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10 U.S.C. § 1080Contracts for medical care for spouses and children: election of facilities

submitted 68 years ago by Pub. L. 85-861 to r/title-10-ARMED-FORCES · 317 words · no verdicts yet

in plain englishAI-generated · not legal advice

A dependent covered by a military health plan may generally choose inpatient care at a uniformed-services facility or under the contracted plan. The section limits that choice in some areas and sets rules for nonavailability statements.

(a) Election. A covered dependent may choose inpatient care either (1) at a uniformed-services facility under sections 1076–1078 or (2) at a facility under a section 1079 plan. Regulations may limit this choice for dependents living where the member is assigned if adequate uniformed-services facilities are available. (b) Nonavailability statements. A facility commander may consider contracted or other chapter-authorized health-care arrangements when deciding whether to issue a nonavailability statement. For obstetric and gynecological care for beneficiaries not enrolled in a managed-care plan, such a statement is required for outpatient prenatal care, outpatient or inpatient delivery, and outpatient postpartum care after the visit confirming pregnancy. (c) Waivers and exceptions. (1) A beneficiary enrolled in a chapter-authorized managed-care plan does not need a nonavailability statement. (2) The Secretary may waive the statement requirement after evaluating whether statements effectively optimize use of uniformed-services facilities.
the actual law source: uscode.house.gov ↗public domain
(a)Election.—

A dependent covered by section 1079 of this title may elect to receive inpatient medical care either in (1) the facilities of the uniformed services, under the conditions prescribed by sections 1076–1078 of this title, or (2) the facilities provided under a plan contracted for under section 1079 of this title. However, under such regulations as the Secretary of Defense, after consulting the other administering Secretaries, may prescribe, the right to make this election may be limited for dependents residing in the area where the member concerned is assigned, if adequate medical facilities of the uniformed services are available in that area for those dependents.

(b)Issuance of Nonavailability-of-Health-Care Statements.—

In determining whether to issue a nonavailability-of-health-care statement for a dependent described in subsection (a), the commanding officer of a facility of the uniformed services may consider the availability of health care services for the dependent pursuant to any contract or agreement entered into under this chapter for the provision of health care services. Notwithstanding any other provision of law, with respect to obstetrics and gynecological care for beneficiaries not enrolled in a managed care plan offered pursuant to any contract or agreement under this chapter, a nonavailability-of-health-care statement shall be required for receipt of health care services related to outpatient prenatal, outpatient or inpatient delivery, and outpatient post-partum care subsequent to the visit which confirms the pregnancy.

(c)Waivers and Exceptions to Requirements.—
(1)

A covered beneficiary enrolled in a managed care plan offered pursuant to any contract or agreement under this chapter for the provision of health care services shall not be required to obtain a nonavailability-of-health-care statement as a condition for the receipt of health care.

(2)

The Secretary of Defense may waive the requirement to obtain nonavailability-of-health-care statements following an evaluation of the effectiveness of such statements in optimizing the use of facilities of the uniformed services.

Source credit: (Added Pub. L. 85–861, § 1(25)(B), Sept. 2, 1958, 72 Stat. 1449; amended Pub. L. 96–513, title V, § 511(36), Dec. 12, 1980, 94 Stat. 2923; Pub. L. 98–557, § 19(8), Oct. 30, 1984, 98 Stat. 2870; Pub. L. 103–160, div. A, title VII, § 716(b)(1), Nov. 30, 1993, 107 Stat. 1692; Pub. L. 104–201, div. A, title VII, § 734(a)(1), (b)(1), (c), Sept. 23, 1996, 110 Stat. 2598; Pub. L. 106–65, div. A, title VII, § 712(c), Oct. 5, 1999, 113 Stat. 687.)

history & why it existsrecord from the source credit
  • 1958Enacted · Pub. L. 85-861 · 72 Stat. 1449
  • 1980Amended · Pub. L. 96-513 · 94 Stat. 2923
  • 1984Amended · Pub. L. 98-557 · 98 Stat. 2870
  • 1993Amended · Pub. L. 103-160 · 107 Stat. 1692
  • 1996Amended · Pub. L. 104-201 · 110 Stat. 2598
  • 1999Amended · Pub. L. 106-65 · 113 Stat. 687

A history note hasn’t been published yet. The record shows enactment by Pub. L. 85-861 on 1958-09-02.

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