I 

117TH CONGRESS 

1ST SESSION H. R. 3512 

To amend title 10, United States Code, to eliminate certain health care 

charges for members of the Selected Reserve eligible for TRICARE 

Reserve Select, and for other purposes. 

IN THE HOUSE OF REPRESENTATIVES 

MAY 25, 2021 

Mr. KIM of New Jersey (for himself, Mr. KELLY of Mississippi, Mr. RYAN, 

Mr. PALAZZO, Ms. STEFANIK, Mr. VEASEY, and Mr. DESJARLAIS) introduced the following bill; which was referred to the Committee on Armed 

Services 

A BILL 

To amend title 10, United States Code, to eliminate certain 

health care charges for members of the Selected Reserve 

eligible for TRICARE Reserve Select, and for other purposes. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Healthcare for Our 

5 Troops Act’’. 


pamtmann on DSKBC07HB2PROD with BILLS
2 

•HR 3512 IH

1 SEC. 2. ELIMINATION OF CERTAIN HEALTH CARE CHARGES 

2 FOR MEMBERS OF THE SELECTED RESERVE. 

3 (a) TRICARE RESERVE SELECT.—Section 1076d of 

4 title 10, United States Code, is amended to read as fol5 lows: 

6 ‘‘§ 1076d. TRICARE program: TRICARE Reserve Se7 lect coverage for members of the Selected 

8 Reserve 

9 ‘‘(a) MEMBERS OF SELECTED RESERVE.—(1) A 

10 member of the Selected Reserve of the Ready Reserve of 

11 a reserve component of the armed forces is eligible for 

12 health benefits under TRICARE Reserve Select as pro13 vided in this section. 

14 ‘‘(2) Eligibility for TRICARE Reserve Select cov15 erage of a member under this section shall terminate upon 

16 the termination of the member’s service in the Selected 

17 Reserve. 

18 ‘‘(b) TRICARE RESERVE SELECT FAMILY COV19 ERAGE.—While a member of a reserve component is cov20 ered by TRICARE Reserve Select under subsection (a), 

21 the members of the immediate family of such member are 

22 eligible for TRICARE Reserve Select coverage as depend23 ents of the member. If a member of a reserve component 

24 dies while in a period of coverage under this section, the 

25 eligibility of the members of the immediate family of such 

26 member for TRICARE Reserve Select coverage shall conVerDate Sep 11 2014 22:41 Jul 08, 2021 Jkt 019200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\H3512.IH H3512

pamtmann on DSKBC07HB2PROD with BILLS
3 

•HR 3512 IH

1 tinue for six months beyond the date of death of the mem2 ber. 

3 ‘‘(c) NO PREMIUMS FOR INDIVIDUAL COVERAGE.— 

4 A member of a reserve component covered by TRICARE 

5 Reserve Select individual coverage shall pay no premium 

6 for such coverage. 

7 ‘‘(d) PREMIUMS FOR FAMILY COVERAGE.—(1) A 

8 member of a reserve component covered by TRICARE Re9 serve Select under this section shall pay a premium for 

10 any member of the immediate family of such member cov11 ered under TRICARE Reserve Select family coverage. 

12 Such premium shall apply instead of any enrollment fees 

13 required under section 1075 of this title. 

14 ‘‘(2) The Secretary of Defense shall prescribe for the 

15 purposes of this section one premium for TRICARE Re16 serve Select family coverage of immediate family members 

17 of members of the reserve components, that shall apply 

18 uniformly to all such immediate family members. 

19 ‘‘(3)(A) The monthly amount of the premium in ef20 fect for a month for TRICARE Reserve Select family cov21 erage under this section shall be the amount equal to 28 

22 percent of the total monthly amount determined on an ap23 propriate actuarial basis as being reasonable for that cov24 erage. 


pamtmann on DSKBC07HB2PROD with BILLS
4 

•HR 3512 IH

1 ‘‘(B) The appropriate actuarial basis for purposes of 

2 subparagraph (A) shall be determined, for each calendar 

3 year after calendar year 2009, by utilizing the actual cost 

4 of providing benefits under this section to members’ de5 pendents during the calendar years preceding such cal6 endar year. 

7 ‘‘(4) The premiums for TRICARE Reserve Select 

8 family coverage payable by a member of a reserve compo9 nent under this subsection may be deducted and withheld 

10 from basic pay payable to the member under section 204 

11 of title 37 or from compensation payable to the member 

12 under section 206 of such title. The Secretary shall pre13 scribe the requirements and procedures applicable to the 

14 payment of premiums. 

15 ‘‘(5) Amounts collected as premiums under this sub16 section shall be credited to the appropriation available for 

17 the Defense Health Program Account under section 1100 

18 of this title, shall be merged with sums in such Account 

19 that are available for the fiscal year in which collected, 

20 and shall be available under subsection (b) of such section 

21 for such fiscal year. 

22 ‘‘(e) COST-SHARING AMOUNTS.— 

23 ‘‘(1) NETWORK INDIVIDUAL COVERAGE.—Ex24 cept as provided in paragraph (2), a beneficiary cov25 ered by TRICARE Reserve Select individual covVerDate Sep 11 2014 22:41 Jul 08, 2021 Jkt 019200 PO 00000 Frm 00004 Fmt 6652 Sfmt 6201 E:\BILLS\H3512.IH H3512

pamtmann on DSKBC07HB2PROD with BILLS
5 

•HR 3512 IH

1 erage shall pay no charge for any health care service 

2 to which the beneficiary is entitled pursuant to such 

3 coverage. 

4 ‘‘(2) OUT-OF-NETWORK INDIVIDUAL COV5 ERAGE.—With respect to out-of-network health care 

6 services, a beneficiary covered by TRICARE Reserve 

7 Select individual coverage shall be subject to the 

8 same out-of-network cost-sharing requirements as 

9 those to which beneficiaries described in section 

10 1075(c)(1) of this title in the active-duty family 

11 member category are subject to for the cor12 responding year. 

13 ‘‘(3) FAMILY COVERAGE.—A beneficiary cov14 ered by TRICARE Reserve Select family coverage 

15 shall be subject to the same cost-sharing require16 ments as those to which beneficiaries described in 

17 section 1075(c)(1) of this title in the active-duty 

18 family member category are subject to for the cor19 responding year. 

20 ‘‘(f) REGULATIONS.—The Secretary of Defense, in 

21 consultation with the other administering Secretaries, 

22 shall prescribe regulations for the administration of this 

23 section. 

24 ‘‘(g) DEFINITIONS.—In this section: 


pamtmann on DSKBC07HB2PROD with BILLS
6 

•HR 3512 IH

1 ‘‘(1) The terms ‘active-duty family member cat2 egory’, ‘network’, and ‘out-of-network’ have the 

3 meanings given such terms in section 1075(h) of 

4 this title. 

5 ‘‘(2) The term ‘immediate family’, with respect 

6 to a member of a reserve component, means all of 

7 the member’s dependents described in subpara8 graphs (A), (D), and (I) of section 1072(2) of this 

9 title. 

10 ‘‘(3) The term ‘TRICARE Reserve Select’ 

11 means— 

12 ‘‘(A) medical care at facilities of the uni13 formed services to which a dependent described 

14 in section 1076(a)(2) of this title is entitled; 

15 and 

16 ‘‘(B) health benefits under the TRICARE 

17 Select self-managed, preferred provider network 

18 option under section 1075 of this title made 

19 available to beneficiaries by reason of this sec20 tion and subject to the cost-sharing require21 ments set forth in paragraph (e) of this section. 

22 ‘‘(4) The term ‘TRICARE Reserve Select fam23 ily coverage’ means the coverage under TRICARE 

24 Reserve Select of any members of the immediate 


pamtmann on DSKBC07HB2PROD with BILLS
7 

•HR 3512 IH

1 family of a member of the reserve component, as de2 scribed in subsection (b). 

3 ‘‘(5) The term ‘TRICARE Reserve Select indi4 vidual coverage’ means the coverage under 

5 TRICARE Reserve Select of a member of the re6 serve component, as described in subsection (a).’’. 

7 (b) TRICARE DENTAL FOR SELECTED RESERVE.— 

8 Section 1076a of title 10, United States Code, is amend9 ed— 

10 (1) in subsection (a)— 

11 (A) in paragraph (1)— 

12 (i) in the header, by striking ‘‘selected 

13 reserve and’’; and 

14 (ii) by striking the second sentence; 

15 and 

16 (B) by adding at the end the following new 

17 paragraph: 

18 ‘‘(5) PLAN FOR SELECTED RESERVE.—A dental 

19 benefits plan for members of the Selected Reserve of 

20 the Ready Reserve.’’; 

21 (2) in subsection (d)— 

22 (A) by redesignating paragraph (3) as 

23 paragraph (4); and 

24 (B) by inserting after paragraph (2) the 

25 following new paragraph: 


pamtmann on DSKBC07HB2PROD with BILLS
8 

•HR 3512 IH

1 ‘‘(3) NO PREMIUM PLANS.—(A) The dental in2 surance plan established under subsection (a)(5) is 

3 a no premium plan. 

4 ‘‘(B) Members enrolled in a no premium plan 

5 may not be charged a premium for benefits provided 

6 under the plan.’’; 

7 (3) in subsection (e)(2)(A), by striking ‘‘a mem8 ber of the Selected Reserve of the Ready Reserve 

9 or’’; 

10 (4) by redesignating subsections (f) through (k) 

11 as subsections (g) through (l), respectively; 

12 (5) by inserting after subsection (e) the fol13 lowing new subsection (f): 

14 ‘‘(f) COPAYMENTS UNDER NO PREMIUM PLANS.—A 

15 member who receives dental care under a no premium plan 

16 referred to in subsection (d)(3) shall pay no charge for 

17 any care described in subsection (c).’’; and 

18 (6) in subsection (i), as redesignated by para19 graph (4), by striking ‘‘subsection (k)(2)’’ and in20 serting ‘‘subsection (l)(2)’’. 

21 (c) IMPROVEMENTS TO COVERAGE FOR CERTAIN RE22 TIREES.— 

23 (1) ADJUSTMENT OF ELIGIBILITY.—Section 

24 1074(b)(2) of title 10, United States Code, is 

25 amended to read as follows: 


pamtmann on DSKBC07HB2PROD with BILLS
9 

•HR 3512 IH

1 ‘‘(2) Paragraph (1) does not apply to a member or 

2 former member entitled to retired pay for non-regular 

3 service under chapter 1223 of this title who is under 60 

4 years of age unless such member or former member is in 

5 receipt of such pay (or would be in receipt of such pay 

6 but for section 5304 or 5305 of title 38).’’. 

7 (2) TRICARE RETIRED RESERVE.—Section 

8 1076e(a)(1) of title 10, United States Code, is 

9 amended by striking ‘‘but is not age 60’’ and insert10 ing ‘‘but is not age 60 and is not in receipt of such 

11 retired pay (or would be in receipt of such pay but 

12 for section 5304 or 5305 of title 38)’’. 

13 (d) CONFORMING AMENDMENTS TO TRICARE SE14 LECT.—Section 1075 of title 10, United States Code, is 

15 amended— 

16 (1) by amending subsection (c)(3) to read as 

17 follows: 

18 ‘‘(3) With respect to beneficiaries in the reserve 

19 and young adult category— 

20 ‘‘(A) for beneficiaries covered by section 

21 1076e or 1110b of this title, the cost-sharing 

22 requirements shall be calculated pursuant to 

23 subsection (d)(1) as if the beneficiary were in 

24 the active-duty family member category or the 

25 retired category, as applicable, except that the 


pamtmann on DSKBC07HB2PROD with BILLS
10 

•HR 3512 IH

1 premiums calculated pursuant to section 1076e 

2 or 1110b of this title shall apply instead of any 

3 enrollment fee required under this section; and 

4 ‘‘(B) for beneficiaries covered by section 

5 1076d of this title, the cost-sharing require6 ments shall be calculated pursuant to section 

7 (e) of such section.’’. 

8 (e) APPLICABILITY.—This section shall apply with re9 spect to the provision of health care under the TRICARE 

10 program beginning on the date that is one year after the 

11 date of the enactment of this Act. 

12 SEC. 3. FORMS AND STUDY RELATING TO IMPROVED COV13 ERAGE FOR MEMBERS OF THE SELECTED RE14 SERVE. 

15 (a) FORMS.—Not later than 180 days after the date 

16 of the enactment of this Act, the Secretary of Defense 

17 shall develop forms to be used by civilian health care pro18 viders under the purchased care component of the 

19 TRICARE Program for medical and dental care for mem20 bers of the Selected Reserve eligible for TRICARE Re21 serve Select. Such forms shall include opportunities for the 

22 health care provider to indicate, with respect to the mem23 ber, the following information: 

24 (1) Medical Readiness Classification. 

25 (2) Dental Readiness Classification. 


pamtmann on DSKBC07HB2PROD with BILLS
11 

•HR 3512 IH

1 (3) Fitness for deployment. 

2 (4) Any other information the Secretary deter3 mines necessary. 

4 (b) STUDY.— 

5 (1) IN GENERAL.—The Secretary of Defense 

6 shall conduct a study on— 

7 (A) the phasing out of mass medical events 

8 and periodic health assessments for members of 

9 the Selected Reserve eligible for TRICARE Re10 serve Select; and 

11 (B) the replacement of such events and 

12 processes with the new TRICARE Reserve Se13 lect coverage model under section 1076d of title 

14 10, United States Code (as amended by section 

15 1), and the use of forms by civilian health care 

16 providers as specified in subsection (a). 

17 (2) FINDINGS.—Not later than 180 days after 

18 the date of the enactment of this Act, the Secretary 

19 shall submit to the Committees on Armed Services 

20 of the House of Representatives and the Senate a 

21 report containing the findings of the study under 

22 paragraph (1). 

Æ 


pamtmann on DSKBC07HB2PROD with BILLS