[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3148 Introduced in House (IH)]

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119th CONGRESS
  1st Session
                                H. R. 3148

  To direct the Secretary of Defense to carry out a pilot program to 
    assist certain members of the Armed Forces and dependents with 
          additional supplemental coverage relating to cancer.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                              May 1, 2025

 Mr. Jack (for himself, Mr. Austin Scott of Georgia, Mr. Figures, Mr. 
Carter of Georgia, Mr. Bresnahan, Mr. McCormick, Mr. Moore of Alabama, 
 Ms. Sewell, Mr. Collins, Mr. Gill of Texas, Mr. Bishop, Mr. Moore of 
  West Virginia, Mr. Fine, Mrs. Wagner, Mrs. Houchin, Mr. Strong, Mr. 
Goldman of Texas, Mr. McGuire, Mr. Aderholt, and Mr. Bacon) introduced 
   the following bill; which was referred to the Committee on Armed 
                                Services

_______________________________________________________________________

                                 A BILL


 
  To direct the Secretary of Defense to carry out a pilot program to 
    assist certain members of the Armed Forces and dependents with 
          additional supplemental coverage relating to cancer.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Supporting America's Leaders 
Undergoing Tough Expenses Act'' or the ``SALUTE Act''.

SEC. 2. PILOT PROGRAM TO ASSIST CERTAIN MEMBERS OF THE ARMED FORCES AND 
              DEPENDENTS WITH ADDITIONAL SUPPLEMENTAL COVERAGE RELATING 
              TO CANCER.

    (a) Establishment.--Not later than September 30, 2026, the 
Secretary of Defense shall establish a pilot program under which a 
covered individual may obtain supplemental insurance for noncovered 
expenses under a fixed indemnity supplemental benefit plan described in 
subsection (b)(1).
    (b) Agreement.--
            (1) In general.--In carrying out the pilot program under 
        subsection (a), the Secretary shall enter into an agreement 
        with not more than two companies to each offer one or more 
        fixed indemnity supplemental benefit plans that--
                    (A) meet the requirements for a supplemental 
                insurance plan under section 199.2 of title 32, Code of 
                Federal Regulations, and the exception in section 
                199.8(b)(4) of such title, as in effect on the date of 
                the enactment of this Act;
                    (B) are provided under a separate policy, 
                certificate, or contract;
                    (C) provide no coordination with any other health 
                benefit plan; and
                    (D) are designed to help participants pay 
                noncovered expenses.
            (2) Duration.--An agreement entered into under paragraph 
        (1) shall be for a period of at least three years.
            (3) Requirements.--In entering an agreement under paragraph 
        (1) with a company, the Secretary--
                    (A) may not select the company unless the company 
                is licensed in each State;
                    (B) shall award the contract based on the expertise 
                of the company;
                    (C) shall negotiate the terms and conditions of the 
                fixed indemnity supplemental benefit plan provided 
                under the contract, including with respect to the 
                ability of the company to communicate with individuals 
                not enrolled in the plan and whether such communication 
                may include information on other insurance products;
                    (D) shall negotiate the cost of coverage with the 
                company that will cover the participants who elect to 
                enroll in such plan;
                    (E) shall provide a method for verification of the 
                eligibility of applicants and procedures for 
                determination of eligibility; and
                    (F) shall provide a method for payroll deduction of 
                premiums.
            (4) Provision of information.--The Secretary shall provide 
        information to covered individuals regarding the pilot program 
        under subsection (a) by making available on the online portal 
        of the TRICARE program the following information:
                    (A) A notice of availability of a fixed indemnity 
                supplemental benefit plan provided under the pilot 
                program.
                    (B) A description of how to enroll in such plan.
                    (C) A description and explanation of the benefits 
                provided under such plan.
                    (D) A description of the costs to the individual 
                through premiums and remittances to a company providing 
                such plan.
    (c) Election To Enroll.--A covered individual may elect to enroll 
in a fixed indemnity supplemental benefit plan provided under the pilot 
program under subsection (a).
    (d) Limitations on Authorization of Appropriations.--None of the 
amounts authorized to be appropriated by this Act to carry out the 
pilot program may be used to subsidize the cost of a fixed indemnity 
supplemental benefit plan provided under the pilot program under 
subsection (a).
    (e) Treatment of Companies.--For purposes of the pilot program 
under subsection (a), companies selected to carry out the activities in 
subsection (b) shall not be considered contractors of the Federal 
Government.
    (f) Preemption.--The provisions of this section shall supersede the 
laws of any State except with respect to State laws relating to 
licensing of an insurance company or plan solvency of such a company.
    (g) Report.--Not later than three years after the date on which the 
pilot program under subsection (a) commences, the Secretary shall 
submit to the Committees on Armed Services of the Senate and the House 
of Representatives a report regarding such pilot program, including the 
following:
            (1) A description of the insurance products provided 
        through a fixed indemnity supplemental benefit plan provided 
        under the pilot program under subsection (a).
            (2) The number of covered individuals who enrolled in such 
        a plan.
            (3) Feedback and examples of use cases by such individuals.
            (4) A determination by the Secretary with respect to 
        whether such pilot program should be made permanent.
    (h) Sunset.--Unless the Secretary makes a determination under 
subsection (g)(4) to make the pilot program under subsection (a) 
permanent, the pilot program under subsection (a) shall terminate on 
the day that is five years after the date of the enactment of this Act.
    (i) Definitions.--In this section:
            (1) The term ``covered individual'' means the following:
                    (A) A member of the Army, Navy, Marine Corps, Air 
                Force, or Space Force.
                    (B) A dependent (as defined in section 1072 of 
                title 10, United States Code) of such a member who is 
                enrolled in the TRICARE program.
            (2) The term ``noncovered expense'' means, with respect to 
        a covered individual, any expenses relating to the screening 
        for and diagnosis and treatment of cancer that are not 
        otherwise covered by the health care benefits the individuals 
        receives under chapter 55 of title 10, United States Code.
            (3) The term ``State'' has the meaning given such term in 
        section 901 of title 32, United States Code.
            (4) The term ``TRICARE program'' has the meaning given that 
        term in section 1072 of title 10, United States Code.
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