HR 873 Re-checks Congress.gov for new actions and updates the bill's status, and fills in any sponsors, committees, or related bills that are missing. It does not re-pull sponsors/cosponsors/committees/related — those rarely change — and it skips all work if nothing has changed upstream, so it's cheap to click.
To amend title 10, United States Code, to modify the rate of pay for care or services provided under the TRICARE program based on the location at which such care or services were provided.
To amend title 10, United States Code, to modify the rate of pay for care or services provided under the TRICARE program based on the location at which such care or services were provided.
Summary
This bill modifies how the TRICARE military health insurance program pays healthcare providers by requiring reimbursement rates to be based on the specific location where care was provided, rather than the location of the provider's headquarters. The bill establishes five categories of care locations that must have distinct reimbursement rates: inpatient hospitals, on-campus hospital outpatient departments, off-campus hospital outpatient departments, ambulatory surgical centers, and physician offices. Healthcare providers must include a unique, geographically specific provider identifier code on reimbursement claims to identify the exact care location. When multiple reimbursement rates are available for the same service, TRICARE must pay the lowest authorized rate. The changes take effect January 1, 2026.
AI-generated plain-language summary of the bill text — neutral, and may be imperfect. See the full text below for the exact wording.
Sponsor (1)
2 cosponsors
- Rep. Crane, Elijah [R-AZ-2] (R-AZ)
- Rep. Gosar, Paul A. [R-AZ-9] (R-AZ)
Money behind the sponsor
Top reported contributors to Richard Mccormick’s campaign committee (2024 cycle) — who funds the bill’s sponsor, not a claim about this bill. Data from FEC.
- NULL $21,624
- INFO REQUESTED $18,600
- CEO $15,700
- EXECUTIVE $12,900
- SANKRANTI / VENSAI TECHNOLOGIES $12,505
Organizations whose employees gave the most — itemized individual contributions grouped by the donor’s reported employer (FEC Schedule A). Full finance for Richard Mccormick → · Outside spending →
Actions (2)
- Jan 31, 2025 Referred to the House Committee on Armed Services. · house
- Jan 31, 2025 Introduced in House
Similar bills (6)
Bills with similar text or summary — includes reintroductions across Congresses. Ranked by semantic similarity of the bill text (computed locally); a neutral discovery aid, not a claim the bills are duplicates.
Full text
IN THE HOUSE OF REPRESENTATIVES
January 31, 2025
Mr. McCormick introduced the following bill; which was referred to the Committee on Armed Services
A BILL
To amend title 10, United States Code, to modify the rate of pay for care or services provided under the TRICARE program based on the location at which such care or services were provided.
Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,
SECTION 1. TRICARE REIMBURSEMENT RATES.
(a) Rates.—Section 1097b(a) of title 10, United States Code, is amended—
(1) in paragraph (1), by inserting “and paragraph (3)(A)” after “Subject to paragraph (2)”; and
(2) in paragraph (3), by striking “In establishing” and inserting the following:
“(A)(i) Except as provided by paragraph (1), if the Secretary may determine among more than one reimbursement rate to pay a health care provider for care or services provided under the TRICARE program, the Secretary shall pay the lowest rate authorized for such care or services.
“(ii) The Secretary shall establish reimbursement rates for care or services paid to health care providers under the TRICARE program that are specific with respect to the following locations at which the care or services were provided (regardless of the location of the headquarters of the health care provider):
“(I) An inpatient hospital.
“(II) An on-campus hospital outpatient department.
“(III) An off-campus hospital outpatient department.
“(IV) An ambulatory surgical center.
“(V) The office of a physician.
“(iii) The Secretary shall ensure that a claim for reimbursement includes a unique, geographically specific national provider identifier code that identifies the location of the provider as described in clause (ii).
“(B) In establishing”.
(b) Effective Date.—The amendments made by subsection (a) shall take effect on January 1, 2026. <all>
Comments