Page:United States Statutes at Large Volume 107 Part 2.djvu/744

 107 STAT. 1694 PUBLIC LAW 103-160—NOV. 30, 1993 SEC. 718. MANAGED-CARE DELIVERY AND REIMBURSEMENT MODEL FOR THE UNIFORMED SERVICES TREATMENT FACILITIES. (a) TIME FOR OPERATION OF MANAGED-CARE DELIVERY AND REIMBURSEMENT MoDEL. — Subsection (c) of section 718 of the National Defense Authorization Act for Fiscal Year 1991 (Public 42 USC 248c Law 101-510; 104 Stat. 1587) is amended— " (1) by striking out the first sentence; and (2) by inserting before the second sentence the following: "(1) TIME FOR OPERATION.— Not later than the date of the enactment of this Act, the Secretary of Defense shall begin operation of a managed-care delivery and reimbursement model that will continue to utilize the Uniformed Services Treatment Facilities in the military health services system.". (b) COPAYMENTS, EVALUATION, AND DEFINITION.— Such subsection is further amended by adding at the end the following new paragraphs: "(2) COPAYMENTS.—A Uniformed Services Treatment Facility for which there exists a managed-care plan developed as part of the model required by this subsection may impose reasonable charges for inpatient and outpatient care provided to all categories of beneficiaries enrolled in the plan. The schedule and application of such charges shall be in accordance with the terms and conditions specified in the plan. "(3) EVALUATION OF PERFORMANCE UNDER THE MODEL.— (A) The Secretary of Defense shall utilize a federally funded research and development center to conduct an independent evaluation of the performance of each Uniformed Services Treatment Facility operating under a managed-care plan developed as part of the model required by this subsection. The evaluation shall include an assessment of the efficiency of the Uniformed Services Treatment Facility in providing health care under the plan. The assessment shall be made in the same manner as provided in section 712(a) of the National Defense Authorization Act for Fiscal Year 1993 (10 U.S.C. 1073 note) for expansion of the CHAMPUS reform initiative. Reports. "(B) Not later than December 31, 1995, the center conducting the evaluation and assessment shall submit to the Secretary of Defense and to Congress a report on the results of the evaluation and assessment. The report shall include such recommendations regarding the managed-care delivery and reimbursement model under this subsection as the entity considers to be appropriate. "(4) DEFINITION.— For purposes of this subsection, the term TJniformed Services Treatment Facility* means a facility described in section 911(a) of the Military Construction Authorization Act, 1982 (42 U.S.C. 248c(a)). ''. SEC. 719. FLEXIBLE DEADLINE FOR CONTINUATION OF CHAMPUS REFORM INITIATIVE IN HAWAII AND CAUFORNIA. Section 713(b)(l) of the National Defense Authorization Act for Fiscal Year 1993 (Public Law 102-484; 10 U.S.C. 1073 note) is amended by striking out "not later than August 1, 1993." and inserting in lieu thereof "as soon as practicable after the date of the enactment of the National Defense Authorization Act for Fiscal Year 1994.".

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