,i  #aaith ,,congress  #ast ,session    
,h4 ,r4 #cadh  ,,in ,,the ,,house ,,of  
,,representatives  ,may #a1 #bjbe,mr4   
,jack 7for himself1 ,mr4 ,austin ,scott 
of ,georgia1 ,mr4 ,figures1 ,mr4 ,carter
 of ,georgia1 ,mr4 ,bresnahan1 ,mr4     
,mc,cormick1 ,mr4 ,moore of ,alabama1   
,ms4 ,sewell1 ,mr4 ,collins1 ,mr4 ,gill 
of ,texas1 ,mr4 ,bishop1 ,mr4 ,moore of 
,west ,virginia1 ,mr4 ,fine1 ,mrs4      
,wagner1 ,mrs4 ,houchin1 ,mr4 ,strong1  
,mr4 ,goldman of ,texas1 ,mr4 ,mc,guire1
 ,mr4 ,aderholt1 and ,mr4 ,bacon7       
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 to assist certain members 
of the ,armed ,forces and dependents    
with additional supplemental coverage   
relating to cancer4  #a4 ,short title   
,this ,act may be cited as the          
,supporting ,america's ,leaders         
,undergoing ,tough ,expenses ,act or the
 ,,salute ,act4  #b4 ,pilot program to  

assist certain members of the ,armed    
,forces and dependents with additional  
supplemental coverage relating to cancer
  7a7 ,establishment ,not later than    
,september #cj1 #bjbf1 the ,secretary of
 ,defense shall establish a pilot       
program under which a covered individual
 may obtain supplemental insurance for  
noncovered expenses under a fixed       
indemnity supplemental benefit plan     
described in subsection 7b77#a74  7b7   
,agreement  7#a7 ,in general ,in        
carrying out the pilot program under    
subsection 7a71 the ,secretary shall    
enter into an agreement with not more   
than two companies to each offer one or 
more fixed indemnity supplemental       
benefit plans that-- 7,a7 meet the      
requirements for a supplemental         
insurance plan under section #aii4b of  
title #cb1 ,code of ,federal            
,regulations1 and the exception in      
section #aii4h7;b77#d7 of such title1 as
 in effect on the date of the enactment 
of this ,act2  7,b7 are provided under a

 separate policy1 certificate1 or       
contract2  7,c7 provide no coordination 
with any other health benefit plan2 and 
7,d7 are designed to help participants  
pay noncovered expenses4  7#b7 ,duration
 ,an agreement entered into under       
paragraph 7#a7 shall be for a period of 
at least three years4  7#c7             
,requirements ,in entering an agreement 
under paragraph 7#a7 with a company1 the
 ,secretary-- 7,a7 may not select the   
company unless the company is licensed  
in each ,state2  7,b7 shall award the   
contract based on the expertise of the  
company2  7,c7 shall negotiate the terms
 and conditions of the fixed indemnity  
supplemental benefit plan provided under
 the contract1 including with respect to
 the ability of the company to          
communicate with individuals not        
enrolled in the plan and whether such   
communication may include information on
 other insurance products2  7,d7 shall  
negotiate the cost of coverage with the 
company that will cover the participants

 who elect to enroll in such plan2  7,e7
 shall provide a method for verification
 of the eligibility of applicants and   
procedures for determination of         
eligibility2 and  7,f7 shall provide a  
method for payroll deduction of         
premiums4  7#d7 ,provision of           
information ,the ,secretary shall       
provide information to covered          
individuals regarding the pilot program 
under subsection 7a7 by making available
 on the online portal of the ,,tricare  
program the following information3 7,a7 
,a notice of availability of a fixed    
indemnity supplemental benefit plan     
provided under the pilot program4  7,b7 
,a description of how to enroll in such 
plan4  7,c7 ,a description and          
explanation of the benefits provided    
under such plan4  7,d7 ,a description of
 the costs to the individual through    
premiums and remittances to a company   
providing such plan4  7c7 ,election ,to 
enroll ,a covered individual may elect  
to enroll in a fixed indemnity          

supplemental benefit plan provided under
 the pilot program under subsection 7a74
  7d7 ,limitations on authorization of  
appropriations ,none of the amounts     
authorized to be appropriated by this   
,act to carry out the pilot program may 
be used to subsidize the cost of a fixed
 indemnity supplemental benefit plan    
provided under the pilot program under  
subsection 7a74  7e7 ,treatment of      
companies ,for purposes of the pilot    
program under subsection 7a71 companies 
selected to carry out the activities in 
subsection 7b7 shall not be considered  
contractors of the ,federal ,government4
  7f7 ,preemption ,the provisions of    
this section shall supersede the laws of
 any ,state except with respect to      
,state laws relating to licensing of an 
insurance company or plan solvency of   
such a company4  7g7 ,report ,not later 
than three years after the date on which
 the pilot program under subsection 7a7 
commences1 the ,secretary shall submit  
to the ,committees on ,armed ,services  

of the ,senate and the ,house of        
,representatives a report regarding such
 pilot program1 including the following3
 7#a7 ,a description of the insurance   
products provided through a fixed       
indemnity supplemental benefit plan     
provided under the pilot program under  
subsection 7a74  7#b7 ,the number of    
covered individuals who enrolled in such
 a plan4  7#c7 ,feedback and examples of
 use cases by such individuals4  7#d7 ,a
 determination by the ,secretary with   
respect to whether such pilot program   
should be made permanent4  7h7 ,sunset  
,unless the ,secretary makes a          
determination under subsection 7g77#d7  
to make the pilot program under         
subsection 7a7 permanent1 the pilot     
program under subsection 7a7 shall      
terminate on the day that is five years 
after the date of the enactment of this 
,act4  7i7 ,definitions ,in this        
section3 7#a7 ,the term covered         
individual means the following3 7,a7 ,a 
member of the ,army1 ,navy1 ,marine     

,corps1 ,air ,force1 or ,space ,force4  
7,b7 ,a dependent 7as defined in section
 #ajgb of title #aj1 ,united ,states    
,code7 of such a member who is enrolled 
in the ,,tricare program4  7#b7 ,the    
term noncovered expense means1 with     
respect to a covered individual1 any    
expenses relating to the screening for  
and diagnosis and treatment of cancer   
that are not otherwise covered by the   
health care benefits the individuals    
receives under chapter #ee of title #aj1
 ,united ,states ,code4  7#c7 ,the term 
,state has the meaning given such term  
in section #ija of title #cb1 ,united   
,states ,code4  7#d7 ,the term ,,tricare
 program has the meaning given that term
 in section #ajgb of title #aj1 ,united 
,states ,code4