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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Every one of 4,912 lines we hold for Mike D. Rogers, in date order, each linked to its source. Free to read, in full, without an account. Page 34 of 99.
“(a) In General.--Section 1100 of title 10, United States Code, is amended to read as follows: ``Sec. 1100. Accounts for medical and health care programs of the Department of Defense ``(a) Combat And Operational Medicine Program Account.--(1) There is hereby established in the Treasury of the United States an account to be known as the `Combat and Operational Medicine Program Account'. All sums appropriated to carry out the functions of the Secretary of Defense with respect to the military medical and health care programs of the Department of Defense shall be appropriated to this account.”
“(f) Notification Required to Modify Scope of Services Provided at Military Medical Treatment Facilities.-- Subsection (f) of such section is amended-- (1) in paragraph (1)(B), by striking ``180 days'' and inserting ``one year''; and (2) in paragraph (2), by adding at the end the following new subparagraph: ``(D) An analysis of the capability of the local community to absorb patients and the anticipated cost to the managed care support contract.''. SEC. 723. DESIGNATION OF DEFENSE HEALTH AGENCY AS COMBAT SUPPORT AGENCY. Section 193(f) of title 10, United States Code, is amended-- (1) by redesignating paragraph (5) as paragraph (6); and (2) by inserting after paragraph (4) the following new paragraph: ``(5) The Defense Health Agency.''. SEC. 724. ACCOUNTS FOR MEDICAL AND HEALTH CARE PROGRAMS OF THE DEPARTMENT OF DEFENSE.”
“(e) Maintenance of Inpatient Capabilities at Military Medical Treatment Facilities Located Outside the United States.--Subsection (e)(2) of such section is amended-- (1) in the matter preceding subparagraph (A), by striking ``180 days'' and inserting ``one year''; and (2) by redesignating subparagraph (C) as subparagraph (D); (3) by inserting after subparagraph (B) the following new subparagraph: ``(C) The Secretary has consulted with the relevant operational commander or installation [[Page H4800]] commander, as appropriate, to ensure that the proposed elimination would have no impact on access by eligible beneficiaries to health care.''; and (4) in subparagraph (D), as so redesignated, by striking ``Before'' and inserting ``At least one year before''.”
“(d) Ambulatory Care Centers.--Subsection (d)(3) of such section is amended-- (1) by redesignating subparagraphs (A) and (B) as subparagraphs (B) and (C), respectively; and (2) by inserting before subparagraph (B), as so redesignated, the following new subparagraph: ``(A) is necessary for medical readiness;''.”
“(c) Hospitals.--Subsection (c) of such section is amended-- (1) in paragraph (2)-- (A) in subparagraph (A), by striking ``; and'' and inserting a semicolon; (B) by redesignating subparagraph (B) as subparagraph (C); and (C) by inserting after subparagraph (A) the following new subparagraph: ``(B) inpatient and outpatient health services with limited speciality care to provide medical care to all eligible beneficiaries; and''; and (2) in paragraph (3)-- (A) by redesignating subparagraphs (A) and (B) as subparagraphs (B) and (C), respectively; and (B) by inserting before subparagraph (B), as so redesignated, the following new subparagraph: ``(A) is necessary for medical readiness;''.”
“(b) Medical Centers.--Subsection (b) of such section is amended-- (1) in paragraph (2), by striking ``that support medical readiness''; (2) in paragraph (4)(C)(ii), by striking ``improving'' and inserting ``ensuring''; and (3) in paragraph (5)(C)(ii)-- (A) by striking ``may'' and inserting ``shall''; and (B) by inserting ``or contractors'' after ``civilian employees''.”
“(g) Submission of Organizational Chart.--Not later than 60 days after the date of the enactment of this Act, the Assistant Secretary of Defense for Health Affairs shall submit to the Committees on Armed Services of the House of Representatives and the Senate an organizational chart of the Defense Health Agency, including an analysis of how the organization of the Defense Health Agency meets the requirements of section 1073c of title 10, United States Code. SEC. 722. IMPROVEMENTS TO ADMINISTRATION OF MILITARY MEDICAL TREATMENT FACILITIES. (a) Support Provided by MTFs.--Subsection (a) of section 1073d of title 10, United States Code, is amended by striking ``and the readiness of medical personnel,'' and inserting ``, the readiness of medical personnel, and the health care services available for covered beneficiaries,''.”
“(f) Definition of Health Care Administration.--Subsection (k) of such section is amended by adding at the end the following: ``(4) The term `health care administration' means the administration and management of the following: ``(A) Health information technology. ``(B) Pharmacy operations. ``(C) Medical logistics. ``(D) Facility planning. ``(E) The health plan options of the TRICARE program.''.”
“(e) Consultations on the Military Health System Budget.-- Subsection (h) of such section is amended-- (1) in the heading, by striking ``Medical Research of Military Departments'' and inserting ``Certain Matters''; (2) by striking ``In establishing'' and inserting ``(1) In establishing''; and (3) by adding at the end the following new paragraph: ``(2) On a basis that is not less frequent than semiannually, the Secretary of Defense, in coordination with the Under Secretary of Defense for Personnel and Readiness, shall carry out recurring consultations with each military department and the Surgeons General of each armed force regarding the budgetary requirements for each military department, including with respect to each matter specified in subsection (d)(2)(B).''.”
“(d) Certain Responsibilities of Director.--Subsection (e)(2) of such section is amended-- (1) in subparagraph (A)-- (A) by striking ``Ensuring that'' and inserting ``Coordinating with the commanders of the combatant commands to ensure''; and (B) by striking ``the commanders of the combatant commands.'' and inserting ``such commanders.''; and (2) in subparagraph (C)-- (A) by striking ``Ensuring that'' and inserting ``Coordinating with the senior military operational commander of each military installation with a military medical treatment facility to ensure''; and (B) by striking ``the senior military operational commanders of the military installations.'' and inserting ``such commanders.''.”
“``(iv) Education and training programs. ``(v) Research, development, test, and evaluation. ``(vi) Management and headquarters activities. ``(vii) Facilities sustainment. ``(viii) Procurement. ``(ix) Civilian and contractor personnel.''.”
“(b) Assistant Director.--Subsection (c)(1)(A) of such section is amended by inserting ``or an officer of the armed forces'' before the semicolon. (c) Deputy Assistant Director for Financial Operations.-- Subparagraph (B) of subsection (d)(2) of such section is amended to read as follows: ``(B) The Deputy Assistant Director for Financial Operations shall be responsible for the policy, procedures, and direction of budgeting matters and financial management with respect to the following: ``(i) The provision of direct care at military medical treatment facilities. ``(ii) The TRICARE program. ``(iii) Certain medical readiness activities and expeditionary medical capabilities (as determined by the commanders of the combatant commands, in consultation with the Surgeons General of the armed forces and the Joint Staff Surgeon).”
“(a) Administration of Military Medical Treatment Facilities.--Subsection (b) of section 1073c of title 10, United States Code, is amended-- (1) in paragraph (1)-- (A) in subparagraph (H), by striking ``; and'' and inserting a semicolon; (B) by redesignating subparagraph (I) as subparagraph (J); and (C) by inserting after subparagraph (H) the following new subparagraph (I): ``(I) civilian personnel; and''; and (2) in paragraph (2)-- (A) by striking subparagraph (C) and inserting the following new subparagraph: ``(C) to determine, in coordination with the senior military operational commander of each military installation with a military medical treatment facility, the scope of medical care provided at each such facility to meet-- ``(i) the military personnel readiness requirements of such commander; and ``(ii) the health care requirements of members of the armed forces and covered beneficiaries, as determined by such commander;''; (B) in subparagraph (D), by striking ``or the Assistant Secretary of Defense for Health Affairs''; (C) in subparagraph (F), by striking ``joint manning'' and inserting `` uniformed, joint, civilian, and contractor manning''; (D) by striking subparagraph (G); (E) by redesignating subparagraphs (H) and (I) as subparagraphs (G) and (H), respectively; and (F) in subparagraph (G), as so redesignated, by inserting ``civilian and contractor'' after ``address''.”
“(e) Definitions.--In this section: (1) The term ``covered Armed Force'' means the Army, Navy, Marine Corps, Air Force, or Space Force. (2) The term ``covered member'' means a member of a covered Armed Force-- (A) serving on active duty; and (B) who smokes at least one cigarette (or other combustible tobacco product) per week. Subtitle B--Health Care Administration SEC. 721. IMPROVEMENTS TO DEFENSE HEALTH AGENCY.”
“(d) Report.--Not later than one year after the date on which the pilot program under subsection (a) is completed, the Secretary shall submit to the Committees on Armed Services of the Senate and House of Representatives a report regarding the results of the pilot program, including the determination of the Secretary regarding-- (1) whether the pilot program helped covered members stop smoking; (2) the alternatives specified in subsection (b) that are most effective in helping covered members to stop smoking; (3) gaps in health care services available to covered members who belong to the populations described in subsection (c)(2); and (4) the recommendation of the Secretary whether to expand, extend, or make permanent the pilot program.”
“(c) Participation.--If the Secretary carries out the pilot program under subsection (a), the pilot program shall operate-- (1) in not less than one covered Armed Force; and (2) at not less than one military installation at which covered members serve in numbers that exceed the national average for-- (A) smoking cigarettes or other combustible tobacco products; (B) the population of Black Americans; (C) the population of Asian and Pacific Islander Americans; (D) the population of Hispanic Americans; and (E) the population of Appalachian Americans.”
“[[Page H4799]] (3) The term ``TRICARE Program'' has the meaning given that term in section 1072 of title 10, United States Code. SEC. 707. PILOT PROGRAM TO HELP CERTAIN MEMBERS OF THE ARMED FORCES STOP SMOKING. (a) Authority.--Beginning not later than 180 days after the date of the enactment of this Act, the Secretary of Defense may carry out a one-year pilot program to furnish to covered members the alternatives to smoking specified in subsection (b)-- (1) to help such covered members stop smoking; and (2) to improve the health of such covered members. (b) Alternatives to Smoking.--The alternatives to smoking specified in this subsection are-- (1) counseling; (2) nicotine gum; (3) nicotine patches; (4) electric nicotine delivery systems; (5) nicotine pouches; and (6) heat-not-burn products.”
“(b) Outreach.--Beginning not later than 90 days after the implementation of coverage under subsection (a), the Secretary shall conduct such outreach activities as are necessary to inform health care providers and individuals who are enrolled in the TRICARE Program of such coverage and the requirements to receive such coverage. (c) Definitions.--In this section: (1) The term ``covered Armed Force'' means the Army, Navy, Marine Corps, Air Force, or Space Force. (2) The term ``eligible covered beneficiary'' means an eligible covered beneficiary as such term is used in section 1074g of title 10, United States Code, who is-- (A) a member of a covered Armed Force serving on active duty; or (B) a dependent of a member described in subparagraph (A).”
“TRICARE COVERAGE FOR INCREASED SUPPLY FOR CONTRACEPTION. (a) In General.--Beginning not less than 180 days after the date of the enactment of the Act, contraceptive supplies of up to 365 days shall be covered for any eligible covered beneficiary to obtain, including in a single fill or refill, at the option of such beneficiary, the total days of supply (not to exceed a 365-day supply) for a contraceptive on the uniform formulary provided through a military treatment facility pharmacy, retail pharmacy described in section 1074g(a)(2)(E)(ii) of title 10, United States Code, or through the national mail-order pharmacy program of the TRICARE Program.”
“(d) Report.--Not later than one year 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 a report on each action taken under subsection (b). (e) Service Change Defined.--The term ``service change'' means, with respect to a military medical treatment facility, an action by the Secretary of Defense to modify the scope of medical care provided at the facility, or the beneficiary population served at the facility, as described in section 1073d(f) of title 10, United States Code, including with respect to reducing or transferring personnel, converting an inpatient hospital to an outpatient ambulatory care center, and restricting the type of beneficiary that can access the facility. SEC. 706.”
“(38) 87th medical group, joint base mcguire-dix-lakehurst, new jersey.--With respect to the 87th Medical Group, Joint Base McGuire-Dix-Lakehurst, New Jersey-- (A) discontinuing contracts for nutrition services; and (B) discontinuing contracts for chiropractic services. (39) 1st special operations medical group, hurlburt field, florida.--With respect to 1st Special Operations Medical Group, Hurlburt Field, Florida, discontinuing contracts for chiropractic services. (40) 10th medical group, united states air force academy, colorado.--With respect to 10th Medical Group, United States Air Force Academy, Colorado, discontinuing contracts for chiropractic services. (41) 96th medical group, eglin air force base, florida.-- With respect to 96th Medical Group, Eglin Air Force Base, Florida, discontinuing contracts for chiropractic services.”
“(35) 55th medical group, offutt air force base, nebraska.-- With respect to the 55th Medical Group, Offutt Air Force Base, Nebraska-- (A) discontinuing contracts for nutrition services; and (B) discontinuing contracts for chiropractic services. (36) 7th medical group, dyess air force base, texas.--With respect to the 7th Medical Group, Dyess Air Force Base, Texas, discontinuing contracts for nutrition services. (37) 2d medical group, barksdale air force base, louisiana.--With respect to the 2d Medical Group, Barksdale Air Force Base, Louisiana-- (A) discontinuing contracts for nutrition services; and (B) discontinuing contracts for chiropractic services.”
“(31) Desert sage community based medical home, william beaumont army medical center, fort bliss, texas.--With respect to the Desert Sage Community Based Medical Home, William Beaumont Army Medical Center, Fort Bliss, Texas, closing such home. (32) Naval health clinic patuxent river, branch health clinic dahlgren, virginia.--With respect to Naval Health Clinic Patuxent River, Branch Health Clinic Dahlgren, Virginia, discontinuing radiology services. (33) Army health clinic munson, fort leavenworth, kansas.-- With respect to Army Health Clinic Munson, Fort Leavenworth, Kansas, discontinuing mammography services. (34) Naval health clinic lemoore, california.--With respect to Naval Health Clinic Lemoore, California, discontinuing operating room services.”
“(27) 66th medical squadron, hanscom air force base, massachusetts.--With respect to the 66th Medical Squadron, Hanscom Air Force Base, Massachusetts, limiting access to the military medical treatment facility only to members of the Armed Forces serving on active duty. (28) David grant medical center, travis air force base, california.--With respect to the David Grant Medical Center, Travis Air Force Base, California, closing the labor and delivery services. (29) 42d medical group, maxwell air force base, alabama.-- With respect to the 42d Medical Group, Maxwell Air Force Base, Alabama, discontinuing educational and developmental intervention services. (30) Vilseck army health clinic, germany.--With respect to the Vilseck Army Health Clinic, Germany, discontinuing physical medicine and rehabilitation services.”
“(24) 78th medical group, robins air force base, georgia.-- With respect to the 78th Medical Group, Robins Air Force Base, Georgia, limiting access to the military medical treatment facility only to members of the Armed Forces serving on active duty. (25) 72d medical group, tinker air force base, oklahoma.-- With respect to the 72d Medical Group, Tinker Air Force Base, Oklahoma, limiting access to the military medical treatment facility only to members of the Armed Forces serving on active duty. (26) 75th medical group, hill air force base, utah.--With respect to the 75th Medical Group, Hill Air Force Base, Utah, limiting access to the military medical treatment facility only to members of the Armed Forces serving on active duty.”
“(22) 319th medical group, grand forks air force base, north dakota.--With respect to the 319th Medical Group, Grand Forks Air Force Base, North Dakota, limiting access to the military medical treatment facility only to members of the Armed Forces serving on active duty and the dependents of such members living on base. (23) 61st medical squadron, los angeles space force base, california.--With respect to the 61st Medical Squadron, Los Angeles Space Force Base, California, limiting access to the military medical treatment facility only to members of the Armed Forces serving on active duty and the dependents of such members living on base.”
“(20) 23d medical group, moody air force base, georgia.-- With respect to the 23d Medical Group, Moody Air Force Base, Georgia, limiting access to the military medical treatment facility only to members of the Armed Forces serving on active duty and the dependents of such members living on base. (21) 366th medical group, mountain home air force base, idaho.--With respect to the 366th Medical Group, Mountain Home Air Force Base, Idaho, limiting access to the military medical treatment facility only to members of the Armed Forces serving on active duty and the dependents of such members living on base.”
“(18) 30th medical group, vandenberg space force base, california.--With respect to the 30th Medical Group, Vandenberg Space Force Base, California, limiting access to the military medical treatment facility only to members of the Armed Forces serving on active duty and the dependents of such members. (19) Naval health clinic corpus christi, texas.--With respect to Naval Health Clinic Corpus Christi, Texas, limiting access to the military medical treatment facility only to members of the Armed Forces serving on active duty and the dependents of such members.”
“(16) 27th special operations medical group, cannon air force base, new mexico.--With respect to the 27th Special Operations Medical Group, Cannon Air Force Base, New Mexico, limiting access to the military medical treatment facility only to members of the Armed Forces serving on active duty and the dependents of such members. (17) 412th medical group, edwards air force base, california.--With respect to the 412th Medical Group, Edwards Air Force Base, California, limiting access to the military medical treatment facility only to members of the Armed Forces serving on active duty and the dependents of such members.”
“(14) 20th medical group, shaw air force base, south carolina.--With respect to the 20th Medical Group, Shaw Air Force Base, South Carolina-- (A) limiting access to the military medical treatment facility only to members of the Armed Forces serving on active duty and the dependents of such members; and (B) discontinuing contracts for nutrition services. (15) 460th medical group, buckley space force base, colorado.--With respect to the 460th Medical Group, Buckley Space Force Base, Colorado, limiting access to the military medical treatment facility only to members of the Armed Forces serving on active duty and the dependents of such members.”
“(12) 45th medical group, patrick space force base, florida.--With respect to the 45th Medical Group, Patrick Space Force Base, Florida, limiting access to the military medical treatment facility only to members of the Armed Forces serving on active duty and the dependents of such members. (13) 4th medical group, seymour johnson air force base, north carolina.--With respect to the 4th Medical Group, Seymour Johnson Air Force Base, North Carolina, limiting access to the military medical treatment facility only to members of the Armed Forces serving on active duty and the dependents of such members.”
“Warren Air Force Base, Wyoming, limiting access to the military medical treatment facility only to members of the Armed Forces serving on active duty and the dependents of such members. (10) 355th medical group, davis-monthan air force base, arizona.--With respect to the 355th Medical Group, Davis- Monthan Air Force Base, Arizona, limiting access to the military medical treatment facility only to members of the Armed Forces serving on active duty and the dependents of such members. (11) 9th medical group, beale air force base, california.-- With respect to the 9th Medical Group, Beale Air Force Base, California, limiting access to the military medical treatment facility only to members of the Armed Forces serving on active duty and the dependents of such members.”
“(7) 28th medical group, ellsworth air force base, south dakota.--With respect to the 28th Medical Group, Ellsworth Air Force Base, South Dakota, limiting access to the military medical treatment facility only to members of the Armed Forces serving on active duty and the dependents of such members. (8) 92d medical group, fairchild air force base, washington.--With respect to the 92d Medical Group, Fairchild Air Force Base, Washington, limiting access to the military medical [[Page H4798]] treatment facility only to members of the Armed Forces serving on active duty and the dependents of such members. (9) 90th medical group, francis e. warren air force base, wyoming.--With respect to the 90th Medical Group, Francis E.”
“(5) 19th medical group, little rock air force base, arkansas.--With respect to the 19th Medical Group, Little Rock Air Force Base, Arkansas-- (A) limiting access to the military medical treatment facility only to members of the Armed Forces serving on active duty and the dependents of such members; and (B) discontinuing contracts for nutrition services. (6) 341st medical group, malmstrom air force base, montana.--With respect to the 341st Medical Group, Malmstrom Air Force Base, Montana, limiting access to the military medical treatment facility only to members of the Armed Forces serving on active duty and the dependents of such members.”
“(3) Naval hospital beaufort, south carolina.--With respect to the Naval Hospital Beaufort, South Carolina-- (A) converting the military medical treatment facility from an inpatient hospital to an outpatient ambulatory care center; (B) discontinuing inpatient, operating, and emergency room services; (C) realigning medical manpower to other military medical treatment facilities; and (D) discontinuing contracts for chiropractic services. (4) 22d medical group, mcconnell air force base, kansas.-- With respect to the 22d Medical Group, McConnell Air Force Base, Kansas, limiting access to the military medical treatment facility only to members of the Armed Forces serving on active duty and the dependents of such members.”
“(2) 88th medical group, wright-patterson air force base, ohio.--With respect to the 88th Medical Group, Wright- Patterson Air Force Base, Ohio-- (A) converting the military medical treatment facility from an inpatient hospital to an outpatient ambulatory care center with surgical capabilities; (B) discontinuing inpatient, operating, and emergency room services; (C) realigning medical manpower to other military medical treatment facilities; (D) closing pediatric cardiology services; and (E) discontinuing contracts for chiropractic services.”
“(c) Service Change Described.--A service change described in this subsection is a service change specified in the notification of service changes submitted by the Under Secretary of Defense for Personnel and Readiness to the Committees on Armed Services of the House of Representatives and the Senate on March 4, 2026, pursuant to section 1073d(f) of title 10, United States Code, including the following: (1) Eisenhower army medical center, fort gordon, georgia.-- With respect to the Eisenhower Army Medical Center, Fort Gordon, Georgia-- (A) converting the military medical treatment facility from an inpatient hospital to an outpatient ambulatory care center; (B) discontinuing inpatient, operating, and emergency room services; and (C) realigning medical manpower to other military medical treatment facilities.”
“(b) Reversal and Restoration.--Not later than 30 days after the date of the enactment of this Act, the Secretary of Defense shall carry out the following actions: (1) Reverse any steps taken to carry out a service change described in subsection (c). (2) Restore personnel and clinical services affected by any such service change to the level existing as of March 3, 2026 (unless such level is otherwise modified by a provision of law enacted on or after such date).”
“(b) Application.--The amendments made by subsection (a) shall apply with respect to any modification of the scope of medical care proposed by the Secretary of Defense on or after January 1, 2026, including such proposals submitted by the Under Secretary of Defense for Personnel and Readiness to the Committees on Armed Services of the House of Representatives and the Senate on March 4, 2026. SEC. 705. PROHIBITION ON AND REVERSAL OF ACTIONS TO MODIFY SCOPE OF MEDICAL SERVICES PROVIDED AT CERTAIN MILITARY MEDICAL TREATMENT FACILITIES. (a) Prohibition.--The Secretary of Defense may not take any action to carry out a service change described in subsection (c).”
“``(H) The status of efforts to close all recommendations by the Comptroller General contained in the April 2025 report titled `Defense Healthcare Actions Needed to Address Long- Standing Management Challenges with Medical Facilities' and numbered GAO-25-107432. ``(I) The status of efforts to close all recommendations by the Inspector General of the Department of Defense contained in the December 2025 report titled `Audit of the Defense Health Agency's Management of Military Medical Treatment Facilities Outside the Continental United States in Meeting Access to Primary Care Standards' and numbered DODIG-2026- 025.''.”
“``(E) An analysis of the ability of the managed care network to absorb a member or covered beneficiary that cannot be provided care at a military medical treatment facility, including an explanation of the exact elements used in developing a cost analysis between such providing care through such network and such facilities. ``(F) An analysis of the ability of the Defense Health Agency to encourage members and covered beneficiaries to use military medical treatment facilities over the managed care network. ``(G) The status of efforts to close all recommendations by the Comptroller General of the United States contained in the July 2025 report titled `Defense Health Care: Information Needed to Improve Monitoring of Military Personnel Staffing at Medical Facilities' and numbered GAO-25-106988.”
“``(C) An analysis of the effects to services at a military medical treatment facility when any medical provider who is a member of the armed forces permanently changes station and the position of such member is not filled (whether by a member, a civilian, or a contractor). ``(D) The number of positions required to fully staff the current military health system, as of the date of the report, and the number of such unfilled positions, including with respect to whether such positions would be filled by a member, a civilian, or a contractor.”
“(a) Limitation.--Section 1073d(f) of title 10, United States Code, is amended-- (1) in paragraph (1)(A), by striking ``a notification of'' and inserting ``a notification under paragraph (2) and a report under paragraph (3) regarding''; and (2) by adding at the end the following new paragraph: ``(3) Each report under paragraph (1) shall contain the following: ``(A) A budget that is consistent with the requirements under this chapter regarding access to medical care and the quality of such care. ``(B) A description of how the Secretary uses enhanced appointment and compensation authorities, including under section 1599c of this title, to recruit and retain civilian employees.”
“(c) Conforming Amendment.--Section 1079(a) of title 10, United States Code, is amended by adding at the end the following new paragraph: ``(21) Fertility-related care shall be provided in accordance with section 1074p of this title.''. (d) Exclusion From Contracts for Former Members and Their Dependents.--Section 1086(a) of such title is amended by striking ``eye examinations and'' and inserting ``eye examinations, fertility-related care pursuant to paragraph (21) of such section, and''. (e) Application.--The amendments made by this section shall apply with respect to services provided on or after October 1, 2028. SEC. 704. LIMITATION ON ABILITY OF SECRETARY OF DEFENSE TO MODIFY SCOPE OF MEDICAL SERVICES.”
“(b) Program on Fertility Treatment Coordination.--Chapter 55 of title 10, United States Code, is amended by adding at the end the following new section: ``Sec. 1110c. Program on fertility-related care coordination ``(a) In General.--The Secretary of Defense shall establish a program on the coordination of fertility-related care by the Secretary for purposes of ensuring patients receive timely fertility-related care. ``(b) Training and Support.--In carrying out the program established under subsection (a), the Secretary shall provide to community health care providers training and support with respect to the unique needs of members of the armed forces and the dependents of such members.''.”
“``(4) The term `fertility treatment' includes the following: ``(A) In vitro fertilization or other treatments or procedures in which human oocytes, embryos, or sperm are handled when clinically appropriate. ``(B) Sperm retrieval. ``(C) Egg retrieval. ``(D) Preservation of human oocytes, embryos, or sperm. ``(E) Artificial insemination, including intravaginal insemination, intracervical insemination, and intrauterine insemination. ``(F) Transfer of reproductive genetic material. ``(G) Medications as prescribed or necessary for fertility. ``(H) Fertility treatment coordination. ``(I) Such other information, referrals, treatments, procedures, testing, medications, laboratory services, technologies, and services facilitating reproduction as determined appropriate by the Secretary of Defense.''.”
“``(2) The term `infertility' means a disease, condition, or status characterized by-- ``(A) the failure to establish a pregnancy or to carry a pregnancy to live birth after regular, unprotected sexual intercourse in accordance with the guidelines of the American Society for Reproductive Medicine; ``(B) the inability of an individual to reproduce without medical intervention either as a single individual or with the partner of the individual; or ``(C) the findings of a licensed physician based on the medical, sexual, and reproductive history, age, physical findings, or diagnostic testing, of the individual. ``(3) The term `fertility-related care' means-- ``(A) the diagnosis of infertility; and ``(B) fertility treatment.”
“``(e) Definitions.--In this section: ``(1) The term `covered member' means-- ``(A) a member of the Army, Navy, Marine Corps, Air Force, or Space Force, serving on active duty; and ``(B) does not include a former member of the armed forces.”
“``(c) Cost Sharing and Other Limitations.--The Secretary shall ensure that cost-sharing amounts for an individual who receives fertility-related care under this section are determined under section 1075, 1075a, or other applicable provision of this chapter in accordance with the [[Page H4797]] kind of care provided (such as an in-network inpatient visit) and without regard to whether the care is fertility-related care. The Secretary may not impose any waiting periods or other limitations once the individual has received a medical diagnosis of infertility. ``(d) Prohibitions.--Funds available to the Department of Defense may not be used for preimplantation genetic screening, human cloning, international surrogacy, or artificial womb technology.”
“Fertility treatment for certain active duty members of the armed forces and dependents ``(a) Coverage.--The Secretary shall ensure that fertility- related care for a covered member (or a dependent of such a member) shall be covered under TRICARE Prime and TRICARE Select. ``(b) In Vitro Fertilization.--In the case of in vitro fertilization treatment furnished to an individual pursuant to subsection (a)-- ``(1) three completed oocyte retrievals may be furnished per calendar year; and ``(2) single embryo transfers shall be provided unless otherwise medically indicated in accordance with the guidelines of the American Society for Reproductive Medicine.”