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United States · Bill · S

S. 4891 (118th)

Stop Copay Overpay Act

referredUnited States· United States Congress· EN

Introduced

31 July 2024

Last action

Status

Read twice and referred to the Committee on Armed Services.

Sponsors

Subjects

Discovery layer

Source updated

6 December 2025

Summary

Stop Copay Overpay Act This bill prohibits the Department of Defense (DOD) from charging a covered individual (i.e., individuals enrolled under the TRICARE program) a co-payment exceeding a certain rate for an outpatient visit for mental health or behavioral health under the TRICARE program, regardless of whether the visit is furnished by a specialty care provider. Specifically, the co-payment amount may not exceed the amount of a co-payment that would be charged under the TRICARE program for an outpatient visit for primary care services. During the one-year period beginning after this bill is enacted, DOD may not increase the co-payment amount charged to a covered individual above the amount that would have been charged in FY2021 for any service (1) furnished by a specialty care provider under the TRICARE program, and (2) that is not an outpatient visit for mental or behavioral health care. 

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Documents

3 official files

Introduced in Senate (text)

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Sources

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