255 
HR 5122 PCS 
(1) by inserting ‘‘(1)’’ before ‘‘Under regula-
tions’’; 
(2) by striking ‘‘his pay’’ both places it appears 
and inserting ‘‘the member’s pay’’; 
(3) by striking ‘‘However, after’’ and inserting 
the following: 
‘‘(2) After’’; and 
(4) by inserting ‘‘by a member of the uniformed 
services’’ after ‘‘actually received’’. 
SEC. 665. SENSE OF CONGRESS CALLING FOR PAYMENT TO 
WORLD WAR II VETERANS WHO SURVIVED 
BATAAN DEATH MARCH. 
(a) IN GENERAL.—It is the sense of Congress that— 
(1) there should be paid to each living Battan 
Death March survivor an amount that is $4 for each 
day of captivity during World War II, compounded 
annually at a 3 percent annual rate of interest; and 
(2) in the case of a Battan Death March sur-
vivor who is deceased and who has an unremarried 
surviving spouse, such a payment should be made to 
that surviving spouse. 
(b) BATAAN DEATH MARCH SURVIVOR.—In this sec-
tion, the term ‘‘Bataan Death March survivor’’ means an 
individual who as a member of the Armed Forces during 
World War II was captured on the peninsula of Bataan 
VerDate Aug 31 2005 
23:51 May 15, 2006
Jkt 049200
PO 00000
Frm 00255
Fmt 6652
Sfmt 6201
E:\BILLS\H5122.PCS
H5122
hmoore on PROD1PC68 with HMBILLS
256 
HR 5122 PCS 
or island of Corregidor in the territory of the Philippines 
by Japanese forces and participated in and survived the 
Bataan Death March. 
TITLE VII—HEALTH CARE 
PROVISIONS 
Subtitle A—TRICARE Program Improvements 
Sec. 701. TRICARE coverage for forensic examination following sexual assault 
or domestic violence. 
Sec. 702. Authorization of anesthesia and other costs for dental care for chil-
dren and certain other patients. 
Sec. 703. Improvements to descriptions of cancer screening. 
Sec. 704. Prohibition on increases in certain health care costs for members of 
the uniformed services. 
Sec. 705. Services of mental health counselors. 
Sec. 706. Demonstration project on coverage of selected over-the-counter medi-
cations under the pharmacy benefit program. 
Sec. 707. Requirement to reimburse certain travel expenses of certain bene-
ficiaries covered by TRICARE for life. 
Sec. 708. Inflation adjustment of differential payments to children’s hospitals 
participating in TRICARE program. 
Sec. 709. Expanded eligibility of Selected Reserve members under TRICARE 
program. 
Sec. 710. Extension to TRICARE of medicare prohibition of financial incen-
tives not to enroll in group health plan. 
Subtitle B—Studies and Reports 
Sec. 711. Department of Defense task force on the future of military health 
care. 
Sec. 712. Study and plan relating to chiropractic health care services. 
Sec. 713. Comptroller General study and report on Defense Health Program. 
Sec. 714. Transfer of custody of the Air Force Health Study assets to Medical 
Follow-up Agency. 
Sec. 715. Study on allowing dependents of activated members of Reserve Com-
ponents to retain civilian health care coverage. 
Sec. 716. Study of health effects of exposure to depleted uranium. 
Subtitle C—Other Matters 
Sec. 721. Costs of incentive payments to employees for TRICARE enrollment 
made unallowable for contractors. 
Sec. 722. Requirement for military medical personnel to be trained in preserva-
tion of remains. 
Subtitle D—Pharmacy Benefits Program Improvements 
Sec. 731. TRICARE pharmacy program cost-share requirements. 
VerDate Aug 31 2005 
23:51 May 15, 2006
Jkt 049200
PO 00000
Frm 00256
Fmt 6652
Sfmt 6211
E:\BILLS\H5122.PCS
H5122
hmoore on PROD1PC68 with HMBILLS
257 
HR 5122 PCS 
Subtitle A—TRICARE Program 
Improvements 
SEC. 701. TRICARE COVERAGE FOR FORENSIC EXAMINA-
TION FOLLOWING SEXUAL ASSAULT OR DO-
MESTIC VIOLENCE. 
Section 1079(a) of title 10, United States Code, is 
amended by adding at the end the following new para-
graph: 
‘‘(17) Forensic examinations following a sexual 
assault or domestic violence may be provided.’’. 
SEC. 702. AUTHORIZATION OF ANESTHESIA AND OTHER 
COSTS FOR DENTAL CARE FOR CHILDREN 
AND CERTAIN OTHER PATIENTS. 
Section 1079(a)(1) of title 10, United States Code, 
is amended to read as follows: 
‘‘(1) With respect to dental care— 
‘‘(A) except as provided in subparagraph 
(B), only that care required as a necessary ad-
junct to medical or surgical treatment may be 
provided; and 
‘‘(B) in connection with dental treatment 
for patients with developmental, mental, or 
physical disabilities or for pediatric patients age 
5 or under, only institutional and anesthesia 
services may be provided.’’. 
VerDate Aug 31 2005 
23:51 May 15, 2006
Jkt 049200
PO 00000
Frm 00257
Fmt 6652
Sfmt 6201
E:\BILLS\H5122.PCS
H5122
hmoore on PROD1PC68 with HMBILLS
258 
HR 5122 PCS 
SEC. 703. IMPROVEMENTS TO DESCRIPTIONS OF CANCER 
SCREENING. 
(a) TERMS RELATED TO PRIMARY AND PREVENTIVE 
HEALTH
CARE
SERVICES
FOR
WOMEN.—Section 
1074d(b) of title 10, United States Code, is amended— 
(1) in paragraph (1), by striking ‘‘Papanicolaou 
tests (pap smear)’’ and inserting ‘‘Cervical cancer 
screening’’; and 
(2) in paragraph (2), by striking ‘‘Breast ex-
aminations 
and 
mammography’’ 
and 
inserting 
‘‘Breast cancer screening’’. 
(b) TERMS RELATED TO CONTRACTS FOR MEDICAL 
CARE FOR SPOUSES AND CHILDREN.—Section 1079(a)(2) 
of such title is amended— 
(1) in the matter preceding subparagraph (A), 
by striking ‘‘the schedule of pap smears and mam-
mograms’’ and inserting ‘‘the schedule and method 
of breast and cervical cancer screenings’’; and 
(2) in subparagraph (B), by striking ‘‘pap 
smears and mammograms or’’ and inserting ‘‘cer-
vical, breast,’’. 
SEC. 
704. 
PROHIBITION 
ON 
INCREASES 
IN 
CERTAIN 
HEALTH CARE COSTS FOR MEMBERS OF THE 
UNIFORMED SERVICES. 
(a) PROHIBITION ON INCREASE IN CHARGES UNDER 
CONTRACTS FOR MEDICAL CARE.—Section 1097(e) of 
VerDate Aug 31 2005 
23:51 May 15, 2006
Jkt 049200
PO 00000
Frm 00258
Fmt 6652
Sfmt 6201
E:\BILLS\H5122.PCS
H5122
hmoore on PROD1PC68 with HMBILLS
259 
HR 5122 PCS 
title 10, United States Code, is amended by adding at the 
end the following: ‘‘A premium, deductible, copayment, or 
other charge prescribed by the Secretary under this sub-
section may not be increased during the period beginning 
on April 1, 2006, and ending on December 31, 2007.’’. 
(b) PROHIBITION ON INCREASE IN CHARGES FOR IN-
PATIENT CARE.—Section 1086(b)(3) of title 10, United 
States Code, is amended by inserting after ‘‘charges for 
inpatient care’’ the following: ‘‘, except that in no case 
may the charges for inpatient care for a patient exceed 
$535 per day during the period beginning on April 1, 
2006, and ending on December 31, 2007.’’. 
(c) PROHIBITION
ON
INCREASE
IN
PREMIUMS 
UNDER TRICARE COVERAGE FOR CERTAIN MEMBERS 
IN THE SELECTED RESERVE.—Section 1076d(d)(3) of 
title 10, United States Code, is amended by adding at the 
end the following: ‘‘During the period beginning on April 
1, 2006, and ending on December 31, 2007, the monthly 
amount of the premium may not be increased above the 
amount in effect for the month of March 2006.’’. 
(d) PROHIBITION
ON
INCREASE
IN
PREMIUMS 
UNDER TRICARE COVERAGE FOR MEMBERS OF THE 
READY
RESERVE.—Section 1076b(e)(3) of title 10, 
United States Code, is amended by adding at the end the 
following: ‘‘During the period beginning on April 1, 2006, 
VerDate Aug 31 2005 
23:51 May 15, 2006
Jkt 049200
PO 00000
Frm 00259
Fmt 6652
Sfmt 6201
E:\BILLS\H5122.PCS
H5122
hmoore on PROD1PC68 with HMBILLS
260 
HR 5122 PCS 
and ending on October 31, 2007, the monthly amount of 
a premium under paragraph (2) may not be increased 
above the amount in effect for the first month health care 
is provided under this section as amended by Public Law 
109–163.’’. 
SEC. 705. SERVICES OF MENTAL HEALTH COUNSELORS. 
(a) REIMBURSEMENT OF MENTAL HEALTH COUN-
SELORS UNDER TRICARE.— 
(1) REIMBURSEMENT
UNDER
TRICARE.—Sec-
tion 1079(a)(8) of title 10, United States Code, is 
amended— 
(A) by inserting ‘‘or licensed or certified 
mental health counselors’’ after ‘‘certified mar-
riage and family therapists’’ both places it ap-
pears; and 
(B) by inserting ‘‘or licensed or certified 
mental health counselors’’ after ‘‘that the thera-
pists.’’ 
(2) AUTHORITY TO ASSESS MEDICAL OR PSY-
CHOLOGICAL NECESSITY OF SERVICE OR SUPPLY.— 
Section 1079(a)(13) of such title is amended by in-
serting ‘‘, licensed or certified mental health coun-
selor, ’’ after ‘‘certified marriage and family thera-
pist’’. 
(b) SERVICES OF MENTAL HEALTH COUNSELORS.— 
VerDate Aug 31 2005 
23:51 May 15, 2006
Jkt 049200
PO 00000
Frm 00260
Fmt 6652
Sfmt 6201
E:\BILLS\H5122.PCS
H5122
hmoore on PROD1PC68 with HMBILLS
261 
HR 5122 PCS 
(1) AUTHORITY
TO
ENTER
INTO
PERSONAL 
SERVICES
CONTRACTS.—Section 704(c)(2) of the 
National Defense Authorization Act for Fiscal Year 
1995 (Public Law 103–337; 108 Stat. 2799; 10 
U.S.C. 1091 note) is amended by inserting ‘‘mental 
health counselors,’’ after ‘‘psychologists,’’. 
(2) APPLICABILITY
OF
LICENSURE
REQUIRE-
MENT FOR HEALTH-CARE PROFESSIONALS.—Section 
1094 (e)(2) of title 10, United States Code, is 
amended by inserting ‘‘mental health counselor,’’ 
after ‘‘psychologist,’’. 
SEC. 706. DEMONSTRATION PROJECT ON COVERAGE OF SE-
LECTED OVER-THE-COUNTER MEDICATIONS 
UNDER THE PHARMACY BENEFIT PROGRAM. 
(a) REQUIREMENT
TO
CONDUCT
DEMONSTRA-
TION.—The Secretary of Defense shall conduct a dem-
onstration project under section 1092 of title 10, United 
States Code, to allow particular over-the-counter medica-
tions to be included on the uniform formulary under sec-
tion 1074g of such title. 
(b) ELEMENTS OF DEMONSTRATION PROJECT.— 
(1) 
INCLUSION
OF
CERTAIN
OVER-THE- 
COUNTER MEDICATIONS.—As part of the demonstra-
tion project, the Secretary shall modify uniform for-
mulary specifications under section 1074g(a)(2) of 
VerDate Aug 31 2005 
23:51 May 15, 2006
Jkt 049200
PO 00000
Frm 00261
Fmt 6652
Sfmt 6201
E:\BILLS\H5122.PCS
H5122
hmoore on PROD1PC68 with HMBILLS
262 
HR 5122 PCS 
such title to include on the uniform formulary any 
pharmaceutical agent that does not require a pre-
scription (commonly referred to as an over-the- 
counter medication) if the Pharmacy and Thera-
peutics Committee finds that the over-the-counter 
medication is a clinically effective and cost-effective 
alternative to a pharmaceutical agent that requires 
a prescription. If the Pharmacy and Therapeutics 
Committee makes such a finding, the over-the- 
counter medication shall be considered to be in the 
same therapeutic class of pharmaceutical agents that 
the agent requiring a prescription is in, and to the 
same extent as any agent in the class that requires 
a prescription. Such an over-the-counter medication 
shall be made available to a beneficiary through the 
demonstration program only if the medication is in 
place of a pharmaceutical agent requiring a prescrip-
tion and the beneficiary has a prescription for that 
pharmaceutical agent. 
(2) CONDUCT THROUGH MILITARY FACILITIES, 
RETAIL PHARMACIES, OR MAIL ORDER PROGRAM.— 
The Secretary shall conduct the demonstration 
project through at least two of the means described 
in subparagraph (E) of section 1074g(a)(2) through 
which over-the-counter medications are provided and 
VerDate Aug 31 2005 
23:51 May 15, 2006
Jkt 049200
PO 00000
Frm 00262
Fmt 6652
Sfmt 6201
E:\BILLS\H5122.PCS
H5122
hmoore on PROD1PC68 with HMBILLS
263 
HR 5122 PCS 
may conduct the demonstration project throughout 
the entire pharmacy benefits program or at a limited 
number of sites. If the project is conducted at a lim-
ited number of sites, the number of sites shall be not 
less than five in each TRICARE region for each of 
the two means described in such subparagraph (E). 
(3) PERIOD
OF
DEMONSTRATION.—The Sec-
retary shall provide for conducting the demonstra-
tion project for a period of time necessary to evalu-
ate the feasibility and cost effectiveness of the dem-
onstration. Such period shall be at least as long as 
the period covered by pharmacy contracts in exist-
ence on the date of the enactment of this Act (in-
cluding any extensions of the contracts), or five 
years, whichever is shorter. 
(4) IMPLEMENTATION
DEADLINE.—Implemen-
tation of the demonstration project shall begin not 
later than May 1, 2007. 
(c) REPORT.—Not later than 60 days before the end 
of the demonstration project, the Secretary shall submit 
to the Committees on Armed Services of the House of 
Representatives and the Senate a report on the dem-
onstration project. The report shall contain an evaluation 
by the Secretary of the costs and benefits of the project, 
and recommendations on whether permanent authority 
VerDate Aug 31 2005 
23:51 May 15, 2006
Jkt 049200
PO 00000
Frm 00263
Fmt 6652
Sfmt 6201
E:\BILLS\H5122.PCS
H5122
hmoore on PROD1PC68 with HMBILLS
264 
HR 5122 PCS 
should be provided to cover over-the-counter medications 
under the pharmacy benefits program. 
(d) CONTINUATION OF DEMONSTRATION PROJECT.— 
If the Secretary recommends in the report under sub-
section (c) that permanent authority should be provided, 
the Secretary may continue the demonstration project for 
up to one year after submitting the report. 
SEC. 707. REQUIREMENT TO REIMBURSE CERTAIN TRAVEL 
EXPENSES OF CERTAIN BENEFICIARIES COV-
ERED BY TRICARE FOR LIFE. 
(a) REQUIREMENT.—Section 1074i of title 10, 
United States Code, is amended by adding at the end the 
following new subsection: 
‘‘(c) TRICARE FOR LIFE BENEFICIARIES.— 
‘‘(1) An eligible TRICARE for Life beneficiary 
shall be provided reimbursement for travel expenses 
to a military medical treatment facility if— 
‘‘(A) the purpose of the travel is for a fol-
low-up appointment for medical treatment of a 
condition of the beneficiary; and 
‘‘(B) the initial appointment for medical 
treatment of the condition was at the same fa-
cility. 
‘‘(2) Reimbursement under this subsection 
shall, as nearly as practicable, be under the same 
VerDate Aug 31 2005 
23:51 May 15, 2006
Jkt 049200
PO 00000
Frm 00264
Fmt 6652
Sfmt 6201
E:\BILLS\H5122.PCS
H5122
hmoore on PROD1PC68 with HMBILLS
265 
HR 5122 PCS 
terms and conditions, and shall be at the same rate, 
as apply to beneficiary travel reimbursement pro-
vided under subsection (a), except that reimburse-
ment shall be provided— 
‘‘(A) for no more than 3 follow-up appoint-
ments; and 
‘‘(B) only if adequate follow-up medical 
treatment, as determined under the TRICARE 
program, cannot be obtained within 100 miles 
of the residence of the beneficiary. 
‘‘(3) In this subsection, the term ‘eligible 
TRICARE for Life beneficiary’ means a person— 
‘‘(A) who is eligible for health benefits 
under section 1086 of this title by reason of 
subsection (d)(2)(A) of that section; 
‘‘(B) who attained age 65 after an initial 
appointment for medical treatment at a military 
medical treatment facility; and 
‘‘(C) who resides more than 100 miles 
from the military medical treatment facility and 
was referred to such facility for treatment by a 
specialty care provider.’’. 
(b) EFFECTIVE DATE.—Subsection (c) of section 
1074i of title 10, United States Code, as added by sub-
VerDate Aug 31 2005 
23:51 May 15, 2006
Jkt 049200
PO 00000
Frm 00265
Fmt 6652
Sfmt 6201
E:\BILLS\H5122.PCS
H5122
hmoore on PROD1PC68 with HMBILLS