I 
115TH CONGRESS 
1ST SESSION H. R. 1433 
To amend title 10, United States Code, to expand preventive health care 
services under the TRICARE program. 
IN THE HOUSE OF REPRESENTATIVES 
MARCH 8, 2017 
Mr. CARBAJAL (for himself, Mrs. DAVIS of California, Ms. TITUS, Ms. 
MOORE, Mr. LANGEVIN, Ms. LEE, Ms. BORDALLO, Ms. ROSEN, and Mr. 
GARAMENDI) introduced the following bill; which was referred to the 
Committee on Armed Services 
A BILL 
To amend title 10, United States Code, to expand preventive 
health care services under the TRICARE program. 
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 ‘‘Strengthening Preven-
tive Health Care for Service Members Act’’. 
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SEC. 2. EXPANSION OF TRICARE-COVERED PREVENTIVE 
HEALTH CARE SERVICES. 
(a) EXPANSION
OF PREVENTIVE HEALTH CARE 
SERVICES.—Section 1074d of title 10, United States 
Code, is amended— 
(1) by redesignating subsection (b) as sub-
section (c); and 
(2) by inserting after subsection (a) the fol-
lowing new subsection: 
‘‘(b) ADDITIONAL
PREVENTIVE
HEALTH
CARE 
SERVICES.—(1) In addition to the preventive services pro-
vided under subsection (a), persons entitled to medical 
care under this chapter shall also be entitled, to the extent 
practicable, to the coverage of preventive health services 
comparable to the coverage required to be provided by a 
group health plan and a health insurance issuer offering 
group or individual health insurance coverage under sec-
tion 2713 of the Public Health Service Act (42 U.S.C. 
300gg–13). Such entitlement shall supersede any other-
wise applicable exclusions to the contrary. 
‘‘(2) Persons entitled to medical care under this chap-
ter shall also be entitled to other evidence-based preventive 
health care services and screenings, as may be prescribed 
in regulations by the Secretary of Defense. 
‘‘(3) The Secretary shall prescribe regulations to— 
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‘‘(A) waive all copayments under sections 
1074g, 1075, 1075a, 1079(b), and 1086(b) of this 
title for preventive services provided pursuant to this 
subsection for all beneficiaries who would otherwise 
pay copayments; and 
‘‘(B) ensure that a beneficiary pays nothing for 
such preventive services during a year without re-
gard to whether the beneficiary has paid the amount 
necessary to cover the beneficiary’s deductible for 
the year.’’. 
(b) CONFORMING AMENDMENT.—Section 1077(a) of 
title 10, United States Code, is amended by adding at the 
end the following new paragraph: 
‘‘(18) The additional preventive health services 
described in section 1074d(b) of this title.’’. 
(c) EXPANDED WELL CHILD CARE AND ACCESS TO 
HEALTH PROMOTION AND DISEASE PREVENTION VIS-
ITS.—Section 1079(a)(2) of title 10, United States Code, 
is amended by striking ‘‘schedule of immunizations’’ and 
all that follows through subparagraph (B) and inserting 
‘‘schedule of immunizations, health promotion and disease 
prevention visits and immunizations (including the preven-
tive care and screenings required pursuant to section 
1074d(b) of this title) may be provided to dependents.’’. 
Æ 
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