managers to specialty care providers. (2) The process shall strictly limit administrative requirements for enrolled beneficiaries, relying instead on communications among providers and care coordinators to arrange appointments within applicable access to care scheduling time standards. (3) Beneficiary preferences for communications relating to appointment referrals using state-of-the-art information technology shall be used to expedite the process. (4) There shall be effective and efficient processes to determine the availability of appointments at military medical treatment facilities and, when unavailable, to make prompt referrals to network providers under the TRICARE program. (5) There shall be no right-of-first refusal requirement under the process. (c) Deadline for implementation The requirement in subsection (a) shall be implemented for referrals under TRICARE Prime in calendar year 2019. (d) Evaluation and improvement After 2019, the Secretary shall— (1) evaluate the process described in subsection (a) not less often annually