,,ii #aaith ,,congress #ast ,session ,s4 #bege ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,july #ca1 #bjbe ,ms4 ,baldwin introduced the following bill2 which was read twice and referred to the ,committee on ,armed ,services ,a ,,bill ,to amend title #aj1 ,united ,states ,code1 to eliminate certain health care charges for members of the ,selected ,reserve eligible for ,,tricare ,reserve ,select1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,healthcare for ,our ,troops ,act4 #b4 ,elimination of certain health care charges for members of the ,selected ,reserve 7a7 ,,tricare ,reserve ,select ,section #ajgf;d of title #aj1 ,united ,states ,code1 is amended to read as follows3 #ajgf;d4 ,,tricare program3 ,,tricare ,reserve ,select coverage for members of the ,selected ,reserve 7a7 ,members of ,selected ,reserve 7#a7 ,in general ,a member of the ,selected ,reserve of the ,ready ,reserve of a reserve component of the ,armed ,forces is eligible for health benefits under ,,tricare ,reserve ,select as provided in this section4 7#b7 ,termination of coverage ,eligibility for ,,tricare ,reserve ,select coverage of a member under this section shall terminate upon the termination of the member's service in the ,selected ,reserve4 7b7 ,,tricare ,reserve ,select family coverage 7#a7 ,in general ,while a member of a reserve component is covered by ,,tricare ,reserve ,select under this section1 the members of the immediate family of such member are eligible for ,,tricare ,reserve ,select family coverage as dependents of the member4 7#b7 ,continuation of coverage ,if a member of a reserve component dies while in a period of coverage under this section1 the eligibility of the members of the immediate family of such member for ,,tricare ,reserve ,select family coverage shall continue for six months beyond the date of death of the member4 7c7 ,premiums 7#a7 ,no premiums for individual coverage ,a member of a reserve component covered by ,,tricare ,reserve ,select individual coverage shall pay no premium for such coverage4 7#b7 ,family coverage 7,a7 ,in general ,a member of a reserve component covered by ,,tricare ,reserve ,select under this section shall pay a premium for any member of the immediate family of such member covered under ,,tricare ,reserve ,select family coverage4 ,such premium shall apply instead of any enrollment fees required under section #ajge of this title4 7,b7 ,uniform application ,the ,secretary of ,defense shall prescribe for the purposes of this section one premium for ,,tricare ,reserve ,select family coverage of immediate family members of members of the reserve components1 that shall apply uniformly to all such immediate family members4 7,c7 ,premium amount 7i7 ,in general ,the monthly amount of the premium in effect for a month for ,,tricare ,reserve ,select family coverage under this section shall be the amount equal to #bh percent of the total monthly amount determined on an appropriate actuarial basis as being reasonable for that coverage4 7ii7 ,appropriate actuarial basis ,the appropriate actuarial basis for purposes of clause 7i7 for each calendar year after calendar year #bjji shall be determined by utilizing the actual cost of providing benefits under this section to dependents of members of the reserve components during the calendar years preceding such calendar year4 7,d7 ,payment of premiums 7i7 ,in general ,the premiums for ,,tricare ,reserve ,select family coverage payable by a member of a reserve component under this subsection may be deducted and withheld from basic pay payable to the member under section #bjd of title #cg or from compensation payable to the member under section #bjf of such title4 7ii7 ,requirements and procedures ,the ,secretary shall prescribe the requirements and procedures applicable to the payment of premiums under this subsection4 7,e7 ,collection of premiums ,amounts collected as premiums under this subsection shall be credited to the appropriation available for the ,defense ,health ,program ,account under section #aajj of this title1 shall be merged with sums in such account that are available for the fiscal year in which collected1 and shall be available under subsection 7b7 of such section for such fiscal year4 7d7 ,cost-,sharing amounts 7#a7 ,network individual coverage ,except as provided in paragraph 7#b71 a beneficiary covered by ,,tricare ,reserve ,select individual coverage shall pay no charge for any health care service to which the beneficiary is entitled pursuant to such coverage4 7#b7 ,out-of-network individual coverage ,with respect to out-of-network health care services1 a beneficiary covered by ,,tricare ,reserve ,select individual coverage shall be subject to the same out-of-network cost-sharing requirements as those to which beneficiaries described in section #ajge7;c77#a7 of this title in the active-duty family member category are subject to for the corresponding year4 7#c7 ,family coverage ,a beneficiary covered by ,,tricare ,reserve ,select family coverage shall be subject to the same cost-sharing requirements as those to which beneficiaries described in section #ajge7;c77#a7 of this title in the active-duty family member category are subject to for the corresponding year4 7e7 ,regulations ,the ,secretary of ,defense1 in consultation with the other administering ,secretaries1 shall prescribe regulations for the administration of this section4 7f7 ,definitions ,in this section3 7#a7 ,the terms active-duty family member category1 network1 and out-of-network have the meanings given such terms in section #ajge7;i7 of this title4 7#b7 ,the term immediate family1 with respect to a member of a reserve component1 means all of the member's dependents described in subparagraphs 7,a71 7,d71 and 7,i7 of section #ajgb7b7 of this title4 7#c7 ,the term ,,tricare ,reserve ,select means-- 7,a7 medical care1 excluding dental care1 at facilities of the uniformed services to which a dependent described in section #ajgf7;a77#b7 of this title is entitled2 and 7,b7 health benefits under the ,,tricare ,select self-managed1 preferred provider network option under section #ajge of this title made available to beneficiaries by reason of this section and subject to the cost-sharing requirements set forth in subsection 7d74 7#d7 ,the term ,,tricare ,reserve ,select family coverage means coverage under ,,tricare ,reserve ,select of any members of the immediate family of a member of a reserve component1 as described in subsection 7b74 7#e7 ,the term ,,tricare ,reserve ,select individual coverage means coverage under ,,tricare ,reserve ,select of a member of a reserve component1 as described in subsection 7a74 4 7b7 ,conforming amendments to ,,tricare ,select ,paragraph 7#c7 of section #ajge7;c7 of title #aj1 ,united ,states ,code1 is amended to read as follows3 7#c7 ,with respect to beneficiaries in the reserve and young adult category-- 7,a7 for beneficiaries covered by section #ajgf;e or #aaaj;b of this title1 the cost-sharing requirements shall be calculated pursuant to subsection 7d77#a7 as if the beneficiary were in the active-duty family member category or the retired category1 as applicable1 except that the premiums calculated pursuant to section #ajgf;e or #aaaj;b of this title shall apply instead of any enrollment fee required under this section2 and 7,b7 for beneficiaries covered by section #ajgf;d of this title1 the cost-sharing requirements shall be calculated pursuant to subsection 7d7 of such section4 4 7c7 ,applicability ,this section shall apply with respect to the provision of health care under the ,,tricare program beginning on the date that is one year after the date of the enactment of this ,act4 #c4 ,development of forms for ,,tricare ,reserve ,select 7a7 ,in general ,not later than #ahj days after the date of the enactment of this ,act1 the ,secretary of ,defense shall develop forms to be used by civilian health care providers under the purchased care component of the ,,tricare program for medical care for members of the ,selected ,reserve of the ,ready ,reserve of a reserve component of the ,armed ,forces eligible for ,,tricare ,reserve ,select4 7b7 ,information ,to include ,forms developed under subsection 7a7 shall include opportunities for a civilian health care provider to indicate1 with respect to a member of the ,selected ,reserve1 the following information3 7#a7 ,medical ,readiness ,classification4 7#b7 ,fitness for deployment4 7#c7 ,any other information the ,secretary determines necessary4 7c7 ,definitions ,in this section1 the terms ,,tricare program and ,,tricare ,reserve ,select have the meanings given those terms in section #ajgb of title #aj1 ,united ,states ,code4