I 
119TH CONGRESS 
1ST SESSION H. R. 1699 
To direct the Secretary of Defense to carry out a pilot program under 
which a TRICARE Prime beneficiary may access obstetrical and gyneco-
logical care without a referral, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
FEBRUARY 27, 2025 
Mr. HORSFORD (for himself, Ms. HOULAHAN, Ms. SALAZAR, Ms. STRICK-
LAND, Ms. JACOBS, Ms. TOKUDA, Mr. TURNER of Ohio, Mr. JOHNSON 
of Georgia, Ms. GOODLANDER, and Ms. MCBRIDE) introduced the fol-
lowing bill; which was referred to the Committee on Armed Services 
A BILL 
To direct the Secretary of Defense to carry out a pilot 
program under which a TRICARE Prime beneficiary 
may access obstetrical and gynecological care without 
a referral, and for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘TRICARE OBGYN 
Treatment and Access without Lags in Care Act’’ or the 
‘‘TOTAL Care Act’’. 
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SEC. 2. PILOT PROGRAM ON ACCESS TO OBSTETRICAL AND 
GYNECOLOGICAL 
CARE 
UNDER 
TRICARE 
PRIME PROGRAM. 
(a) PILOT PROGRAM.—Beginning not later than 180 
days after the date of the enactment of this Act, the Sec-
retary of Defense shall carry out a pilot program under 
which— 
(1) 
the 
referral 
requirement 
in 
section 
1095f(a)(1) of title 10, United States Code, does not 
apply with respect to obstetrical and gynecological 
care for covered participants, including the ordering 
of related obstetrical and gynecological items and 
services; and 
(2) covered participants may elect to designate 
an obstetrical or gynecological care provider under 
the TRICARE program as an additional designated 
primary care manager under such section. 
(b) DURATION.—The Secretary shall carry out the 
pilot program for a period of five years. 
(c) REPORT.—Not later than four years after the 
date of the enactment of this Act, the Secretary shall sub-
mit to the congressional defense committees a report on 
the pilot program that includes the following: 
(1) An assessment of any increases or decreases 
to TRICARE Prime enrollment during the period in 
which the Secretary carries out the pilot program. 
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(2) An assessment of any changes in the associ-
ated costs of providing obstetrical and gynecological 
care under TRICARE Prime. 
(3) Any other matters the Secretary determines 
appropriate. 
(d) DEFINITIONS.—In this section: 
(1) The term ‘‘congressional defense commit-
tees’’ has the meaning given that term in section 
101(a)(16) of title 10, United States Code. 
(2) The term ‘‘covered participant’’ means a fe-
male beneficiary enrolled in TRICARE Prime who 
elects to participate in the pilot program. 
(3) 
The 
terms 
‘‘TRICARE 
Prime’’ 
and 
‘‘TRICARE program’’ have the meaning given those 
terms in section 1072 of title 10, United States 
Code. 
Æ 
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