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(3) by adding at the end the following new sub-
section: 
‘‘(b) CERTAIN REMARRIED SURVIVING SPOUSES.— 
The Secretary of Defense shall prescribe such regulations 
as may be necessary to provide that a surviving spouse 
of a deceased member of the armed forces, regardless of 
the marital status of the surviving spouse, is entitled to 
use commissary stores and MWR retail facilities to the 
same extent and on the same basis as an unremarried sur-
viving spouse of a member of the uniformed services.’’; 
and 
(4) by adding at the end the following new sub-
section: 
‘‘(c) MWR RETAIL FACILITIES DEFINED.—In this 
section, the term ‘MWR retail facilities’ has the meaning 
given that term in section 1063 of this title.’’. 
SEC. 634. AUTHORITY FOR PEER MENTORING PROGRAM 
FOR MILITARY DEPENDENTS. 
Subchapter I of chapter 88 of title 10, United States 
Code, is amended by inserting after section 1788a the fol-
lowing new section: 
‘‘§ 1788b. Authority for peer mentoring program 
‘‘(a) ESTABLISHMENT.—The Secretary of Defense 
may carry out a peer mentoring program for dependents 
of members. Under such program, a mentor shall seek to 
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meet with a mentee once per month to discuss challenges 
for military families. 
‘‘(b) TRAINING.—A dependent who elects to serve as 
a mentor in such a program shall receive training from 
a mental health care provider.’’. 
SEC. 635. EXPANSION OF QUALIFYING EVENTS FOR WHICH 
A MEMBER OF THE UNIFORMED SERVICES 
MAY BE REIMBURSED FOR SPOUSAL RELI-
CENSING OR BUSINESS COSTS DUE TO THE 
MEMBER’S RELOCATION. 
Section 453(g) of title 37, United States Code, is 
amended— 
(1) by striking the subsection heading and in-
serting ‘‘REIMBURSEMENT OF QUALIFYING SPOUSE 
RELICENSING COSTS AND BUSINESS COSTS’’; 
(2) in paragraph (1)— 
(A) in the matter preceding subparagraph 
(A), by striking ‘‘or qualified business costs’’ 
and inserting ‘‘and qualified business costs’’; 
(B) by amending subparagraph (A) to read 
as follows: 
‘‘(A) the member relocates to a new jurisdiction 
or geographic area as the result of— 
‘‘(i) an assignment to a duty station; 
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‘‘(ii) a reassignment, either as a result of 
a permanent change of station or permanent 
change of assignment, between duty stations; 
‘‘(iii) a transfer from a regular component 
of a uniformed service into the Selected Reserve 
of the Ready Reserve of a uniformed service, if 
the member is authorized a final move from the 
last duty station to the new jurisdiction or geo-
graphic area; or 
‘‘(iv) placement on the temporary disability 
retired list under chapter 61 of title 10; and’’; 
and 
(C) in subparagraph (B), by striking ‘‘re-
assignment’’ and inserting ‘‘relocation’’; 
(3) in paragraph (2), by striking ‘‘reassign-
ment’’ both places it appears and inserting ‘‘reloca-
tion’’; 
(4) in paragraph (4)— 
(A) in subparagraph (A), by striking 
‘‘movement described in’’ and all that follows 
through the semicolon and inserting ‘‘the mem-
ber’s relocation described in paragraph (1);’’; 
and 
(B) in subparagraph (B), by striking ‘‘re-
assignment’’ and inserting ‘‘relocation’’; and 
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(5) in paragraph (5)— 
(A) in subparagraph (A), by striking 
‘‘movement described in’’ and all that follows 
through the semicolon and inserting ‘‘the mem-
ber’s relocation described in paragraph (1);’’; 
and 
(B) in subparagraph (B), by striking ‘‘re-
assignment’’ and inserting ‘‘relocation’’. 
SEC. 636. STUDENT LOAN DEFERMENT FOR DISLOCATED 
MILITARY SPOUSES. 
(a) IN GENERAL.—Section 455(f) of the Higher Edu-
cation Act of 1965 (20 U.S.C. 1087e(f)) is amended— 
(1) by redesignating paragraphs (4) and (5) as 
paragraphs (5) and (6), respectively; and 
(2) by inserting after paragraph (3) the fol-
lowing: 
‘‘(4) DEFERMENT FOR DISLOCATED MILITARY 
SPOUSES.— 
‘‘(A) DURATION
AND
EFFECT
ON
PRIN-
CIPAL AND INTEREST.—A borrower of a loan 
made under this part who meets the require-
ments of subparagraph (B) shall be eligible for 
a deferment for an aggregate period of 180 
days, during which periodic installments of 
principal need not be paid, and interest— 
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‘‘(i) shall not accrue, in the case of 
a— 
‘‘(I) 
Federal 
Direct 
Stafford 
Loan; or 
‘‘(II) a Federal Direct Consolida-
tion Loan that consolidated only Fed-
eral Direct Stafford Loans, or a com-
bination of such loans and Federal 
Stafford Loans for which the student 
borrower received an interest subsidy 
under section 428; or 
‘‘(ii) shall accrue and be capitalized or 
paid by the borrower, in the case of a Fed-
eral Direct PLUS Loan, a Federal Direct 
Unsubsidized Stafford Loan, or a Federal 
Direct Consolidation Loan not described in 
clause (i)(II). 
‘‘(B) ELIGIBILITY.—A borrower of a loan 
made under this part shall be eligible for a 
deferment under subparagraph (A) if the bor-
rower— 
‘‘(i) is the spouse of a member of the 
Armed Forces serving on active duty; and 
‘‘(ii) has experienced a loss of employ-
ment as a result of relocation to accommo-
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date a permanent change in duty station of 
such member. 
‘‘(C) DOCUMENTATION AND APPROVAL.— 
‘‘(i) IN GENERAL.—A borrower may 
establish eligibility for a deferment under 
subparagraph (A) by providing to the Sec-
retary— 
‘‘(I) the documentation described 
in clause (ii); or 
‘‘(II) such other documentation 
as the Secretary determines appro-
priate. 
‘‘(ii) DOCUMENTATION.—The docu-
mentation described in this clause is— 
‘‘(I) evidence that the borrower is 
the spouse of a member of the Armed 
Forces serving on active duty; 
‘‘(II) evidence that a military 
permanent change of station order 
was issued to such member; and 
‘‘(III)(aa) evidence that the bor-
rower is eligible for unemployment 
benefits due to a loss of employment 
resulting from relocation to accommo-
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(2) DURATION.—The Secretary shall award 
such grants for periods of three years and not more 
than $500,000 per year. 
(b) ELIGIBLE NONPROFIT ORGANIZATIONS.—To be 
eligible to receive an award under this section, an eligible 
nonprofit organization shall— 
(1) be a 501(c)(3) organization under the 
United States Internal Revenue Code at the time of 
the enactment of this Act; 
(2) have a demonstrated capacity, through an 
existing data platform or other ongoing data collec-
tion efforts, to effectively capture data for the pur-
poses of informing program implementation and 
monitoring program effectiveness; and 
(3) have a demonstrated history and expertise 
in the provision of educational, health, or social sup-
port services specific to caregivers. 
(c) USE OF FUNDS.—An eligible nonprofit organiza-
tion shall use amounts received from an award under this 
section to provide at least one of the following activities: 
(1) Best-practice training for caregivers in mili-
tary families focused on self-care and education re-
lated to family members’ conditions, collaboration 
with clinical health providers, and financial literacy. 
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(2) Reference and liaison services connecting 
caregivers in military families to Department of De-
fense resources, and to other Federal resources and 
programs for which they or their family members 
may qualify. 
(3) Organization and facilitation of peer-sup-
port networks designed to connect caregivers in mili-
tary families with each-other as part of directed 
mental and behavioral health therapy. 
(4) Development of pilot programs to identify 
and assess the impact of innovative ideas intended 
to support caregivers in military families. 
(5) Capacity building to expand existing evi-
dence-based programs, tailor existing programs to 
support the unique needs of caregivers in military 
families, or evaluate the effectiveness of existing pro-
grams in supporting caregivers in military families. 
(d) APPLICATION.—To be eligible to receive a grant 
under this section, a qualified nonprofit organization shall 
submit an application to the Secretary at such time, in 
such manner, and containing such information as the Sec-
retary may require, including information describing in de-
tail the services that the applicant will use grant funds 
to provide for caregivers in military families. 
(e) DEFINITIONS.—In this section: 
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(1) The term ‘‘caregiver in a military family’’ 
shall refer to a member of the uniformed services in 
an active status, or the dependent of such a mem-
ber, who is a caregiver for a family member. 
(2) The terms ‘‘active status’’ and ‘‘uniformed 
services’’ have the meanings given such terms in sec-
tion 101 of title 10, United States Code. 
(3) The term ‘‘caregiver’’ means an adult fam-
ily member or a dependent who has a significant re-
lationship with, and who provides a broad range of 
assistance to, an individual with a chronic or other 
health condition, disability, or functional limitation. 
(4) The term ‘‘dependent’’ has the meaning 
given such term in section 1072 of title 10, United 
States Code. 
(5) The term ‘‘family member’’ has the mean-
ing given that term in section 1720G of title 38, 
United States Code with regards to a member of the 
uniformed services in an active status, or the de-
pendent of such a member. 
SEC. 638. MYSTEP: PROVISION ONLINE AND IN MULTIPLE 
LANGUAGES. 
The Secretary concerned may provide all services of 
the Military Spouse Transition Program (commonly re-
ferred to as ‘‘MySTeP’’) online and in English, Spanish, 
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Tagalog, and the rest of the 10 most commonly spoken 
languages in the United States. 
SEC. 639. EXCEPTIONAL FAMILY MEMBER PROGRAM: MODI-
FICATION OF THE RESPONSIBILITIES OF THE 
OFFICE OF SPECIAL NEEDS. 
Subsection (c) of section 1781c of title 10, United 
States Code, is amended— 
(1) in paragraph (3), by inserting ‘‘(including 
health care and educational services)’’ after ‘‘serv-
ices’’; and 
(2) in paragraph (4), by inserting ‘‘, deter-
mining the market capacity, usage, and availability 
of such resources,’’ after ‘‘and training’’. 
SEC. 640. PORTABILITY OF PROFESSIONAL LICENSES OF 
SERVICEMEMBERS 
AND 
THEIR 
SPOUSES: 
PROMOTION; REPORT. 
(a) PROMOTION.—Not later than September 30, 
2024, the Secretary of Defense, acting through the De-
fense-State Liaison Office, shall consult with licensing au-
thorities of States to increase awareness of section 705A 
of the Servicemembers Civil Relief Act (50 U.S.C. 4025a). 
(b) REPORT.—Not later than two years after the date 
of the enactment of this Act, the Comptroller General of 
the United States shall submit, to the Committees on 
Armed Services of the Senate and House of Representa-
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tives, and publish, a report containing the results of a 
study regarding compliance by States with section 705A 
of the Servicemembers Civil Relief Act (50 U.S.C. 4025a). 
Such report shall include the determination of the Comp-
troller General regarding the following: 
(1) The extent to which States have complied 
with such section. 
(2) The efficacy of such compliance. 
(3) Whether a State has a designated official to 
oversee such compliance. 
SEC. 640A. GUIDE FOR SURVIVORS TO CLAIM THE PER-
SONAL EFFECTS OF A DECEASED MEMBER 
OF THE ARMED FORCES. 
Not later than September 30, 2024, the Secretary of 
Defense, in consultation of the Secretaries of the military 
departments, shall publish and post on the website of Mili-
tary OneSource a guide regarding how a survivor of a de-
ceased member of the Armed Forces may— 
(1) receive the personal effects of such member; 
and 
(2) file a claim with the Secretary of the mili-
tary department concerned if the survivor believes 
such effects were disposed of incorrectly. 
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SEC. 640B. IMPLEMENTATION OF COMPTROLLER GENERAL 
RECOMMENDATIONS RELATING TO MILITARY 
FOSTER AND ADOPTIVE FAMILIES. 
The Secretary of Defense shall— 
(1) provide a centralized location for, and pro-
mote awareness of, information about foster and 
adoption-related policies and available Department 
of Defense support to better assist military foster 
and adoptive families, including by providing such 
information through Military OneSource, using a 
designated point person on an installation, or 
through an existing installation program office; 
(2) ensure that the Secretary of the Air Force, 
in coordination with the Director of Defense Human 
Resource Activity, revises AFI 36-3026, Volume 1, 
in cooperation with other components of the Depart-
ment of Defense, as appropriate, to make it con-
sistent with Department of Defense regulations on 
the required documents to enroll foster children in 
the Defense Enrollment Eligibility Reporting Sys-
tem; and 
(3) ensure that the Secretaries of the military 
departments identify opportunities to regularly pro-
mote to all employees responsible for enrollment in 
the Defense Enrollment Eligibility Reporting System 
awareness of accurate information and guidance, 
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with respect to enrolling both foster and pre-adop-
tive children, including by coordinating with relevant 
offices to promote awareness of the guidance 
through annual trainings or other training mecha-
nisms. 
SEC. 640C. PROHIBITIONS ON PROVISION OF GENDER 
TRANSITION SERVICES THROUGH AN EXCEP-
TIONAL FAMILY MEMBER PROGRAM OF THE 
ARMED FORCES. 
(a) IN GENERAL.—No gender transition procedures, 
including surgery or medication, may be provided to a 
minor dependent child through an EFMP. 
(b) REFERRALS.—No referral for procedures de-
scribed in subsection (a) may be provided to a minor de-
pendent child through an EFMP. 
(c) REASSIGNMENT.—No change of duty station may 
be approved through an EFMP for the purpose of pro-
viding a minor dependent child with access to procedures 
described in subsection (a). 
(d) EFMP DEFINED.—In this section, the term ‘‘Ex-
ceptional Family Member Program’’ means a program 
under section 1781c(e) of title 10, United States Code. 
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Subtitle E—Child Care 
SEC. 641. INCREASE IN THE TARGET FUNDING LEVEL FOR 
MILITARY CHILD CARE. 
Section 1791 of title 10, United States Code, is 
amended, in subsection (a), by inserting ‘‘115 percent of’’ 
after ‘‘not less than’’. 
SEC. 642. RECURRING REVIEW AND REVISION OF PAY FOR 
MILITARY CHILD CARE EMPLOYEES. 
(a) ESTABLISHMENT.—Subsection (c) of section 
1792 of title 10, United States Code is amended— 
(1) by redesignating paragraphs (1) and (2) as 
subparagraphs (A) and (B), respectively; 
(2) by inserting ‘‘(1)’’ before ‘‘For the pur-
pose’’; and 
(3) by adding at the end the following new 
paragraph (2): 
‘‘(2)(A) The Secretary of Defense shall review 
and revise the pay scale for child care employees not 
less than once every five years. 
‘‘(B) In conducting a review under subpara-
graph (A), the Secretary shall consider factors in-
cluding— 
‘‘(i) the pay scale for employees of the De-
partment of Defense Education Activity with 
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similar training, seniority, and experience to 
that of child care employees; 
‘‘(ii) the rates of compensation paid to em-
ployees of the local educational agency with 
similar training, seniority, and experience to 
that of child care employees; 
‘‘(iii) the value of the care provided by 
child care employees, in the short and long 
term, to the children cared for, their families, 
and the armed forces; and 
‘‘(iv) any other factor the Secretary deter-
mines appropriate.’’. 
(b) IMPLEMENTATION.—The Secretary of Defense 
shall carry out the first review and revision under para-
graph (2) of such subsection, as added by this section, 
not later than 60 days after the date of the enactment 
of this Act. 
(c) REPORT.—When the Secretary of Defense con-
ducts the second review and revision under such para-
graph (2), the Secretary shall submit to the congressional 
defense committees a report assessing how the first such 
revision affected— 
(1) the hiring and retention of child care em-
ployees; and 
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(2) the quality of care at military child develop-
ment centers. 
(d) DEFINITIONS.—In this section, the terms ‘‘child 
care employee’’ and ‘‘military child development center’’ 
have the meanings given such terms in section 1800 of 
title 10, United States Code. 
SEC. 643. DISCOUNTED CHILD CARE FOR CHILD CARE EM-
PLOYEES OF THE DEPARTMENT OF DEFENSE. 
Section 1793(d) of title 10, United States Code, is 
amended— 
(1) by striking ‘‘, a reduced fee for such attend-
ance.’’ and inserting an em dash; and 
(2) by adding at the end the following new 
paragraphs: 
‘‘(1) no fee for the first such child under the 
age of 13; 
‘‘(2) not more than 50 percent of the amount 
of the fee otherwise chargeable for such attendance 
of the second such child under the age of 13; and 
‘‘(3) a reduced fee for each subsequent child.’’. 
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SEC. 644. EXPANSION OF PILOT PROGRAM TO PROVIDE FI-
NANCIAL ASSISTANCE TO MEMBERS OF THE 
ARMED FORCES FOR IN-HOME CHILD CARE. 
Section 589(b)(1) of the William M. (Mac) Thorn-
berry National Defense Authorization Act for Fiscal Year 
2021 (Public Law 116–283) is amended— 
(1) by striking the period at the end and insert-
ing ‘‘, and in the following locations:’’ 
(2) by adding at the end the following new sub-
paragraphs: 
‘‘(A) Fort Drum, New York. 
‘‘(B) Holloman Air Force Base, New Mexico. 
‘‘(C) Naval Air Station Lemoore, California. 
‘‘(D) Marine Corps Air Ground Combat Center 
Twentynine Palms, California.’’. 
SEC. 645. WAIT TIMES FOR CHILD CARE SERVICES PRO-
VIDED THROUGH MILITARY CHILD DEVELOP-
MENT CENTERS: PUBLICATION; FEASIBILITY 
OF CERTAIN IMPROVEMENT. 
(a) PUBLICATION.—Not later than 90 days after the 
date of the enactment of this Act, the Secretary of Defense 
shall publish and maintain, on a website of the Depart-
ment of Defense that is accessible by members of the 
Armed Forces, waiting lists for child care services at mili-
tary child development centers. 
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(b) ESTIMATES.—On the website described in sub-
section (a), the Secretary shall publish a tool that uses 
data collected by the Secretary to estimate how long a 
member assigned to serve at a military installation will 
wait before receiving child care services at the military 
child development center of such military installation. 
(c) FEASIBILITY REPORT.—Not later than March 30, 
2024, the Secretary shall submit to the Committees on 
Armed Services of the Senate and House of Representa-
tives a report regarding the feasibility of implementing the 
business management system of the Child and Youth Pro-
grams of the Department of the Air Force for all military 
departments in order to increase member satisfaction by 
improving communication with members on such waiting 
lists and facilitating payments and paperwork for such 
child care services. 
(d) MILITARY CHILD DEVELOPMENT CENTER DE-
FINED.—In this section, the term ‘‘military child develop-
ment center’’ has the meaning given such term in section 
1800 of title 10, United States Code. 
SEC. 646. STUDY ON EFFECTS OF CHILD CARE ON READI-
NESS AND RETENTION. 
(a) STUDY REQUIRED.—Not later than 30 days after 
the date of the enactment of this Act, the Secretary of 
Defense shall seek to enter into an agreement with an 
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FFRDC described in subsection (b), under which such 
FFRDC shall conduct a study on the effects of child care 
for members of the covered Armed Forces and civilian em-
ployees of the Department of Defense on readiness and 
retention in the covered Armed Forces. Such a study shall 
include the following: 
(1) The effects of the availability, affordability, 
and quality of such child care on— 
(A) unit readiness and retention; 
(B) the ability of such members and em-
ployees to perform their duties; 
(C) the quality of the performance of such 
duties; and 
(D) the job satisfaction of such members 
and employees. 
(2) Other matters regarding the availability, af-
fordability, and quality of such child care that the 
FFRDC determines appropriate. 
(b) FFRDC.—An FFRDC described in this sub-
section is an FFRDC that the Secretary of Defense deter-
mines— 
(1) primarily focuses on studies and analysis; 
(2) has a record of— 
(A) conducting research and analysis using 
a multidisciplinary approach; and 
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(B) publishing analyses to inform public 
debate; and 
(3) has demonstrated specific competencies in 
policies regarding military personnel and readiness, 
as applied to the national defense strategy. 
(c) INTERIM REPORT.—Not later than six months 
after the date of the enactment of this Act, an FFRDC 
that enters into an agreement under subsection (a) shall 
submit to the Secretary of Defense and the Committees 
on Armed Services of the Senate and House of Represent-
atives an interim report. Such report shall include the fol-
lowing: 
(1) A progress report on the study. 
(2) Interim findings of the study. 
(d) FINAL REPORT.—Not later than 15 months after 
the date of the enactment of this Act, an FFRDC that 
enters into an agreement under subsection (a) shall sub-
mit to the Secretary of Defense and the Committees on 
Armed Services of the Senate and House of Representa-
tives a final report. Such final report shall include the fol-
lowing: 
(1) The findings of the study. 
(2) Strategies to remedy deficiencies in child 
care described in subsection (a), and the timelines 
and costs to implement such strategies. 
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(3) Incidents that affect unit readiness and re-
tention. 
(4) Other information the FFRDC determines 
appropriate regarding the effects of such child care 
on readiness and retention in the covered Armed 
Forces. 
(e) DEFINITIONS.—In this section: 
(1) The term ‘‘covered Armed Force’’ means 
the Army, Navy, Marine Corps, Air Force, or Space 
Force. 
(2) The term ‘‘FFRDC’’ means a federally 
funded research and development center. 
SEC. 647. PROVISION OF TEMPORARY CHILD CARE SERV-
ICES. 
The Secretary of Defense shall provide temporary 
child care services at military child development centers 
for the children of members of the Armed Forces during 
a permanent change of station, temporary duty, or any 
other similar deployment. 
SEC. 648. FEASIBILITY STUDY REGARDING CHILD CARE 
FOR MEMBERS OF THE RESERVE COMPO-
NENTS PERFORMING INACTIVE-DUTY TRAIN-
ING. 
(a) STUDY AND REPORT REQUIRED.—Not later than 
September 30, 2024, the Secretary of Defense shall sub-
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mit to the Committees on Armed Services of the Senate 
and House of Representatives a report regarding the feasi-
bility of providing child care— 
(1) through the military child development cen-
ter of a military installation; and 
(2) to a member of the reserve components 
while such member performs inactive-duty training 
at such military installation. 
(b) DEFINITIONS.—In this section: 
(1) The term ‘‘inactive-duty training’’ has the 
meaning given such term in section 101 of title 37, 
United States Code. 
(2) The term ‘‘military child development cen-
ter’’ has the meaning given such term in section 
1800 of title 10, United States Code. 
SEC. 649. REPORT ON AT-HOME CHILD CARE PROGRAMS OF 
THE DEPARTMENT OF DEFENSE; FEASIBILITY 
STUDY. 
(a) REPORT.—Not later than 39 months after the 
date of enactment of this Act, the Secretary of Defense 
shall submit to the Committees on Armed Services of the 
House of Representatives and the Senate a report on at- 
home child care programs offered by each military depart-
ment. Such report shall include— 
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(1) an identification of the number of such at- 
home child care programs that have opened, closed, 
or relocated during the period beginning on the date 
of the enactment of this Act and ending on the date 
that this three years after such date; 
(2) a summary of difficulties, if any, experi-
enced by military spouses employed at such at-home 
child care programs with respect to— 
(A) obtaining necessary certifications or 
licences; and 
(B) opening, closing, or relocating such an 
at-home child care program; and 
(3) a summary of effects, if any, that the open-
ing, closing, or relocation of such an at-home child 
care program has on the employment rate of mili-
tary spouses residing in geographic proximity to 
such at-home child care program. 
(b) FEASIBILITY STUDY.— 
(1) IN
GENERAL.—The Secretary of Defense 
shall conduct a feasibility study on— 
(A) standardizing the requirements of each 
military department relating to licensing and 
certification for at-home child care providers; 
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(B) removing barriers, if any, to the ex-
pansion of at-home child care programs de-
scribed in subsection (a); and 
(C) supporting the employment of military 
spouses in such at-home child care programs. 
(2) REPORT REQUIRED.—Not later than 180 
days after the date of the submission of the report 
under subsection (a), the Secretary of Defense shall 
submit to the Committees on Armed Services of the 
House of Representatives and the Senate a report 
that includes the findings of such feasibility study. 
Subtitle F—Dependent Education 
SEC. 651. RIGHTS OF PARENTS OF CHILDREN ATTENDING 
SCHOOLS OPERATED BY THE DEPARTMENT 
OF DEFENSE EDUCATION ACTIVITY. 
Chapter 108 of title 10, United States Code, is 
amended by inserting after section 2164 the following new 
section: 
‘‘§ 2164a. Rights of parents of children attending 
schools operated by the Department of 
Defense Education Activity 
‘‘(a) IN GENERAL.—The parent of a child who at-
tends a school operated by the Department of Defense 
Education Activity has the following rights: 
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‘‘(1) The right to review the curriculum of the 
school. 
‘‘(2) The right to be informed if the school or 
Department of Defense Education Activity alters the 
school’s academic standards or learning benchmarks. 
‘‘(3) The right to meet with each teacher of 
their child not less than twice during each school 
year. 
‘‘(4) The right to review the budget, including 
all revenues and expenditures, of the school. 
‘‘(5) The right to review all instructional mate-
rials and teacher professional development materials 
used by the school. 
‘‘(6) The right to inspect a list of the books and 
other reading materials contained in the library of 
the school. 
‘‘(7) The right to address the school advisory 
committee or the school board. 
‘‘(8) The right to information about the school’s 
discipline policy and any violent activity in the 
school. 
‘‘(9) The right to information about any plans 
to eliminate gifted and talented programs or acceler-
ated coursework at the school. 
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‘‘(b) DISCLOSURES
AND
NOTIFICATIONS.—Con-
sistent with the parental rights specified in subsection (a), 
a school operated by the Department of Defense Edu-
cation Activity shall— 
‘‘(1) post on a publicly accessible website of the 
school— 
‘‘(A) the curriculum for each course and 
grade level; 
‘‘(B) the academic standards or other 
learning benchmarks used by the school; 
‘‘(C) notice of any proposed revisions to 
such standards or benchmarks and a copy of 
any such revisions; 
‘‘(D) the budget for the school year, in-
cluding all revenues and expenditures (including 
expenditures made for items and services pro-
vided by private entities); and 
‘‘(2) provide the parents of a child attending 
the school with— 
‘‘(A) the opportunity to meet in-person 
with each teacher of their child not less fre-
quently than twice during each school year at a 
time mutually agreed upon by both parties; and 
‘‘(B) notice of such opportunity at the be-
ginning of each school year; 
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‘‘(3) make all instructional and educator profes-
sional development materials, including teachers’ 
manuals, films, tapes, books or other reading mate-
rials, or other supplementary materials used in any 
survey, analysis, or evaluation, available for inspec-
tion by the parents of children attending the school; 
‘‘(4) at the beginning of each school year, pro-
vide parents a list of reading materials in the school 
library, including a list of any reading materials that 
were added to or removed from the list of materials 
from the prior year; 
‘‘(5) notify parents in a timely manner of any 
plans to eliminate gifted and talented programs or 
accelerated coursework at the school; 
‘‘(6) except as provided in paragraph (7), notify 
parents of any medical examinations or screenings 
the school may administer to their child and receive 
written consent from parents for any such examina-
tion or screening prior to conducting the examina-
tion or screening; 
‘‘(7) in the event of an emergency that requires 
a medical examination or screening without time for 
parental notification, promptly notify parents of 
such examination or screening and, not later than 
24 hours after the incident occurs, provide an expla-
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nation of the emergency that prevented notification 
prior to such examination or screening; 
‘‘(8) notify parents of any medical information 
that will be collected on their child, receive written 
parental consent prior to collecting such information, 
and provide parents an opportunity to inspect such 
information at the parent’s request; and 
‘‘(9) notify parents of any policy changes involv-
ing their reporting obligations under the Family Ad-
vocacy Program of the Department of Defense. 
‘‘(c) 
SCHOOL
ADVISORY
COMMITTEES
AND 
BOARDS.—Not less frequently than four times per year, 
a school advisory committee or school board for a school 
operated by the Department of Defense Education Activ-
ity shall provide parents of children attending the school 
with the opportunity to address the advisory committee 
or school board on any matters relating to the school or 
the educational services provided to their children. 
‘‘(d) DEFINITION.—In this section, the term ‘school 
operated by the Department of Defense Education Activ-
ity’ means— 
‘‘(1) a Department of Defense domestic depend-
ent elementary or secondary school, as described in 
section 2164 of this title; or 
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‘‘(2) any elementary or secondary school or pro-
gram for dependents operated by the Department of 
Defense Education Activity.’’. 
SEC. 652. CERTAIN ASSISTANCE TO LOCAL EDUCATIONAL 
AGENCIES THAT BENEFIT DEPENDENTS OF 
MILITARY AND CIVILIAN PERSONNEL. 
(a) CONTINUATION OF AUTHORITY TO ASSIST LOCAL 
EDUCATIONAL AGENCIES THAT BENEFIT DEPENDENTS 
OF MEMBERS OF THE ARMED FORCES AND DEPARTMENT 
OF DEFENSE CIVILIAN EMPLOYEES.—Of the amount au-
thorized to be appropriated for fiscal year 2024 by section 
301 and available for operation and maintenance for De-
fense-wide activities as specified in the funding table in 
section 4301, $50,000,000 shall be available only for the 
purpose of providing assistance to local educational agen-
cies under subsection (a) of section 572 of the National 
Defense Authorization Act for Fiscal Year 2006 (Public 
Law 109–163; 20 U.S.C. 7703b). 
(b) IMPACT AID FOR CHILDREN WITH SEVERE DIS-
ABILITIES.—Of the amount authorized to be appropriated 
for fiscal year 2024 pursuant to section 301 and available 
for operation and maintenance for Defense-wide activities 
as specified in the funding table in section 4301, 
$20,000,000 shall be available for payments under section 
363 of the Floyd D. Spence National Defense Authoriza-
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tion Act for Fiscal Year 2001 (as enacted into law by Pub-
lic Law 106–398; 114 Stat. 1654A–77; 20 U.S.C. 7703a). 
(c) LOCAL EDUCATIONAL AGENCY DEFINED.—In 
this section, the term ‘‘local educational agency’’ has the 
meaning given that term in section 7013(9) of the Ele-
mentary and Secondary Education Act of 1965 (20 U.S.C. 
7713(9)). 
SEC. 653. VERIFICATION OF REPORTING OF ELIGIBLE FED-
ERALLY CONNECTED CHILDREN FOR PUR-
POSES OF FEDERAL IMPACT AID PROGRAMS. 
(a) CERTIFICATION.—On an annual basis, each com-
mander of a military installation under the jurisdiction of 
the Secretary of a military department shall submit to 
such Secretary a written certification verifying whether 
the commander has confirmed the information contained 
in all impact aid source check forms received from local 
educational agencies as of the date of such certification. 
(b) REPORT.—Not later June 30 of each year, each 
Secretary of a military department shall submit to the 
congressional defense committees a report, based on the 
information received under subsection (a), that identi-
fies— 
(1) each military installation under the jurisdic-
tion of such Secretary that has confirmed the infor-
mation contained in all impact aid source check 
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forms received from local educational agencies as of 
the date of the report; and 
(2) each military installation that has not con-
firmed the information contained in such forms as of 
such date. 
(c) DEFINITIONS.—In this section: 
(1) The term ‘‘impact aid source check form’’ 
means a form submitted to the Department of De-
fense by a local educational agency to verify infor-
mation relating to eligible federally connected chil-
dren counted for purposes of the Federal impact aid 
program under section 7003 of the Elementary and 
Secondary Education Act of 1965 (20 U.S.C. 7703). 
(2) The term ‘‘local educational agency’’ has 
the meaning given that term section 8101 of the El-
ementary and Secondary Education Act of 1965 (20 
U.S.C. 7801). 
SEC. 654. FINANCIAL LITERACY EDUCATION IN SCHOOLS 
OPERATED BY THE DEPARTMENT OF DE-
FENSE EDUCATION ACTIVITY. 
(a) IN GENERAL.—The Secretary of Defense, acting 
through the Director of the Department of Defense Edu-
cation Activity, shall require that each student of a high 
school operated by the Activity complete a dedicated 
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course of instruction in financial literacy as a prerequisite 
to graduating from such school. 
(b) APPLICABILITY.—The graduation requirement 
under subsection (a) shall apply with respect to students 
of high schools operated by the Department of Defense 
Education Activity beginning with the cohort of students 
who enter ninth grade in the first school year that begins 
one year after the date of the enactment of this Act. 
(c) DEFINITIONS.—In this section, the term ‘‘high 
school’’ has the meaning given that term in section 8101 
of the Elementary and Secondary Education Act of 1965 
(20 U.S.C. 7801). 
SEC. 655. PILOT PROGRAM FOR ROUTINE MENTAL HEALTH 
CHECK-UPS IN SCHOOLS OPERATED BY THE 
DEPARTMENT OF DEFENSE EDUCATION AC-
TIVITY. 
(a) PILOT PROGRAM REQUIRED.—Beginning in the 
first academic year to begin after the date of the enact-
ment of this Act, the Secretary of Defense shall establish 
and implement a pilot program (referred to in this section 
as the ‘‘Pilot’’) to provide routine metal health check-ups 
for students in covered DODEA schools. 
(b) LOCATIONS.—The Secretary shall carry out the 
Pilot in not fewer than five covered DODEA schools, one 
of which shall be located outside the United States. 
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(c) ACTIVITIES.—Under the Pilot, the Secretary 
shall— 
(1) subject to subsection (e), ensure that stu-
dents at covered DODEA schools receive routine 
mental health check-ups, which may include the use 
of mental health screening tools, such as the Patient 
Health Questionnaire-2 or the Patient Health Ques-
tionnaire-9; 
(2) ensure that such mental health check-ups— 
(A) consist of biannual or semesterly men-
tal and behavioral health screenings for dis-
orders common in children aged 3-17, includ-
ing— 
(i) an initial virtual screening test for 
all students; and 
(ii) a follow-up screening carried out 
by a school psychologist or school nurse for 
students with specific needs identified 
through the initial screening; and 
(B) include questions about a student’s 
mood and emotional state; 
(3) train licensed mental and behavioral health 
professionals to conduct mental health check-ups, in-
cluding training in— 
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(A) recognizing the signs and symptoms of 
mental illnesses; 
(B) safely de-escalating crises involving in-
dividuals with a mental illness; and 
(C) ensuring the safety and well-being of 
children with intellectual and developmental dis-
abilities; 
(4) establish a streamlined diagnosis-to-treat-
ment process, including a comprehensive process 
through which a student with needs identified 
through a mental health check-up— 
(A) may be referred to certified community 
behavioral health clinic in the community in 
which the school is located; and 
(B) may receive additional care or treat-
ment through comprehensive school-based serv-
ices; 
(5) mobilize school nurses and counselors to fa-
cilitate screening in collaboration with administra-
tors and teachers; 
(6) conduct awareness-building educational ef-
forts in conjunction with the screening process; 
(7) implement a robust school-based and tele-
health support system (including options for indi-
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vidual or group therapy) for students seeking sup-
port after diagnosis; and 
(8) make resources available to the communities 
surrounding schools for individuals with a mental ill-
ness through a coordinated referral process with 
local community-based health clinics and school- 
based mental health clinics if such school-based men-
tal health clinics are available and have the capacity 
and expertise to handle complex mental health situa-
tions. 
(d) REFERRAL PROCESS REQUIREMENTS.— 
(1) AGREEMENTS WITH BEHAVIORAL HEALTH 
CLINICS.—For purposes of the comprehensive refer-
ral process described in subsection (c)(4), the Sec-
retary of Defense shall seek to enter into memo-
randa of understanding or other agreements with 
Federally-funded community behavioral health clin-
ics in communities in which covered DODEA schools 
are located pursuant to which a school may refer 
students to such a clinic. The requirement to estab-
lish such a referral process may not be satisfied sole-
ly by providing a list of nearby community behav-
ioral health clinics to parents of students at covered 
DODEA schools. 
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(2) EXCEPTION.—In a case in which the Sec-
retary of Defense is unable to meet the requirements 
of paragraph (1) because there is no Federally-fund-
ed community behavioral health clinic in a commu-
nity in which a covered DODEA school is located, 
the Secretary of Defense shall develop and make 
available a comprehensive guide to the mental health 
resources that are available to students and parents 
in that community. 
(e) STUDENT PRIVACY PROTECTIONS.—In carrying 
out the Pilot, the Secretary shall ensure that a parent or 
guardian of a student at a covered DODEA school— 
(1) is provided with— 
(A) notice that a student may receive a 
mental health check-up under the Pilot; 
(B) an opportunity to opt the student out 
of any such mental health check-up before it is 
administered; and 
(C) a copy of the results of each mental 
health check-up for such student; and 
(2) gives informed consent before— 
(A) the referral of a student to a commu-
nity-based health clinic as described in sub-
section (b)(4)(A); or 
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(B) the disclosure of any information con-
cerning such student to such a clinic. 
(f) EVALUATIONS.—Not later than 180 days after 
commencing the Pilot, and not less frequently than every 
180 days thereafter until termination of the Pilot, the Sec-
retary of Defense shall conduct an evaluation of the Pilot, 
which shall include evaluation of— 
(1) Pilot processes; and 
(2) student outcomes under the Pilot. 
(g) TERMINATION.—The Pilot shall terminate after 
two academic years. 
(h) REPORT.—Not later than one year after termi-
nation of the Pilot, the Secretary of Defense shall submit 
to the Committees on Armed Services of the Senate and 
the House of Representatives a report on the Pilot. The 
report shall include— 
(1) the results of the evaluations conducted 
under subsection (f); 
(2) the recommendation of the Secretary wheth-
er to make the Pilot permanent; and 
(3) such other information as the Secretary de-
termines appropriate. 
(i) DEFINITIONS.—In this section: 
(1) The term ‘‘certified community behavioral 
health clinic’’ means a certified community behav-
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ioral health clinic as such term is used in section 
223 of the Protecting Access to Medicare Act of 
2014 (42 U.S.C. 1396a note). 
(2) The term ‘‘covered DODEA school’’ means 
an elementary school or secondary school— 
(A) operated by the Department of De-
fense Education Activity within or outside the 
United States; and 
(B) selected by the Secretary to participate 
in the Pilot. 
(3) The terms ‘‘elementary school’’ and ‘‘sec-
ondary school’’ have the meanings given those terms 
in section 8101 of the Elementary and Secondary 
Education Act of 1965 (20 U.S.C. 7801). 
SEC. 656. BRIEFINGS ON IMPLEMENTATION OF UNIVERSAL 
PRE-KINDERGARTEN PROGRAMS IN SCHOOLS 
OPERATED BY THE DEPARTMENT OF DE-
FENSE EDUCATION ACTIVITY. 
(a) QUARTERLY BRIEFINGS REQUIRED.—Not later 
than January 30, 2024, and on a quarterly basis there-
after until December 31, 2029, the Secretary of Defense 
shall submit to the committees on Armed Services of the 
Senate and the House of Representatives a briefing on the 
progress of the Secretary in implementing universal pre- 
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kindergarten programs in schools operated by the Depart-
ment of Defense Education Activity. 
(b) CONTENTS OF INITIAL BRIEFING.—The initial 
briefing under subsection (a) shall include— 
(1) identification of all locations under the ju-
risdiction of the Department of Defense at which 
universal pre-kindergarten programs and child devel-
opment centers are co-located; and 
(2) an estimate of the number of children ex-
pected to transfer from child development centers to 
pre-kindergarten programs as a result of such pro-
grams being offered. 
(c) CONTENTS OF SUBSEQUENT BRIEFINGS.—Fol-
lowing the initial briefing under subsection (a), each sub-
sequent briefing shall include— 
(1) the total anticipated costs of funding uni-
versal pre-kindergarten programs in schools operated 
by the Department of Defense Education Activity; 
(2) the estimated differential between the cost 
of caring for a child in a child development center 
versus the cost of a child’s participation in a pre- 
kindergarten program; 
(3) the estimated differential between the costs 
of employing caregivers in child development centers 
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versus the costs of employing teachers in pre-kinder-
garten programs; 
(4) the child-to-caregiver ratio requirements for 
child development centers versus the child-to-teacher 
ratio requirements for pre-kindergarten programs; 
(5) a needs assessment of facilities for universal 
pre-kindergarten programs based on anticipated ca-
pacity; 
(6) an assessment of the availability of teachers 
for pre-kindergarten programs; and 
(7) an indication of whether, and to what ex-
tent, members of the Armed Forces have expressed 
a preference for enrolling their children in pre-kin-
dergarten programs rather than continuing care for 
such children in child development centers. 
SEC. 657. STUDY TO REVIEW WEIGHTED STUDENT UNITS 
FOR IMPACT AID PAYMENTS FOR ELIGIBLE 
FEDERALLY CONNECTED CHILDREN WITH 
DISABILITIES. 
(a) STUDY.—The Secretary of Defense, in consulta-
tion with the Secretary of Education, shall conduct a 
study to review the weighted student units used for the 
calculation of impact aid payments for eligible federally 
connected children with disabilities under section 7003 of 
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the Elementary and Secondary Education Act of 1965 (20 
U.S.C. 7703). 
(b) ELEMENTS.—The study under subsection (a) 
shall include the following: 
(1) An explanation of the method used to estab-
lish the weighted student units used for the calcula-
tion of impact aid payments for eligible federally 
connected children with disabilities under section 
7003 of the Elementary and Secondary Education 
Act of 1965 (20 U.S.C. 7703). 
(2) A review of the criteria and any special fac-
tors used to determine the eligibility of federally con-
nected children with disabilities under such section. 
(3) An examination of the adequacy of the sys-
tem used to determined weighted student units for 
children with disabilities compared to other eligible 
federally connected children, taking into consider-
ation the cost of any support services required. 
(4) Recommendations for improving the effi-
ciency and effectiveness of impact aid payments for 
eligible federally connected children with disabilities. 
(c) REPORT.—Not later than one year after the date 
of the enactment of this Act, the Secretary of Defense 
shall submit to the congressional defense committees a re-
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port on the results of the study conducted under sub-
section (a). 
(d) LOCAL EDUCATIONAL AGENCY DEFINED.—In 
this section, the term ‘‘local educational agency’’ has the 
meaning given that term in section 7013(9) of the Ele-
mentary and Secondary Education Act of 1965 (20 U.S.C. 
7713(9)). 
SEC. 658. PROCESS TO ENSURE INTERSTATE RECIPROCITY 
IN EDUCATIONAL ACCOMMODATIONS FOR 
MILITARY DEPENDENT STUDENTS. 
(a) PROCESS REQUIRED.—The Secretary of Edu-
cation, in consultation with States and local educational 
agencies, shall establish a process to ensure that a depend-
ent of a member of the Armed Forces who receives edu-
cational accommodations while attending an elementary or 
secondary school in a State, and who then transfers to 
an elementary or secondary school in a different State due 
to the relocation of the member of the Armed Forces of 
whom the student is a dependent, shall have such edu-
cational accommodations recognized by the destination 
State without requiring the dependent to reapply for such 
accommodations. 
(b) DEFINITIONS.—In this section: 
(1) The terms ‘‘elementary school’’, ‘‘local edu-
cational agency’’, ‘‘secondary school’’, and ‘‘State’’ 
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have the meanings given those terms in section 8101 
of the Elementary and Secondary Education Act of 
1965 (20 U.S.C. 7801). 
(2) The term ‘‘educational accommodation’’ 
means an individualized education program (as de-
fined in section 602 of the Individuals with Disabil-
ities Education Act) or the approval of a student to 
participate in a gifted and talented program. 
SEC. 659. REQUIREMENT TO DISCLOSE CURRICULUM OF 
SCHOOLS OPERATED BY THE DEPARTMENT 
OF DEFENSE EDUCATION ACTIVITY. 
Section 2164 of title 10, United States Code, is 
amended by adding at the end the following new sub-
section: 
‘‘(m) REQUIREMENT TO DISCLOSE CURRICULUM.— 
The Secretary of Defense shall make available, on a pub-
licly accessible website, the curriculum for each grade level 
of each elementary and secondary school operated the De-
partment of Defense Education Activity.’’. 
SEC. 660. PROHIBITION ON AUTHORIZING FEDERAL FUNDS 
FOR DODEA FOR RACE-BASED THEORIES. 
(a) PROHIBITION.—No Federal funds shall be au-
thorized for the Department of Defense Education Activ-
ity to promote race-based theories described in subsection 
(b) or compel teachers or students to affirm, adhere to, 
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adopt, or process beliefs in a manner that violates title 
VI of the Civil Rights Act of 1964. 
(b) RACE-BASED THEORIES DESCRIBED.—The race- 
based theories described in this subsection are the fol-
lowing: 
(1) Any race is inherently superior or inferior 
to any other race, color, or national origin. 
(2) The United States is a fundamentally racist 
country. 
(3) The Declaration of Independence or Con-
stitution of the United States are fundamentally rac-
ist documents. 
(4) An individual’s moral character or worth is 
determined by the individual’s race, color, or na-
tional origin. 
(5) An individual, by virtue of the individual’s 
race, is inherently racist or oppressive, whether con-
sciously or unconsciously. 
(6) An individual, because of the individual’s 
race, bears responsibility for the actions committed 
by other members of the individual’s race, color, or 
national origin. 
(c) RULES OF CONSTRUCTION.— 
(1) PROTECTED SPEECH NOT RESTRICTED.— 
Nothing in this section shall be construed to restrict 
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the speech of a student, teacher, or any other indi-
vidual outside of a school setting. 
(2) ACCESS TO MATERIALS FOR THE PURPOSE 
OF RESEARCH OR INDEPENDENT STUDY.—Nothing 
in this section shall be construed to prevent an indi-
vidual from accessing materials that advocate theo-
ries described in subsection (b) for the purpose of 
research or independent study. 
(3) CONTEXTUAL EDUCATION.—Nothing in this 
section shall be construed to prevent a school from 
stating theories described in subsection (b) or as-
signing materials that advocate such theories for 
educational purposes in contexts that make it clear 
the school does not sponsor, approve, or endorse 
such theories or materials. 
(d) PROMOTE DEFINED.—In this section, the term 
‘‘promote’’, when used with respect to a race-based theory 
described in subsection (b), means— 
(1) to include such theories or materials that 
advocate such theories in curricula, reading lists, 
seminars, workshops, trainings, or other educational 
or professional settings in a manner that could rea-
sonably give rise to the appearance of official spon-
sorship, approval, or endorsement; 
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(2) to contract with, hire, or otherwise engage 
speakers, consultants, diversity trainers, and other 
persons for the purpose of advocating such theories; 
(3) to compel students to profess a belief in 
such theories; or 
(4) to segregate students or other individuals by 
race in any setting, including in educational or train-
ing sessions. 
SEC. 661. PROHIBITION ON AVAILABILITY OF FUNDS FOR 
CERTAIN BOOKS IN SCHOOLS OPERATED BY 
THE DEPARTMENT OF DEFENSE EDUCATION 
ACTIVITY. 
None of the funds authorized to be appropriated by 
this Act or otherwise made available for fiscal year 2024 
or any fiscal year thereafter for the Department of De-
fense Education Activity may be obligated or expended to 
purchase or maintain in a school library any book that 
contains pornographic material or espouses radical gender 
ideology. 
SEC. 662. PROHIBITION ON SALE OF CHINESE GOODS IN 
COMMISSARY STORES AND MILITARY EX-
CHANGES. 
The Secretary of Defense shall prohibit the sale, at 
a commissary store or military exchange, of goods— 
(1) manufactured in China; 
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(2) assembled in China; or 
(3) imported into the United States from 
China. 
TITLE VII—HEALTH CARE 
PROVISIONS 
Subtitle A—TRICARE and Other 
Health Benefits 
SEC. 701. TRICARE DENTAL PLAN FOR THE SELECTED RE-
SERVE. 
Section 1076a of title 10, United States Code, is 
amended— 
(1) in subsection (a)— 
(A) in paragraph (1)— 
(i) in the header, by striking ‘‘selected 
reserve and’’; and 
(ii) by striking ‘‘for members of the 
Selected Reserve of the Ready Reserve 
and’’; 
(B) in paragraph (2), in the header, by in-
serting ‘‘Individual Ready’’ after ‘‘other’’; and 
(C) by adding at the end the following new 
paragraph: 
‘‘(5) PLAN FOR SELECTED RESERVE.—A dental 
benefits plan for members of the Selected Reserve of 
the Ready Reserve.’’; 
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SEC. 702. EXTENSION OF PERIOD OF ELIGIBILITY FOR 
HEALTH 
BENEFITS 
UNDER 
TRICARE 
RE-
SERVE SELECT FOR SURVIVORS OF A MEM-
BER OF THE SELECTED RESERVE. 
Section 1076d(c) of the title 10, United States Code 
is amended by striking ‘‘six months’’ and inserting ‘‘three 
years’’. 
SEC. 703. CLARIFICATION OF APPLICABILITY OF REQUIRED 
MENTAL HEALTH SELF-INITIATED REFERRAL 
PROCESS FOR MEMBERS OF THE SELECTED 
RESERVE. 
Section 1090b(e) of title 10, United States Code, is 
amended— 
(1) in paragraph (1), in the matter preceding 
subparagraph (A), by inserting ‘‘described in para-
graph (3)’’ after ‘‘member of the armed forces’’; and 
(2) by adding at the end the following new 
paragraph: 
‘‘(3) A member of the armed forces described in 
this paragraph is a member on active duty for a pe-
riod of longer than 30 days or a member of the Se-
lected Reserve.’’. 
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SEC. 704. NON-MEDICAL COUNSELING SERVICES FOR MILI-
TARY FAMILIES. 
Section 1781 of title 10, United States Code, is 
amended by adding at the end the following new sub-
section: 
‘‘(d) NON-MEDICAL COUNSELING SERVICES.—(1) In 
carrying out its duties under subsection (b), the Office 
may coordinate programs and activities for the provision 
of non-medical counseling services to military families 
through the Department of Defense Military and Family 
Counseling Program. 
‘‘(2) Notwithstanding any other provision of law, a 
mental health professional described in paragraph (3) may 
provide non-medical counseling services at any location in 
a State, the District of Columbia, or a territory or posses-
sion of the United States, without regard to where the 
provider or recipient of such services is located, if the pro-
vision of such services is within the scope of the authorized 
Federal duties of the provider. 
‘‘(3) A mental health professional described in this 
subsection is a person who is— 
‘‘(A) a mental health professional who holds a 
current license or certification that is— 
‘‘(i) issued by a State, the District of Co-
lumbia, or a territory or possession of the 
United States; and 
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‘‘(ii) recognized by the Secretary of De-
fense; 
‘‘(B) a member of the uniformed services, a ci-
vilian employee of the Department of Defense, or a 
contractor designated by the Secretary; and 
‘‘(C) performing authorized duties for the De-
partment of Defense under a program or activity re-
ferred to in paragraph (1). 
‘‘(4) In this subsection, the term ‘non-medical coun-
seling services’ means mental health care services that are 
non-clinical, short-term and solution focused, and address 
topics related to personal growth, development, and posi-
tive functioning.’’. 
SEC. 705. DOULAS AND INTERNATIONAL BOARD CERTIFIED 
LACTATION CONSULTANTS (IBCLCS): CER-
TIFICATION 
ASSISTANCE 
FOR 
MILITARY 
SPOUSES; EXPANSION OF DEMONSTRATION 
PROJECT. 
(a) ASSISTANCE FOR MILITARY SPOUSES TO OBTAIN 
DOULA AND IBCLC CERTIFICATIONS.—Section 1784a of 
title 10, United States Code, is amended— 
(1) by redesignating subsections (d) and (e) as 
subsections (e) and (f), respectively; and 
(2) by inserting after subsection (c) the fol-
lowing new subsection (d): 
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‘‘(d) DOULA AND IBCLC CERTIFICATIONS.—In car-
rying out the programs authorized by subsection (a), the 
Secretary shall provide assistance to the spouse of a mem-
ber of the armed forces described in subsection (b) in ob-
taining a doula and IBCLC certification provided by an 
organization that receives reimbursement under the 
extramedical maternal health providers demonstration 
project required by section 746 of the William M. (Mac) 
Thornberry National Defense Authorization Act for Fiscal 
Year 2021 (Public Law 116–283; 10 U.S.C. 1073 note).’’. 
(b) EXPANSION OF DOULA AND LACTATION CARE 
FURNISHED BY DEPARTMENT OF DEFENSE.— 
(1) EXPANSION OF EXTRAMEDICAL MATERNAL 
HEALTH
PROVIDERS
DEMONSTRATION
PROJECT.— 
Section 746 of the William M. (Mac) Thornberry 
National Defense Authorization Act for Fiscal Year 
2021 (Public Law 116–283; 10 U.S.C. 1073 note) 
is amended— 
(A) 
by 
redesignating 
subsections 
(e) 
through (h) as subsections (f) through (i), re-
spectively; and 
(B) by inserting after subsection (d) the 
following new subsection (e): 
‘‘(e) COVERAGE OF DOULA AND LACTATION CARE.— 
Not later than 90 days after the date of the enactment 
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of the National Defense Authorization Act for Fiscal Year 
2024, the Secretary shall ensure that the demonstration 
project includes coverage of labor doula care and lactation 
care, or reimbursement for such care, for all beneficiaries 
under the TRICARE program, including access— 
‘‘(1) by members of the Armed Forces on active 
duty; 
‘‘(2) by beneficiaries outside the continental 
United States; and 
‘‘(3) at military medical treatment facilities.’’. 
(2) HIRING OF DOULAS AND IBCLCS.—The hir-
ing authority for each military medical treatment fa-
cility may hire a team of doulas and IBCLCs to 
work in coordination with lactation support per-
sonnel or labor and delivery units at such facility. 
SEC. 706. MEDICAL TESTING AND RELATED SERVICES FOR 
FIREFIGHTERS 
OF 
DEPARTMENT 
OF 
DE-
FENSE. 
(a) PROVISION OF SERVICES.—During the annual 
periodic health assessment of each firefighter of the De-
partment of Defense, or at such other intervals as may 
be specified in this subsection, the Secretary shall provide 
to the firefighter (at no cost to the firefighter) appropriate 
medical testing and related services to detect, document 
the presence or absence of, and prevent, certain cancers. 
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Such services shall meet, at a minimum, the following cri-
teria: 
(1) BREAST
CANCER.—With respect to the 
breast cancer screening, if the firefighter is a female 
firefighter— 
(A) such services shall include the provi-
sion of a mammogram to the firefighter— 
(i) on at least a biannual basis if the 
firefighter is 40 years old to 49 years old 
(inclusive); 
(ii) on at least an annual basis if the 
firefighter is at least 50 years old; and 
(iii) as clinically indicated (without re-
gard to age); and 
(B) in connection with such provision, a li-
censed radiologist shall review the most recent 
mammogram provided to the firefighter, as 
compared to prior mammograms so provided, 
and provide to the firefighter the results of such 
review. 
(2) COLON
CANCER.—With respect to colon 
cancer screening— 
(A) if the firefighter is at least 40 years 
old, and as otherwise clinically indicated, such 
services shall include the communication to the 
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(C) as clinically indicated (without regard 
to age). 
(4) OTHER CANCERS.—Such services shall in-
clude routine screenings for any other cancer the 
risk or occurrence of which the Director of the Cen-
ters for Disease Control and Prevention has identi-
fied as higher among firefighters than among the 
general public, the provision of which shall be car-
ried out during the annual periodic health assess-
ment of the firefighter. 
(b) OPTIONAL NATURE.—A firefighter of the Depart-
ment of Defense may opt out of the receipt of a medical 
testing or related service provided under subsection (a). 
(c) USE OF CONSENSUS TECHNICAL STANDARDS.— 
In providing medical testing and related services under 
subsection (a), the Secretary shall use consensus technical 
standards in accordance with section 12(d) of the National 
Technology Transfer and Advancement Act of 1995 (15 
U.S.C. 272 note). 
(d) DOCUMENTATION.— 
(1) IN GENERAL.—In providing medical testing 
and related services under subsection (a), the Sec-
retary— 
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(A) shall document the acceptance rates of 
such tests offered and the rates of such tests 
performed; 
(B) shall document tests results, to iden-
tify trends in the rates of cancer occurrences 
among firefighters; and 
(C) may collect and maintain additional in-
formation from the recipients of such tests and 
other services, to allow for appropriate scientific 
analysis. 
(2) PRIVACY.—In analyzing any information of 
an individual documented, collected, or maintained 
under paragraph (1), in addition to complying with 
other applicable privacy laws, the Secretary shall en-
sure the name, and any other personally identifiable 
information, of the individual is removed from such 
information prior to the analysis. 
(3) SHARING
WITH
CENTERS
FOR
DISEASE 
CONTROL
AND
PREVENTION.—The Secretary may 
share data from any tests performed under sub-
section (a) with the Director of the Centers for Dis-
ease Control and Prevention, as appropriate, to in-
crease the knowledge and understanding of cancer 
occurrences among firefighters. 
(e) DEFINITIONS.—In this section: 
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(1) The term ‘‘firefighter’’ has the meaning 
given that term in section 707 of the National De-
fense Authorization Act for Fiscal Year 2020 (Pub-
lic Law 116–92; 133 Stat. 1441; 10 U.S.C. 1074m 
note). 
(2) The term ‘‘high-risk individual’’ means an 
individual who— 
(A) has at least one first-degree relative 
who has been diagnosed with prostate cancer at 
an early age; or 
(B) is otherwise determined by the Sec-
retary to be high risk with respect to prostate 
cancer. 
SEC. 707. TEMPORARY REQUIREMENT FOR CONTRACEP-
TION 
COVERAGE 
PARITY 
UNDER 
THE 
TRICARE PROGRAM. 
(a) IN GENERAL.—The Secretary of Defense shall 
ensure that, during the one-year period beginning on the 
date that is 30 days after the date of the enactment of 
the Act, the imposition or collection of cost-sharing for 
certain services is prohibited as follows: 
(1) PHARMACY BENEFITS PROGRAM.—Notwith-
standing subparagraphs (A), (B), and (C), of section 
1074g(a)(6) of title 10, United States Code, cost- 
sharing may not be imposed or collected with respect 
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to any eligible covered beneficiary for any prescrip-
tion contraceptive on the uniform formulary pro-
vided through a retail pharmacy described in section 
1074g(a)(2)(E)(ii) of such title or through the na-
tional 
mail-order 
pharmacy 
program 
of 
the 
TRICARE Program. 
(2) TRICARE SELECT.—Notwithstanding any 
provision under section 1075 of title 10, United 
States Code, cost-sharing may not be imposed or 
collected for a covered service that is provided by a 
network provider under the TRICARE program to 
any beneficiary under such section except for— 
(A) a member of the Coast Guard; or 
(B) an individual who is a beneficiary be-
cause such individual is a dependent of a mem-
ber of the Coast Guard. 
(3) TRICARE PRIME.—Notwithstanding sub-
sections (a), (b), and (c) of section 1075a of title 10, 
United States Code, cost-sharing may not be im-
posed or collected for a covered service that is pro-
vided under TRICARE Prime to any beneficiary 
under such section except for— 
(A) a member of the Coast Guard; or 
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(B) an individual who is a beneficiary be-
cause such individual is a dependent of a mem-
ber of the Coast Guard. 
(b) DEFINITIONS.—In this section: 
(1) The term ‘‘covered service’’ means any 
method of contraception approved, granted, or 
cleared by the Food and Drug Administration, any 
contraceptive care (including with respect to inser-
tion, removal, and follow up), any sterilization proce-
dure, or any patient education or counseling service 
provided in connection with any such method, care, 
or procedure. 
(2) The term ‘‘eligible covered beneficiary’’ 
means an eligible covered beneficiary as such term 
is used in section 1074g of title 10, United States 
Code except for— 
(A) a member of the Coast Guard, Na-
tional Oceanic and Atmospheric Administration, 
or Public Health Service; or 
(B) an individual who is an eligible covered 
beneficiary because such individual is a depend-
ent of a member described in subparagraph (A). 
(3) The terms ‘‘TRICARE Program’’ and 
‘‘TRICARE Prime’’ have the meaning given such 
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terms in section 1072 of title 10, United States 
Code. 
SEC. 708. NALOXONE AND FENTANYL: REGULATIONS; RE-
PORT. 
(a) REGULATIONS.—Not later than January 1, 2024, 
the Secretary of Defense, in coordination with the Secre-
taries of the military departments shall prescribe regula-
tions regarding naloxone and fentanyl on military installa-
tions. Such regulations shall— 
(1) ensure that naloxone is available for mem-
bers of the Armed Forces— 
(A) on all military installations; and 
(B) in each operational environment; and 
(2) establish a standardized tracking system— 
(A) for naloxone distributed under para-
graph (1); and 
(B) of the illegal use of fentanyl and other 
controlled substances in the military depart-
ments. 
(b) REPORT.—Not later than June 1, 2024, the Sec-
retary of Defense shall submit to the Committees on 
Armed Services of the Senate and House of Representa-
tives a report regarding naloxone and fentanyl. Such re-
port shall include the following elements: 
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(1) Progress in the implementation of regula-
tions prescribed under subsection (a). 
(2) The prevalence and incidence of the illegal 
use of fentanyl and other controlled substances in 
the military departments during the five years pre-
ceding the report. 
(3) Processes of the military departments to 
mitigate substance abuse, particularly with regards 
to fentanyl. 
(c) NALOXONE DEFINED.—In this section, the term 
‘‘naloxone’’ means naloxone and any other medication 
used to reverse opioid overdose. 
SEC. 709. RATES OF REIMBURSEMENT FOR PROVIDERS OF 
APPLIED BEHAVIOR ANALYSIS. 
(a) IN GENERAL.—In furnishing applied behavior 
analysis under the TRICARE program to individuals de-
scribed in paragraph (2) during the period beginning on 
the date of the enactment of this Act and ending on De-
cember 31, 2024, the Secretary of Defense shall ensure 
that the reimbursement rates for providers of applied be-
havior analysis are not less than the rates that were in 
effect on May 1, 2023. 
(b) INDIVIDUALS DESCRIBED.—Individuals described 
in this paragraph are individuals who are covered bene-
ficiaries by reason of being a member or former member 
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of the Army, Navy, Marine Corps, Air Force, or Space 
Force, including the reserve components thereof, or a de-
pendent of such a member or former member. 
(c) DEFINITIONS.—In this section, the terms ‘‘cov-
ered beneficiary’’ and ‘‘TRICARE program’’ have the 
meaning given those terms in section 1072 of title 10, 
United States Code. 
SEC. 710. DEPARTMENT OF DEFENSE PILOT PROGRAM ON 
HEALTH EFFECTS OF MEDICAL MARIJUANA 
USE BY VETERANS. 
(a) PILOT PROGRAM.—Not later than 90 days after 
the date of the enactment of this Act, subject to the avail-
ability in advance of appropriations, the Secretary of De-
fense, in consultation with the Secretary of Veterans Af-
fairs, shall commence the conduct of a pilot program to 
study the effect of marijuana use by covered individuals 
with respect to the health outcomes of such individuals 
(in this section referred to as the ‘‘pilot program’’). 
(b) ACTIVITIES.—Under the pilot program, the Sec-
retary of Defense, in consultation with the Secretary of 
Veterans Affairs, shall carry out the following activities: 
(1) Conducting preclinical research or a clinical 
investigation pursuant to an investigational new 
drug exemption under section 505(i) of the Federal 
Food, Drug, and Cosmetic Act (21 U.S.C. 355(i)), 
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in accordance with a research protocol that has been 
reviewed and approved under such section with re-
spect to such research or investigation. 
(2) Assessing and, subject to the Health Insur-
ance Portability and Accountability Act of 1996 
(Public Law 104–191) and other applicable laws re-
garding privacy, compiling and publishing relevant 
data collected by State-approved marijuana regu-
latory programs and made available to the Secretary 
of Defense. 
(3) Such other activities as the Secretary of De-
fense may determine appropriate for purposes of the 
pilot program. 
(c) LOCATION; RELATIONSHIP TO CERTAIN LAWS.— 
(1) 
LOCATION; 
RELATIONSHIP
TO
STATE 
LAW.—The pilot program shall be conducted in one 
or more States with a State-approved marijuana reg-
ulatory program, and shall be conducted in accord-
ance with applicable State law with respect to the 
manufacture, distribution, dispensing, or possession 
of marijuana, to the extent such activity occurs as 
part of such pilot program. 
(2) RELATIONSHIP
TO
CONTROLLED
SUB-
STANCES ACT.—The Controlled Substances Act (21 
U.S.C. 801 et seq.) and Article 112a of the Uniform 
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HR 2670 RDS
Code of Military Justice (10 U.S.C. 912a) shall not 
apply with respect to the manufacture, distribution, 
dispensing, or possession of marijuana under the 
pilot program as part of preclinical research or a 
clinical investigation conducted under subsection 
(b)(1), to the extent such activity occurs as part of 
the pilot program and in compliance with Medical 
Marijuana and Cannabidiol Research Expansion Act 
(Public Law 117–215). 
(3) EFFECT ON OTHER LAWS.—Nothing in this 
subtitle shall affect or modify— 
(A) the Federal Food, Drug, and Cosmetic 
Act (21 U.S.C. 301 et seq.); 
(B) section 351 of the Public Health Serv-
ice Act (42 U.S.C. 262); 
(C) 
the 
Medical 
Marijuana 
and 
Cannabidiol Research Expansion Act (Public 
Law 117–215); or 
(D) any authority of the Commissioner of 
Food and Drugs or the Secretary of Health and 
Human Services under a provision of law speci-
fied in subparagraphs (A) through (C) (includ-
ing the authority of the Commissioner or Sec-
retary to promulgate regulations or guidelines 
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HR 2670 RDS
relating to the production of hemp under such 
a provision). 
(d) EFFECT ON OTHER BENEFITS.—The eligibility 
or entitlement of a covered individual to any other benefit 
under the laws administered by the Secretary of Veterans 
Affairs or any other provision of law shall not be affected 
by the participation of the covered individual in the pilot 
program. 
(e) REPORT.—Not later than one year after the date 
on which the pilot program commences, and annually 
thereafter for the duration of the pilot program, the Sec-
retary of Defense shall submit to the appropriate congres-
sional committees a report on the conduct of the pilot pro-
gram. 
(f) TERMINATION; RENEWAL.— 
(1) TERMINATION.—Except as provided in 
paragraph (2), the pilot program shall terminate on 
the date that is five years after the date on which 
the pilot program commences. 
(2) RENEWAL.—If the Secretary of Defense de-
termines it appropriate, the Secretary may renew 
the pilot program for a single additional five-year 
period following the date of termination under para-
graph (1). 
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(ix) of the members identified in 
clause (vii), the number of members who 
engaged in such medical treatment; and 
(x) the number of members who suf-
fered a fatal overdose in which a bystander 
was present. 
(C) The total number of such members 
who suffered a non-fatal overdose during the 
previous calendar year, including— 
(i) demographic information, including 
gender, race, age, military department, 
rank, grade, station, and number of pre-
vious deployments; 
(ii) a list of the substances involved in 
the non-fatal overdose; and 
(iii) a determination of whether the 
non-fatal overdose was intentional. 
(D) Of the members identified in subpara-
graph (C)— 
(i) the number of members who pre-
viously had a non-fatal overdose; 
(ii) the number of members who re-
ceived mental health or substance use dis-
order services prior to a non-fatal overdose; 
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