299 
shall be available for postal benefits provided in this 
section. 
(2) OFFSETTING REDUCTION.—Funds author-
ized to be appropriated in fiscal year 2009 for Mili-
tary Personnel are reduced by $10,000,000. 
TITLE VII—HEALTH CARE 
PROVISIONS 
Subtitle A—Improvements to Health Benefits 
Sec. 701. One-year extension of prohibition on increases in certain health care 
costs for members of the uniformed services. 
Sec. 702. Temporary prohibition on increase in copayments under retail phar-
macy system of pharmacy benefits program. 
Sec. 703. Prohibition on conversion of military medical and dental positions to 
civilian medical and dental positions. 
Sec. 704. Chiropractic health care for members on active duty. 
Sec. 705. Requirement to recalculate TRICARE Reserve Select premiums 
based on actual cost data. 
Sec. 706. Program for health care delivery at military installations projected to 
grow. 
Sec. 707. Guidelines for combined Federal medical facilities. 
Sec. 708. Reserve component behavioral health care provider locator and ap-
pointment assistance demonstration project. 
Subtitle B—Preventive Care 
Sec. 711. Waiver of copayments for preventive services for certain TRICARE 
beneficiaries. 
Sec. 712. Military health risk management demonstration project. 
Sec. 713. Smoking cessation program under TRICARE. 
Sec. 714. Preventive health allowance. 
Subtitle C—Wounded Warrior Matters 
Sec. 721. Center of excellence in prevention, diagnosis, mitigation, treatment, 
and rehabilitation of hearing loss and auditory system injuries. 
Sec. 722.
Clarification to center of excellence relating to military eye injuries. 
Sec. 723. National Casualty Care Research Center. 
Sec. 724. Peer-reviewed research program on extremity war injuries. 
Sec. 725. Review of policies and processes related to the delivery of mail to 
wounded members of the Armed Forces. 
Sec. 726. Post-deployment mental health screening demonstration project. 
Subtitle D—Other Matters 
Sec. 731. Report on stipend for members of reserve components for health care 
for certain dependents.
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Sec. 732. Report on providing the Extended Care Health Option Program to 
autistic dependents of military retirees. 
Sec. 733. Sense of Congress regarding autism therapy services. 
Sec. 734. Report on implementation of recommendations contained in report on 
health effects of exposure to depleted uranium. 
Sec. 735. Suicide Risk by Military Occupation. 
Sec. 736. Implementation of recommendations of Department of Defense Men-
tal Health Task Force. 
Sec. 737. Transitional health care for certain members of the Armed Forces 
who agree to serve in the Selected Reserve of the Ready Re-
serve. 
Subtitle A—Improvements to 
Health Benefits 
SEC. 701. ONE-YEAR EXTENSION OF PROHIBITION ON IN-
CREASES IN CERTAIN HEALTH CARE COSTS 
FOR MEMBERS OF THE UNIFORMED SERV-
ICES. 
(a) CHARGES UNDER CONTRACTS
FOR MEDICAL 
CARE.—Section 1097(e) of title 10, United States Code, 
is amended by striking ‘‘September 30, 2008’’ and insert-
ing ‘‘September 30, 2009’’. 
(b) CHARGES
FOR
INPATIENT
CARE.—Section 
1086(b)(3) of such title is amended by striking ‘‘Sep-
tember 30, 2008’’ and inserting ‘‘September 30, 2009’’. 
SEC. 702. TEMPORARY PROHIBITION ON INCREASE IN CO-
PAYMENTS UNDER RETAIL PHARMACY SYS-
TEM OF PHARMACY BENEFITS PROGRAM. 
During the period beginning on October 1, 2008, and 
ending on September 30, 2009, the cost sharing require-
ments established under paragraph (6) of section 
1074g(a) of title 10, United States Code, for pharma-
301 
ceutical agents available through retail pharmacies cov-
ered by paragraph (2)(E)(ii) of such section may not ex-
ceed amounts as follows: 
(1) In the case of generic agents, $3. 
(2) In the case of formulary agents, $9. 
(3) In the case of nonformulary agents, $22. 
SEC. 703. PROHIBITION ON CONVERSION OF MILITARY 
MEDICAL AND DENTAL POSITIONS TO CIVIL-
IAN MEDICAL AND DENTAL POSITIONS. 
(a) PROHIBITION.—The Secretary of a military de-
partment may not convert any military medical or dental 
position to a civilian medical or dental position on or after 
October 1, 2008. 
(b) RESTORATION OF CERTAIN POSITIONS TO MILI-
TARY POSITIONS.—In the case of any military medical or 
dental position that is converted to a civilian medical or 
dental position during the 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 Sec-
retary 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) DEFINITIONS.—In this section:
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(1) The term ‘‘military medical or dental posi-
tion’’ means a position for the performance of health 
care functions (or coded to work within a military 
treatment facility) within the Armed Forces held by 
a member of the Armed Forces. 
(2) The term ‘‘civilian medical or dental posi-
tion’’ means a position for the performance of health 
care functions within the Department of Defense 
held by an employee of the Department or of a con-
tractor of the Department. 
(3) The term ‘‘conversion’’, with respect to a 
military medical or dental position, means a change 
of the position to a civilian medical or dental posi-
tion, effective as of the date of the manning author-
ization document of the military department 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 indi-
cating the change in the document or otherwise). 
(d) REPEAL.—Section 721 of the National Defense 
Authorization Act for Fiscal Year 2008 (Public Law 110– 
181) is repealed.
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SEC. 704. CHIROPRACTIC HEALTH CARE FOR MEMBERS ON 
ACTIVE DUTY. 
(a) REQUIREMENT FOR CHIROPRACTIC CARE.—Sub-
ject to such regulations as the Secretary of Defense may 
prescribe, the Secretary shall provide chiropractic services 
for members of the uniformed services who are entitled 
to care under section 1074(a) of title 10, United States 
Code. Such chiropractic services may be provided only by 
a doctor of chiropractic. 
(b) DEMONSTRATION PROJECTS.—The Secretary of 
Defense may conduct one or more demonstration projects 
to provide chiropractic services to deployed members of the 
uniformed services. Such chiropractic services may be pro-
vided only by a doctor of chiropractic. 
(c) DEFINITIONS.—In this section: 
(1) The term ‘‘chiropractic services’’— 
(A) includes diagnosis (including by diag-
nostic X-ray tests), evaluation and manage-
ment, and therapeutic services for the treat-
ment of a patient’s health condition, including 
neuromusculoskeletal conditions and the sub-
luxation complex, and such other services deter-
mined appropriate by the Secretary and as au-
thorized under State law; and 
(B) does not include the use of drugs or 
surgery.
304 
(2) The term ‘‘doctor of chiropractic’’ means 
only a doctor of chiropractic who is licensed as a 
doctor of chiropractic, chiropractic physician, or chi-
ropractor by a State, the District of Columbia, or a 
territory or possession of the United States. 
SEC. 705. REQUIREMENT TO RECALCULATE TRICARE RE-
SERVE SELECT PREMIUMS BASED ON AC-
TUAL COST DATA. 
(a) CALCULATION BASED ON ACTUAL COST DATA.— 
Paragraph (3) of section 1076d(d) of title 10, United 
States Code, is amended to read as follows: 
‘‘(3) The monthly amount of the premium in effect 
for a month for TRICARE Standard coverage under this 
section shall be not more than the lesser of— 
‘‘(A) the amount equal to 28 percent of the 
total average monthly amount for that coverage, as 
determined by the Secretary based on actual cost 
data for the preceding fiscal year; or 
‘‘(B) the amount in effect for the month of 
March 2006.’’. 
(b) EFFECTIVE DATE.—Paragraph (3) of section 
1076d(d) of title 10, United States Code, as amended by 
this section, shall apply with respect to fiscal year 2009 
and fiscal years thereafter.
306 
(c) COORDINATION WITH OTHER ENTITIES.—The 
plan shall include requirements for coordination with Fed-
eral, State, and local entities, TRICARE managed care 
support contractors, and other contracted assets around 
installations selected for participation in the program. 
(d) CONSULTATION REQUIREMENTS.—The Secretary 
of Defense shall develop the plan in consultation with the 
Secretaries of the military departments. 
(e) SELECTION OF MILITARY INSTALLATIONS.—The 
program shall be implemented at each installation partici-
pating in the pilot program conducted pursuant to section 
721 of the Ronald W. Reagan National Defense Author-
ization Act for Fiscal Year 2005 (Public Law 108–375; 
118 Stat. 1988) and other military installations selected 
by the Secretary of Defense. Each selected military instal-
lation shall meet the following criteria: 
(1) The military installation has members of 
the Armed Forces on active duty and members of re-
serve components of the Armed Forces that use the 
installation as a training and operational base, with 
members routinely deploying in support of the global 
war on terrorism. 
(2) The military population of an installation 
will significantly increase by 2013 due to actions re-
lated to either Grow the Force initiatives or rec-
307 
ommendations of the Defense Base Realignment and 
Closure Commission. 
(3) There is a military treatment facility on the 
installation that has— 
(A) no inpatient or trauma center care ca-
pabilities; and 
(B) no current or planned capacity that 
would satisfy the proposed increase in military 
personnel at the installation. 
(4) There is a civilian community hospital near 
the military installation, and the military treatment 
facility has— 
(A) no inpatient services or limited capa-
bility to expand inpatient care beds, intensive 
care, and specialty services; and 
(B) limited or no capability to provide 
trauma care. 
(f) REPORTS.—Not later than one year after the date 
of the enactment of this Act, and every year thereafter, 
the Secretary of Defense shall submit to the Committees 
on Armed Services of the Senate and House of Represent-
atives an annual report describing the results of the pro-
gram.
308 
SEC. 707. GUIDELINES FOR COMBINED FEDERAL MEDICAL 
FACILITIES. 
Before a facility may be designated a combined Fed-
eral medical facility of the Department of Defense and the 
Department of Veterans Affairs, the Secretary of Defense 
and the Secretary of Veterans Affairs shall issue a signed 
agreement that specifies, at a minimum, a binding oper-
ational agreement on the following areas: 
(1) Patient priority categories. 
(2) Budgeting. 
(3) Staffing. 
(4) Construction. 
(5) Physical plant management. 
SEC. 708. RESERVE COMPONENT BEHAVIORAL HEALTH 
CARE PROVIDER LOCATOR AND APPOINT-
MENT 
ASSISTANCE 
DEMONSTRATION 
PROJECT. 
(a) DEMONSTRATION PROJECT.—The Secretary of 
Defense shall conduct a demonstration project to assess 
the feasibility and efficacy of providing a behavioral health 
care provider locator and appointment assistance service 
to members of the reserve components of the Armed 
Forces. 
(b) ELEMENTS.—The demonstration project shall in-
clude, at a minimum, a toll-free hotline, staffed and avail-
able 24 hours a day 7 days a week, to help members of
309 
the reserve components find behavioral health care pro-
viders and schedule outpatient appointments in the 
TRICARE network. 
(c) ELIGIBILITY.—In order to be eligible for the dem-
onstration project, a member of the Armed Forces shall 
meet the following requirements: 
(1) Be a member of the Selected Reserve. 
(2) Be enrolled in TRICARE Reserve Select. 
(d) IMPLEMENTATION.—The demonstration project 
shall be implemented not later than 180 days after the 
date of the enactment of this Act. 
(e) SUNSET.—The authority for the demonstration 
project required by this section shall expire on September 
30, 2011. 
(f) REPORTS.—The Secretary of Defense shall sub-
mit to the congressional defense committees the following 
reports: 
(1) PLAN.—Not later than 90 days after the 
date of the enactment of this Act, a report con-
taining a plan to implement the demonstration 
project required by this section. 
(2) UPDATES.—Not later than 180 days after 
such date of enactment and every 180 days there-
after, a report containing an update on the dem-
onstration project.
310 
(3) FINAL EVALUATION.—Not later than Janu-
ary 1, 2012, a report containing a final written eval-
uation, including recommendations for the extension 
or expansion of the demonstration project. 
Subtitle B—Preventive Care 
SEC. 711. WAIVER OF COPAYMENTS FOR PREVENTIVE 
SERVICES FOR CERTAIN TRICARE BENE-
FICIARIES. 
(a) WAIVER OF CERTAIN COPAYMENTS.—Subject to 
subsection (b) and under regulations prescribed by the 
Secretary of Defense, the Secretary shall— 
(1) waive all copayments under sections 
1079(b) and 1086(b) of title 10, United States 
Code, for preventive services for all beneficiaries who 
would otherwise pay copayments; and 
(2) ensure that a beneficiary pays nothing for 
preventive services during a year even if the bene-
ficiary has not paid the amount necessary to cover 
the beneficiary’s deductible for the year. 
(b) EXCLUSION
FOR MEDICARE-ELIGIBLE BENE-
FICIARIES.—Subsection (a) shall not apply to a medicare- 
eligible beneficiary. 
(c) REFUND OF COPAYMENTS.— 
(1) AUTHORITY.—Under regulations prescribed 
by the Secretary of Defense, the Secretary may pay
311 
a refund to a medicare-eligible beneficiary excluded 
by subsection (b), subject to the availability of ap-
propriations specifically for such refunds, consisting 
of an amount up to the difference between— 
(A) the amount the beneficiary pays for co-
payments for preventive services during fiscal 
year 2009; and 
(B) the amount the beneficiary would have 
paid during such fiscal year if the copayments 
for preventive services had been waived pursu-
ant to subsection (a) during that year. 
(2) 
COPAYMENTS
COVERED.—The 
refunds 
under paragraph (1) are available only for copay-
ments paid by medicare-eligible beneficiaries during 
fiscal year 2009. 
(3) FUNDING.—Of the amounts authorized to 
be appropriated under title XIV of this Act for the 
Defense Health Program, $10,000,000 is authorized 
for the purposes of the refund authorized under this 
subsection. 
(d) DEFINITIONS.—In this section: 
(1) PREVENTIVE
SERVICES.—The term ‘‘pre-
ventive services’’ includes, taking into consideration 
the age and gender of the beneficiary: 
(A) Colorectal screening.