# 119-hr-1699: TOTAL Care Act

119-hr-1699, TOTAL Care Act, is a 119th Congress bill sponsored by Rep. Horsford, Steven [D-NV-4] (D-NV); status introduced; PRIA reads it as touching household money (as of 2026-04-21).

- Canonical: https://policyrisk.com/legislation/119-hr-1699
- As of: 2026-04-21
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-1699
- Congress: 119
- Title: TOTAL Care Act
- Status: introduced
- Introduced: 2025-02-27
- Sponsor: Rep. Horsford, Steven [D-NV-4] (D-NV)
- Cosponsors: 16
- Policy area: Armed Forces and National Security
- Touches household money: yes
- Last recorded action: 2026-04-21

## Summary

**Creates a five-year pilot letting female TRICARE Prime beneficiaries access obstetrical and gynecological care without the usual referral requirement and lets OB/GYNs be designated as additional primary care managers.** The pilot would begin within 180 days of enactment and requires a Department of Defense report to congressional defense committees on enrollment and cost changes.

## Cosponsors (16)

- Rep. Houlahan, Chrissy [D-PA-6] (D-PA), 2025-02-27T00:00:00.000Z
- Rep. Salazar, Maria Elvira [R-FL-27] (R-FL), 2025-02-27T00:00:00.000Z
- Rep. Strickland, Marilyn [D-WA-10] (D-WA), 2025-02-27T00:00:00.000Z
- Rep. Jacobs, Sara [D-CA-51] (D-CA), 2025-02-27T00:00:00.000Z
- Rep. Tokuda, Jill N. [D-HI-2] (D-HI), 2025-02-27T00:00:00.000Z
- Rep. Turner, Michael R. [R-OH-10] (R-OH), 2025-02-27T00:00:00.000Z
- Rep. Johnson, Henry C. "Hank" [D-GA-4] (D-GA), 2025-02-27T00:00:00.000Z
- Rep. Goodlander, Maggie [D-NH-2] (D-NH), 2025-02-27T00:00:00.000Z
- Rep. McBride, Sarah [D-DE-At Large] (D-DE), 2025-02-27T00:00:00.000Z
- Rep. Fitzpatrick, Brian K. [R-PA-1] (R-PA), 2025-03-25T00:00:00.000Z
- Rep. Bacon, Don [R-NE-2] (R-NE), 2025-06-03T00:00:00.000Z
- Rep. Kim, Young [R-CA-40] (R-CA), 2025-06-03T00:00:00.000Z
- Rep. Lawler, Michael [R-NY-17] (R-NY), 2025-06-09T00:00:00.000Z
- Rep. Johnson, Julie [D-TX-32] (D-TX), 2025-07-02T00:00:00.000Z
- Rep. Gottheimer, Josh [D-NJ-5] (D-NJ), 2025-07-14T00:00:00.000Z
- Rep. Haridopolos, Mike [R-FL-8] (R-FL), 2025-09-08T00:00:00.000Z

## Provisions PRIA read

- Easier OB/GYN access for TRICARE Prime women: benefit, medium. If enacted, the Defense Department would run a 5-year pilot for female TRICARE Prime beneficiaries. Starting no later than 180 days after enactment, those who opt in could see an OB/GYN without a referral. You could also name your OB/GYN as an additional primary care manager. Related OB/GYN tests,…

## Related bills

- 119-hr-9877: Health Equity and Accountability Act of 2026
- 119-hr-2102: Major Richard Star Act
- 119-hr-979: AM Radio for Every Vehicle Act of 2025
- 119-hr-909: Crime Victims Fund Stabilization Act of 2025
- 119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act
- 119-hr-1661: SAFE Act of 2025

## Sources
- [119-hr-1699 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/1699)

## Related
- [119-hr-9877: Health Equity and Accountability Act of 2026](https://policyrisk.com/legislation/119-hr-9877)
- [119-hr-2102: Major Richard Star Act](https://policyrisk.com/legislation/119-hr-2102)
- [119-hr-979: AM Radio for Every Vehicle Act of 2025](https://policyrisk.com/legislation/119-hr-979)
- [119-hr-909: Crime Victims Fund Stabilization Act of 2025](https://policyrisk.com/legislation/119-hr-909)
- [119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage A…](https://policyrisk.com/legislation/119-hr-842)
- [119-hr-1661: SAFE Act of 2025](https://policyrisk.com/legislation/119-hr-1661)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-1699 (as of 2026-04-21).