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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“(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.”
“(a) Establishment.-- (1) Requirement.--Not later than 180 days after the date of the enactment of this Act, the Secretary of Defense, acting through the Director of the Defense Health Agency, shall establish a pilot program on blood pressure monitoring for pregnant and postpartum TRICARE beneficiaries in order to increase the rate of early detection of a hypertensive disorder of pregnancy. (2) Model.--The Secretary may model the pilot program under paragraph (1) on a pilot program for blood pressure self- monitoring under the Healthy Start Program of the Health Resources and Services Administration of the Department of Health and Human Services.”
“(d) Report.--Not later than 180 days after the date of the enactment of this Act, the Secretary shall submit to the congressional defense committees a report outlining-- (1) the total number of additional AEDs required to achieve Department-wide compliance with this section; (2) the estimated cost of procurement and maintenance of such AEDs; and (3) a timeline for full implementation across all military installations to comply with this section. (e) Covered Physical Training Event Defined.--In this section, the term ``covered physical training event'' means a required unit level physical training event or high-intensity exercise conducted by the Department of Defense. SEC. 760. PILOT PROGRAM ON REMOTE BLOOD PRESSURE MONITORING FOR CERTAIN PREGNANT AND POSTPARTUM TRICARE BENEFICIARIES.”
“(c) Three-minute Response Time Determination.--The Secretary shall determine the three-minute response time under subsection (a) by calculating the total elapsed time beginning at the recognition of a suspected sudden cardiac arrest and ending at the delivery of the first defibrillation shock, including all time required for AED retrieval, transport, and device preparation. In making such determinations, the Secretary may presume that locating an AED within 100 yards of the site of the covered physical training event will meet such response time.”
“(b) Requirements.--In carrying out subsection (a), the Secretary shall-- (1) require that AEDs be staged at the immediate site of any covered physical training event; (2) ensure that at least one individual present at covered physical training event site is certified (as of the date of the event) in the use of an AED and cardiopulmonary resuscitation (commonly known as ``CPR''); and (3) establish a standardized protocol for regular quarterly inspections and maintenance of all AED units to ensure operational readiness.”
“(4) The terms ``TRICARE program'' and ``TRICARE Select'' have the meanings given such terms in section 1072 of title 10, United States Code. SEC. 759. ACCESS TO AUTOMATED EXTERNAL DEFIBRILLATORS DURING MILITARY PHYSICAL TRAINING. (a) Access to AEDs.--Beginning not later than one year after the date of the enactment of this Act, the Secretary of Defense shall ensure that, for any covered physical training event, an automated external defibrillator (in this section referred to as an ``AED'') is available and accessible at a distance that ensures a three-minute response time calculated under subsection (c).”
“(d) Definitions.--In this section: (1) The term ``covered Armed Forces'' means the Army, Navy, Marine Corps, Air Force, and Space Force. (2) The term ``covered enrollment change'' means a change to a previous election by an eligible beneficiary under subsection (b)(1) of section 1099 of title 10, United States Code, to enroll in a health care plan designated under subsection (c) of such section. (3) The term ``eligible beneficiary'' means an individual-- (A) eligible to enroll in TRICARE Select under section 1075(b) of title 10, United States Code, by reason of being a member or former member of the covered Armed Forces, or a dependent of such a member or former member; or (B) a member of the covered Armed Forces on active duty.”
“Each such report shall include the number of covered enrollment changes, disaggregated by-- (1) month, beginning with January 2027; and (2) whether the eligible beneficiary made such covered enrollment change-- (A) because the eligible beneficiary is a member of the covered Armed Forces on active duty who may enroll in TRICARE Select under the pilot program; (B) because the eligible beneficiary is a member of the covered Armed Forces who separated from active duty; (C) because the eligible beneficiary is a member of the covered Armed Forces who returned to active duty; (D) because the eligible beneficiary is a dependent of a member of the covered Armed Forces who separated from active duty; (E) because the eligible beneficiary is a dependent of a member of the covered Armed Forces who returned to active duty; or (F) based on the treatment, under the pilot program, of pregnancy as a qualifying event for enrollment in TRICARE Select.”
“(c) Annual Report.--Not later than one year after the Secretary commences the pilot program under subsection (a), and annually thereafter for the next four years, the Secretary shall provide to the Committees on Armed Services of the House of Representatives and the Senate a report on the pilot program.”
“(a) Establishment.--Not later than 180 days after the date of the enactment of this Act, the Secretary of Defense shall commence a five-year pilot program under which-- (1) the Secretary shall treat pregnancy as a qualifying event under section 1099(b)(1)(B) of title 10, United States Code, for enrollment in TRICARE Select by an eligible beneficiary; and (2) a member of the Army, Navy, Marine Corps, Air Force, or Space Force on active duty may enroll in TRICARE Select under paragraph (1) for a period that ends not later than 180 days after the end of pregnancy. (b) Initial Briefing.--Not later than one year after the date of the enactment of this Act, the Secretary shall provide to the Committees on Armed Services of the House of Representatives and the Senate a briefing on the status of the pilot program under subsection (a).”
“EXPANSION OF PROHIBITION ON PAINFUL RESEARCH ON CERTAIN ANIMALS. Section 732 of the National Defense Authorization Act for Fiscal Year 2026 (Public Law 119-60; 10 U.S.C. 4001 note) is amended-- (1) in the section heading, by striking ``on domestic cats and dogs'' and inserting ``on certain animals''; and (2) in subsection (a), by striking ``a domestic cat (Felis catus) or a domestic dog (Canis familiaris)'' and inserting ``a domestic cat (Felis catus), a domestic dog (Canis familiaris), or a nonhuman member of the order Primates''. SEC. 758. PILOT PROGRAM TO TREAT PREGNANCY AS A QUALIFYING EVENT FOR ENROLLMENT IN TRICARE SELECT.”
“1959), is amended-- (1) by redesignating subparagraphs (I) through (M) as subparagraphs (J) through (N), respectively; and (2) by inserting after subparagraph (H) the following new subparagraph (I): ``(I) The number of suicides identified under subparagraph (A), as a whole and disaggregated by the military occupational specialty (or other similar classification, rating, or specialty code) of the member, excluding such specialities that the Secretary determines would not provide statistically valid data, with respect to which the member had a history of one of the following: ``(i) Concussive or subconcussive brain injuries, including traumatic brain injuries. ``(ii) Exposure to blast overpressure. ``(iii) Other head trauma, regardless of whether it required the treatment of a medical provider.''. SEC. 757.”
“``(2) Implementation.--Not later than one year after the date of the enactment of this subsection, the Secretary shall implement each requirement under paragraph (1).''. (b) Modification of Reports on Suicide.--Section 741(a)(2) of the National Defense Authorization Act for Fiscal Year 2020 (Public Law 116-92; 133 Stat. 1467), as amended by section 736(2)(B) of the Servicemember Quality of Life Improvement and National Defense Authorization Act for Fiscal Year 2025 (Public Law 118-159; 138 Stat.”
“``(B) Establishment of annual neurocognitive assessments to monitor the cognitive function of such members to be conducted-- ``(i) at least every three years as part of the periodic health assessment of such members, and yearly for members determined to be at a high risk, as determined by the Under Secretary of Defense for Personnel and Readiness; and ``(ii) as part of the post-deployment health assessment of such members. ``(C) Establishment of standards for recurrent and prolonged exposure. ``(D) Ensuring that all neurocognitive assessments of such members, including those required under subparagraphs (A) and (B), are maintained in the electronic medical record of such member. ``(E) Establishment and maintenance of blast overpressure exposure logs and traumatic brain injury logs for every member of the covered Armed Forces.”
“(a) Clarification of Strategy and Plan Requirements.-- Section 724 of the Servicemember Quality of Life Improvement and National Defense Authorization Act for Fiscal Year 2025 (Public Law 118-159; 10 U.S.C. 1071 note) is amended-- (1) by redesignating subsections (b) through (d) as subsections (c) through (e), respectively; and (2) by inserting after subsection (a) the following new subsection (b): ``(b) Requirements; Implementation.-- [[Page H4806]] ``(1) Requirements.--The oversight strategy and action plan under subsection (a) shall include the following requirements: ``(A) Establishment of a baseline neurocognitive assessment to be conducted during the accession process of all members of the covered Armed Forces before the beginning of training.”
“1073 note) is amended-- (1) in subsection (d), by striking ``five years'' and inserting ``eight years''; and (2) in subsection (f)-- (A) in the heading, by inserting ``and Briefing'' after ``Reports''; and (B) by adding at the end the following new paragraph: ``(3) Briefing.--Not later than June 30, 2027, the Secretary shall provide to the Committees on Armed Services of the House of Representatives and the Senate a briefing on the feasibility of the Department of Defense hiring doulas to provide services to members of the Armed Forces and covered beneficiaries at military medical treatment facilities that are located in the United States and such facilities that are located outside the United States.''. SEC. 756. MODIFICATION OF TRAUMATIC BRAIN INJURY OVERSIGHT STRATEGY AND ACTION PLAN OF THE DEPARTMENT OF DEFENSE.”
“(b) Annual Report.-- (1) Revival.--Subsection (c) of such section is amended by striking ``March 1, 1997'' and inserting ``March 1, 2027''. (2) Conforming amendment.--Section 1061(i) of the National Defense Authorization Act for Fiscal Year 2017 (Public Law 114-328; 10 U.S.C. 111 note) is amended by striking paragraph (3). SEC. 755. EXTENSION OF EXTRAMEDICAL MATERNAL HEALTH PROVIDERS DEMONSTRATION PROJECT. Section 746 of the William M. (Mac) Thornberry National Defense Authorization Act for Fiscal Year 2021 (Public Law 116-283; 10 U.S.C.”
“(a) Evaluation.--Subsection (a) of section 717 of the National Defense Authorization Act for Fiscal Year 1996 (Public Law 104-106; 10 U.S.C. 1073 note) is amended-- (1) in paragraph (2), by striking ``; and'' and inserting a semicolon; (2) in paragraph (3)(B)(v), by striking the period and inserting a semicolon; and (3) by adding at the end the following new paragraphs: ``(4) examine trends with respect to-- ``(A) the demographics of members of the Armed Forces and covered beneficiaries; ``(B) the use of the TRICARE program by such members and beneficiaries; ``(C) the costs incurred by the Government relating to such use; and ``(D) the satisfaction of such members and beneficiaries with respect to the TRICARE program and other metrics relating to the performance of the military health system; ``(5) compare the trends examined under paragraph (4) with trends on similar matters experienced by civilian health care programs; ``(6) identify possible determining factors that could cause changes in the use of the TRICARE program or the costs incurred by the Government relating to such use; and ``(7) determine the impacts of cost-sharing amounts under the TRICARE program on members of the Armed Forces and covered beneficiaries.''.”
“(b) Provision of Information.--Subsection (c) of such section is amended by striking ``website'' and inserting ``website, as determined by the Secretary,''. (c) Preemption.--Such section is further amended-- (1) by redesignating subsection (f) as subsection (g); and (2) by inserting after subsection (e) the following new subsection: ``(f) Preemption.--An agreement entered into under this section shall be deemed to be a contract for which the Secretary of Defense has determined to preempt State or local laws pursuant to section 1103 of title 10, United States Code, as administered under section 199.17(a)(7)(i) of title 32, Code of Federal Regulations, as in effect on the date of the enactment of this Act.''. SEC. 754. MODIFICATIONS TO EVALUATION AND REPORT ON TRICARE PROGRAM EFFECTIVENESS.”
“(2) in paragraph (2), by striking ``a period of not more than three years, and may not be renewed'' and inserting ``a period of not less than three years''; and (3) by adding at the end the following new paragraph: ``(3) Requirements.--In entering into an agreement under paragraph (1) with a company, the Secretary-- ``(A) may not select such company to provide coverage in a State, the District of Columbia, the Commonwealth of Puerto Rico, or any territory or possession of the United States in which such company-- ``(i) is not licensed; and ``(ii) does not meet solvency requirements applicable to such State; ``(B) shall award the agreement based on the expertise of such company; ``(C) shall negotiate the terms and conditions of the fixed indemnity supplemental benefit plan provided under the agreement; ``(D) shall negotiate the cost of coverage with the company that will cover the participants who elect to enroll in such plan; ``(E) shall provide a method for verification of the eligibility of applicants and procedures for determination of eligibility; and ``(F) shall provide a method for payroll deduction of premiums.''.”
“(a) Agreement.--Subsection (b) of section 734 of the National Defense Authorization Act for Fiscal Year 2026 (Public Law 119-60; 10 U.S.C. 1071 note) is amended-- (1) in paragraph (1)-- (A) in subparagraph (B), by striking ``; and'' and inserting a semicolon; (B) by redesignating subparagraph (C) as subparagraph (D); and (C) by inserting after subparagraph (B) the following new subparagraph: ``(C) provide no coordination with any other health benefit plan; and''.”