§1101 — Title 10 Armed Forces | U.S. Code

Summary

The Secretary of Defense must, after consulting the other administering Secretaries, make rules that use capitation or diagnosis‑related groups as the main way to assign money and resources to military medical facilities. Those methods cannot be used for resources needed for mobilization missions. The rules may set up a diagnosis‑related group system like section 1886(d)(4) of the Social Security Act (42 U.S.C. 1395ww(d)(4)) and may cover inpatient and outpatient groupings, how to classify treatments, weights showing relative resource use, and a way to estimate annual per‑person costs for active‑duty members and covered beneficiaries.

Title 10, §1101

Armed Forces — Source: USLM XML via OLRC

(a)The Secretary of Defense, after consultation with the other administering Secretaries, shall establish by regulation the use of capitation or diagnosis-related groups as the primary criteria for allocation of resources to facilities of the uniformed services.

(b)Capitation or diagnosis-related groups shall not be used to allocate resources to the facilities of the uniformed services to the extent that such resources are required by such facilities for mobilization missions.

(c)Such regulations may establish a system of diagnosis-related groups similar to the system established under section 1886(d)(4) of the Social Security Act (42 U.S.C. 1395ww(d)(4)). Such regulations may include the following:

(1)A classification of inpatient treatments by diagnosis-related groups and a similar classification of outpatient treatment.

(2)A methodology for classifying specific treatments within such groups.

(3)An appropriate weighting factor for each such diagnosis-related group which reflects the relative resources used by a facility of a uniformed service with respect to treatments classified within that group compared to treatments classified within other groups.

(4)An appropriate method for calculating or estimating the annual per capita costs of providing comprehensive health care services to members of the uniformed services on active duty and covered beneficiaries.

Notes & Related Subsidiaries

Editorial Notes

Amendments

1993—Pub. L. 103–160, § 714(b)(1), substituted “Resource allocation methods: capitation or diagnosis-related groups” for “Diagnosis-related groups” as section catchline. Subsec. (a). Pub. L. 103–160, § 714(a)(1), substituted “Capitation or DRG Method” for “DRGs” in heading and inserted “capitation or” before “diagnosis-related groups” in text. Subsec. (b). Pub. L. 103–160, § 714(a)(2), substituted “Capitation or diagnosis-related groups” for “Diagnosis-related groups”. Subsec. (c). Pub. L. 103–160, § 714(a)(3), substituted “may” for “shall” in two places in introductory provisions and added par. (4). 1988—Subsec. (c). Pub. L. 100–456 struck out “(1)” before “Such

Regulations

” in introductory provisions.

Statutory Notes and Related Subsidiaries

Regulations

Pub. L. 101–189, div. A, title VII, § 724, Nov. 29, 1989, 103 Stat. 1478, as amended by Pub. L. 102–190, div. A, title VII, § 719, Dec. 5, 1991, 105 Stat. 1404, provided that: “The

Regulations

required by section 1101(a) of title 10, United States Code, to establish the use of diagnosis-related groups as the primary criteria for the allocation of resources to health care facilities of the uniformed services shall be prescribed to take effect not later than October 1, 1993, in the case of outpatient treatments.” Pub. L. 99–661, div. A, title VII, § 701(d)(4), Nov. 14, 1986, 100 Stat. 3898, as amended by Pub. L. 100–180, div. A, title VII, § 724, Dec. 4, 1987, 101 Stat. 1116, provided that: “The Secretary of Defense shall prescribe

Regulations

as required by section 1101(a) of such title (as added by subsection (a)(1)) to take effect— “(A) in the case of inpatient treatments, not later than

October 1, 1988; and “(B) in the case of outpatient treatments, not later than

October 1, 1989.”

§1101 Resource Allocation Methods: Capitation or Diagnosis-related Groups

Summary

Title 10, §1101

Notes & Related Subsidiaries

Editorial Notes

Amendments

Regulations

Statutory Notes and Related Subsidiaries

Regulations

Regulations

Regulations

Citations & Metadata