Page:United States Statutes at Large Volume 122.djvu/4524

 12 2 STA T .450 1 PUBLIC LA W 110 – 41 7—O CT. 14 , 200 8theav a il a b ilit yof a p p r opriatio ns spe c ifically for s u ch refun d s , consistin g ofana m ount up to the difference bet w een —(A) the amount the beneficiary pays for copayments for preventive services during fiscal year 20 0 9; and ( B ) the amount the beneficiary would have paid during such fiscal year if the copayments for preventive services had been waived pursuant to subsection (a) during that year . (2) COPAYMENTSC O V E R E D .— T he refunds under paragraph ( 1 ) are available only for copayments paid by medicare - eligible beneficiaries during fiscal year 2009. (d) D E FI NITIONS.— I n this section

(1) P REVENTIVE SERVICES.—The term ‘ ‘preventive services ’ ’ includes, ta k ing into consideration the age and gender of the beneficiary: (A) Colorectal screening. (B) Breast screening. (C) Cervical screening. (D) Prostate screening. ( E ) Annual physical e x am. ( F ) V accinations. ( G ) O ther services as determined by the S ecretary of Defense. (2) M EDICARE-E L I G I B LE.—The term ‘‘medicare-eligible’’ has the meaning provided by section 1111((b) of title 10, U nited States Code. SEC.712 . MIL I TARYH EALTH RIS K MA N A G EMENT D EM O NSTRATION P RO J ECT. (a) DEMONSTRATION PRO J ECT R E QU IRED.—The Secretary of Defense shall conduct a demonstration pro j ect designed to evaluate the efficacy of providing incentives to encourage healthy behaviors on the part of eligible military health system beneficiaries. (b) ELEMENTS OF DEMONSTRATION PROJECT.— (1) W ELLNESS ASSESSMENT.—The Secretary shall develop a wellness assessment to be offered to beneficiaries enrolled in the demonstration project. The wellness assessment shall incorporate nationally recogni z ed standards for health and healthy behaviors and shall be offered to determine a baseline and at appropriate intervals determined by the Secretary. The wellness assessment shall include the following: (A) A self-reported health risk assessment. (B) Physiological and biometric measures, including at least— (i) blood pressure; (ii) glucose level; (iii) lipids; (iv) nicotine use; and (v) weight. (2) POPULATION ENROLLED.— N on-medicare eligible retired beneficiaries of the military health system and their dependents who are enrolled in TRICARE Prime and who reside in the demonstration project service area shall be offered the oppor- tunity to enroll in the demonstration project. ( 3 ) GEOGRAP H IC COVERAGE OF DEMONSTRATION PROJECT.— The demonstration project shall be conducted in at least three geographic areas within the United States where TRICARE

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