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10 U.S.C. § 1101 — Resource allocation methods: capitation or diagnosis-related groups

submitted 40 years ago by Pub. L. 99-661 to r/title-10-ARMED-FORCES · 215 words · no verdicts yet

in plain englishAI-generated · not legal advice

The Secretary of Defense must establish rules using capitation or diagnosis-related groups as the main way to allocate resources to uniformed-services facilities. Those methods do not apply to resources needed for mobilization missions.

(a) Establishment. After consulting the other administering Secretaries, the Secretary of Defense must establish by regulation the use of capitation or diagnosis-related groups as the primary criteria for allocating resources to uniformed-services facilities. (b) Mobilization exception. Those methods may not allocate resources needed for mobilization missions. (c) Regulations. The regulations may create a diagnosis-related-group system like the one in the cited Social Security Act provision. They may classify inpatient and outpatient treatment, explain how to place treatments in groups, assign weights showing relative resource use, and provide a way to calculate or estimate yearly per-person costs of comprehensive health care for active-duty uniformed-services members and covered beneficiaries.
the actual law source: uscode.house.gov ↗public domain
(a)Establishment of Capitation or DRG Method.—

The Secretary of Defense, after consultation with the other administering Secretaries, shall establish by regulation the use of capitation or diagnosis-related groups as the primary criteria for allocation of resources to facilities of the uniformed services.

(b)Exception for Mobilization Missions.—

Capitation or diagnosis-related groups shall not be used to allocate resources to the facilities of the uniformed services to the extent that such resources are required by such facilities for mobilization missions.

(c)Content of Regulations.—

Such regulations may establish a system of diagnosis-related groups similar to the system established under section 1886(d)(4) of the Social Security Act (42 U.S.C. 1395ww(d)(4)). Such regulations may include the following:

(1)

A classification of inpatient treatments by diagnosis-related groups and a similar classification of outpatient treatment.

(2)

A methodology for classifying specific treatments within such groups.

(3)

An appropriate weighting factor for each such diagnosis-related group which reflects the relative resources used by a facility of a uniformed service with respect to treatments classified within that group compared to treatments classified within other groups.

(4)

An appropriate method for calculating or estimating the annual per capita costs of providing comprehensive health care services to members of the uniformed services on active duty and covered beneficiaries.

Source credit: (Added Pub. L. 99–661, div. A, title VII, § 701(a)(1), Nov. 14, 1986, 100 Stat. 3897; amended Pub. L. 100–456, div. A, title XII, § 1233(e)(1), Sept. 29, 1988, 102 Stat. 2057; Pub. L. 103–160, div. A, title VII, § 714(a), (b)(1), Nov. 30, 1993, 107 Stat. 1690.)

history & why it existsrecord from the source credit
  • 1986Enacted · Pub. L. 99-661 · 100 Stat. 3897
  • 1988Amended · Pub. L. 100-456 · 102 Stat. 2057
  • 1993Amended · Pub. L. 103-160 · 107 Stat. 1690

A history note hasn’t been published yet. The record shows enactment by Pub. L. 99-661 on 1986-11-14.

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