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(3) A recommendation as to whether the num-
ber of military behavioral health providers in each 
military department should be increased, and if so, 
by how many. 
(4) A plan to ensure that remote installations 
are prioritized for the assignment of military behav-
ioral health providers. 
(5) Updated access standards for behavioral 
health care under the military health system, taking 
into account— 
(A) the duration of time between a patient 
receiving a referral for such care and the pa-
tient receiving individualized treatment (fol-
lowing an initial intake assessment) from a be-
havioral health provider; and 
(B) the frequency of regular follow-up ap-
pointments subsequent to the first appointment 
at which a patient receives such individualized 
treatment. 
(6) A plan to expand access to behavioral 
health care under the military health system using 
telehealth. 
(e) DEFINITIONS.—In this section: 
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(1) The term ‘‘behavioral health’’ includes psy-
chiatry, clinical psychology, social work, counseling, 
and related fields. 
(2) The term ‘‘civilian behavioral health pro-
vider’’ means a behavioral health provider who is a 
civilian employee of the Department of Defense. 
(3) The term ‘‘cost of attendance’’ has the 
meaning given that term in section 472 of the High-
er Education Act of 1965 (20 U.S.C. 1087ll). 
(4) The term ‘‘counselor’’ means an individual 
who holds— 
(A) a master’s or doctoral degree from an 
accredited graduate program in— 
(i) marriage and family therapy; or 
(ii) clinical mental health counseling; 
and 
(B) a current license or certification from 
a State that grants the individual the authority 
to provide counseling services as an independent 
practitioner in the respective field of the indi-
vidual. 
(5) The term ‘‘covered civilian behavioral health 
provider’’ means a civilian behavioral health provider 
whose employment by the Secretary of Defense in-
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volves the provision of behavioral health services at 
a military medical treatment facility. 
(6) The term ‘‘institution of higher education’’ 
has the meaning given that term in section 101 of 
the Higher Education Act of 1965 (20 U.S.C. 
1001). 
(7) The term ‘‘military behavioral health pro-
vider’’ means a behavioral health provider who is a 
member of the Armed Forces. 
(8) The term ‘‘military installation’’ has the 
meaning given that term in section 2801 of title 10, 
United States Code. 
(9) The term ‘‘military medical treatment facil-
ity’’ means a facility specified in section 1073d of 
such title. 
(10) The term ‘‘remote installation’’ means a 
military installation that the Secretary determines to 
be in a remote location. 
(11) The term ‘‘State’’ means each of the sev-
eral States, the District of Columbia, and each com-
monwealth, territory or possession of the United 
States. 
(12) The term ‘‘TRICARE program’’ has the 
meaning given that term in section 1072 of title 10, 
United States Code. 
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SEC. 768. ASSIGNMENT OF BEHAVIORAL HEALTH PRO-
VIDERS AND TECHNICIANS TO AIRCRAFT 
CARRIERS. 
(a) ASSIGNMENT.—Beginning not later than Decem-
ber 31, 2023, the Secretary of the Navy shall ensure there 
is assigned to each aircraft carrier not fewer than two 
military behavioral health providers and not fewer than 
two behavioral health technicians. 
(b) DEFINITIONS.—In this section: 
(1) The term ‘‘behavioral health’’ includes clin-
ical psychology, social work, counseling, and related 
fields. 
(2) The term ‘‘behavioral health technician’’ 
means an enlisted member of the Armed Forces who 
is trained to perform clinical activities in support of 
a licensed behavioral health provider. 
(3) The term ‘‘military behavioral health pro-
vider’’ means a behavioral health provider who is a 
member of the Armed Forces. 
SEC. 769. DEPARTMENT OF DEFENSE INTERNSHIP PRO-
GRAMS RELATING TO CIVILIAN BEHAVIORAL 
HEALTH PROVIDERS. 
(a) INTERNSHIP PROGRAMS FOR CIVILIAN BEHAV-
IORAL HEALTH.— 
(1) ESTABLISHMENT OF PROGRAMS.—The Sec-
retary of Defense shall establish paid pre-doctoral 
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and post-doctoral internship programs for the pur-
pose of training clinical psychologists to work as cov-
ered civilian behavioral health providers. 
(2) EMPLOYMENT OBLIGATION.— 
(A) IN
GENERAL.—Subject to subpara-
graph (B), as a condition of participating in an 
internship program under paragraph (1), the 
participant shall enter into an agreement with 
the Secretary of Defense pursuant to which the 
participant agrees to work on a full-time basis 
as a covered civilian behavioral health provider 
for a period of a duration that is at least equiv-
alent to the period of participation in such in-
ternship program. 
(B) OTHER TERMS AND CONDITIONS.—An 
agreement entered into pursuant to subpara-
graph (A) may include such other terms and 
conditions as the Secretary of Defense may de-
termine necessary to protect the interests of the 
United States or otherwise appropriate for pur-
poses of this section, including terms and condi-
tions providing for limited exceptions from the 
employment obligation specified in such sub-
paragraph. 
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(3) REPAYMENT.—An individual who partici-
pates in an internship program under paragraph (1) 
and does not complete the employment obligation re-
quired under the agreement entered into pursuant to 
paragraph (2) shall repay to the Secretary of De-
fense a prorated portion of the cost of administering 
such program with respect to such individual and of 
any payment received by the individual under such 
program. The amount of such prorated portion shall 
be determined by the Secretary. 
(4) IMPLEMENTATION
PLAN.—Not later than 
one year after the date of the enactment of this Act, 
the Secretary of Defense shall submit to the con-
gressional defense committees a plan for the imple-
mentation of this subsection. Such plan shall include 
an explanation of how the Secretary will adjust the 
workload and staffing of behavioral health providers 
in military medical treatment facilities to ensure suf-
ficient capacity to supervise participants in the in-
ternship programs under paragraph (1). 
(b) DEFINITIONS.—In this section: 
(1) The term ‘‘behavioral health’’ includes psy-
chiatry, clinical psychology, social work, counseling, 
and related fields. 
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(2) The term ‘‘behavioral health provider’’ in-
cludes the following: 
(A) A licensed professional counselor. 
(B) A licensed mental health counselor. 
(C) A licensed clinical professional coun-
selor. 
(D) A licensed professional clinical coun-
selor of mental health. 
(E) A licensed clinical mental health coun-
selor. 
(F) A licensed mental health practitioner. 
(3) The term ‘‘covered civilian behavioral health 
provider’’ means a civilian behavioral health provider 
whose employment by the Secretary of Defense in-
volves the provision of behavioral health services at 
a military medical treatment facility. 
(4) The term ‘‘civilian behavioral health pro-
vider’’ means a behavioral health provider who is a 
civilian employee of the Department of Defense. 
(5) The term ‘‘military medical treatment facil-
ity’’ means a facility specified in section 1073d of 
such title. 
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SEC. 770. BRAIN HEALTH INITIATIVE OF DEPARTMENT OF 
DEFENSE. 
(a) IN GENERAL.—The Secretary of Defense, in con-
sultation with the Secretaries concerned, shall establish a 
comprehensive initiative for brain health to be known as 
the ‘‘Warfighter Brain Health Initiative’’ (in this section 
referred to as the ‘‘Initiative’’) for the purpose of unifying 
efforts and programs across the Department of Defense 
to improve the cognitive performance and brain health of 
members of the Armed Forces. 
(b) OBJECTIVES.—The objectives of the Initiative 
shall be the following: 
(1) To enhance, maintain, and restore the cog-
nitive performance of members of the Armed Forces 
through education, training, prevention, protection, 
monitoring, detection, diagnosis, treatment, and re-
habilitation, including through the following activi-
ties: 
(A) The establishment of a program to 
monitor cognitive brain health across the De-
partment of Defense, beginning upon the acces-
sion of a member to the Armed Forces and re-
peated at regular intervals thereafter, with the 
goal of detecting any need for cognitive en-
hancement or restoration resulting from poten-
tial brain exposures of the member, to mitigate 
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possible evolution of injury or disease progres-
sion. 
(B) The identification and dissemination of 
thresholds for blast pressure safety and associ-
ated emerging scientific evidence. 
(C) The modification of high-risk training 
and operational activities to mitigate the nega-
tive effects of repetitive blast exposure. 
(D) The identification of individuals who 
perform high-risk training or occupational ac-
tivities, for purposes of increased monitoring of 
the brain health of such individuals. 
(E) The development and operational field-
ing of non-invasive, portable, point-of-care med-
ical devices, to inform the diagnosis and treat-
ment of traumatic brain injury. 
(F) The establishment of a standardized 
monitoring program that documents and ana-
lyzes blast exposures that may affect the brain 
health of members of the Armed Forces. 
(G) The development of a resource that 
would set forth specific criteria used in the 
awarding of potential grants for research 
projects relating to the direct correlation of en-
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vironmental exposures and brain injuries to the 
brain health of members of the Armed Forces. 
(H) The incorporation of the findings and 
recommendations of the report of the National 
Academies of Science, Engineering, and Medi-
cine titled ‘‘Traumatic Brain Injury: A Road-
map for Accelerating Progress’’ and published 
in 2022 (relating to the acceleration of progress 
in traumatic brain injury research and care), or 
any successor report, into activities of the De-
partment relating to brain health, as applicable. 
(2) To harmonize and prioritize the efforts of 
the Department of Defense into a single approach to 
brain health, to produce more efficient and effective 
results. 
(c) STRATEGY AND IMPLEMENTATION PLAN.—Not 
later than one year after the date of the enactment of this 
Act, the Secretary of Defense shall submit to the congres-
sional defense committees a report setting forth a strategy 
and implementation plan of the Department of Defense 
to achieve the objectives of the Initiative under subsection 
(b). 
(d) 
ANNUAL
BUDGET
JUSTIFICATION
DOCU-
MENTS.—In the budget justification materials submitted 
to Congress in support of the Department of Defense 
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budget for each of fiscal years 2025 through 2029 (as sub-
mitted with the budget of the President under section 
1105(a) of title 31, United States Code), the Secretary 
of Defense shall include a budget justification display that 
includes all activities of the Department relating to the 
Initiative. 
(e) ANNUAL REPORTS.—Not later than January 31, 
2024, and annually thereafter until January 31, 2030, the 
Secretary of Defense shall submit to the congressional de-
fense committees a report on the Initiative that includes 
the following: 
(1) A description of the activities taken under 
the Initiative and resources expended under the Ini-
tiative during the prior fiscal year. 
(2) A summary of the progress made during the 
prior fiscal year with respect to the objectives of the 
Initiative under subsection (b). 
(f) SECRETARY CONCERNED DEFINED.—In this sec-
tion, the term ‘‘Secretary concerned’’ has the meaning 
given that term in section 101 of title 10, United States 
Code. 
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SEC. 771. AUTHORITY TO CONDUCT PILOT PROGRAM RE-
LATING TO MONITORING OF BLAST OVER-
PRESSURE EXPOSURE. 
(a) AUTHORITY.—The Director of the Defense 
Health Agency may conduct, as part of the initiative of 
the Department of Defense known as the ‘‘Warfighter 
Brain Initiative’’ (or any successor initiative), a pilot pro-
gram under which the Director shall monitor blast over-
pressure exposure through the use of commercially avail-
able, off-the-shelf, wearable sensors, and document and 
evaluate data collected as a result of such monitoring. 
(b) LOCATIONS.—Monitoring activities under a pilot 
program conducted pursuant to subsection (a) shall be 
carried out in each training environment that the Director 
determines poses a risk for blast overpressure exposure. 
(c) DOCUMENTATION AND SHARING OF DATA.—If 
the Director conducts a pilot program pursuant to sub-
section (a), the Director shall— 
(1) ensure that any data collected pursuant to 
such pilot program that is related to the health ef-
fects of the blast overpressure exposure of a member 
of the Armed Forces who participated in the pilot 
program is documented and maintained by the Sec-
retary of Defense in an electronic health record for 
the member; and 
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(2) to the extent practicable, and in accordance 
with applicable provisions of law relating to data pri-
vacy, make data collected pursuant to such pilot pro-
gram available to other academic and medical re-
searchers for the purpose of informing future re-
search and treatment options. 
SEC. 772. STANDARDIZATION ACROSS DEPARTMENT OF DE-
FENSE OF POLICIES RELATING TO SERVICE 
BY INDIVIDUALS DIAGNOSED WITH HBV. 
(a) IN GENERAL.—The Secretary of Defense, in co-
ordination with the Secretaries concerned, shall— 
(1) review regulations, establish policies, and 
issue guidance relating to service by individuals di-
agnosed with HBV, consistent with the health care 
standards and clinical guidelines of the Department 
of Defense; and 
(2) identify areas where regulations, policies, 
and guidance of the Department relating to individ-
uals diagnosed with HBV (including with respect to 
enlistments, assignments, deployments, and reten-
tion standards) may be standardized across the 
Armed Forces. 
(b) AWARENESS, EDUCATION, AND TRAINING.— 
(1) REVIEWS
AND
RECOMMENDATIONS.—The 
Secretary of Defense shall— 
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(A) conduct a review of the education, 
training, and resources furnished to members of 
the Armed Forces regarding the regulations 
and policies of the Department of Defense that 
govern the screening, documentation, treatment, 
management, and practice standards for indi-
viduals diagnosed with HBV, including a review 
of the awareness and understanding of such 
policies within clinical settings; 
(B) conduct a review of the resources and 
support services furnished to members of the 
Armed Forces diagnosed with HBV, including 
any resources containing information on— 
(i) the health care options of the 
member; or 
(ii) regulations or policies of the De-
partment relating to such diagnosed mem-
bers; and 
(C) identify recommendations, based on 
the findings of the reviews conducted under 
subsections (A) and (B), to improve the aware-
ness and understanding of regulations and poli-
cies of the Department for individuals diag-
nosed with HBV. 
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(2) PROVISION OF EDUCATION, TRAINING, RE-
SOURCES, AND
SUPPORT.—The Secretary of De-
fense, taking into account the recommendations 
under paragraph (1)(C), shall provide to members of 
the Armed Forces— 
(A) education, training, and resources to 
increase awareness and understanding of the 
regulations and policies of the Department of 
Defense that govern the screening, documenta-
tion, treatment, management, and practice 
standards for individuals diagnosed with HBV, 
including in health care settings; and 
(B) in the case of members of the Armed 
Forces diagnosed with HBV, education, re-
sources, and support services regarding the reg-
ulations and policies of the Department relating 
to such diagnosed members, including with re-
spect to enlistments, assignments, deployments, 
retention standards, and health care services 
available to such members. 
(c) DEFINITIONS.—In this section: 
(1) The term ‘‘HBV’’ means the Hepatitis B 
Virus. 
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(2) The term ‘‘Secretary concerned’’ has the 
meaning given that term in section 101 of title 10, 
United States Code. 
SEC. 773. CERTIFICATION PROGRAM IN PROVISION OF 
MENTAL HEALTH SERVICES TO MEMBERS OF 
THE ARMED FORCES, VETERANS, AND MILI-
TARY FAMILIES. 
(a) IN GENERAL.—The Secretary of Defense, in con-
sultation with the Secretary of Veterans Affairs and the 
President of the Uniformed Services University of the 
Health Sciences, shall develop a curriculum and certifi-
cation program to provide civilian mental health profes-
sionals and students in mental health-related disciplines 
with the specialized knowledge and skills necessary to ad-
dress the unique mental health needs of members of the 
Armed Forces, veterans, and military families. 
(b) IMPLEMENTATION.—Not later than 90 days after 
completing the development of the curriculum and certifi-
cation program under subsection (a), the Secretary of De-
fense shall implement such curriculum and certification 
program in the Uniformed Services University of the 
Health Sciences. 
(c) AUTHORITY
TO
DISSEMINATE
BEST
PRAC-
TICES.—The Secretary of Defense may disseminate best 
practices based on the curriculum and certification pro-
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gram developed and implemented under this section to 
other institutions of higher education. 
(d) TERMINATION.—The authority to carry out the 
curriculum and certification program under this section 
shall terminate on the date that is five years after the date 
of the enactment of this Act. 
(e) REPORT.—Not later than 180 days after the ter-
mination date specified in subsection (d), the Secretary 
of Defense shall submit to the appropriate congressional 
committees a report on the results of the curriculum and 
certification program developed and implemented under 
this section. 
(f) DEFINITIONS.—In this section: 
(1) The term ‘‘appropriate congressional com-
mittees’’ means— 
(A) the Committee on Armed Services and 
the Committee on Energy and Commerce of the 
House of Representatives; and 
(B) the Committee on Armed Services and 
the Committee on Health, Education, Labor, 
and Pensions of the Senate. 
(2) The term ‘‘institution of higher education’’ 
has the meaning given that term in section 102 of 
the Higher Education Act of 1965 (20 U.S.C. 
1002). 
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SEC. 774. 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 in support of combat or spe-
cial operations. 
(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 an agreement under subsection (d) 
until the date that is one year after the retirement, 
separation, or release of the member from the 
Armed Forces. 
(2) 
CONTINUED
CRYOPRESERVATION
AND 
STORAGE.—At the end of the one-year period speci-
fied in paragraph (1), the Secretary shall authorize 
an individual whose gametes were cryopreserved and 
stored in a facility of the Department as described 
in such paragraph to select, including pursuant to 
an advance medical directive or military testa-
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mentary instrument completed under subsection (c), 
one of the following options: 
(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 
one-year period specified in paragraph (1) with 
respect 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 
25 States Code, and a military testamentary instrument 
described 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. 
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(d) AGREEMENTS.—To carry out this section, the 
Secretary— 
(1) may enter into agreements with private en-
tities that provide cryopreservation and storage serv-
ices for gametes; and 
(2) in selecting such private entities with which 
to enter into agreements, shall (to the maximum ex-
tent practicable) select such private entities that 
offer multi-site storage and fertility testing services 
prior to cryopreservation. 
SEC. 775. PILOT PROGRAM FOR PARTICIPATION BY MEM-
BERS OF SELECTED RESERVE IN HEALTH 
PROFESSIONS SCHOLARSHIP AND FINANCIAL 
ASSISTANCE PROGRAMS. 
(a) PILOT PROGRAM.—Notwithstanding section 2123 
of title 10, United States Code, and in accordance with 
such regulations as may be prescribed by the Secretary 
of Defense for the purpose of carrying out this section, 
each Secretary of a military department shall carry out 
a pilot program under which that Secretary may modify 
service obligations for certain individuals under the health 
professions scholarship and financial assistance program 
of that military department, to expand participation in 
such program to such individuals. 
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(b) ELIGIBILITY.—To be eligible for participation in 
the pilot program under subsection (a), in addition to 
meeting the eligibility requirements under section 2122 of 
title 10, United States Code, an individual may not have 
previously been a member of the health professions schol-
arship and financial assistance program. 
(c) CONDITIONS ON PARTICIPATION.— 
(1) IN GENERAL.—As a condition of partici-
pating in the pilot program under subsection (a), an 
individual eligible under subsection (b) shall enter 
into an agreement with the Secretary of the military 
department concerned pursuant to which the indi-
vidual agrees— 
(A) to participate as a member of the 
health professions scholarship and financial as-
sistance program of that military department; 
(B) to complete courses of study and spe-
cialized training under such program in a 
health profession discipline designated by that 
Secretary as a critically needed wartime dis-
cipline; and 
(C) upon completion of participation in 
such program, to satisfy, in lieu of the active 
duty obligation under section 2123 of title 10, 
United States Code, a service obligation in the 
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Selected Reserve of the Ready Reserve of that 
military department for the period described in 
paragraph (2). 
(2) LENGTH OF PERIOD OF SERVICE.—The pe-
riod described in this paragraph is a period of time 
of a length determined by the Secretary of the mili-
tary department concerned, except that such period 
may not be shorter than a period equal to— 
(A) each year of participation in the health 
professions scholarship and financial assistance 
program pursuant to paragraph (1)(A) multi-
plied by two and a half; plus 
(B) if such participation was for a period 
of two years or fewer, an additional two and a 
half years. 
(3) DETAILS OF SERVICE OBLIGATION.—Unless 
otherwise specified by the Secretary of the military 
department concerned— 
(A) any period of time spent in intern or 
residency training shall not be creditable in sat-
isfying the service obligation under paragraph 
(1)(C); 
(B) any period of time used to satisfy an-
other military service obligation shall not be 
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creditable in satisfying the service obligation 
under paragraph (1)(C); and 
(C) the period described in paragraph (2) 
shall be a consecutive period of time. 
(4) FAILURE TO COMPLETE.— 
(A) ALTERNATIVE OBLIGATIONS.—A par-
ticipant in the pilot program under subsection 
(a) who is relieved of the service obligation 
under paragraph (1)(C) before the completion 
of that service obligation may be given, with or 
without the consent of the participant, either of 
the following alternative obligations, as deter-
mined by the Secretary of the military depart-
ment concerned: 
(i) A service obligation in the Selected 
Reserve of the Ready Reserve of another 
military department for a period of time 
not less than the remaining service obliga-
tion of the participant. 
(ii) Repayment to the Secretary of 
Defense of a percentage of the total cost 
incurred by the Secretary under such pilot 
program on behalf of the member pursuant 
to the repayment provisions of section 
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303a(e) or 373 of title 37, United States 
Code. 
(B) CIVILIAN EMPLOYEE ALTERNATIVE.— 
In addition to the alternative obligations speci-
fied in subparagraph (A), if a participant in the 
pilot program under subsection (a) is relieved of 
the service obligation under paragraph (1)(C) 
by reason of the separation of the participant 
because of a physical disability, the Secretary of 
the military department concerned may give the 
participant a service obligation as a civilian em-
ployee employed as a health care professional in 
a facility of the uniformed services for a period 
of time determined by that Secretary, but not 
to exceed the remaining service obligation of the 
participant. 
(d) METRICS AND EVALUATIONS.—The Secretary of 
Defense shall establish metrics, and carry out evaluations 
using such metrics, to determine the effectiveness of the 
pilot program under subsection (a). 
(e) TERMINATION.—The authority to carry out the 
pilot program under subsection (a) shall terminate on Oc-
tober 1, 2027. 
(f) BRIEFINGS.—Not later than 180 days prior to the 
date on which the pilot program under subsection (a) ter-
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minates, each Secretary of a military department shall 
provide to the Committees on Armed Services of the 
House of Representatives and the Senate a briefing on the 
effectiveness of the pilot program. 
(g) DEFINITIONS.—In this section: 
(1) The terms ‘‘course of study’’ and ‘‘special-
ized training’’ have the meaning given those terms 
in section 2120 of title 10, United States Code. 
(2) The term ‘‘health professions scholarship 
and financial assistance program’’ has the meaning 
given the term ‘‘program’’ under such section. 
(3) The term ‘‘member of the health professions 
scholarship and financial assistance program’’ has 
the meaning given the term ‘‘member of the pro-
gram’’ under such section. 
SEC. 
776. 
PILOT 
PROGRAM 
ON 
ENSURING 
PHARMA-
CEUTICAL SUPPLY STABILITY. 
(a) IN GENERAL.—Not later than January 1 2024, 
the Secretary of Defense, acting through the Director of 
the Defense Logistics Agency, shall establish a pilot pro-
gram to acquire, manage, and replenish a 180-day supply 
of at least 30 commonly used generic drugs at risk of 
shortage under the military health system as a result of 
a pharmaceutical supply chain disruption, to ensure the 
stability of such supply. 
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(b) MILITARY MEDICAL TREATMENT FACILITIES.— 
The Secretary of Defense shall select for participation in 
the pilot program established under subsection (a) not 
fewer than five military medical treatment facilities that 
are— 
(1) located in the continental United States; 
and 
(2) at the greatest risk of pharmaceutical sup-
ply chain disruption, as determined by the Secretary. 
(c) ELEMENTS.—In carrying out the pilot program 
established under subsection (a), the Secretary of Defense 
shall— 
(1) use the systems and processes of the Direct 
Vendor Delivery System established by section 352 
of the National Defense Authorization Act for Fiscal 
Year 1996 (Public Law 104–106; 10 U.S.C. 2458 
note); 
(2) include the establishment of a vendor man-
aged inventory approach to pharmaceutical distribu-
tion, to acquire, manage, and replenish the vendor- 
held supply described in subsection (a) to prevent 
product expiration and shortages; and 
(3) ensure guaranteed Department of Defense 
access to the vendor managed inventory approach 
specified in paragraph (2). 
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(d) TERMINATION.—The pilot program established 
under this section shall terminate on the date that is three 
years after the date of the enactment of this Act. 
(e) INITIAL REPORT.—Not later than 30 days after 
the date of the establishment of the pilot program under 
subsection (a), the Secretary of Defense shall submit to 
the Committees on Armed Services of the House of Rep-
resentatives and Senate a report on the design of the pilot 
program. Such report shall include— 
(1) a description of the military medical treat-
ment facilities selected under subsection (b) and the 
generic drugs selected for the pilot program pursu-
ant to subsection (a); 
(2) the plan for the implementation and man-
agement of the pilot program; and 
(3) key performance indicators to measure the 
success of the pilot program in ensuring the avail-
ability of generic drugs selected for the pilot pro-
gram pursuant to subsection (a). 
(f) FINAL REPORT.—Not later than 180 days after 
the termination date under subsection (d), the Secretary 
of Defense shall submit to the Committees on Armed Serv-
ices of the House of Representatives and Senate a final 
report on the results of the pilot program. The report shall 
include— 
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(1) measurements of key performance indica-
tors identified in the initial report required under 
subsection (e); 
(2) an analysis of the success of the pilot pro-
gram in preventing shortages of commonly used ge-
neric drugs within the military medical treatment fa-
cilities selected under subsection (b); and 
(3) recommendations for further expansions of 
the pilot program, including any legislative or regu-
latory proposals the Secretary determines would re-
duce supply chain risk to commonly used generic 
drugs under the military health system. 
(g) DEFINITIONS.—In this section: 
(1) The term ‘‘generic drug’’ means a drug (as 
defined in section 201 of the Federal Food, Drug, 
and Cosmetic Act (21 U.S.C. 231)) that is approved 
pursuant to section 505(j) of such Act (21 U.S.C. 
355(j)). 
(2) The term ‘‘pharmaceutical supply chain dis-
ruption’’ means a disruption described in the report 
of the Inspector General of the Department of De-
fense titled ‘‘Evaluation of the Department of De-
fense’s Mitigation of Foreign Suppliers in the Phar-
maceutical Supply Chain’’ (DODIG-2021-126) and 
published on September 20, 2021. 
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SEC. 777. ESTABLISHMENT OF PARTNERSHIP PROGRAM BE-
TWEEN UNITED STATES AND UKRAINE FOR 
MILITARY TRAUMA CARE AND RESEARCH. 
Not later than February 24, 2023, the Secretary of 
Defense shall seek to enter into a partnership with the 
appropriate counterpart from the Government of Ukraine 
for the establishment of a joint program on military trau-
ma care and research. Such program shall consist of the 
following: 
(1) The sharing of relevant lessons learned 
from the Russo-Ukraine War. 
(2) The conduct of relevant joint conferences 
and exchanges with military medical professionals 
from Ukraine and the United States. 
(3) Collaboration with the armed forces of 
Ukraine on matters relating to health policy, health 
administration, and medical supplies and equipment, 
including through knowledge exchanges. 
(4) The conduct of joint research and develop-
ment on the health effects of new and emerging 
weapons. 
(5) The entrance into agreements with military 
medical schools of Ukraine for reciprocal education 
programs under which students at the Uniformed 
Services University of the Health Sciences receive 
specialized military medical instruction at the such 
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military medical schools of Ukraine and military 
medical personnel of Ukraine receive specialized 
military medical instruction at the Uniformed Serv-
ices University of the Health Sciences, pursuant to 
section 2114(f) of title 10, United States Code. 
(6) The provision of support to Ukraine for the 
purpose of facilitating the establishment in Ukraine 
of a program substantially similar to the Wounded 
Warrior Program in the United States. 
(7) The provision of training to the armed 
forces of Ukraine in the following areas: 
(A) Health matters relating to chemical, 
biological, radiological, nuclear and explosive 
weapons. 
(B) Preventive medicine and infectious dis-
ease. 
(C) Post traumatic stress disorder. 
(D) Suicide prevention. 
(8) The maintenance of a list of medical sup-
plies and equipment needed. 
(9) Such other elements as the Secretary of De-
fense may determine appropriate. 
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SEC. 778. 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-
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 
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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 
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 
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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. 
SEC. 779. SUICIDE CLUSTER: STANDARDIZED DEFINITION 
FOR USE BY DEPARTMENT OF DEFENSE; CON-
GRESSIONAL NOTIFICATION. 
(a) STANDARDIZATION OF DEFINITION.—Not later 
than one year after the date of the enactment of this Act, 
the Secretary of Defense, in consultation with the Secre-
taries concerned, shall develop, for use across the Armed 
Forces, a standardized definition for the term ‘‘suicide 
cluster’’. 
(b) NOTIFICATION REQUIRED.—Beginning not later 
than one year after the date of the enactment of this Act, 
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whenever the Secretary determines the occurrence of a sui-
cide cluster (as that term is defined pursuant to sub-
section (a)) among members of the Armed Forces, the 
Secretary shall submit to the appropriate congressional 
committees a notification of such determination. 
(c) COORDINATION REQUIRED.—In developing the 
definition under subsection (a) and the process for submit-
ting required notifications under subsection (b), the Sec-
retary of Defense shall coordinate with the Secretaries 
concerned. 
(d) BRIEFING.—Not later than April 1, 2023, the 
Secretary of Defense shall provide to the appropriate con-
gressional committees a briefing on the following: 
(1) The methodology being used in the develop-
ment of the definition under subsection (a). 
(2) The progress made towards the development 
of the process for submitting required notifications 
under subsection (b). 
(3) An estimated timeline for the implementa-
tion of this section. 
(e) DEFINITIONS.—In this section: 
(1) The term ‘‘appropriate congressional com-
mittees’’ means the following: 
(A) The Committee on Armed Services of 
the House of Representatives. 
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‘‘(A) the Committee on Armed Services, 
the Committee on Foreign Relations, the Com-
mittee on Energy and Natural Resources, the 
Committee on Commerce, Science, and Trans-
portation, and the Select Committee on Intel-
ligence of the Senate; and 
‘‘(B) the Committee on Armed Services, 
the Committee on Foreign Affairs, the Com-
mittee on Natural Resources, the Committee on 
Energy and Commerce, and the Permanent Se-
lect Committee on Intelligence of the House of 
Representatives.’’. 
SEC. 1422. REPORT ON MODIFICATIONS TO THE NATIONAL 
TECHNOLOGY AND INDUSTRIAL BASE. 
(a) IN GENERAL.—Not later than December 1, 2023, 
the Secretary of Defense shall submit to the congressional 
defense committees, the Committee on Financial Services 
of the House of Representatives, the Permanent Select 
Committee on Intelligence of the House of Representa-
tives, the Select Committee on Intelligence of the Senate, 
and the Committee on Banking, Housing, and Urban Af-
fairs of the Senate a report on the benefits and risks of 
potential legislative proposals to increase the availability 
of strategic and critical materials that are, as of the date 
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days) in Europe during fiscal year 2025, at various 
levels of conflict intensity, including conflicts involv-
ing 25, 50, and 75 percent of the force structure of 
the land, naval, and air forces of the active Armed 
Forces. 
(2) Modeling of the monthly munitions expendi-
ture of the United States in the scenario of a large- 
scale conflict (lasting for a period of at least 180 
days) in East Asia during fiscal year 2025, at var-
ious levels of conflict intensity, including conflicts in-
volving 25, 50, and 75 percent of the force structure 
of the land, naval, and air forces of the active 
Armed Forces. 
(3) An analysis of how rapidly stockpiles of the 
United States of critical guided munitions would be-
come depleted in each of the scenarios referred to in 
paragraphs (1) and (2) for, at a minimum, the fol-
lowing munitions: 
(A) Air Intercept Missile-260. 
(B) Joint Direct Attack Munition. 
(C) Long Range Anti-Ship Missile. 
(D) Naval Strike Missile. 
(E) Standard Missile-2. 
(F) Standard Missile-6. 
(G) Harpoon Anti-ship Missile. 
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