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(1) GROUPS COVERED.—The Secretary of De-
fense shall conduct a study of providing chiropractic 
health care services and benefits to the following 
groups: 
(A) All members of the uniformed services 
on active duty and entitled to care under sec-
tion 1074(a) of title 10, United States Code. 
(B) All members described in subpara-
graph (A) and their eligible dependents, and all 
members of reserve components of the uni-
formed services and their eligible dependents. 
(C) All members or former members of the 
uniformed services who are entitled to retired or 
retainer pay or equivalent pay and their eligible 
dependents. 
(2) MATTERS EXAMINED.—
(A) For each group listed in subpara-
graphs (A), (B), and (C) of paragraph (1), the 
study shall examine the following with respect 
to chiropractic health care services and benefits: 
(i) The cost of providing such services 
and benefits. 
(ii) The feasibility of providing such 
services and benefits.
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(iii) An assessment of the health care 
benefits of providing such services and 
benefits. 
(iv) An estimate of the potential cost 
savings of providing such services and ben-
efits in lieu of other medical services. 
(v) The identification of existing and 
planned health care infrastructure, includ-
ing personnel, equipment, and facilities, to 
accommodate the provision of chiropractic 
health care services. 
(B) For the members of the group listed in 
subparagraph (A) of paragraph (1), the study 
shall examine the effects of providing chiro-
practic health care services and benefits—
(i) on the readiness of such members; 
and 
(ii) on the acceleration of the return 
to duty of such members following an iden-
tified injury or other malady that can be 
appropriately treated with chiropractic 
health care services. 
(3) SPACE AVAILABLE COSTS.—The study shall 
also include a detailed analysis of the projected costs 
of providing chiropractic health care services on a
282
space available basis in the military treatment facili-
ties currently providing chiropractic care under sec-
tion 702 of the Floyd D. Spence National Defense 
Authorization Act of Fiscal Year 2001 (as enacted 
by Public Law 106–398; 10 U.S.C. 1092 note). 
(4) ELIGIBLE DEPENDENTS DEFINED.—In this 
section, the term ‘‘eligible dependent’’ has the mean-
ing given that term in section 1076a(k) of title 10, 
United States Code. 
(b) PLAN REQUIRED.—Not later than March 31, 
2007, the Secretary of Defense shall revise the plan re-
quired under section 702 of the Floyd D. Spence National 
Defense Authorization Act of Fiscal Year 2001 (as en-
acted by Public Law 106–398; 10 U.S.C. 1092 note), in-
cluding a detailed analysis of the projected costs, to pro-
vide chiropractic health care services and benefits as a per-
manent part of the Defense Health Program (including 
the TRICARE program) as required under that section. 
(c) REPORT REQUIRED.—Not later than March 31, 
2007, the Secretary of Defense shall submit a report on 
the study required under subsection (a), together with the 
plan required under subsection (b), to the Committees on 
Armed Services of the Senate and the House of Represent-
atives.
283
SEC. 713. COMPTROLLER GENERAL STUDY AND REPORT ON 
DEFENSE HEALTH PROGRAM. 
(a) STUDY REQUIRED.—The Comptroller General, in 
cooperation with the Congressional Budget Office, shall 
conduct a study of the projected cost savings to the De-
fense Health Program included in the fiscal year 2007 
budget request. 
(b) ELEMENTS.—The study required by subsection 
(a) shall include the following: 
(1) An evaluation of the rationale for calcula-
tions made by the Department of Defense for the 
portion of total health care costs paid by bene-
ficiaries in 1995 and in 2005, including issues such 
as—
(A) the rationale for the Department’s 
stated costs of providing the benefit in 1995 
and in 2005; 
(B) the basis for the Department’s calcula-
tions of increases in cost between 1995 and 
2005; and 
(C) the amounts paid by beneficiaries for 
health care in 1995 and 2005. 
(2) An evaluation of the rationale for calcula-
tions and assumptions made by the Department of 
Defense for the estimated savings associated with 
the implementation of its cost share increases.
284
(3) A review of the annual rate of medical infla-
tion of the Department of Defense and how it com-
pares with the annual rates of increase in health 
care premiums in the Federal Employee Health 
Benefit Program and other health care programs as 
well as other health care indexes for the past 5 
years. 
(4) An assessment of the rationale for the cost 
share increase amounts made by the Department of 
Defense. 
(c) INDEPENDENT EXPERTS.—To ensure the avail-
ability of appropriate expertise in addressing the elements 
of the study required under this section, the Comptroller 
General may use independent experts, such as actuaries, 
if needed. 
(d) REPORT.—The Comptroller General shall submit 
to the Committees on Armed Services of the Senate and 
the House of Representatives a report on the study re-
quired by subsection (a) not later than June 1, 2007. 
SEC. 714. TRANSFER OF CUSTODY OF THE AIR FORCE 
HEALTH STUDY ASSETS TO MEDICAL FOL-
LOW-UP AGENCY. 
(a) TRANSFER.—
(1) NOTIFICATION
OF
PARTICIPANTS.—The 
Secretary of the Air Force shall notify the partici-
285
pants of the Air Force Health Study that the study 
as currently constituted is ending as of September 
30, 2006. In consultation with the Medical Follow-
up Agency (in this section referred to as the ‘‘Agen-
cy’’) of the Institute of Medicine of the National 
Academy of Sciences, the Secretary of the Air Force 
shall request the written consent of the participants 
to transfer their data and biological specimens to the 
Agency during fiscal year 2007 and written consent 
for the Agency to maintain the data and specimens 
and make them available for additional studies. 
(2) COMPLETION
OF
TRANSFER.—Custodian-
ship of the Air Force Health Study shall be com-
pletely transferred to the Agency on or before Sep-
tember 30, 2007. Assets to be transferred shall in-
clude electronic data files and biological specimens of 
all the study participants. 
(3) COPIES TO ARCHIVES.—The Air Force shall 
send paper copies of all study documents to the Na-
tional Archives. 
(b) REPORT ON TRANSFER.—
(1) REQUIREMENT.—Not later than 30 days 
after completion of the transfer of the assets of the 
Air Force Health Study under subsection (a), the 
Secretary of the Air Force shall submit to the Com-
286
mittees on Armed Services of the Senate and the 
House of Representatives a report on the transfer. 
(2) MATTERS COVERED.—At a minimum, the 
report shall include information on the number of 
study participants whose data and biological speci-
mens were not transferred, the efforts that were 
taken to contact such participants, and the reasons 
why the transfer of their data and specimens did not 
occur. 
(c) DISPOSITION OF ASSETS NOT TRANSFERRED.—
The Secretary of the Air Force may not destroy any data 
or biological specimens not transferred under subsection 
(a) until the expiration of the one-year period following 
submission of the report under subsection (b). 
(d) FUNDING.—
(1) COSTS
OF
TRANSFER.—The Secretary of 
Defense shall make available to the Air Force 
$850,000 for preparation, transfer of the assets of 
the Air Force Health Study and shipment of data 
and specimens to the Medical Follow-up Agency and 
the National Archives during fiscal year 2007 from 
amounts available from the Department of Defense 
for that year. The Secretary of Defense is author-
ized to transfer the freezers and other physical as-
287
sets assigned to the Air Force Health Study to the 
Agency without charge. 
(2) COSTS OF COLLABORATION.—The Secretary 
of Defense may reimburse the National Academy of 
Sciences up to $200,000 for costs of the Medical 
Follow-up Agency to collaborate with the Air Force 
in the transfer and receipt of the assets of the Air 
Force Health Study to the Agency during fiscal year 
2007 from amounts available from the Department 
of Defense for that year. 
SEC. 715. STUDY ON ALLOWING DEPENDENTS OF ACTI-
VATED MEMBERS OF RESERVE COMPONENTS 
TO RETAIN CIVILIAN HEALTH CARE COV-
ERAGE. 
(a) STUDY REQUIREMENT.—The Secretary of De-
fense shall conduct a study on the feasibility of allowing 
family members of members of the Reserve Components 
who are called or ordered to active duty to continue health 
care coverage under a civilian health care program and 
provide reimbursement for such health care. 
(b) ELEMENTS.—The study required by subsection 
(a) shall include the following: 
(1) An assessment of the number of military 
dependents with special health care needs (such as 
ongoing chemotherapy or physical therapy) who
288
would benefit from continued coverage under the 
member’s civilian health care plan instead of enroll-
ing in the TRICARE program. 
(2) An assessment of the feasibility of providing 
reimbursement to the member or the sponsor of the 
civilian health coverage. 
(3) A recommendation on the appropriate rate 
of reimbursement for civilian employers or members. 
(4) The feasibility of including dependents who 
do not have access to health care providers that ac-
cept payment under the TRICARE program (such 
as those in rural areas). 
(c) REPORT REQUIRED.—Not later than 180 days 
after the date of the enactment of this Act, the Secretary 
of Defense shall submit to the Committees on Armed Serv-
ices of the Senate and the House of Representatives a re-
port on the study required under subsection (a). 
SEC. 716. STUDY OF HEALTH EFFECTS OF EXPOSURE TO 
DEPLETED URANIUM. 
(a) STUDY.—The Secretary of Defense, in consulta-
tion with the Secretary for Veterans Affairs and the Sec-
retary of Health and Human Services, shall conduct a 
comprehensive study of the health effects of exposure to 
depleted uranium munitions on uranium-exposed soldiers 
and on children of uranium-exposed soldiers who were
289
born after the exposure of the uranium-exposed soldiers 
to depleted uranium. 
(b) URANIUM-EXPOSED SOLDIERS.—In this section, 
the term ‘‘uranium-exposed soldiers’’ means a member or 
former member of the Armed Forces who handled, came 
in contact with, or had the likelihood of contact with de-
pleted uranium munitions while on active duty, including 
members and former members who—
(1) were exposed to smoke from fires resulting 
from the burning of vehicles containing depleted ura-
nium munitions or fires at depots at which depleted 
uranium munitions were stored; 
(2) worked within environments containing de-
pleted uranium dust or residues from depleted ura-
nium munitions; 
(3) were within a structure or vehicle while it 
was struck by a depleted uranium munition; 
(4) climbed on or entered equipment or struc-
tures struck by a depleted uranium munition; or 
(5) were medical personnel who provided initial 
treatment to members of the Armed Forces de-
scribed in paragraph (1), (2), (3), or (4).
290
Subtitle C—Other Matters 
SEC. 721. COSTS OF INCENTIVE PAYMENTS TO EMPLOYEES 
FOR TRICARE ENROLLMENT MADE UNAL-
LOWABLE FOR CONTRACTORS. 
(a) DEFENSE CONTRACTS.—Section 2324(e)(1) of 
title 10, United States Code, is amended by adding at the 
end the following new subparagraph: 
‘‘(Q) Costs incurred by a contractor for incen-
tive payments to employees to encourage enrollment 
in the TRICARE program under chapter 55 of this 
title or any other Government-sponsored health care 
program, except that this subparagraph does not 
apply to such costs incurred by a contractor per-
forming a contract to which any of the following ap-
plies: 
‘‘(i) The Services Contract Act of 1965 (41 
U.S.C. 351 et seq.). 
‘‘(ii) Any other law or labor agreement 
that requires a company to compensate its em-
ployees for health care whether or not the em-
ployee participates in a company health plan.’’. 
(b) 
CIVILIAN
AGENCY
CONTRACTS.—Section 
306(e)(1) of the Federal Property and Administrative 
Services Act of 1949 (41 U.S.C. 256(e)(1)) is amended 
by adding at the end the following new subparagraph: