10 U.S.C. § 1074d: Certain primary and preventive health care services

Female members and former members of the uniformed services entitled to medical care under section 1074 or 1074a of this title shall also be entitled to primary and preventive health care services for women as part of such medical care. The services described in paragraphs (1) and (2) of subsection (b) shall be provided under such procedures and at such intervals as the Secretary of Defense shall prescribe. Male members and former members of the uniformed services entitled to medical care under section 1074 or 1074a of this title shall also be entitled to preventive health care screening for colon or prostate cancer at such intervals and using such screening methods as the administering Secretaries consider appropriate. Cervical cancer screening. Breast cancer screening, including through the use of digital breast tomosynthesis. Comprehensive obstetrical and gynecological care, including care related to pregnancy and the prevention of pregnancy. Infertility and sexually transmitted diseases, including prevention. Menopause, including hormone replacement therapy and counseling regarding the benefits and risks of hormone replacement therapy. Physical or psychological conditions arising out of acts of sexual violence. Gynecological cancers. Colon cancer screening, at the intervals and using the screening methods prescribed under subsection (a)(2). Not later than one year after the date of the enactment of this Act [ Dec. 23, 2024 ], the Secretary of Defense shall carry out a demonstration program to reimburse covered members for expenses incurred in the retrieval, testing, cryopreservation, shipping, and storage of gametes of such covered members in a private storage facility determined appropriate by the Secretary. $500 in the case of a member who preserves sperm. $10,000 in the case of a member who preserves eggs. The Secretary shall provide to a covered member participating in the demonstration program information regarding providers of services described in subsection (a) located near the covered member. The Secretary shall promote the demonstration program to covered members in the course of annual health examinations and pre-deployment screenings. The Secretary shall encourage the use of military medical treatment facilities that offer services described in subsection (a) to provide services under the demonstration program. publish in the Federal Register the date on which the Secretary will commence carrying out the demonstration program; and carry out the demonstration program for a three-year period beginning on such date. considered a party to any agreement between a covered member who participates in the demonstration program and a private gamete storage facility; or responsible for the management of gametes cryopreserved or stored for which a covered member receives reimbursement under such demonstration program. A covered member who participates in the demonstration program shall complete an advanced medical directive that specifies how gametes preserved under the demonstration program shall be handled upon the death of such covered member. Not later than one year after the date of the enactment of this Act [ Dec. 23, 2024 ], the Secretary shall submit to the Committees on Armed Services of the House of Representatives and the Senate a report containing a plan to implement the demonstration program. Usage by covered members. Demographics of participating covered members. Costs of services to participating covered members. The feasibility of expanding the demonstration program. The feasibility of making the demonstration program permanent. Other information determined appropriate by the Secretary. the design, use, and costs of the demonstration project; and any other observations of the Secretary with respect to the demonstration project, such as the effects of the demonstration project on recruitment and retention. who has received orders (including deployment orders) for duty for which the member may receive hazardous duty pay under section 351 of title 37 , United States Code; whom [sic] the Secretary determines is likely to receive such orders in the next 120 days; who will, under orders, be geographically separated from a spouse, domestic partner, or dating partner for a period of not less than 180 days, including sea duty; or whose application to participate in the demonstration program is approved by the Secretary. The term ‘covered Armed Force’ means the Army, Navy, Marine Corps, Air Force, or Space Force. The term ‘deployment’ has the meaning given such term in section 991(b) of title 10 , United States Code.” The Secretary of Defense shall implement processes and procedures to ensure that a covered beneficiary under the TRICARE program whose pregnancy is complicated with (or suspected of complication with) a fetal condition may elect to receive expedited evaluation, nondirective counseling, and medical treatment from a perinatal or pediatric specialist capable of providing surgical management and intervention in utero. In this section, the terms ‘covered beneficiary’ and ‘TRICARE program’ have the meanings given those terms in section 1072 of title 10 , United States Code.” Not later than one year after the date of the enactment of this Act [ Nov. 25, 2015 ], the Secretary of Defense shall establish clinical practice guidelines for health care providers employed by the Department of Defense on standards of care with respect to methods of contraception and counseling on methods of contraception for members of the Armed Forces. The Secretary shall from time to time update the clinical practice guidelines established under paragraph (1) to incorporate into such guidelines new or updated standards of care with respect to methods of contraception and counseling on methods of contraception. As soon as practicable, but commencing not later than one year after the date of the enactment of this Act, the Secretary shall provide for rapid dissemination of the clinical practice guidelines to health care providers described in subsection (a)(1). As soon as practicable after each update to the clinical practice guidelines made by the Secretary pursuant to paragraph (2) of subsection (a), the Secretary shall provide for the rapid dissemination of such updated clinical practice guidelines to health care providers described in paragraph (1) of such subsection. The Secretary shall disseminate the clinical practice guidelines under paragraph (1) and any updates to such guidelines under paragraph (2) in accordance with administrative protocols developed by the Secretary for such purpose. During predeployment health care visits, including counseling that provides specific information women need regarding the interaction between anticipated deployment conditions and various methods of contraception. During health care visits during deployment. During annual physical examinations.”