SEC. 2. PILOT PROGRAM TO ASSIST CERTAIN MEMBERS OF 
THE ARMED FORCES AND DEPENDENTS WITH 
ADDITIONAL SUPPLEMENTAL COVERAGE RE-
LATING TO CANCER. 
(a) ESTABLISHMENT.—Not later than September 30, 
2026, the Secretary of Defense shall establish a pilot pro-
gram under which a covered individual may obtain supple-
mental insurance for noncovered expenses under a fixed 
indemnity supplemental benefit plan described in sub-
section (b)(1). 
(b) AGREEMENT.— 
(1) IN
GENERAL.—In carrying out the pilot 
program under subsection (a), the Secretary shall 
enter into an agreement with not more than two 
companies to each offer one or more fixed indemnity 
supplemental benefit plans that— 
(A) meet the requirements for a supple-
mental insurance plan under section 199.2 of 
title 32, Code of Federal Regulations, and the 
exception in section 199.8(b)(4) of such title, as 
in effect on the date of the enactment of this 
Act; 
(B) are provided under a separate policy, 
certificate, or contract; 
(C) provide no coordination with any other 
health benefit plan; and 
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(D) are designed to help participants pay 
noncovered expenses. 
(2) DURATION.—An agreement entered into 
under paragraph (1) shall be for a period of at least 
three years. 
(3) REQUIREMENTS.—In entering an agreement 
under paragraph (1) with a company, the Sec-
retary— 
(A) may not select the company unless the 
company is licensed in each State; 
(B) shall award the contract based on the 
expertise of the company; 
(C) shall negotiate the terms and condi-
tions of the fixed indemnity supplemental ben-
efit plan provided under the contract, including 
with respect to the ability of the company to 
communicate with individuals not enrolled in 
the plan and whether such communication may 
include information on other insurance prod-
ucts; 
(D) shall negotiate the cost of coverage 
with the company that will cover the partici-
pants who elect to enroll in such plan; 
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(E) shall provide a method for verification 
of the eligibility of applicants and procedures 
for determination of eligibility; and 
(F) shall provide a method for payroll de-
duction of premiums. 
(4) PROVISION
OF
INFORMATION.—The Sec-
retary shall provide information to covered individ-
uals regarding the pilot program under subsection 
(a) by making available on the online portal of the 
TRICARE program the following information: 
(A) A notice of availability of a fixed in-
demnity supplemental benefit plan provided 
under the pilot program. 
(B) A description of how to enroll in such 
plan. 
(C) A description and explanation of the 
benefits provided under such plan. 
(D) A description of the costs to the indi-
vidual through premiums and remittances to a 
company providing such plan. 
(c) ELECTION TO ENROLL.—A covered individual 
may elect to enroll in a fixed indemnity supplemental ben-
efit plan provided under the pilot program under sub-
section (a). 
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(d) LIMITATIONS
ON AUTHORIZATION
OF APPRO-
PRIATIONS.—None of the amounts authorized to be appro-
priated by this Act to carry out the pilot program may 
be used to subsidize the cost of a fixed indemnity supple-
mental benefit plan provided under the pilot program 
under subsection (a). 
(e) TREATMENT OF COMPANIES.—For purposes of 
the pilot program under subsection (a), companies selected 
to carry out the activities in subsection (b) shall not be 
considered contractors of the Federal Government. 
(f) PREEMPTION.—The provisions of this section 
shall supersede the laws of any State except with respect 
to State laws relating to licensing of an insurance com-
pany or plan solvency of such a company. 
(g) REPORT.—Not later than three years after the 
date on which the pilot program under subsection (a) com-
mences, the Secretary shall submit to the Committees on 
Armed Services of the Senate and the House of Represent-
atives a report regarding such pilot program, including the 
following: 
(1) A description of the insurance products pro-
vided through a fixed indemnity supplemental ben-
efit plan provided under the pilot program under 
subsection (a). 
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(2) The number of covered individuals who en-
rolled in such a plan. 
(3) Feedback and examples of use cases by 
such individuals. 
(4) A determination by the Secretary with re-
spect to whether such pilot program should be made 
permanent. 
(h) SUNSET.—Unless the Secretary makes a deter-
mination under subsection (g)(4) to make the pilot pro-
gram under subsection (a) permanent, the pilot program 
under subsection (a) shall terminate on the day that is 
five years after the date of the enactment of this Act. 
(i) DEFINITIONS.—In this section: 
(1) The term ‘‘covered individual’’ means the 
following: 
(A) A member of the Army, Navy, Marine 
Corps, Air Force, or Space Force. 
(B) A dependent (as defined in section 
1072 of title 10, United States Code) of such 
a member who is enrolled in the TRICARE 
program. 
(2) The term ‘‘noncovered expense’’ means, 
with respect to a covered individual, any expenses 
relating to the screening for and diagnosis and treat-
ment of cancer that are not otherwise covered by the 
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health care benefits the individuals receives under 
chapter 55 of title 10, United States Code. 
(3) The term ‘‘State’’ has the meaning given 
such term in section 901 of title 32, United States 
Code. 
(4) The term ‘‘TRICARE program’’ has the 
meaning given that term in section 1072 of title 10, 
United States Code. 
Æ 
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