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Changes TRICARE Payment Rates by Location
Recent Bills/Changes TRICARE Payment Rates by Location

Changes TRICARE Payment Rates by Location

IntroducedJanuary 31, 2025
Introduced1 year ago
Intro
House
Senate
Pres
Referred to the House Committee on Armed Services.
More:Recently Introduced BillsHealthcareHouse Bills
Why This Matters

This bill modifies how TRICARE pays healthcare providers by adjusting rates based on the location of the services provided.

If you use TRICARE, your healthcare provider's payment rates will change based on where you receive care starting January 1, 2026.
Who this affects
military families · veterans
What changes is this bill making?
  1. 1The bill requires the Secretary of Defense to set different payment rates for healthcare services based on where they are provided.
  2. 2It specifies five types of locations for care, including hospitals and physician offices.
  3. 3The Secretary must use the lowest reimbursement rate available for each type of service.
  4. 4Claims for payment must include a unique code that identifies the specific location of the provider.
  5. 5These changes will take effect on January 1, 2026.
Read the detailed summary

This resolution provides for House consideration of S. Amdt. 3937, a Senate amendment to H.R. 5371, Continuing Appropriations, Agriculture, Legislative Branch, Military Construction and Veterans Affairs, and Extensions Act, 2026.

Bill Progress1 of 4
Bills must pass the House, Senate, and be signed by the President to become law.
Intro
House
Senate
Pres
IntroducedCurrentJan 31, 2025

Referred to the House Committee on Armed Services.

Sponsors
See all 3 sponsors
House
Senate
President

The President

Donald Trump
President
Awaiting Vote
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