TOTAL Care Act

HR 10307, the TOTAL Care Act, creates a 5-year pilot program to improve access to obstetrical and gynecological (OB/GYN) care for female TRICARE Prime beneficiaries. The bill removes the standard referral requirement for OB/GYN care under TRICARE Prime, allowing beneficiaries to directly access these specialists without a referral. It also permits eligible female beneficiaries to designate an OB/GYN provider as their primary care manager within the TRICARE program. The pilot aims to assess impacts on enrollment, costs, and care access, with a report due to Congress after four years.