washingtonscene


FY 2017 Defense Authorization Act 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 No changes made to TFL Senate (S. 2943) House (H.R. 4909) Final Defense Act


Grandfather currently serv- ing and retired beneficiaries against DoD-proposed increases; apply similar hike to new service entrants after Jan. 1, 2018


 $150/$300 (individual/ family) enrollment fee as of Jan. 1, 2018; increasing to $450/$900 for 2023


TRICARE Standard


 Index annually after 2023 by CPI health cost index


 Eliminate deductible for in- network care


 Double deductible to $300/ $600 for out-of-network care


Catastrophic Cap on Out-of-Pocket Expenses


 Raise as of Jan. 1, 2018, to $1,500 for currently serv- ing 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 (ver- sus 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/currently serving and $3,000/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


 Eliminate preauthorization for urgent care


 Implement standard appointment system at all military treatment facilities


Senate provision adopted


House provision adopted


 Require annual enrollment starting 2018


 Begin $150/$300 enroll- ment fee for retirees in 2020


 Index annually by COLA percentage


 Apply Senate-like increases to new service entrants after Jan. 1, 2018


 Retain $1,000 cap for cur- rently serving; raise retiree cap to $3,500 in 2020


No change to current law No change to current law


34 MILITARY OFFICER FEBRUARY 2017


Page 1  |  Page 2  |  Page 3  |  Page 4  |  Page 5  |  Page 6  |  Page 7  |  Page 8  |  Page 9  |  Page 10  |  Page 11  |  Page 12  |  Page 13  |  Page 14  |  Page 15  |  Page 16  |  Page 17  |  Page 18  |  Page 19  |  Page 20  |  Page 21  |  Page 22  |  Page 23  |  Page 24  |  Page 25  |  Page 26  |  Page 27  |  Page 28  |  Page 29  |  Page 30  |  Page 31  |  Page 32  |  Page 33  |  Page 34  |  Page 35  |  Page 36  |  Page 37  |  Page 38  |  Page 39  |  Page 40  |  Page 41  |  Page 42  |  Page 43  |  Page 44  |  Page 45  |  Page 46  |  Page 47  |  Page 48  |  Page 49  |  Page 50  |  Page 51  |  Page 52  |  Page 53  |  Page 54  |  Page 55  |  Page 56  |  Page 57  |  Page 58  |  Page 59  |  Page 60  |  Page 61  |  Page 62  |  Page 63  |  Page 64  |  Page 65  |  Page 66  |  Page 67  |  Page 68  |  Page 69  |  Page 70  |  Page 71  |  Page 72  |  Page 73  |  Page 74  |  Page 75  |  Page 76  |  Page 77  |  Page 78  |  Page 79  |  Page 80  |  Page 81  |  Page 82  |  Page 83  |  Page 84  |  Page 85  |  Page 86  |  Page 87  |  Page 88