IB 
Union Calendar No. 320 
108TH CONGRESS 
2D SESSION 
H. R. 3751 
[Report No. 108–552] 
To require that the Office of Personnel Management study and present 
options under which dental and vision benefits could be made available 
to Federal employees and retirees and other appropriate classes of indi-
viduals. 
IN THE HOUSE OF REPRESENTATIVES 
JANUARY 30, 2004 
Mrs. JO ANN DAVIS of Virginia introduced the following bill; which was 
referred to the Committee on Government Reform 
JUNE 17, 2004 
Additional sponsor: Mr. VAN HOLLEN 
JUNE 17, 2004 
Reported with amendments, committed to the Committee of the Whole House 
on the State of the Union, and ordered to be printed 
A BILL 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. REPORTING REQUIREMENT. 
(a) IN GENERAL.—Not later than June 30, 2004, the 
Office of Personnel Management shall submit to Congress
a report describing and evaluating options whereby dental 
and vision benefits could be made available to— 
(1) Federal employees and retirees; 
(2) qualified relatives of Federal employees and 
retirees; and 
(3) other appropriate classes of individuals. 
(b)
REQUIRED
CONTENT.—The
report
shall
in-
clude— 
(1) a description of the specific benefits that 
could be offered, including any relevant maximums, 
limitations, exclusions, and definitions; 
(2) a description of the classes of individuals 
who should be made eligible for benefits; 
(3) a description and assessment of the various 
contracting arrangements available to the Govern-
ment, including whether benefits should be con-
tracted for on a regional or national basis; 
(4) the estimated cost of those benefits, includ-
ing a statement as to whether any regular Govern-
ment contributions or allocation for start-up costs 
might be necessary or appropriate; 
(5) a statement as to how those benefits might 
be offered through— 
(A) the Federal employees health benefits 
program,
(B) one or more programs apart from the 
Federal employees health benefits program, 
(C) the program described in subpara-
graph (A) in combination with one or more of 
the programs described in subparagraph (B), 
and 
(D) any other program or method not oth-
erwise described in this paragraph, 
as well as the advantages and disadvantages of each; 
(6) a recommendation from the Office as to its 
preferred method or methods for providing such ben-
efits; and 
(7) any legislation or other measures the Office 
considers necessary in order to implement any of the 
foregoing. 
SECTION 1. REPORTING REQUIREMENT. 
(a) IN GENERAL.—Not later than 6 months after the 
date of the enactment of this Act, the Office of Personnel 
Management shall submit to Congress a report describing 
and evaluating options whereby additional dental, vision, 
and hearing benefits could be made available to— 
(1) Federal employees and annuitants; 
(2) qualified relatives of Federal employees and 
annuitants; and 
(3) other appropriate classes of individuals.
(b) REQUIRED CONTENT.—The report shall include— 
(1) a description of the dental, vision, and hear-
ing benefits currently available under the Federal em-
ployees health benefits program; 
(2) a description of the supplemental dental, vi-
sion, and hearing plans currently offered by carriers 
participating in the Federal employees health benefits 
program; 
(3) a description of specific dental, vision, and 
hearing benefits that could be offered in addition to 
those described in paragraphs (1) and (2), including 
any maximums, limitations, exclusions, and defini-
tions that might be relevant; 
(4) a description of the specific classes of indi-
viduals (as referred to generally in paragraphs (1) 
through (3) of subsection (a)) to whom those addi-
tional benefits should be made available, including 
any definitions and other terms or conditions that 
might be relevant; 
(5) a description and assessment of the various 
contracting arrangements by which the Government 
could make those additional benefits available, includ-
ing whether such benefits should be contracted for on 
a regional or national basis;
(6) the estimated cost of those additional benefits, 
including an analysis relating to whether any regular 
Government contributions or allocation for start-up 
costs might be necessary or appropriate; 
(7) a description of how those additional benefits 
could be made available through— 
(A) the Federal employees health benefits 
program; 
(B) one or more plans outside the Federal 
employees health benefits program, including 
supplemental plans referred to in paragraph (2); 
(C) the program described in subparagraph 
(A) in combination with one or more of the 
plans described in subparagraph (B); and 
(D) any other dental, vision, and hearing 
coverage delivery method; 
(8) an analysis of the advantages and disadvan-
tages associated with the alternatives described under 
paragraph (7), including— 
(A) the relative cost-effectiveness and effi-
ciency of each; 
(B) the likely impact of each alternative on 
the overall attractiveness of the Federal employ-
ees health benefits program to individuals eligi-
ble to enroll, particularly Federal employees and 
annuitants; and 
(C) the extent to which each alternative 
might affect the relative competitiveness of the 
various carriers and plans currently partici-
pating in the Federal employees health benefits 
program (including as a provider of supple-
mental benefits); 
(9) a recommendation from the Office as to its 
preferred method or methods for providing those addi-
tional benefits; and 
(10) any proposed legislation or other measures 
the Office considers necessary in order to implement 
any of the foregoing. 
(c) SCREENING FOR GLAUCOMA.—For purposes of this 
Act, the term ‘‘vision benefits’’ includes benefits relating to 
screening for glaucoma. 
Amend the title so as to read: ‘‘A bill to require that 
the Office of Personnel Management study current prac-
tices under which dental, vision, and hearing benefits are 
made available to Federal employees, annuitants, and 
other classes of individuals, and to require that the Office 
also present options and recommendations relating to 
how additional dental, vision, and hearing benefits could 
be made so available.’’.
Union Calendar No. 320 
108TH CONGRESS 
2D SESSION 
H. R. 3751 
[Report No. 108–552] 
A BILL 
To require that the Office of Personnel Manage-
ment study and present options under which den-
tal and vision benefits could be made available to 
Federal employees and retirees and other appro-
priate classes of individuals. 
JUNE 17, 2004 
Reported with amendments, committed to the Committee 
of the Whole House on the State of the Union, and or-
dered to be printed