 days after the date the SecDef submits the RTC. SECTION 750 STUDY ON HEALTH OF HELICOPTER AND TILTROTOR PILOTS Requires SecDef to carry out a study (no more than 2 years) of career helicopter and tiltrotor pilots to assess potential links to acute and chronic medical conditions. NLT30 days after the completion of the study, SecDef is required to brief HASC/SASC on the study. SECTION 751 GAO REPORTS ON HEALTH CARE DELIVERY AND WASTE IN MHS NLT 1 year after enactment, and not less frequently than once each year thereafter for four years, GAO shall submit a RTC assessing various issues relating to delivery of health care in the MHS with an emphasis on identifying potential waste and inefficiency within the direct and purchased care components.

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