TOTAL Care Act

The TOTAL Care Act proposes a five-year pilot program designed to streamline how female service members and their families access reproductive healthcare. Currently, individuals enrolled in TRICARE Prime generally must obtain a referral from their primary care manager before seeing a specialist. This bill would remove that requirement for obstetrical and gynecological care, allowing beneficiaries to seek these services directly from authorized providers.

Under the proposed legislation, participating women would also have the option to designate an OBGYN provider as an additional primary care manager. This change aims to reduce administrative delays and improve the speed at which beneficiaries receive specialized care. Because this is a pilot program, the Department of Defense would evaluate the impact of these changes over a five-year period to determine if the referral-free model should be expanded or made permanent.