486 
HR 5136 RHUC 
‘‘§ 138d. Assistant Secretary of Defense for Cost As-
sessment and Program Evaluation’’. 
(E) The heading of section 138e, as trans-
ferred and redesignated by subsection (b)(9), is 
amended to read as follows: 
‘‘§ 138e. Assistant Secretary of Defense for Nuclear, 
Chemical, and Biological Defense Pro-
grams’’. 
(F) The heading of section 2228 is amend-
ed to read as follows: 
‘‘§ 2228. Military equipment and infrastructure: pre-
vention and mitigation of corrosion’’. 
(G) The heading of section 2438 is amend-
ed to read as follows: 
‘‘§ 2438. Developmental test and evaluation; systems 
engineering: designation of responsible 
officials; joint guidance’’. 
(2) CLERICAL AMENDMENTS.—Title 10, United 
States Code, is further amended as follows: 
(A) The table of sections at the beginning 
of chapter 4 is amended— 
(i) by inserting after the item relating 
to section 132 the following new item: 
‘‘132a. Deputy Chief Management Officer.’’; 
(ii) by striking the items relating to 
sections 133a, 134a, and 136a; 
VerDate Mar 15 2010 
00:09 Jun 26, 2010
Jkt 089200
PO 00000
Frm 00486
Fmt 6652
Sfmt 6201
E:\BILLS\H5136.RHUC
H5136
mmaher on DSKD5P82C1PROD with BILLS
487 
HR 5136 RHUC 
(iii) by amending the item relating to 
section 137a to read as follows: 
‘‘137a. Principal Deputy Under Secretaries of Defense.’’; 
(iv) by inserting after the item relat-
ing to section 138a the following new 
items: 
‘‘138b. Assistant Secretary of Defense for Research and Engineering. 
‘‘138c. Assistant Secretary of Defense for Operational Energy Plans and Pro-
grams. 
‘‘138d. Assistant Secretary of Defense for Cost Assessment and Program Eval-
uation. 
‘‘138e. Assistant Secretary of Defense for Nuclear, Chemical, and Biological De-
fense Programs.’’; 
and 
(v) by striking the items relating to 
sections 139a, 139b, 139c, 139d, 142, and 
144. 
(B) The item relating to section 2228 in 
the table of sections at the beginning of chapter 
131 is amended to read as follows: 
‘‘2228. Military equipment and infrastructure: prevention and mitigation of cor-
rosion.’’. 
(C) The table of sections at the beginning 
of chapter 144 is amended by inserting after 
the item relating to section 2437 the following 
new items: 
‘‘2438. Developmental test and evaluation; systems engineering: designation of 
responsible officials; joint guidance. 
‘‘2438a. Performance assessments and root cause analyses.’’. 
(D) The table of sections at the beginning 
of subchapter II of chapter 148 is amended by 
VerDate Mar 15 2010 
00:09 Jun 26, 2010
Jkt 089200
PO 00000
Frm 00487
Fmt 6652
Sfmt 6201
E:\BILLS\H5136.RHUC
H5136
mmaher on DSKD5P82C1PROD with BILLS
488 
HR 5136 RHUC 
inserting after the item relating to section 2507 
the following new item: 
‘‘2508. Director of Small Business Programs.’’. 
(m) EXECUTIVE SCHEDULE AMENDMENTS.—Chap-
ter 53 of title 5, United States Code, is amended as fol-
lows: 
(1) NUMBER OF ASSISTANT SECRETARY OF DE-
FENSE
POSITIONS.—Section 5315 is amended by 
striking ‘‘Assistant Secretaries of Defense (12)’’ and 
inserting ‘‘Assistant Secretaries of Defense (17)’’. 
(2) POSITIONS
REDESIGNATED
AS
ASSISTANT 
SECRETARY POSITIONS.— 
(A) Section 5315 is further amended— 
(i) by striking ‘‘Director of Cost As-
sessment and Program Evaluation, De-
partment of Defense.’’; and 
(ii) by striking ‘‘Director of Defense 
Research and Engineering.’’. 
(B) Section 5316 is amended by striking 
‘‘Assistant to the Secretary of Defense for Nu-
clear and Chemical and Biological Defense Pro-
grams.’’. 
(3) AMENDMENTS TO DELETE REFERENCES TO 
POSITIONS IN SENIOR EXECUTIVE SERVICE.—Section 
5316 is further amended— 
VerDate Mar 15 2010 
00:09 Jun 26, 2010
Jkt 089200
PO 00000
Frm 00488
Fmt 6652
Sfmt 6201
E:\BILLS\H5136.RHUC
H5136
mmaher on DSKD5P82C1PROD with BILLS
489 
HR 5136 RHUC 
(A) by striking ‘‘Director, Defense Ad-
vanced Research Projects Agency, Department 
of Defense.’’; 
(B) by striking ‘‘Deputy General Counsel, 
Department of Defense.’’; 
(C) by striking ‘‘Deputy Under Secretaries 
of Defense for Research and Engineering, De-
partment of Defense (4).’’; and 
(D) by striking ‘‘Special Assistant to the 
Secretary of Defense.’’. 
(n) REFERENCES IN OTHER LAWS, ETC.—Any ref-
erence in any provision or law other than title 10, United 
States Code, or in any rule, regulation, or other paper of 
the United States, to any of the offices of the Department 
of Defense redesignated by subsection (a) shall be treated 
as referring to that office as so redesignated. 
(o) EFFECTIVE DATE.—The provisions of this section 
and the amendments made by this section shall take effect 
on January 1, 2011, or on such earlier date for any of 
such provisions as may be prescribed by the Secretary of 
Defense. If the Secretary prescribes an earlier date for any 
of those provisions or amendments, the Secretary shall no-
tify Congress in writing in advance of such date. 
VerDate Mar 15 2010 
00:09 Jun 26, 2010
Jkt 089200
PO 00000
Frm 00489
Fmt 6652
Sfmt 6201
E:\BILLS\H5136.RHUC
H5136
mmaher on DSKD5P82C1PROD with BILLS
490 
HR 5136 RHUC 
SEC. 903. UNIFIED MEDICAL COMMAND. 
(a) ASSISTANT SECRETARY OF DEFENSE.—Section 
138(b) of title 10, United States Code, as amended by 
section 902, is further amended by adding at the end the 
following new paragraph: 
‘‘(12) One of the Assistant Secretaries is the 
Assistant Secretary of Defense for Health Affairs. 
In addition to any duties and powers prescribed 
under paragraph (1), the principal duty of the As-
sistant Secretary of Defense for Health Affairs is 
the overall supervision (including oversight of policy 
and resources) of all health affairs and medical ac-
tivities of the Department of Defense. The Assistant 
Secretary of Defense for Health Affairs is the prin-
cipal civilian adviser to the Secretary of Defense on 
health affairs and medical matters and, after the 
Secretary and Deputy Secretary, is the principal 
health affairs and medical official within the senior 
management of the Department of Defense.’’. 
(b) UNIFIED COMBATANT COMMAND.— 
(1) IN GENERAL.—Chapter 6 of such title is 
amended by inserting after section 167a the fol-
lowing new section: 
VerDate Mar 15 2010 
00:09 Jun 26, 2010
Jkt 089200
PO 00000
Frm 00490
Fmt 6652
Sfmt 6201
E:\BILLS\H5136.RHUC
H5136
mmaher on DSKD5P82C1PROD with BILLS
491 
HR 5136 RHUC 
‘‘§ 167b. Unified combatant command for medical op-
erations 
‘‘(a) ESTABLISHMENT.—With the advice and assist-
ance of the Chairman of the Joint Chiefs of Staff, the 
President, through the Secretary of Defense, may estab-
lish under section 161 of this title a unified command for 
medical operations (hereinafter in this section referred to 
as the ‘unified medical command’). The principal function 
of the command is to provide medical services to the 
armed forces and other health care beneficiaries of the De-
partment of Defense as defined in chapter 55 of this title. 
‘‘(b) ASSIGNMENT OF FORCES.—In establishing the 
unified medical command under subsection (a), all active 
military medical treatment facilities, training organiza-
tions, and research entities of the armed forces shall be 
assigned to such unified command, unless otherwise di-
rected by the Secretary of Defense. 
‘‘(c) GRADE OF COMMANDER.—The commander of 
the unified medical command shall hold the grade of gen-
eral or, in the case of an officer of the Navy, admiral while 
serving in that position, without vacating his permanent 
grade. The commander of such command shall be ap-
pointed to that grade by the President, by and with the 
advice and consent of the Senate, for service in that posi-
tion. The commander of such command shall be a member 
of a health profession described in paragraph (1), (2), (3), 
VerDate Mar 15 2010 
00:09 Jun 26, 2010
Jkt 089200
PO 00000
Frm 00491
Fmt 6652
Sfmt 6201
E:\BILLS\H5136.RHUC
H5136
mmaher on DSKD5P82C1PROD with BILLS
492 
HR 5136 RHUC 
(4), (5), or (6) of section 335(j) of title 37. During the 
5-year period beginning on the date on which the Sec-
retary establishes the command under subsection (a), the 
commander of such command shall be exempt from the 
requirements of section 164(a)(1) of this title. 
‘‘(d) SUBORDINATE COMMANDS.—(1) The unified 
medical command shall have the following subordinate 
commands: 
‘‘(A) A command that includes all fixed military 
medical treatment facilities, including elements of 
the Department of Defense that are combined, oper-
ated jointly, or otherwise operated in such a manner 
that a medical facility of the Department of Defense 
is operating in or with a medical facility of another 
department or agency of the United States. 
‘‘(B) A command that includes all medical 
training, education, and research and development 
activities that have previously been unified or com-
bined, including organizations that have been des-
ignated as a Department of Defense executive agent. 
‘‘(C) The Defense Health Agency established 
under subsection (f). 
‘‘(2) The commander of a subordinate command of 
the unified medical command shall hold the grade of lieu-
tenant general or, in the case of an officer of the Navy, 
VerDate Mar 15 2010 
00:09 Jun 26, 2010
Jkt 089200
PO 00000
Frm 00492
Fmt 6652
Sfmt 6201
E:\BILLS\H5136.RHUC
H5136
mmaher on DSKD5P82C1PROD with BILLS
493 
HR 5136 RHUC 
vice admiral while serving in that position, without 
vacating his permanent grade. The commander of such a 
subordinate command shall be appointed to that grade by 
the President, by and with the advice and consent of the 
Senate, for service in that position. The commander of 
such a subordinate command shall also be required to be 
a surgeon general of one of the military departments. 
‘‘(e) AUTHORITY OF COMBATANT COMMANDER.—(1) 
In addition to the authority prescribed in section 164(c) 
of this title, the commander of the unified medical com-
mand shall be responsible for, and shall have the authority 
to conduct, all affairs of such command relating to medical 
operations activities. 
‘‘(2) The commander of such command shall be re-
sponsible for, and shall have the authority to conduct, the 
following functions relating to medical operations activities 
(whether or not relating to the unified medical command): 
‘‘(A) Developing programs and doctrine. 
‘‘(B) Preparing and submitting to the Secretary 
of Defense program recommendations and budget 
proposals for the forces described in subsection (b) 
and for other forces assigned to the unified medical 
command. 
‘‘(C) Exercising authority, direction, and con-
trol over the expenditure of funds— 
VerDate Mar 15 2010 
00:09 Jun 26, 2010
Jkt 089200
PO 00000
Frm 00493
Fmt 6652
Sfmt 6201
E:\BILLS\H5136.RHUC
H5136
mmaher on DSKD5P82C1PROD with BILLS
494 
HR 5136 RHUC 
‘‘(i) for forces assigned to the unified med-
ical command; 
‘‘(ii) for the forces described in subsection 
(b) assigned to unified combatant commands 
other than the unified medical command to the 
extent directed by the Secretary of Defense; 
and 
‘‘(iii) for military construction funds of the 
Defense Health Program. 
‘‘(D) Training assigned forces. 
‘‘(E) Conducting specialized courses of instruc-
tion for commissioned and noncommissioned officers. 
‘‘(F) Validating requirements. 
‘‘(G) Establishing priorities for requirements. 
‘‘(H) Ensuring the interoperability of equip-
ment and forces. 
‘‘(I) Monitoring the promotions, assignments, 
retention, training, and professional military edu-
cation of medical officers described in paragraph (1), 
(2), (3), (4), (5), or (6) of section 335(j) of title 37. 
‘‘(3) The commander of such command shall be re-
sponsible for the Defense Health Program, including the 
Defense Health Program Account established under sec-
tion 1100 of this title. 
VerDate Mar 15 2010 
00:09 Jun 26, 2010
Jkt 089200
PO 00000
Frm 00494
Fmt 6652
Sfmt 6201
E:\BILLS\H5136.RHUC
H5136
mmaher on DSKD5P82C1PROD with BILLS
495 
HR 5136 RHUC 
‘‘(f) DEFENSE HEALTH AGENCY.—(1) In estab-
lishing the unified medical command under subsection (a), 
the Secretary shall also establish under section 191 of this 
title a defense agency for health care (in this section re-
ferred to as the ‘Defense Health Agency’), and shall trans-
fer to such agency the organization of the Department of 
Defense referred to as the TRICARE Management Activ-
ity and all functions of the TRICARE Program (as de-
fined in section 1072(7)). 
‘‘(2) The director of the Defense Health Agency shall 
hold the rank of lieutenant general or, in the case of an 
officer of the Navy, vice admiral while serving in that posi-
tion, without vacating his permanent grade. The director 
of such agency shall be appointed to that grade by the 
President, by and with the advice and consent of the Sen-
ate, for service in that position. The director of such agen-
cy shall be a member of a health profession described in 
paragraph (1), (2), (3), (4), (5), or (6) of section 335(j) 
of title 37. 
‘‘(g) REGULATIONS.—In establishing the unified 
medical command under subsection (a), the Secretary of 
Defense shall prescribe regulations for the activities of the 
unified medical command.’’. 
(2) CLERICAL AMENDMENT.—The table of sec-
tions at the beginning of such chapter is amended 
VerDate Mar 15 2010 
00:09 Jun 26, 2010
Jkt 089200
PO 00000
Frm 00495
Fmt 6652
Sfmt 6201
E:\BILLS\H5136.RHUC
H5136
mmaher on DSKD5P82C1PROD with BILLS
496 
HR 5136 RHUC 
by inserting after the item relating to section 167a 
the following new item: 
‘‘167b. Unified combatant command for medical operations.’’. 
(c) PLAN, NOTIFICATION, AND REPORT.— 
(1) PLAN.—Not later than March 31, 2011, the 
Secretary of Defense shall submit to the congres-
sional defense committees a comprehensive plan to 
establish the unified medical command authorized 
under section 167b of title 10, United States Code, 
as added by subsection (b), including any legislative 
actions the Secretary considers necessary to imple-
ment the plan. 
(2) NOTIFICATION.—The Secretary shall sub-
mit to the congressional defense committees written 
notification of the decision of the Secretary to estab-
lish the unified medical command under such section 
167b by not later than the date that is 30 days be-
fore establishing such command. 
(3) REPORT.—Not later than 180 days after 
submitting the notification under paragraph (2), the 
Secretary shall submit to the congressional defense 
committees a report on— 
(A) the establishment of the unified med-
ical command; and 
VerDate Mar 15 2010 
00:09 Jun 26, 2010
Jkt 089200
PO 00000
Frm 00496
Fmt 6652
Sfmt 6201
E:\BILLS\H5136.RHUC
H5136
mmaher on DSKD5P82C1PROD with BILLS
497 
HR 5136 RHUC 
(B) the establishment of the Defense 
Health Agency under subsection (f) of such sec-
tion 167b. 
Subtitle B—Space Activities 
SEC. 911. INTEGRATED SPACE ARCHITECTURES. 
The Secretary of Defense and the Director of Na-
tional Intelligence shall jointly establish the capability to 
conduct integrated national security space architecture 
planning, development, coordination, and analysis that— 
(1) encompasses defense and intelligence space 
plans, programs, budgets, and organizations; 
(2) 
provides 
mid-term 
to 
long-term 
rec-
ommendations to guide space-related defense and in-
telligence acquisitions, requirements, and investment 
decisions; 
(3) is independent of the space architecture 
planning, development, coordination, and analysis 
activities of each military department and each ele-
ment of the intelligence community (as defined in 
section 3(4) of the National Security Act of 1947 
(50 U.S.C. 401a(4))); and 
(4) makes use of, to the maximum extent prac-
ticable, joint duty assignment positions (as defined 
in section 668). 
VerDate Mar 15 2010 
00:09 Jun 26, 2010
Jkt 089200
PO 00000
Frm 00497
Fmt 6652
Sfmt 6201
E:\BILLS\H5136.RHUC
H5136
mmaher on DSKD5P82C1PROD with BILLS
498 
HR 5136 RHUC 
Subtitle C—Intelligence-Related 
Matters 
SEC. 921. FIVE-YEAR EXTENSION OF AUTHORITY FOR SEC-
RETARY OF DEFENSE TO ENGAGE IN COM-
MERCIAL ACTIVITIES AS SECURITY FOR IN-
TELLIGENCE COLLECTION ACTIVITIES. 
The second sentence of section 431(a) of title 10, 
United States Code, is amended by striking ‘‘December 
31, 2010’’ and inserting ‘‘December 31, 2015’’. 
SEC. 922. SPACE AND COUNTERSPACE INTELLIGENCE 
ANALYSIS. 
(a) DESIGNATION OF LEAD INTEGRATOR.— 
(1) DESIGNATION.— 
(A) IN
GENERAL.—The Director of the 
Defense Intelligence Agency shall designate a 
lead 
integrator 
for 
foreign 
space 
and 
counterspace defense intelligence analysis. 
(B) INITIAL
DESIGNATION.—Not later 
than 30 days after the date of the enactment of 
this Act, the Director of the Defense Intel-
ligence Agency shall designate an initial lead in-
tegrator under subparagraph (A). 
(2) NOTICE.—Not later than 30 days after the 
date on which the Director of the Defense Intel-
ligence Agency designates a lead integrator under 
VerDate Mar 15 2010 
00:09 Jun 26, 2010
Jkt 089200
PO 00000
Frm 00498
Fmt 6652
Sfmt 6201
E:\BILLS\H5136.RHUC
H5136
mmaher on DSKD5P82C1PROD with BILLS