Page:United States Statutes at Large Volume 112 Part 3.djvu/245

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PUBLIC LAW 105-261—OCT. 17, 1998 112 STAT. 2075 SEC. 744. REPORT ON IMPLEMENTATION OF ENROLLMENT-BASED CAPITATION FOR FUNDING FOR MILITARY MEDICAL TREATMENT FACILITIES. (a) REPORT REQUIRED. —The Secretary of Defense shall submit to Congress a report on the potential impact of using an enrollmentbased capitation methodology to allocate funds for military medical treatment facilities. The report shall address the following: (1) A description of the plans of the Secretary to implement an enrollment-based capitation methodology for military medical treatment facilities and with respect to contracts for the delivery of health care under the TRICARE program. (2) The justifications for implementing an enrollment-based capitation methodology without first conducting a demonstration project for implementation of such methodology. (3) The impact that implementation of an enrollment-based capitation methodology would have on the provision of spaceavailable care at military medical treatment facilities, particularly in the case of care for— (A) military retirees who are entitled to hospital insurance benefits under part A of title XVIII of the Social Security Act (42 U.S.C. 1395c et seq.); and (B) covered beneficiaries under chapter 55 of title 10, United States Code, who reside outside the catchment area of a military medical treatment facility. (4) The impact that implementation of an enrollment-based capitation methodology would have with respect to the pharmacy benefits provided at military medical treatment facilities, given that the enrollment-based capitation methodology would fund military medical treatment facilities based on the number of members at such facilities enrolled in TRICARE Prime, but all covered beneficiaries may fill prescriptions at military medical treatment facility pharmacies. (5) An explanation of how additional funding will be provided for a military medical treatment facility if an enrollmentbased capitation methodology is implemented to ensure that space-available care and pharmacy coverage can be provided to covered beneficiaries who are not enrolled at the military medical treatment facility, and the amount of funding that will be available. (6) An explanation of how implementation of an enrollmentbased capitation methodology would impact the provision of uniform benefits under TRICARE Prime, and how the Secretary would ensure, if such methodology were implemented, that the provision of health care under TRICARE Prime would not be bifurcated between the provision of such care at military medical treatment facilities and the provision of such care from civilian providers. (b) DEADLINE FOR SUBMISSION.— The Secretary shall submit the report required by subsection (a) not later than March 1, 1999. SEC. 745. JOINT DEPARTMENT OF DEFENSE AND DEPARTMENT OF 10 USC 1071 VETERANS AFFAIRS REPORTS RELATING TO INTER- note. DEPARTMENTAL COOPERATION IN THE DELIVERY OF MEDICAL CARE. (a) FINDINGS.— Congress makes the following findings: (1) The military health care system of the Department of Defense and the Veterans Health Administration of the