97 STAT. 698 PUBLIC LAW 98-94—SEPT. 24, 1983 Demonstration projects. 42 USC 248d. 10 USC 1079. Report to congressional committees. Termination of facility status. Effective date. 10 USC 1071 et seq. PUBLIC HEALTH SERVICE HOSPITALS SEC. 1252. (a) The Secretary of Defense, in consultation with the Secretary of Health and Human Services, shall conduct demonstra- tion projects for the purpose of comparing and evaluating the cost- effectiveness, accessibility, patient acceptance, and the quality of medical care contracted for by the Secretary of Defense under sections 1079 and 1086 of title 10, United States Code, with the medical care provided in those facilities deemed to be facilities of the uniformed services by virtue of section 911 of the Military Construc- tion Authorization Act, 1982 (42 U.S.C. 248c). The Secretary of Defense shall begin conducting such projects within one year after the date of the enactment of this section and continue conducting such projects for not less than three years. (b) The projects carried out by the Secretary of Defense under this subsection shall utilize various alternative mechanisms for the pay- ment of medical services provided eligible persons, including capita- tion, prospective payment, all-inclusive fee-for-service charges, and other concepts and programs consistent with the purpose of this section. (c) If the Secretary of Defense and the Secretary of Health and Human Services determine such action is necessary in order to permit a meaningful evaluation of alternative methods of providing medical care to persons eligible for such care under sections 1079 and 1086 of title 10, United States Code, they may jointly designate additional civilian medical facilities to be facilities of the uniformed services for the purposes of section 1079 of such title. The Secretary may designate a facility under the authority of this subsection for such purposes only if such action is agreed to by the governing body of the facility. (d) The Secretary of Defense, in consultation with the Secretary of Health and Human Services, shall submit annually to the Commit- tees on Appropriations and on Armed Services of the Senate and the House of Representatives a written report on the results of the studies and projects carried out under this section. The first such report shall be submitted not later than one year after the date of the enactment of this section. The last such report shall be submit- ted not later than one year after the completion of all such studies and projects. (e) The Secretary of Defense and the Secretary of Health and Human Services may terminate, for purposes of chapter 55 of title 10, United States Code, the status of any facility referred to in subsection (a) or (c) to furnish medical or dental care to members and former members of the uniformed services or their dependents, and such termination may become effective at any time after De- cember 31, 1987. The termination of such status in the case of any such facility may be effected only by an order jointly issued by the Secretary of Defense and the Secretary of Health and Human Services which identifies the facility whose status is being termi- nated and specifies the date on which such status is being termina- ted. A copy of each such order shall be furnished to the affected facility and the Committees on Appropriations and on Armed Serv- ices of the Senate and the House of Representatives and shall become effective in accordance with the terms of the notice, but not earlier than six months following the date on which a copy of the notice has been furnished to the facility and the committees. Any facility described in subsection (a) or designated under subsection (c)
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