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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“(d) Military Medical Treatment Facility Defined.--In this section, the term ``military medical treatment facility'' has the meaning given that term in section 1073c of title 10, United States Code. SEC. 741. AVAILABILITY OF SEXUAL ASSAULT NURSE EXAMINER SERVICES AT MILITARY MEDICAL TREATMENT FACILITIES. (a) Requirement.--Not later than one year after the date of the enactment of this Act, the Secretary of Defense shall ensure that each military medical treatment facility maintains, at all times, the continuous availability of at least one qualified sexual assault nurse examiner to provide forensic medical examinations and related care to sexual assault survivors.”
“(c) Information.--Not later than one year after the date of the enactment of this Act, the Secretary shall-- (1) issue updated policy guidance of the Department of Defense with respect to implementing the requirements of subsections (a) and (b), including standard language for contracts or other agreements under subsection (b); and (2) submit to the Committees on Armed Services of the House of Representatives and the Senate a report detailing-- (A) the status of obstetrician-gynecologist and certified nurse-midwife staffing at each military medical treatment facility; (B) any contracts or other agreements entered into under subsection (b), including the names and locations of providers; (C) the average response times for obstetrician- gynecologists or certified nurse-midwives and any gaps in coverage experienced during the one-year period preceding the report; and (D) plans to address any identified shortfalls in service availability.”
“(2) The obstetrician-gynecologist or certified nurse- midwife is located-- (A) not more than 25 miles by road from the facility; or (B) within a 30-minute emergency response travel time under normal conditions from the facility. (3) The obstetrician-gynecologist or certified nurse- midwife meet or exceed all credentialing, training, and certification standards that the Secretary would otherwise apply to an obstetrician-gynecologist or certified nurse- midwife employed directly by the Department of Defense.”
“(b) Use of Contracts to Meet Requirement.--The Secretary may satisfy the requirement in subsection (a) with respect to a military medical treatment facility if the Secretary enters into a contract or other agreement with a private provider under which the provider ensures the continuous availability of an obstetrician-gynecologist or certified nurse-midwife to provide services at that facility. In entering into such a contract or other agreement, the Secretary shall ensure the following: (1) An obstetrician-gynecologist or certified nurse-midwife is on call 24 hours per day and will arrive at the facility not later than two hours after being called.”
“(d) Enterprise Doctrine and Oversight.--The Secretary of Defense shall develop and maintain Department of Defense-wide doctrine and policy to guide the development, fielding, sustainment, and employment of high-consequence infectious disease response capabilities across the Department. SEC. 740. AVAILABILITY OF OBSTETRICIAN-GYNECOLOGISTS AND CERTIFIED NURSE-MIDWIFES AT MILITARY MEDICAL TREATMENT FACILITIES. (a) Requirement.--Not later than one year after the date of the enactment of this Act, the Secretary of Defense shall ensure that each military medical treatment facility maintains, at all times, the continuous availability of at least one obstetrician-gynecologist or certified nurse- midwife.”
“(c) Program Requirements.--In carrying out the program under subsection (a), the Secretary of the Air Force shall-- (1) develop and maintain a curriculum, and identify qualified instructors to train and certify [[Page H4803]] military and civilian medical personnel, on procedures associated with the safe, long-range aerial transport of patients with high-consequence infectious diseases; (2) establish, and periodically update, medical care standards, infection prevention and control measures, and operational safety protocols necessary to maximize patient survival and minimize infection risk to aircrew, medical personnel, and support personnel; (3) serve as the joint force advocate and executive agent within the Department of Defense for aerial transport of individuals with high-consequence infectious diseases; (4) establish standards, sustainment requirements, and lifecycle management processes for personal protective equipment, transport isolation systems, and associated medical equipment used in transporting infected patients; (5) develop, in coordination with the Joint Staff, joint doctrine, concepts of operation, and medical force requirements necessary to support a Department of Defense- wide high-consequence infectious disease capability, including patient movement, definitive care, and integration across the continuum of care; (6) coordinate with the other Secretaries of the military departments and the Director of the Defense Health Agency to inform the organization, training, and equipping of specialized, organized teams capable of conducting high- consequence infectious disease patient movement and care in operational, austere, and strategic environments; (7) support interoperability and operational integration with other departments and agencies of the Federal Government, State and local governments, and civilian and academic partners to enable coordinated response to tactical incidents, large-scale contingencies, and research activities related to emerging and future infectious disease threats; and (8) identify capability gaps and support research, development, testing, and evaluation of medical countermeasures, transport systems, protective equipment, and operational procedures necessary to improve survivability, safety, and mission effectiveness in high-consequence infectious disease operations.”
“(b) Aerial Transport Component.--The Secretary of Defense shall ensure that the program under subsection (a) serves as the component of the Department of Defense that-- (1) provides the Department with aerial transport of patients with high-consequence infectious diseases; and (2) provides support to other departments and agencies of the Federal Government, State and local governments, and civilian and academic partners, as determined appropriate by the Secretary.”
“(a) Requirement.--Beginning not later than October 1, 2027, the Secretary of the Air Force, in coordination with the Assistant Secretary of Defense for Health Affairs, the Secretaries of the other military departments, and the Director of the Defense Health Agency, shall carry out a program to provide for the safe, long-range aerial transport of individuals known to be or suspected of infection by high- consequence infectious diseases.”
“1073c note), is amended by striking ``who--'' and all that follows through the period at the end and inserting ``who holds a bachelor's degree or graduate degree from an accredited professional nursing educational program and a current, unrestricted license to practice as a registered nurse or practical nurse.''. SEC. 739. AERIAL TRANSPORT AND DEPARTMENT-WIDE CAPABILITY FOR HIGH-CONSEQUENCE INFECTIOUS DISEASES.”
“(b) Limitation on Modifications of Scope of Medical Care.-- Section 1073d(f)(1) of title 10, United States Code, is amended-- (1) in subparagraph (B), by striking ``; and'' and inserting a semicolon; (2) in subparagraph (C), by striking the period and inserting ``; and''; and (3) by adding at the end the following new subparagraph: ``(D) the Secretary has developed the long-term plan under section 1073b(a) of this title during the year in which the Secretary submits such notification.''. SEC. 738. MODIFICATION TO QUALIFICATION WAIVER AUTHORITY FOR APPLICANTS FOR NURSING OR PRACTICAL NURSE POSITIONS IN THE DEPARTMENT OF DEFENSE. Section 716(a) of the Servicemember Quality of Life Improvement and National Defense Authorization Act for Fiscal Year 2025 (Public Law 118-159; 10 U.S.C.”
“``(4)(A) On a quarterly basis, the Secretary shall provide to the Committees on Armed Services of the House of Representatives and the Senate a briefing on the most recent plan under paragraph (1). ``(B) Any information included in a briefing under subparagraph (A) with respect to a projected modification of the scope of medical care provided at a military medical treatment facility may not be treated as a notification under section 1073d(f) of this title. ``(5) The Secretary shall submit to the Committees on Armed Services of the House of Representatives and the Senate each plan under paragraph (1).''.”
“``(C) Cost estimates for personnel, supplies, and other items necessary to manage and operate the military medical treatment facility. ``(D) The number of current (as of the time of the plan) and the projection of vacancies with respect to-- ``(i) military medical personnel; ``(ii) civilian and contractor medical personnel; and ``(iii) health care administration personnel. ``(E) Projected modifications of the scope of medical care provided at military medical treatment facilities. ``(F) Budget requirements. ``(3) Each plan under paragraph (1) shall cover the same period covered by the future-years defense program submitted under section 221 of this title during the year in which the plan is developed.”
“(a) Requirement.--Section 1073b of title 10, United States Code, is amended-- (1) in the heading, by inserting ``plans and'' before ``reports''; (2) by redesignating subsections (a) and (b) as subsections (b) and (c), respectively; and (3) by inserting before subsection (b), as so redesignated, the following new subsection: ``(a) Long-term Plans.--(1) During each year, the Secretary shall develop a long-term plan on the stabilization of health care delivered through the Defense Health Agency. ``(2) Each plan under paragraph (1) shall include information regarding the following with respect to each military medical treatment facility: ``(A) Milestones necessary to implement the plan. ``(B) Definable goals for personnel, budget, supplies, and readiness.”
“``(D) Nothing in this paragraph may be construed to-- ``(i) prevent the Secretary from determining the appropriate amount of a facility fee; ``(ii) require the Secretary to pay, for the same item or service-- ``(I) an independent physician the same amount as the Secretary would pay a hospital-based physician; or ``(II) a hospital-based physician less than the Secretary would pay an independent physician; or ``(iii) affect the authority of the Secretary under paragraph (2). ``(E) In establishing''. (b) Effective Date.--The amendments made by subsection (a) shall take effect on January 1, 2028. SEC. 737. PLANS ON MILITARY HEALTH SYSTEM.”
“1395l(t)(21)(B)), disregarding clauses (ii) and (iv) thereof, as if such clauses did not exist), the Secretary shall ensure that such department is treated as a subpart of such provider and assigned a unique health identifier pursuant to subparagraph (B) of this paragraph, and that such provider includes such identifier on any claim form it submits under this subsection, and that such provider may not hold a member of the uniformed services or covered beneficiary liable for such item or service unless such care or services are billed using the separate unique health identifier established for such department under this paragraph.”
“``(B) The Secretary shall ensure that-- ``(i) each site specified in subparagraph (A) obtains a National Provider Identifier pursuant to section 1833(t) of the Social Security Act (42 U.S.C. 1395l(t)(23)) that is separate and unique from such identifier for such provider; and ``(ii) no payment for care or services under any provision of this chapter may be made unless the claim for such payment includes the National Provider Identifier for the site at which such hospital care, medical services, or extended care services were furnished. ``(C) In the case of covered OPD services (as defined in section 1833(t)(1)(B) of the Social Security Act (42 U.S.C. 1395l(t)(1)(B)) that are provided by a provider that is an off-campus outpatient department of a provider (as defined in section 1833(t)(21)(B) of the Social Security Act (42 U.S.C.”
“(a) Rates.--Section 1097b(a) of title 10, United States Code is amended-- (1) in paragraph (1), by inserting ``and paragraph (3)(A)'' after ``Subject to paragraph (2)''; and (2) in paragraph (3), by striking ``In establishing'' and inserting the following ``(A) The Secretary shall establish rates for payments to providers of care or services under the TRICARE program that are specific with respect to the following sites of service at which the care or service is actually provided (regardless of the physical location of the headquarters of the provider): ``(i) A hospital outpatient department. ``(ii) An ambulatory surgical center. ``(iii) The office of a physician. ``(iv) Such other sites as the Secretary determines appropriate in carrying out this paragraph.”
“Section 1095f(a)(2) of title 10, United States Code, is amended by adding at the end the following new subparagraph: ``(C) In addition to the requirements under subparagraph (B), the Secretary shall waive the referral requirement in paragraph (1) in the case of a member of the armed forces serving on active duty who seeks to obtain an appointment for physical therapy provided by a licensed provider under TRICARE Prime if the provider is located in a State in which the law of that State does not require a referral for that specific appointment.''. SEC. 736. RATES OF PAY FOR A PROVIDER OF CARE OR SERVICES FURNISHED UNDER TRICARE PROGRAM.”
“``(B) With respect to matters concerning members and former members of the Coast Guard and dependents of such members and former members, the Committee on Transportation and Infrastructure of the House of Representatives and the Committee on Commerce, Science, and Transportation of the Senate. ``(2) The term `TRICARE coverage transition requirement' means a requirement under this chapter for a covered beneficiary to make a different election under the TRICARE program to continue enrollment in the TRICARE program, including by reason of attaining a certain age as described in section 1086(d) or 1110b of this title.''. SEC. 735. WAIVER OF REFERRAL REQUIREMENT UNDER TRICARE PRIME FOR CERTAIN PHYSICAL THERAPY.”
“``(d) Reports.--On an annual basis the Secretary of Defense, in consultation with the other administering Secretaries, shall submit to the appropriate congressional committees a report on the implementation of this section, including metrics relating to the outreach and public awareness campaign under subsection (c) and any recommendations to improve making covered beneficiaries aware of TRICARE coverage transition requirements. ``(e) Definitions.--In this section: ``(1) The term `appropriate congressional committees' means the following: ``(A) The congressional defense committees.”
“``(b) Timing of Notice.--The administering Secretaries shall provide notices to a covered beneficiary under subsection (a)(1) as follows: ``(1) On the date that is one year before the covered beneficiary will experience a TRICARE coverage transition requirement. ``(2) On the date that is 180 days before the covered beneficiary will experience a TRICARE coverage transition requirement. ``(3) On the date that is 30 days before the covered beneficiary will experience a TRICARE coverage transition requirement. ``(c) Outreach.--The administering Secretaries shall conduct an outreach and public awareness campaign to inform covered beneficiaries of TRICARE coverage transition requirements, including through the TRICARE internet website, social media, and through family readiness groups.”
“(E) An analysis of how the residencies, internships, and similar postgraduate programs would help meet the medical workforce needs of the military health system. [[Page H4802]] (F) Any additional information that the Secretary determines appropriate. SEC. 734. NOTIFICATION TO TRICARE BENEFICIARIES OF COVERAGE TRANSITION REQUIREMENTS. Chapter 55 of title 10, United States Code, is amended by inserting after section 1097d the following: ``SEC. 1097E. TRICARE PROGRAM: NOTICE OF COVERAGE TRANSITION REQUIREMENTS. ``(a) Provision of Notice.--(1) The administering Secretaries shall provide each covered beneficiary with notices of a TRICARE coverage transition requirement that affects the individual. ``(2) The administering Secretaries shall provide notice under paragraph (1) through electronic means.”
“(2) Matters included.--The report under paragraph (1) shall include the following: (A) A plan to establish residencies, internships, and similar postgraduate programs under subsection (c) of such section 1599c, including a timeline to implement such subsection. (B) The anticipated cost of carrying out such subsection. (C) The number of each type of health care provider the Secretary expects to participate in such residencies, internships, and similar postgraduate programs. (D) An explanation for how the Secretary-- (i) will fund such residencies, internships, and similar postgraduate programs; and (ii) supervise individuals participating in such residencies, internships, and similar postgraduate programs.”
“``(2) The Secretary may require that an individual who participates in a residency, internship, or similar postgraduate program under paragraph (1) agrees to perform civilian Federal service at a military medical treatment facility for a specific period determined by the Secretary following the completion of such residency, internship, or similar postgraduate program.''. (b) Report.-- (1) Requirement.--Not later than one year after the date of the enactment of this Act, the Secretary of Defense shall submit to the congressional defense committees a report on the implementation of subsection (c) of section 1599c of title 10, United States Code, as added by subsection (a).”
“AUTHORITY TO PROVIDE RESIDENCIES, INTERNSHIPS, AND SIMILAR POSTGRADUATE PROGRAMS FOR CIVILIAN HEALTH CARE PROFESSIONALS OF THE DEPARTMENT OF DEFENSE. (a) Authority.--Section 1599c of title 10, United States Code, is amended-- (1) in the heading, by striking ``and compensation'' and inserting ``, compensation, and training''; and (2) by adding at the end the following new subsection: ``(c) Residencies and Internships.--(1) The Secretary may establish residencies, internships, and similar postgraduate programs at military medical treatment facilities to train individuals whom the Secretary has appointed to civilian health care positions, including physicians, nurses, physician assistants, nurse practitioners and behavioral health providers.”
“Section 1074l of title 10, United States Code, is amended by adding at the end the following new subsection: ``(d) Other Notifications.--(1) The Secretary concerned shall notify the Committees on Armed Services of the House of Representatives and the Senate of the occurrence of a hospitalization of a member of the armed forces who is-- ``(A) seriously or very seriously wounded in action resulting from the conduct of combat operations; and ``(B) evacuated from a theater of combat and admitted to any military medical treatment facility or civilian medical treatment facility, regardless of location. ``(2) The notifications under paragraph (1)-- ``(A) may be made on an aggregate basis; and ``(B) may not include personally identifying information of the hospitalized members.''. SEC. 733.”
“(c) Screening for Unwanted Sexual Behavior Defined.--In this section, the term ``screening for unwanted sexual behavior'' means the use of standardized, evidence-based questions or instruments to detect whether an individual has been subject to any sexual contact or interaction to which the individual did not or could not freely consent, including harassment, coercion, assault, or abuse. SEC. 732. REQUIREMENT TO NOTIFY COMMITTEES ON ARMED SERVICES OF HOSPITALIZATION OF COMBAT WOUNDED MEMBERS OF THE ARMED FORCES.”
“(b) Report.--Not later than one year after the date on which the Director issues the guidance under subsection (a), the Director shall submit to the congressional defense committees a report containing the following: (1) An assessment of the extent to which each military medical treatment facility has implemented the guidance. (2) Aggregate, de-identified data on screening rates, positive-screen rates, and referral follow-through. (3) Any planned revisions to the guidance.”
“The Secretary of Defense shall establish and implement a policy throughout the Department of Defense to require that a medical chaperone be offered and available to be present with a patient during any sensitive medical examination, as determined by the Secretary, conducted at a military medical treatment facility. SEC. 731. UNIFORM PROTOCOLS ON SCREENING FOR UNWANTED SEXUAL BEHAVIOR. (a) Guidance.--Not later than 180 days after the date of the enactment of this Act, the Director of the Defense Health Agency, in coordination with the Assistant Secretary of Defense for Health Affairs and the Under Secretary of Defense for Personnel and Readiness, shall develop comprehensive written guidance establishing uniform protocols for providing a screening for unwanted sexual behavior to patients at military medical treatment facilities.”
“``(3) In this subsection: ``(A) The term `covered individual' means-- ``(i) a member of the armed forces or a civilian employee who is a health-care professional (as defined in section 1094 of this title); ``(ii) a resident or student covered under a formal training agreement; ``(iii) a technician, a health care para-professional, or medical support assistant; or ``(iv) a volunteer at a military medical treatment facility. ``(B) The term `sensitive examination' means a medical examination, treatment, or procedure of the genitalia, rectum, or female breasts, or a forensic health care examination.''. SEC. 730. REQUIREMENT TO OFFER MEDICAL CHAPERONES DURING SENSITIVE MEDICAL EXAMINATIONS.”
“``(2) In carrying out paragraph (1), the Secretary shall-- ``(A) establish qualifications for a covered individual to serve as a chaperone; ``(B) provide appropriate training to chaperones; ``(C) require chaperones to maintain patient confidentiality except with respect to mandatory reporting of any suspected inappropriate activity under processes established by the Secretary; and ``(D) ensure a patient may request a different chaperone for any reason (and reschedule the sensitive examination if no other chaperone is available).”
“Section 1074d of title 10, United States Code, is amended-- (1) by redesignating subsection (b) as subsection (c); and (2) by inserting after subsection (a) the following new subsection (b): ``(b) Chaperone.--(1) The Secretary shall ensure that a chaperone is present at any sensitive examination performed by an obstetrician-gynecologist at a military medical treatment facility.”
“(a) Uniform Evaluations.--Section 2733a(h)(2)(B) of title 10, United States Code, is amended-- (1) in the matter preceding clause (i), by inserting ``applicable to each uniformed service'' before ``consistent with generally''; and (2) in clause (iv), by inserting ``consistent criteria used in the'' before ``calculation''. (b) Application.--The amendments made by subsection (a) shall apply with respect to claims filed under section 2733a of title 10, United States Code, on or after the date that is 180 days after the date of the enactment of this Act. SEC. 729. CHAPERONES FOR CERTAIN SENSITIVE EXAMINATIONS AT MILITARY MEDICAL TREATMENT FACILITIES.”
“``(f) Definitions.--In this section: ``(1) The term `combat casualty care' means the provision of medical care to wounded members of the armed forces in operational environments, including prehospital care, damage- control resuscitation, and surgical intervention. ``(2) The term `Joint Trauma System' means the Department of Defense's system for improving trauma care through data collection, analysis, performance improvement, and dissemination of best practices.''. SEC. 728. CLARIFICATION OF CONSISTENT EVALUATIONS OF MEDICAL MALPRACTICE CLAIMS.”
“``(e) Annual Briefing.--Not later than March 1 of each year, the Secretary of Defense shall provide a briefing to the congressional defense committees on the activities, readiness posture, and performance of the Joint Trauma System and the Combatant Command Trauma System, including-- ``(1) a summary of Department-wide combat casualty care readiness across the Defense Trauma Enterprise, including findings derived from the performance improvement activities, clinical practice guideline implementation, trauma registry data, and other trauma system analyses of the Joint Trauma System supporting readiness oversight; ``(2) the status of establishment, staffing, and operational capability of each Combatant Command Trauma System, including personnel assigned by the Secretaries of the military departments to support such systems; ``(3) identified gaps in combat casualty care readiness affecting the Combatant Command Trauma System; ``(4) actions taken, planned, or resourced to address such gaps; and ``(5) such additional matters relating to the Joint Trauma System or Combatant Command Trauma System as the Secretary of Defense determines appropriate.”
“``(3) Each Combatant Command Trauma System shall-- ``(A) integrate trauma care data into the Department of Defense Trauma Registry; ``(B) implement clinical practice guidelines and performance improvement processes of the Joint Trauma System; ``(C) support theater-specific trauma training and readiness requirements; and ``(D) enable operational performance assessment and lessons learned across the continuum of combat casualty care. ``(d) Coordination.--In carrying out this section, the Secretary of Defense shall ensure coordination between the Director of the Defense Health Agency and the Surgeons General of the armed forces, the commanders of the combatant commands, and other elements of the military health system as required.”
“``(c) Combatant Command Trauma Systems.--(1) Each commander of a combatant command shall establish and maintain a Combatant Command Trauma System to support operational planning, exercises, and military operations across the continuum of combat casualty care, from point of injury through definitive care and rehabilitation. ``(2) The Secretaries of the military departments shall assign clinically active and operationally experienced trauma personnel, as required, to support the establishment, sustainment, and operation of each Combatant Command Trauma System in accordance with the requirements outlined in Department policy and implementation guidance with the developmental guidance, operational support, and clinical oversight of the Joint Trauma System.”
“``(b) Elements.--In addition to the requirements of section 707(b) of the National Defense Authorization Act for Fiscal Year 2017 (Public Law 114-328), in carrying out the Joint Trauma System, the Secretary shall-- ``(1) develop and maintain evidence-based clinical practice guidelines for combat casualty care across the continuum of care, from point of injury through definitive treatment; ``(2) establish standards for, and support the certification of, predeployment medical readiness for military surgeons; ``(3) maintain and integrate trauma registries and data systems of the Department of Defense to support performance improvement, research, and operational planning; ``(4) conduct system-wide performance improvement and lessons-learned analysis for combat casualty care, including dissemination of best practices across the armed forces; and ``(5) support the integration of military and civilian trauma systems to enhance readiness [[Page H4801]] and improve trauma care outcomes during military operations.”
“Joint trauma system ``(a) Requirement.--The Secretary of Defense shall maintain the Joint Trauma System established pursuant to section 707 of the National Defense Authorization Act for Fiscal Year 2017 (Public Law 114-328) as a permanent operational element of the Defense Health Agency to support the readiness of the armed forces with respect to providing combat casualty care in support of military operations.”
“Section 222a of title 10, United States Code, is amended-- (1) in subsection (a), by striking ``the armed force or forces or combatant command'' and inserting ``the armed force or forces, combatant command, or combat support agency''; and (2) in subsection (b), by adding at the end the following new paragraph: ``(8) The Director of the Defense Health Agency.''. SEC. 727. JOINT TRAUMA SYSTEM. Chapter 55 of title 10, United States Code, is amended by inserting after section 1073f the following new section: ``Sec. 1073g.”
“(b) Reports.--Not later than 120 days after the date of the enactment of this Act, and annually thereafter for three years, the Secretary of Defense shall submit to the Committees on Armed Services of the House of Representatives and the Senate a report describing-- (1) the categories of medical countermeasures procured and forward-deployed using funds authorized to be obligated or expended under section 1100a of title 10, United States Code, as added by subsection (a); (2) the locations supported by any such use of funds; and (3) any gaps or shortfalls identified in connection with the provision of such medical countermeasures to deployed forces. SEC. 726. INCLUSION OF DEFENSE HEALTH AGENCY IN REPORTING REQUIREMENTS RELATING TO UNFUNDED PRIORITIES.”
“``(2) The term `roles of medical care' has the meaning given such term in the publication of the Chairman of the Joint Chiefs of Staff titled `Joint Publication 4-02: Joint Health Service', dated December 11, 2017, or such successor publication.''.”
“``(2) The forward deployment of a medical countermeasure. ``(3) Any associated logistics, storage, or sustainment activity necessary to ensure the availability or readiness of a forward-deployed medical countermeasure. ``(c) Coordination.--The Director of the Defense Health Agency shall coordinate with the Secretaries of the military departments and the commanders of the combatant commands with respect to any obligation or expenditure of funds under subsection (a). ``(d) Definitions.--In this section: ``(1) The term `medical countermeasure' includes-- ``(A) a vaccine, therapeutic, prophylactic, or diagnostic; and ``(B) an advanced wound care product, including antimicrobial and barrier-protective dressings, such as silver-plated bandages.”
“Availability of Combat and Operational Medicine Program Account and other funds for certain medical countermeasures ``(a) Authority.--Subject to the availability of appropriations for such purpose, amounts available under the Combat and Operational Medicine Program Account established under section 1100 of this title, and amounts available under the Operation and Maintenance, Army, account for medical readiness, may be obligated or expended by the Director of the Defense Health Agency to conduct the activities described in subsection (b) for the protection and sustainment of deployed forces across the roles of medical care. ``(b) Activities Described.--The activities described in this subsection are the following: ``(1) The procurement or pre-positioning of a medical countermeasure for forward deployment.”
“(d) Effective Date.--The amendments made by this section shall take effect on October 1, 2026, and shall apply with respect to fiscal years beginning on or after that date. SEC. 725. AVAILABILITY OF COMBAT AND OPERATIONAL MEDICINE PROGRAM ACCOUNT AND OTHER FUNDS FOR CERTAIN MEDICAL COUNTERMEASURES. (a) Availability.--Chapter 55 of title 10, United States Code, is amended by inserting after section 1100 the following new section: ``Sec. 1100a.”
“240d note) is amended by striking ``Defense Health Program account'' and inserting ``Combat and Operational Medicine Program and Private Sector Care Program Accounts''. (3) National defense authorization act for fiscal year 1997.--Section 742(c)(3) of the National Defense Authorization Act for Fiscal Year 1997 (Public Law 104-201; 10 U.S.C. 1071 note) is amended by striking ``the Defense Health Program account'' and inserting ``the Combat and Operational Medicine Program account''. (c) References.--Any reference in law, regulation, document, paper, or other record of the United States to the ``Defense Health Program'' shall be deemed to be a reference to the ``Combat and Operational Medicine Program'' or the ``Private Sector Care Program'', as the case may be based on the nature of the obligation.”
“(b) Conforming Amendments.-- (1) Title 10.--Title 10, United States Code, is amended as follows: (A) Section 1076d(d)(5) is amended by striking ``the Defense Health Program Account'' and inserting ``the Private Sector Care Program Account''. (B) Section 1076e(d)(5) is amended by striking ``the Defense Health Program Account'' and inserting ``the Private Sector Care Program Account''. (C) Section 1076f(b)(2) is amended by striking ``the Defense Health Program Account'' and inserting ``the Private Sector Care Program Account''. (D) Section 1110b(c)(4) is amended by striking ``the Defense Health Program Account'' and inserting ``the Private Sector Care Program Account''. (2) National defense authorization act for fiscal year 2024.--Section 1004(b)(2) of the National Defense Authorization Act for Fiscal Year 2024 (Public Law 118-81; 10 U.S.C.”
“``(e) Definitions.--In this section: ``(1) The term `military medical and health care programs of the Department of Defense' means the medical and health care programs of the Department of Defense that are not private sector health care programs of the Department of Defense. ``(2) The term `private sector health care programs of the Department of Defense' means the programs and activities carried out by the Secretary of Defense under this chapter and any other provision of law providing for the furnishing of medical and dental care and health benefits by the private sector, including pursuant to contracts entered into under section 1079, 1086, 1092, or 1097 of this title.''.”
“``(2) Of the total amount appropriated for a fiscal year for the private sector health care programs of the Department of Defense, the amount equal to three percent of such total amount shall remain available for obligation until the end of the following fiscal year. ``(c) Obligation of Amounts From Accounts by Secretary of Defense.--The Secretary of Defense may obligate or expend funds from the accounts under subsection (a) and (b) for purposes of the military medical and health care programs of the Department of Defense and the private sector health care programs of the Department of Defense, respectively, to the extent amounts are available in the accounts. ``(d) Regulations.--The Secretary of Defense shall prescribe regulations to carry out this section.”
“``(2) Of the total amount appropriated for a fiscal year for the military medical and health care programs of the Department of Defense, the amount equal to three percent of such total amount shall remain available for obligation until the end of the following fiscal year. ``(b) Private Sector Care Program Account.--(1) There is hereby established in the Treasury of the United States an account to be known as the `Private Sector Care Program Account'. All sums appropriated to carry out the functions of the Secretary of Defense with respect to private sector medical and health care programs of the Department of Defense shall be appropriated to this account.”