Medical Billing for Healthcare Services Provided by Department of Defense Military Medical Treatment Facilities to Civilian Non-Beneficiaries

What it does

As required by the James M. Inhofe National Defense Authorization Act for Fiscal Year 2023 (NDAA-23), this rule reduces financial harm to civilians who are not covered beneficiaries of the Military Health System (MHS), and who receive healthcare services at DoD military medical treatment facilities (MTF). The rulemaking implements the MHS Modified Payment and Waiver Program (MPWP) through which the DoD applies a sliding fee scale and/or a catastrophic fee waiver to medical invoices of certain non-beneficiaries and accepts payments from health insurers of non-beneficiaries as full payment except for copays, coinsurance, deductibles, nominal fees and non- covered services.

The Defense Department's summary, as published in the Federal Register.

What changed in the regulation

1 part of Title 32 of the Code of Federal Regulations:

32 CFR 220

Wording on eCFR: the day before it took effect and from the day it took effect (first part listed).

Compared with

The Defense Department has published 6 final rules in 2026 so far, compared with 12 in all of 2025.

Counted by the Tribune from Federal Register records since Jan. 1, 2025.

Before this

No earlier Federal Register document under regulation identifier 0720-AB87 since Jan. 1, 2025.

What happens next and when

This rulemaking is effective on March 9, 2026.

The agency's dates, word for word.

Check it yourself

• The document in the Federal Register
• Docket DOD-2022-HA-0054 on Regulations.gov
• Title 32 on eCFR

The record as published

Source: the Federal Register (public domain). The document in the Federal Register