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TRICARE Changes: New Payment Rules for Medical Care

This bill modifies how the TRICARE program pays for medical services, introducing lower rates based on where care is provided. The aim is to standardize and potentially reduce healthcare costs for individuals covered by TRICARE, which might affect the availability of certain services.
Key points
TRICARE will pay the lowest possible rate for medical services if multiple options are available.
Payment rates will depend on the location where care was provided (e.g., hospital, outpatient clinic, doctor's office).
All reimbursement claims must include a unique code identifying the exact location where the service was rendered.
These changes will take effect on January 1, 2026.
article Official text account_balance Process page
Introduced
Citizen Poll
No votes cast
Additional Information
Print number: 119_HR_873
Sponsor: Rep. McCormick, Richard [R-GA-7]
Process start date: 2025-01-31
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Summarized by: gemini-2.5-flash
Source data: api.congress.gov
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OFFICIAL LEGAL TITLE

To amend title 10, United States Code, to modify the rate of pay for care or services provided under the TRICARE program based on the location at which such care or services were provided.

FREQUENTLY ASKED QUESTIONS

What is the official ID of this bill?

The official print number for this legislation is 119_HR_873.

Which chamber initiated this legislation?

This legislation was initiated in the House of Representatives.

When did the legislative process begin?

The process officially started on 2025-01-31.

What are the main provisions?

Key points include:

  • TRICARE will pay the lowest possible rate for medical services if multiple options are available.
  • Payment rates will depend on the location where care was provided (e.g., hospital, outpatient clinic, doctor's office).
  • All reimbursement claims must include a unique code identifying the exact location where the service was rendered.
  • These changes will take effect on January 1, 2026.
What is the specific legal status?

The current status is Introduced.

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 Rep. McCormick, Richard [R-GA-7].

What is the latest detailed status?

The latest detailed status is: Referred to the House Committee on Armed Services.

Is this summary verified?

Yes. This content was analyzed by AI and verified by the Lustra Judge System on 2025-12-23.

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