Page:United States Statutes at Large Volume 101 Part 2.djvu/132

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PUBLIC LAW 100-000—MMMM. DD, 1987

101 STAT. 1118

Contracts. State and local governments.

Reports.

Reports.

PUBLIC LAW 100-180—DEC. 4, 1987

(c) ADDITIONAL DEMONSTRATION PROJECTS REQUIRED.—(1) The Secretary of Defense also shall conduct the projects described in paragraph (2) for the purpose of demonstrating alternatives to providing health care under the military health care system. The demonstration projects shall be carried out in accordance with this subsection. (2) The demonstration projects are as follows: (A) The Tidewater mental health demonstration project (Solicitation No. MDA906-86-C-0001). (B) The Fort Drum demonstration project. (C) The civilian-run primary care clinics known as PRIMUS and NAVCARE. (D) The New Orleans demonstration project, if a contract is awarded as a result of the solicitation issued in fiscal year 1987 (Solicitation No. MDA903-87-R-0047). (E) A fiscal intermediary demonstration project, to be implemented by amending one or more existing Department of Defense contracts with fiscal intermediaries in a State or region to require the intermediary to demonstrate a managed health care network with cost-containment initiatives, such as utilization '^- review, pre-admission screening, second surgical opinions, contracting for care on a discounted basis, and other methods. (F) Catchment area management demonstration projects described in subsection (a). (G) A demonstration project for non-active duty beneficiaries •^ in the catchment area of the Philadelphia Naval Hospital that demonstrates a managed health care network. (3) Not later than 60 days after the date of the enactment of this Act, the Secretary of Defense shall submit to the Committees on Armed Services of the Senate and the House of Representatives a report that provides an outline and discussion of the manner in which the Secretary intends to structure and conduct each demonstration project required under this subsection. (4) The Secretary of Defense shall develop a methodology to be used in evaluating the results of the demonstration projects required under this subsection. The Secretary shall submit to the Committees on Armed Services of the Senate and House of Representatives a report on such methodology no later than 30 days after the development of the methodology is completed. (5) Each project required under this subsection shall begin during fiscal year 1988 (or shall continue in the case of a project begun before fiscal year 1988). (6) The Secretary of Defense shall evaluate the demonstration projects required under this subsection, using the methodology developed under paragraph (4), as alternatives to methods of providing health care under the military health care system. (d) AUTHORITY.—For purposes of carrying out this section, the Secretary of Defense may delegate the authority given in sections 1079, 1086, 1092, 1097, 1098, and 1099 of title 10, United States Code. (e) REPORTS.—(1) The Secretary of Defense shall submit to the Committees on Armed Services of the Senate and the House of Representatives— (A) an interim report on each demonstration project described in this section after such project has been in effect for at least 12 months; and (B) a final report on each such project when each project is completed. (2) Each report shall include—