Page:United States Statutes at Large Volume 107 Part 2.djvu/743

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PUBLIC LAW 103-160—NOV. 30, 1993 107 STAT. 1693 (2) Section 1086(e) of such title is amended by adding at the end the following new sentence: "In addition, section 1080(b) of this title shall apply in making the determination whether to issue a nonavailability of health care statement for a person covered by this section.". (c) CONFORMING AMENDMENT. — Section 1079(a)(7) of title 10, United States Code, is amended by striking out "except that— " and all that follows through the semicolon at the end of subparagraph (B) and inserting in lieu thereof the following: "except that those services may be provided in any case in which another insurance plan or program provides primary coverage for those services;". SEC. 717. DELAY OF TERMINATION AUTHORITY REGARDING STATUS OF CERTAIN FACILITIES AS UNIFORMED SERVICES TREAT- MENT FACILInES. (a) TERMINATION AUTHORITY. — Section 1252(e) of the Department of Defense Authorization Act, 1984 (42 U.S.C. 248d(e)) is amended by striking out "December 31, 1993" in the first sentence and inserting in lieu thereof "December 31, 1996". (b) EVALUATION OF DOD-USTF PARTICIPATION AGREEMENTS. — Reports. (1) The Comptroller General of the United States and the Director of the Congressional Budget Office shall jointly prepare a report evaluating the participation agreements entered into between Uniformed Services Treatment Facilities and the Secretary of Defense under the authority of section 718(c) of the National Defense Authorization Act for Fiscal Year 1991 (Public Law 101-510; 104 Stat. 1587). (2) The report required under this subsection shall include an evaluation of the following: (A) The cost-effectiveness of the agreements compared to other components of the military health care delivery system, including the Civilian Health and Medical Program of the Uniformed Services. (B) The impact of the agreements, during the four-year term of the agreements, on the budget and expenditures of the Department of Defense for health care programs. (C) The cost and other implications of terminating the agreements before their expiration. (D) The health care services available through the Uniformed Services Treatment Facilities under the agreements compared to the health care services available through other components of the military health care delivery system. (E) The beneficiary cost-sharing requirements of the Uniformed Services Treatment Facilities under the agreements compared to the beneficiary cost-sharing requirements of other components of the military health care delivery system. (3) The report required under this subsection shall be submitted to Congress not later than six months after the date of the enactment of this Act. (4) For purposes of this subsection: (A) The term "Uniformed Services Treatment Facilities" means those facilities described in section 911(a) of the Military Construction Authorization Act, 1982 (42 U.S.C. 248c(a)). (B) The term "Civilian Health and Medical Program of the Uniformed Services" has the meaning given that term in section 1072(4) of title 10, United States Code.