BILL ANALYSIS                                                                                                                                                                                                    



                                                                       



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          |SENATE RULES COMMITTEE            |                   SJR 10|
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                                 THIRD READING


          Bill No:  SJR 10
          Author:   Senate Veterans Affairs Committee
          Amended:  As introduced
          Vote:     21

           
           WITHOUT REFERENCE TO COMMITTEE OR FILE 
           

           SUBJECT  :    Military:  health care

           SOURCE  :     Author


           DIGEST  :    This resolution requests that the President and  
          the Congress of the United States pass H.R. 816 which will  
          prohibit certain increases in fees for military health  
          care.

           ANALYSIS  :    

          This resolution makes the following legislative findings:

          1.Career uniformed service members and their families  
            endure unique and extraordinary demands and sacrifices  
            during the course of a decades-long career protecting  
            freedoms for all Americans.

          2.The primary offset for enduring the extraordinary  
            sacrifices inherent in a military career is a system of  
            extraordinary retirement benefits, including health care  
            coverage considerably better than the afforded civilian  
            workers, that a grateful nation provides for those who  
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            choose to subordinate much of their personal life to the  
            national interest for so many years.

          3.While the Department of Defense has made some efforts to  
            constrain TRICARE programs costs, a large part of the  
            department's efforts has been aimed at shifting a larger  
            share of cost burdens to retired service members.

          4.The beneficiary cost increases proposed by the Department  
            of Defense fail to recognize adequately that career  
            service members paid enormous in-kind premiums through  
            their extended service and sacrifice.

          5.A significant share of the nation's health care providers  
            refuse to accept new TRICARE patients because TRICARE  
            pays them significantly less than commercial insurance  
            programs and imposes unique administrative requirements.

          6.The significant majority of the savings that the  
            Department of Defense associated with the proposed fee  
            increases is expected to result from deterring a large  
            portion of TRICARE beneficiaries from using their earned  
            military health benefits.

          7.The Department of Defense has chosen to count the accrual  
            deposit to the Department of Defense Medicare-Eligible  
            Retiree Health Care Fund against the budget of the  
            Department of Defense, contrary to the amendments made by  
            Section 725 of Public Law 108-375.

          8.Leaders of the Department of Defense have reported to  
            Congress that counting these deposits against the budget  
            of the Department of Defense is impinging on other  
            readiness needs, including weapons programs, an  
            inappropriate situation that Section 725 of Public Law  
            108-375 was expressly intended to prevent.

          9.The Department of Defense has many additional options to  
            constrain the growth of health care spending in ways that  
            do not disadvantage beneficiaries and should pursue any  
            and all such options rather than seeking large fee  
            increases for beneficiaries.

          This resolution requests the President and the Congress of  







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          the United States to pass H.R. 816 that prohibits certain  
          increases in fees for military health care.

           FISCAL EFFECT  :    Fiscal Com.:  No

          TSM:cm  6/22/09   Senate Floor Analyses 

                       SUPPORT/OPPOSITION:  NONE RECEIVED

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