{
  "id": "RS22402",
  "type": "CRS Report",
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  "source": "EveryCRSReport.com, University of North Texas Libraries Government Documents Department",
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      "id": 348731,
      "date": "2009-05-14",
      "retrieved": "2016-04-07T02:30:31.414862",
      "title": "Increases in Tricare Costs: Background and Options for Congress",
      "summary": "The Obama Administration\u2019s Fiscal Year 2010 budget submission does not include any proposals to increase fees or copayments for Tricare beneficiaries. Previously, the FY2007, FY2008, and FY2009 budget submissions had proposed increases in Tricare enrollment fees, deductibles, and pharmacy co-payments for retired beneficiaries not yet eligible for Medicare. These actions were justified by DOD as necessary to constrain the growth of health care spending as an increasing proportion of the overall defense budget in the next decade. Congress passed legislation each year to prohibit the proposed fee increases. Defense health care spending remains a significant issue for the DOD. A DOD report published in January, 2009, stated that DOD \u201cwill continue to ask for congressional authority to change fees and copays in an effort to maintain both a generous health care benefit and a fair and reasonable cost-sharing arrangement between beneficiaries and DoD.\u201d However, DOD\u2019s strategy for FY2010 seems to highlight the cancellation or delay of weapons systems and other large cuts in military spending. These cuts, it may be argued, can be attributed to the growing percentage of the DOD budget devoted to medical care, an estimated 8.7%in FY2009. This cost growth, may in turn, be attributed in part to Tricare fee levels, which have not changed since the Tricare system was implemented in 1995.",
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    {
      "source": "University of North Texas Libraries Government Documents Department",
      "sourceLink": "https://digital.library.unt.edu/ark:/67531/metacrs10667/",
      "id": "RS22402_2008Oct23",
      "date": "2008-10-23",
      "retrieved": "2008-12-11T20:31:55",
      "title": "Increases in Tricare Costs: Background and Options for Congress",
      "summary": "In its FY2007, FY2008, and FY2009 budget submissions, the Department of Defense (DOD) proposed increases in Tricare enrollment fees, deductibles, and pharmacy co-payments for retired beneficiaries not yet eligible for Medicare. In passing the FY2009 National Defense Authorization Act, Congress included measures establishing demonstration projects intended to find ways to contain costs through increased use of preventive care services by TRICARE\r\nbeneficiaries. The scope of these measures are limited. Defense health care spending will likely remain an issue for the DOD in the next Administration, and Congress can anticipate being asked to consider new proposals to constrain costs.",
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          "id": "Aged",
          "name": "Aged"
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        {
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          "id": "Health policy",
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      "source": "University of North Texas Libraries Government Documents Department",
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      "id": "RS22402_2008Aug15",
      "date": "2008-08-15",
      "retrieved": "2008-12-11T20:31:54",
      "title": "Increases in Tricare Costs: Background and Options for Congress",
      "summary": "In its FY2007, FY2008, and FY2009 budget submissions, the Department of Defense (DOD) proposed increases in Tricare enrollment fees, deductibles, and pharmacy co-payments for retired beneficiaries not yet eligible for Medicare. In passing the FY2009 National Defense Authorization Act, Congress included measures establishing demonstration projects intended to find ways to contain costs through increased use of preventive care services by TRICARE\r\nbeneficiaries. The scope of these measures are limited. Defense health care spending will likely remain an issue for the DOD in the next Administration, and Congress can anticipate being asked to consider new proposals to constrain costs.",
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          "id": "Aged",
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          "source": "LIV",
          "id": "Health policy",
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          "id": "Defense economics",
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      "sourceLink": "https://digital.library.unt.edu/ark:/67531/metacrs10665/",
      "id": "RS22402_2008Jul25",
      "date": "2008-07-25",
      "retrieved": "2008-12-11T20:31:54",
      "title": "Increases in Tricare Costs: Background and Options for Congress",
      "summary": "In its FY2007, FY2008, and FY2009 budget submissions, the Department of Defense (DOD) proposed increases in Tricare enrollment fees, deductibles, and pharmacy co-payments for retired beneficiaries not yet eligible for Medicare. In passing the FY2009 National Defense Authorization Act, Congress included measures establishing demonstration projects intended to find ways to contain costs through increased use of preventive care services by TRICARE\r\nbeneficiaries. The scope of these measures are limited. Defense health care spending will likely remain an issue for the DOD in the next Administration, and Congress can anticipate being asked to consider new proposals to constrain costs.",
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      "id": "RS22402_2008May06",
      "date": "2008-05-06",
      "retrieved": "2008-12-11T20:31:54",
      "title": "Increases in Tricare Costs: Background and Options for Congress",
      "summary": "In its FY2007 budget submission, the Department of Defense (DOD) proposed increases in Tricare enrollment fees, deductibles, and pharmacy co-payments for retired beneficiaries not yet eligible for Medicare. The raises were justified by DOD as necessary to constrain the growth of health care spending as a proportion of the overall defense budget in the next decade. Many beneficiaries argued that the proposed hikes were unfair and unnecessary. The FY2007 Defense Authorization Act prohibited increases in premiums, deductibles, and co-payments prior to September 30, 2007. The FY2008 National Defense Authoriztion Act extended the prohibition of increases in co-payments and enrollment fees until October 2008 and Congress may move to extend them further.",
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      "id": "RS22402_2007Apr06",
      "date": "2007-04-06",
      "retrieved": "2016-03-19T13:57:26",
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}