Mike D. Rogers
Representative for Alabama · Republican · United States
“(8) An assessment of NATO's deterrence efforts in Romania, including a description and evaluation of-- (A) United States force posture in Romania, including any new rotations to Romania intended to enhance deterrence following the 2025 decision to end the rotational presence of a United States brigade; (B) consultations with NATO allies r…”
“(8) An assessment of NATO's deterrence efforts in Romania, including a description and evaluation of-- (A) United States force posture in Romania, including any new rotations to Romania intended to enhance deterrence following the 2025 decision to end the rotational presence of a United States brigade; (B) consultations with NATO allies r…”
“(a) Requirement for Risk-based Approach.--Section 3843 of title 10, United States Code, is amended to read as follows: ``Sec. 3843. Contractor business systems: monitoring and surveillance standards ``(a) Requirement for Risk-based Approach.--The Secretary shall implement an agile, streamlined risk-based approach to surveillance of contra…”
“(a) Requirement for Risk-based Approach.--Section 3843 of title 10, United States Code, is amended to read as follows: ``Sec. 3843. Contractor business systems: monitoring and surveillance standards ``(a) Requirement for Risk-based Approach.--The Secretary shall implement an agile, streamlined risk-based approach to surveillance of contra…”
“(b) Modification of Certain Certifications and Assessments.-- (1) Certifications.--Section 1249(b) of the National Defense Authorization Act for Fiscal Year 2026 (Public Law 119-60) is amended-- (A) in the matter preceding paragraph (1), by striking ``The certification described'' and inserting following: ``(1) In general.--Except as prov…”
“(b) Objectives.--The Commander shall ensure that the Cognitive Performance Enhancement Program-- (1) improves readiness, resilience, and recovery, using evidence-based holistic and proactive high-performance brain training that has a validated ability to scale cost- effectively across the special operations forces enterprise; [[Page H4842…”
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“(2) Standardized mental health training for members of the covered Armed Forces, including-- (A) specialized training for commanders, senior enlisted leaders, and medical personnel on identifying and addressing mental health concerns; (B) the development of a certification process based on completion of training with documented proof of compliance; (C) how to respond when a member initiates the referral process under section 1090b(e) of title 10, United States Code; and (D) how to recognize signs indicating mental health distress. (c) Covered Armed Forces Defined.--In this section, the term ``covered Armed Forces'' means the Army, Navy, Air Force, Marine Corps, and Space Force. SEC. 773. BRIEFING ON PROSTATE CANCER INCIDENCE AND EMERGING DIAGNOSTIC TECHNOLOGIES.”
“(b) Elements.--The plan under subsection (a) shall include the following: (1) Developing and enforcing uniform protocols with respect to-- (A) the regulations prescribed for the self-initiated referral process under section 1090b(e) of title 10, United States Code, for members of the covered Armed Forces seeking mental health evaluations; (B) the provision of information, including through workplace posters, flyers, and advertisements, to ensure members are aware of such referral process.”
“STRATEGIC PLAN TO ADDRESS MENTAL HEALTH OF CERTAIN MEMBERS OF THE ARMED FORCES. (a) Plan.--The Secretary of Defense, in coordination with each Secretary of a military department and the Director of the Defense Health Agency, shall develop a strategic plan to address suicide by members of the covered Armed Forces and the mental health services provided to such members.”
“(3) The term ``Secretary concerned'' means-- (A) the Secretary of Defense, with respect to matters concerning the Department of Defense; and (B) the Secretary of Homeland Security, with respect to matters concerning the Coast Guard when it is not operating as a service in the Department of the Navy. (4) The term ``State'' means each of the several States, the District of Columbia, the Commonwealth of Puerto Rico, the United States Virgin Islands, Guam, American Samoa, or the Commonwealth of the Northern Mariana Islands that have a Defense-State Liaison Office. (5) The term ``Transition Assistance Program'' means the program of the Department of Defense for pre-separation counseling, employment assistance, and other transitional services provided under sections 1142 and 1144 of title 10, United States Code. SEC. 772.”
“(c) Definitions.--In this section: (1) The term ``appropriate congressional committees'' means the following: (A) The Committee on Armed Services, the Committee on Education and the Workforce, the Committee on Transportation and Infrastructure, and the Committee on Veterans' Affairs of the House of Representatives. (B) The Committee on Armed Services, the Committee on Commerce, Science, and Transportation, the Committee on Health, Education, Labor, and Pensions, and the Committee on Veterans' Affairs of the Senate. (2) The term ``medic'' means a member of the Armed Forces acting in a clinical health care-related occupation while serving in the Armed Forces.”
“(3) Consultation.--The Secretaries concerned shall carry out paragraph (1) in consultation with each of the States (through the Defense-State Liaison Office of the Department of Defense), the Secretary of Veterans Affairs, the Secretary of Health and Human Services, and the Secretary of Labor. (b) Report.--Not later than 180 days after the date of the enactment of this Act, the Secretary concerned shall submit to the appropriate congressional committees a report containing-- (1) the recommendations developed under subsection (a); and (2) a plan to implement those recommendations.”
“(2) Considerations.--In carrying out paragraph (1), the Secretary concerned shall-- (A) identify any barriers-- (i) to improving the ability of the Secretary concerned to determine and communicate how the military medic credentials and experience of a medic separating from the Armed Forces translate to credentialed civilian employment in health care occupations; (ii) that exist to the standardization among the Armed Forces of military medic credentials and experience and the alignment of such credentials and experience to credentialed civilian employment in health care occupations; (iii) that exist to ensuring members of the Armed Forces with military medic credentials and experience have earned the equivalent civilian credential prior to separation from the Armed Forces in addition to receiving their military credentials; (iv) to the increased establishment and uptake of accelerated or bridge programs to assist separating members of the Armed Forces in translating military credentials and experience into civilian health care credentials and employment; (v) to increasing the availability and accessibility of preparatory activities under the SkillBridge program established under section 1143(e) of title 10, United States Code, in the health care sector for members of the Armed Forces preparing for separation, to include-- (I) the approval timeline for separating members to participate in SkillBridge programs in the health care sector; and (II) requirements to return to their duty station for out- processing; and (vi) to providing information on civilian health care credentials and employment under the Transition Assistance Program to medics separating from the Armed Forces, including information on State-by-State licensing and credentialing; and (B) consider the potential effects of-- (i) clarification by States through legislation, actions of State licensing boards, or actions of State credentialing boards of the civilian equivalents of certain military credentials and experience in health care; (ii) implementation, including through State-provided incentives, of accelerated programs to bridge military medic credentials and experience with civilian health care credentials and licenses; (iii) financial support or incentives by States to increase the availability and accessibility of such programs; (iv) requiring the military departments to align military health care credentials with civilian equivalents; and (v) requiring the Department of Veterans Affairs and the Department of Labor to track and [[Page H4810]] report the number of separated members of the Armed Forces with health care-related military credentials and experience who continue in the civilian health care sector, including the type of employment they pursue.”
“(6) The average number of treatment sessions required by such children. SEC. 771. TRANSITION OF MEDICS TO CIVILIAN WORKFORCE. (a) Recommendations.---- (1) Requirement.--Each Secretary concerned shall develop recommendations to improve the transition of medics under the jurisdiction of the Secretary concerned into the civilian workforce in health care occupations, including as certified nurse aides, licensed practical nurses, or medical assistants.”
“(b) Semiannual Reports.--On a semiannual basis, the Secretary shall submit to the Committees on Armed Services of the House of Representatives and the Senate a report on the Department of Defense Comprehensive Autism Care Demonstration program, including the following with respect to the period covered by the report: (1) The total number of children receiving applied behavior analysis services under the program. (2) The total average wait time for such children, listed by the State in which such services are provided and calculated based on the date of the diagnosis of autism and the date on which such services are first provided. (3) The number of new referrals for such services. (4) The number of providers accepting new patients for such services. (5) The number of providers who no longer accept new patients for such services.”
“(e) Secretary Concerned Defined.--In this section, the term ``Secretary concerned'' has the meaning given such term in section 101(a) of title 10, United States Code. SEC. 770. REPORTS ON DEPARTMENT OF DEFENSE COMPREHENSIVE AUTISM CARE DEMONSTRATION PROGRAM. (a) Report on Implementation of Recommendations.--Not later than February 1, 2027, the Secretary of Defense shall submit to the Committees on Armed Services of the House of Representatives and the Senate a report on the plan by the Secretary to implement the recommendations made by the National Academies of Sciences, Engineering, and Medicine in the report on the Department of Defense Comprehensive Autism Care Demonstration program submitted under section 737 of the National Defense Authorization Act for Fiscal Year 2022 (Public Law 117-81; 135 Stat. 1800).”
“(d) Training Courses.--Each Secretary concerned, and the Secretary of Defense with respect to civilian personnel of the Department of Defense, shall develop and implement training courses to ensure each member of an Armed Forces under the jurisdiction of that Secretary (or each civilian employee of the Department of Defense, respectively) is aware of the importance of accountability with respect to health and welfare and of the significant negative outcomes that may occur when accountability procedures fail. Such courses shall be offered at leadership and supervisor trainings and shall include content relating to the conduct of wellness checks in accordance with subsection (a) and other related actions.”
“(c) Additional Actions by Unit Commanders.--On a routine basis, each unit commander shall-- (1) review the requirements contained in the document titled ``Commander's Critical Information Requirements'', dated January 2020, or such successor document, to ensure such requirements-- (A) have been issued or updated during the three-year period preceding any such review; (B) reflect such medical issues or safety incidents of members of the Armed Forces that the commander deems sufficiently significant; and (C) have been distributed to the unit under the command of such commander; and (2) host confidential wellness meetings with subordinate commanders at which such commanders may discuss with one or more medical officers assigned to such unit any significant injuries or illnesses affecting members of the Armed Forces serving in or with such unit.”
“(b) Implementation by Unit Commanders.--In carrying out subsection (a), the Secretary of Defense shall ensure that each unit commander coordinates with the judge advocates assigned or attached to, or performing duty with, the unit under the command of such commander for assistance in the implementation of any regulation, policy, or procedure required under subsection (a) with respect to such unit.”
“(3) Result of failure to locate.--If, as a result of a wellness check conducted pursuant to paragraph (1) for a member of the Armed Forces, the individual conducting such check is unable to locate such member, the individual shall refer to the applicable regulations, policies, and procedures of the Department of Defense regarding the determination and reporting of such member as missing, absent unknown, absent without leave, or duty status whereabouts unknown.”
“(a) Wellness Checks.-- (1) Wellness checks required.--The Secretary of Defense shall issue such regulations, policies, and procedures as may be necessary to require that, whenever appropriate, following a member of the Armed Forces sustaining any significant injury or illness or being on sick call, a wellness check is conducted to account for the health and welfare of such member. (2) Methods of contact.--In conducting a wellness check for a member of the Armed Forces pursuant to paragraph (1), if the member does not respond to such check conducted via an electronic or telephone communication method, the individual conducting the check shall progress to an in-person method of contact.”
“(5) The means used by such teams to respond to such incidents, including the extent to which post-incident programs are available to members. (6) Barriers to providing signage and advertisements for mental health resources in high-traffic areas on installations. (7) Current annual training requirements and leadership training programs for each Armed Force, including any enforcement measures. (8) Such other matters as the Inspector General determines appropriate. (c) Report.--Not later April 30, 2027, the Inspector General of the Department of Defense shall submit to the Committees on Armed Services of the Senate and House of Representatives a report that includes a summary of the results of the review under subsection (a). SEC. 769. REQUIREMENTS RELATING TO WELLNESS CHECKS FOR HEALTH AND WELFARE OF CERTAIN MEMBERS OF THE ARMED FORCES.”
“(b) Elements.--The review under subsection (a) shall include an assessment of each of the following: (1) The extent of data collected regarding incidents of deaths by suicide, suicide attempts, and suicidal ideation among members of the Armed Forces. (2) The means used by commanders to prevent and respond to incidents of deaths by suicide, suicide attempts, and suicidal ideation among members. (3) Challenges relating to-- (A) the prevention of incidents of deaths by suicide, suicide attempts, and suicidal ideation among members deployed; and (B) the development of a response to such incidents. (4) The capacity of teams providing mental health services to members to respond to incidents of suicidal ideation or suicide attempts among members in the respective unit each such team serves.”
“(E) A summary of steps taken to reduce complaints relating to access to care. (c) Covered Individual Defined.--In this section, the term ``covered individual'' means an individual enrolled in a health care plan under the TRICARE program and eligible to receive care at a military medical treatment facility. SEC. 768. REVIEW BY INSPECTOR GENERAL OF THE DEPARTMENT OF DEFENSE ON EFFORTS TO PREVENT SUICIDE. (a) Review.--The Inspector General of the Department of Defense shall conduct a review of the efforts of each Secretary of a military department to prevent incidents of deaths by suicide, suicide attempts, and suicidal ideation among members of the Armed Forces, including with respect to-- (1) efforts to increase public awareness of such prevention; and (2) developing unit commanding officer crisis response plans.”
“(b) Report.-- (1) Requirement.--Not later than December 1, 2027, the Secretary shall submit to the Committees on Armed Services of the House of Representatives and the Senate a report on the feasibility of establishing the digital system described in subsection (a). (2) Elements.--The report under paragraph (1) shall include the following: [[Page H4809]] (A) An identification of the most common complaints relating to access to care filed by covered individuals. (B) A comparison of the number of complaints regarding access to specialty care versus access to primary care. (C) A comparison of the number of complaints regarding access to pediatric care versus nonpediatric care. (D) A comparison of the number of complaints regarding administrative hurdles to access to care versus other issues relating to access to care.”
“(a) Study.--Not later than 18 months after the date of the enactment of this Act, the Secretary of Defense shall conduct a study to determine the feasibility of establishing a digital system under which-- (1) a covered individual who receives health care at a military medical treatment facility may electronically-- (A) file a complaint relating to access to care at such military medical treatment facility; and (B) view the status of such complaint at any time, including the status of any interim or final action taken to address the complaint; (2) any complaint filed under paragraph (1)(A) is promptly transmitted to an appropriate patient advocate of the Department of Defense; and (3) complaints filed under paragraph (1)(A) with respect to a military medical treatment facility may be automatically aggregated and submitted to the Director of the Defense Health Agency on a quarterly basis.”
“(c) Report.--Not later than 180 days after the date of the enactment of this Act, the Secretary shall submit to the Committees on Armed Services of the House of Representatives and the Senate-- (1) the findings of the study under subsection (a); (2) a recommended course of action; (3) estimated cost and manpower requirements; (4) an assessment of medical readiness impacts; and (5) an analysis of the implications to covered beneficiaries with respect to accessing medical care. (d) Covered Beneficiary Defined.--In this section, the term ``covered beneficiary'' has the meaning given that term in section 1072 of title 10, United States Code. SEC. 767. STUDY ON FEASIBILITY OF ESTABLISHING DIGITAL SYSTEM RELATING TO ACCESS TO CARE AT MILITARY MEDICAL TREATMENT FACILITIES.”
“(2) The extent to which reliance by such members and covered beneficiaries on civilian health care providers-- (A) meets medical readiness and deployment training requirements; (B) supports or degrades military-unique clinical skill sustainment; and (C) satisfies adequacy standards under the TRICARE network. (3) Identified gaps between civilian health care access and military operational medical readiness requirements. (4) A cost comparison of-- (A) a direct care military medical treatment facility model; (B) a hybrid readiness clinic model; and (C) continued purchased care reliance. (5) Opportunities for integration with local civilian health care systems while preserving military-unique readiness competencies.”
“SEC. 766. STUDY ON FEASIBILITY OF ESTABLISHING MILITARY MEDICAL TREATMENT FACILITY AT HOMESTEAD AIR RESERVE BASE. (a) Study.--The Secretary of Defense, acting through the Director of the Defense Health Agency, in coordination with the Secretary of the Air Force, shall conduct a feasibility study on establishing a military medical treatment facility at Homestead Air Reserve Base, Florida. (b) Matters Included.--The study under subsection (a) shall evaluate the following: (1) The total eligible beneficiary population who would access a military medical treatment facility at Homestead Air Reserve Base, including with respect to members of the Armed Forces (including the reserve components thereof) and covered beneficiaries stationed at such Base or at a different military installation in the proximity of such Base.”
“(f) Military Aviator Defined.--In this section, the term ``military aviator'' means a member of the Armed Forces, including a commissioned officer or a warrant officer, who-- (1) has been designated as a pilot, naval aviator, or aircrew member by the Secretary of the military department concerned; (2) operates, or is regularly assigned as a flight crew member aboard, high-performance, crewed, fixed-wing or rotary-wing aircraft designed for tactical, training, or reconnaissance missions, including-- (A) fighter aircraft (such as the F-35, F/A-18, F-22, and F-16 aircraft); (B) attack aircraft (such as the A-10 and AH-64 aircraft); (C) trainer jets (such as the T-7, T-38,and T-45 aircraft); and (D) tiltrotor or high-speed rotary aircraft (such as the V- 22 aircraft); and (3) is subject to sustained or repeated G-forces during the routine execution of flight duties.”
“(2) Final report.--Not later than three years after the date of the enactment of this Act, the Secretary shall submit to the congressional defense committees a report on the study under subsection (a), including findings and recommendations.”
“(d) Pilot Health Registry.--The Secretary of Defense shall establish and maintain a centralized Military Aviator Neurohealth Registry that includes-- (1) anonymized health data of military aviators voluntarily participating in the study under subsection (a); (2) flight exposure metrics, including cumulative hours and G-force profiles; (3) relevant health outcomes tracked over time; and (4) a mechanism for longitudinal follow-up with the military aviators after retirement or separation from the Armed Forces. (e) Reports.-- (1) Interim report.--Not later than one year after the date of the enactment of this Act, the Secretary shall submit to the congressional defense committees an interim report on the study under subsection (a), including any preliminary findings and recommendations.”
“(c) Consultation.--In conducting the study under subsection (a), the Secretary shall consult with-- (1) the Surgeons General of the military departments; (2) the Director of the Defense Health Agency; (3) the Secretary of Veterans Affairs; and (4) relevant academic institutions and federally funded research and development centers with expertise in aviation medicine, neuroscience, and psychiatry.”
“(b) Elements.--The study under subsection (a) shall examine, at a minimum-- (1) the relationship between cumulative flight hours and exposure to G-forces and incidents of traumatic brain injury, subconcussive trauma, or cognitive impairment; (2) long-term mental health outcomes, including with respect to incidence of depression, anxiety disorders, and post-traumatic stress disorder, in military aviators compared to other members of the Armed Forces; (3) the correlation between aviation-related physiological stress and suicide risk among aviators; (4) the prevalence of neurodegenerative conditions (including chronic traumatic encephalopathy, amyotrophic lateral sclerosis, and Parkinson's disease) in current and former military aviators; (5) the effect of helmet design, oxygen systems, flight suit pressurization, and other cockpit environmental factors on neurocognitive health; (6) current screening and diagnostic procedures used to detect early signs of neurological injury or psychological distress in military aviators; and (7) recommended improvements in the monitoring, prevention, and treatment of aviation-related brain trauma and mental health challenges.”
“(3) Expert recommendations on advances required to address identified capability gaps and significantly improve treatment of traumatic brain injuries using artificial intelligence and digital health technologies. (4) A recommended investment plan to advance technology and knowledge readiness levels to field digital solutions for treating traumatic brain injuries. SEC. 765. STUDY ON LONG-TERM EFFECTS OF MILITARY FLIGHT OPERATIONS ON BRAIN HEALTH AND MENTAL HEALTH. (a) Study.--The Secretary of Defense shall conduct a comprehensive, longitudinal study to assess the long term physiological and psychological effects of military aviation, including with respect to high-performance flight and G-force exposure, on military aviators.”
“Such individuals shall have expertise in clinical care of traumatic brain injuries, biomedical informatics, biomedical engineering, or biomedical implementation science. (c) Strategy.--The strategy under subsection (a) shall include, at a minimum, the following: (1) Identification of capability gaps in treatment of traumatic brain injuries that could be addressed through artificial intelligence and digital health technologies. (2) An analysis of existing research, development, and acquisition efforts leveraging artificial intelligence-based capabilities and digital health, including any applicable commercial off-the-shelf solutions being used by the Department of Defense to support treatment of traumatic brain injuries.”
“SEC. 764. WORKING GROUP ON DIGITAL STRATEGY FOR TRAUMATIC BRAIN INJURIES. (a) Establishment.--In accordance with the Warfighter Brain Health Initiative under section 735 of the James M. Inhofe National Defense Authorization Act for Fiscal Year 2023 (Public Law 117-263; 10 U.S.C. 1071 note), not later than July 1, 2027, the Assistant Secretary of Defense for Health Affairs shall establish a working group to develop a digital health strategy that leverages advances in artificial intelligence for the treatment of traumatic brain injuries. (b) Membership.--The Assistant Secretary shall appoint to the working group under subsection (a) members of the Armed Forces, officers and employees of the Department of Defense, and nongovernmental experts.”
“(c) Independent Testing.--The Secretary shall ensure that, in determining the true country of origin (location quality) and relative chemical quality and safety risks of medicines under the pilot program under subsection (a), the testing for such information is conducted by independent laboratories acceptable to the Uniformed Services University of the Health Sciences that-- (1) are accredited under ISO 17025 standards; (2) are not registered as a Good Manufacturing Practice facility to ensure no conflicts of interest; (3) have experience developing and operating a published quality risk scoring framework applicable to individual National Drug Codes; and (4) are duly licensed and demonstrate an ability to conduct ongoing post-market surveillance through procurement of pharmaceutical products from common wholesalers, and not directly from manufacturers.”
“2501 et seq.) and creating National Drug Code-specific, objective categorizations of high-risk, moderate- [[Page H4808]] risk, or low-risk based on independently derived indicators for true country of origin, that includes countries of concern, including China, being classified under the highest- risk category. (5) Making recommendations for the continuation of the scoring framework at the conclusion of the pilot program.”
“Inhofe National Defense Authorization Act for Fiscal Year 2023 (Public Law 117-263; 10 U.S.C. 3241 note prec.). (3) Refreshing and expanding chemical testing data from the pilot program as carried out before the date of the enactment of this Act to include all medicines listed on the Department Essential Medicine List and creating National Drug Code- specific categorizations of high-risk, moderate-risk, or low- risk based on objective indicators for relative chemical quality and safety risk. (4) Adding to the objective risk-categorization framework assessment of location of manufacturing, including flagging entities in China and other countries that are not compliant with the Trade Agreements Act of 1979 (19 U.S.C.”
“Military Health System Pharmaceutical Supply Chain'' for a period of not less than five years beginning on the date of the enactment of this Act. (b) Elements.--The Secretary shall ensure that the pilot program under subsection (a) includes the following: (1) Defining the Department Essential Medicine list to consist of not more than 100 medicines that do not have patent exclusivity and are determined by the Secretary as essential for operational capabilities, predeployment, or the military health system (based on the progress of the pilot program before the date of the enactment of this Act). (2) To the extent practicable, harmonizing such Department Essential Medicine list with a list of defense-relevant generic drugs based on the risk management framework developed under section 860 of the James M.”
“(g) Definitions.--In this section: (1) The term ``blue-light dissipating display'' means a display technology that is blue-light-dissipating and uses a diffused light-output architecture, including with respect to employing optical-elastomer or diffused light-output nanomaterial light-management layers (or both). (2) The term ``covered individual'' means a covered beneficiary (as defined in section 1072 of title 10, United States Code) who is partially blind, legally blind, or otherwise visually impaired. SEC. 763. EXTENSION AND IMPROVEMENT OF PILOT PROGRAM OF THE UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES ON PHARMACEUTICAL SUPPLY CHAIN. (a) Extension.--The Secretary of Defense shall carry out the pilot program of the Uniformed Services University of the Health Sciences titled ``Assessing the Security and Quality of the U.S.”
“(f) Report.--Not later than one year after the date of the enactment of this Act, the Director shall submit to the Committees on Armed Services of the House of Representatives and the Senate a report on the pilot program under subsection (a), including an evaluation of each of the following: (1) Whether the use of blue-light dissipating displays provided under the pilot program changed the time needed to complete screen-mediated tasks associated with rehabilitation, patient education, assistive technology, and telehealth appointments. (2) Whether such use improved the ability of covered individuals to read information relating to such tasks. (3) Whether such use improved the glare sensitivity and visual fatigue of covered individuals.”
“(e) Briefing.--Not later than 180 days after the date of the enactment of this Act, the Director shall provide to the Committees on Armed Services of the House of Representatives and the Senate a briefing on the design of the pilot program under subsection (a), including identification of the military medical treatment facilities selected under subsection (d).”
“(b) Use of Blue-light Dissipating Displays.--The Director shall ensure that blue-light dissipating displays provided under the pilot program under subsection (a) are used to assist covered individuals with screen-mediated tasks associated with rehabilitation, patient education, assistive technology, and telehealth appointments. (c) Selection of Technology.--In carrying out the pilot program under subsection (a), the Director shall select commercially available, stand-alone blue-light dissipating displays that do not require modifications to the electronic health record systems of the military health system. (d) Locations.--The Director shall select military medical treatment facilities at which to carry out the pilot program under subsection (a).”
“(9) Has, at a minimum, data security that would require separate encryption for each document, relying on AES256 or better algorithm with keys encryption using RSA2048 or better algorithm, or any successor similar algorithm. SEC. 762. PILOT PROGRAM TO PROVIDE FOR THE USE OF BLUE-LIGHT DISSIPATING DISPLAYS TO CERTAIN INDIVIDUALS. (a) Pilot Program.--The Director of the Defense Health Agency shall carry out a pilot program under which the Director provides for the use of blue-light dissipating displays by covered individuals in clinical and rehabilitative settings.”
“(2) Has the capability to store and share records with the Department of Veterans Affairs or any other designated care provider. (3) Has the capability to store records in the cloud. (4) Does not have a requirement for integration to receive or share records. (5) Has the capability to instantly share data based on a combination of access key and personal identifier. (6) Has the capability to provide secure data storage and records transfer upon separation of a member of the Armed Forces from active duty. (7) Does not require a business associate agreement with any parties. (8) Has secure data isolation with access controls.”
“(2) Termination or extension of program.--After carrying out the pilot program under subsection (a) for a period of 180 days, the Secretary shall survey all participants in the pilot program and, based on survey results, may-- (A) terminate the pilot program; (B) continue the pilot program; (C) expand the pilot program; or (D) implement the use of a covered health record platform in the Defense Health Agency throughout the Armed Forces. (e) Prohibition on New Appropriations.--No additional funds are authorized to be appropriated to carry out the requirements of this section. (f) Covered Health Record Platform Defined.--In this section, the term ``covered health record platform'' means a secure personal health record platform that meets the following requirements: (1) Has web-based and native mobile phone application capabilities.”
“(2) Notice of competition.-- (A) Request for proposals.--Not later than 60 days after the date of the enactment of this Act, the Secretary shall issue a request for proposals for the contract described in paragraph (1). (B) Open competition.--A request under subparagraph (A) shall be full and open to any contractor that has an existing covered health record platform. (3) Selection.--Not later than 120 days after the date of the enactment of this Act, the Secretary shall award a contract to an appropriate entity pursuant to the request for proposals under paragraph (2) if the Secretary determines that at least one acceptable offer is submitted. (d) Duration of Pilot Program.-- (1) Period.--The Secretary shall carry out the pilot program under subsection (a) for a period of not less than one year.”
“(a) Pilot Program.--Not later than 180 days after the date of the enactment of this Act, the Secretary of Defense shall commence a pilot program under which a member of the Armed Forces serving on active duty may use a covered health record platform to collect the health records of the member before separating from active duty. (b) Selection of Armed Force.--The Secretary shall select not fewer than one Armed Force in which to carry out the pilot program under subsection (a). (c) Contracts.-- (1) Authority.--The Secretary shall seek to enter into a contract using competitive procedures with an appropriate entity for the provision of the covered health record platform under the pilot program under subsection (a).”
“(5) The percentage of participants described in paragraph (4) who received medical attention based on such readings. (6) A summary of provider and participant feedback, including percentages of-- (A) providers that found the program influenced patient care; and (B) participants who found the program was helpful in managing the care of the participant. (7) Recommendations of the Secretary whether the pilot program should be altered, expanded, or made permanent. SEC. 761. PILOT PROGRAM ON SECURE, MOBILE PERSONAL HEALTH RECORD FOR MEMBERS OF THE ARMED FORCES.”
“(h) Report.--Not later than 180 days after the date of the termination of the pilot program, the Secretary shall submit to the Committees on Armed Services of the House of Representatives and the Senate, and make publicly available on the internet website of the Department of Defense, a report on the pilot program. The report shall include the following elements, disaggregated by the Armed Force, sex, age, race, and ethnicity of individuals who participated in the pilot program: (1) The number of participants. (2) The percentage of such participants who used the monitors as prescribed. (3) A summary of barriers or challenges participants experienced using the monitors and if such barriers or challenges resulted in the monitors being underused. (4) The percentage of participants who had blood pressure readings of concern.”
“(e) Providers.--In carrying out the pilot program under subsection (a), the Secretary shall use the primary care and obstetric care provider of the individual participating in the pilot program, to the extent practicable. (f) Materials.--The Secretary shall develop supporting materials for health care providers who facilitate the pilot program under subsection (a), including the following: (1) Guidance on how to identify individuals eligible to participate in the pilot program. (2) Evidence-based educational materials regarding maternal health best practices for such individuals. (g) Term.--The pilot program under subsection (a) shall terminate five years after the date on which the Secretary establishes such pilot program.”
“(d) Equipment and Information.--The Secretary shall provide to an individual participating in the pilot program under subsection (a)-- [[Page H4807]] (1) a blood pressure cuff device that-- (A) is approved by the Food and Drug Administration for the digital monitoring of blood pressure; (B) is validated for use during pregnancy according to the International Organization for Standardization (as determined by the Secretary); (C) is capable of remote monitoring and data transmission; and (D) has adjustable or alternative cuff sizes; and (2) educational materials and instructions on the use of such device from a health care provider of the Department of Defense.”
“(c) Participants.-- (1) Eligibility.--An individual is eligible to participate in the pilot program under subsection (a) if-- (A) the individual-- (i) is enrolled in the TRICARE program; (ii) is pregnant or postpartum; and (iii) receives health care through a military medical treatment facility at which the Secretary is carrying out the pilot program; and (B) the Secretary determines the individual is at risk (based on evidence and current medical standards and recommendations) of a hypertensive disorder of pregnancy or negative health outcomes as a result of a hypertensive disorder of pregnancy. (2) Voluntary.--The Secretary may not require an individual to participate in the pilot program under subsection (a).”
“(b) Military Medical Treatment Facilities.-- (1) Number.--The Secretary shall carry out the pilot program under subsection (a) at not fewer than two military medical treatment facilities of each of the Army, Navy, Marine Corps, Air Force, and Space Force. (2) Selection.--In selecting the military medical treatment facilities at which to carry out the pilot program under subsection (a), the Secretary shall-- (A) ensure that the military medical treatment facilities are geographically diverse, including locations in rural and urban areas; and (B) give priority to military medical treatment facilities that have a large number of obstetric patients or a history of maternal health programs.”