(A) 
in 
subsections 
(b)(1)(B)(v) 
and
(b)(1)(B)(viii)(I), by inserting ‘‘or subsection
(l)’’ after ‘‘subsection (i)’;
(B) in subsection (b)(2), by adding at the
end the following: ‘‘If feasible, at least one of
the sites shall be conducted using the fee-for-
service reimbursement method described in sub-
section (l).’’;
(C) in subsection (d)(1)(A), by inserting
‘‘(insofar as it provides for the enrollment of in-
dividuals and payment on the basis described in
subsection (i))’’ before ‘‘shall meet’’;
(D) in subsection (d)(1)(A), by inserting
‘‘and the program (insofar as it provides for
payment for facility services on the basis de-
scribed in subsection (l)) shall meet all require-
ments for such facilities under this title’’ after
‘‘medicare payments’’;
(E) in subsection (d)(2), by inserting ‘‘, in-
sofar as it provides for the enrollment of indi-
viduals and payment on the basis described in
subsection (i),’’ before ‘‘shall comply’’;
(F) in subsection (g)(1), by inserting ‘‘, in-
sofar as it provides for the enrollment of indi-
viduals and payment on the basis described in
subsection (i),’’ before ‘‘the Secretary of De-
fense’’;
(G) in subsection (i)(1), by inserting ‘‘and
subsection (l)’’ after ‘‘of this subsection’’;
(H) in subsection (i)(4), by inserting ‘‘and
subsection (l)’’ after ‘‘under this subsection’’;
and
(I) in subsection (j)(2)(B)(ii), by inserting
‘‘or subsection (l)’’ after ‘‘subsection (i)(1)’’.
(3) EFFECTIVE DATE.—The amendments made
by this subsection take effect on January 1, 2000,
and apply to services furnished on or after such
date.
(d) ELIMINATION
OF
RESTRICTION
ON
ELIGI-
BILITY.—Section 1896(b)(1) of such Act is amended by
adding at the end the following new subparagraph:
‘‘(C) ELIMINATION OF RESTRICTIVE POL-
ICY.—If the enrollment capacity in the program
has been reached at a particular site designated
under paragraph (2) and the Secretary there-
fore limits enrollment at the site to medicare-
eligible military retirees and dependents who
are enrolled in TRICARE Prime (as defined for
purposes of chapter 55 of title 10, United
States Code) at the site immediately before at-
taining 65 years of age, participation in the
program by a retiree or dependent at such site
shall not be restricted based on whether the re-
tiree or dependent has a civilian primary care
manager instead of a military primary care
manager.’’.
(e) MEDIGAP PROTECTION FOR ENROLLEES.—Sec-
tion 1896 of such Act is further amended by adding at
the end the following new subsection:
‘‘(m) MEDIGAP PROTECTION FOR ENROLLEES.—(1)
Subject to paragraph (2), the provisions of section
1882(s)(3) (other than clauses (i) through (iv) of subpara-
graph (B)) and 1882(s)(4) of the Social Security Act shall
apply to any enrollment (and termination of enrollment)
in the program (for which payment is made on the basis
described in subsection (i)) in the same manner as they
apply to enrollment (and termination of enrollment) with
a Medicare+Choice organization in a Medicare+Choice
plan.
‘‘(2) In applying paragraph (1)—
‘‘(A) in the case of enrollments occurring before
January 1, 2000, any reference in clause (v) or (vi)
of section 1882(s)(3)(B) of such Act to 12 months
is deemed a reference to the period ending on De-
cember 31, 2000; and
‘‘(B) the notification required under section
1882(s)(3)(D) of such Act shall be provided in a
manner specified by the Secretary of Defense in con-
sultation with the Director of the Office of Per-
sonnel Management.’’.
Æ