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Version 00 · Introduced in House · Feb 27, 2025
TRICARE OBGYN Treatment and Access without Lags in Care Act or the TOTAL Care Act
This bill requires the Department of Defense (DOD) to implement a five-year pilot program under which female beneficiaries enrolled in TRICARE Prime may receive obstetrical and gynecological care without a referral. (Generally, the TRICARE Prime program requires a beneficiary to obtain a referral for care through a designated primary care manager.)
Under the pilot program, participating female beneficiaries may elect to designate an obstetrical or gynecological care provider under the TRICARE program (i.e., the various programs carried out by DOD, including TRICARE Prime) as an additional designated primary care manager.
People & committees
Rep. Horsford, Steven [D-NV-4] · D–NV
Legislative record
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Referred to the House Committee on Armed Services.
Introduced in House
Introduced in House
Primary sources
Text links open the official source. We also preserved the text version used in the PlainBill explanation below.
No related bills are listed in this snapshot. This does not establish whether the proposal has appeared in earlier Congresses.
Source last updated: Sep 9, 2025. Consult Congress.gov for the current record.
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PlainBill explanation
Based on the full Introduced in House · 2025-02-27 text. This explanation has not received human editorial review. This overview describes the proposal’s major provisions; it does not establish what its real-world effects would be.
The proposed TOTAL Care Act would create a five-year test program allowing female TRICARE Prime beneficiaries who opt in to receive obstetrical and gynecological care—care related to pregnancy and the female reproductive system—without the specified referral requirement. Participants could also choose a provider of that care as an additional primary care manager. The bill would require a report on enrollment and costs.
This Act may be cited as the TRICARE OBGYN Treatment and Access without Lags in Care Act or the TOTAL Care Act.
(1) the referral requirement in section 1095f(a)(1) of title 10, United States Code, does not apply with respect to obstetrical and gynecological care for covered participants, including the ordering of related obstetrical and gynecological items and services; and (2) covered participants may elect to designate an obstetrical or gynecological care provider under the TRICARE program as an additional designated primary care manager under such section.
(b) Duration The Secretary shall carry out the pilot program for a period of five years.
(2) The term covered participant means a female beneficiary enrolled in TRICARE Prime who elects to participate in the pilot program.
(1) An assessment of any increases or decreases to TRICARE Prime enrollment during the period in which the Secretary carries out the pilot program. (2) An assessment of any changes in the associated costs of providing obstetrical and gynecological care under TRICARE Prime.
Participation would be voluntary and limited to female beneficiaries enrolled in TRICARE Prime.
(2) The term covered participant means a female beneficiary enrolled in TRICARE Prime who elects to participate in the pilot program.
For participants, the pilot would waive the referral requirement identified in section 1095f(a)(1) of title 10 for obstetrical and gynecological care. The waiver would also cover ordering related items and services.
(1) the referral requirement in section 1095f(a)(1) of title 10, United States Code, does not apply with respect to obstetrical and gynecological care for covered participants, including the ordering of related obstetrical and gynecological items and services;
Participants could choose an obstetrical or gynecological care provider under TRICARE as an additional designated primary care manager. Making that designation would be optional.
(2) covered participants may elect to designate an obstetrical or gynecological care provider under the TRICARE program as an additional designated primary care manager under such section.
The Secretary of Defense would have to begin the pilot within 180 days after enactment and operate it for five years.
(a) Pilot program Beginning not later than 180 days after the date of the enactment of this Act, the Secretary of Defense shall carry out a pilot program
(b) Duration The Secretary shall carry out the pilot program for a period of five years.
Within four years after enactment, the Secretary would have to report to the congressional defense committees. The report would assess increases or decreases in TRICARE Prime enrollment during the pilot and changes in the costs of providing obstetrical and gynecological care. It would also include other matters the Secretary considers appropriate.
(c) Report Not later than four years after the date of the enactment of this Act, the Secretary shall submit to the congressional defense committees a report on the pilot program that includes the following: (1) An assessment of any increases or decreases to TRICARE Prime enrollment during the period in which the Secretary carries out the pilot program. (2) An assessment of any changes in the associated costs of providing obstetrical and gynecological care under TRICARE Prime. (3) Any other matters the Secretary determines appropriate.
The supplied actions snapshot, updated September 9, 2025, records introduction in the House and referral to the House Committee on Armed Services on February 27, 2025.
Source snapshot updated 2025-09-09T08:05:25Z. 2025-02-27: Referred to the House Committee on Armed Services. 2025-02-27: Introduced in House
A closer look
Reviewed version: Introduced in House · 2025-02-27. These findings describe provisions and who may benefit; they are not judgments of waste, corruption, or motive.
This review covers the supplied bill text. “None identified” does not rule out provisions in later versions or accompanying reports and disclosures.
Provisions outside the bill’s main subject, or policy changes attached to appropriations.
None identified in the reviewed text
No unrelated provision was identified in the complete supplied introduced text. This conclusion is limited to that version and does not establish absence in other versions or accompanying materials.
Spending directed to particular recipients or places outside ordinary competitive or formula-based allocation.
None identified in the reviewed text
No congressionally directed spending for particular recipients or places was identified in the complete supplied introduced text. This conclusion does not establish absence in other versions or accompanying disclosure and committee materials.
Narrow exceptions, exemptions, or preferential treatment that warrant a closer look.
None identified in the reviewed text
No special benefit beyond the pilot's ordinary intended coverage was identified in the complete supplied introduced text. This conclusion is limited to that version and does not establish absence in other versions or accompanying materials.
Full text preserved for this analysis. Legislative record snapshot: Sep 9, 2025. How PlainBill uses AI