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1 1 (February 24, 2025)

handle is hein.crs/govesok0001 and id is 1 raw text is: S Congressional ____ - ' Research Service DOD Policy Changes: Reproductive Health Benefits February 24, 2025 The Department of Defense (DOD) offers certain reproductive health services through the Military Health System and its TRICARE program to approximately 9.5 million beneficiaries comprised of servicemembers, military retirees, and their dependent family members. During the 118th Congress, Congress considered and enacted legislation relating to TRICARE coverage policies for reproductive health services and benefits to access non-covered reproductive health services. The 119th Congress may consider prior actions taken by the Biden and Trump Administrations regarding certain non-covered reproductive health benefits. Background By law (10 U.S.C. § 1079(a)(12)), TRICARE may cover medical care-including reproductive health services-deemed by the Secretary of Defense (SECDEF) as medically or psychologically necessary. TRICARE currently covers * reproductive health screening and preventive services, * contraception services, and * certain infertility services. TRICARE may not cover certain medical care prohibited in statute or regulation. For example, 10 U.S.C. §1093 prohibits DOD from using funds or facilities to perform an abortion unless the pregnancy resulted from rape or incest, or the life of the mother would be endangered if the fetus were carried to term. Federal regulations (32 C.F.R. §199.4(g)(34)) also prohibit DOD from paying for certain types of infertility services, except for seriously ill or injured active duty servicemembers and their spouses. Active duty servicemembers may be authorized non-chargeable leave and travel and transportation benefits to defray the costs of accessing covered health care services that is not available in the local geographic area. TRICARE Prime-enrolled beneficiaries may also be authorized similar benefits through the Prime Travel Benefit. In situations where non-chargeable leave is not authorized, servicemembers may use chargeable leave. Beneficiaries are liable for medical and travel expenses associated with accessing non-covered health Congressional Research Service https://crsreports.congress.gov IN12512 CRS INSIGHT Prepared for Members and Committees of Congress

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