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Congressional Daily Record
This section is about changes proposed to a bill or resolution. It mentions members such as Timothy Patrick Sheehy.
Issued
July 14, 2026
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Download official Senate Record PDFReturn to issue contextSA 6690. Mr. SHEEHY submitted an amendment intended to be proposed by him to the bill S. 4784, to authorize appropriations for fiscal year 2027 for military activities of the Department of Defense, for military construction, and for defense activities of the Department of Energy, to prescribe military personnel strengths for such fiscal year, and for other purposes; which was ordered to lie on the table; as follows:
At the end of subtitle A of title VII add the following:
SEC. 716. MODIFICATION OF RATES OF PAY FOR A PROVIDER OF CARE
OR SERVICES FURNISHED UNDER TRICARE PROGRAM.
(a) Rates.—Section 1097b(a) of title 10, United States
Code, is amended—
(1) in paragraph (1), by striking “paragraph (2)” and
inserting “paragraphs (2) and (3)(A)”; and
(2) in paragraph (3), by striking “(3) In establishing”
and inserting the following:
“(3)(A) The Secretary shall establish rates for payments
to providers of care or services under the TRICARE program
that are specific with respect to the following sites of
service at which the care or service is actually provided
(regardless of the physical location of the headquarters of
the provider):
“(i) A hospital outpatient department.
“(ii) An ambulatory surgical center.
“(iii) The office of a physician.
“(iv) Such other sites as the Secretary determines
appropriate in carrying out this paragraph.
“(B) The Secretary shall ensure that—
“(i) each site specified in subparagraph (A) obtains a
National Provider Identifier pursuant to section 1833(t)(23)
of the Social Security Act (42 U.S.C. 1395l(t)(23)) that is
separate and unique from such identifier for such provider;
and
“(ii) no payment for care or services under any provision
of this chapter may be made unless the claim for such payment
includes the National Provider Identifier for the site at
which such hospital care, medical services, or extended care
services were furnished.
“(C) In the case of covered OPD services (as defined in
section 1833(t)(1)(B) of the Social Security Act (42 U.S.C.
1395l(t)(1)(B))) that are provided by a provider that is an
off-campus outpatient department of a provider (as defined in
section 1833(t)(21)(B) of the Social Security Act (42 U.S.C.
1395l(t)(21)(B)), disregarding clauses (ii) and (iv) thereof,
as if such clauses did not exist), the Secretary shall ensure
that—
“(i) such department is treated as a subpart of such
provider and assigned a unique health identifier pursuant to
subparagraph (B) of this paragraph;
“(ii) such provider includes such identifier on any claim
form it submits under this subsection; and
“(iii) such provider may not hold a member of the
uniformed services or covered beneficiary liable for such
item or service unless such care or services are billed using
the separate unique health identifier established for such
department under this paragraph.
“(D) Nothing in this paragraph may be construed to—
“(i) prevent the Secretary from determining the
appropriate amount of a facility fee;
“(ii) require the Secretary to pay, for the same item or
service—
“(I) an independent physician the same amount as the
Secretary would pay a hospital-based physician; or
“(II) a hospital-based physician less than the Secretary
would pay an independent physician; or
“(iii) affect the authority of the Secretary under
paragraph (2).
“(E) In establishing”.
(b) Effective Date.—The amendments made by subsection (a)
shall take effect on January 1, 2028.