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TRICARE Copay Cap: Lowering Costs for Mental Health Visits.

This bill aims to reduce healthcare costs for individuals covered by the TRICARE insurance program (military members, retirees, and their families). It caps the copayments for outpatient mental and behavioral health visits, ensuring they are no higher than the copay for a standard primary care visit. Additionally, it temporarily freezes increases in copayments for other specialty care services for one year, protecting beneficiaries from sudden price hikes.
Key points
Reduced Mental Health Costs: Copayments for outpatient mental and behavioral health specialists under TRICARE will be lowered to match the cost of a primary care visit.
Temporary Price Freeze: For one year after enactment, copayments for other specialty care services under TRICARE cannot exceed the rates charged during Fiscal Year 2021.
The changes apply to all individuals enrolled in the TRICARE program, regardless of their duty status.
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Additional Information
Print number: 118_S_4891
Sponsor: Sen. Casey, Robert P., Jr. [D-PA]
Process start date: 2024-07-31
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Source data: api.congress.gov
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OFFICIAL LEGAL TITLE

Stop Copay Overpay Act

FREQUENTLY ASKED QUESTIONS

What is the official ID of this bill?

The official print number for this legislation is 118_S_4891.

Which chamber initiated this legislation?

This legislation was initiated in the Senate.

When did the legislative process begin?

The process officially started on 2024-07-31.

What are the main provisions?

Key points include:

  • Reduced Mental Health Costs: Copayments for outpatient mental and behavioral health specialists under TRICARE will be lowered to match the cost of a primary care visit.
  • Temporary Price Freeze: For one year after enactment, copayments for other specialty care services under TRICARE cannot exceed the rates charged during Fiscal Year 2021.
  • The changes apply to all individuals enrolled in the TRICARE program, regardless of their duty status.
What is the specific legal status?

The current status is Expired.

Where can I read the full text of this legislation?

The full official text is available at: View full text

Who is the primary sponsor?

The primary sponsor is Sen. Casey, Robert P., Jr. [D-PA].

What is the latest detailed status?

The latest detailed status is: Introduced in Senate

Is this summary verified?

Yes. This content was analyzed by AI and verified by the Lustra Judge System on 2025-12-26.

CATEGORIES

Health Benefits Security