,i  #aaith ,,congress  #ast ,session    
,h4 ,r4 #afii  ,,in ,,the ,,house ,,of  
,,representatives  ,february #bg1       
#bjbe,mr4 ,horsford 7for himself1 ,ms4  
,houlahan1 ,ms4 ,salazar1 ,ms4          
,strickland1 ,ms4 ,jacobs1 ,ms4 ,tokuda1
 ,mr4 ,turner of ,ohio1 ,mr4 ,johnson of
 ,georgia1 ,ms4 ,goodlander1 and ,ms4   
,mc,bride7 introduced the following     
bill2 which was referred to the         
,committee on ,armed ,services  ,a      
,,bill  ,to direct the ,secretary of    
,defense to carry out a pilot program   
under which a ,,tricare ,prime          
beneficiary may access obstetrical and  
gynecological care without a referral1  
and for other purposes4  #a4 ,short     
title ,this ,act may be cited as the    
,,tricare ,,obgyn ,treatment and ,access
 without ,lags in ,care ,act or the     
,,total ,care ,act4  #b4 ,pilot program 
on access to obstetrical and            
gynecological care under ,,tricare      
,prime program  7a7 ,pilot program      
,beginning not later than #ahj days     

after the date of the enactment of this 
,act1 the ,secretary of ,defense shall  
carry out a pilot program under which-- 
7#a7 the referral requirement in section
 #ajie;f7a77#a7 of title #aj1 ,united   
,states ,code1 does not apply with      
respect to obstetrical and gynecological
 care for covered participants1         
including the ordering of related       
obstetrical and gynecological items and 
services2 and  7#b7 covered participants
 may elect to designate an obstetrical  
or gynecological care provider under the
 ,,tricare program as an additional     
designated primary care manager under   
such section4  7b7 ,duration ,the       
,secretary shall carry out the pilot    
program for a period of five years4  7c7
 ,report ,not later than four years     
after the date of the enactment of this 
,act1 the ,secretary shall submit to the
 congressional defense committees a     
report on the pilot program that        
includes the following3  7#a7 ,an       
assessment of any increases or decreases

 to ,,tricare ,prime enrollment during  
the period in which the ,secretary      
carries out the pilot program4  7#b7 ,an
 assessment of any changes in the       
associated costs of providing           
obstetrical and gynecological care under
 ,,tricare ,prime4  7#c7 ,any other     
matters the ,secretary determines       
appropriate4  7d7 ,definitions ,in this 
section3  7#a7 ,the term congressional  
defense committees has the meaning given
 that term in section #aja7;a77#af7 of  
title #aj1 ,united ,states ,code4  7#b7 
,the term covered participant means a   
female beneficiary enrolled in ,,tricare
 ,prime who elects to participate in the
 pilot program4  7#c7 ,the terms        
,,tricare ,prime and ,,tricare program  
have the meaning given those terms in   
section #ajgb of title #aj1 ,united     
,states ,code4