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118-s-4891Committee
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Stop Copay Overpay Act

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Summary

Official CRS summary

This bill prohibits the Department of Defense (DOD) from charging a covered individual (i.e., individuals enrolled under the TRICARE program) a co-payment exceeding a certain rate for an outpatient visit for mental health or behavioral health under the TRICARE program, regardless of whether the visit is furnished by a specialty care provider. Specifically, the co-payment amount may not exceed the amount of a co-payment that would be charged under the TRICARE program for an outpatient visit for primary care services. During the one-year period beginning after this bill is enacted, DOD may not increase the co-payment amount charged to a covered individual above the amount that would have been charged in FY2021 for any service (1) furnished by a specialty care provider under the TRICARE program, and (2) that is not an outpatient visit for mental or behavioral health care.

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Bill details

Congress
118
Bill type
s
Introduced
July 31, 2024
Sponsor
Not yet available
Last action
July 31, 2024— Read twice and referred to the Committee on Armed Services.

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