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DOD/DODOASHA RIN: 0720-AB69 Publication ID: Fall 2020 
Title: TRICARE: Extended Care Health Option (ECHO) Respite Care 

Under the current Extended Care Health Option (ECHO), ECHO beneficiaries are eligible for 16 hours of respite care per month in any month during which the beneficiary receives another ECHO authorized benefit (other than the ECHO Home Health Care (EHHC) benefit). This final rule will eliminate the concurrent ECHO benefit requirement and allow ECHO beneficiaries to receive a maximum of 16 hours of respite care per month, regardless of whether another ECHO benefit is received in the same month. This regulation will be finalized under the authority of 5 U.S.C. 301, which allows the Secretary of Defense to prescribe regulations for the government of DoD; and 10 U.S.C. 1079(d) and (e), which directs the Secretary of Defense to establish a program to provide extended benefits for eligible active duty dependents, which may include the provision of comprehensive health care services, including case management services, to assist in the reduction of the disabling effects of a qualifying condition of an eligible dependent. The Department is authorized to provide "respite care for the primary caregiver of the eligible dependent" as one of the specifically enumerated extended benefits under the ECHO program pursuant to 10 U.S.C. 1079(e)(6). The ECHO program has been implemented through regulation at 32 CFR 199.5.


Agency: Department of Defense(DOD)  Priority: Substantive, Nonsignificant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Final Rule Stage 
Major: No  Unfunded Mandates: No 
EO 13771 Designation: Not subject to, not significant 
CFR Citation: 32 CFR 199   
Legal Authority: 5 U.S.C. 301    10 U.S.C. ch. 55   
Legal Deadline:  None
Action Date FR Cite
NPRM  08/17/2018  83 FR 41026   
NPRM Comment Period End  10/16/2018 
Final Action  11/00/2020 
Regulatory Flexibility Analysis Required: No  Government Levels Affected: None 
Small Entities Affected: No  Federalism: No 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Agency Contact:
Carmen DeLeon
Nurse Consultant, DHA, J-10
Department of Defense
Office of Assistant Secretary for Health Affairs
7800 Ih 10 W Suite 400,
San Antonio, TX 78230-4761
Phone:210 536-6004