This presentation discusses proposals to reduce federal spending on military health care. It summarizes proposals from the Department of Defense and the Military Compensation and Retirement Modernization Commission to restructure TRICARE by consolidating plans and encouraging more efficient care consumption. It also examines Congressional Budget Office options to slow cost growth through increased cost sharing and better disease management that could reduce spending by $18-90 billion and $0.02-0.15 billion respectively over 10 years. The presentation outlines CBO's approach to estimating costs and effects of policy changes on the federal budget.