Page:United States Statutes at Large Volume 108 Part 4.djvu/168

 108 STAT. 2802 PUBLIC LAW 103-337—OCT. 5, 1994 SEC. 713. IMPOSITION OF ENROLLMENT FEES FOR MANAGED CARE PLANS. Section 1097(c) of title 10, United States Code, is amended by adding at the end the following new sentence: "In the case of contracts for health care services under this section or health care plans offered under section 1099 of this title for which the Secretary permits covered beneficiaries who are covered by section 1086 of this title and who participate in such contracts or plans to pay an enrollment fee in lieu of meeting the applicable deductible amount specified in section 1086(b) of this title, the Secretary may establish the same (or a lower) enrollment fee for covered beneficiaries described in section 1086(d)(1) of this title who also participate in such contracts or plans.". SEC. 714. STRENGTHENING MANAGED HEALTH CARE AUTHORITIES. (a) AMENDMENTS TO ALTERNATIVE HEALTH CARE DELIVERY CONTRACTS AUTHORITY.— Section 1097 of title 10, United States Code, is amended— (1) by redesignating subsection (c) (as amended by section 713) as subsection (e); and (2) by inserting after subsection (b) the following new subsections: "(c) COORDINATION WiTH FACILITIES OF THE UNIFORMED SERV- ICES.— The Secretary of Defense may provide for the coordination of health care services provided pursuant to any contract or agreement under this section with those services provided in medical treatment facilities of the uniformed services. Subject to the availability of space and facilities and the capabilities of the medical or dental staff, the Secretary may not deny access to facilities of the uniformed services to a covered beneficiary on the basis of whether the beneficiary enrolled or declined enrollment in any program established under, or operating in connection with, any contract under this section. However, the Secretary may, as an incentive for enrollment, establish reasonable preferences for services in facilities of the uniformed services for covered beneficiaries enrolled in any program established under, or operating in connection with, any contract under this section. "(d) COORDINATION WITH OTHER HEALTH CARE PROGRAMS.— In the case of a covered beneficiary who is enrolled in a managed health care program not operated under the authority of this chapter, the Secretary may contract under this section with such other managed health care program for the purpose of coordinating the beneficiary's dual entitlements under such program and this chapter. A managed health care program with which arrangements may be made under this subsection includes any health maintenance organization, competitive medical plan, health care prepay- ment plan, or other managed care program recognized pursuant to regulations issued by the Secretary.". (b) AMENDMENTS TO THIRD PARTY COLLECTIONS PROGRAM AUTHORITY.— Section 1095 of title 10, United States Code, is amended— (1) in subsection (b), by striking out "if that care" and all that follows through the period and inserting in lieu thereof the following: "shall operate to prevent collection by the United States under subsection (a) if that care is provided— "(1) through a facility of the uniformed services; "(2) directly or indirectly by a governmental entity;

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