Us Congress 2023-2024 Regular Session

Us Congress House Bill HB254

Introduced
1/10/23  

Caption

TRICARE Equality Act This bill addresses the administration of Department of Defense (DOD) health care programs and benefits in Puerto Rico. Specifically, the bill requires DOD to treat the administration of TRICARE Prime availability in Puerto Rico in a similar manner as a state. The bill also requires DOD to ensure that, in providing travel and transportation allowances related to specialty medical treatment, individuals located in Puerto Rico are eligible to receive such allowances. The Federal Electronic Health Record Modernization Office must coordinate with the Department of Health of Puerto Rico to share health information through the Joint Health Information Exchange.

Impact

The proposed legislation establishes that individuals in Puerto Rico shall have access to travel and transportation allowances, akin to those available in the states. This is particularly significant for military personnel requiring specialty medical care, as it ensures they can obtain necessary services without incurring excessive personal costs. Additionally, the bill mandates that the Federal Electronic Health Record Modernization Office coordinate with the Department of Health of Puerto Rico to facilitate a health information exchange, further enhancing the healthcare infrastructure.

Summary

House Bill 254, also known as the TRICARE Equality Act, seeks to amend Title 10 of the United States Code to improve the administration of the TRICARE program specifically in Puerto Rico. The bill demands the Department of Defense (DOD) to manage TRICARE Prime availability in Puerto Rico using similar protocols as those applied in the 50 states. This change aims to ensure that military families in Puerto Rico have equitable access to healthcare benefits without the disparities faced under the current system.

Contention

While the bill aims to rectify inequalities in military healthcare administration, it may also prompt discussions regarding the federal versus local governance of healthcare services. There are ongoing debates about the adequacy of federal support for Puerto Rico, especially in healthcare matters. The sunset provision in the bill, which nullifies the section if Puerto Rico achieves statehood, indicates the transient nature of this legislative measure and may lead to further controversy over the long-term healthcare rights of Puerto Rican residents.

Companion Bills

No companion bills found.

Previously Filed As

US HB258

Puerto Rico Data Collection Equality Act This bill addresses the collection and publication of statistics relating to Puerto Rico. Specifically, the bill requires the Interagency Council on Statistical Policy to develop and implement a plan to collect and publish statistics regarding Puerto Rico in the same manner as federal agencies collect and report statistics for the states.

US HB257

Earned Income Tax Credit Equity for Puerto Rico Act of 2021 This bill makes residents of Puerto Rico eligible for the federal earned income tax credit.

US HB1195

Protect Medicaid Act This bill prohibits federal payment under Medicaid for the administrative costs of providing health benefits to noncitizens who are ineligible for Medicaid based on their immigration status. The Department of Health and Human Services must report on specified information regarding states that provide health benefits to such individuals.

US HB77

This bill establishes which state law governs health insurers offering coverage in multiple states. Specifically, the bill provides that the laws of a state designated by a health insurer (primary state) apply to individual health insurance coverage offered by that insurer in any other state (secondary state) if the coverage, states, and insurer comply with the conditions of this bill. Insurers are exempted from any secondary state's laws that would prohibit or regulate the operation of the insurer in that state. The primary state is given sole jurisdiction to enforce its covered laws in any secondary state. The Government Accountability Office must study the effect of this bill on specified health insurance issues.

US HB127

Protection from Obamacare Mandates and Congressional Equity Act This bill alters provisions relating to the requirement to maintain minimum essential health care coverage (i.e., the individual mandate), as well as provisions relating to health care coverage for certain executive branch and congressional employees. Specifically, the bill exempts individuals from the requirement to maintain minimum essential health care coverage if they reside in a county where fewer than two health insurers offer insurance on the health insurance exchange. Under current law, there is no penalty for failing to maintain minimum essential health care coverage. The bill also requires certain executive branch and congressional employees to participate in health insurance exchanges. Under current law, Members of Congress and their designated staff are required to obtain coverage through health insurance exchanges, rather than the Federal Employee Health Benefits (FEHB) Program. Current regulations authorize government contributions toward such coverage and require Members of Congress to designate which members of their staff are required to obtain coverage through an exchange. The bill requires all congressional staff, including employees of congressional committees and leadership offices, to obtain coverage through an exchange. The bill also prohibits Members of Congress from having the discretion to determine which of their employees are eligible to enroll through an exchange. Further, the President, Vice President, and executive branch political appointees must also obtain coverage through exchanges, rather than FEHB. The government is prohibited from contributing to or subsidizing the health insurance coverage of the officials and employees subject to this requirement, including Members of Congress and their staff.

US HB256

Supplemental Security Income Equality Act This bill extends the Supplemental Security Income (SSI) program to Puerto Rico, the U.S. Virgin Islands, Guam, and American Samoa. This is a federal program designed to help aged, blind, and disabled individuals with limited income and resources meet basic needs. When Congress created the SSI program in 1972, it excluded these territories. The Social Security Administration may waive or modify statutory requirements relating to the provision of benefits as necessary to adapt the SSI program to each territory. This bill also eliminates a limit on payments from the Temporary Assistance for Needy Families (TANF) program and other Department of Health and Human Services programs to the territories.

US SB523

Protect Medicaid Act This bill prohibits federal payment under Medicaid for the administrative costs of providing health benefits to noncitizens who are ineligible for Medicaid based on their immigration status. The Department of Health and Human Services must report on specified information regarding states that provide health benefits to such individuals.

US HB375

Puerto Rico Air Cargo Industry Empowerment Act This bill modifies foreign civil aircraft regulation with respect to air cargo in Puerto Rico. Current law prohibits foreign civil aircraft from exchanging cargo in the United States unless the aircraft is specifically authorized to do so or the exchange occurs in Alaska. This bill applies air cargo regulation to Puerto Rico in the same way that it applies to Alaska. Thus, the bill allows foreign civil aircraft to stop in Puerto Rico and exchange cargo with other air carriers.

US HB55

Preventing Vigilante Stalking that Stops Women's Access to Healthcare and Abortion Rights Act of 2022 This bill increases the maximum prison term for a stalking offense, if the offense is committed with the intent to obtain an individual's health care information or prevent an individual's health care decisions.

US HB371

Defund Planned Parenthood Act of 2023 This bill restricts federal funding for Planned Parenthood Federation of America Inc. or any of its affiliates or clinics for one year. Specifically, it prohibits funding those entities unless they certify that the affiliates and clinics will not perform, and will not provide funds to entities that perform, abortions during that year. If the certification requirement is not met, the Department of Health and Human Services and the Department of Agriculture must recoup any federal assistance received by those entities. However, the bill's funding restriction does not apply to abortions performed in cases of rape or incest or when necessary to resolve a physical condition that endangers a woman's life. The bill also provides additional funding for community health centers for the one-year period. These funds are subject to the same abortion-related restrictions and exceptions.

Similar Bills

No similar bills found.