Page:United States Statutes at Large Volume 108 Part 4.djvu/169

 PUBLIC LAW 103-337—OCT. 5, 1994 108 STAT. 2803 "(3) to an individual who has no obligation to pay for that care or for whom no other person has a legal obligation to pay; or "(4) by a provider with which the third party payer has no participation agreement."; (2) in subsection (d), by inserting "and except as provided in subsection (j)," after "(b),"; (3) in subsection (h)(1), by adding at the end the following new sentence: "Such term also includes entities described in subsection (j) under the terms and to the extent provided in such subsection."; and (4) by adding at the end the following new subsection: "(j) The Secretary of Defense may enter into an agreement with any health maintenance organization, competitive medical plan, health care prepayment plan, or other similar plan (pursuant to regulations issued by the Secretary) providing for collection under this section from such organization or plan for services provided to a covered beneficiary who is an enrollee in such organization or plan.". (c) CONDITION ON EXPANSION OF CHAMPUS REFORM INITIA- TIVE. —Section 712 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 subsection (c) and inserting in lieu thereof the following new subsection: "(c) EVALUATION OF CERTIFICATION. —The Comptroller General of the United States and the Director of the Congressional Budget Office shall evaluate each certification made by the Secretary of Defense under subsection (a) that expansion of the CHAMPUS reform initiative to another location is the most efficient method of providing health care to covered beneficiaries in that location. They shall submit their findings to Congress if these findings differ substantially from the findings upon which the Secretary made the decision to expand the CHAMPUS reform initiative.". SEC. 715. DELAY IN DEADLINE FOR USE OF HEALTH MAINTENANCE ORGANIZATION MODEL AS OPTION FOR MILITARY HEALTH CARE. Section 731 of the National Defense Authorization Act for Fiscal Year 1994 (Public Law 103-160; 107 Stat. 1696; 10 U.S.C. 1073 note) is amended— (1) in subsection (a), by striking out "after the date of the enactment of this Act" and inserting in lieu thereof "after December 31, 1994"; (2) in subsection (e), by striking out "February 1, 1994" and inserting in lieu thereof "December 31, 1994"; and (3) by adding at the end the following new subsection if): "(f) MODIFICATION OF EXISTING CONTRACTS.— In the case of managed health care contracts in effect or in final stages of acquisition as of December 31, 1994, the Secretary may modify such contracts to incorporate the health benefit option required under subsection (a).". SEC. 716. LIMITATION ON REDUCTION IN NUMBER OF RESERVE COMPONENT MEDICAL PERSONNEL. Section 518(a) of the National Defense Authorization Act for Fiscal Year 1993 (Public Law 102-484; 106 Stat. 2407) is amended— 10 USC 261 note.

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