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tours because they feel called to serve our fallen he-
roes. 
(b) SENSE OF CONGRESS.—Congress— 
(1) honors and expresses sincerest gratitude to 
the women and men of the Dover Air Force Base for 
their distinguished service; 
(2) acknowledges the incredible sacrifice and 
service of the families of active duty members of the 
United States military; 
(3) encourages the people of the United States 
to keep in their thoughts and their prayers the 
women and men of the United States Armed Forces; 
and 
(4) recognizes the incredibly unique and impor-
tant work of the Air Force Mortuary Affairs Oper-
ations and the role they play in honoring our fallen 
heroes. 
SEC. 598. GAO STUDY OF WOMEN INVOLUNTARILY SEPA-
RATED OR DISCHARGED DUE TO PREGNANCY 
OR PARENTHOOD. 
(a) STUDY REQUIRED.—Not later than September 
30, 2021, the Comptroller General of the United States 
shall conduct a study regarding women involuntarily sepa-
rated or discharged from the Armed Forces due to preg-
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nancy or parenthood during the period of 1951 through 
1976. The study shall identify— 
(1) the number of such women, disaggregated 
by— 
(A) Armed Force; 
(B) grade; 
(C) race; and 
(D) ethnicity; 
(2) the characters of such discharges or separa-
tions; 
(3) discrepancies in uniformity of such dis-
charges or separations; 
(4) how such discharges or separations affected 
access of such women to health care and benefits 
through the Department of Veterans Affairs; and 
(5) recommendations for improving access of 
such women to resources through the Department of 
Veterans Affairs. 
(b) REPORT.—Not later than 30 days after com-
pleting the study under subsection (a), the Comptroller 
General shall submit to Congress a report containing the 
results of that study. 
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SEC. 599. REPORT REGARDING TRANSPORTATION OF RE-
MAINS OF CERTAIN DECEDENTS BY THE SEC-
RETARY OF A MILITARY DEPARTMENT. 
(a) REPORT REQUIRED.—Not later than 120 days 
after the date of the enactment of this Act, the Secretary 
of Defense shall submit a report to Congress regarding 
the transportation of the remains of decedents under the 
jurisdiction of the Secretary of a military department pur-
suant to section 1481 of title 10, United States Code. 
(b) ELEMENTS.—The report under this section shall 
include the following: 
(1) Whether the Secretary of Defense maintains 
of a list or database of airports that accept remains 
of decedents. 
(2) How information in the list or database de-
scribed in paragraph (1) is transmitted to casualty 
assistance call officers. 
(3) Regulations and guidance prescribed by the 
Secretary of Defense or Secretaries of the military 
departments regarding transportation of the remains 
of decedents. 
(4) Any changes made during 2020 to regula-
tions or guidance described in paragraph (3) by the 
Secretary of the Navy. 
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(5) Recommendations of the Secretary of De-
fense to improve regulations or guidance described 
in paragraph (3). 
SEC. 599A. POSTPONEMENT OF CONDITIONAL DESIGNA-
TION OF EXPLOSIVE ORDNANCE DISPOSAL 
CORPS AS A BASIC BRANCH OF THE ARMY. 
Section 582(b) of the National Defense Authorization 
Act for Fiscal Year 2018 (Public Law 115–91; 10 U.S.C. 
763 note) is amended— 
(1) in paragraph (1), by striking ‘‘October 1, 
2020’’ and inserting ‘‘October 1, 2025’’; and 
(2) in paragraph (2)— 
(A) in the matter preceding subparagraph 
(A), by striking ‘‘September 30, 2020’’ and in-
serting ‘‘September 30, 2025’’; 
(B) in subparagraph (B), by inserting ‘‘, 
the explosive ordnance disposal commandant 
(chief of explosive ordnance disposal),’’ before 
‘‘qualified’’; and 
(C) by adding at the end the following new 
subparagraph: 
‘‘(G) The explosive ordnance disposal com-
mandant (chief of explosive ordnance disposal) 
has ensured that explosive ordnance disposal 
soldiers have the mobility skills necessary to 
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support special operations forces (as identified 
in section 167(j) of title 10, United States 
Code). Such skills include airborne, air assault, 
combat diver, fast roping insertion and extrac-
tion, helocasting, military free-fall, and off-road 
driving.’’. 
SEC. 599B. ANNUAL REPORT REGARDING COST OF LIVING 
FOR MEMBERS AND EMPLOYEES OF THE DE-
PARTMENT OF DEFENSE. 
Section 136 of title 10, United States Code, is 
amended by adding at the end the following new sub-
section: 
‘‘(e) The Under Secretary of Defense for Personnel 
and Readiness shall submit annually to the Committees 
on Armed Services of the Senate and House of Represent-
atives a report containing an analysis of the costs of living, 
nationwide, for— 
‘‘(1) members of the Armed Forces on active 
duty; and 
‘‘(2) employees of the Department of Defense.’’. 
SEC. 599C. REPORT ON PRESERVATION OF THE FORCE AND 
FAMILY PROGRAM OF UNITED STATES SPE-
CIAL OPERATIONS COMMAND. 
(a) REPORT REQUIRED.—Not later than March 1, 
2021, the Commander of United States Special Oper-
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ations Command shall submit to the Committees on 
Armed Services of the Senate and House of Representa-
tives a report on the Preservation of the Force and Family 
Program of United States Special Operations Command 
(in this section referred to as the ‘‘Program’’). 
(b) ELEMENTS.—The report under this section shall 
include the following: 
(1) The current structure of professional staff 
employed by the Program. 
(2) A comparison of the current mission re-
quirements and the capabilities of existing personnel 
of the Program. 
(3) An analysis of any emergent needs or skill 
sets of the Program. 
(4) A cost-benefit analysis of hiring, as special-
ists— 
(A) contractors; 
(B) civilian personnel of the Department of 
Defense; or 
(C) members of the Armed Forces. 
SEC. 599D. GAO STUDY OF MEMBERS ABSENT WITHOUT 
LEAVE OR ON UNAUTHORIZED ABSENCE. 
(a) STUDY; REPORT.—Not later than September 30, 
2021, the Comptroller General of the United States shall 
submit to the Committees on Armed Services of the Sen-
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(6) How the procedures for such cases vary be-
tween Armed Forces. 
(7) How the procedures described in paragraph 
(6) vary from procedures used by local and Federal 
law enforcement. 
(8) Best practices for responding to and inves-
tigating such cases. 
(9) Any other matter the Comptroller General 
determines appropriate. 
TITLE VI—COMPENSATION AND 
OTHER PERSONNEL BENEFITS 
Subtitle A—Pay and Allowances 
SEC. 601. INCREASE IN BASIC PAY. 
Effective on January 1, 2021, the rates of monthly 
basic pay for members of the uniformed services are in-
creased by 3.0 percent. 
SEC. 602. BASIC NEEDS ALLOWANCE FOR LOW-INCOME 
REGULAR MEMBERS. 
(a) IN GENERAL.—Chapter 7 of title 37, United 
States Code, is amended by inserting after section 402a 
the following new section: 
‘‘§ 402b. Basic needs allowance for low-income reg-
ular members 
‘‘(a) ALLOWANCE REQUIRED.—(1) Subject to para-
graph (2), the Secretary of Defense shall pay to each cov-
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ered member a basic needs allowance in the amount deter-
mined for such member under subsection (b). 
‘‘(2) In the event a household contains two or more 
covered members entitled to receive the allowance under 
this section in a given year, only one allowance may be 
paid for that year to a covered member among such cov-
ered members whom such covered members shall jointly 
elect. 
‘‘(b) AMOUNT
OF ALLOWANCE
FOR
A COVERED 
MEMBER.—(1) The amount of the monthly allowance pay-
able to a covered member under subsection (a) for a year 
shall be the aggregate amount equal to— 
‘‘(A) the aggregate amount equal to— 
‘‘(i) 130 percent of the Federal poverty guide-
lines of the Department of Health and Human Serv-
ices for the location and number of persons in the 
household of the covered member for such year; 
minus 
‘‘(ii) the gross household income of the covered 
member during the preceding year; and 
‘‘(B) divided by 12. 
‘‘(2) The monthly allowance payable to a covered 
member for a year shall be payable for each of the 12 
months following March of such year. 
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‘‘(c) NOTICE OF ELIGIBILITY.—(1)(A) Not later than 
December 31 each year, the Director of the Defense Fi-
nance and Accounting Service shall notify, in writing, each 
individual whom the Director estimates will be a covered 
member during the following year of the potential entitle-
ment of that individual to the allowance described in sub-
section (a) for that following year. 
‘‘(B) The preliminary notice under subparagraph (A) 
shall include information regarding financial management 
and assistance programs administered by the Secretary of 
Defense for which a covered member is eligible. 
‘‘(2) Not later than January 31 each year, each indi-
vidual who seeks to receive the allowance for such year 
(whether or not subject to a notice for such year under 
paragraph (1)) shall submit to the Director such informa-
tion as the Director shall require for purposes of this sec-
tion in order to determine whether or not such individual 
is a covered member for such year. 
‘‘(3) Not later than February 28 each year, the Di-
rector shall notify, in writing, each individual the Director 
determines to be a covered member for such year. 
‘‘(d) ELECTION NOT TO RECEIVE ALLOWANCE.—(1) 
A covered member otherwise entitled to receive the allow-
ance under subsection (a) for a year may elect, in writing, 
not to receive the allowance for such year. Any election 
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under this subsection shall be effective only for the year 
for which made. Any election for a year under this sub-
section is irrevocable. 
‘‘(2) A covered member who does not submit informa-
tion described in subsection (d)(2) for a year as otherwise 
required by that subsection shall be deemed to have elect-
ed not to receive the allowance for such year. 
‘‘(e) DEFINITIONS.—In this section: 
‘‘(1) The term ‘covered member’ means a reg-
ular member of an armed force under the jurisdic-
tion of the Secretary of a military department— 
‘‘(A) who has completed initial entry train-
ing; 
‘‘(B) whose gross household income during 
the most recent year did not exceed an amount 
equal to 130 percent of the Federal poverty 
guidelines of the Department of Health and 
Human Services for the location and number of 
persons in the household of the covered member 
for such year; and 
‘‘(C) who does not elect under subsection 
(d) not to receive the allowance for such year. 
‘‘(2) The term ‘gross household income’ of a 
covered member for a year for purposes of para-
graph (1)(B) does not include any basic allowance 
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for housing received by the covered member (and 
any dependents of the covered member in the house-
hold of the covered member) during such year under 
section 403 of this title. 
‘‘(f) REGULATIONS.—The Secretary of Defense shall 
prescribe regulations for the administration of this section. 
Subject to subsection (e)(2), such regulations shall specify 
the income to be included in, and excluded from, the gross 
household income of individuals for purposes of this sec-
tion.’’. 
(b) CLERICAL AMENDMENT.—The table of sections 
at the beginning of chapter 7 of such title is amended by 
inserting after the item relating to section 402a the fol-
lowing new item: 
‘‘402b. Basic needs allowance for low-income regular members.’’. 
SEC. 603. REORGANIZATION OF CERTAIN ALLOWANCES 
OTHER THAN TRAVEL AND TRANSPORTATION 
ALLOWANCES. 
(a) PER DIEM FOR DUTY OUTSIDE THE CONTI-
NENTAL UNITED STATES.— 
(1) TRANSFER TO CHAPTER 7.—Section 475 of 
title 37, United States Code, is transferred to chap-
ter 7 of such title, inserted after section 403b, and 
redesignated as section 405. 
(2) REPEAL
OF
TERMINATION
PROVISION.— 
Section 405 of title 37, United States Code, as 
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added by paragraph (1), is amended by striking sub-
section (f). 
(b) ALLOWANCE FOR FUNERAL HONORS DUTY.— 
(1) TRANSFER TO CHAPTER 7.—Section 495 of 
title 37, United States Code, is transferred to chap-
ter 7 of such title, inserted after section 433a, and 
redesignated as section 435. 
(2) REPEAL
OF
TERMINATION
PROVISION.— 
Section 435 of title 37, United States Code, as 
added by paragraph (1), is amended by striking sub-
section (c). 
(c) CLERICAL AMENDMENTS.— 
(1) CHAPTER 7.—The table of sections at the 
beginning of chapter 7 of title 37, United States 
Code, is amended— 
(A) by inserting after the item relating to 
section 403b the following new item: 
‘‘405. Travel and transportation allowances: per diem while on duty outside the 
continental United States.’’; and 
(B) by inserting after the item relating to 
section 433a the following new item: 
‘‘435. Funeral honors duty: allowance.’’. 
(2) CHAPTER 8.—The table of sections at the 
beginning of chapter 8 of title 37, United States 
Code, is amended by striking the items relating to 
sections 475 and 495. 
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SEC. 604. SINGLE MILITARY HOUSING AREA FOR EACH MU-
NICIPALITY WITH A POPULATION GREATER 
THAN 500,000. 
Section 403(b)(2) of title 37, United States Code is 
amended— 
(1) in the first sentence, by inserting ‘‘(A)’’ be-
fore ‘‘The Secretary’’; and 
(2) by adding at the end the following: 
‘‘(B) No municipality with a population greater than 
500,000 may be covered by more than one military hous-
ing area.’’. 
SEC. 605. EXPANSION OF TRAVEL AND TRANSPORTATION 
ALLOWANCES 
TO 
INCLUDE 
FARES 
AND 
TOLLS. 
Section 452(c)(1) of title 37, United States Code, is 
amended by inserting ‘‘(including fares and tolls, without 
regard to distance travelled)’’ after ‘‘transportation’’. 
SEC. 606. COMPENSATION AND CREDIT FOR RETIRED PAY 
PURPOSES FOR MATERNITY LEAVE TAKEN 
BY MEMBERS OF THE RESERVE COMPO-
NENTS. 
(a) COMPENSATION.—Section 206(a) of title 37, 
United States Code, is amended— 
(1) in paragraph (2), by striking ‘‘or’’ at the 
end; 
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(2) in paragraph (3), by striking the period at 
the end and inserting ‘‘; or’’; and 
(3) by adding at the end the following new 
paragraph: 
‘‘(4) for each of 6 days for each period during 
which the member is on maternity leave.’’. 
(b) CREDIT FOR RETIRED PAY PURPOSES.— 
(1) IN
GENERAL.—The period of maternity 
leave taken by a member of the reserve components 
of the Armed Forces in connection with the birth of 
a child shall count toward the member’s entitlement 
to retired pay, and in connection with the years of 
service used in computing retired pay, under chapter 
1223 of title 10, United States Code, as 12 points. 
(2) SEPARATE CREDIT FOR EACH PERIOD OF 
LEAVE.—Separate crediting of points shall accrue to 
a member pursuant to this subsection for each pe-
riod of maternity leave taken by the member in con-
nection with a childbirth event. 
(3) WHEN CREDITED.—Points credited a mem-
ber for a period of maternity leave pursuant to this 
subsection shall be credited in the year in which the 
period of maternity leave concerned commences. 
(4) CONTRIBUTION OF LEAVE TOWARD ENTI-
TLEMENT TO RETIRED PAY.—Section 12732(a)(2) of 
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title 10, United States Code, is amended by insert-
ing after subparagraph (E) the following new sub-
paragraph: 
‘‘(F) Points at the rate of 12 per period 
during which the member is on maternity 
leave.’’. 
(5) COMPUTATION OF YEARS OF SERVICE FOR 
RETIRED
PAY.—Section 12733 of such title is 
amended— 
(A) by redesignating paragraph (5) as 
paragraph (6); and 
(B) by inserting after paragraph (4) the 
following new paragraph (5): 
‘‘(5) One day for each point credited to the per-
son under subparagraph (F) of section 12732(a)(2) 
of this title.’’. 
(c) EFFECTIVE DATE.—This section and the amend-
ments made by this section shall take effect on the date 
of the enactment of this Act, and shall apply with respect 
to periods of maternity leave that commence on or after 
that date. 
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Subtitle B—Bonuses and Special 
Incentive Pays 
SEC. 611. ONE-YEAR EXTENSION OF CERTAIN EXPIRING 
BONUS AND SPECIAL PAY AUTHORITIES. 
(a) 
AUTHORITIES
RELATING
TO
RESERVE 
FORCES.—Section 910(g) of title 37, United States Code, 
relating to income replacement payments for reserve com-
ponent members experiencing extended and frequent mo-
bilization for active duty service, is amended by striking 
‘‘December 31, 2020’’ and inserting ‘‘December 31, 
2021’’. 
(b) TITLE 10 AUTHORITIES RELATING TO HEALTH 
CARE PROFESSIONALS.—The following sections of title 
10, United States Code, are amended by striking ‘‘Decem-
ber 31, 2020’’ and inserting ‘‘December 31, 2021’’: 
(1) Section 2130a(a)(1), relating to nurse offi-
cer candidate accession program. 
(2) Section 16302(d), relating to repayment of 
education loans for certain health professionals who 
serve in the Selected Reserve. 
(c) AUTHORITIES RELATING
TO NUCLEAR OFFI-
CERS.—Section 333(i) of title 37, United States Code, is 
amended by striking ‘‘December 31, 2020’’ and inserting 
‘‘December 31, 2021’’. 
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(d) AUTHORITIES RELATING TO TITLE 37 CONSOLI-
DATED SPECIAL PAY, INCENTIVE PAY, AND BONUS AU-
THORITIES.—The following sections of title 37, United 
States Code, are amended by striking ‘‘December 31, 
2020’’ and inserting ‘‘December 31, 2021’’: 
(1) Section 331(h), relating to general bonus 
authority for enlisted members. 
(2) Section 332(g), relating to general bonus 
authority for officers. 
(3) Section 334(i), relating to special aviation 
incentive pay and bonus authorities for officers. 
(4) Section 335(k), relating to special bonus 
and incentive pay authorities for officers in health 
professions. 
(5) Section 336(g), relating to contracting 
bonus for cadets and midshipmen enrolled in the 
Senior Reserve Officers’ Training Corps. 
(6) Section 351(h), relating to hazardous duty 
pay. 
(7) Section 352(g), relating to assignment pay 
or special duty pay. 
(8) Section 353(i), relating to skill incentive 
pay or proficiency bonus. 
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(9) Section 355(h), relating to retention incen-
tives for members qualified in critical military skills 
or assigned to high priority units. 
(e) AUTHORITY TO PROVIDE TEMPORARY INCREASE 
IN RATES OF BASIC ALLOWANCE FOR HOUSING.—Section 
403(b)(7)(E) of title 37, United States Code, is amended 
by striking ‘‘December 31, 2020’’ and inserting ‘‘Decem-
ber 31, 2021’’. 
SEC. 612. INCREASE IN CERTAIN HAZARDOUS DUTY INCEN-
TIVE PAY FOR MEMBERS OF THE UNIFORMED 
SERVICES. 
Section 351(b) of title 37, United States Code, is 
amended by striking ‘‘$250’’ both places it appears and 
inserting ‘‘$275’’. 
SEC. 613. STANDARDIZATION OF PAYMENT OF HAZARDOUS 
DUTY INCENTIVE PAY FOR MEMBERS OF THE 
UNIFORMED SERVICES. 
(a) IN GENERAL.—Section 351(c) of title 37, United 
States Code, is amended to read as follows: 
‘‘(c) PAYMENT.—Hazardous duty pay shall be paid 
on a monthly basis.’’. 
(b) EFFECTIVE DATE.—The amendments made by 
this section shall take effect on October 1, 2020, and shall 
apply with respect to duty performed in any month begin-
ning on or after that date. 
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SEC. 614. CLARIFICATION OF 30 DAYS OF CONTINUOUS 
DUTY ON BOARD A SHIP REQUIRED FOR FAM-
ILY SEPARATION ALLOWANCE FOR MEMBERS 
OF THE UNIFORMED SERVICES. 
Section 427(a)(1)(B) of title 37, United States Code, 
is amended by inserting ‘‘(or under orders to remain on 
board the ship while at the home port)’’ after ‘‘of the 
ship’’. 
SEC. 615. EXPANSION OF REIMBURSABLE STATE LICEN-
SURE AND CERTIFICATION COSTS FOR A 
MILITARY SPOUSE ARISING FROM RELOCA-
TION. 
Section 476(p)(5) of title 37, United States Code, is 
amended in the matter preceding subparagraph (A), by 
striking ‘‘and’’ and inserting ‘‘fees, continuing education 
courses, and’’. 
Subtitle C—Family and Survivor 
Benefits 
SEC. 621. EXPANSION OF AUTHORITY TO PROVIDE FINAN-
CIAL ASSISTANCE TO CIVILIAN PROVIDERS 
OF CHILD CARE SERVICES OR YOUTH PRO-
GRAM SERVICES FOR SURVIVORS OF MEM-
BERS OF THE ARMED FORCES WHO DIE IN 
THE LINE OF DUTY. 
Section 1798(a) of title 10, United States Code, is 
amended by striking ‘‘in combat-related incidents’’. 
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SEC. 622. EXPANSION OF DEATH GRATUITY FOR ROTC 
GRADUATES. 
Section 623(b) of the National Defense Authorization 
Act for Fiscal Year 2020 (Public Law 116–92) is amended 
by striking ‘‘the date of the enactment of this Act’’ and 
inserting ‘‘May 1, 2017’’. 
SEC. 623. RECALCULATION OF FINANCIAL ASSISTANCE FOR 
PROVIDERS OF CHILD CARE SERVICES AND 
YOUTH PROGRAM SERVICES FOR DEPEND-
ENTS. 
(a) IN GENERAL.—Not later than July 1, 2021, the 
Secretary of Defense shall develop a method by which to 
determine appropriate amounts of financial assistance 
under section 1798 of title 10, United States Code. In 
such development, the Secretary shall take into consider-
ation the following: 
(1) Grades of members of the Armed Forces. 
(2) The cost of living in an applicable locale. 
(3) Whether a military installation has a mili-
tary child development center, including any wait list 
length. 
(4) Whether a military child development center 
has vacant child care employee positions. 
(5) The capacity of licensed civilian child care 
providers in an applicable locale. 
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(6) The average cost of licensed civilian child 
care services available in an applicable locale. 
(b) REPORT.—Not later than August 1, 2021, the 
Secretary shall submit a report the Committees on Armed 
Services of the Senate and the House of Representatives 
on the method developed under this section. 
(c) DEFINITIONS.—In this section, the terms ‘‘child 
care employee’’ and ‘‘military child development center’’ 
have the meanings given those terms in section 1800 of 
title 10, United States Code. 
SEC. 624. PRIORITY FOR CERTAIN MILITARY FAMILY HOUS-
ING TO A MEMBER OF THE ARMED FORCES 
WHOSE SPOUSE AGREES TO PROVIDE FAMILY 
HOME DAY CARE SERVICES. 
(a) PRIORITY.—If the Secretary of a military depart-
ment determines that not enough child care employees are 
employed at a military child development center on a mili-
tary installation under the jurisdiction of that Secretary 
to adequately care for the children of members of the 
Armed Forces stationed at that military installation, the 
Secretary, to the extent practicable, may give priority for 
covered military family housing to a member whose spouse 
is an eligible military spouse. 
(b) NUMBER OF PRIORITY POSITIONS.—A Secretary 
of a military department may grant priority under sub-
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section (a) only to the minimum number of eligible mili-
tary spouses that the Secretary determines necessary to 
provide adequate child care to the children of members 
stationed at a military installation described in subsection 
(a). 
(c) LIMITATION.—Nothing in this section may be 
construed to require the Secretary of a military depart-
ment to provide covered military family housing that has 
been adapted for disabled individuals to a member under 
this section instead of to a member with one more depend-
ents enrolled in the Exceptional Family Member Program. 
(d) RESULT
OF FAILURE TO PROVIDE FAMILY 
HOME DAY CARE SERVICES OR LOSS OF ELIGIBILITY.— 
The Secretary of the military department concerned may 
remove a household provided covered military family hous-
ing under this section therefrom if the Secretary deter-
mines the spouse of that member has failed to abide by 
an agreement described in subsection (e)(3) or has ceased 
to be an eligible military spouse. Such removal may not 
occur sooner than 60 days after the date of such deter-
mination. 
(e) DEFINITIONS.—In this section: 
(1) The terms ‘‘child care employee’’, ‘‘family 
home day care’’, and ‘‘military child development 
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center’’ have the meanings given those terms in sec-
tion 1800 of title 10, United States Code. 
(2) The term ‘‘covered military family housing’’ 
means military family housing— 
(A) located on a military installation de-
scribed in subsection (a); and 
(B) that the Secretary of the military de-
partment concerned determines is large enough 
to provide family home day care services to no 
fewer than six children (not including children 
in the household of the eligible military spouse). 
(3) The term ‘‘eligible military spouse’’ means 
a military spouse who— 
(A) is eligible for military family housing; 
(B) is eligible to provide family home day 
care services; 
(C) has provided family home day care 
services for at least 1 year; and 
(D) agrees in writing to provide family 
home day care services in covered military fam-
ily housing for a period determined by the Sec-
retary of the military department concerned. 
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SEC. 625. STUDY ON FEASIBILITY OF TSP CONTRIBUTIONS 
BY MILITARY SPOUSES. 
(a) STUDY REQUIRED.—The Secretary of Defense 
shall conduct a study on potential enhancements to the 
military Thrift Savings Plan administered by the Federal 
Retirement Thrift Investment Board. 
(b) ELEMENTS.—The study under subsection (a) 
shall include the following: 
(1) An evaluation of the effect of allowing mili-
tary spouses to contribute or make eligible retire-
ment account transfers to the military Thrift Sav-
ings Plan account of the member of the Armed 
Forces to whom that military spouse in married. 
(2) Legislation the Secretary determines nec-
essary to permit contributions and transfers de-
scribed in paragraph (1). 
(3) An evaluation of whether and to what ex-
tent employer-funded matching of contributions de-
scribed in paragraph (1) may encourage further par-
ticipation in the military Thrift Savings Plan. 
(c) REPORTING.— 
(1) INITIAL REPORT.—Not later than February 
1, 2021, the Secretary of Defense shall submit to 
the Federal Retirement Thrift Investment Board a 
report on the results of the study under subsection 
(a). 
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(2) ANALYSIS.—Not later than 60 days after 
receiving the report under paragraph (1), the Fed-
eral Thrift Savings Retirement Board shall analyze 
the report under paragraph (1), generate rec-
ommendations and comments it determines appro-
priate, and submit such analysis, recommendations, 
and comments to the Secretary. 
(3) FINAL REPORT.—Not later than April 1, 
2021, the Secretary shall submit to the Committees 
on Armed Services of the Senate and House of Rep-
resentatives the report under paragraph (1) and the 
analysis, recommendations, and comments under 
paragraph (2). 
SEC. 626. GOLD STAR FAMILIES PARKS PASS. 
(a) SHORT TITLE.—This section may be referred to 
as the ‘‘Gold Star Families Parks Pass Act’’. 
(b) GOLD STAR FAMILIES PARKS PASS.—Section 
805(b) of division J of the Consolidated Appropriations 
Act, 2005 (16 U.S.C. 6804(b); 118 Stat. 3386), is amend-
ed by adding at the end the following new paragraph: 
‘‘(3) GOLD STAR FAMILIES PARKS PASS.—The 
Secretary shall make the National Parks and Fed-
eral Recreational Lands Pass available, at no cost, 
to members of Gold Star Families, as defined by 
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section 3.2 of Department of Defense Instruction 
1348.36.’’. 
SEC. 627. MODIFICATION TO FIRST DIVISION MONUMENT. 
(a) SHORT TITLE.—This section may be cited as the 
‘‘First Infantry Recognition of Sacrifice in Theater Act’’ 
or the ‘‘FIRST Act’’. 
(b) AUTHORIZATION.—The Society of the First In-
fantry Division (an organization described in section 
501(c)(3) of the Internal Revenue Code of 1986 and ex-
empt from taxation under section 501(a) of that code), 
may make modifications (including construction of addi-
tional plaques and stone plinths on which to put the 
plaques) to the First Division Monument located on Fed-
eral land in President’s Park in the District of Columbia 
that was set aside for memorial purposes of the First In-
fantry Division, in order to honor the members of the 
First Infantry Division who paid the ultimate sacrifice 
during United States operations, including Operation 
Desert Storm, Operation Iraqi Freedom and New Dawn, 
and Operation Enduring Freedom. The First Infantry Di-
vision at the Department of the Army shall collaborate 
with the Department of Defense to provide to the Society 
of the First Infantry Division the list of names to be 
added. 
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(c) NON-APPLICATION OF COMMEMORATIVE WORKS 
ACT.—Subsection (b) of section 8903 of title 40, United 
States Code (commonly known as the ‘‘Commemorative 
Works Act’’), shall not apply to actions taken under sub-
section (b) of this section. 
(d) FUNDING.—Federal funds may not be used to 
pay any expense of the activities of the Society of the First 
Infantry Division which are authorized by this section. 
SEC. 628. CHERYL LANKFORD MEMORIAL EXPANSION OF 
ASSISTANCE FOR GOLD STAR SPOUSES AND 
OTHER DEPENDENTS. 
Section 633(a) of the National Defense Authorization 
Act for Fiscal Year 2014 (10 U.S.C. 1475 note) is amend-
ed— 
(1) by redesignating paragraphs (1) through 
(4) as subparagraphs (A) through (D), respectively; 
(2) by inserting ‘‘(1)’’ before ‘‘Each Secretary’’; 
(3) in the matter preceding paragraph (1), by 
inserting ‘‘a casualty assistance officer who is’’ after 
‘‘jurisdiction of such Secretary’’; 
(4) by striking ‘‘spouses and other dependents 
of members’’ and all that follows through ‘‘services:’’ 
and inserting an em dash; and 
(5) by inserting before subparagraph (A), as re-
designated, the following: 
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‘‘(A) a spouse and any other dependent of a 
member of such Armed Force (including the reserve 
components thereof) who dies on active duty; and 
‘‘(B) a dependent described in subparagraph 
(A) if the spouse of the deceased member dies and 
the dependent (or the guardian of such dependent) 
requests such assistance. 
‘‘(2) Casualty assistance officers described in para-
graph (1) shall provide to spouses and dependents de-
scribed in that paragraph the following services:’’. 
SEC. 629. EXTENSION OF COMMISSARY AND EXCHANGE 
BENEFITS 
FOR 
SURVIVING 
REMARRIED 
SPOUSES WITH DEPENDENT CHILDREN OF A 
MEMBER OF THE ARMED FORCES WHO DIES 
WHILE ON ACTIVE DUTY OR CERTAIN RE-
SERVE DUTY. 
(a) PROCEDURES FOR ACCESS OF SURVIVING RE-
MARRIED SPOUSES REQUIRED.—The Secretary of De-
fense, acting jointly with the Secretary of Homeland Secu-
rity, shall establish procedures by which an eligible remar-
ried spouse may obtain unescorted access, as appropriate, 
to military installations in order to use commissary stores 
and MWR retail facilities to the same extent and on the 
same basis as an unremarried surviving spouse of a mem-
ber of the uniformed services is entitled to by law or policy. 
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(b) CONSIDERATIONS.— Any procedures established 
under this section shall— 
(1) be applied consistently across the Depart-
ment of Defense and the Department of Homeland 
Security, including all components of the Depart-
ments; 
(2) minimize any administrative burden on sur-
viving remarried spouse or dependent child, includ-
ing through the elimination of any requirement for 
a remarried spouse to apply as a personal agent for 
continued access to military installations in accom-
paniment of a dependent child; 
(3) take into account measures required to en-
sure the security of military installations, including 
purpose and eligibility for access and renewal perio-
dicity; and 
(4) take into account such other factors as the 
Secretary of Defense or the Secretary of Homeland 
Security considers appropriate. 
(c) DEADLINE.—The procedures required by sub-
section (a) shall be established by the date that is not later 
than 1 year after the date of the enactment of this section. 
(d) DEFINITIONS.—In this section— 
(1) the term ‘‘eligible remarried spouse’’ means 
an individual who is a surviving former spouse of a 
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covered member of the Armed Forces, who has re-
married after the death of the covered member of 
the Armed Forces and has guardianship of depend-
ent children of the deceased member; 
(2) the term ‘‘covered member of the Armed 
Forces’’ means a member of the Armed Forces who 
dies while serving— 
(A) on active duty; or 
(B) on such reserve duty as the Secretary 
of Defense and the Secretary of Homeland Se-
curity may jointly specify for purposes of this 
section. 
Subtitle D—Defense Resale Matters 
SEC. 631. BASE RESPONDERS ESSENTIAL NEEDS AND DIN-
ING ACCESS. 
(a) IN GENERAL.—Chapter 54 of title 10, United 
States Code, is amended by adding at the end the fol-
lowing new section: 
‘‘§ 1066. Use of commissary stores and MWR facilities: 
protective services civilian employees 
‘‘(a) ELIGIBILITY OF PROTECTIVE SERVICES CIVIL-
IAN EMPLOYEES.—An individual employed as a protective 
services civilian employee at a military installation shall 
be permitted to purchase food and hygiene items at a com-
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missary store or MWR retail facility located on that mili-
tary installation. 
‘‘(b) USER FEE AUTHORITY.—(1) The Secretary of 
Defense shall prescribe regulations that impose a user fee 
on individuals who are eligible solely under this section 
to purchase merchandise at a commissary store or MWR 
retail facility. 
‘‘(2) The Secretary shall set the user fee under this 
subsection at a rate that the Secretary determines will off-
set any increase in expenses arising from this section 
borne by the Department of the Treasury on behalf of 
commissary stores associated with the use of credit or 
debit cards for customer purchases, including expenses re-
lated to card network use and related transaction proc-
essing fees. 
‘‘(3) The Secretary shall deposit funds collected pur-
suant to a user fee under this subsection in the General 
Fund of the Treasury. 
‘‘(4) Any fee under this subsection is in addition to 
the uniform surcharge under section 2484(d) of this title. 
‘‘(c) DEFINITIONS.—In this section: 
‘‘(1) The term ‘MWR retail facility’ has the 
meaning given that term in section 1063 of this 
title. 
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‘‘(2) The term ‘protective services civilian em-
ployee’ means a position in any of the following se-
ries (or successor classifications) of the General 
Schedule: 
‘‘(A) Security Administration (GS–0080). 
‘‘(B) Fire Protection and Prevention (GS– 
0081). 
‘‘(C) Police (GS–0083). 
‘‘(D) Security Guard (GS–0085). 
‘‘(E) 
Emergency 
Management 
(GS– 
0089).’’. 
(b) CLERICAL AMENDMENT.—The table of sections 
at the beginning of chapter 54 of title 10, United States 
Code, is amended by adding at the end the following new 
item: 
‘‘1066. Use of commissary stores and MWR facilities: protective services civilian 
employees.’’. 
SEC. 632. FIRST RESPONDER ACCESS TO MOBILE EX-
CHANGES. 
Section 1146 of title 10, United States Code, is 
amended by adding at the end the following new sub-
section: 
‘‘(d) EMERGENCY RESPONSE PROVIDERS DURING A 
DECLARED MAJOR DISASTER OR EMERGENCY.—The Sec-
retary of Defense shall prescribe regulations to allow an 
emergency response provider (as that term is defined in 
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section 2 of the Homeland Security Act of 2002 (Public 
Law 107–296; 6 U.S.C. 101)) to use a mobile commissary 
or exchange store deployed to an area covered by a dec-
laration of a major disaster or emergency under section 
401 of the Robert T. Stafford Disaster Relief and Emer-
gency Assistance Act (42 U.S.C. 5170).’’. 
SEC. 633. UPDATED BUSINESS CASE ANALYSIS FOR CON-
SOLIDATION OF THE DEFENSE RESALE SYS-
TEM. 
(a) IN GENERAL.—Not later than March 1, 2021, the 
Chief Management Officer of the Department of Defense, 
in coordination with the Undersecretary of Defense for 
Personnel and Readiness, shall update the study titled 
‘‘Study to Determine the Feasibility of Consolidation of 
the Defense Resale Entities’’ and dated December 4, 
2018, to include a new business case analysis that— 
(1) establishes new baselines for— 
(A) savings from the costs of goods sold; 
(B) costs of new information technology 
required for such consolidation; and 
(C) costs of headquarters relocation arising 
from such consolidation; and 
(2) addresses each recommendation for execu-
tive action in the Government Accountability Office 
report GAO–20–418SU. 
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(b) REVIEW AND COMMENT.—Not later than April 
1, 2021, the Secretary of Defense shall make the updated 
business case analysis (in this section referred to as the 
‘‘updated BCA’’) available to the Secretaries of the mili-
tary departments for comment. 
(c) SUBMITTAL TO CONGRESSIONAL COMMITTEES.— 
Not later than June 1, 2021, the Secretary of Defense 
shall make any comments made under subsection (b) and 
the updated BCA available to the Committees on Armed 
Services of the Senate and the House of Representatives. 
(d) DELAY OF CONSOLIDATION.—The Secretary of 
Defense may not take any action to consolidate military 
exchanges and commissaries until the Committees on 
Armed Services of the Senate and the House of Represent-
atives notify the Secretary in writing of receipt and accept-
ance of the updated BCA. 
Subtitle E—Other Personnel 
Benefits 
SEC. 641. MAINTENANCE OF FUNDING FOR STARS AND 
STRIPES. 
(a) FUNDING.— 
(1) OPERATION
AND
MAINTENANCE.—Of the 
amounts authorized to be appropriated for fiscal 
year 2021 in division D of this Act and available for 
operations and maintenance for Defense-wide activi-
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ties as specified in the funding table in section 4301 
of this Act, $9,000,000 shall be made available for 
the purpose of maintaining the operations and publi-
cation of Stars and Stripes. 
(2) 
CONTINGENCY
OPERATIONS.—Of 
the 
amounts authorized to be appropriated for fiscal 
year 2021 in division D of this Act and available for 
overseas contingency operations for Defense-wide ac-
tivities as specified in the funding tables in section 
4301 of this Act, $6,000,000 shall be made available 
for the purpose of maintaining the operations and 
publication of Stars and Stripes. 
(b) REPORT ON BUSINESS CASE ANALYSIS.—Not 
later than March 1, 2021, the Secretary of Defense, in 
coordination with the editor of Stars and Stripes, shall 
submit a report to the Committees on Armed Services of 
the Senate and the House of Representatives detailing the 
business case analysis for various options for Stars and 
Stripes. The report shall contain the following elements: 
(1) An analysis of the pros and cons of, and 
business case for, continuing the operation and pub-
lication of Stars and Stripes at its current levels, in-
cluding other options for the independent reporting 
currently provided, especially in a deployed environ-
ment. 
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(2) An analysis of the modes of communication 
used by Stars and Stripes. 
(3) An analysis of potential reduced operations 
of Stars and Stripes. 
(4) An analysis of the operation of Stars and 
Stripes solely as a non-appropriated entity. 
(5) An analysis of operating Stars and Stripes 
as a category B morale, welfare, and recreation enti-
ty. 
(6) An assessment of the value of the avail-
ability of Stars and Stripes (in print or an electronic 
version) to deployed or overseas members of the 
Armed Forces. 
SEC. 642. BASIC ALLOWANCE FOR HOUSING. 
Section 403 of title 37, United States Code, is 
amended by adding at the end the following: 
‘‘(p) INFORMATION ON RIGHTS AND PROTECTIONS 
UNDER SERVICEMEMBERS CIVIL RELIEF ACT.—The Sec-
retary of Defense shall provide to each member of a uni-
formed service who receives a basic allowance for housing 
under this section information on the rights and protec-
tions available to such member under the Servicemembers 
Civil Relief Act (50 U.S.C. 3901 et seq.).’’. 
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TITLE VII—HEALTH CARE 
PROVISIONS 
Subtitle A—TRICARE and Other 
Health Care Benefits 
SEC. 701. EXPANSION OF MENTAL HEALTH ASSESSMENTS 
FOR MEMBERS OF THE ARMED FORCES. 
Section 1074m of title 10, United States Code, is 
amended by adding at the end the following new sub-
section: 
‘‘(g) MENTAL HEALTH ASSESSMENTS FOR PARTICI-
PATION IN CERTAIN ACTIVITIES.—(1) The Secretary shall 
provide to a member described in paragraph (2) mental 
health assessments under this section in a frequency and 
schedule that the Secretary determines to be as similar 
as practicable to the frequency and schedule for such as-
sessments under subsection (a)(1). 
‘‘(2) A member described in this paragraph is a mem-
ber who, while not deployed in support of a contingency 
operation, participated in warfighting activities that had 
a direct and immediate impact on a combat operation or 
other military operation.’’. 
SEC. 702. MANDATORY REFERRAL FOR MENTAL HEALTH 
EVALUATION. 
Section 1090a of title 10, United States Code, is 
amended— 
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(1) by redesignating subsection (e) as sub-
section (f); and 
(2) by inserting after subsection (d) the fol-
lowing new subsection: 
‘‘(e) PROCESS APPLICABLE
TO MEMBER DISCLO-
SURE.—The regulations required by subsection (a) shall— 
‘‘(1) establish a phrase that enables a member 
of the armed forces to trigger a referral of the mem-
ber by a commanding officer or supervisor for a 
mental health evaluation; 
‘‘(2) require a commanding officer or supervisor 
to make such referral as soon as practicable fol-
lowing disclosure by the member to the commanding 
officer or supervisor of the phrase established under 
paragraph (1); and 
‘‘(3) ensure that the process protects the con-
fidentiality of the member in a manner similar to 
the confidentiality provided for members making re-
stricted reports under section 1565b(b) of this 
title.’’. 
SEC. 703. ASSESSMENTS AND TESTING RELATING TO EXPO-
SURE 
TO 
PERFLUOROALKYL 
AND 
POLYFLUOROALKYL SUBSTANCES. 
(a) PERIODIC HEALTH ASSESSMENT.—The Sec-
retary of Defense shall ensure that any periodic health as-
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sessment provided to a member of the Armed Forces in-
cludes an evaluation of whether the member has been— 
(1) based or stationed at a military installation 
identified by the Department of Defense as a loca-
tion with a known or suspected release of 
perfluoroalkyl substances or polyfluoroalkyl sub-
stances during the period in which the member was 
based or stationed at the military installation; or 
(2) exposed to such substances, including by 
evaluating any information in the health record of 
the member. 
(b) SEPARATION HISTORY AND PHYSICAL EXAMINA-
TIONS.—Section 1145(a)(5) of title 10, United States 
Code, is amended by adding at the end the following new 
subparagraph: 
‘‘(D) The Secretary concerned shall ensure that each 
physical examination of a member under subparagraph 
(A) includes an assessment of whether the member was— 
‘‘(i) based or stationed at a military installation 
identified by the Department as a location with a 
known or suspected release of perfluoroalkyl sub-
stances or polyfluoroalkyl substances during the pe-
riod in which the member was based or stationed at 
the military installation; or 
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‘‘(ii) exposed to such substances, including by 
assessing any information in the health record of the 
member.’’. 
(c) 
DEPLOYMENT
ASSESSMENTS.—Section 
1074f(b)(2) of title 10, United States Code, is amended 
by adding at the end the following new subparagraph: 
‘‘(E) An assessment of whether the member 
was— 
‘‘(i) based or stationed at a military instal-
lation identified by the Department as a loca-
tion with a known or suspected release of 
perfluoroalkyl substances or polyfluoroalkyl sub-
stances during the period in which the member 
was based or stationed at the military installa-
tion; or 
‘‘(ii) exposed to such substances, including 
by assessing any information in the health 
record of the member.’’. 
(d) PROVISION OF BLOOD TESTING.— 
(1) MEMBERS OF THE ARMED FORCES.— 
(A) IN GENERAL.—If a covered evaluation 
of a member of the Armed Forces results in a 
positive determination of potential exposure to 
perfluoroalkyl substances or polyfluoroalkyl sub-
stances, the Secretary of Defense shall provide 
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to that member, during that covered evaluation 
and at no additional cost to that member, blood 
testing to determine and document potential ex-
posure to such substances. 
(B) INCLUSION IN HEALTH RECORD.—The 
results of blood testing of a member of the 
Armed Forces conducted under subparagraph 
(A) shall be included in the health record of the 
member. 
(2) COVERED EVALUATION DEFINED.—In this 
subsection, the term ‘‘covered evaluation’’ means— 
(A) a periodic health assessment conducted 
in accordance with subsection (a); 
(B) a separation history and physical ex-
amination conducted under section 1145(a)(5) 
of title 10, United States Code, as amended by 
subsection (b); and 
(C) a deployment assessment conducted 
under section 1074f(b)(2) of such title, as 
amended by subsection (c). 
SEC. 704. IMPROVEMENT TO BREAST CANCER SCREENING. 
Section 1074d(b)(2) of title 10, United States Code, 
is amended by inserting before the period at the end the 
following: ‘‘, including through the use of digital breast 
tomosynthesis’’. 
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SEC. 705. WAIVER OF FEES CHARGED TO CERTAIN CIVIL-
IANS FOR EMERGENCY MEDICAL TREATMENT 
PROVIDED AT MILITARY MEDICAL TREAT-
MENT FACILITIES. 
Section 1079b of title 10, United States Code, is 
amended— 
(1) by redesignating subsection (b) as sub-
section (c); and 
(2) by inserting after subsection (a) the fol-
lowing new subsection (b): 
‘‘(b) WAIVER OF FEES.—Under the procedures im-
plemented under subsection (a), a military medical treat-
ment facility may waive a fee charged under such proce-
dures to a civilian who is not a covered beneficiary if— 
‘‘(1) after insurance payments, if any, the civil-
ian is not able to pay for the trauma or other med-
ical care provided to the civilian; and 
‘‘(2) the provision of such care enhanced the 
medical readiness of the health care provider or 
health care providers furnishing such care.’’. 
SEC. 706. EXPANSION OF BENEFITS AVAILABLE UNDER 
TRICARE EXTENDED CARE HEALTH OPTION 
PROGRAM. 
(a) EXTENDED BENEFITS FOR ELIGIBLE DEPEND-
ENTS.—Subsection (e) of section 1079 of title 10, United 
States Code, is amended to read as follows: 
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‘‘(e)(1) Extended benefits for eligible dependents 
under subsection (d) may include comprehensive health 
care services (including services necessary to maintain, or 
minimize or prevent deterioration of, function of the pa-
tient) and case management services with respect to the 
qualifying condition of such a dependent, and include, to 
the extent such benefits are not provided under provisions 
of this chapter other than under this section, the following: 
‘‘(A) Diagnosis and screening. 
‘‘(B) Inpatient, outpatient, and comprehensive 
home health care supplies and services which may 
include cost effective and medically appropriate serv-
ices other than part-time or intermittent services 
(within the meaning of such terms as used in the 
second sentence of section 1861(m) of the Social Se-
curity Act). 
‘‘(C) Rehabilitation and habilitation services 
and devices. 
‘‘(D) Institutional care in private nonprofit, 
public, and State institutions and facilities and, if 
appropriate, transportation to and from such institu-
tions and facilities. 
‘‘(E) Custodial care, notwithstanding the prohi-
bition in section 1077(b)(1) of this title. 
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‘‘(F) In accordance with paragraph (2), respite 
care for the primary caregiver of the eligible depend-
ent. 
‘‘(G) In accordance with paragraph (3), service 
and modification of durable equipment and assistive 
technology devices. 
‘‘(H) Special education. 
‘‘(I) Vocational training, which may be fur-
nished to an eligible dependent in the residence of 
the eligible dependent or at a facility in which such 
training is provided. 
‘‘(J) In accordance with paragraph (4), adapta-
tions to the private residence and vehicle of the eligi-
ble dependent. 
‘‘(K) Such other services and supplies as deter-
mined appropriate by the Secretary, notwithstanding 
the limitations in subsection (a)(12). 
‘‘(2) Respite care under paragraph (1)(F) shall be 
provided subject to the following conditions: 
‘‘(A) Pursuant to regulations prescribed by the 
Secretary for purposes of this paragraph, such res-
pite care shall be limited to— 
‘‘(i) 50 hours per month for a primary 
caregiver not covered by clause (ii); or 
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‘‘(ii) 40 hours per week for cases where the 
Secretary determines that the plan of care for 
the eligible dependent includes frequent inter-
ventions by the primary caregiver. 
‘‘(B) Unused hours of respite care may not be 
carried over to another month. 
‘‘(C) Such respite care may be provided to an 
eligible beneficiary regardless of whether the eligible 
beneficiary is receiving another benefit under this 
subsection. 
‘‘(3)(A) Service and modification of durable equip-
ment and assistive technology devices under paragraph 
(1)(G) may be provided only upon determination by the 
Secretary that the service or modification is necessary for 
the use of such equipment or device by the eligible depend-
ent. 
‘‘(B) Service and modification of durable equipment 
and assistive technology devices under such paragraph 
may not be provided— 
‘‘(i) in the case of misuse, loss, or theft of the 
equipment or device; or 
‘‘(ii) for a deluxe, luxury, or immaterial feature 
of the equipment or device, as determined by the 
Secretary. 
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‘‘(C) Service and modification of durable equipment 
and assistive technology devices under such paragraph 
may include training of the eligible dependent and imme-
diate family members of the eligible dependent on the use 
of the equipment or device. 
‘‘(4)(A) Adaptations to the private residence and ve-
hicle of the eligible dependent under paragraph (1)(J) may 
be provided if such adaptations— 
‘‘(i) are determined to be medically necessary 
by the provider responsible for the care of the eligi-
ble dependent with respect to the qualifying condi-
tion; and 
‘‘(ii) are necessary to assist in— 
‘‘(I) the reduction of the disabling effects 
of the qualifying condition; or 
‘‘(II) 
maintenance 
of 
the 
present 
functionality of the eligible dependent. 
‘‘(B) With respect to a vehicle, adaptations may be 
provided under such paragraph if the vehicle is the pri-
mary means of transportation of the eligible dependent.’’. 
(b) CONFORMING AMENDMENT.—Subsection (f) of 
such section is amended by striking ‘‘paragraph (3) or (4) 
of subsection (e)’’ each place it appears and inserting 
‘‘subparagraph (C), (D), (G), (H), or (I) of subsection 
(e)(1)’’. 
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(c) ADDITIONAL REQUIREMENTS IN OFFICE OF SPE-
CIAL NEEDS ANNUAL REPORT.—Section 1781c(g)(2) of 
title 10, United States Code, is amended— 
(1) by redesignating subparagraph (C) as sub-
paragraph (D); and 
(2) by inserting after subparagraph (B) the fol-
lowing new subparagraph (C): 
‘‘(C) With respect to the Extended Care Health 
Option program under section 1079(d) of ths title— 
‘‘(i) the utilization rates of services under 
such program by eligible dependents (as such 
term is defined in such section) during the prior 
year; 
‘‘(ii) a description of gaps in such services, 
as ascertained by the Secretary from informa-
tion provided by families of eligible dependents; 
‘‘(iii) an assessment of factors that prevent 
knowledge of and access to such program, in-
cluding a discussion of actions the Secretary 
may take to address these factors; and 
‘‘(iv) an assessment of the average wait 
time for an eligible dependent enrolled in the 
program to access alternative health coverage 
for a qualifying condition (as such term is de-
fined in such section), including a discussion of 
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any adverse health outcomes associated with 
such wait.’’. 
(d) COMPTROLLER GENERAL REPORT.—The Comp-
troller General of the United States shall submit to Con-
gress a report containing a study on caregiving available 
through programs such as State Home and Community 
Based Services and the Program of Comprehensive Assist-
ance for Family Caregivers of the Department of Veterans 
Affairs under section 1720G of title 38, United States 
Code. The report shall— 
(1) include input from payers, administrators, 
consumers, and advocates in order to analyze best 
practices for administering programs to support 
caregivers of individuals with intellectual or physical 
disabilities; and 
(2) compare the provision of respite and related 
care through the Extended Care Health Option pro-
gram under section 1079(d) of title 10, United 
States Code, to recognized best practices and, if 
needed, make recommendations for improvement. 
(e) EFFECTIVE DATE.—The amendments made by 
this section shall take effect October 1, 2020. 
(f) FUNDING.— 
(1) INCREASE.—Notwithstanding the amounts 
set forth in the funding tables in division D, the 
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amount authorized to be appropriated in section 
1405 for the Defense Health Program, as specified 
in the corresponding funding table in section 4501, 
for Defense Health Program, In-House Care, is 
hereby increased by $15,000,000. 
(2) OFFSET.—Notwithstanding the amounts set 
forth in the funding tables in division D, the amount 
authorized to be appropriated in section 1405 for 
the Defense Health Program, as specified in the cor-
responding funding table in section 4501, for De-
fense Health Program, Private Sector Care, is here-
by reduced by $15,000,000. 
SEC. 707. PROVISION OF HEARING AIDS FOR DEPENDENTS 
OF CERTAIN MEMBERS OF THE RESERVE 
COMPONENTS. 
Section 1077(g) of title 10, United States Code, is 
amended— 
(1) by striking ‘‘In addition’’ and inserting ‘‘(1) 
In addition’’; and 
(2) by adding at the end the following new 
paragraph: 
‘‘(2) For purposes of providing hearing aids under 
subsection (a)(16), a dependent of a member of the re-
serve components who is enrolled in the TRICARE pro-
gram under section 1076d of this title shall be deemed 
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to be a dependent of a member of the uniformed services 
on active duty.’’. 
Subtitle B—Health Care 
Administration 
SEC. 711. PROTECTION OF THE ARMED FORCES FROM IN-
FECTIOUS DISEASES. 
(a) IN GENERAL.—Chapter 55 of title 10, United 
States Code, is amended by inserting after section 1073d 
the following new section: 
‘‘§ 1073e. Protection of armed forces from infectious 
diseases 
‘‘(a) PROTECTION.—The Secretary of Defense shall 
ensure that the armed forces have the diagnostic equip-
ment, testing capabilities, and personal protective equip-
ment necessary to protect members of the armed forces 
from the threat of infectious diseases and to treat mem-
bers who contract infectious diseases. 
‘‘(b) REQUIREMENTS.—In carrying out subsection 
(a), the Secretary shall ensure the following: 
‘‘(1) Each military medical treatment facility 
has the testing capabilities described in such sub-
section. 
‘‘(2) Each deployed naval vessel has the testing 
capabilities described in such subsection. 
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‘‘(3) Members of the armed forces deployed in 
support of a contingency operation outside of the 
United States have access to the testing capabilities 
described in such subsection, including at field hos-
pitals, combat support hospitals, field medical sta-
tions, and expeditionary medical facilities. 
‘‘(4) The Department of Defense maintains a 
stock of personal protective equipment in a quantity 
sufficient for each member of the armed forces, in-
cluding the reserve components thereof. 
‘‘(c) RESEARCH AND DEVELOPMENT.—(1) The Sec-
retary shall include with the defense budget materials (as 
defined by section 231(f) of this title) for a fiscal year 
a plan to research and develop vaccines for infectious dis-
eases. 
‘‘(2) The Secretary shall ensure that the medical lab-
oratories of the Department of Defense are equipped with 
the technology needed to facilitate rapid research in the 
case of a pandemic.’’. 
(b) CLERICAL AMENDMENT.—The table of contents 
at the beginning of such chapter is amended by inserting 
after the item relating to section 1073d the following new 
item: 
‘‘1073e. Protection of armed forces from infectious diseases.’’. 
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SEC. 712. INCLUSION OF DRUGS, BIOLOGICAL PRODUCTS, 
AND CRITICAL MEDICAL SUPPLIES IN NA-
TIONAL SECURITY STRATEGY FOR NATIONAL 
TECHNOLOGY AND INDUSTRIAL BASE. 
(a) NATIONAL SECURITY STRATEGY FOR NATIONAL 
TECHNOLOGY AND INDUSTRIAL BASE.—Section 2501(a) 
of title 10, United States Code, is amended by adding at 
the end the following new paragraph: 
‘‘(11) Providing for the provision of drugs, bio-
logical products, vaccines, and critical medical sup-
plies (including personal protective equipment, diag-
nostic and testing capabilities, and lifesaving breath-
ing apparatuses required for the treatment of severe 
respiratory illness and respiratory distress) required 
to enable combat readiness and protect the health of 
the armed forces.’’. 
(b) REPORT.— 
(1) IN GENERAL.—Not later than 1 year after 
the date of the enactment of this Act, the Secretary 
of Defense, in consultation with the Secretary of 
Health and Human Services, the Commissioner of 
Food and Drugs, and the heads of other depart-
ments and agencies of the Federal Government that 
the Secretary of Defense determines appropriate, 
shall submit to the appropriate congressional com-
mittees a report on vulnerabilities to the drugs, bio-
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logical products, vaccines, and critical medical sup-
plies of the Department of Defense. 
(2) MATTERS
INCLUDED.—The report under 
paragraph (1) shall include— 
(A) an identification and origin of any fin-
ished drugs, as identified by the Secretary of 
Defense, and the essential components of such 
drugs, including raw materials, chemical compo-
nents, and active pharmaceutical ingredients 
that are necessary for the manufacture of such 
drugs, whose supply is at risk of disruption 
during a time of war or national emergency; 
(B) an identification of shortages of fin-
ished drugs, biological products, vaccines, and 
critical medical supplies essential for combat 
readiness and the protection of the health of the 
Armed Forces, as identified by the Secretary of 
Defense; 
(C) an identification of the defense and 
geopolitical contingencies that are sufficiently 
likely to arise that may lead to the discontinu-
ance, interruption or meaningful disruption in 
the supply of a drug, biological product, vac-
cine, or critical medical supply, and rec-
ommendations regarding actions the Secretary 
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of Defense should take to reasonably prepare 
for the occurrence of such contingencies; 
(D) an identification of any barriers that 
exist to manufacture finished drugs, biological 
products, vaccines, and critical medical supplies 
in the United States, including with respect to 
regulatory barriers by the Federal Government 
and whether the raw materials may be found in 
the United States; 
(E) an identification of potential partners 
of the United States with whom the United 
States can work with to realign the manufac-
turing capabilities of the United States for such 
finished drugs, biological products, vaccines, 
and critical medical supplies; 
(F) an assessment conducted by the Sec-
retary of Defense of the resilience and capacity 
of the current supply chain and industrial base 
to support national defense upon the occurrence 
of the contingencies identified in subparagraph 
(C), including with respect to— 
(i) the manufacturing capacity of the 
United States; 
(ii) gaps in domestic manufacturing 
capabilities, including non-existent, extinct, 
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threatened, and single-point-of-failure ca-
pabilities; and 
(iii) supply chains with single points 
of failure and limited resiliency; and 
(G) recommendations to enhance and 
strengthen the surge requirements and readi-
ness contracts of the Department of Defense to 
ensure the sufficiency of the stockpile of the 
Department of, and the ready access by the De-
partment to, critical medical supplies, pharma-
ceuticals, vaccines, counter-measure prophy-
laxis, and personal protective equipment, includ-
ing with respect to the effectiveness of the the-
ater lead agent for medical materiel program in 
support of the combatant commands. 
(3) FORM.—The report under paragraph (1) 
shall be submitted in classified form. 
(4) DEFINITIONS.—In this subsection: 
(A) The term ‘‘appropriate congressional 
committees’’ means the following: 
(i) The congressional defense commit-
tees. 
(ii) The Committee on Energy and 
Commerce and the Committee on Home-
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land Security of the House of Representa-
tives. 
(iii) The Committee on Health, Edu-
cation, Labor, and Pensions and the Com-
mittee on Homeland Security and Govern-
mental Affairs of the Senate. 
(B) The term ‘‘critical medical equipment’’ 
includes personal protective equipment, diag-
nostic tests, testing supplies, and lifesaving 
breathing apparatuses required to treat severe 
respiratory illnesses and distress. 
SEC. 713. CONTRACT AUTHORITY OF THE UNIFORMED 
SERVICES 
UNIVERSITY 
OF 
THE 
HEALTH 
SCIENCES. 
Section 2113(g)(1) of title 10, United States Code, 
is amended— 
(1) in subparagraph (E), by striking ‘‘and’’ at 
the end; 
(2) in subparagraph (F), by striking the period 
at the end and inserting ‘‘; and’’; and 
(3) by adding at the end the following new sub-
paragraph: 
‘‘(G) notwithstanding section 2304(k) of 
this title, to enter into such contracts, coopera-
tive agreements, or grants on a sole-source 
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basis pursuant to section 2304(c)(5) of this 
title.’’. 
SEC. 714. EXTENSION OF ORGANIZATION REQUIREMENTS 
FOR DEFENSE HEALTH AGENCY. 
Section 1073c(e) of title 10, United States Code, is 
amended by striking ‘‘September 30, 2022’’ and inserting 
‘‘September 30, 2025’’. 
SEC. 715. MODIFICATION TO LIMITATION ON THE REALIGN-
MENT OR REDUCTION OF MILITARY MEDICAL 
MANNING END STRENGTH. 
Section 719 of the National Defense Authorization 
Act for Fiscal Year 2020 (Public Law 116–92; 133 Stat. 
1454) is amended— 
(1) in subsection (a), in the matter preceding 
paragraph (1), by striking ‘‘may not realign or re-
duce military medical end strength authorizations 
until’’ and inserting the following: ‘‘may not realign 
or reduce military medical end strength authoriza-
tions during the one-year period following the date 
of the enactment of the National Defense Authoriza-
tion Act for Fiscal Year 2021, and after such pe-
riod, may not realign or reduce such authorizations 
unless’’; and 
(2) in subsection (b)(1), by inserting before the 
period at the end the following: ‘‘, including with re-
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spect to both the homeland defense mission and pan-
demic influenza’’. 
SEC. 716. MODIFICATIONS TO IMPLEMENTATION PLAN FOR 
RESTRUCTURE OR REALIGNMENT OF MILI-
TARY MEDICAL TREATMENT FACILITIES. 
Section 703(d) of the National Defense Authorization 
Act for Fiscal Year 2017 (Public Law 114–328; 130 Stat. 
2199) is amended— 
(1) in paragraph (2), by striking subparagraph 
(D) and inserting the following new subparagraph: 
‘‘(D) A description of how the Secretary 
will carry out subsection (b), including with re-
spect to— 
‘‘(i) the standards required for health 
care providers to accept and transition cov-
ered beneficiaries to the purchased care 
component of the TRICARE program; 
‘‘(ii) a method to monitor and report 
on quality benchmarks for the beneficiary 
population that is required to transition to 
such component of the TRICARE pro-
gram; and 
‘‘(iii) a process by which the Defense 
Health Agency will ensure that such com-
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ponent of the TRICARE program has the 
required capacity.’’; and 
(2) by adding at the end the following new 
paragraph: 
‘‘(4) NOTICE AND WAIT.—The Secretary may 
not implement the plan under paragraph (1) un-
less— 
‘‘(A) the Secretary has submitted the plan 
to the congressional defense committees; and 
‘‘(B) a 1-year period elapses following the 
later of the date of such submission or the date 
of the enactment of the National Defense Au-
thorization Act for Fiscal Year 2021.’’. 
SEC. 717. POLICY TO ADDRESS OPIOID PRESCRIPTION 
ABUSE PREVENTION. 
(a) REQUIREMENT.—The Secretary of Defense shall 
develop a policy and tracking mechanism for opioids that 
monitors and prohibits the over prescribing of opioids to 
ensure compliance with clinical practice guidelines and 
prescribing guidelines published by the Centers for Dis-
ease Control and Prevention and the Food and Drug Ad-
ministration. 
(b) ELEMENTS.—The requirements under subsection 
(a) shall include the following: 
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(1) Limit the prescribing of opioids to the mor-
phine milligram equivalent level per day specified in 
the guideline published by the Centers for Disease 
Control and Prevention titled ‘‘CDC Guideline for 
Prescribing Opioids for Chronic Pain—United 
States, 2016’’, or such successor guideline. 
(2) Limit the supply of opioids to within clini-
cally accepted guidelines. 
(3) Develop a waiver process for specific patient 
categories that will require treatment beyond the 
limit specified in paragraph (1) and, as appropriate, 
ensure overdose reversal drugs are co-prescribed. 
(4) Implement controls to ensure that the pre-
scriptions in the military health system data reposi-
tory exist and that the dispense date and the metric 
quantity field for opioid prescriptions in liquid form 
are consistent among all systems. 
(5) Implement opioid prescribing controls with-
in the electronic health record system known as 
‘‘Genesis’’ and document if an overdose reversal 
drug was co-prescribed. 
(6) Develop metrics that can be used by the 
Defense Health Agency and each military medical 
treatment facility to actively monitor and limit the 
over prescribing of opioids and to monitor the co- 
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prescribing of overdose reversal drugs as accessible 
interventions. 
(7) Develop a report that tracks progression to-
ward reduced levels of opioid use and includes an 
identification of prevention best practices established 
by the Department. 
SEC. 718. ADDITION OF BURN PIT REGISTRATION TO ELEC-
TRONIC HEALTH RECORDS OF MEMBERS OF 
THE ARMED FORCES AND VETERANS. 
(a) UPDATES TO ELECTRONIC HEALTH RECORDS.— 
Beginning not later than 1 year after the date of the en-
actment of this Act— 
(1) the Secretary of Defense shall ensure that 
the electronic health record maintained by such Sec-
retary of a member of the Armed Forces registered 
with the burn pit registry is updated with any infor-
mation contained in such registry; and 
(2) the Secretary of Veterans Affairs shall en-
sure that the electronic health record maintained by 
such Secretary of a veteran registered with the burn 
pit registry is updated with any information con-
tained in such registry. 
(b) BURN PIT REGISTRY DEFINED.—In this section, 
the term ‘‘burn pit registry’’ means the registry estab-
lished under section 201 of the Dignified Burial and Other 
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Veterans’ Benefits Improvement Act of 2012 (Public Law 
112–260; 38 U.S.C. 527 note). 
SEC. 719. MAINTENANCE OF CERTAIN MEDICAL SERVICES 
AT MILITARY MEDICAL TREATMENT FACILI-
TIES AT SERVICE ACADEMIES. 
Section 1073d of title 10, United States Code, is 
amended by adding at the end the following new sub-
section: 
‘‘(f) MAINTENANCE OF CERTAIN MEDICAL SERVICES 
AT SERVICE ACADEMIES.—(1) In carrying out subsection 
(a), the Secretary of Defense shall ensure that each mili-
tary medical treatment facility located at a Service Acad-
emy (as defined in section 347 of this title) provides each 
covered medical service unless the Secretary determines 
that a civilian health care facility located not fewer than 
five miles from the Service Academy provides the covered 
medical service. 
‘‘(2) In this subsection, the term ‘covered medical 
service’ means the following: 
‘‘(A) Emergency room services. 
‘‘(B) Orthopedic services. 
‘‘(C) General surgery services. 
‘‘(D) Ear, nose, and throat services. 
‘‘(E) Gynecological services. 
‘‘(F) Ophthalmology services. 
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‘‘(G) In-patient services. 
‘‘(H) Any other medical services that the rel-
evant Superintendent of the Service Academy deter-
mines necessary to maintain the readiness and 
health of the cadets or midshipmen and members of 
the armed forces at the Service Academy.’’. 
SEC. 720. EXTRAMEDICAL MATERNAL HEALTH PROVIDERS 
DEMONSTRATION PROJECT. 
(a) DEMONSTRATION
PROJECT
REQUIRED.—Not 
later than 1 year after the date of the enactment of this 
Act, the Secretary of Defense shall commence the conduct 
of a demonstration project designed to evaluate the cost, 
quality of care, and impact on maternal and fetal out-
comes of using extramedical maternal health providers 
under the TRICARE program to determine the appro-
priateness of making coverage of such providers under the 
TRICARE program permanent. 
(b) ELEMENTS OF DEMONSTRATION PROJECT.—The 
demonstration project under subsection (a) shall include, 
for participants in the demonstration project, the fol-
lowing: 
(1) Access to doulas. 
(2) Access to lactation consultants who are not 
otherwise authorized to provide services under the 
TRICARE program. 
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(c) PARTICIPANTS.—The Secretary shall establish a 
process under which covered beneficiaries may enroll in 
the demonstration project in order to receive the services 
provided under the demonstration project. 
(d) DURATION.—The Secretary shall carry out the 
demonstration project for a period of 5 years beginning 
on the date on which notification of the commencement 
of the demonstration project is published in the Federal 
Register. 
(e) SURVEY.— 
(1) IN GENERAL.—Not later than 1 year after 
the date of the enactment of this Act, and annually 
thereafter for the duration of the demonstration 
project, the Secretary shall administer a survey to 
determine— 
(A) how many members of the Armed 
Forces or spouses of such members give birth 
while their spouse or birthing partner is unable 
to be present due to deployment, training, or 
other mission requirements; 
(B) how many single members of the 
Armed Forces give birth alone; and 
(C) how many members of the Armed 
Forces or spouses of such members use doula 
support or lactation consultants. 
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(2) MATTERS COVERED BY THE SURVEY.—The 
survey administered under paragraph (1) shall in-
clude an identification of the following: 
(A) The race, ethnicity, age, sex, relation-
ship status, military service, military occupa-
tion, and rank, as applicable, of each individual 
surveyed. 
(B) If individuals surveyed were members 
of the Armed Forces or the spouses of such 
members, or both. 
(C) The length of advanced notice received 
by individuals surveyed that the member of the 
Armed Forces would be unable to be present 
during the birth, if applicable. 
(D) Any resources or support that the in-
dividuals surveyed found useful during the 
pregnancy and birth process, including doula or 
lactation counselor support. 
(f) REPORTS.— 
(1) IMPLEMENTATION
PLAN.—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 Senate and the House of Rep-
resentatives a plan to implement the demonstration 
project. 
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(2) ANNUAL REPORT.— 
(A) IN GENERAL.—Not later than 1 year 
after the commencement of the demonstration 
project, and annually thereafter for the dura-
tion of the demonstration project, the Secretary 
shall submit to the Committees on Armed Serv-
ices of the Senate and the House of Represent-
atives a report on the cost of the demonstration 
project and the effectiveness of the demonstra-
tion project in improving quality of care and 
the maternal and fetal outcomes of covered 
beneficiaries enrolled in the demonstration 
project. 
(B) MATTERS
COVERED.—Each report 
submitted under subparagraph (A) shall ad-
dress, at a minimum, the following: 
(i) The number of covered bene-
ficiaries who are enrolled in the demonstra-
tion project. 
(ii) The number of enrolled covered 
beneficiaries who have participated in the 
demonstration project. 
(iii) The results of the surveys under 
subsection (f). 
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(iv) The cost of the demonstration 
project. 
(v) An assessment of the quality of 
care provided to participants in the dem-
onstration project. 
(vi) An assessment of the impact of 
the demonstration project on maternal and 
fetal outcomes. 
(vii) An assessment of the effective-
ness of the demonstration project. 
(viii) Recommendations for adjust-
ments to the demonstration project. 
(ix) The estimated costs avoided as a 
result of improved maternal and fetal 
health outcomes due to the demonstration 
project. 
(x) Recommendations for extending 
the demonstration project or implementing 
permanent coverage under the TRICARE 
program of extramedical maternal health 
providers. 
(xi) An identification of legislative or 
administrative action necessary to make 
the demonstration project permanent. 
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(C) FINAL
REPORT.—The final report 
under subparagraph (A) shall be submitted not 
later than 90 days after the termination of the 
demonstration project. 
(g) EXPANSION OF DEMONSTRATION PROJECT.— 
(1) REGULATIONS.—If the Secretary deter-
mines that the demonstration project is successful, 
the Secretary may prescribe regulations to include 
extramedical maternal health providers as health 
care providers authorized to provide care under the 
TRICARE program. 
(2) CREDENTIALING
AND
OTHER
REQUIRE-
MENTS.—The Secretary may establish credentialing 
and other requirements for doulas and lactation con-
sultants through public notice and comment rule-
making for purposes of including doulas and lacta-
tion consultations as health care providers author-
ized to provide care under the TRICARE program 
pursuant to regulations prescribed under paragraph 
(1). 
(h) DEFINITIONS.—In this section: 
(1) EXTRAMEDICAL MATERNAL HEALTH PRO-
VIDER.—The term ‘‘extramedical maternal health 
provider’’ means a doula or lactation consultant. 
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(2) COVERED
BENEFICIARY; 
TRICARE
PRO-
GRAM.—The 
terms 
‘‘covered 
beneficiary’’ 
and 
‘‘TRICARE program’’ have the meanings given 
those terms in section 1072 of title 10, United 
States Code. 
Subtitle C—Matters Relating to 
COVID–19 
SEC. 721. COVID–19 MILITARY HEALTH SYSTEM REVIEW 
PANEL. 
(a) ESTABLISHMENT.—The Secretary of Defense 
shall establish a panel to be known as the ‘‘COVID–19 
Military Health System Review Panel’’ (in this section re-
ferred to as the ‘‘panel’’). 
(b) COMPOSITION.— 
(1) MEMBERS.—The panel shall be composed of 
the following members: 
(A) The President of the Uniformed Serv-
ices University of the Health Sciences. 
(B) The Director of the Defense Health 
Agency. 
(C) The Surgeon General of the Army. 
(D) The Surgeon General of the Navy. 
(E) The Surgeon General of the Air Force. 
(F) The Joint Staff Surgeon. 
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(G) The Deputy Assistant Secretary of De-
fense for Health Readiness Policy and Over-
sight. 
(H) The Deputy Assistant Secretary of 
Defense for Health Resources Management and 
Policy. 
(2) CHAIRPERSON.—The chairperson of the 
panel shall be the President of the Uniformed Serv-
ices University of the Health Sciences. 
(3) TERMS.—Each member shall be appointed 
for the life of the panel. 
(c) DUTIES.— 
(1) IN GENERAL.—The panel shall— 
(A) review the response of the military 
health system to the coronavirus disease 2019 
(COVID–19) and the effects of COVID–19 on 
such system, including by analyzing any 
strengths or weaknesses of such system identi-
fied as a result COVID–19; and 
(B) using information from the review, 
make such recommendations as the panel con-
siders appropriate with respect to any policy, 
practice, organization, manning level, funding 
level, or legislative authority relating to the 
military health system. 
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(2) ELEMENTS OF REVIEW.—In conducting the 
review under paragraph (1), each member of the 
panel shall lead a review of at least one of the fol-
lowing elements, with respect to the military health 
system: 
(A) Policy, including any policy relating to 
force health protection or medical standards for 
the appointment, enlistment, or induction of in-
dividuals into the Armed Forces. 
(B) Public health activities, including any 
activity relating to risk communication, surveil-
lance, or contact tracing. 
(C) Research, diagnostics, and thera-
peutics. 
(D) Logistics and technology. 
(E) Force structure and manning. 
(F) Governance and organization. 
(G) Operational capabilities and oper-
ational support. 
(H) Education and training. 
(I) Health benefits under the TRICARE 
program. 
(J) Engagement and security activities re-
lating to global health. 
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(K) The financial impact of COVID–19 on 
the military health system. 
(d) REPORT.—Not later than June 1, 2021, the Sec-
retary of Defense shall submit to the congressional defense 
committees a report that includes the findings of the panel 
as a result of the review under subsection (c)(1)(A), to-
gether with such recommendations as the panel considers 
appropriate under subsection (c)(1)(B). 
(e) TERMINATION.—The panel shall terminate on 
June 1, 2021. 
SEC. 722. COVID–19 GLOBAL WAR ON PANDEMICS. 
(a) STRATEGY.—The Secretary of Defense shall de-
velop a strategy for pandemic preparedness and response 
that includes the following: 
(1) Identification of activities necessary to be 
carried out prior to a pandemic to ensure prepared-
ness and effective communication of roles and re-
sponsibilities within the Department of Defense, in-
cluding— 
(A) reviewing the frequency of each exer-
cise conducted by the Department or a military 
department that relates to a pandemic or severe 
influenza season or related force health protec-
tion; 
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(B) ensuring such exercises are appro-
priately planned, resourced, and practiced; 
(C) including a consideration of the capa-
bilities and capacities necessary to carry out the 
strategy under this section, and related oper-
ations for force health protection, and ensuring 
that these are included in each cost evaluation, 
Defense-wide review, or manning assessment of 
the Department of Defense that affects such 
capabilities and capacities; 
(D) reviewing the placement, exploring 
broader utilization of global health engagement 
liaisons, and increasing the scope of global 
health activities of the Department of Defense; 
(E) assessing a potential career track re-
lating to health protection research for mem-
bers of the Armed Forces and civilian employ-
ees of the Department of Defense; 
(F) providing to members of the Armed 
Forces guidance on force health protection prior 
to and during a pandemic or severe influenza 
season, including guidance on specific behaviors 
or actions required, such as self-isolating, social 
distancing, and additional protective measures 
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to be carried out after contracting a novel virus 
or influenza; 
(G) reviewing and updating the inventory 
of medical supplies and equipment of the De-
partment of Defense that is available for oper-
ational support to the combatant commands 
prior to and during a pandemic (such as vac-
cines, biologics, drugs, preventive medicine, 
antiviral medicine, and equipment relating to 
trauma support), including a review of— 
(i) the sufficiency of prepositioned 
stocks; and 
(ii) 
the 
effectiveness 
of 
the 
Warstopper Program of the Defense Logis-
tics Agency, or such successor program; 
(H) reviewing and updating distribution 
plans of the Department of Defense for critical 
medical supplies and equipment within the in-
ventory of the Department of Defense, includ-
ing vaccines and antiviral medicines; and 
(I) reviewing and updating research on in-
fectious diseases and preventive medicine con-
ducted by the military health system, including 
research conducted by the Health Related Com-
munities of Interest of the Department of De-
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fense, the Joint Program Committees, the over-
seas medical laboratories of the Department of 
Defense, the Armed Forces Health Surveillance 
Branch, or other elements of the Department of 
Defense that conduct research in support of 
members of the Armed Forces or beneficiaries 
under the TRICARE program. 
(2) Review of Department of Defense systems 
for health surveillance and detection to ensure con-
tinuous situational awareness and early warning 
with respect to a pandemic, including a review of— 
(A) the levels of funding and investment, 
and the overall value, of the Global Emerging 
Infections Surveillance and Response System of 
the Department of Defense, including the value 
demonstrated by the role of such system in— 
(i) improving the Department of De-
fense prevention and surveillance of, and 
the response to, infectious diseases that 
may impact members of the Armed Forces; 
(ii) informing decisions relating to 
force health protection across the geo-
graphic combatant commands; 
(iii) ensuring laboratory readiness to 
support pandemic response efforts and to 
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(3) Identification of activities to limit the 
spread of an infectious disease outbreak among 
members of the Armed Forces and beneficiaries 
under the TRICARE program, including activities to 
mitigate the health, social, and economic impacts of 
a pandemic on such members and beneficiaries, in-
cluding by— 
(A) reviewing the role of the Department 
of Defense in the National Disaster Medical 
System under section 2812 of the Public Health 
Service Act (42 U.S.C. 300hh–11) and imple-
menting plans across the Department that le-
verage medical facilities, personnel, and re-
sponse capabilities of the Federal Government 
to support requirements under such Act relat-
ing to medical surge capacity; 
(B) determining the range of public health 
capacity, medical surge capacity, administrative 
capacity, and veterinary capacity necessary for 
the Armed Forces to— 
(i) support operations during a pan-
demic; and 
(ii) develop mechanisms to reshape 
force structure during such pandemic as 
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necessary (contingent upon primary mis-
sion requirements); and 
(C) determining the range of activities for 
operational medical support and infrastructure 
sustainment that the Department of Defense 
and other Federal agencies have the capacity to 
implement during a pandemic (contingent upon 
primary mission requirements), and develop 
plans for the implementation of such activities. 
(b) STUDY ON RESPONSE TO COVID–19.—The Sec-
retary shall conduct a study on the response of the mili-
tary health system to the coronavirus disease 2019 
(COVID–19). 
(c) REPORT.—Not later than June 1, 2021, the Sec-
retary shall submit to the congressional defense commit-
tees a report containing— 
(1) the strategy under subsection (a); and 
(2) the study under subsection (b), including 
any findings or recommendations from the study 
that relate to an element of the strategy under sub-
section (a), such as recommended changes to policy, 
funding, practices, manning, organization, or legisla-
tive authority. 
(d) INSPECTOR GENERAL REPORT ON RESPONSE TO 
COVID–19.—Not later than June 1, 2021, the Inspector 
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General of the Department of Defense shall submit to the 
congressional defense committees and the Secretary of De-
fense a report on— 
(1) the total dollar amount of waste, fraud, and 
abuse uncovered in any Department of Defense 
spending under the Defense Production Act of 1950 
with respect to the COVID–19 pandemic; and 
(2) any recommendations on how to combat 
waste, fraud, and abuse in future spending related 
to pandemic preparedness and response. 
SEC. 723. REGISTRY OF TRICARE BENEFICIARIES DIAG-
NOSED WITH COVID–19. 
(a) ESTABLISHMENT.—Not later than June 1, 2021, 
the Secretary of Defense shall establish and maintain a 
registry of TRICARE beneficiaries who have been diag-
nosed with COVID–19. 
(b) CONTENTS.—The registry under subsection (a) 
shall include, with respect to each TRICARE beneficiary 
included in the registry, the following: 
(1) The demographic information of the bene-
ficiary. 
(2) Information on the industrial or occupa-
tional history of the beneficiary, to the extent such 
information is available in the records regarding the 
COVID–19 diagnosis of the beneficiary. 
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(3) Administrative information regarding the 
COVID–19 diagnosis of the beneficiary, including 
the date of the diagnosis and the location and source 
of the test used to make the diagnosis. 
(4) Any symptoms of COVID–19 manifested in 
the beneficiary. 
(5) Any treatments for COVID–19 taken by the 
beneficiary, or other medications taken by the bene-
ficiary, when the beneficiary was diagnosed with 
COVID–19. 
(6) Any pathological data characterizing the in-
cidence of COVID–19 and the type of treatment for 
COVID–19 provided to the beneficiary. 
(7) Information on any respiratory illness of the 
beneficiary recorded prior to the COVID–19 diag-
nosis of the beneficiary. 
(8) Any information regarding the beneficiary 
contained in the Airborne Hazards and Open Burn 
Pit Registry established under section 201 of the 
Dignified Burial and Other Veterans’ Benefits Im-
provement Act of 2012 (Public Law 112–260; 38 
U.S.C. 527, note). 
(9) Any other information determined appro-
priate by the Secretary. 
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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 a report on establishing 
the registry under subsection (a), including— 
(1) a plan to implement the registry; 
(2) the cost of implementing the registry; 
(3) the location of the registry; and 
(4) any recommended legislative changes with 
respect to establishing the registry. 
(d) TRICARE BENEFICIARY DEFINED.—In this sec-
tion, the term ‘‘TRICARE beneficiary’’ means the fol-
lowing: 
(1) An individual covered by section 1074(a) of 
title 10, United States Code. 
(2) A covered beneficiary (as defined in section 
1072 of title 10, United States Code). 
SEC. 724. PANDEMIC HEALTH ASSESSMENTS EVALUATE EX-
POSURE TO OPEN BURN PITS AND TOXIC AIR-
BORNE CHEMICALS. 
(a) EXPOSURE TO OPEN BURN PITS AND TOXIC AIR-
BORNE CHEMICALS OR OTHER AIRBORNE CONTAMINANTS 
AS PART OF HEALTH ASSESSMENTS FOR MEMBERS OF 
THE ARMED FORCES AND VETERANS DURING A PAN-
DEMIC AND INCLUSION OF INFORMATION IN REGISTRY.— 
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(1) HEALTH ASSESSMENT.—The Secretary of 
Defense and Secretary of Veterans Affairs shall en-
sure that the first health assessment conducted for 
a member of the Armed Forces or veteran after the 
individual tested positive for a virus certified by the 
Federal Government as a pandemic includes an eval-
uation of whether the individual has been— 
(A) based or stationed at a location where 
an open burn pit was used; or 
(B) exposed to toxic airborne chemicals or 
other airborne contaminants relating to service 
in the Armed Forces, including an evaluation of 
any information recorded as part of the Air-
borne Hazards and Open Burn Pit Registry. 
(2) INCLUSION
OF
INDIVIDUALS
IN
REG-
ISTRY.—If an evaluation conducted under paragraph 
(1) with respect to an individual establishes that the 
individual was based or stationed at a location where 
an open burn pit was used, or that the individual 
was exposed to toxic airborne chemicals or other air-
borne contaminants, the individual shall be enrolled 
in the Airborne Hazards and Open Burn Pit Reg-
istry unless the member elects to not enroll in such 
registry. 
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(3) RULE OF CONSTRUCTION.—Nothing in this 
subsection may be construed to preclude eligibility of 
a veteran for benefits under the laws administered 
by the Secretary of Veterans Affairs by reason of 
the history of exposure of the veteran to an open 
burn pit not being recorded in an evaluation con-
ducted under paragraph (1). 
(4) DEFINITIONS.—In this subsection: 
(A) AIRBORNE HAZARDS AND OPEN BURN 
PIT REGISTRY.—The term ‘‘Airborne Hazards 
and Open Burn Pit Registry’’ means the reg-
istry established by the Secretary of Veterans 
Affairs under section 201 of the Dignified Bur-
ial and Other Veterans’ Benefits Improvement 
Act of 2012 (Public Law 112–260; 38 U.S.C. 
527 note). 
(B) OPEN
BURN
PIT.—The term ‘‘open 
burn pit’’ has the meaning given that term in 
section 201(c) of the Dignified Burial and 
Other Veterans’ Benefits Improvement Act of 
2012 (Public Law 112–260; 126 Stat. 2422; 38 
U.S.C. 527 note). 
(b) STUDY ON IMPACT OF VIRAL PANDEMICS ON 
MEMBERS
OF ARMED FORCES
AND VETERANS WHO 
HAVE EXPERIENCED TOXIC EXPOSURE.— 
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(1) IN GENERAL.—The Secretary of Veterans 
Affairs shall conduct a study, through the Airborne 
Hazards and Burn Pits Center of Excellence (in this 
subsection referred to as the ‘‘Center’’), on the 
health impacts of infection with a virus designated 
as a global pandemic, including a coronavirus, to 
members of the Armed Forces and veterans who 
have been exposed to open burn pits and other toxic 
exposures for the purposes of understanding the 
health impacts of the virus and whether individuals 
infected with the virus are at increased risk of severe 
symptoms due to previous conditions linked to toxic 
exposure. 
(2) PREPARATION FOR FUTURE PANDEMIC.— 
The Secretary, through the Center, shall analyze po-
tential lessons learned through the study conducted 
under paragraph (1) to assist in preparing the De-
partment of Veterans Affairs for potential future 
pandemics. 
(3) DEFINITIONS.—In this subsection: 
(A) 
CORONAVIRUS.—The 
term 
‘‘coronavirus’’ has the meaning given that term 
in section 506 of the Coronavirus Preparedness 
and Response Supplemental Appropriations 
Act, 2020 (Public Law 116–123). 
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(B) OPEN
BURN
PIT.—The term ‘‘open 
burn pit’’ has the meaning given that term in 
section 201(c) of the Dignified Burial and 
Other Veterans’ Benefits Improvement Act of 
2012 (Public Law 112–260; 126 Stat. 2422; 38 
U.S.C. 527 note). 
SEC. 
725. 
PROVISION 
OF 
INFORMATION 
REGARDING 
COVID–19 IN MULTIPLE LANGUAGES. 
(a) TRANSLATION OF MATERIALS.—The Secretary of 
Defense shall— 
(1) translate any written material of the De-
partment of Defense prepared in the English lan-
guage for the general public relating to the COVID– 
19 pandemic into the languages specified in sub-
section (b) by not later than 7 days after the date 
on which such material is made available; and 
(2) make such translated written material avail-
able to the public. 
(b) LANGUAGES SPECIFIED.—The languages speci-
fied in this subsection are the following: 
(1) Arabic. 
(2) Cambodian. 
(3) Chinese. 
(4) French. 
(5) Greek. 
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(6) Haitian Creole. 
(7) Hindi. 
(8) Italian. 
(9) Japanese. 
(10) Korean. 
(11) Laotian. 
(12) Polish. 
(13) Portuguese. 
(14) Russian. 
(15) Spanish. 
(16) Tagalog. 
(17) Thai. 
(18) Urdu. 
(19) Vietnamese. 
(c) DEFINITION OF COVID–19 PANDEMIC.—In this 
section, the term ‘‘COVID–19 pandemic’’ means the pub-
lic health emergency declared by the Secretary of Health 
and Human Services pursuant to section 319 of the Public 
Health Service Act on January 31, 2020, entitled ‘‘Deter-
mination that a Public Health Emergency Exists Nation-
wide as the Result of the 2019 Novel Coronavirus’’. 
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SEC. 726. STUDY OF SUBSTANCE USE DISORDERS AMONG 
MEMBERS OF THE ARMED FORCES AND VET-
ERANS 
DURING 
THE 
COVID–19 
PUBLIC 
HEALTH EMERGENCY. 
(a) IN GENERAL.—The Secretaries shall conduct a 
study on substance use disorders among the relevant pop-
ulation before and during the COVID–19 public health 
emergency. The study shall include the following: 
(1) Analysis of data about the relevant popu-
lation who overdosed from opioids or other illicit 
substances during the public health emergency, 
using appropriate control samples and comparing to 
existing population data. 
(2) Analysis of fatal opioid and other illicit sub-
stances overdose deaths among the relevant popu-
lation during the public health emergency, using ap-
propriate control samples and comparing to existing 
population data. 
(3) Analysis of the prevalence of alcohol use 
disorder among the relevant population during the 
public health emergency, using existing data to iden-
tify any new trends. 
(4) Analysis of the association between overdose 
deaths and suicide among the relevant population. 
(5) An overview of the resources from relevant 
Federal agencies, including the Department of De-
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fense, the United States Department of Veterans Af-
fairs, the Substance Abuse and Mental Health Serv-
ices Administration, the Centers for Disease Control 
and Prevention, and the National Institutes of 
Health, that were distributed to the relevant popu-
lation during the public health emergency, including 
methods of dissemination. 
(6) An analysis of the utilization of recovery 
services and barriers to access the services at the 
Veterans Health Administration and the Military 
Health System by different modes of delivery, such 
as telehealth, inpatient, outpatient, intensive out-
patient, and residential services, during the public 
health emergency. 
(7) Identification of key areas in which relevant 
Federal agencies can improve their pandemic re-
sponse as it relates to substance use disorders and 
overdoses among the relevant population, including 
steps that can be taken to improve the preparedness 
of the agencies for future public health emergencies 
declared by the Secretary under section 319 of the 
Public Health Service Act. 
(b) REPORTS.— 
(1) INTERIM REPORT.—Within 120 days after 
the COVID–19 public health emergency ends, the 
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(4) SECRETARIES.—The term ‘‘Secretaries’’ 
means the Secretary of Defense and the Secretary of 
Veterans Affairs. 
Subtitle D—Reports and Other 
Matters 
SEC. 731. MODIFICATIONS TO PILOT PROGRAM ON CIVIL-
IAN AND MILITARY PARTNERSHIPS TO EN-
HANCE INTEROPERABILITY AND MEDICAL 
SURGE CAPABILITY AND CAPACITY OF NA-
TIONAL DISASTER MEDICAL SYSTEM. 
Section 740 of the National Defense Authorization 
Act for Fiscal Year 2020 (Public Law 116–92) is amend-
ed— 
(1) in subsection (a)— 
(A) by striking ‘‘The Secretary of Defense 
may’’ and inserting ‘‘Beginning not later than 
180 days after the date of the enactment of the 
National Defense Authorization Act for Fiscal 
Year 2021, the Secretary of Defense shall’’; and 
(B) by striking ‘‘and the Secretary of 
Transportation’’ and inserting ‘‘the Secretary of 
Transportation, and the Administrator of the 
Federal Emergency Management Agency’’; 
(2) in subsection (d), by striking ‘‘and the Sec-
retary of Transportation’’ and inserting ‘‘the Sec-
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retary of Transportation, and the Administrator of 
the Federal Emergency Management Agency’’; and 
(3) in subsection (f)— 
(A) by striking ‘‘the Committees on Armed 
Services of the Senate and the House of Rep-
resentatives’’ each place it appears and insert-
ing ‘‘the appropriate congressional committees’’; 
(B) in paragraph (1)(B)(i), by inserting 
before the period the following: ‘‘, including a 
recommendation for at least one of the locations 
selected under subsection (c)’’; and 
(C) by adding at the end the following new 
paragraph: 
‘‘(3) APPROPRIATE
CONGRESSIONAL
COMMIT-
TEES DEFINED.—In this subsection, the term ‘ap-
propriate congressional committees’ means the fol-
lowing: 
‘‘(A) The Committee on Armed Services, 
the Committee on Transportation and Infra-
structure, the Committee on Veterans’ Affairs, 
the Committee on Homeland Security, and the 
Committee on Energy and Commerce of the 
House of Representatives. 
‘‘(B) The Committee on Armed Services, 
the Committee on Commerce, Science, and 
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Transportation, the Committee on Veterans’ Af-
fairs, the Committee on Homeland Security and 
Governmental Affairs, and the Committee on 
Health, Education, Labor, and Pensions of the 
Senate.’’. 
SEC. 732. REPORTS ON SUICIDE AMONG MEMBERS OF THE 
ARMED FORCES AND SUICIDE PREVENTION 
PROGRAMS AND ACTIVITIES OF THE DEPART-
MENT OF DEFENSE. 
Section 741(a)(2) of the National Defense Authoriza-
tion Act for Fiscal Year 2020 (Public Law 116–92; 133 
Stat. 1467) is amended— 
(1) in subparagraph (B), by adding at the end 
the following new clause: 
‘‘(iii) The 1-year period following the 
date on which the member returns from 
such a deployment.’’; 
(2) 
by 
redesignating 
subparagraphs 
(D) 
through (H) as subparagraphs (E) through (I), re-
spectively; 
(3) by inserting after subparagraph (C) the fol-
lowing new subparagraph (D): 
‘‘(D) The number of suicides involving a 
member who was prescribed a medication to 
treat a mental health or behavioral health diag-
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nosis during the 1-year period preceding the 
death.’’; and 
(4) by adding at the end the following new sub-
paragraph: 
‘‘(J) A description of the programs carried 
out by the military departments to address and 
reduce the stigma associated with seeking as-
sistance 
for 
mental 
health 
or 
suicidal 
thoughts.’’. 
SEC. 733. CLARIFICATION OF RESEARCH UNDER JOINT 
TRAUMA EDUCATION AND TRAINING DIREC-
TORATE 
AND 
INCLUSION 
OF 
MILITARY 
WORKING DOGS. 
(a) IN GENERAL.—Subsection (b) of section 708 of 
the National Defense Authorization Act for Fiscal Year 
2017 (Public Law 114–328; 10 U.S.C. 1071 note) is 
amended— 
(1) in paragraph (7), by striking ‘‘of members 
of the Armed Forces’’ and inserting ‘‘with respect to 
both members of the Armed Forces and military 
working dogs’’; and 
(2) by striking paragraph (9) and inserting the 
following new paragraph: 
‘‘(9) To inform and advise the conduct of re-
search on the leading causes of morbidity and mor-
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tality of members of the Armed Forces and military 
working dogs in combat.’’. 
(b) VETERINARIANS IN PERSONNEL MANAGEMENT 
PLAN.—Subsection (d)(1) of such section is amended— 
(1) by redesignating subparagraph (F) as sub-
paragraph (G); and 
(2) by inserting after subparagraph (E) the fol-
lowing new subparagraph: 
‘‘(F) Veterinary care.’’. 
SEC. 734. EXTENSION OF THE JOINT DEPARTMENT OF DE-
FENSE-DEPARTMENT OF VETERANS AFFAIRS 
MEDICAL 
FACILITY 
DEMONSTRATION 
PROJECT. 
Section 1704(e) of the National Defense Authoriza-
tion Act for Fiscal Year 2010 (Public Law 111–84; 123 
Stat. 2567), as most recently amended by section 732 of 
the National Defense Authorization Act for Fiscal Year 
2020 (Public Law 116–92), is further amended by strik-
ing ‘‘September 30, 2021’’ and inserting ‘‘September 30, 
2023’’. 
SEC. 735. INFORMATION SHARING BY SECRETARY OF DE-
FENSE REGARDING PREVENTION OF INFANT 
AND MATERNAL MORTALITY. 
(a) AUTHORIZATION OF INFORMATION SHARING.— 
The Secretary of Defense may enter into memoranda of 
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understanding with State and local health authorities to 
share the practices of, and lessons learned by, the military 
health system for the prevention of infant and maternal 
mortality. 
(b) STATE DEFINED.—In this section, the term 
‘‘State’’ means each State, the District of Columbia, each 
commonwealth, territory or possession of the United 
States, and each federally recognized Indian Tribe. 
SEC. 736. GRANT PROGRAM FOR INCREASED COOPERA-
TION 
ON 
POST-TRAUMATIC 
STRESS 
DIS-
ORDER RESEARCH BETWEEN UNITED STATES 
AND ISRAEL. 
(a) SENSE OF CONGRESS.—It is the sense of Con-
gress that the Secretary of Defense, acting through the 
Psychological Health and Traumatic Brain Injury Re-
search Program, should seek to explore scientific collabo-
ration between American academic institutions and non-
profit research entities, and Israeli institutions with exper-
tise in researching, diagnosing, and treating post-trau-
matic stress disorder. 
(b) GRANT PROGRAM.—The Secretary of Defense, in 
coordination with the Secretary of Veterans Affairs and 
the Secretary of State, shall award grants to eligible enti-
ties to carry out collaborative research between the United 
States and Israel with respect to post-traumatic stress dis-
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orders. The Secretary of Defense shall carry out the grant 
program under this section in accordance with the agree-
ment titled ‘‘Agreement Between the Government of the 
United States of America and the Government of Israel 
on the United States-Israel Binational Science Founda-
tion’’, dated September 27, 1972. 
(c) ELIGIBLE ENTITIES.—To be eligible to receive a 
grant under this section, an entity shall be an academic 
institution or a nonprofit entity located in the United 
States. 
(d) AWARD.—The Secretary shall award grants 
under this section to eligible entities that— 
(1) carry out a research project that— 
(A) addresses a requirement in the area of 
post-traumatic stress disorders that the Sec-
retary determines appropriate to research using 
such grant; and 
(B) is conducted by the eligible entity and 
an entity in Israel under a joint research agree-
ment; and 
(2) meet such other criteria that the Secretary 
may establish. 
(e) APPLICATION.—To be eligible to receive a grant 
under this section, an eligible entity shall submit an appli-
cation to the Secretary at such time, in such manner, and 
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containing such commitments and information as the Sec-
retary may require. 
(f) GIFT AUTHORITY.—The Secretary may accept, 
hold, and administer, any gift of money made on the con-
dition that the gift be used for the purpose of the grant 
program under this section. Such gifts of money accepted 
under this subsection shall be deposited in the Treasury 
in the Department of Defense General Gift Fund and shall 
be available, subject to appropriation, without fiscal year 
limitation. 
(g) REPORTS.—Not later than 180 days after the 
date on which an eligible entity completes a research 
project using a grant under this section, the Secretary 
shall submit to Congress a report that contains— 
(1) a description of how the eligible entity used 
the grant; and 
(2) an evaluation of the level of success of the 
research project. 
(h) TERMINATION.—The authority to award grants 
under this section shall terminate on the date that is 7 
years after the date on which the first such grant is 
awarded. 
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SEC. 737. PILOT PROGRAM ON CRYOPRESERVATION AND 
STORAGE. 
(a) PILOT PROGRAM.—The Secretary of Defense 
shall establish a pilot program to provide not more than 
1,000 members of the Armed Forces serving on active 
duty with the opportunity to cryopreserve and store their 
gametes prior to deployment to a combat zone. 
(b) PERIOD.— 
(1) IN GENERAL.—The Secretary shall provide 
for the cryopreservation and storage of gametes of 
a participating member of the Armed Forces under 
subsection (a), at no cost to the member, in a facil-
ity of the Department of Defense or at a private en-
tity pursuant to a contract under subsection (d) 
until the date that is 1 year after the retirement, 
separation, or release of the member from the 
Armed Forces. 
(2) 
CONTINUED
CRYOPRESERVATION
AND 
STORAGE.—At the end of the 1-year period specified 
in paragraph (1), the Secretary shall authorize an 
individual whose gametes were cryopreserved and 
stored in a facility of the Department as described 
in that paragraph to select, including pursuant to an 
advance medical directive or military testamentary 
instrument completed under subsection (c), one of 
the following options: 
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(A) To continue such cryopreservation and 
storage in such facility with the cost of such 
cryopreservation and storage borne by the indi-
vidual. 
(B) To transfer the gametes to a private 
cryopreservation and storage facility selected by 
the individual. 
(C) To authorize the Secretary to dispose 
of the gametes of the individual not earlier than 
the date that is 90 days after the end of the 1- 
year period specified in paragraph (1) with re-
spect to the individual. 
(c) ADVANCE MEDICAL DIRECTIVE AND MILITARY 
TESTAMENTARY INSTRUMENT.—A member of the Armed 
Forces who elects to cryopreserve and store their gametes 
under this section shall complete an advance medical di-
rective described in section 1044c(b) of title 10, United 
States Code, and a military testamentary instrument de-
scribed in section 1044d(b) of such title, that explicitly 
specifies the use of their cryopreserved and stored gametes 
if such member dies or otherwise loses the capacity to con-
sent to the use of their cryopreserved and stored gametes. 
(d) AGREEMENTS.—To carry out this section, the 
Secretary may enter into agreements with private entities 
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that provide cryopreservation and storage services for 
gametes. 
SEC. 738. PILOT PROGRAM ON PARENTS SERVING AS CER-
TIFIED NURSING ASSISTANTS FOR CHILDREN 
UNDER TRICARE PROGRAM. 
(a) PILOT PROGRAM.—The Director of the Defense 
Health Agency may carry out a pilot program under which 
an eligible parent serves as a certified nursing assistant 
under the TRICARE program with respect to providing 
personal care services to a covered child. 
(b) DURATION.—If the Director carries out the pilot 
program under subsection (a), the Director shall carry out 
the pilot program for a period of 18 months. 
(c) BRIEFING.—If the Director carries out the pilot 
program under subsection (a), not later than 1 year after 
the date of the enactment of this Act, the Director shall 
provide to the congressional defense committees a briefing 
on the pilot program. 
(d) REPORT.—If the Director carries out the pilot 
program under subsection (a), not later than 180 days 
after the date of the completion of the pilot program, the 
Director shall submit to the congressional defense commit-
tees a report on the pilot program. The report shall in-
clude— 
(1) the cost of the program; 
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(2) an analysis of whether the pilot program 
met established performance metrics; 
(3) an analysis of whether the pilot program 
provided the standard of care to the patient that is 
required; and 
(4) the recommendation of the Director regard-
ing whether the pilot program should be made per-
manent. 
(e) DEFINITIONS.—In this section: 
(1) The term ‘‘covered child’’ means a covered 
beneficiary described in section 1072(2)(D) of title 
10, United States Code, who— 
(A) is the child of a member of the uni-
formed services serving on active duty; and 
(B) is eligible for private duty nursing 
under the Extended Care Health Option under 
subsections (d) through (f) of section 1079 of 
such title. 
(2) The term ‘‘eligible parent’’ means an indi-
vidual who is— 
(A) a certified nursing assistant; and 
(B) the parent of a covered child. 
(3) The term ‘‘personal care services’’ means 
personal care services prescribed by a medical doctor 
and provided by a certified nursing assistant under 
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the supervision and guidance of a registered nurse 
case manager. 
(4) The term ‘‘TRICARE program’’ has the 
meaning given that term in section 1072 of title 10, 
United States Code. 
SEC. 739. STUDY ON INCIDENCE OF CANCER DIAGNOSIS 
AND MORTALITY AMONG PILOTS IN THE 
ARMED FORCES. 
(a) STUDY.—Not later than 180 days after the date 
of the enactment of this Act, the Secretary of Defense 
shall seek to enter into an agreement with the National 
Academies of Sciences, Engineering, and Medicine to con-
duct a study to— 
(1) determine the incidence of cancer diagnosis 
and mortality among members, and former mem-
bers, of the Armed Forces who serve as pilots com-
pared to such members who do not serve as pilots, 
including by determining such incidence based on 
gender, age, flying hours, Armed Force, and type of 
aircraft; and 
(2) determine the appropriate age to begin 
screening such members for cancer, including by de-
termining such age based on gender, flying hours, 
Armed Force, and type of aircraft. 
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(b) SUBMISSION.—Not later than 2 years after the 
date on which the Secretary enters into the agreement 
under subsection (a), the Secretary shall submit to the ap-
propriate congressional committees a report on the find-
ings from the study under such subsection. 
(c) DEFINITIONS.—In this section: 
(1) The term ‘‘appropriate congressional com-
mittees’’ means— 
(A) the Committees on Armed Services 
and Veterans’ Affairs of the House of Rep-
resentatives; and 
(B) the Committees on Armed Services 
and Veterans’ Affairs of the Senate. 
(2) The term ‘‘Armed Forces’’ means each 
Armed Force under the jurisdiction of the Secretary 
of a military department. 
(3) The term ‘‘pilot’’ includes an individual who 
frequently accompanies a pilot in a cockpit, such as 
a navigator. 
SEC. 740. REPORT ON DIET AND NUTRITION OF MEMBERS 
OF THE ARMED FORCES. 
Not later than 180 days after the date of the enact-
ment of this Act, the Secretary of Defense shall submit 
to the congressional defense committees a report on the 
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diet and nutrition of members of the Armed Forces. The 
report shall describe the following: 
(1) The relationship between the diet and nutri-
tion of members and the health, performance, and 
combat effectiveness of members. 
(2) The relationship between diets high in 
Omega–3 fatty acids, or other diets that may lower 
inflammation and obesity, and improved mental 
health. 
(3) The extent to which the food and beverages 
offered at the dining halls of the Armed Forces as 
of the date of the report are designed to optimize 
the health, performance, and combat effectiveness of 
members according to science-based approaches. 
(4) The plan of the Secretary to improve the 
health, performance, and combat effectiveness of 
members by modifying the food and beverages of-
fered at the dining halls of the Armed Forces, in-
cluding in ways that minimize the change members. 
(5) Expected costs and timeline to implement 
such plan, including any expected savings from re-
duced medical costs. 
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SEC. 741. REPORT ON COSTS AND BENEFITS OF ALLOWING 
RETIRED MEMBERS OF THE ARMED FORCES 
TO CONTRIBUTE TO HEALTH SAVINGS AC-
COUNTS. 
(a) REPORT.—Not later than 180 days after the date 
of the enactment of this Act, the Assistant Secretary of 
Defense for Health Affairs shall submit to the congres-
sional defense committees a report on the costs and bene-
fits of allowing covered individuals to make contributions 
to a health savings account. 
(b) MATTERS.—The report under subsection (a) shall 
include a description of the following: 
(1) Any anticipated cost savings as a result of 
allowing covered individuals to make contributions to 
health savings accounts. 
(2) Any anticipated increase in health care op-
tions available to covered individuals as a result of 
allowing such contributions. 
(3) Any anticipated disruption or delay in 
health services or benefits for covered individuals as 
a result of allowing such contributions. 
(c) DEFINITIONS.—In this section: 
(1) The term ‘‘covered individual’’— 
(A) means a beneficiary covered by sub-
section (c) of section 1086 of title 10, United 
States Code; and 
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(B) includes a Medicare-eligible beneficiary 
described in subsection (d)(2) of such section. 
(2) The term ‘‘health savings account’’ has the 
meaning given that term in section 223(d) of the In-
ternal Revenue Code of 1986. 
SEC. 
742. 
STUDY 
ON 
TOXIC 
EXPOSURE 
AT 
KARSHI– 
KHANABAD AIR BASE, UZBEKISTAN. 
(a) STUDY.— 
(1) IN
GENERAL.—The Secretary of Defense 
shall conduct a study on toxic exposure by members 
of the Armed Forces deployed to Karshi–Khanabad 
Air Base, Uzbekistan, at any time during the period 
beginning October 1, 2001, and ending December 
31, 2005. 
(2) MATTERS
INCLUDED.—The study under 
paragraph (1) shall include the following: 
(A) An assessment regarding the condi-
tions of Karshi–Khanabad Air Base, Uzbek-
istan, during the period beginning October 1, 
2001, and ending December 31, 2005, includ-
ing an identification of toxic substances con-
taminating the Air Base during such period. 
(B) An epidemiological study of the health 
consequences of a member of the Armed Forces 
deployed to the Air Base during such period. 
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(C) An assessment of any association be-
tween exposure to toxic substances identified 
under subparagraph (A) and the health con-
sequences studied under subparagraph (B). 
(b) REPORT.—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 Services of the 
House of Representatives and the Senate a report on the 
results of the study under subsection (a). 
SEC. 743. AUDIT OF MEDICAL CONDITIONS OF TENANTS IN 
PRIVATIZED MILITARY HOUSING. 
(a) IN GENERAL.—Not later than 90 days after the 
date of the enactment of this Act, the Inspector General 
of the Department of Defense shall commence the conduct 
of an audit of the medical conditions of eligible individuals 
and the association between adverse exposures of such in-
dividuals in unsafe or unhealthy housing units and the 
health of such individuals. 
(b) CONTENT
OF AUDIT.—The audit conducted 
under subsection (a) shall— 
(1) determine the percentage of units of 
privatized military housing that are unsafe or 
unhealthy housing units; 
(2) study the adverse exposures of eligible indi-
viduals that relate to residing in an unsafe or 
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unhealthy housing unit and the effect of such expo-
sures on the health of such individuals; and 
(3) determine the association, to the extent per-
mitted by available scientific data, and provide quan-
tifiable data on such association, between such ad-
verse exposures and the occurrence of a medical con-
dition in eligible individuals residing in unsafe or 
unhealthy housing units. 
(c) CONDUCT OF AUDIT.—The Inspector General of 
the Department shall conduct the audit under subsection 
(a) using the same privacy preserving guidelines used by 
the Inspector General in conducting other audits of health 
records. 
(d) SOURCE
OF DATA.—In conducting the audit 
under subsection (a), the Inspector General of the Depart-
ment shall use— 
(1) de-identified data from electronic health 
records of the Department; 
(2) records of claims under the TRICARE pro-
gram (as defined in section 1072(7) of title 10, 
United States Code); and 
(3) such other data as determined necessary by 
the Inspector General. 
(e) SUBMITTAL AND PUBLIC AVAILABILITY OF RE-
PORT.—Not later than 1 year after the commencement of 
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the audit under subsection (a), the Inspector General of 
the Department shall— 
(1) submit to the Secretary of Defense and the 
Committees on Armed Services of the Senate and 
the House of Representatives a report on the results 
of the audit conducted under subsection (a); and 
(2) publish such report on a publicly available 
internet website of the Department of Defense. 
(f) DEFINITIONS.—In this section: 
(1) The term ‘‘eligible individual’’ means a 
member of the Armed Forces or a family member of 
a member of the Armed Forces who— 
(A) has resided in an unsafe or unhealthy 
housing unit; and 
(B) has registered under the Housing En-
vironmental Health Response Registry of the 
Army. 
(2) The term ‘‘privatized military housing’’ 
means military housing provided under subchapter 
IV of chapter 169 of title 10, United States Code. 
(3) The term ‘‘unsafe or unhealthy housing 
unit’’ means a unit of privatized military housing in 
which, at any given time, at least one of the fol-
lowing hazards is present: 
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(A) Physiological hazards, including the 
following: 
(i) Dampness or microbial growth. 
(ii) Lead-based paint. 
(iii) Asbestos or manmade fibers. 
(iv) Ionizing radiation. 
(v) Biocides. 
(vi) Carbon monoxide. 
(vii) Volatile organic compounds. 
(viii) Infectious agents. 
(ix) Fine particulate matter. 
(B) Psychological hazards, including ease 
of access by unlawful intruders or lighting 
issues. 
(C) Poor ventilation. 
(D) Safety hazards. 
(E) Other hazards as determined by the 
Inspector General of the Department. 
SEC. 744. REPORT ON INTEGRATED DISABILITY EVALUA-
TION SYSTEM. 
(a) IN GENERAL.—Not later than 1 year after the 
date of the enactment of this Act, the Secretary of Defense 
shall submit to Congress a report on the findings of a 
study, conducted by the Secretary for the purposes of the 
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report, of the implementation and application of the Inte-
grated Disability Evaluation System. 
(b) MATTERS INCLUDED.—The report under sub-
section (a) shall include the following: 
(1) All changes to policies and procedures appli-
cable to the implementation of the Integrated Dis-
ability Evaluation System from the previous dis-
ability evaluation system. 
(2) The extent to which the Integrated Dis-
ability Evaluation System is the primary means of 
processing members of the Armed Forces through 
the disability evaluation system process. 
(3) The extent to which the military depart-
ments and the Defense Health Agency coordinate— 
(A) treatment of members of the Armed 
Forces; 
(B) referrals of members of the Armed 
Forces to a medical evaluation board; 
(C) appointing a convening authority and 
staffing a medical evaluation board; 
(D) the sharing of medical documentation 
with a medical evaluation board; 
(E) evaluations of members of the Armed 
Forces for initial or subsequent limited duty 
status; and 
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(F) a medical evaluation board referral to 
a physical evaluation board. 
(4) The process for members of the Armed 
Forces to request an impartial medical review or 
rebut medical evaluation board findings. 
(5) The criteria a medical evaluation board con-
vening authority applies when considering such re-
quests under paragraph (4). 
(6) The average time to process Integrated Dis-
ability Evaluation System cases by both phase and 
stage (as defined in Department of Defense Manual 
1332.18) for both the active component and reserve 
component. 
SEC. 745. REVIEW AND REPORT ON PREVENTION OF SUI-
CIDE AMONG MEMBERS OF THE ARMED 
FORCES STATIONED AT REMOTE INSTALLA-
TIONS OUTSIDE THE CONTIGUOUS UNITED 
STATES. 
(a) REVIEW REQUIRED.—The Comptroller General 
of the United States shall conduct a review of efforts by 
the Department of Defense to prevent suicide among 
members of the Armed Forces stationed at covered instal-
lations. 
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(b) ELEMENTS OF REVIEW.—The review conducted 
under subsection (a) shall include an assessment of each 
of the following: 
(1) Current policy guidelines of the Armed 
Forces on the prevention of suicide among members 
of the Armed Forces stationed at covered installa-
tions. 
(2) Current suicide prevention programs of the 
Armed Forces and activities for members of the 
Armed Forces stationed at covered installations and 
their dependents, including programs provided by 
the Defense Health Program and the Office of Sui-
cide Prevention. 
(3) The integration of mental health screenings 
and suicide risk and prevention efforts for members 
of the Armed Forces stationed at covered installa-
tions and their dependents into the delivery of pri-
mary care for such members and dependents. 
(4) The standards for responding to attempted 
or completed suicides among members of the Armed 
Forces stationed at covered installations and their 
dependents, including guidance and training to as-
sist commanders in addressing incidents of at-
tempted or completed suicide within their units. 
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(5) The standards regarding data collection for 
members of the Armed Forces stationed at covered 
installations and their dependents, including related 
factors such as domestic violence and child abuse. 
(6) The means to ensure the protection of pri-
vacy of members of the Armed Forces stationed at 
covered installations and their dependents who seek 
or receive treatment related to suicide prevention. 
(7) The availability of information from indige-
nous populations on suicide prevention for members 
of the Armed Forces stationed at covered installa-
tions who are members of such a population. 
(8) The availability of information from grad-
uate research programs of institutions of higher edu-
cation on suicide prevention for members of the 
Armed Forces. 
(9) Such other matters as the Comptroller Gen-
eral considers appropriate in connection with the 
prevention of suicide among members of the Armed 
Forces stationed at covered installations and their 
dependents. 
(c) BRIEFING AND REPORT.—The Comptroller Gen-
eral shall— 
(1) not later than October 1, 2021, brief the 
Committees on Armed Services of the Senate and 
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SEC. 1207. EXTENSION OF DEPARTMENT OF DEFENSE SUP-
PORT FOR STABILIZATION ACTIVITIES IN NA-
TIONAL SECURITY INTEREST OF THE UNITED 
STATES. 
Subsection (h) of section 1210A of the National De-
fense Authorization Act for Fiscal Year 2020 (Public Law 
116–92; 133 Stat. 1628) is amended by striking ‘‘Decem-
ber 31, 2020’’ and inserting ‘‘December 31, 2021’’. 
Subtitle B—Matters Relating to 
Afghanistan and Pakistan 
SEC. 1211. EXTENSION AND MODIFICATION OF AUTHORITY 
FOR REIMBURSEMENT OF CERTAIN COALI-
TION NATIONS FOR SUPPORT PROVIDED TO 
UNITED STATES MILITARY OPERATIONS. 
(a) EXTENSION.—Subsection (a) of section 1233 of 
the National Defense Authorization Act for Fiscal Year 
2008 (Public Law 110–181; 122 Stat. 393) is amended 
by striking ‘‘October 1, 2019, and ending on December 
31, 2020’’ and inserting ‘‘October 1, 2020, and ending 
on December 31, 2021’’. 
(b) MODIFICATION
TO
LIMITATION.—Subsection 
(d)(1) of such section is amended— 
(1) by striking ‘‘October 1, 2019, and ending 
on December 31, 2020’’ and inserting ‘‘October 1, 
2020, and ending on December 31, 2021’’; and 
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(D) any senior al-Qaeda leaders, including 
Ayman al-Zawahiri, or any leaders of al-Qaeda 
in the Indian Subcontinent, have been present 
in Afghanistan since February 29, 2020, and if 
so, the names of the leaders, the dates they 
were present in Afghanistan, and their other lo-
cations since February 29, 2020; 
(E) any members of al-Qaeda, al-Qaeda in 
the Indian Subcontinent, al-Qaeda-affiliated 
groups, or any covered terrorist organization 
have, since February 29, 2020— 
(i) fought alongside, trained alongside, 
otherwise operated alongside, or sheltered 
with the Taliban in Afghanistan; 
(ii) conducted attacks inside Afghani-
stan, and, if so, the dates and locations of 
such attacks; 
(iii) operated training camps or re-
lated facilities inside Afghanistan, and, if 
so, the locations of those camps or facili-
ties; 
(iv) traveled to Afghanistan from 
Pakistan, Iran, or neighboring countries; 
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(2) MATTERS TO BE INCLUDED.—The detailed 
budget display required under paragraph (1) shall 
include the following: 
(A) With respect to procurement ac-
counts— 
(i) amounts displayed by account, 
budget activity, line number, line item, and 
line item title; and 
(ii) a description of the requirements 
for each such amount. 
(B) With respect to research, development, 
test, and evaluation accounts— 
(i) amounts displayed by account, 
budget activity, line number, program ele-
ment, and program element title; and 
(ii) a description of the requirements 
for each such amount. 
(C) With respect to operation and mainte-
nance accounts— 
(i) amounts displayed by account title, 
budget activity title, line number, and sub-
activity group title; and 
(ii) a description of the specific man-
ner in which each such amount would be 
used. 
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