Page:United States Statutes at Large Volume 98 Part 3.djvu/172

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PUBLIC LAW 98-000—MMMM. DD, 1984

98 STAT. 2544

10 USC 1071 et

PUBLIC LAW 98-525—OCT. 19, 1984

evaluating the cost-effectiveness of chiropractic care. In the conduct of such demonstration projects, chiropractic care (including manual manipulation of the spine and other routine chiropractic procedures authorized under joint regulations prescribed by the Secretary of Defense and the Secretary of Health and Human Services and not otherwise prohibited by law) may be provided as appropriate under chapter 55 of title 10, United States Code.

seq.

AUTHORITY TO PROVIDE DENTAL CARE TO CERTAIN DEPENDENTS IN FACILITIES OF THE UNIFORMED SERVICES

Effective date. 10 USC 1077 note.

SEC. 633. (a) Section 1077(a) of title 10, United States Code, is amended— (1) by striking out clauses (10), (11), and (12) and inserting in lieu thereof the following: "(10) Dental care."; and (2) by redesignating clauses (13) and (14) as clauses (11) and (12), respectively. (b) The amendments made by subsection (a) shall take effect on July 1, 1985. STUDY OF USE BY CHAMPUS OF MEDICARE PROSPECTIVE PAYMENT SYSTEM

42 USC 1395.

Report.

SEC. 634. (a) The Congress finds that— (1) costs of providing medical care under the program administered by the Department of Defense known as the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS) have escalated rapidly in recent years; (2) new and innovative methods for control and containment of costs under the CHAMPUS program must be explored; and (3) the adoption for the CHAMPUS program of a prospective payment system for inpatient hospital services like that used by Department of Health and Human Services under title XVIII of the Social Security Act for the Medicare program could provide significant savings for the CHAMPUS program. (b) The Secretary of Defense and the Secretary of Health and Human Services shall jointly study the possible effects of the adoption for the CHAMPUS program of a prospective payment system for inpatient hospital services such as that used by the Department of Health and Human Service for the Medicare program. The study shall address— (1) the advisability and feasibility of requiring by law that a hospital participate in the CHAMPUS program as a condition of participating in Medicare and whether such a requirement is needed in order to ensure adequate participation by hospitals in the CHAMPUS program if a prospective payment system were to be adopted for the CHAMPUS program; and (2) the changes that might be expected if such a system were adopted in the CHAMPUS patient workload and the CHAMPUS aggregate payment levels to various segments of the provider community (including private, public, non-profit, and teaching facilities). (c) Not later than February 28, 1985, the Secretaries shall submit a report to the Committees on Armed Services and Finance of the Senate and the Committees on Armed Services and Ways and