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H.R.414 / 105th Congress

Uniformed Services Medicare Subvention Program Act

Executive Comment Requested from DOD.

Official summary

Version 00 · Introduced in House · Jan 9, 1997

Uniformed Services Medicare Subvention Program Act - Directs the Secretaries of Defense and of Health and Human Services (HHS) to jointly establish a subvention program to provide the Department of Defense (DOD) with reimbursement from the Medicare program under title XVIII of the Social Security Act for health services provided to Medicare-eligible covered military beneficiaries who agree to receive such services through the managed care option of the TRICARE program (a DOD-managed health care program). Makes program enrollment voluntary. Requires the Secretary of Defense to waive the TRICARE enrollment fee for program participants for whom Medicare reimbursement may be made. Directs the HHS Secretary to make monthly payments to DOD from the Federal Hospital Insurance Trust Fund and the Federal Supplementary Medical Insurance Trust Fund representing appropriate reimbursement amounts. Provides for the determination of such amounts. Directs the Secretary of Defense to: (1) maintain DOD health care efforts for Medicare-eligible covered military beneficiaries; (2) estimate, for the first fiscal year of the subvention program, the amount expended by DOD for FY 1997 for providing health care items and services to such beneficiaries; and (3) establish monthly targets of the number of such beneficiaries for whom reimbursement will not be provided to DOD. Requires the Comptroller General, for each program year, to report to the Secretaries and the Congress on the extent to which costs under the TRICARE program and the Medicare program have increased as a result of the subvention program. Requires the Secretaries to take necessary steps to offset any excess costs and prevent future excess costs, including: (1) suspension or termination of the subvention program; (2) adjustment of the payment rate; or (3) adjustment of DOD maintenance of effort requirements.

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Who introduced it

Rep. Hefley, Joel [R-CO-5] · R–CO

Committees

  • Armed Services Committee
  • Energy and Commerce Committee
  • Ways and Means Committee
198 cosponsorship records, including any withdrawals

Actions

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  1. Executive Comment Requested from DOD.

  2. Referred to the Subcommittee on Military Personnel.

  3. Referred to the Subcommittee on Health and Environment, for a period to be subsequently determined by the Chairman.

  4. Referred to House National Security

  5. Referred to House Commerce

  6. Referred to the Committee on Ways and Means, and in addition to the Committees on Commerce, and National Security, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

  7. Referred to House Ways and Means

  8. Introduced in House

  9. Introduced in House

Bill text & related measures

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Related bills identified by Congress.gov

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Source last updated: Jun 3, 2026. Consult Congress.gov for the current record.

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Objective

Analyze H.R.414 as objectively as possible. Explain its main provisions, who would be affected, possible benefits and harms, implementation, exceptions, and uncertainties. Present the strongest arguments for and against it, and identify evidence needed to assess its public impact.

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Fairness and public impact

Progressive lens

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Institutions and government scope

Conservative lens

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Individual rights and government power

Liberty lens

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