TOTAL Care Act

HR 1699, the TOTAL Care Act, removes referral requirements for obstetrical and gynecological (OB/GYN) care under the TRICARE Prime health plan. It allows female TRICARE Prime beneficiaries to directly choose an OB/GYN provider as their primary care manager, eliminating the need for a prior referral from another provider. The bill establishes a 5-year pilot program to test this change, requiring the Secretary of Defense to report on enrollment shifts, cost impacts, and other outcomes after four years. This directly affects female military family members enrolled in TRICARE Prime who opt into the pilot.