washingtonscene
FY 2017 Defense Authorization Bill Health Care Issues Issue
TRICARE For Life (TFL)
No changes (rejects DoD- proposed enrollment fee of up to 2 percent of retired pay)
TRICARE Prime
24-percent enrollment fee increase to $350/$700 (individual/family) effective Jan. 1, 2018
Same as Senate Senate (S. 2943) House (H.R. 4909) MOAA Position
MOAA appreciates House and Senate rejection of DoD- proposed TFL enrollment fee
Grandfather currently serv- ing and retired beneficiaries against DoD-proposed increases, but apply similar hike to new service entrants after Jan. 1, 2018
TRICARE Standard
$150/$300 (individual/ family) enrollment fee as of Jan. 1, 2018; increasing to $450/$900 for 2023 Index annually after 2023 by CPI health cost index Double deductible to $300/$600
Catastrophic Cap on Out-of-Pocket Expenses
Raise as of Jan. 1, 2018, to $1,500 for currently serving families and to $4,000 for retired families Adjust annually after 2018 by COLA percentage
TRICARE Access and Quality Issues
Eliminate preauthorization for urgent and specialty care Other initiatives to improve beneficiary access, care qual- ity, and system productivity
Military Health Care Consolidation
Consolidate responsibility for military health care delivery, budgeting, and facilities under Defense Health Agency
Pharmacy Copayments
Require annual increases that roughly would double copayments in nine years Impose $11 copayment (versus current zero) for mail- order generics as of 2020
$100/$200 enrollment fee as of Jan. 1, 2020 Index annually by COLA percentage No change in deductible Apply Senate-like increases to new service entrants after Jan. 1, 2018
Retain current caps at $1,000 for currently serv- ing and $3,000 for retired families Apply increases only to new service entrants after Jan. 1, 2018
Eliminate preauthorization for urgent care Other initiatives to improve beneficiary access, care qual- ity, and system productivity
Similar consolidation requirement
Support House bill protec- tions for current eligibles
MOAA believes there should be no enrollment fee for TRICARE Standard — but the House provision is the least objectionable of these options
Prefer House provision
Support these provisions of both the Senate and House bills
MOAA long has supported unified responsibility for budget, policy, and delivery consistency
No change to current law Support House position; phar- macy copayments already have been doubled or tripled in past five years
30 MILITARY OFFICER AUGUST 2016
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