H. R. 1815—222
SEC. 738. REPORT ON RESERVE DENTAL INSURANCE PROGRAM. 
(a) STUDY.—The Secretary of Defense shall conduct a study 
of the Reserve dental insurance program. 
(b) ELEMENTS.—The study required by subsection (a) shall—
(1) identify the most effective mechanism or mechanisms 
for the payment of premiums under the Reserve dental insur-
ance program for members of the reserve components of the 
Armed Forces and their dependents, including by deduction 
from reserve pay, by direct collection, or by other means 
(including appropriate mechanisms from other military benefits 
programs), to ensure uninterrupted availability of premium 
payments regardless of whether members are performing active 
duty with pay or inactive-duty training with pay; 
(2) include such matters relating to the Reserve dental 
insurance program as the Secretary considers appropriate; and 
(3) assess the effectiveness of mechanisms for informing 
the members of the reserve components of the Armed Forces 
of the availability of, and benefits under, the Reserve dental 
insurance program. 
(c) REPORT.—Not later than February 1, 2007, the Secretary 
shall submit to the congressional defense committees a report on 
the study required by subsection (a). The report shall include the 
findings of the study and such recommendations for legislative 
or administrative action regarding the Reserve dental insurance 
program as the Secretary considers appropriate in light of the 
study. 
(d) RESERVE DENTAL INSURANCE PROGRAM DEFINED.—In this 
section, the term ‘‘Reserve dental insurance program’’ includes—
(1) the dental insurance plan required under paragraph 
(1) of section 1076a(a) of title 10, United States Code; and 
(2) any dental insurance plan established under paragraph 
(2) or (4) of section 1076a(a) of title 10, United States Code. 
SEC. 739. DEMONSTRATION PROJECT STUDY ON MEDICARE ADVAN-
TAGE REGIONAL PREFERRED PROVIDER ORGANIZATION 
OPTION FOR TRICARE-MEDICARE DUAL-ELIGIBLE BENE-
FICIARIES. 
(a) STUDY ON DEMONSTRATION PROJECT.—
(1) REQUIREMENT.—The Secretary of Defense shall conduct 
a study to evaluate the feasibility and cost effectiveness of 
conducting a demonstration project under section 1092 of title 
10, United States Code, to implement the provisions of section 
1097(d) of such title. The purpose of such a demonstration 
project would be to evaluate whether applying the managed 
care methods under the Medicare Advantage program under 
part C of title XVIII of the Social Security Act would improve 
the quality of care, realize cost savings to the Department 
of Defense, and improve beneficiary satisfaction for Department 
of Defense beneficiaries who also are entitled to health care 
under medicare. 
(2) ELEMENTS OF STUDY.—The study required by paragraph 
(1) shall include an analysis of the following: 
(A) The impact of the Medicare Advantage Regional 
Preferred Provider Organization model on medical utiliza-
tion, pharmacy usage, and Department of Defense health 
care costs. 
(B) The full costs of the demonstration project.
H. R. 1815—223
(C) The implementation and use of quality improve-
ment and chronic care improvement programs for Depart-
ment of Defense beneficiaries. 
(D) Beneficiary satisfaction. 
(E) The near term and long term effect on all existing 
Department of Defense contracts for health care support, 
including TRICARE managed care contracts, claims proc-
essing contracts, and pharmacy contracts. 
(F) A comparison of the costs and benefits of using 
existing Department of Defense contractors or new Depart-
ment of Defense contractors who are qualified as the vehicle 
for conducting the demonstration. 
(b) PLAN.—
(1) REQUIREMENT.—If the Secretary of Defense determines 
under subsection (a) that the demonstration project is feasible, 
cost effective, and in the best interests of the Department 
of Defense and eligible beneficiaries, the Secretary, in coordina-
tion with other administering Secretaries, shall develop a plan 
to carry out the demonstration project. 
(2) ELEMENTS OF PLAN.—
(A) HEALTH CARE BENEFITS.—In the plan, the Secretary 
of Defense shall prescribe the minimum health care bene-
fits to be provided under the plan to eligible beneficiaries 
enrolled in the plan. Those benefits shall include at least 
all health care services covered under part A and part 
B of medicare and TRICARE for Life. 
(B) DEMONSTRATION SERVICE AREA.—In the plan, the 
Secretary shall provide for conducting the demonstration 
in at least two demonstration service areas. 
(C) ELIGIBILITY.—In the plan, the Secretary shall pro-
vide that any eligible beneficiary who meets the eligibility 
requirements for participation in the Medicare Advantage 
Regional Preferred Provider Organization plan who resides 
in the demonstration service area is eligible to enroll in 
the demonstration on a voluntary basis. 
(D) DURATION.—In the plan, the Secretary shall pro-
vide for conducting the demonstration for a period of time 
consistent with decisions made by the Department of 
Defense to exercise remaining option periods on the man-
aged care support contract covering the area where the 
demonstration occurs. 
(E) EVALUATION OF THE DEMONSTRATION PROJECT.—
The plan shall include a plan to evaluate the costs and 
benefits of all elements of the demonstration project, 
including the elements described in subsection (a)(2) and, 
in addition, the financial mechanisms used in carrying 
out the demonstration project. 
(c) DEFINITIONS.—In this section: 
(1) ELIGIBLE BENEFICIARY.—The term ‘‘eligible beneficiary’’ 
means a person who is eligible for both TRICARE and medicare 
under section 1086(d)(2) of title 10, United States Code. 
(2) MEDICARE.—The term ‘‘medicare’’ means title XVIII 
of the Social Security Act (42 U.S.C. 1395 et seq.). 
(3) ADMINISTERING SECRETARIES.—The term ‘‘administering 
Secretaries’’ has the meaning provided by section 1072(3) of 
title 10, United States Code.
H. R. 1815—224
(d) REPORT.—Not later than April 1, 2006, the Secretary of 
Defense shall submit to the Committees on Armed Services of 
the Senate and House of Representatives a report on the study 
required under subsection (a), along with the plan under subsection 
(b) if applicable. 
SEC. 740. PILOT PROJECTS ON PEDIATRIC EARLY LITERACY AMONG 
CHILDREN OF MEMBERS OF THE ARMED FORCES. 
(a) PILOT PROJECTS AUTHORIZED.—The Secretary of Defense 
may conduct pilot projects to assess the feasibility, advisability, 
and utility of encouraging pediatric early literacy among the chil-
dren of members of the Armed Forces. 
(b) LOCATIONS.—
(1) IN GENERAL.—The pilot projects conducted under sub-
section (a) shall be conducted at not more than 20 military 
medical treatment facilities designated by the Secretary for 
purposes of this section. 
(2) CO-LOCATION WITH CERTAIN INSTALLATIONS.—In desig-
nating military medical treatment facilities under paragraph 
(1), the Secretary shall, to the extent practicable, designate 
facilities that are located on, or co-located with, military 
installations at which the mobilization or demobilization of 
members of the Armed Forces occurs. 
(c) ACTIVITIES.—Activities under the pilot projects conducted 
under subsection (a) shall the following: 
(1) The provision of training to health care providers and 
other appropriate personnel on early literacy promotion. 
(2) The purchase and distribution of children’s books to 
members of the Armed Forces, their spouses, and their children. 
(3) The modification of treatment facility and clinic waiting 
rooms to include a full selection of literature for children. 
(4) The dissemination to members of the Armed Forces 
and their spouses of parent education materials on pediatric 
early literacy. 
(5) Such other activities as the Secretary considers appro-
priate. 
(d) REPORT.—
(1) IN GENERAL.—Not later than March 1, 2007, the Sec-
retary shall submit to the Committee on Armed Services of 
the Senate and the Committee on Armed Services of the House 
of Representatives a report on the pilot projects conducted 
under this section. 
(2) ELEMENTS.—The report under paragraph (1) shall 
include—
(A) a description of the pilot projects conducted under 
this section, including the location of each pilot project 
and the activities conducted under each pilot project; and 
(B) an assessment of the feasibility, advisability, and 
utility of encouraging pediatric early literacy among the 
children of members of the Armed Forces.
H. R. 1815—225
Subtitle E—Other Matters 
SEC. 741. AUTHORITY TO RELOCATE PATIENT SAFETY CENTER; 
RENAMING MEDTEAMS PROGRAM. 
(a) REPEAL OF REQUIREMENT TO LOCATE THE DEPARTMENT OF 
DEFENSE PATIENT SAFETY CENTER WITHIN
THE ARMED FORCES 
INSTITUTE OF PATHOLOGY.—Subsection (c)(3) of section 754 of the 
Floyd D. Spence National Defense Authorization Act for Fiscal 
Year 2001 (as enacted by Public Law 106–398; 114 Stat. 1654–
196) is amended by striking ‘‘within the Armed Forces Institute 
of Pathology’’. 
(b) RENAMING MEDTEAMS PROGRAM.—Subsection (d) of such 
section is amended by striking ‘‘MedTeams’’ in the heading and 
inserting ‘‘Medical Team Training’’. 
SEC. 742. MODIFICATION OF HEALTH CARE QUALITY INFORMATION 
AND 
TECHNOLOGY 
ENHANCEMENT 
REPORTING 
REQUIREMENT. 
Section 723(e) of the National Defense Authorization Act for 
Fiscal Year 2000 (Public Law 106–65; 113 Stat. 697) is amended 
by striking paragraphs (1) through (4) and inserting the following: 
‘‘(1) Measures of the quality of health care furnished, 
including timeliness and accessibility of care. 
‘‘(2) Population health. 
‘‘(3) Patient safety. 
‘‘(4) Patient satisfaction. 
‘‘(5) The extent of use of evidence-based health care prac-
tices. 
‘‘(6) The effectiveness of biosurveillance in detecting an 
emerging epidemic.’’. 
SEC. 743. CORRECTION TO ELIGIBILITY OF CERTAIN RESERVE OFFI-
CERS FOR MILITARY HEALTH CARE PENDING ACTIVE 
DUTY FOLLOWING COMMISSIONING. 
(a) CORRECTION.—Clause (iii) of section 1074(a)(2)(B) of title 
10, United States Code, is amended by inserting before the semi-
colon the following: ‘‘or the orders have been issued but the member 
has not entered active duty’’. 
(b) EFFECTIVE DATE.—The amendment made by subsection (a) 
shall take effect as of November 24, 2003, and as if included 
in the enactment of paragraph (2) of section 1074(a) of title 10, 
United States Code, by section 708 of the National Defense 
Authorization Act for Fiscal Year 2004 (Public Law 108–136; 117 
Stat. 1530). 
SEC. 744. PROHIBITION ON CONVERSIONS OF MILITARY MEDICAL AND 
DENTAL POSITIONS TO CIVILIAN MEDICAL POSITIONS 
UNTIL SUBMISSION OF CERTIFICATION. 
(a) PROHIBITION ON CONVERSIONS.—
(1) SUBMISSION OF CERTIFICATION.—A Secretary of a mili-
tary department may not convert any military medical or dental 
position to a civilian medical or dental position until the Sec-
retary submits to the Committees on Armed Services of the 
Senate and the House of Representatives a certification that 
the conversions within that department will not increase cost 
or decrease quality of care or access to care. Such a certification 
may not be submitted before June 1, 2006.
H. R. 1815—226
(2) REPORT WITH CERTIFICATION.—A Secretary submitting 
such a certification shall include with the certification a written 
report that includes—
(A) the methodology used by the Secretary in making 
the determinations necessary for the certification, including 
the extent to which the Secretary took into consideration 
the findings of the Comptroller General in the report under 
subsection (b)(3); 
(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 the 
civilian medical and dental care providers available in such 
area are adequate to fill the civilian positions created by 
the conversion of military medical and dental positions 
to civilian positions in such area; and 
(C) any action taken by the Secretary in response 
to recommendations in the Comptroller General report 
under subsection (b)(3). 
(b) REQUIREMENT FOR STUDY.—
(1) IN GENERAL.—The Comptroller General shall conduct 
a study on the effect of conversions of military medical and 
dental positions to civilian medical or dental positions on the 
defense health program. 
(2) MATTERS COVERED.—The study shall include the fol-
lowing: 
(A) The number of military medical and dental posi-
tions, by grade and specialty, planned for conversion to 
civilian medical or dental positions. 
(B) The number of military medical and dental posi-
tions, by grade and specialty, converted to civilian medical 
or dental positions since October 1, 2004. 
(C) The ability of the military health care system to 
fill the civilian medical and dental positions required, by 
specialty. 
(D) The degree to which access to health care is affected 
in both the direct and purchased care system, including 
an assessment of the effects 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 lack of direct care 
providers. 
(E) The degree to which changes in military manpower 
requirements affect recruiting and retention of uniformed 
medical and dental personnel. 
(F) The degree to which conversion of the military 
positions meets the joint medical and dental readiness 
requirements of the uniformed services, as determined 
jointly by all the uniformed services. 
(G) The effect of the conversions of military medical 
positions to civilian medical and dental positions on the 
defense health program, including costs associated with 
the conversions, with a comparison of the estimated costs 
versus the actual costs incurred by the number of conver-
sions since October 1, 2004. 
(H) The effectiveness of the conversions in enhancing 
medical and dental readiness, health care efficiency, 
productivity, quality, and customer satisfaction.
H. R. 1815—227
(3) REPORT ON STUDY.—Not later than May 1, 2006, the 
Comptroller General shall submit to the Committees on Armed 
Services of the Senate and House of Representatives a report 
containing the results of the study under this section. 
(c) 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 ‘‘affected area’’ means an area in which mili-
tary medical or dental positions were converted to civilian 
medical or dental positions before October 1, 2004, or in which 
such conversions are scheduled to occur in the future. 
(4) The term ‘‘uniformed services’’ has the meaning given 
that term in section 1072(1) of title 10, United States Code. 
SEC. 745. CLARIFICATION OF INCLUSION OF DENTAL CARE IN MED-
ICAL READINESS TRACKING AND HEALTH SURVEIL-
LANCE PROGRAM. 
(a) INCLUSION OF DENTAL CARE.—Subtitle D of title VII of 
the Ronald W. Reagan National Defense Authorization Act for 
Fiscal Year 2005 (Public Law 108–375; 10 U.S.C. 1074 note) is 
amended by adding at the end the following new section: 
‘‘SEC. 740. INCLUSION OF DENTAL CARE. 
‘‘For purposes of the plan, this subtitle, and the amendments 
made by this subtitle, references to medical readiness, health status, 
and health care shall be considered to include dental readiness, 
dental status, and dental care.’’. 
(b) CLERICAL AMENDMENT.—The table of sections at the begin-
ning of title VII of such Act and in section 2(b) of such Act are 
each amended by inserting after the item relating to section 739 
the following:
‘‘Sec. 740. Inclusion of dental care.’’.
SEC. 746. COOPERATIVE OUTREACH TO MEMBERS AND FORMER MEM-
BERS OF THE NAVAL SERVICE EXPOSED TO ENVIRON-
MENTAL FACTORS RELATED TO SARCOIDOSIS. 
(a) OUTREACH PROGRAM REQUIRED.—The Secretary of the Navy, 
in coordination with the Secretary of Veterans Affairs, shall conduct 
an outreach program intended to contact as many members and 
former members of the naval service as possible who, in connection 
with service aboard Navy ships, may have been exposed to aero-
solized particles resulting from the removal of nonskid coating 
used on those ships. 
(b) PURPOSES OF OUTREACH PROGRAM.—The purposes of the 
outreach program are as follows: 
(1) To develop additional data for use in subsequent studies 
aimed at determining a causative link between sarcoidosis and 
military service. 
(2) To inform members and former members identified 
in subsection (a) of the findings of Navy studies identifying 
an association between service aboard certain naval ships and 
sarcoidosis.
H. R. 1815—228
(3) To provide information to assist members and former 
members identified in subsection (a) in getting medical evalua-
tions to help clarify linkages between their disease and their 
service aboard Navy ships. 
(4) To provide the Department of Veterans Affairs with 
data and information for the effective evaluation of veterans 
who may seek care for sarcoidosis. 
(c) IMPLEMENTATION AND REPORT.—Not later than six months 
after the date of the enactment of this Act, the Secretary of the 
Navy shall begin the outreach program. Not later than one year 
after beginning the program, the Secretary shall provide to the 
Committees on Armed Services of the Senate and the House of 
Representatives and the Committees on Veterans Affairs of the 
Senate and House of Representatives a report on the results of 
the outreach program. 
SEC. 747. REPEAL OF REQUIREMENT FOR COMPTROLLER GENERAL 
REVIEWS OF CERTAIN DEPARTMENT OF DEFENSE-
DEPARTMENT OF VETERANS AFFAIRS PROJECTS ON 
SHARING OF HEALTH CARE RESOURCES. 
(a) JOINT INCENTIVES PROGRAM.—Section 8111(d) of title 38, 
United States Code, is amended—
(1) by striking paragraph (3); and 
(2) by redesignating paragraph (4) as paragraph (3). 
(b) HEALTH CARE RESOURCES SHARING
AND COORDINATION 
PROJECT.—Section 722 of the Bob Stump National Defense 
Authorization Act for Fiscal Year 2003 (Public Law 107–314; 116 
Stat. 2595; 38 U.S.C. 8111 note) is amended—
(1) by striking subsection (h); 
(2) by redesignating subsection (i) as subsection (h); and 
(3) in paragraph (2) of subsection (h), as so redesignated, 
by striking ‘‘based on recommendations’’ and all that follows 
and inserting ‘‘as determined by the Secretaries based on 
information available to the Secretaries to warrant such 
action.’’. 
SEC. 748. PANDEMIC AVIAN FLU PREPAREDNESS. 
(a) REPORT.—The Secretary of Defense shall submit to the 
Committees on Armed Services of the Senate and the House of 
Representatives a report on the efforts within the Department 
of Defense to prepare for pandemic influenza, including pandemic 
avian influenza. The Secretary shall address the following, with 
respect to military personnel, dependents of military personnel on 
military installations, and civilian personnel within the Department 
of Defense: 
(1) The procurement of vaccines, antivirals, and other medi-
cines, and medical supplies, including personal protective equip-
ment, particularly those that must be imported. 
(2) Protocols for the allocation and distribution of vaccines 
and medicines among high priority personnel. 
(3) Public health protection and containment measures that 
may be implemented on military bases and other facilities, 
including risk communication, quarantine, travel restrictions, 
and other isolation precautions. 
(4) Communication with Department of Defense-affiliated 
health providers about pandemic preparedness and response. 
(5) Surge capacity for the provision of medical care during 
pandemics.
H. R. 1815—229
(6) The availability and delivery of food and basic supplies 
and services. 
(7) Surveillance efforts domestically and internationally, 
including those using the Global Emerging Infections Systems 
(GEIS), and how such efforts are integrated with other ongoing 
surveillance systems. 
(8) The integration of pandemic and response planning 
in the Department of Defense with the planning of other Fed-
eral departments, including the Department of Health and 
Human Services, the Department of Homeland Security, the 
Department of Veterans Affairs, the Department of State, and 
USAID. 
(9) Collaboration (as appropriate) with international enti-
ties engaged in pandemic preparedness and response. 
(10) Acceleration of medical research and development 
related to pandemic influenza. 
(b) SUBMISSION OF REPORT.—The report required under sub-
section (a) shall be submitted not later than 120 days after the 
date of the enactment of this Act. 
SEC. 749. FOLLOW UP ASSISTANCE FOR MEMBERS OF THE ARMED 
FORCES AFTER PRESEPARATION PHYSICAL EXAMINA-
TIONS. 
Section 1145(a) of title 10, United States Code, is amended 
by adding at the end the following new paragraph: 
‘‘(5)(A) The Secretary of Defense shall, in consultation with 
the Secretary of Veterans Affairs, ensure that appropriate actions 
are taken to assist a member of the armed forces who, as a result 
of a medical examination under paragraph (4), receives an indica-
tion for a referral for follow up treatment from the health care 
provider who performs the examination. 
‘‘(B) Assistance provided to a member under paragraph (1) 
shall include the following: 
‘‘(i) Information regarding, and any appropriate referral 
for, the care, treatment, and other services that the Secretary 
of Veterans Affairs may provide to such member under any 
other provision of law, including—
‘‘(I) clinical services, including counseling and treat-
ment for post-traumatic stress disorder and other mental 
health conditions; and 
‘‘(II) any other care, treatment, and services. 
‘‘(ii) Information on the private sector sources of treatment 
that are available to the member in the member’s community. 
‘‘(iii) Assistance to enroll in the health care system of 
the Department of Veterans Affairs for health care benefits 
for which the member is eligible under laws administered by 
the Secretary of Veterans Affairs.’’. 
SEC. 750. POLICY ON ROLE OF MILITARY MEDICAL AND BEHAVIORAL 
SCIENCE 
PERSONNEL 
IN 
INTERROGATION 
OF 
DETAINEES. 
(a) POLICY REQUIRED.—The Secretary of Defense shall establish 
the policy of the Department of Defense on the role of military 
medical and behavioral science personnel in the interrogation of 
persons detained by the Armed Forces. The policy shall apply 
uniformly throughout the Armed Forces. 
(b) REPORT.—Not later than March 1, 2006, the Secretary shall 
submit to the congressional defense committees a report on the
H. R. 1815—230
policy established under subsection (a). The report shall set forth 
the policy, and shall include such additional matters on the policy 
as the Secretary considers appropriate. 
TITLE VIII—ACQUISITION POLICY, AC-
QUISITION MANAGEMENT, AND RE-
LATED MATTERS
SUBTITLE A—PROVISIONS RELATING TO MAJOR DEFENSE ACQUISITION 
PROGRAMS 
Sec. 801.
Requirement for certification before major defense acquisition program 
may proceed to Milestone B. 
Sec. 802.
Requirements applicable to major defense acquisition programs exceed-
ing baseline costs. 
Sec. 803.
Requirement for determination by Secretary of Defense and notification 
to Congress before procurement of major weapon systems as commercial 
items. 
Sec. 804.
Reports on significant increases in program acquisition unit costs or pro-
curement unit costs of major defense acquisition programs. 
Sec. 805.
Report on use of lead system integrators in the acquisition of major sys-
tems. 
Sec. 806.
Congressional notification of cancellation of major automated informa-
tion systems. 
SUBTITLE B—ACQUISITION POLICY AND MANAGEMENT 
Sec. 811.
Internal controls for procurements on behalf of the Department of De-
fense. 
Sec. 812. Management structure for the procurement of contract services. 
Sec. 813. Report on service surcharges for purchases made for military depart-
ments through other Department of Defense agencies. 
Sec. 814. Review of defense acquisition structures and capabilities. 
Sec. 815. Modification of requirements applicable to contracts authorized by law for 
certain military materiel. 
Sec. 816. Guidance on use of tiered evaluations of offers for contracts and task or-
ders under contracts. 
Sec. 817. Joint policy on contingency contracting. 
Sec. 818. Acquisition strategy for commercial satellite communication services. 
Sec. 819. Authorization of evaluation factor for defense contractors employing or 
subcontracting with members of the Selected Reserve of the reserve 
components of the Armed Forces. 
SUBTITLE C—AMENDMENTS TO GENERAL CONTRACTING AUTHORITIES, 
PROCEDURES, AND LIMITATIONS 
Sec. 821. Participation by Department of Defense in acquisition workforce training 
fund. 
Sec. 822. Increase in cost accounting standard threshold. 
Sec. 823. Modification of authority to carry out certain prototype projects. 
Sec. 824. Increased limit applicable to assistance provided under certain procure-
ment technical assistance programs. 
SUBTITLE D—UNITED STATES DEFENSE INDUSTRIAL BASE PROVISIONS 
Sec. 831. Clarification of exception from Buy American requirements for procure-
ment of perishable food for establishments outside the United States. 
Sec. 832. Training for defense acquisition workforce on the requirements of the 
Berry Amendment. 
Sec. 833. Amendments to domestic source requirements relating to clothing mate-
rials and components covered. 
SUBTITLE E—OTHER MATTERS 
Sec. 841. Review and report on Department of Defense efforts to identify contract 
fraud, waste, and abuse. 
Sec. 842. Extension of contract goal for small disadvantaged businesses and certain 
institutions of higher education. 
Sec. 843. Extension of deadline for report of advisory panel on laws and regulations 
on acquisition practices.