Page:United States Statutes at Large Volume 98 Part 3.djvu/245

 PUBLIC LAW 98-525—OCT. 19, 1984

98 STAT. 2617

(3) Section 1077(b) of such title is amended by adding at the end 10 USC 1077. thereof the following new paragraph: "(3) The elective correction of minor dermatological blemishes and marks or minor anatomical anomalies.". (4)(A) Section 1079(a) of such title is amended— 97 Stat. 648. (i) by striking out "and" at the end of clause (5); (ii) by striking out the period at the end of clause (6) and inserting in lieu thereof a semicolon; and (iii) by adding after clause (6) the following new clauses: "(7) services in connection with nonemergency inpatient hospital care may not be provided if such services are available at a facility of the uniformed services located within a 40-mile radius of the residence of the patient, except that such services may be provided in any case in which another insurance plan or program pays for at least 75 percent of the services; "(8) services of pastoral counselors, family and child counselors, or marital counselors may not be provided unless the patient has been referred to the counselor by a medical doctor for treatment of a specific problem with the results of that treatment to be communicated back to the medical doctor who made the referral; "(9) special education may not be provided, except when provided as secondary to the active psychiatric treatment on an institutional inpatient basis; "(10) therapy or counseling for sexual dysfunctions or sexual inadequacies may not be provided; "(11) treatment of obesity may not be provided if obesity is the sole or major condition treated; "(12) surgery which improves physical appearance but is not expected to significantly restore functions (including mammary augmentation, face lifts, and sex gender changes) may not be provided, except that— "(A) breast reconstructive surgery following a mastectomy may be provided; "(B) reconstructive surgery to correct serious deformities caused by congenital anomalies or accidental injuries may be provided; and "(C) neoplastic surgery may be provided; "(13) any service or supply which is not medically or psychologically necessary to prevent, diagnose, or treat a mental or physical illness, injury, or bodily malfunction as assessed or diagnosed by a physician, dentist, clinical psychologist, optometrist, podiatrist, certified nurse-midwife, certified nurse practitioner, or certified clinical social worker, as appropriate, may not be provided, except as authorized in clause (4); and "(14) the prohibition contained in section 1077(b)(3) of this Supra. title shall not apply in the case of a member or former member of the uniformed services.". (B) Paragraph (2) of section 1079(h) of such title is amended by 10 USC 1079. striking out the second sentence and inserting in lieu thereof the following: "The Secretary of Defense shall adjust the base period as frequently as he considers appropriate.". (5)(A) Chapter 55 of such title is further amended by adding at the end thereof the following new section:

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