{ "id": "R41198", "type": "CRS Report", "typeId": "REPORTS", "number": "R41198", "active": false, "source": "EveryCRSReport.com, University of North Texas Libraries Government Documents Department", "versions": [ { "source": "EveryCRSReport.com", "id": 428133, "date": "2014-02-11", "retrieved": "2016-04-06T23:07:39.563597", "title": "TRICARE and VA Health Care: Impact of the Patient Protection and Affordable Care Act (ACA)", "summary": "The 111th Congress passed, and the President signed into law, the Patient Protection and Affordable Care Act (P.L. 111-148; ACA), which was later amended by the Health Care and Education Reconciliation Act of 2010 (P.L. 111-152; HCERA), and is hereinafter referred to as ACA. In general, ACA did not make any significant changes to the Department of Defense (DOD) TRICARE program or to the Department of Veterans Affairs (VA) health care system. However, many have sought clarification as to whether certain provisions in ACA, such as a mandate for most individuals to have health insurance, or extending dependent coverage up to age 26, would apply to TRICARE and VA health care beneficiaries.\nTo address some of these concerns, Congress has introduced and/or enacted legislation. The TRICARE Affirmation Act (P.L. 111-159), signed into law on April 26, 2010, affirms that TRICARE satisfies the minimum essential coverage requirement in ACA. Similarly, P.L. 111-173, signed into law on May 27, 2010, clarifies that the Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA), Spina Bifida Health Care Program, and the Children of Women Vietnam Veterans Health Care Program meet the \u201cminimum essential coverage\u201d requirement under ACA. TRICARE coverage of children was extended to age 26 by the Ike Skelton National Defense Authorization Act for Fiscal Year 2011 (P.L. 111-383).\nACA requires that if a health insurance plan provides for dependent coverage of children, the plan must continue to make such coverage available for an adult child until age 26. This requirement relating to coverage of adult children took effect for the plan years beginning on or after September 23, 2010. Under ACA, both married and unmarried children qualify for this coverage. The authorizing statute for CHAMPVA currently does not conform to this ACA requirement. Furthermore, although the TRICARE authorizing statute has been amended to provide for coverage of children until age 26, the coverage provided by the new legislation differs from that required by ACA in some important ways. To address CHAMPVA\u2019s nonconformance with ACA\u2019s requirements, the CHAMPVA Children\u2019s Protection Act (H.R. 288) and a similar measure (S. 325) have been introduced in the 113th Congress.\nThis report addresses key questions concerning how ACA affects TRICARE and VA health care.", "type": "CRS Report", "typeId": "REPORTS", "active": false, "formats": [ { "format": "HTML", "encoding": "utf-8", "url": "http://www.crs.gov/Reports/R41198", "sha1": "eb3ec5131d04d0b39cdd5de47c1c6f9f8a53fe98", "filename": "files/20140211_R41198_eb3ec5131d04d0b39cdd5de47c1c6f9f8a53fe98.html", "images": null }, { "format": "PDF", "encoding": null, "url": "http://www.crs.gov/Reports/pdf/R41198", "sha1": "452acfda1be9c4ab72d0b9c2d6491b2ff5d8ebca", "filename": "files/20140211_R41198_452acfda1be9c4ab72d0b9c2d6491b2ff5d8ebca.pdf", "images": null } ], "topics": [] }, { "source": "University of North Texas Libraries Government Documents Department", "sourceLink": "https://digital.library.unt.edu/ark:/67531/metadc462049/", "id": "R41198_2013Apr22", "date": "2013-04-22", "retrieved": "2014-12-05T09:57:41", "title": "TRICARE and VA Health Care: Impact of the Patient Protection and Affordable Care Act (ACA)", "summary": "This report addresses key questions concerning how the Patient Protection and Affordable Care Act (ACA) affects the Department of Veterans Affairs (VA) health care system.", "type": "CRS Report", "typeId": "REPORT", "active": false, "formats": [ { "format": "PDF", "filename": "files/20130422_R41198_0dbca027e05850c5be305d7adadc1561e579417f.pdf" }, { "format": "HTML", "filename": "files/20130422_R41198_0dbca027e05850c5be305d7adadc1561e579417f.html" } ], "topics": [ { "source": "LIV", "id": "Veterans' medical care", "name": "Veterans' medical care" }, { "source": "LIV", "id": "Veterans' benefits", "name": "Veterans' benefits" }, { "source": "LIV", "id": "Medical care", "name": "Medical care" }, { "source": "LIV", "id": "Health insurance", "name": "Health insurance" }, { "source": "LIV", "id": "Health policy", "name": "Health policy" } ] }, { "source": "University of North Texas Libraries Government Documents Department", "sourceLink": "https://digital.library.unt.edu/ark:/67531/metadc821548/", "id": "R41198_2012Jan27", "date": "2012-01-27", "retrieved": "2016-03-19T13:57:26", "title": "TRICARE and VA Health Care: Impact of the Patient Protection and Affordable Care Act (ACA)", "summary": "This report addresses key questions concerning the impact of enactment of the Affordable Care Act (ACA) on the TRICARE and VA health care programs. To provide some context to this discussion, the report begins with a brief overview of the two health systems and eligibility for care under each system.", "type": "CRS Report", "typeId": "REPORT", "active": false, "formats": [ { "format": "PDF", "filename": "files/20120127_R41198_348faa8617e50b14449179e91fa7e28da71ccacd.pdf" } ], "topics": [ { "source": "LIV", "id": "Veterans' medical care", "name": "Veterans' medical care" }, { "source": "LIV", "id": "Veterans' benefits", "name": "Veterans' benefits" }, { "source": "LIV", "id": "Medical care", "name": "Medical care" }, { "source": "LIV", "id": "Health insurance", "name": "Health insurance" }, { "source": "LIV", "id": "Health policy", "name": "Health policy" } ] }, { "source": "University of North Texas Libraries Government Documents Department", "sourceLink": "https://digital.library.unt.edu/ark:/67531/metadc103091/", "id": "R41198_2011Jan21", "date": "2011-01-21", "retrieved": "2012-09-19T20:16:14", "title": "TRICARE and VA Health Care: Impact of the Patient Protection and Affordable Care Act (PPACA)", "summary": "This report addresses key questions concerning how the Patient Protection and Affordable Care Act (PPACA) affects TRICARE and VA health care.", "type": "CRS Report", "typeId": "REPORT", "active": false, "formats": [ { "format": "PDF", "filename": "files/20110121_R41198_b50b0faba43945121e37264cce73c8903a89fe28.pdf" }, { "format": "HTML", "filename": "files/20110121_R41198_b50b0faba43945121e37264cce73c8903a89fe28.html" } ], "topics": [ { "source": "LIV", "id": "Health policy", "name": "Health policy" }, { "source": "LIV", "id": "Veterans' medical care", "name": "Veterans' medical care" }, { "source": "LIV", "id": "Medicine", "name": "Medicine" }, { "source": "LIV", "id": "Veterans", "name": "Veterans" } ] }, { "source": "University of North Texas Libraries Government Documents Department", "sourceLink": "https://digital.library.unt.edu/ark:/67531/metadc31357/", "id": "R41198_2010Sep30", "date": "2010-09-30", "retrieved": "2011-03-09T09:26:47", "title": "TRICARE and VA Health Care: Impact of the Patient Protection and Affordable Care Act (PPACA)", "summary": "The 111th Congress passed, and the President signed into law, the Patient Protection and Affordable Care Act, as amended by the Health Care and Education Reconciliation Act of 2010, and hereafter referred to as PPACA. This report addresses key questions concerning how PPACA affects the Department of Defense (DOD) TRICARE program and Department of Veterans Affairs (VA) health care.", "type": "CRS Report", "typeId": "REPORT", "active": false, "formats": [ { "format": "PDF", "filename": "files/20100930_R41198_89cff09b70b08ae43f049631188981ae31b0b5aa.pdf" }, { "format": "HTML", "filename": "files/20100930_R41198_89cff09b70b08ae43f049631188981ae31b0b5aa.html" } ], "topics": [ { "source": "LIV", "id": "Veterans", "name": "Veterans" }, { "source": "LIV", "id": "Medicine", "name": "Medicine" }, { "source": "LIV", "id": "Veterans' medical care", "name": "Veterans' medical care" }, { "source": "LIV", "id": "Health policy", "name": "Health policy" }, { "source": "LIV", "id": "Medical care", "name": "Medical care" }, { "source": "LIV", "id": "Health insurance", "name": "Health insurance" } ] }, { "source": "University of North Texas Libraries Government Documents Department", "sourceLink": "https://digital.library.unt.edu/ark:/67531/metadc501914/", "id": "R41198_2010May27", "date": "2010-05-27", "retrieved": "2015-03-30T22:03:27", "title": "TRICARE and VA Health Care: Impact of the Patient Protection and Affordable Care Act (PPACA)", "summary": "The 111th Congress passed, and the President signed into law, the Patient Protection and Affordable Care Act, as amended by the Health Care and Education Reconciliation Act of 2010, and hereafter referred to as PPACA. This report addresses key questions concerning how PPACA affects the Department of Defense (DOD) TRICARE program and Department of Veterans Affairs (VA) health care.", "type": "CRS Report", "typeId": "REPORT", "active": false, "formats": [ { "format": "PDF", "filename": "files/20100527_R41198_7a2e2f3c7ae29d5980409bfb25d3b01ad9b2dab0.pdf" }, { "format": "HTML", "filename": "files/20100527_R41198_7a2e2f3c7ae29d5980409bfb25d3b01ad9b2dab0.html" } ], "topics": [ { "source": "LIV", "id": "Veterans", "name": "Veterans" }, { "source": "LIV", "id": "Medicine", "name": "Medicine" }, { "source": "LIV", "id": "Veterans' medical care", "name": "Veterans' medical care" }, { "source": "LIV", "id": "Health policy", "name": "Health policy" }, { "source": "LIV", "id": "Medical care", "name": "Medical care" }, { "source": "LIV", "id": "Health insurance", "name": "Health insurance" } ] }, { "source": "University of North Texas Libraries Government Documents Department", "sourceLink": "https://digital.library.unt.edu/ark:/67531/metadc501910/", "id": "R41198_2010Apr28", "date": "2010-04-28", "retrieved": "2015-03-30T22:03:27", "title": "TRICARE and VA Health Care: Impact of the Patient Protection and Affordable Care Act (PPACA)", "summary": "The 111th Congress passed, and the President signed into law, the Patient Protection and Affordable Care Act, as amended by the Health Care and Education Reconciliation Act of 2010, and hereafter referred to as PPACA. This report addresses key questions concerning how PPACA affects the Department of Defense (DOD) TRICARE program and Department of Veterans Affairs (VA) health care.", "type": "CRS Report", "typeId": "REPORT", "active": false, "formats": [ { "format": "PDF", "filename": "files/20100428_R41198_2e599478578d2bbbf12f8462c28b9e27aa2c0089.pdf" }, { "format": "HTML", "filename": "files/20100428_R41198_2e599478578d2bbbf12f8462c28b9e27aa2c0089.html" } ], "topics": [ { "source": "LIV", "id": "Veterans", "name": "Veterans" }, { "source": "LIV", "id": "Medicine", "name": "Medicine" }, { "source": "LIV", "id": "Veterans' medical care", "name": "Veterans' medical care" }, { "source": "LIV", "id": "Health policy", "name": "Health policy" }, { "source": "LIV", "id": "Medical care", "name": "Medical care" }, { "source": "LIV", "id": "Health insurance", "name": "Health insurance" } ] } ], "topics": [ "Health Policy", "National Defense" ] }