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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
Stop Copay Overpay Act
Print number: S 4891
Sponsor: Sen. Casey, Robert P., Jr. [D-PA]
Process start date: 2024-07-31