H. R. 1585—185 
(3) In the case of nonformulary agents, $22. 
SEC. 703. INCLUSION OF TRICARE RETAIL PHARMACY PROGRAM IN 
FEDERAL PROCUREMENT OF PHARMACEUTICALS. 
(a) IN GENERAL.—Section 1074g of title 10, United States Code, 
is amended— 
(1) by redesignating subsections (f) and (g) as subsections 
(g) and (h), respectively; and 
(2) by inserting after subsection (e) the following new sub-
section (f): 
‘‘(f) PROCUREMENT OF PHARMACEUTICALS BY TRICARE RETAIL 
PHARMACY PROGRAM.—With respect to any prescription filled on 
or after the date of the enactment of the National Defense 
Authorization Act for Fiscal Year 2008, the TRICARE retail phar-
macy program shall be treated as an element of the Department 
of Defense for purposes of the procurement of drugs by Federal 
agencies under section 8126 of title 38 to the extent necessary 
to ensure that pharmaceuticals paid for by the Department of 
Defense that are provided by pharmacies under the program to 
eligible covered beneficiaries under this section are subject to the 
pricing standards in such section 8126.’’. 
(b) REGULATIONS.—The Secretary of Defense shall, after con-
sultation with the other administering Secretaries under chapter 
55 of title 10, United States Code, modify the regulations under 
subsection (h) of section 1074g of title 10, United States Code 
(as redesignated by subsection (a)(1) of this section), to implement 
the requirements of subsection (f) of section 1074g of title 10, 
United States Code (as amended by subsection (a)(2) of this section). 
The Secretary shall so modify such regulations not later than 
December 31, 2007. 
SEC. 704. STIPEND FOR MEMBERS OF RESERVE COMPONENTS FOR 
HEALTH CARE FOR CERTAIN DEPENDENTS. 
The Secretary of Defense may, pursuant to regulations pre-
scribed by the Secretary, pay a stipend to a member of a reserve 
component of the Armed Forces who is called or ordered to active 
duty for a period of more than 30 days for purposes of maintaining 
civilian health care coverage for a dependant whom the Secretary 
determines to possess a special health care need that would be 
best met by remaining in the member’s civilian health plan. In 
making such determination, the Secretary shall consider whether— 
(1) the dependent of the member was receiving treatment 
for the special health care need before the call or order to 
active duty of the member; and 
(2) the call or order to active duty would result in an 
interruption in treatment or a change in health care provider 
for such treatment. 
SEC. 705. AUTHORITY FOR EXPANSION OF PERSONS ELIGIBLE FOR 
CONTINUED HEALTH BENEFITS COVERAGE. 
(a) AUTHORITY TO SPECIFY ADDITIONAL ELIGIBLE PERSONS.— 
Subsection (b) of section 1078a of title 10, United States Code, 
is amended by adding at the end the following new paragraph: 
‘‘(4) Any other person specified in regulations prescribed 
by the Secretary of Defense for purposes of this paragraph 
who loses entitlement to health care services under this chapter 
or section 1145 of this title, subject to such terms and conditions 
as the Secretary shall prescribe in the regulations.’’.
H. R. 1585—186 
(b) ELECTION OF COVERAGE.—Subsection (d) of such section 
is amended by adding at the end the following new paragraph: 
‘‘(4) In the case of a person described in subsection (b)(4), 
by such date as the Secretary shall prescribe in the regulations 
required for purposes of that subsection.’’. 
(c) PERIOD
OF COVERAGE.—Subsection (g)(1) of such section 
is amended— 
(1) in subparagraph (B), by striking ‘‘and’’ at the end; 
(2) in subparagraph (C), by striking the period at the 
end and inserting ‘‘; and’’; and 
(3) by adding at the end the following new subparagraph: 
‘‘(D) in the case of a person described in subsection (b)(4), 
the date that is 36 months after the date on which the person 
loses entitlement to health care services as described in that 
subsection.’’. 
SEC. 706. CONTINUATION OF ELIGIBILITY FOR TRICARE STANDARD 
COVERAGE FOR CERTAIN MEMBERS OF THE SELECTED 
RESERVE. 
(a) IN GENERAL.—Section 706(f) of the John Warner National 
Defense Authorization Act for Fiscal Year 2007 (Public Law 109– 
364; 120 Stat. 2282; 10 U.S.C. 1076d note) is amended— 
(1) by striking ‘‘Enrollments’’ and inserting ‘‘(1) Except 
as provided in paragraph (2), enrollments’’; and 
(2) by adding at the end the following new paragraph: 
‘‘(2) The enrollment of a member in TRICARE Standard that 
is in effect on the day before health care under TRICARE Standard 
is provided pursuant to the effective date in subsection (g) shall 
not be terminated by operation of the exclusion of eligibility under 
subsection (a)(2) of such section 1076d, as so amended, for the 
duration of the eligibility of the member under TRICARE Standard 
as in effect on October 16, 2006.’’. 
(b) EFFECTIVE DATE.—The amendments made by subsection 
(a) shall take effect on October 1, 2007. 
SEC. 707. EXTENSION OF PILOT PROGRAM FOR HEALTH CARE 
DELIVERY. 
(a) EXTENSION
OF DURATION
OF PILOT PROGRAM.—Section 
721(e) of the Ronald W. Reagan National Defense Authorization 
Act for Fiscal Year 2005 (Public Law 108–375; 118 Stat. 1988; 
10 U.S.C. 1092 note) is amended by striking ‘‘and 2007’’ and 
inserting ‘‘, 2007, 2008, 2009, and 2010’’. 
(b) EXTENSION OF REPORT DEADLINE.—Section 721(f) of such 
Act is amended by striking ‘‘July 1, 2007’’ and inserting ‘‘July 
1, 2010’’. 
(c) REVISION IN SELECTION CRITERIA.—Section 721(d)(2) of such 
Act is amended by striking ‘‘expected to increase over the next 
five years’’ and inserting ‘‘has increased over the five years pre-
ceding 2008’’. 
(d) ADDITION TO REQUIREMENTS OF PILOT PROGRAM.—Section 
721(b) of such Act is amended— 
(1) by striking ‘‘and’’ at the end of paragraph (3); 
(2) by striking the period and inserting ‘‘; and’’ at the 
end of paragraph (4); and 
(3) by adding at the end the following: 
‘‘(5) collaborate with State and local authorities to create 
an arrangement to share and exchange, between the Depart-
ment of Defense and non-military health care systems, personal
H. R. 1585—187 
health information and data of military personnel and their 
families.’’. 
SEC. 708. INCLUSION OF MENTAL HEALTH CARE IN DEFINITION OF 
HEALTH CARE AND REPORT ON MENTAL HEALTH CARE 
SERVICES. 
(a) INCLUSION
OF MENTAL HEALTH CARE
IN DEFINITION
OF 
HEALTH CARE.—Section 1072 of title 10, United States Code, is 
amended by adding at the end the following new paragraph: 
‘‘(10) The term ‘health care’ includes mental health care.’’. 
(b) REPORT ON ACCESS TO MENTAL HEALTH CARE SERVICES.— 
Not later than one year after the date of the enactment of this 
Act, the Secretary of Defense shall submit to the Committees on 
Armed Services of the Senate and the House of Representatives 
a report on the adequacy of access to mental health services under 
the TRICARE program, including in the geographic areas where 
surveys on the continued viability of TRICARE Standard and 
TRICARE Extra are conducted under section 711 of this Act. 
Subtitle B—Studies and Reports 
SEC. 711. SURVEYS ON CONTINUED VIABILITY OF TRICARE STANDARD 
AND TRICARE EXTRA. 
(a) REQUIREMENT FOR SURVEYS.— 
(1) IN GENERAL.—The Secretary of Defense shall conduct 
surveys of health care providers and beneficiaries who use 
TRICARE in the United States to determine, utilizing a rec-
onciliation of the responses of providers and beneficiaries to 
such surveys, each of the following: 
(A) How many health care providers in TRICARE 
Prime service areas selected under paragraph (3)(A) are 
accepting new patients under each of TRICARE Standard 
and TRICARE Extra. 
(B) How many health care providers in geographic 
areas in which TRICARE Prime is not offered are accepting 
patients under each of TRICARE Standard and TRICARE 
Extra. 
(C) The availability of mental health care providers 
in TRICARE Prime service areas selected under paragraph 
(3)(C) and in geographic areas in which TRICARE Prime 
is not offered. 
(2) BENCHMARKS.—The Secretary shall establish for pur-
poses of the surveys required by paragraph (1) benchmarks 
for primary care and specialty care providers, including mental 
health care providers, to be utilized to determine the adequacy 
of the availability of health care providers to beneficiaries 
eligible for TRICARE. 
(3) SCOPE OF SURVEYS.—The Secretary shall carry out the 
surveys required by paragraph (1) as follows: 
(A) In the case of the surveys required by subparagraph 
(A) of that paragraph, in at least 20 TRICARE Prime 
service areas in the United States in each of fiscal years 
2008 through 2011. 
(B) In the case of the surveys required by subparagraph 
(B) of that paragraph, in 20 geographic areas in which 
TRICARE Prime is not offered and in which significant
H. R. 1585—188 
numbers of beneficiaries who are members of the Selected 
Reserve reside. 
(C) In the case of the surveys required by subparagraph 
(C) of that paragraph, in at least 40 geographic areas. 
(4) PRIORITY FOR SURVEYS.—In prioritizing the areas which 
are to be surveyed under paragraph (1), the Secretary shall— 
(A) consult with representatives of TRICARE bene-
ficiaries and health care and mental health care providers 
to identify locations where TRICARE Standard bene-
ficiaries are experiencing significant levels of access-to- 
care problems under TRICARE Standard or TRICARE 
Extra; 
(B) give a high priority to surveying health care and 
mental health care providers in such areas; and 
(C) give a high priority to surveying beneficiaries and 
providers located in geographic areas with high concentra-
tions of members of the Selected Reserve. 
(5) INFORMATION FROM PROVIDERS.—The surveys required 
by paragraph (1) shall include questions seeking to determine 
from health care and mental health care providers the fol-
lowing: 
(A) Whether the provider is aware of the TRICARE 
program. 
(B) What percentage of the provider’s current patient 
population uses any form of TRICARE. 
(C) Whether the provider accepts patients for whom 
payment is made under the medicare program for health 
care and mental health care services. 
(D) If the provider accepts patients referred to in 
subparagraph (C), whether the provider would accept addi-
tional such patients who are not in the provider’s current 
patient population. 
(6) 
INFORMATION
FROM
BENEFICIARIES.—The 
surveys 
required by paragraph (1) shall include questions seeking 
information to determine from TRICARE beneficiaries whether 
they have difficulties in finding health care and mental health 
care providers willing to provide services under TRICARE 
Standard or TRICARE Extra. 
(b) GAO REVIEW.— 
(1) ONGOING REVIEW.—The Comptroller General shall, on 
an ongoing basis, review— 
(A) the processes, procedures, and analysis used by 
the Department of Defense to determine the adequacy of 
the number of health care and mental health care pro-
viders— 
(i) that currently accept TRICARE Standard or 
TRICARE Extra beneficiaries as patients under 
TRICARE Standard in each TRICARE area as of the 
date of completion of the review; and 
(ii) that would accept TRICARE Standard or 
TRICARE Extra beneficiaries as new patients under 
TRICARE Standard or TRICARE Extra, as applicable, 
within a reasonable time after the date of completion 
of the review; and 
(B) the actions taken by the Department of Defense 
to ensure ready access of TRICARE Standard beneficiaries 
to health care and mental health care under TRICARE
H. R. 1585—189 
Standard in each TRICARE area, including any pending 
or resolved requests for waiver of payment limits in order 
to improve access to health care or mental health care 
in a specific geographic area. 
(2) REPORTS.—The Comptroller General shall submit to 
the Committees on Armed Services of the Senate and the 
House of Representatives on a bi-annual basis a report on 
the results of the review under paragraph (1). Each report 
shall include the following: 
(A) An analysis of the adequacy of the surveys under 
subsection (a). 
(B) An identification of any impediments to achieving 
adequacy of availability of health care and mental health 
care under TRICARE Standard or TRICARE Extra. 
(C) An assessment of the adequacy of Department of 
Defense education programs to inform health care and 
mental health care providers about TRICARE Standard 
and TRICARE Extra. 
(D) An assessment of the adequacy of Department 
of Defense initiatives to encourage health care and mental 
health care providers to accept patients under TRICARE 
Standard and TRICARE Extra. 
(E) An assessment of the adequacy of information avail-
able to TRICARE Standard beneficiaries to facilitate access 
by such beneficiaries to health care and mental health 
care under TRICARE Standard and TRICARE Extra. 
(F) An assessment of any need for adjustment of health 
care and mental health care provider payment rates to 
attract participation in TRICARE Standard by appropriate 
numbers of health care and mental health care providers. 
(G) An assessment of the adequacy of Department 
of Defense programs to inform members of the Selected 
Reserve about the TRICARE Reserve Select program. 
(H) An assessment of the ability of TRICARE Reserve 
Select beneficiaries to receive care in their geographic area. 
(c) EFFECTIVE DATE.—This section shall take effect on October 
1, 2007. 
(d) REPEAL OF SUPERSEDED REQUIREMENTS AND AUTHORITY.— 
Section 723 of the National Defense Authorization Act for Fiscal 
Year 2004 (10 U.S.C. 1073 note) is repealed, effective as of October 
1, 2007. 
(e) DEFINITIONS.—In this section: 
(1) The term ‘‘TRICARE Extra’’ means the option of the 
TRICARE program under which TRICARE Standard bene-
ficiaries may obtain discounts on cost-sharing as a result of 
using TRICARE network providers. 
(2) The term ‘‘TRICARE Prime’’ means the managed care 
option of the TRICARE program. 
(3) The term ‘‘TRICARE Prime service area’’ means a 
geographic area designated by the Department of Defense in 
which managed care support contractors develop a managed 
care network under TRICARE Prime. 
(4) The term ‘‘TRICARE Standard’’ means the option of 
the TRICARE program that is also known as the Civilian 
Health and Medical Program of the Uniformed Services, as 
defined in section 1072(4) of title 10, United States Code.
H. R. 1585—190 
(5) The term ‘‘TRICARE Reserve Select’’ means the option 
of the TRICARE program that allows members of the Selected 
Reserve to enroll in TRICARE Standard, pursuant to section 
1076d of title 10, United States Code. 
(6) The term ‘‘member of the Selected Reserve’’ means 
a member of the Selected Reserve of the Ready Reserve of 
a reserve component of the Armed Forces. 
(7) The term ‘‘United States’’ means the United States 
(as defined in section 101(a) of title 10, United States Code), 
its possessions (as defined in such section), and the Common-
wealth of Puerto Rico. 
SEC. 712. REPORT ON TRAINING IN PRESERVATION OF REMAINS 
UNDER COMBAT OR COMBAT-RELATED CONDITIONS. 
(a) REPORT REQUIRED.—The Secretary of Defense shall submit 
to the Committees on Armed Services of the Senate and the House 
of Representatives a report on the requirements of section 567 
of the John Warner National Defense Authorization Act for Fiscal 
Year 2007 (Public Law 109–364; 120 Stat. 2224; 10 U.S.C. 1481 
note). 
(b) MATTERS COVERED.—The report shall include a detailed 
description of the implementation of such section, including— 
(1) where the training program is taking place; 
(2) who is providing the training; 
(3) the number of each type of military health care profes-
sional trained to date; and 
(4) what the training covers. 
(c) DEADLINE.—The report required by this section shall be 
submitted not later than 180 days after the date of the enactment 
of this Act. 
SEC. 713. REPORT ON PATIENT SATISFACTION SURVEYS. 
(a) REPORT REQUIRED.—Not later than March 1, 2008, the 
Secretary of Defense shall submit to the congressional defense 
committees a report on the ongoing patient satisfaction surveys 
taking place in Department of Defense inpatient and outpatient 
settings at military treatment facilities. 
(b) CONTENT.—The report required under subsection (a) shall 
include the following: 
(1) The types of survey questions asked. 
(2) How frequently the surveying is conducted. 
(3) How often the results are analyzed and reported back 
to the treatment facilities. 
(4) To whom survey feedback is made available. 
(5) How best practices are incorporated for quality improve-
ment. 
(6) An analysis of the effect of inpatient and outpatient 
surveys on quality improvement and a comparison of patient 
satisfaction survey programs with patient satisfaction survey 
programs used by other public and private health care systems 
and organizations. 
(c) USE
OF REPORT INFORMATION.—The Secretary shall use 
information in the report as the basis for a plan for improvements 
in patient satisfaction surveys used to assess health care at military 
treatment facilities in order to ensure the provision of high quality 
health care and hospital services in such facilities.
H. R. 1585—191 
SEC. 714. REPORT ON MEDICAL PHYSICAL EXAMINATIONS OF MEM-
BERS OF THE ARMED FORCES BEFORE THEIR DEPLOY-
MENT. 
Not later than April 1, 2008, the Secretary of Defense shall 
submit to the Committees on Armed Services of the Senate and 
the House of Representatives a report setting forth the following: 
(1) A comparison of the policies of the military departments 
concerning medical physical examinations of members of the 
Armed Forces before their deployment, including an identifica-
tion of instances in which a member (including a member 
of a reserve component) may be required to undergo multiple 
physical examinations, from the time of notification of an 
upcoming deployment through the period of preparation for 
deployment. 
(2) An assessment of the current policies related to, as 
well as the feasibility of, each of the following: 
(A) A single predeployment physical examination for 
members of the Armed Forces before their deployment. 
(B) A single system for tracking electronically the 
results of examinations under subparagraph (A) that can 
be shared among the military departments and thereby 
eliminate redundancy of medical physical examinations for 
members of the Armed Forces before their deployment. 
SEC. 715. REPORT AND STUDY ON MULTIPLE VACCINATIONS OF MEM-
BERS OF THE ARMED FORCES. 
(a) REPORT REQUIRED.—Not later than 90 days after the date 
of the enactment of this Act, the Secretary of Defense shall submit 
to the Committees on Armed Services of the Senate and the House 
of Representatives a report on the policies of the Department of 
Defense for administering and evaluating the vaccination of mem-
bers of the Armed Forces. 
(b) ELEMENTS.—The report required by subsection (a) shall 
include the following: 
(1) An assessment of the Department’s policies governing 
the administration of multiple vaccinations in a 24-hour period, 
including the procedures providing for a full review of an 
individual’s medical history prior to the administration of mul-
tiple vaccinations, and whether such policies and procedures 
differ for members of the Armed Forces on active duty and 
members of reserve components. 
(2) An assessment of how the Department’s policies on 
multiple vaccinations in a 24-hour period conform to current 
regulations of the Food and Drug Administration and research 
performed or being performed by the Centers for Disease Con-
trol, other non-military Federal agencies, and non-Federal 
institutions on multiple vaccinations in a 24-hour period. 
(3) An assessment of the Department’s procedures for initi-
ating investigations of deaths of members of the Armed Forces 
in which vaccinations may have played a role, including 
whether such investigations can be requested by family mem-
bers of the deceased individuals. 
(4) The number of deaths of members of the Armed Forces 
since May 18, 1998, that the Department has investigated 
for the potential role of vaccine administration, including both 
the number of deaths investigated that was alleged to have 
involved more than one vaccine administered in a given 24-
H. R. 1585—192 
hour period and the number of deaths investigated that was 
determined to have involved more than one vaccine adminis-
tered in a given 24-hour period. 
(5) An assessment of the procedures for providing the Adju-
tants General of the various States and territories with up- 
to-date information on the effectiveness and potential allergic 
reactions and side effects of vaccines required to be taken 
by National Guard members. 
(6) An assessment of whether procedures are in place to 
provide that the Adjutants General of the various States and 
territories retain updated medical records of each National 
Guard member called up for active duty. 
SEC. 716. REVIEW OF GENDER- AND ETHNIC GROUP-SPECIFIC MENTAL 
HEALTH SERVICES AND TREATMENT FOR MEMBERS OF 
THE ARMED FORCES. 
(a) COMPREHENSIVE REVIEW.—The Secretary of Defense shall 
conduct a comprehensive review of— 
(1) the need for gender- and ethnic group-specific mental 
health treatment and services for members of the Armed Forces; 
and 
(2) the efficacy and adequacy of existing gender- and ethnic 
group-specific mental health treatment programs and services 
for members of the Armed Forces, to include availability of 
and access to such programs. 
(b) ELEMENTS.—The review required by subsection (a) shall 
include, but not be limited to, an assessment of the following: 
(1) The need for gender- and ethnic group-specific mental 
health outreach, prevention, and treatment services for mem-
bers of the Armed Forces. 
(2) The access to and efficacy of existing gender- and ethnic 
group-specific mental health outreach, prevention, and treat-
ment services and programs (including substance abuse pro-
grams). 
(3) The availability of gender- and ethnic group-specific 
services and treatment for members of the Armed Forces who 
experienced sexual assault or abuse. 
(4) The access to and need for treatment facilities focusing 
on the gender- and ethnic group-specific mental health care 
needs of members of the Armed Forces. 
(5) The need for further clinical research on the gender- 
and ethnic group-specific needs of members of the Armed Forces 
who served in a combat zone. 
(c) REPORT.—Not later than 90 days after the date of the 
enactment of this Act, the Secretary of Defense shall submit to 
the congressional defense committees a report on the review 
required by subsection (a). 
SEC. 717. LICENSED MENTAL HEALTH COUNSELORS AND THE TRICARE 
PROGRAM. 
(a) REGULATIONS.—The Secretary of Defense shall prescribe 
regulations to establish criteria that licensed or certified mental 
health counselors shall meet in order to be able to independently 
provide care to TRICARE beneficiaries and receive payment under 
the TRICARE program for such services. The criteria shall include 
requirements for education level, licensure, certification, and clinical 
experience as considered appropriate by the Secretary.
H. R. 1585—193 
(b) STUDY REQUIRED.—The Secretary of Defense shall enter 
into a contract with the Institute of Medicine of the National 
Academy of Sciences, or another similarly qualified independent 
academic medical organization, for the purpose of— 
(1) conducting an independent study of the credentials, 
preparation, and training of individuals practicing as licensed 
mental health counselors; and 
(2) making recommendations for permitting licensed mental 
health 
counselors 
to 
practice 
independently 
under 
the 
TRICARE program. 
(c) ELEMENTS OF STUDY.— 
(1) EDUCATIONAL REQUIREMENTS.—The study required by 
subsection (b) shall provide for an assessment of the educational 
requirements and curricula relevant to mental health practice 
for licensed mental health counselors, including types of degrees 
recognized, certification standards for graduate programs for 
such profession, and recognition of undergraduate coursework 
for completion of graduate degree requirements. 
(2) LICENSING REQUIREMENTS.—The study required by sub-
section (b) shall provide for an assessment of State licensing 
requirements for licensed mental health counselors, including 
for each level of licensure if a State issues more than one 
type of license for the profession. The assessment shall examine 
requirements in the areas of education, training, examination, 
continuing education, and ethical standards, and shall include 
an evaluation of the extent to which States authorize members 
of the licensed mental health counselor profession to diagnose 
and treat mental illnesses. 
(3) CLINICAL
EXPERIENCE
REQUIREMENTS.—The study 
required by subsection (b) shall provide for an analysis of 
the requirements for clinical experience for a licensed mental 
health counselor to be recognized under regulations for the 
TRICARE program, and recommendations, if any, for standard-
ization or adjustment of such requirements. 
(4) INDEPENDENT
PRACTICE
UNDER
OTHER
FEDERAL
PRO-
GRAMS.—The study required by subsection (b) shall provide 
for an assessment of the extent to which licensed mental health 
counselors are authorized to practice independently under other 
Federal programs (such as the Medicare program, the Depart-
ment of Veterans Affairs, the Indian Health Service, and Head 
Start), and a review of the relationship, if any, between recogni-
tion of mental health professions under the Medicare program 
and independent practice authority for such profession under 
the TRICARE program. 
(5) INDEPENDENT
PRACTICE
UNDER
FEHBP.—The study 
required by subsection (b) shall provide for an assessment 
of the extent to which licensed mental health counselors are 
authorized to practice independently under the Federal 
Employee Health Benefits Program and private insurance 
plans. The assessment shall identify the States having laws 
requiring private insurers to cover, or offer coverage of, the 
services of members of licensed mental health counselors and 
shall identify the conditions, if any, that are placed on coverage 
of practitioners under the profession by insurance plans and 
how frequently these types of conditions are used by insurers. 
(6) HISTORICAL
REVIEW
OF
REGULATIONS.—The study 
required by subsection (b) shall provide for a review of the
H. R. 1585—194 
history of regulations prescribed by the Department of Defense 
regarding which members of the mental health profession are 
recognized as providers under the TRICARE program as inde-
pendent practitioners, and an examination of the recognition 
by the Department of third-party certification for members 
of such profession. 
(7) CLINICAL CAPABILITIES STUDIES.—The study required 
by subsection (b) shall include a review of outcome studies 
and of the literature regarding the comparative quality and 
effectiveness of care provided by licensed mental health coun-
selors and provide an independent review of the findings. 
(d) RECOMMENDATIONS FOR TRICARE INDEPENDENT PRACTICE 
AUTHORITY.—The recommendations provided under subsection 
(b)(2) shall include recommendations regarding modifications of cur-
rent policy for the TRICARE program with respect to allowing 
licensed mental health counselors to practice independently under 
the TRICARE program. 
(e) REPORT.—Not later than March 1, 2009, the Secretary of 
Defense shall submit to the Committees on Armed Services of 
the Senate and the House of Representatives a report on the review 
required by subsection (b). 
SEC. 718. REPORT ON FUNDING OF THE DEPARTMENT OF DEFENSE 
FOR HEALTH CARE. 
(a) REPORT.—If the President submits to Congress the budget 
for a fiscal year under section 1105 of title 31, United States 
Code, and the aggregate amount included in that budget for the 
Department of Defense for health care for such fiscal year is less 
than the aggregate amount provided by Congress for the Depart-
ment for health care for the preceding fiscal year, and, in the 
case of the Department, the total allocation from the Defense Health 
Program to any military department is less than the total of such 
allocation in the preceding fiscal year, the President shall submit 
to Congress a report on— 
(1) the reasons for the determination that inclusion of 
a lesser aggregate amount or allocation to any military depart-
ment is in the national interest; and 
(2) the anticipated effects of the inclusion of such lesser 
aggregate amount or allocation to any military department 
on the access to and delivery of medical and support services 
to members of the Armed Forces and their family members. 
(b) TERMINATION.—The section shall not be in effect after 
December 31, 2017. 
Subtitle C—Other Matters 
SEC. 721. PROHIBITION ON CONVERSION OF MILITARY MEDICAL AND 
DENTAL POSITIONS TO CIVILIAN MEDICAL AND DENTAL 
POSITIONS. 
(a) PROHIBITION.—The Secretary of a military department may 
not convert any military medical or dental position to a civilian 
medical or dental position during the period beginning on October 
1, 2007, and ending on September 30, 2012. 
(b) RESTORATION
OF CERTAIN POSITIONS
TO MILITARY POSI-
TIONS.—In the case of any military medical or dental position that 
is converted to a civilian medical or dental position during the
H. R. 1585—195 
period beginning on October 1, 2004, and ending on September 
30, 2008, if the position is not filled by a civilian by September 
30, 2008, the Secretary of the military department concerned shall 
restore the position to a military medical or dental position that 
can be filled only by a member of the Armed Forces who is a 
health professional. 
(c) REPORT.— 
(1) REQUIREMENT.—The Secretary of Defense shall submit 
to the congressional defense committees a report on conversions 
made during fiscal year 2007 not later than 180 days after 
the enactment of this Act. 
(2) MATTERS COVERED.—The report shall include the fol-
lowing: 
(A) The number of military medical or dental positions, 
by grade or band and specialty, converted to civilian med-
ical or dental positions. 
(B) The results of a market survey in each affected 
area of the availability of civilian medical and dental care 
providers in such area in order to determine whether there 
were civilian medical and dental care providers available 
in such area adequate to fill the civilian positions created 
by the conversion of military medical and dental positions 
to civilian positions in such area. 
(C) An analysis, by affected area, showing the extent 
to which access to health care and cost of health care 
was affected in both the direct care and purchased care 
systems, including an assessment of the effect of any 
increased shifts in patient load from the direct care to 
the purchased care system, or any delays in receipt of 
care in either the direct or purchased care system because 
of the conversions. 
(D) The extent to which military medical and dental 
positions converted to civilian medical or dental positions 
affected recruiting and retention of uniformed medical and 
dental personnel. 
(E) A comparison of the full costs for the military 
medical and dental positions converted with the full costs 
for civilian medical and dental positions, including expenses 
such as recruiting, salary, benefits, training, and any other 
costs the Department identifies. 
(F) An assessment showing that the military medical 
or dental positions converted were in excess of the military 
medical and dental positions needed to meet medical and 
dental readiness requirements of the uniformed services, 
as determined jointly by all the uniformed services. 
(d) DEFINITIONS.—In this section: 
(1) The term ‘‘military medical or dental position’’ means 
a position for the performance of health care functions within 
the Armed Forces held by a member of the Armed Forces. 
(2) The term ‘‘civilian medical or dental position’’ means 
a position for the performance of health care functions within 
the Department of Defense held by an employee of the Depart-
ment or of a contractor of the Department. 
(3) The term ‘‘uniformed services’’ has the meaning given 
that term in section 1072(1) of title 10, United States Code. 
(4) The term ‘‘conversion’’, with respect to a military med-
ical or dental position, means a change of the position to a
H. R. 1585—196 
civilian medical or dental position, effective as of the date 
of the manning authorization document of the military depart-
ment making the change (through a change in designation 
from military to civilian in the document, the elimination of 
the listing of the position as a military position in the document, 
or through any other means indicating the change in the docu-
ment or otherwise). 
(e) REPEAL.—Section 742 of the John Warner National Defense 
Authorization Act for Fiscal Year 2007 (Public Law 109–364; 120 
Stat. 2306) is repealed. 
SEC. 722. ESTABLISHMENT OF JOINT PATHOLOGY CENTER. 
(a) FINDINGS.—Congress makes the following findings: 
(1) The Secretary of Defense proposed to disestablish all 
elements of the Armed Forces Institute of Pathology, except 
the National Medical Museum and the Tissue Repository, as 
part of the recommendations of the Secretary for the closure 
of Walter Reed Army Medical Center in the 2005 round of 
defense base closure and realignment. 
(2) The Defense Base Closure and Realignment Commission 
altered, but did not reject, the proposal of the Secretary of 
Defense to disestablish the Armed Forces Institute of Pathology. 
(3) The Commission’s recommendation that the Armed 
Forces Institute of Pathology’s ‘‘capabilities not specified in 
this recommendation will be absorbed into other DOD, Federal, 
or civilian facilities’’ provides the flexibility to retain a Joint 
Pathology Center as a Department of Defense or Federal entity. 
(b) SENSE
OF CONGRESS.—It is the sense of Congress that 
the Armed Forces Institute of Pathology has provided important 
medical benefits to the Armed Forces and to the United States 
and that the Federal Government should retain a Joint Pathology 
Center. 
(c) ESTABLISHMENT.— 
(1) ESTABLISHMENT REQUIRED.—The President shall estab-
lish and maintain a Joint Pathology Center that shall function 
as the reference center in pathology for the Federal Govern-
ment. 
(2) ESTABLISHMENT WITHIN DOD.—Except as provided in 
paragraph (3), the Joint Pathology Center shall be established 
in the Department of Defense, consistent with the final rec-
ommendations of the 2005 Defense Base Closure and Realign-
ment Commission, as approved by the President. 
(3) ESTABLISHMENT IN ANOTHER DEPARTMENT.—If the Presi-
dent makes a determination, within 180 days after the date 
of the enactment of this Act, that the Joint Pathology Center 
cannot be established in the Department of Defense, the Joint 
Pathology Center shall be established as an element of a Fed-
eral agency other than the Department of Defense. The Presi-
dent shall incorporate the selection of such agency into the 
determination made under this paragraph. 
(d) SERVICES.—The Joint Pathology Center shall provide, at 
a minimum, the following: 
(1) Diagnostic pathology consultation services in medicine, 
dentistry, and veterinary sciences. 
(2) Pathology education, to include graduate medical edu-
cation, including residency and fellowship programs, and con-
tinuing medical education.
H. R. 1585—197 
(3) Diagnostic pathology research. 
(4) Maintenance and continued modernization of the Tissue 
Repository and, as appropriate, utilization of the Repository 
in conducting the activities described in paragraphs (1) through 
(3). 
TITLE VIII—ACQUISITION POLICY, AC-
QUISITION MANAGEMENT, AND RE-
LATED MATTERS 
Sec. 800. Short title. 
Subtitle A—Acquisition Policy and Management 
Sec. 801. Internal controls for procurements on behalf of the Department of De-
fense by certain non-Defense agencies. 
Sec. 802. Lead systems integrators. 
Sec. 803. Reinvestment in domestic sources of strategic materials. 
Sec. 804. Clarification of the protection of strategic materials critical to national se-
curity. 
Sec. 805. Procurement of commercial services. 
Sec. 806. Specification of amounts requested for procurement of contract services. 
Sec. 807. Inventories and reviews of contracts for services. 
Sec. 808. Independent management reviews of contracts for services. 
Sec. 809. Implementation 
and 
enforcement 
of 
requirements 
applicable 
to 
undefinitized contractual actions. 
Sec. 810. Clarification of limited acquisition authority for Special Operations Com-
mand. 
Subtitle B—Provisions Relating to Major Defense Acquisition Programs 
Sec. 811. Requirements applicable to multiyear contracts for the procurement of 
major systems of the Department of Defense. 
Sec. 812. Changes to Milestone B certifications. 
Sec. 813. Comptroller General report on Department of Defense organization and 
structure for major defense acquisition programs. 
Sec. 814. Clarification of submission of cost or pricing data on noncommercial modi-
fications of commercial items. 
Sec. 815. Clarification of rules regarding the procurement of commercial items. 
Sec. 816. Review of systemic deficiencies on major defense acquisition programs. 
Sec. 817. Investment strategy for major defense acquisition programs. 
Sec. 818. Report on implementation of recommendations on total ownership cost for 
major weapon systems. 
Subtitle C—Amendments to General Contracting Authorities, Procedures, and 
Limitations 
Sec. 821. Plan for restricting Government-unique contract clauses on commercial 
contracts. 
Sec. 822. Extension of authority for use of simplified acquisition procedures for cer-
tain commercial items. 
Sec. 823. Five-year extension of authority to carry out certain prototype projects. 
Sec. 824. Exemption of Special Operations Command from certain requirements for 
certain contracts relating to vessels, aircraft, and combat vehicles. 
Sec. 825. Provision of authority to maintain equipment to unified combatant com-
mand for joint warfighting. 
Sec. 826. Market research. 
Sec. 827. Modification of competition requirements for purchases from Federal Pris-
on Industries. 
Sec. 828. Multiyear contract authority for electricity from renewable energy 
sources. 
Sec. 829. Procurement of fire resistant rayon fiber for the production of uniforms 
from foreign sources. 
Sec. 830. Comptroller General review of noncompetitive awards of congressional 
and executive branch interest items. 
Subtitle D—Accountability in Contracting 
Sec. 841. Commission on Wartime Contracting in Iraq and Afghanistan.
H. R. 1585—198 
Sec. 842. Investigation of waste, fraud, and abuse in wartime contracts and con-
tracting processes in Iraq and Afghanistan. 
Sec. 843. Enhanced competition requirements for task and delivery order contracts. 
Sec. 844. Public disclosure of justification and approval documents for noncompeti-
tive contracts. 
Sec. 845. Disclosure of government contractor audit findings. 
Sec. 846. Protection for contractor employees from reprisal for disclosure of certain 
information. 
Sec. 847. Requirements for senior Department of Defense officials seeking employ-
ment with defense contractors. 
Sec. 848. Report on contractor ethics programs of Major Defense contractors. 
Sec. 849. Contingency contracting training for personnel outside the acquisition 
workforce and evaluations of Army Commission recommendations. 
Subtitle E—Acquisition Workforce Provisions 
Sec. 851. Requirement for section on defense acquisition workforce in strategic 
human capital plan. 
Sec. 852. Department of Defense Acquisition Workforce Development Fund. 
Sec. 853. Extension of authority to fill shortage category positions for certain Fed-
eral acquisition positions. 
Sec. 854. Repeal of sunset of acquisition workforce training fund. 
Sec. 855. Federal acquisition workforce improvements. 
Subtitle F—Contracts in Iraq and Afghanistan 
Sec. 861. Memorandum of understanding on matters relating to contracting. 
Sec. 862. Contractors performing private security functions in areas of combat oper-
ations. 
Sec. 863. Comptroller General reviews and reports on contracting in Iraq and Af-
ghanistan. 
Sec. 864. Definitions and other general provisions. 
Subtitle G—Defense Materiel Readiness Board 
Sec. 871. Establishment of Defense Materiel Readiness Board. 
Sec. 872. Critical materiel readiness shortfalls. 
Subtitle H—Other Matters 
Sec. 881. Clearinghouse for rapid identification and dissemination of commercial 
information technologies. 
Sec. 882. Authority to license certain military designations and likenesses of weap-
ons systems to toy and hobby manufacturers. 
Sec. 883. Modifications to limitation on contracts to acquire military flight simu-
lator. 
Sec. 884. Requirements relating to waivers of certain domestic source limitations 
relating to specialty metals. 
Sec. 885. Telephone services for military personnel serving in combat zones. 
Sec. 886. Enhanced authority to acquire products and services produced in Iraq and 
Afghanistan. 
Sec. 887. Defense Science Board review of Department of Defense policies and pro-
cedures for the acquisition of information technology. 
Sec. 888. Green procurement policy. 
Sec. 889. Comptroller General review of use of authority under the Defense Produc-
tion Act of 1950. 
Sec. 890. Prevention of export control violations. 
Sec. 891. Procurement goal for Native Hawaiian-serving institutions and Alaska 
Native-serving institutions. 
Sec. 892. Competition for procurement of small arms supplied to Iraq and Afghani-
stan. 
SEC. 800. SHORT TITLE. 
This title may be cited as the ‘‘Acquisition Improvement and 
Accountability Act of 2007’’. 
Subtitle A—Acquisition Policy and 
Management 
SEC. 801. INTERNAL CONTROLS FOR PROCUREMENTS ON BEHALF OF 
THE 
DEPARTMENT 
OF 
DEFENSE 
BY 
CERTAIN 
NON- 
DEFENSE AGENCIES. 
(a) INSPECTORS GENERAL REVIEWS AND DETERMINATIONS.—
H. R. 1585—199 
(1) IN
GENERAL.—For each covered non-defense agency, 
the Inspector General of the Department of Defense and the 
Inspector General of such covered non-defense agency shall, 
not later than the date specified in paragraph (2), jointly— 
(A) review— 
(i) the procurement policies, procedures, and 
internal controls of such covered non-defense agency 
that are applicable to the procurement of property 
and services on behalf of the Department by such 
covered non-defense agency; and 
(ii) the administration of such policies, procedures, 
and internal controls; and 
(B) determine in writing whether such covered non- 
defense agency is or is not compliant with defense procure-
ment requirements. 
(2) DEADLINE
FOR
REVIEWS
AND
DETERMINATIONS.—The 
reviews and determinations required by paragraph (1) shall 
take place as follows: 
(A) In the case of the General Services Administration, 
by not later than March 15, 2010. 
(B) In the case of each of the Department of the 
Treasury, the Department of the Interior, and the National 
Aeronautics and Space Administration, by not later than 
March 15, 2011. 
(C) In the case of each of the Department of Veterans 
Affairs and the National Institutes of Health, by not later 
than March 15, 2012. 
(3) 
SEPARATE
REVIEWS
AND
DETERMINATIONS.—The 
Inspector General of the Department of Defense and the 
Inspector General of a covered non-defense agency may by 
joint agreement conduct separate reviews of the procurement 
of property and services on behalf of the Department of Defense 
that are conducted by separate business units, or under sepa-
rate government-wide acquisition contracts, of the covered non- 
defense agency. If such separate reviews are conducted, the 
Inspectors General shall make a separate determination under 
paragraph (1)(B) with respect to each such separate review. 
(4) MEMORANDA
OF
UNDERSTANDING
FOR
REVIEWS
AND 
DETERMINATIONS.—Not later than one year before a review 
and determination is required under this subsection with 
respect to a covered non-defense agency, the Inspector General 
of the Department of Defense and the Inspector General of 
the covered non-defense agency shall enter into a memorandum 
of understanding with each other to carry out such review 
and determination. 
(5) TERMINATION
OF
NON-COMPLIANCE
DETERMINATION.— 
If the Inspector General of the Department of Defense and 
the Inspector General of a covered non-defense agency deter-
mine, pursuant to paragraph (1)(B), that a covered non-defense 
agency is not compliant with defense procurement require-
ments, the Inspectors General shall terminate such a deter-
mination effective on the date on which the Inspectors General 
jointly— 
(A) determine that the non-defense agency is compliant 
with defense procurement requirements; and 
(B) notify the Secretary of Defense of that determina-
tion.