Page:United States Statutes at Large Volume 106 Part 3.djvu/643

 PUBLIC LAW 102-484—OCT. 23, 1992 106 STAT. 2437 "(3) The Secretary of Defense shall modify the Policy Guidelines South Carolina. on the Department of Defense Coordinated Care Program to provide for the operation of the program required by this subsection in a manner consistent with the military health care demonstration project underway in Charleston, South Carolina, including the following features— "(A) a reduction of copayment and deductibles for covered beneficiaries who enroll in the program; "(B) an opportunity for covered beneficiaries who do not enroll in the program to use the network of preferred providers established under the program and a reduction of copayment or deductibles for such covered beneficiaries; and "(C) continued access for all covered beneficicuies to health care in military treatment facilities regardless of enrollment status, subject to the availability of space and facilities, the capabilities of the medical or dental staff, and reasonable pref- erences for covered beneficiaries who enroll in the program. "(4) For purposes of this subsection, the term ToUcy Guidelines on the Department of Defense Coordinated Care Program' means the Policy Guidelines on the Department of Defense Coordinated Care Program that were issued by the Assistant Secretary of Defense for Health Affairs on January 8, 1992.". SEC. 715. POSITIVE INCENTIVES UNDER THE COORDINATED CARE PROGRAM. (a) INCLUSION OF POSITIVE INCENTIVES FOR ENROLLMENT.— The Secretary of Defense shall modify the Policy Guidelines on the Department of Defense Coordinated Care Program to provide covered beneficiaries with additional positive incentives to enroll in the Coordinated Care Program of the Department of Defense. (b) TYPES OF POSITIVE SICENTIVES.—The positive incentives provided under subsection (a) may include— (1) a reduction of the copayment and deductibles prescribed under sections 1079 and 1086 of title 10, United States Code, for covered beneficiaries who enroll in the Coordinated Care Program; (2) alternative cost-sharing requirements for certain t3rpes of care; and (3) an expansion of the benefits provided under the Coordinated Care Program beyond the benefits authorized under CHAMPUS. (c) EFFECT ON CERTAIN EXISTING PROGRAMS. — The modification required under subsection (a) shall permit health care demonstration projects in existence on the ^te of the enactment of this Act (including the CHAMPUS reform initiative, the catchment area management projects, the CHAMPUS select fiscal intermediary program in the Southeast Region, and the managed health care program established in the Tidewater region of Virginia) and fiiture managed health care initiatives undertaken by the Department of Defense to offer covered beneficieiries who do not enroll in the Coordinated Care Program the opportunity to use a preferred provider network of health care providers. (d) DETERMINATION OF INCENTIVES.— In determining what level and types of positive incentives are likely to induce covered beneficiaries to enroll in the Coordinated Care Program, the Secretary of Defense shall take into consideration the extent to which covered

�