10 U.S.C. § 1091a — Identification in patient medical records

Page 1132 TITLE 10—ARMED FORCES § 1091a REPORT ON COMPENSATION BY MEDICAL SPECIALTY Pub. L. 103–160, div. A, title VII, § 712(b), Nov. 30, 1993, 107 Stat. 1689, directed the Secretary of Defense to sub- mit to Congress a report, not later than 30 days after the end of the 180-day period beginning on the date on which the Secretary had first used the authority pro- vided under this section, as amended by Pub. L. 103–160, specifying the compensation provided to medical spe- cialists who had agreed to enter into personal services contracts under such section during that period, the ex- tent to which amounts of compensation exceeded amounts previously provided, the total number and medical specialties of specialists serving during that period pursuant to such contracts, and the number of specialists who had received compensation in an amount in excess of the maximum which had been au- thorized under this section, as in effect on Nov. 29, 1993. § 1091a. Identification in patient medical records of affiliation of certain non-Department of Defense health care providers (a) REQUIREMENT.—The Secretary of Defense shall ensure that medical records of the Depart- ment of Defense include the organizational af- filiation of any independent health care con- tractor identified in such medical records. (b) INDEPENDENT HEALTH CARE CONTRACTOR DEFINED.—In this section, the term ‘‘inde- pendent health care contractor’’ means a health care provider who meets the following criteria: (1) The health care provider is a nonpersonal services contractor, or an employee of such a contractor, pursuant to subpart 37.4 of the Federal Acquisition Regulation, or other ap- plicable regulation. (2) The health care provider provides health care services under this chapter in any mili- tary medical treatment facility (as defined in section 1073c(i) of this title) or other location under the jurisdiction of the Secretary of De- fense, including an operational clinic. (Added Pub. L. 118–159, div. A, title VII, § 711, Dec. 23, 2024, 138 Stat. 1947.) § 1092. Studies and demonstration projects relat- ing to delivery of health and medical care (a)(1) The Secretary of Defense, in consulta- tion with the other administering Secretaries, shall conduct studies and demonstration projects on the health care delivery system of the uniformed services with a view to improving the quality, efficiency, convenience, and cost ef- fectiveness of providing health care services (in- cluding dental care services) under this title to members and former members and their depend- ents. Such studies and demonstration projects may include the following: (A) Alternative methods of payment for health and medical care services. (B) Cost-sharing by eligible beneficiaries. (C) Methods of encouraging efficient and ec- onomical delivery of health and medical care services. (D) Innovative approaches to delivery and fi- nancing of health and medical care services. (E) Alternative approaches to reimburse- ment for the administrative charges of health care plans. (F) Prepayment for medical care services provided to maintain the health of a defined population. (2) The Secretary of Defense shall include in the studies conducted under paragraph (1) alter- native programs for the provision of dental care to the spouses and dependents of members of the uniformed services who are on active duty, in- cluding a program under which dental care would be provided the spouses and dependents of such members under insurance or dental plan contracts. A demonstration project may not be conducted under this section that provides for the furnishing of dental care under an insurance or dental plan contract. (3) The Secretary of Defense may include in the studies and demonstration projects con- ducted under paragraph (1) studies and dem- onstration projects to provide awards and incen- tives to members of the armed forces and cov- ered beneficiaries who obtain health promotion and disease prevention health care services under the TRICARE program in accordance with terms and schedules prescribed by the Sec- retary. Such awards and incentives may include cash awards and, in the case of members of the armed forces, personnel incentives. (4)(A) The Secretary of Defense may, in con- sultation with the other administering Secre- taries, include in the studies and demonstration projects conducted under paragraph (1) studies and demonstration projects to provide awards or incentives to individual health care profes- sionals under the authority of such Secretaries, including members of the uniformed services, Federal civilian employees, and contractor per- sonnel, to encourage and reward effective imple- mentation of innovative health care programs designed to improve quality, cost-effectiveness, health promotion, medical readiness, and other priority objectives. Such awards and incentives may include cash awards and, in the case of members of the armed forces and Federal civil- ian employees, personnel incentives. (B) Amounts available for the pay of members of the uniformed services shall be available for awards and incentives under this paragraph with respect to members of the uniformed services. (5) The Secretary of Defense may include in the studies and demonstration projects con- ducted under paragraph (1) studies and dem- onstration projects to improve the medical and dental readiness of members of reserve compo- nents of the armed forces, including the provi- sion of health care services to such members for which they are not otherwise entitled or eligible under this chapter. (6) The Secretary of Defense may include in the studies and demonstration projects con- ducted under paragraph (1) studies and dem- onstration projects to improve the continuity of health care services for family members of mo- bilized members of the reserve components of the armed forces who are eligible for such serv- ices under this chapter, including payment of a stipend for continuation of employer-provided health coverage during extended periods of ac- tive duty. (b) Subject to the availability of appropria- tions for that purpose, the Secretary of Defense may enter into contracts or transactions (other than contracts, cooperative agreements, and grants) with public or private agencies, institu- tions, and organizations to conduct studies and demonstration projects under subsection (a).