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B-133142 1 (1972-01-13)

handle is hein.gao/gaobaagqi0001 and id is 1 raw text is: COMPTROLLER GENERAL OF THE NIT ATEs 0 ~WASHINGTON. D.C. 200 AN 1 3 1972! Dear Senator Proxmire: LM096705 This is in response to your request of October 5, 1971, A that we look into the inquiry you received from James M. Wambach, D.D.S. Dr. Wambach believes that the Civilian Healthand Medical Program of the Uniformed Services (CHA1VPUS) is being used to provide dental care in excess of the intent of Congress and that information is being widely distributed to boost the program. He further questions the adequacy of safeguards over costs and the quality controls over, and lack of limitations on, dental care furnished under CHAMPUS. The following information which is pertinent to the ques- tions raised by Dr. Wambach is furnished. THE PROGRAM The Dependents' Medical Care Act authorized dependent spouses and children of active duty members of the uniformed services to receive medical care benefits from civilian phy- sicians and hospitals. These benefits included services fur- nished on an inpatient basis only. The purpose of the act was to create and maintain high morale throughout the uniformed services by providing an improved and uniform program of med- ical care for members and their dependents. The Dependents' Medical Care Program (now CHAMPUS) became effective on Decem- ber 7, 1956. CHAMPUS is administered by the Department of the Army from offices at Fitzsimons General Hospital, Denver, Colorado. The Military Medical Benefits Amendments of 1966 (10 U.S.C. 1071) expanded CHAMPUS to provide additional medical care ben- efits. They also extended coverage from civilian sources to retired members and their dependents and to the dependents of deceased members. The amendments added outpatient care; drugs; and, for active duty personnel, a special program for care of eligible dependents who are moderately or severely mentally re- tarded or seriously physically handicapped. Specifically ex- cluded were certain routine examinations and care and dental care, except for handicapping conditions and care furnished as a necessary part of medical or surgical treatment. J ~Q~~2~' 9(2O

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