Page:United States Statutes at Large Volume 106 Part 3.djvu/641

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PUBLIC LAW 102-484—OCT. 23, 1992 106 STAT. 2435 (3) The term "covered beneficiary" has the meaning given that term in paragraph (5) of such section. SEC. 712. CONDITION ON EXPANSION OF CHAMPUS REFORM INITIA- 10 USC 1073 nVE TO OTHER LOCATIOPffiL note. (a) CONDITION.— Except as provided in subsection (b), the Secretary of Defense may not enand the CHAMPUS reform initiative underway in the States of Camomia and Hawaii to another location until not less than 90 days after the date on which the Secretary certifies to Congress that expansion of the initiative to that location is the most emcient method of providing health care to covered beneficiaries in that location. In determining whether the expansion of the CHAMPUS reform initiative to a location is the most efiScient method of providing health care to covered beneficiaries in that location, the Secretary shall consider the cost-effectiveness of the initiative and the effect of the expansion of the initiative on the access of covered beneficiaries to nealth care and on the quality of health care received by covered beneficiaries. (b) EXCEPTION.— The Secretary of Defense may waive the operation of the condition on the esroansion of the CHAMPUS reform initiative specified in subsection (a) in order to expand the initiative to a location adversely affected by the closure or realignment of a military installation in that location, as determined by the Secretary. (c) REPORT ON CERTIFICATION. —Not later than 30 days afl^r a certification by the Secretary of Defense under subsection (a), the Comptroller General and the Director of the Congressional Budget Office shall jointly submit to Congress a report evaluating the certification. (d) DEFINITIONS.— For purposes of this section: (1) The terms "CHAMPUS reform initiative" and 'initiative" mean the hecdth care delivery project required by section 702 of the National Defense Authorization Act for Fiscal Year 1987 (Public Law 99-661; 10 U.S.C. 1073 note). (2) The term "covered beneficiary" has the meaning given that term in section 1072(5) of title 10, United States Code. SEC. 71S. ALTERNATIVE HEALTH CARE DELIVERY METHODOLOGIES. 10 USC 1073 (a) CONTINUATION OF HEALTH CARE REFORM INITIATIVES.—(1) ^°^' During fiscal years 1993 through 1996, the Secretary of Defense shall continue to conduct a broad array of reform initiatives for fiimishing health care to persons who are eligible to receive health care under chapter 55 of title 10, United States Code. (2) The health care reform initiatives conducted in accordance with paragraph (1) shall include CHAMPUS alternatives, the CHAMPUS reform initiative, catchment area management, coordinated care, and such other reform initiatives as the Secretary of Defense considers to be appropriate. (3) Not later than September 30, 1994, the Secretary shall Reports. submit to Congress a report regarding the health care reform initiatives conducted during fiscal years 1993 and 1994. The report shall include a discussion of the cost effectiveness of the initiatives and the extent to which the persons who received health care under such initiatives are satisfied with that health care. (b) CONTINUATION OF CHAMPUS REFORM INITIATIVE IN HAWAII Contracts. AND CALIFORNIA.— (1) The Secretary of Defense shall ensure tiiat a replacement or successor contract for the CHAMPUS reform initiative contract applicable to the States of California and Hawaii 59-194 O—93 21: QL 3 (Pt. 3)