,i  #aaith ,,congress  #ast ,session    
,h4 ,r4 #hgc  ,,in ,,the ,,house ,,of   
,,representatives  ,january #ca1        
#bjbe,mr4 ,mc,cormick introduced the    
following bill2 which was referred to   
the ,committee on ,armed ,services  ,a  
,,bill  ,to amend title #aj1 ,united    
,states ,code1 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    
provided4  #a4 ,,tricare reimbursement  
rates  7a7 ,rates ,section #ajig;b7a7 of
 title #aj1 ,united ,states ,code1 is   
amended-- 7#a7 in paragraph 7#a71 by    
inserting and paragraph 7#c77;,a7 after 
,subject to paragraph 7#b72 and  7#b7 in
 paragraph 7#c71 by striking ,in        
establishing and inserting the          
following3  7,a7 7i7 ,except as provided
 by paragraph 7#a71 if the ,secretary   
may determine among more than one       
reimbursement rate to pay a health care 
provider for care or services provided  
under the ,,tricare program1 the        

,secretary shall pay the lowest rate    
authorized for such care or services4   
7ii7 ,the ,secretary shall establish    
reimbursement rates for care or services
 paid to health care providers under the
 ,,tricare program that are specific    
with respect to the following locations 
at which the care or services were      
provided 7regardless of the location of 
the headquarters of the health care     
provider73 7,i7 ,an inpatient hospital4 
7,,ii7 ,an on-campus hospital outpatient
 department4  7,,iii7 ,an off-campus    
hospital outpatient department4  7,,iv7 
,an ambulatory surgical center4  7,v7   
,the office of a physician4  7iii7 ,the 
,secretary shall ensure that a claim for
 reimbursement includes a unique1       
geographically specific national        
provider identifier code that identifies
 the location of the provider as        
described in clause 7ii74  7,b7 ,in     
establishing  4  7b7 ,effective date    
,the amendments made by subsection 7a7  
shall take effect on ,january #a1 #bjbf4