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Class, Wendell Hendersin, Aviation Radioman 1ST 
Class of the ‘‘George 1’’ explosion and crash; and 
(4) encourages the Department of Defense to 
review the facts, research and to pursue new efforts 
to undertake all feasible efforts to recover, identify, 
and return the well-preserved frozen bodies of the 
‘‘George 1’’ crew from Antarctica’s Thurston Island. 
SEC. 597. REPORT ON EFFECTS OF MULTIPLE DEPLOY-
MENTS. 
Not later than 180 days after the date of enactment 
of this Act, the Secretary of Defense shall submit to Con-
gress a report on the effects of multiple deployments on 
the well-being of military personnel and any recommended 
changes to health evaluations prior to redeployments. 
SEC. 598. ESTABLISHMENT OF CHAIN OF COMMAND FOR 
ARMY NATIONAL MILITARY CEMETERIES. 
(a) MILITARY CHAIN OF COMMAND REQUIRED.—The 
Secretary of the Army shall establish a chain of command 
for the Army National Military Cemeteries, to include a 
military commander of the Army National Military Ceme-
teries to replace the current civilian director upon the ter-
mination of the tenure of the director. 
(b) CONFORMING AMENDMENT.—Section 4724(a)(1) 
of title 10, United States Code, is amended by striking 
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‘‘who shall meet’’ and inserting ‘‘who is a commissioned 
officer and meets’’. 
SEC. 599. MILITARY SALUTE DURING RECITATION OF 
PLEDGE OF ALLEGIANCE BY MEMBERS OF 
THE ARMED FORCES NOT IN UNIFORM AND 
BY VETERANS. 
Section 4 of title 4, United States Code, is amended 
by adding at the end the following new sentence: ‘‘Mem-
bers of the Armed Forces not in uniform and veterans may 
render the military salute in the manner provided for per-
sons in uniform.’’. 
TITLE VI—COMPENSATION AND 
OTHER PERSONNEL BENEFITS 
Subtitle A—Pay and Allowances 
SEC. 601. FISCAL YEAR 2013 INCREASE IN MILITARY BASIC 
PAY. 
(a) WAIVER OF SECTION 1009 ADJUSTMENT.—The 
adjustment to become effective during fiscal year 2013 re-
quired by section 1009 of title 37, United States Code, 
in the rates of monthly basic pay authorized members of 
the uniformed services shall not be made. 
(b) INCREASE IN BASIC PAY.—Effective on January 
1, 2013, the rates of monthly basic pay for members of 
the uniformed services are increased by 1.7 percent. 
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SEC. 602. BASIC ALLOWANCE FOR HOUSING FOR TWO-MEM-
BER COUPLES WHEN ONE MEMBER IS ON SEA 
DUTY. 
(a) IN GENERAL.—Subparagraph (C) of section 
403(f)(2) of title 37, United States Code, is amended to 
read as follows: 
‘‘(C) Notwithstanding section 421 of this title, a 
member of a uniformed service in a pay grade below pay 
grade E–6 who is assigned to sea duty and is married 
to another member of a uniformed service is entitled to 
a basic allowance for housing subject to the limitations 
of subsection (e).’’. 
(b) EFFECTIVE DATE.—The amendment made by 
subsection (a) shall take effect on January 1, 2013. 
SEC. 603. NO REDUCTION IN BASIC ALLOWANCE FOR HOUS-
ING FOR ARMY NATIONAL GUARD AND AIR 
NATIONAL GUARD MEMBERS WHO TRANSI-
TION BETWEEN ACTIVE DUTY AND FULL- 
TIME NATIONAL GUARD DUTY WITHOUT A 
BREAK IN ACTIVE SERVICE. 
Section 403(g) of title 37, United States Code, is 
amended by adding at the end the following new para-
graph: 
‘‘(6)(A) The rate of basic allowance for housing to 
be paid to a member of the Army National Guard of the 
United States or the Air National Guard of the United 
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States shall not be reduced upon the transition of the 
member from active duty to full-time National Guard 
duty, or from full-time National Guard duty to active 
duty, when the transition occurs without a break in active 
service. 
‘‘(B) For the purposes of this paragraph, a break in 
active service occurs when one or more calendar days be-
tween active service periods do not qualify as active serv-
ice.’’. 
SEC. 604. MODIFICATION OF PROGRAM GUIDANCE RELAT-
ING TO THE AWARD OF POST-DEPLOYMENT/ 
MOBILIZATION RESPITE ABSENCE ADMINIS-
TRATIVE ABSENCE DAYS TO MEMBERS OF 
THE RESERVE COMPONENTS UNDER DOD IN-
STRUCTION 1327.06. 
Effective as of October 1, 2011, the changes made 
by the Secretary of Defense to the Program Guidance re-
lating to the award of Post-Deployment/Mobilization Res-
pite Absence administrative absence days to members of 
the reserve components under DOD Instruction 1327.06 
shall not apply to a member of a reserve component whose 
qualified mobilization (as described in such program guid-
ance) commenced before October 1, 2011, and continued 
on or after that date until the date the mobilization is 
terminated. 
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SEC. 605. PAYMENT OF BENEFIT FOR NONPARTICIPATION 
OF ELIGIBLE MEMBERS IN POST-DEPLOY-
MENT/MOBILIZATION 
RESPITE 
ABSENCE 
PROGRAM DUE TO GOVERNMENT ERROR. 
(a) PAYMENT OF BENEFIT.— 
(1) IN
GENERAL.—Subject to subsection (e), 
the Secretary concerned shall, upon application 
therefor, make a payment to each individual de-
scribed in paragraph (2) of $200 for each day of 
nonparticipation of such individual in the Post-De-
ployment/Mobilization Respite Absence program as 
described in that paragraph. 
(2) COVERED INDIVIDUALS.—An individual de-
scribed in this paragraph is an individual who— 
(A) was eligible for participation as a 
member of the Armed Forces in the Post-De-
ployment/Mobilization Respite Absence pro-
gram; but 
(B) as determined by the Secretary con-
cerned pursuant to an application for the cor-
rection of the military records of such indi-
vidual pursuant to section 1552 of title 10, 
United States Code, did not participate in one 
or more days in the program for which the indi-
vidual was so eligible due to Government error. 
(b) DECEASED INDIVIDUALS.— 
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(B) the authority in this section is not in-
tended to establish any entitlement in connec-
tion with the Post-Deployment/Mobilization 
Respite Absence program. 
(e) PAYMENTS SUBJECT TO AVAILABILITY OF AP-
PROPRIATIONS.—No cash payment may be made under 
subsection (a) unless the funds to be used to make the 
payments are available pursuant to an appropriations Act 
enacted after the date of enactment of this Act. 
(f) FUNDING OFFSET.—The Secretary of Defense 
shall transfer $2,000,000 from the unobligated balances 
of the Pentagon Reservation Maintenance Revolving Fund 
established under section 2674(e) of title 10, United 
States Code, to the Miscellaneous Receipts Fund of the 
United States Treasury. 
(g) DEFINITIONS.—In this section, the terms ‘‘Post- 
Deployment/Mobilization Respite Absence program’’ and 
‘‘Secretary concerned’’ have the meaning given such terms 
in section 604(f) of the National Defense Authorization 
Act for Fiscal Year 2010 (Public Law 111–84; 123 Stat. 
2350). 
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Subtitle B—Bonuses and Special 
and Incentive Pays 
SEC. 611. ONE-YEAR EXTENSION OF CERTAIN BONUS AND 
SPECIAL PAY AUTHORITIES FOR RESERVE 
FORCES. 
The following sections of title 37, United States 
Code, are amended by striking ‘‘December 31, 2012’’ and 
inserting ‘‘December 31, 2013’’: 
(1) Section 308b(g), relating to Selected Re-
serve reenlistment bonus. 
(2) Section 308c(i), relating to Selected Reserve 
affiliation or enlistment bonus. 
(3) Section 308d(c), relating to special pay for 
enlisted members assigned to certain high-priority 
units. 
(4) Section 308g(f)(2), relating to Ready Re-
serve enlistment bonus for persons without prior 
service. 
(5) Section 308h(e), relating to Ready Reserve 
enlistment and reenlistment bonus for persons with 
prior service. 
(6) Section 308i(f), relating to Selected Reserve 
enlistment and reenlistment bonus for persons with 
prior service. 
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(7) Section 408a(e), relating to reimbursement 
of travel expenses for inactive-duty training outside 
of normal commuting distance. 
(8) Section 910(g), relating to income replace-
ment payments for reserve component members ex-
periencing extended and frequent mobilization for 
active duty service. 
SEC. 612. ONE-YEAR EXTENSION OF CERTAIN BONUS AND 
SPECIAL PAY AUTHORITIES FOR HEALTH 
CARE PROFESSIONALS. 
(a) TITLE 10 AUTHORITIES.—The following sections 
of title 10, United States Code, are amended by striking 
‘‘December 31, 2012’’ and inserting ‘‘December 31, 
2013’’: 
(1) Section 2130a(a)(1), relating to nurse offi-
cer candidate accession program. 
(2) Section 16302(d), relating to repayment of 
education loans for certain health professionals who 
serve in the Selected Reserve. 
(b) TITLE 37 AUTHORITIES.—The following sections 
of title 37, United States Code, are amended by striking 
‘‘December 31, 2012’’ and inserting ‘‘December 31, 
2013’’: 
(1) Section 302c–1(f), relating to accession and 
retention bonuses for psychologists. 
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(2) Section 302d(a)(1), relating to accession 
bonus for registered nurses. 
(3) Section 302e(a)(1), relating to incentive 
special pay for nurse anesthetists. 
(4) Section 302g(e), relating to special pay for 
Selected Reserve health professionals in critically 
short wartime specialties. 
(5) Section 302h(a)(1), relating to accession 
bonus for dental officers. 
(6) Section 302j(a), relating to accession bonus 
for pharmacy officers. 
(7) Section 302k(f), relating to accession bonus 
for medical officers in critically short wartime spe-
cialties. 
(8) Section 302l(g), relating to accession bonus 
for dental specialist officers in critically short war-
time specialties. 
SEC. 613. ONE-YEAR EXTENSION OF SPECIAL PAY AND 
BONUS AUTHORITIES FOR NUCLEAR OFFI-
CERS. 
The following sections of title 37, United States 
Code, are amended by striking ‘‘December 31, 2012’’ and 
inserting ‘‘December 31, 2013’’: 
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(1) Section 312(f), relating to special pay for 
nuclear-qualified officers extending period of active 
service. 
(2) Section 312b(c), relating to nuclear career 
accession bonus. 
(3) Section 312c(d), relating to nuclear career 
annual incentive bonus. 
SEC. 614. ONE-YEAR EXTENSION OF AUTHORITIES RELAT-
ING TO TITLE 37 CONSOLIDATED SPECIAL 
PAY, INCENTIVE PAY, AND BONUS AUTHORI-
TIES. 
The following sections of title 37, United States 
Code, are amended by striking ‘‘December 31, 2012’’ and 
inserting ‘‘December 31, 2013’’: 
(1) Section 331(h), relating to general bonus 
authority for enlisted members. 
(2) Section 332(g), relating to general bonus 
authority for officers. 
(3) Section 333(i), relating to special bonus and 
incentive pay authorities for nuclear officers. 
(4) Section 334(i), relating to special aviation 
incentive pay and bonus authorities for officers. 
(5) Section 335(k), relating to special bonus 
and incentive pay authorities for officers in health 
professions. 
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(6) Section 351(h), relating to hazardous duty 
pay. 
(7) Section 352(g), relating to assignment pay 
or special duty pay. 
(8) Section 353(i), relating to skill incentive 
pay or proficiency bonus. 
(9) Section 355(h), relating to retention incen-
tives for members qualified in critical military skills 
or assigned to high priority units. 
SEC. 615. ONE-YEAR EXTENSION OF AUTHORITIES RELAT-
ING TO PAYMENT OF OTHER TITLE 37 BO-
NUSES AND SPECIAL PAYS. 
The following sections of title 37, United States 
Code, are amended by striking ‘‘December 31, 2012’’ and 
inserting ‘‘December 31, 2013’’: 
(1) Section 301b(a), relating to aviation officer 
retention bonus. 
(2) Section 307a(g), relating to assignment in-
centive pay. 
(3) Section 308(g), relating to reenlistment 
bonus for active members. 
(4) Section 309(e), relating to enlistment 
bonus. 
(5) Section 324(g), relating to accession bonus 
for new officers in critical skills. 
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(6) Section 326(g), relating to incentive bonus 
for conversion to military occupational specialty to 
ease personnel shortage. 
(7) Section 327(h), relating to incentive bonus 
for transfer between armed forces. 
(8) Section 330(f), relating to accession bonus 
for officer candidates. 
SEC. 616. INCREASE IN MAXIMUM AMOUNT OF OFFICER AF-
FILIATION BONUS FOR OFFICERS IN THE SE-
LECTED RESERVE. 
Section 308j(d) of title 37, United States Code, is 
amended by striking ‘‘$10,000’’ and inserting ‘‘$20,000’’. 
SEC. 617. INCREASE IN MAXIMUM AMOUNT OF INCENTIVE 
BONUS FOR RESERVE COMPONENT MEM-
BERS WHO CONVERT MILITARY OCCUPA-
TIONAL SPECIALTY TO EASE PERSONNEL 
SHORTAGES. 
Section 326(c)(1) of title 37, United States Code, is 
amended by striking ‘‘$4,000, in the case of a member 
of a regular component of the armed forces, and $2,000, 
in the case of a member of a reserve component of the 
armed forces.’’ and inserting ‘‘$4,000.’’. 
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Subtitle C—Travel and Transpor-
tation Allowances Generally 
SEC. 621. TRAVEL AND TRANSPORTATION ALLOWANCES 
FOR NON-MEDICAL ATTENDANTS FOR MEM-
BERS RECEIVING CARE IN A RESIDENTIAL 
TREATMENT PROGRAM. 
(a) AUTHORIZED TRAVEL AND TRANSPORTATION.— 
Subsection (a) of section 481k of title 37, United States 
Code, is amended— 
(1) by inserting ‘‘(1)’’ before ‘‘Under uniform 
regulations’’; and 
(2) by adding at the end the following new 
paragraph: 
‘‘(2) Travel and transportation described in sub-
section (d) also may be provided for a qualified non-med-
ical attendant for a member of the uniformed services who 
is receiving care in a residential treatment program if the 
attending physician or other mental health professional 
and the commander or head of the military medical facility 
exercising control over the member determine that the 
presence and participation of such an attendant is essen-
tial to the treatment of the member.’’. 
(b) CONFORMING AMENDMENTS.—Such section is 
further amended— 
(1) in subsection (b)— 
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(A) by striking ‘‘covered member’’ in the 
matter preceding paragraph (1) and inserting 
‘‘member’’; and 
(B) in paragraph (2), by striking ‘‘surgeon 
and the commander or head of the military 
medical facility’’ and inserting ‘‘surgeon (or 
mental health professional in the case of a 
member described in subsection (a)(2)) and the 
commander or head of the military medical fa-
cility exercising control over the member’’; and 
(2) in subsection (c), by striking ‘‘this section’’ 
in the matter preceding paragraph (1) and inserting 
‘‘subsection (a)(1)’’. 
Subtitle D—Benefits and Services 
for Members Being Separated or 
Recently Separated 
SEC. 631. EXTENSION OF AUTHORITY TO PROVIDE TWO 
YEARS OF COMMISSARY AND EXCHANGE 
BENEFITS AFTER SEPARATION. 
(a) EXTENSION OF AUTHORITY.—Section 1146 of 
title 10, United States Code, is amended— 
(1) in subsection (a), by striking ‘‘2012’’ and 
inserting ‘‘2018’’; and 
(2) in subsection (b), by striking ‘‘2012’’ and 
inserting ‘‘2018’’. 
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(b) CORRECTION OF REFERENCE TO ADMINISTERING 
SECRETARY.—Such section is further amended— 
(1) in subsection (a), by striking ‘‘The Sec-
retary of Transportation’’ and inserting ‘‘The Sec-
retary concerned’’; and 
(2) in subsection (b), by striking ‘‘The Sec-
retary of Homeland Security’’ and inserting ‘‘The 
Secretary concerned’’. 
SEC. 632. TRANSITIONAL USE OF MILITARY FAMILY HOUS-
ING. 
(a) RESUMPTION
OF AUTHORITY
TO AUTHORIZE 
TRANSITIONAL USE.—Subsection (a) of section 1147 of 
title 10, United States Code, is amended— 
(1) in paragraph (1), by striking ‘‘October 1, 
1990, and ending on December 31, 2001’’ and in-
serting ‘‘October 1, 2012, and ending on December 
31, 2018’’; and 
(2) in paragraph (2), by striking ‘‘October 1, 
1994, and ending on December 31, 2001’’ and in-
serting ‘‘October 1, 2012, and ending on December 
31, 2018’’. 
(b) PROHIBITION ON PROVISION OF TRANSITIONAL 
BASIC ALLOWANCE FOR HOUSING.—Such section is fur-
ther amended by adding at the end the following new sub-
section: 
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‘‘(c) NO TRANSITIONAL BASIC ALLOWANCE
FOR 
HOUSING.—Nothing in this section shall be construed to 
authorize the Secretary concerned to continue to provide 
for any period of time to an individual who is involuntary 
separated all or any portion of a basic allowance for hous-
ing to which the individual was entitled under section 403 
of title 37 immediately before being involuntarily sepa-
rated, even in cases in which the individual or members 
of the individual’s household continue to reside after the 
separation in a housing unit acquired or constructed under 
the alternative authority of subchapter IV of chapter 169 
of this title that is not owned or leased by the United 
States.’’. 
(c) CORRECTION OF REFERENCE TO ADMINISTERING 
SECRETARY.—Subsection (a)(2) of such section is further 
amended by striking ‘‘The Secretary of Transportation’’ 
and inserting ‘‘The Secretary concerned’’. 
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Subtitle E—Commissary and Non-
appropriated Fund Instrumen-
tality Benefits and Operations 
SEC. 641. CHARITABLE ORGANIZATIONS ELIGIBLE FOR DO-
NATIONS OF UNUSABLE COMMISSARY STORE 
FOOD AND OTHER FOOD PREPARED FOR THE 
ARMED FORCES. 
Subparagraph (A) of section 2485(f) of title 10, 
United States Code, is amended to read as follows: 
‘‘(A) A food bank, food pantry, or soup kitchen 
(as those terms are defined in section 201A of the 
Emergency Food Assistance Act of 1983 (7 U.S.C. 
7501)).’’. 
SEC. 642. REPEAL OF CERTAIN RECORDKEEPING AND RE-
PORTING REQUIREMENTS APPLICABLE TO 
COMMISSARY AND EXCHANGE STORES OVER-
SEAS. 
(a) REPEAL.—Section 2489 of title 10, United States 
Code, is amended by striking subsections (b) and (c). 
(b) CONFORMING AMENDMENTS.—Such section is 
further amended— 
(1) by striking ‘‘GENERAL AUTHORITY.—(1)’’ 
and inserting ‘‘AUTHORITY TO ESTABLISH RESTRIC-
TIONS.—’’; 
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(2) by striking ‘‘(2)’’ and inserting ‘‘(b) LIMI-
TATIONS ON USE OF AUTHORITY.—’’; and 
(3) by redesignating subparagraphs (A) and 
(B) as paragraphs (1) and (2), respectively. 
SEC. 643. TREATMENT OF FISHER HOUSE FOR THE FAMI-
LIES OF THE FALLEN AND MEDITATION PA-
VILION AT DOVER AIR FORCE BASE, DELA-
WARE, AS A FISHER HOUSE. 
(a) FISHER HOUSES
AND AUTHORIZED FISHER 
HOUSE RESIDENTS.—Subsection (a) of section 2493 of 
title 10, United States Code, is amended— 
(1) in paragraph (1)(B), by striking ‘‘by pa-
tients’’ and all that follows through ‘‘such patients;’’ 
and inserting ‘‘by authorized Fisher House resi-
dents;’’; 
(2) by redesignating paragraph (2) as para-
graph (3); 
(3) by inserting after paragraph (1) the fol-
lowing new paragraph: 
‘‘(2) The term ‘Fisher House’ includes the 
Fisher House for the Families of the Fallen and 
Meditation Pavilion at Dover Air Force Base, Dela-
ware, so long as such facility is available for residen-
tial use on a temporary basis by authorized Fisher 
House residents.’’; and 
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(b) CONFORMING AMENDMENTS.—Subsections (b), 
(e), (f), and (g) of such section are amended by striking 
‘‘health care’’ each place it appears. 
(c) REPEAL OF FISCAL YEAR 2012 FREESTANDING 
DESIGNATION.—Section 643 of the National Defense Au-
thorization Act for Fiscal Year 2012 (Public Law 112– 
81; 125 Stat. 1466) is repealed. 
SEC. 644. PURCHASE OF SUSTAINABLE PRODUCTS, LOCAL 
FOOD PRODUCTS, AND RECYCLABLE MATE-
RIALS FOR RESALE IN COMMISSARY AND EX-
CHANGE STORE SYSTEMS. 
(a) IMPROVED
PURCHASING
EFFORTS.—Section 
2481(c) of title 10, United States Code, is amended by 
adding at the end the following new paragraph: 
‘‘(3)(A) The governing body established pursuant to 
paragraph (2) shall endeavor to increase the purchase for 
resale at commissary stores and exchange stores of sus-
tainable products, local food products, and recyclable ma-
terials. 
‘‘(B) As part of its efforts under subparagraph (A), 
the governing body shall develop— 
‘‘(i) guidelines for the identification of fresh 
meat, poultry, seafood, and fish, fresh produce, and 
other products raised or produced through sustain-
able methods; and 
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‘‘(ii) goals, applicable to all commissary stores 
and exchange stores world-wide, to maximize, to the 
maximum extent practical, the purchase of sustain-
able products, local food products, and recyclable 
materials by September 30, 2017.’’. 
(b) DEADLINE FOR ESTABLISHMENT AND GUIDE-
LINES.—The initial guidelines required by paragraph 
(3)(B)(i) of section 2481(c) of title 10, United States 
Code, as added by subsection (a), shall be issued not later 
than two years after the date of the enactment of this Act. 
Subtitle F—Disability, Retired Pay, 
and Survivor Benefits 
SEC. 651. REPEAL OF REQUIREMENT FOR PAYMENT OF 
SURVIVOR BENEFIT PLAN PREMIUMS WHEN 
PARTICIPANT WAIVES RETIRED PAY TO PRO-
VIDE A SURVIVOR ANNUITY UNDER FEDERAL 
EMPLOYEES RETIREMENT SYSTEM AND TER-
MINATING PAYMENT OF THE SURVIVOR BEN-
EFIT PLAN ANNUITY. 
(a) DEPOSITS NOT REQUIRED.—Section 1452(e) of 
title 10, United States Code, is amended— 
(1) in the subsection heading, by inserting 
‘‘AND FERS’’ after ‘‘CSRS’’; 
(2) by inserting ‘‘or chapter 84 of such title,’’ 
after ‘‘chapter 83 of title 5’’; 
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(3) by inserting ‘‘or 8416(a)’’ after ‘‘8339(j)’’; 
and 
(4) by inserting ‘‘or 8442(a)’’ after ‘‘8341(b)’’. 
(b) CONFORMING AMENDMENTS.—Section 1450(d) 
of such title is amended— 
(1) by inserting ‘‘or chapter 84 of such title’’ 
after ‘‘chapter 83 of title 5’’; 
(2) by inserting ‘‘or 8416(a)’’ after ‘‘8339(j)’’; 
and 
(3) by inserting ‘‘or 8442(a)’’ after ‘‘8341(b)’’. 
(c) APPLICATION OF AMENDMENTS.—The amend-
ments made by this section shall apply with respect to any 
participant electing a annuity for survivors under chapter 
84 of title 5, United States Code, on or after the date 
of the enactment of this Act. 
Subtitle G—Other Matters 
SEC. 661. CONSISTENT DEFINITION OF DEPENDENT FOR 
PURPOSES OF APPLYING LIMITATIONS ON 
TERMS OF CONSUMER CREDIT EXTENDED TO 
CERTAIN MEMBERS OF THE ARMED FORCES 
AND THEIR DEPENDENTS. 
Paragraph (2) of section 987(i) of title 10, United 
States Code, is amended to read as follows: 
‘‘(2) DEPENDENT.—The term ‘dependent’, with 
respect to a covered member, means a person de-
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scribed in subparagraph (A), (D), (E), or (I) of sec-
tion 1072(2) of this title.’’. 
SEC. 662. LIMITATION ON REDUCTION IN NUMBER OF MILI-
TARY AND CIVILIAN PERSONNEL ASSIGNED 
TO DUTY WITH SERVICE REVIEW AGENCIES. 
Section 1559(a) of title 10, United States Code, is 
amended by striking ‘‘December 31, 2013’’ and inserting 
‘‘December 31, 2016’’. 
SEC. 663. EQUAL TREATMENT FOR MEMBERS OF COAST 
GUARD RESERVE CALLED TO ACTIVE DUTY 
UNDER TITLE 14, UNITED STATES CODE. 
(a) INCLUSION IN DEFINITION OF CONTINGENCY OP-
ERATION.—Section 101(a)(13)(B) of title 10, United 
States Code, is amended by inserting ‘‘section 712 of title 
14,’’ after ‘‘chapter 15 of this title,’’. 
(b) CREDIT OF SERVICE TOWARDS REDUCTION OF 
ELIGIBILITY AGE FOR RECEIPT OF RETIRED PAY FOR 
NON-REGULAR SERVICE.—Section 12731(f)(2)(B) of title 
10, United States Code, is amended by adding at the end 
the following new clause: 
‘‘(iv) Service on active duty described in this subpara-
graph is also service on active duty pursuant to a call or 
order to active duty authorized by the Secretary of Home-
land Security under section 712 of title 14 for purposes 
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of emergency augmentation of the Regular Coast Guard 
forces.’’. 
(c) POST 9/11 EDUCATIONAL ASSISTANCE.—Section 
3301(1)(B) of title 38, United States Code, is amended 
by inserting ‘‘or section 712 of title 14’’ after ‘‘title 10’’. 
(d) RETROACTIVE APPLICATION OF AMENDMENTS.— 
(1) 
INCLUSION
OF
PRIOR
ORDERS.—The 
amendments made by this section shall apply to any 
call or order to active duty authorized by the Sec-
retary of Homeland Security under section 712 of 
title 14, United States Code, on or after April 19, 
2010. 
(2) CREDIT FOR PRIOR SERVICE.—The amend-
ments made by this section shall be deemed to have 
been enacted on April 19, 2010, for purposes of ap-
plying the amendments to the following provisions of 
law: 
(A) Section 5538 of title 5, United States 
Code, relating to nonreduction in pay. 
(B) Section 701 of title 10, United States 
Code, relating to the accumulation and reten-
tion of leave. 
(C) Section 12731 of title 10, United 
States Code, relating to age and service require-
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ments for receipt of retired pay for non-regular 
service. 
SEC. 664. MORTGAGE PROTECTION FOR MEMBERS OF THE 
ARMED FORCES, SURVIVING SPOUSES, AND 
CERTAIN VETERANS. 
(a) MORTGAGE PROTECTION.— 
(1) 
IN
GENERAL.—Section 
303 
of 
the 
Servicemembers Civil Relief Act (50 U.S.C. App. 
533) is amended to read as follows: 
‘‘SEC. 303. MORTGAGES AND TRUST DEEDS. 
‘‘(a) MORTGAGE AS SECURITY.—This section applies 
only to an obligation on real or personal property that is 
secured by a mortgage, trust deed, or other security in 
the nature of a mortgage and is owned by a covered indi-
vidual as follows: 
‘‘(1) With respect to an obligation on real or 
personal property owned by a servicemember, such 
obligation that originated before the period of the 
servicemember’s military service and for which the 
servicemember is still obligated. 
‘‘(2) With respect to an obligation on real prop-
erty owned by a servicemember serving in support of 
a contingency operation (as defined in section 
101(a)(13) of title 10, United States Code), such ob-
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ligation that originated at any time and for which 
the servicemember is still obligated. 
‘‘(3) With respect to an obligation on real prop-
erty owned by a veteran described in subsection 
(f)(1)(B), such obligation that originated at any 
time and for which the veteran is still obligated. 
‘‘(4) With respect to an obligation on real prop-
erty owned by a surviving spouse described in sub-
section (f)(1)(C), such obligation that originated at 
any time and for which the spouse is still obligated. 
‘‘(b) STAY OF PROCEEDINGS AND ADJUSTMENT OF 
OBLIGATION.—(1) In an action filed during a covered 
time period to enforce an obligation described in sub-
section (a), the court may after a hearing and on its own 
motion and shall upon application by a covered individual 
when the individual’s ability to comply with the obligation 
is materially affected by military service— 
‘‘(A) stay the proceedings for a period of time 
as justice and equity require, or 
‘‘(B) adjust the obligation to preserve the inter-
ests of all parties. 
‘‘(2) For purposes of applying paragraph (1) to a cov-
ered individual who is a surviving spouse of a servicemem-
ber described in subsection (f)(1)(C), the term ‘military 
service’ means the service of such servicemember. 
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‘‘(c) SALE OR FORECLOSURE.—A sale, foreclosure, or 
seizure of property for a breach of an obligation described 
in subsection (a) shall not be valid during a covered time 
period except— 
‘‘(1) upon a court order granted before such 
sale, foreclosure, or seizure with a return made and 
approved by the court; or 
‘‘(2) if made pursuant to an agreement as pro-
vided in section 107. 
‘‘(d) MISDEMEANOR.—A person who knowingly 
makes or causes to be made a sale, foreclosure, or seizure 
of property that is prohibited by subsection (c), or who 
knowingly attempts to do so, shall be fined as provided 
in title 18, United States Code, or imprisoned for not more 
than one year, or both. 
‘‘(e) PROOF OF SERVICE.—(1) A veteran described 
in subsection (f)(1)(B) shall provide documentation de-
scribed in paragraph (2) to relevant persons to prove the 
eligibility of the veteran to be covered under this section. 
‘‘(2) Documentation described in this paragraph is a 
rating decision or a letter from the Department of Vet-
erans Affairs that confirms that the veteran is totally dis-
abled because of one or more service-connected injuries or 
service-connected disability conditions. 
‘‘(f) DEFINITIONS.—In this section: 
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‘‘(1) The term ‘covered individual’ means the 
following individuals: 
‘‘(A) A servicemember. 
‘‘(B) A veteran who was retired under 
chapter 61 of title 10, United States Code, and 
whom the Secretary of Veterans Affairs, at the 
time of such retirement, determines is a totally 
disabled veteran. 
‘‘(C) A surviving spouse of a servicemem-
ber who— 
‘‘(i) died while serving in support of a 
contingency operation if such spouse is the 
successor in interest to property covered 
under subsection (a); or 
‘‘(ii) died while in military service and 
whose death is service-connected if such 
spouse is the successor in interest to prop-
erty covered under subsection (a). 
‘‘(2) The term ‘covered time period’ means the 
following time periods: 
‘‘(A) With respect to a servicemember, 
during the period beginning on the date on 
which such servicemember begins military serv-
ice and ending on the date that is 12 months 
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after the date on which such servicemember is 
discharged from such service. 
‘‘(B) With respect to a servicemember 
serving in support of a contingency operation, 
during the period beginning on the date of the 
military orders for such service and ending on 
the date that is 12 months after the date on 
which such servicemember redeploys from such 
contingency operation. 
‘‘(C) With respect to a veteran described in 
subsection (f)(1)(B), during the 12-month pe-
riod beginning on the date of the retirement of 
such veteran described in such subsection. 
‘‘(D) With respect to a surviving spouse of 
a 
servicemember 
described 
in 
subsection 
(f)(1)(C), during the 12-month period begin-
ning on the date of the death of the service-
member.’’. 
(2) CONFORMING
AMENDMENT.—Section 107 
of the Servicemembers Civil Relief Act (50 U.S.C. 
App. 517) is amended by adding at the end the fol-
lowing: 
‘‘(e) OTHER INDIVIDUALS.—For purposes of this sec-
tion, the term ‘servicemember’ includes any covered indi-
vidual under section 303(f)(1).’’. 
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(3) REPEAL
OF
SUNSET.—Subsection (c) of 
section 2203 of the Housing and Economic Recovery 
Act of 2008 (Public Law 110–289; 50 U.S.C. App. 
533 note) is amended to read as follows: 
‘‘(c) EFFECTIVE DATE.—The amendments made by 
subsection (a) shall take effect on the date of the enact-
ment of this Act.’’. 
(b) INCREASED CIVIL PENALTIES FOR MORTGAGE 
VIOLATIONS.—Paragraph (3) of section 801(b) of the 
Servicemembers Civil Relief Act (50 U.S.C. App. 
597(b)(3)) is amended to read as follows: 
‘‘(3) to vindicate the public interest, assess a 
civil penalty— 
‘‘(A) with respect to a violation of section 
303 regarding real property— 
‘‘(i) in an amount not exceeding 
$110,000 for a first violation; and 
‘‘(ii) in an amount not exceeding 
$220,000 for any subsequent violation; and 
‘‘(B) with respect to any other violation of 
this Act— 
‘‘(i) in an amount not exceeding 
$55,000 for a first violation; and 
‘‘(ii) in an amount not exceeding 
$110,000 for any subsequent violation.’’. 
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(c) CREDIT DISCRIMINATION.—Section 108 of such 
Act (50 U.S.C. App. 518) is amended— 
(1) by striking ‘‘Application by’’ and inserting 
‘‘(a) Application by’’; and 
(2) by adding at the end the following new sub-
section: 
‘‘(b) In addition to the protections under subsection 
(a), an individual who is eligible, or who may likely become 
eligible, for any provision of this Act may not be denied 
or refused credit or be subject to any other action de-
scribed under paragraphs (1) through (6) of subsection 
(a) solely by reason of such eligibility.’’. 
(d) REQUIREMENTS
FOR LENDING INSTITUTIONS 
THAT ARE CREDITORS FOR OBLIGATIONS AND LIABIL-
ITIES COVERED BY THE SERVICEMEMBERS CIVIL RELIEF 
ACT.—Section 207 of the Servicemembers Civil Relief Act 
(50 U.S.C. App. 527) 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): 
‘‘(d) LENDING INSTITUTION REQUIREMENTS.— 
‘‘(1) COMPLIANCE OFFICERS.—Each lending in-
stitution subject to the requirements of this section 
shall designate an employee of the institution as a 
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compliance officer who is responsible for ensuring 
the institution’s compliance with this section and for 
distributing information to servicemembers whose 
obligations and liabilities are covered by this section. 
‘‘(2) TOLL-FREE TELEPHONE NUMBER.—Dur-
ing any fiscal year, a lending institution subject to 
the requirements of this section that had annual as-
sets for the preceding fiscal year of $10,000,000,000 
or more shall maintain a toll-free telephone number 
and shall make such telephone number available on 
the primary Internet Web site of the institution.’’. 
SEC. 665. STUDY ON ISSUING IDENTIFICATION CARDS TO 
CERTAIN MEMBERS UPON DISCHARGE. 
(a) STUDY.—The Secretary of Defense shall conduct 
a study assessing the feasibility of issuing to a covered 
member an identification card that would— 
(1) provide such member with a convenient 
method of summarizing the DD–214 form or other 
official document from the official military personnel 
file of the member; and 
(2) not serve as proof of any benefits to which 
the member may be entitled to. 
(b) MATTERS
INCLUDED.—The study conducted 
under subsection (a) shall address the following: 
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(1) The information to be included on the iden-
tification card. 
(2) Whether the Secretary should issue such 
card— 
(A) to each covered member; or 
(B) to a covered member upon request. 
(3) If the card were to be issued to each cov-
ered member, the estimated cost of such issuance. 
(4) If the card were to be issued upon the re-
quest of a covered member, whether the Secretary 
should charge such member a fee for such card, in-
cluding the amount of such fee. 
(c) REPORT.—Not later than one year after the date 
of the enactment of this Act, the Secretary shall submit 
to the congressional defense committees a report on the 
study conducted under subsection (a). 
(d) COVERED MEMBER.—In this section, the term 
‘‘covered member’’ means a member of the Armed Forces 
who— 
(1) is expected to be discharged— 
(A) after the completion of the service obli-
gation of the member; and 
(B) under conditions other than dishonor-
able; 
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(2) is expected to be issued a DD Form 214 
Certificate of Release or Discharge from Active 
Duty; and 
(3) after such discharge, would not otherwise be 
issued an identification card by the Department of 
Defense or the Department of Veterans Affairs. 
TITLE VII—HEALTH CARE 
PROVISIONS 
Subtitle A—Improvements to 
Health Benefits 
SEC. 701. SENSE OF CONGRESS ON NONMONETARY CON-
TRIBUTIONS TO HEALTH CARE BENEFITS 
MADE BY CAREER MEMBERS OF THE ARMED 
FORCES AND THEIR FAMILIES. 
It is the sense of Congress that— 
(1) career members of the uniformed services 
and their families endure unique and extraordinary 
demands and make extraordinary sacrifices over the 
course of a 20- to 30-year career in protecting free-
dom for all Americans; and 
(2) those decades of sacrifice constitute a sig-
nificant pre-paid premium for health care during a 
career member’s retirement that is over and above 
what the member pays with money. 
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SEC. 702. EXTENSION OF TRICARE STANDARD COVERAGE 
AND TRICARE DENTAL PROGRAM FOR MEM-
BERS OF THE SELECTED RESERVE WHO ARE 
INVOLUNTARILY SEPARATED. 
(a) TRICARE STANDARD
COVERAGE.—Section 
1076d(b) of title 10, United States Code, is amended— 
(1) by striking ‘‘Eligibility’’ and inserting ‘‘(1) 
Except as provided in paragraph (2), eligibility’’; 
and 
(2) by adding at the end the following new 
paragraph: 
‘‘(2) During the period beginning on the earlier of 
the date of the enactment of the National Defense Author-
ization Act for Fiscal Year 2013 or October 1, 2012, and 
ending December 31, 2018, eligibility for a member under 
this section who is involuntarily separated from the Se-
lected Reserve under other than adverse conditions, as 
characterized by the Secretary concerned, shall terminate 
180 days after the date on which the member is sepa-
rated.’’. 
(b) 
TRICARE 
DENTAL
COVERAGE.—Section 
1076a(a)(1) of such title is amended by adding at the end 
the following new sentence: ‘‘During the period beginning 
on the earlier of the date of the enactment of the National 
Defense Authorization Act for Fiscal Year 2013 or Octo-
ber 1, 2012, and ending December 31, 2018, such plan 
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shall provide that coverage for a member of the Selected 
Reserve who is involuntarily separated from the Selected 
Reserve under other than adverse conditions, as character-
ized by the Secretary concerned, shall not terminate ear-
lier than 180 days after the date on which the member 
is separated.’’. 
SEC. 703. MEDICAL AND DENTAL CARE CONTRACTS FOR 
CERTAIN 
MEMBERS 
OF 
THE 
NATIONAL 
GUARD. 
(a) STANDARDS.—The Secretary of Defense shall en-
sure that each individual who receives medical or dental 
care under a covered contract meets the standards of med-
ical and dental readiness of the Secretary upon the mobili-
zation of the individual. 
(b) COVERED CONTRACT DEFINED.—In this section, 
the term ‘‘covered contract’’ means a contract entered into 
by the National Guard of a State to provide medical or 
dental care to the members of such National Guard to en-
sure that the members meet applicable standards of med-
ical and dental readiness. 
SEC. 
704. 
CERTAIN 
TREATMENT 
OF 
AUTISM 
UNDER 
TRICARE. 
(a) IN GENERAL.—Section 1077 of title 10, United 
States Code, is amended by adding at the end the fol-
lowing new subsection: 
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‘‘(g)(1) In providing health care under subsection (a) 
to a covered beneficiary described in paragraph (3)(A), the 
treatment of autism spectrum disorders shall include be-
havioral health treatment, including applied behavior anal-
ysis, when prescribed by a physician. 
‘‘(2) In carrying out this subsection, the Secretary 
shall ensure that— 
‘‘(A) except as provided by subparagraph (B), 
a person who is authorized to provide behavioral 
health treatment is licensed or certified by a State 
or accredited national certification board; and 
‘‘(B) if applied behavior analysis or other be-
havioral health treatment is provided by an employee 
or contractor of a person described in subparagraph 
(A), the employee or contractor shall meet minimum 
qualifications, training, and supervision require-
ments as set forth by the Secretary. 
‘‘(3)(A) A covered beneficiary described in this sub-
paragraph is a covered beneficiary who is a beneficiary by 
virtue of— 
‘‘(i) service in the armed forces (not including 
the Coast Guard); or 
‘‘(ii) being a dependent of a member of the 
armed forces (not including the Coast Guard). 
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‘‘(B) Nothing in this subsection shall be construed 
as limiting or otherwise affecting the benefits otherwise 
provided under this chapter to a covered beneficiary who 
is a beneficiary by virtue of— 
‘‘(i) service in the Coast Guard, the Commis-
sioned Corp of the National Oceanic and Atmos-
pheric Administration, or the Commissioned Corp of 
the Public Health Service; or 
‘‘(ii) being a dependent of a member of a serv-
ice described in clause (i). 
‘‘(C) This subsection shall not apply to a medicare- 
eligible beneficiary (as defined in section 1111(b) of this 
title). 
‘‘(D) Except as provided in subparagraph (C), noth-
ing in this subsection shall be construed as limiting or oth-
erwise affecting the benefits provided to a medicare-eligi-
ble beneficiary under— 
‘‘(i) this chapter; 
‘‘(ii) part A of title XVIII of the Social Security 
Act (42 U.S.C. 1395c et seq.); or 
‘‘(iii) any other law.’’. 
(b) FUNDING.— 
(1) INCREASE.—Notwithstanding the amounts 
set forth in the funding tables in division D, the 
amount authorized to be appropriated in section 
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1406 for the Defense Health Program, as specified 
in the corresponding funding table in section 4501, 
for Private Sector Care is hereby increased by 
$30,000,000. 
(2) OFFSET.—Notwithstanding the amounts set 
forth in the funding tables in division D, the amount 
authorized to be appropriated in section 4201 for 
Research, Development, Test and Evaluation, Army, 
as specified in the corresponding funding table in di-
vision D, is hereby reduced by $30,000,000, to be 
derived as follows: 
(A) $21,000,000 from the Aerostat Joint 
Project Office. 
(B) $9,000,000 from Endurance UAVs. 
SEC. 705. MENTAL HEALTH ASSESSMENTS FOR MEMBERS 
OF THE ARMED FORCES. 
(a) IN GENERAL.—Section 1074m of title 10, United 
States Code, is amended— 
(1) in subsection (a)(1)— 
(A) by redesignating subparagraph (B) 
and (C) as subparagraph (C) and (D), respec-
tively; and 
(B) by inserting after subparagraph (A) 
the following: 
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‘‘(B) Once during each 180-day period during 
which a member is deployed.’’; and 
(2) in subsection (c)(1)(A)— 
(A) in clause (i), by striking ‘‘; and’’ and 
inserting a semicolon; 
(B) by redesignating clause (ii) as clause 
(iii); and 
(C) by inserting after clause (i) the fol-
lowing: 
‘‘(ii) by personnel in deployed units whose 
responsibilities include providing unit health 
care services if such personnel are available and 
the use of such personnel for the assessments 
would not impair the capacity of such personnel 
to perform higher priority tasks; and’’. 
(b) 
CONFORMING
AMENDMENT.—Section 
1074m(a)(2) of title 10, United States Code, is amended 
by striking ‘‘subparagraph (B) and (C)’’ and inserting 
‘‘subparagraph (C) and (D)’’. 
Subtitle B—Health Care 
Administration 
SEC. 711. UNIFIED MEDICAL COMMAND. 
(a) UNIFIED COMBATANT COMMAND.— 
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(1) IN GENERAL.—Chapter 6 of title 10, United 
States Code, is amended by inserting after section 
167a the following new section: 
‘‘§ 167b. Unified combatant command for medical op-
erations 
‘‘(a) ESTABLISHMENT.—With the advice and assist-
ance of the Chairman of the Joint Chiefs of Staff, the 
President, through the Secretary of Defense, shall estab-
lish under section 161 of this title a unified command for 
medical operations (in this section referred to as the ‘uni-
fied medical command’). The principal function of the 
command is to provide medical services to the armed 
forces and other health care beneficiaries of the Depart-
ment of Defense as defined in chapter 55 of this title. 
‘‘(b) ASSIGNMENT OF FORCES.—In establishing the 
unified medical command under subsection (a), all active 
military medical treatment facilities, training organiza-
tions, and research entities of the armed forces shall be 
assigned to such unified command, unless otherwise di-
rected by the Secretary of Defense. 
‘‘(c) GRADE OF COMMANDER.—The commander of 
the unified medical command shall hold the grade of gen-
eral or, in the case of an officer of the Navy, admiral while 
serving in that position, without vacating his permanent 
grade. The commander of such command shall be ap-
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pointed to that grade by the President, by and with the 
advice and consent of the Senate, for service in that posi-
tion. The commander of such command shall be a member 
of a health profession described in paragraph (1), (2), (3), 
(4), (5), or (6) of section 335(j) of title 37. During the 
five-year period beginning on the date on which the Sec-
retary establishes the command under subsection (a), the 
commander of such command shall be exempt from the 
requirements of section 164(a)(1) of this title. 
‘‘(d) SUBORDINATE COMMANDS.—(1) The unified 
medical command shall have the following subordinate 
commands: 
‘‘(A) A command that includes all fixed military 
medical treatment facilities, including elements of 
the Department of Defense that are combined, oper-
ated jointly, or otherwise operated in such a manner 
that a medical facility of the Department of Defense 
is operating in or with a medical facility of another 
department or agency of the United States. 
‘‘(B) A command that includes all medical 
training, education, and research and development 
activities that have previously been unified or com-
bined, including organizations that have been des-
ignated as a Department of Defense executive agent. 
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‘‘(C) The Defense Health Agency established 
under subsection (f). 
‘‘(2) The commander of a subordinate command of 
the unified medical command shall hold the grade of lieu-
tenant general or, in the case of an officer of the Navy, 
vice admiral while serving in that position, without 
vacating his permanent grade. The commander of such a 
subordinate command shall be appointed to that grade by 
the President, by and with the advice and consent of the 
Senate, for service in that position. The commander of 
such a subordinate command shall also be required to be 
a surgeon general of one of the military departments. 
‘‘(e) AUTHORITY OF COMBATANT COMMANDER.—(1) 
In addition to the authority prescribed in section 164(c) 
of this title, the commander of the unified medical com-
mand shall be responsible for, and shall have the authority 
to conduct, all affairs of such command relating to medical 
operations activities. 
‘‘(2) The commander of such command shall be re-
sponsible for, and shall have the authority to conduct, the 
following functions relating to medical operations activities 
(whether or not relating to the unified medical command): 
‘‘(A) Developing programs and doctrine. 
‘‘(B) Preparing and submitting to the Secretary 
of Defense program recommendations and budget 
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proposals for the forces described in subsection (b) 
and for other forces assigned to the unified medical 
command. 
‘‘(C) Exercising authority, direction, and con-
trol over the expenditure of funds— 
‘‘(i) for forces assigned to the unified med-
ical command; 
‘‘(ii) for the forces described in subsection 
(b) assigned to unified combatant commands 
other than the unified medical command to the 
extent directed by the Secretary of Defense; 
and 
‘‘(iii) for military construction funds of the 
Defense Health Program. 
‘‘(D) Training assigned forces. 
‘‘(E) Conducting specialized courses of instruc-
tion for commissioned and noncommissioned officers. 
‘‘(F) Validating requirements. 
‘‘(G) Establishing priorities for requirements. 
‘‘(H) Ensuring the interoperability of equip-
ment and forces. 
‘‘(I) Monitoring the promotions, assignments, 
retention, training, and professional military edu-
cation of medical officers described in paragraph (1), 
(2), (3), (4), (5), or (6) of section 335(j) of title 37. 
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‘‘(3) The commander of such command shall be re-
sponsible for the Defense Health Program, including the 
Defense Health Program Account established under sec-
tion 1100 of this title. 
‘‘(f) DEFENSE HEALTH AGENCY.—(1) In estab-
lishing the unified medical command under subsection (a), 
the Secretary shall also establish under section 191 of this 
title a defense agency for health care (in this section re-
ferred to as the ‘Defense Health Agency’), and shall trans-
fer to such agency the organization of the Department of 
Defense referred to as the TRICARE Management Activ-
ity and all functions of the TRICARE Program (as de-
fined in section 1072(7)). 
‘‘(2) The director of the Defense Health Agency shall 
hold the rank of lieutenant general or, in the case of an 
officer of the Navy, vice admiral while serving in that posi-
tion, without vacating his permanent grade. The director 
of such agency shall be appointed to that grade by the 
President, by and with the advice and consent of the Sen-
ate, for service in that position. The director of such agen-
cy shall be a member of a health profession described in 
paragraph (1), (2), (3), (4), (5), or (6) of section 335(j) 
of title 37. 
‘‘(g) REGULATIONS.—In establishing the unified 
medical command under subsection (a), the Secretary of 
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Defense shall prescribe regulations for the activities of the 
unified medical command.’’. 
(2) CLERICAL AMENDMENT.—The table of sec-
tions at the beginning of such chapter is amended 
by inserting after the item relating to section 167a 
the following new item: 
‘‘167b. Unified combatant command for medical operations.’’. 
(b) PLAN, NOTIFICATION, AND REPORT.— 
(1) PLAN.—Not later than July 1, 2013, the 
Secretary of Defense shall submit to the congres-
sional defense committees a comprehensive plan to 
establish the unified medical command authorized 
under section 167b of title 10, United States Code, 
as added by subsection (a), including any legislative 
actions the Secretary considers necessary to imple-
ment the plan. 
(2) NOTIFICATION.—The Secretary shall sub-
mit to the congressional defense committees written 
notification of the time line of the Secretary to es-
tablish the unified medical command under such sec-
tion 167b by not later than the date that is 30 days 
before establishing such command. 
(3) REPORT.—Not later than 180 days after 
submitting the notification under paragraph (2), the 
Secretary shall submit to the congressional defense 
committees a report on— 
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(A) the establishment of the unified med-
ical command; and 
(B) the establishment of the Defense 
Health Agency under subsection (f) of such sec-
tion 167b. 
SEC. 712. AUTHORITY FOR AUTOMATIC ENROLLMENT IN 
TRICARE PRIME OF DEPENDENTS OF MEM-
BERS IN PAY GRADES ABOVE PAY GRADE E– 
4. 
Subsection (a) of section 1097a of title 10, United 
States Code, is amended to read as follows: 
‘‘(a) AUTOMATIC ENROLLMENT
OF CERTAIN DE-
PENDENTS.—(1) In the case of a dependent of a member 
of the uniformed services who is entitled to medical and 
dental care under section 1076(a)(2)(A) of this title and 
resides in an area in which TRICARE Prime is offered, 
the Secretary— 
‘‘(A) shall automatically enroll the dependent in 
TRICARE Prime if the member is in pay grade E– 
4 or below; and 
‘‘(B) may automatically enroll the dependent in 
TRICARE Prime if the member is in pay grade E– 
5 or higher. 
‘‘(2) Whenever a dependent of a member is enrolled 
in TRICARE Prime under paragraph (1), the Secretary 
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concerned shall provide written notice of the enrollment 
to the member. 
‘‘(3) The enrollment of a dependent of the member 
may be terminated by the member or the dependent at 
any time.’’. 
SEC. 713. COOPERATIVE HEALTH CARE AGREEMENTS BE-
TWEEN THE MILITARY DEPARTMENTS AND 
NON-MILITARY HEALTH CARE ENTITIES. 
(a) AUTHORITY.—In addition to the authority of the 
Secretary of Defense under section 713 of the National 
Defense Authorization Act of 2010 (10 U.S.C. 1073 note), 
the Secretary of each military department may establish 
cooperative health care agreements between military in-
stallations and local or regional health care entities. 
(b) REQUIREMENTS.—In establishing an agreement 
under subsection (a), the Secretary concerned shall— 
(1) consult with— 
(A) representatives from the military in-
stallation selected for the agreement, including 
the TRICARE managed care support con-
tractor with responsibility for such installation; 
and 
(B) Federal, State, and local government 
officials; 
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(2) identify and analyze health care services 
available in the area in which the military installa-
tion is located, including such services available at a 
military medical treatment facility or in the private 
sector (or a combination thereof); 
(3) determine the cost avoidance or savings re-
sulting from innovative partnerships between the 
military department concerned and the private sec-
tor; and 
(4) determine the opportunities for and barriers 
to coordinating and leveraging the use of existing 
health care resources, including such resources of 
Federal, State, local, and private entities. 
(c) RULE OF CONSTRUCTION.—Nothing in this sec-
tion shall be construed as authorizing the provision of 
health care services at military medical treatment facilities 
or other facilities of the Department of Defense to individ-
uals who are not otherwise entitled or eligible for such 
services under chapter 55 of title 10, United States Code. 
(d) SECRETARY CONCERNED DEFINED.—In this sec-
tion, the term ‘‘Secretary concerned’’ has the meaning 
given that term in section 101(a)(9) of title 10, United 
States Code. 
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SEC. 714. REQUIREMENT TO ENSURE THE EFFECTIVENESS 
AND EFFICIENCY OF HEALTH ENGAGEMENTS. 
(a) IN GENERAL.—The Secretary of Defense, in co-
ordination with the Assistant Secretary of Defense for 
Health Affairs and the Uniformed Services University of 
the Health Sciences, shall develop a process to ensure that 
health engagements conducted by the Department of De-
fense are effective and efficient in meeting the national 
security goals of the United States. 
(b) PROCESS GOALS.—The Assistant Secretary of 
Defense for Health Affairs and the Uniformed Services 
University of the Health Sciences shall ensure that each 
process developed under subsection (a)— 
(1) assesses the operational mission capabilities 
of the health engagement; 
(2) uses the collective expertise of the Federal 
Government and non-governmental organizations to 
ensure collaboration and partnering activities; and 
(3) assesses the stability and resiliency of the 
host nation of such engagement. 
(c) PILOT PROGRAMS.—The Secretary of Defense, in 
coordination with the Uniformed Services University of 
Health Sciences, may conduct pilot programs to assess the 
effectiveness of any process developed under subsection (a) 
to ensure the applicability of the process to health engage-
ments conducted by the Department of Defense. 
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SEC. 715. CLARIFICATION OF APPLICABILITY OF FEDERAL 
TORT CLAIMS ACT TO SUBCONTRACTORS EM-
PLOYED TO PROVIDE HEALTH CARE SERV-
ICES TO THE DEPARTMENT OF DEFENSE. 
Section 1089(a) of title 10, United States Code, is 
amended in the last sentence— 
(1) by striking ‘‘if the physician, dentist, nurse, 
pharmacist, or paramedical’’ and inserting ‘‘to such 
a physician, dentist, nurse, pharmacist, or para-
medical’’; 
(2) by striking ‘‘involved is’’; and 
(3) by inserting before the period at the end the 
following: ‘‘or a subcontract at any tier under such 
a contract’’. 
SEC. 716. PILOT PROGRAM ON INCREASED THIRD-PARTY 
COLLECTION 
REIMBURSEMENTS 
IN 
MILI-
TARY MEDICAL TREATMENT FACILITIES. 
(a) PILOT PROGRAM.— 
(1) IN GENERAL.—The Secretary of Defense, in 
coordination with the Secretaries of the military de-
partments, shall carry out a pilot program to assess 
the feasibility of using processes described in para-
graph (2) to increase the amounts collected under 
section 1095 of title 10, United States Code, from 
a third-party payer for charges for health care serv-
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ices incurred by the United States at a military 
medical treatment facility. 
(2) PROCESSES DESCRIBED.—The processes de-
scribed in this paragraph are revenue-cycle improve-
ment processes, including cash-flow management 
and accounts-receivable processes. 
(b) REQUIREMENTS.—In carrying out the pilot pro-
gram under subsection (a)(1), the Secretary shall— 
(1) identify and analyze the best practice op-
tions with respect to the processes described in sub-
section (a)(2) that are used in nonmilitary health 
care facilities; and 
(2) conduct a cost-benefit analysis to assess the 
pilot program, including an analysis of— 
(A) the different processes used in the 
pilot program; 
(B) the amount of third-party collections 
that resulted from such processes; 
(C) the cost to implement and sustain such 
processes; and 
(D) any other factors the Secretary deter-
mines appropriate to assess the pilot program. 
(c) LOCATIONS.—The Secretary shall carry out the 
pilot program under subsection (a)(1) at not less than two 
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military installations of different military departments 
that meet the following criteria: 
(1) There is a military medical treatment facil-
ity that has inpatient and outpatient capabilities at 
the installation. 
(2) At least 40 percent of the military bene-
ficiary population residing in the catchment area 
surrounding the installation is potentially covered by 
a third-party payer (as defined in section 1095(h)(1) 
of title 10, United States Code). 
(d) DURATION.—The Secretary shall commence the 
pilot program under subsection (a)(1) by not later than 
270 days after the date of the enactment of this Act and 
shall carry out such program for three years. 
(e) REPORT.—Not later than 180 days after com-
pleting the pilot program under subsection (a)(1), the Sec-
retary shall submit to the congressional defense commit-
tees a report describing the results of the program, includ-
ing— 
(1) a comparison of— 
(A) the processes described in subsection 
(a)(2) that were used in the military medical 
treatment facilities participating in the pro-
gram; and 
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(B) the third-party collection processes 
used by military medical treatment facilities not 
included in the program; 
(2) a cost analysis of implementing the proc-
esses described in subsection (a)(2) for third-party 
collections at military medical treatment facilities; 
and 
(3) an assessment of the program, including 
any recommendations to improve third-party collec-
tions. 
SEC. 717. PILOT PROGRAM FOR REFILLS OF MAINTENANCE 
MEDICATIONS FOR TRICARE FOR LIFE BENE-
FICIARIES THROUGH THE TRICARE MAIL- 
ORDER PHARMACY PROGRAM. 
(a) IN GENERAL.—The Secretary of Defense shall 
conduct a pilot program to refill prescription maintenance 
medications for each TRICARE for Life beneficiary 
through the national mail-order pharmacy program under 
section 1074g(a)(2)(E)(iii) of title 10, United States 
Code. 
(b) MEDICATIONS COVERED.— 
(1) DETERMINATION.—The Secretary shall de-
termine the prescription maintenance medications 
included in the pilot program under subsection (a). 
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(2) SUPPLY.—In carrying out the pilot program 
under subsection (a), the Secretary shall ensure that 
the medications included in the program are— 
(A) generally available to the TRICARE 
for Life beneficiary through retail pharmacies 
only for an initial filling of a 30-day or less 
supply; and 
(B) any refills of such medications are ob-
tained through the national mail-order phar-
macy program. 
(3) EXEMPTION.—The Secretary may exempt 
the following prescription maintenance medications 
from the requirements in paragraph (2): 
(A) Such medications that are for acute 
care needs. 
(B) Such other medications as the Sec-
retary determines appropriate. 
(c) NONPARTICIPATION.— 
(1) OPT
OUT.—The Secretary shall give 
TRICARE for Life beneficiaries who have been cov-
ered by the pilot program under subsection (a) for 
a period of one year an opportunity to opt out of 
continuing to participate in the program. 
(2) WAIVER.—The Secretary may waive the re-
quirement of a TRICARE for Life beneficiary to 
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participate in the pilot program under subsection (a) 
if the Secretary determines, on an individual basis, 
that such waiver is appropriate. 
(d) TRICARE FOR LIFE BENEFICIARY DEFINED.— 
In this section, the term ‘‘TRICARE for Life beneficiary’’ 
means a TRICARE beneficiary enrolled in the Medicare 
wraparound coverage option of the TRICARE program 
made available to the beneficiary by reason of section 
1086(d) of title 10, United States Code. 
(e) REPORTS.—Not later than March 31 of each year 
beginning in 2014 and ending in 2018, the Secretary shall 
submit to the congressional defense committees a report 
on the pilot program under subsection (a), including the 
effects of offering incentives for the use of mail order 
pharmacies by TRICARE beneficiaries and the effect on 
retail pharmacies. 
(f) SUNSET.—The Secretary may not carry out the 
pilot program under subsection (a) after December 31, 
2017. 
SEC. 718. COST-SHARING RATES FOR PHARMACY BENEFITS 
PROGRAM OF THE TRICARE PROGRAM. 
(a) IN GENERAL.—Section 1074g(a)(6) of title 10, 
United States Code, is amended— 
(1) by amending subparagraph (A) to read as 
follows: 
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‘‘(A) The Secretary, in the regulations prescribed 
under subsection (h), shall establish cost-sharing require-
ments under the pharmacy benefits program. In accord-
ance with subparagraph (C), such cost-sharing require-
ments shall consist of the following: 
‘‘(i) With respect to each supply of a prescrip-
tion covering not more than 30 days that is obtained 
by a covered beneficiary under the TRICARE retail 
pharmacy program— 
‘‘(I) in the case of generic agents, $5; 
‘‘(II) in the case of formulary agents, $17; 
and 
‘‘(III) in the case of nonformulary agents, 
$44. 
‘‘(ii) With respect to each supply of a prescrip-
tion covering not more than 90 days that is obtained 
by a covered beneficiary under the national mail- 
order pharmacy program— 
‘‘(I) in the case of generic agents, $0; 
‘‘(II) in the case of formulary agents, $13; 
and 
‘‘(III) in the case of nonformulary agents, 
$43.’’; and 
(2) by adding at the end the following new sub-
paragraph: 
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‘‘(C) Beginning October 1, 2013, the Secretary may 
only increase in any year the cost-sharing amount estab-
lished under subparagraph (A) by an amount equal to the 
percentage by which retired pay is increased under section 
1401a of this title.’’. 
(b) EFFECTIVE DATE.—The cost-sharing require-
ments under section 1074g(a)(6)(A) of title 10, United 
States Code, as amended by subsection (a)(1), shall apply 
with respect to prescriptions obtained under the 
TRICARE pharmacy benefits program on or after October 
1, 2012. 
SEC. 719. REVIEW OF THE ADMINISTRATION OF THE MILI-
TARY HEALTH SYSTEM. 
Section 716(a)(1) of the National Defense Authoriza-
tion Act for Fiscal Year 2012 (Public Law 112–81; 125 
Stat. 1477) is amended by striking ‘‘until a 120-day pe-
riod’’ and all that follows through the period and inserting 
the following: ‘‘until the Secretary implements and com-
pletes any recommendations included in the report sub-
mitted by the Comptroller General of the United States 
under subsection (b)(3) and notifies the congressional de-
fense committees of such implementation and comple-
tion.’’. 
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Subtitle C—Reports and Other 
Matters 
SEC. 721. EXTENSION OF COMPTROLLER GENERAL REPORT 
ON CONTRACT HEALTH CARE STAFFING FOR 
MILITARY MEDICAL TREATMENT FACILITIES. 
Section 726(a) of the National Defense Authorization 
Act for Fiscal Year 2012 (Public Law 112–81; 125 Stat. 
1480) is amended by striking ‘‘March 31, 2012’’ and in-
serting ‘‘March 31, 2013’’. 
SEC. 722. EXTENSION OF COMPTROLLER GENERAL REPORT 
ON WOMEN-SPECIFIC HEALTH SERVICES AND 
TREATMENT FOR FEMALE MEMBERS OF THE 
ARMED FORCES. 
Section 725(c) of the National Defense Authorization 
Act for Fiscal Year 2012 (Public Law 112–81; 125 Stat. 
1480) is amended by striking ‘‘December 31, 2012’’ and 
inserting ‘‘March 31, 2013’’. 
SEC. 723. ESTABLISHMENT OF TRICARE WORKING GROUP. 
(a) SENSE OF CONGRESS.—It is the sense of Con-
gress that— 
(1) children of members of the Armed Forces 
deserve health-care practices and policies that— 
(A) are designed to meet their pediatric- 
specific needs; 
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(B) 
are 
developed 
and 
determined 
proactively and comprehensively; and 
(C) ensure and maintain their access to pe-
diatric-specific treatments, providers, and facili-
ties. 
(2) children’s health-care needs and standards 
of care are different and distinct from those of 
adults, therefore the TRICARE program should un-
dertake a proactive, comprehensive approach to re-
view and analyze its policies and practices to meet 
the needs of children to ensure that children and 
their families receive appropriate care in proper set-
tings and avoid unnecessary challenges in seeking or 
obtaining proper health care; 
(3) a proactive and comprehensive review is 
necessary because the reimbursement structure of 
the TRICARE program is patterned upon Medicare 
and the resulting policies and practices of the 
TRICARE program do not always properly reflect 
appropriate standards for pediatric care; 
(4) one distinct aspect of children’s health care 
is the need for specialty care and services for chil-
dren with special-health-care needs and chronic- 
health conditions; 
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(5) the requirement for specialized health care 
and developmental support is an ongoing and serious 
matter of day-to-day life for families with children 
with special or chronic-health-care needs; 
(6) the Department of Defense and the 
TRICARE program, recognizing the special needs of 
certain children, have instituted special-needs pro-
grams, including the ECHO program, but there are 
collateral needs that are not being met, generally be-
cause the services are provided in the local commu-
nity rather than by the Department of Defense, who 
may not always have the best tools or knowledge to 
access these State and local resources; 
(7) despite wholehearted efforts by the Depart-
ment of Defense, a gap exists between linking mili-
tary families with children with special-health-care 
needs and chronic conditions with the resources and 
services available from local or regional highly spe-
cialized providers and the communities and States in 
which they reside; 
(8) the gap is especially exacerbated by the mo-
bility of military families, who often move from 
State to State, because special-needs health care, 
educational, and social services are very specific to 
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each local community and State and such services 
often have lengthy waiting lists; and 
(9) the Department of Defense will be better 
able to assist military families with children with 
special-health-care needs fill the gap by collaborating 
with special-health-care needs providers and those 
knowledgeable about the opportunities for such chil-
dren that are provided by States and local commu-
nities. 
(b) ESTABLISHMENT.— 
(1) IN
GENERAL.—The Secretary of Defense 
shall establish a working group to carry out a review 
of the TRICARE program with respect to— 
(A) pediatric health care needs under para-
graph (2); and 
(B) pediatric special and chronic health 
care needs under paragraph (3). 
(2) PEDIATRIC HEALTH CARE NEEDS.— 
(A) DUTIES.—The working group shall— 
(i) comprehensively review the policy 
and practices of the TRICARE program 
with respect to providing pediatric health 
care; 
(ii) recommend changes to such poli-
cies and practices to ensure that— 
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(I) children receive appropriate 
care in an appropriate manner, at the 
appropriate time, and in an appro-
priate setting; and 
(II) access to care and treatment 
provided by pediatric providers and 
children’s hospitals remains available 
for families with children; and 
(iii) develop a plan to implement such 
changes. 
(B) REVIEW.—In carrying out the duties 
under subparagraph (A), the working group 
shall— 
(i) identify improvements in policies, 
practices, 
and 
administration 
of 
the 
TRICARE program with respect to pedi-
atric-specific health care and pediatric-spe-
cific healthcare settings; 
(ii) analyze the direct and indirect ef-
fects of the reimbursement policies and 
practices of the TRICARE program with 
respect to pediatric care and care provided 
in pediatric settings; 
(iii) consider case management pro-
grams with respect to pediatric complex 
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and chronic care, including whether pedi-
atric specific programs are necessary; 
(iv) develop a plan to ensure that the 
TRICARE program addresses pediatric- 
specific health care needs on an on-going 
basis beyond the life of the working group; 
(v) consider how the TRICARE pro-
gram can work with the pediatric provider 
community to ensure access, promote com-
munication and collaboration, and optimize 
experiences of military families seeking and 
receiving health care services for children; 
and 
(vi) review matters that further the 
mission of the working group. 
(3) PEDIATRIC SPECIAL AND CHRONIC HEALTH 
CARE NEEDS.— 
(A) DUTIES.—The working group shall— 
(i) review the methods in which fami-
lies in the TRICARE program who have 
children with special-health-care needs ac-
cess community resources and health-care 
resources; 
(ii) review how having access to, and 
a better understanding of, community re-
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sources may improve access to health care 
and support services; 
(iii) recommend methods to accom-
plish improved access by such children and 
families to community resources and 
health-care resources, including through 
collaboration with children’s hospitals and 
other providers of pediatric specialty care, 
local agencies, local communities, and 
States; 
(iv) consider approaches and make 
recommendations for the improved integra-
tion of individualized or compartmentalized 
medical and family support resources for 
military families; 
(v) work closely with the Office of 
Community Support for Military Families 
with Special Needs of the Department of 
Defense and other relevant offices to avoid 
redundancies and target shared areas of 
concern for children with special or chron-
ic-health-care needs; and 
(vi) review any relevant information 
learned and findings made by the working 
group under this paragraph that may be 
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considered or adopted in a consistent man-
ner with respect to improving access, re-
sources, and services for adults with spe-
cial needs. 
(B) REVIEW.—In carrying out the duties 
under subparagraph (A), the working group 
shall— 
(i) discuss improvements to special 
needs health care policies and practices; 
(ii) determine how to support and pro-
tect families of members of the National 
Guard or Reserve Components as the 
members transition into and out of the rel-
evant Exceptional Family Member Pro-
gram or the ECHO program; 
(iii) analyze case management services 
to improve consistency, communication, 
knowledge, and understanding of resources 
and community contacts; 
(iv) identify areas in which a State 
may offer services that are not covered by 
the TRICARE program or the ECHO pro-
gram and how to coordinate such services; 
(v) identify steps that States and 
communities can take to improve support 
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for military families of children with spe-
cial health care needs; 
(vi) consider how the TRICARE pro-
gram and other programs of the Depart-
ment of Defense can work with specialty 
pediatric providers and resource commu-
nities to ensure access, promote commu-
nication and collaboration, and optimize 
experiences of military families seeking and 
receiving health care services for their chil-
dren with special or chronic health care 
needs; 
(vii) consider special and chronic 
health care in a comprehensive manner 
without focus on one or more conditions or 
diagnoses to the exclusion of others; 
(viii) focus on ways to create innova-
tive partnerships, linkages, and access to 
information and resources for military 
families across the spectrum of the special- 
needs community and between the medical 
community and the family support commu-
nity; and 
(ix) review matters that further the 
mission of the working group. 
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(c) MEMBERSHIP.— 
(1) APPOINTMENTS.—The working group shall 
be composed of not less than 14 members as follows: 
(A) The Chief Medical Officer of the 
TRICARE program, who shall serve as chair-
person. 
(B) The Chief Medical Officers of the 
North, South, and West regional offices of the 
TRICARE program. 
(C) One individual representing the Army 
appointed by the Surgeon General of the Army. 
(D) One individual representing the Navy 
appointed by the Surgeon General of the Navy. 
(E) One individual representing the Air 
Force appointed by the Surgeon General of the 
Air Force. 
(F) One individual representing the re-
gional managed care support contractor of the 
North region of the TRICARE program ap-
pointed by such contractor. 
(G) One individual representing the re-
gional managed care support contractor of the 
South region of the TRICARE program ap-
pointed by such contractor. 
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(H) One individual representing the re-
gional managed care support contractor of the 
West region of the TRICARE program ap-
pointed by such contractor. 
(I) Not more than three individuals rep-
resenting the non-profit organization the Mili-
tary Coalition appointed by such organization. 
(J) One individual representing the Amer-
ican Academy of Pediatrics appointed by such 
organization. 
(K) One individual representing the Na-
tional Association of Children’s Hospitals ap-
pointed by such organization. 
(L) One individual representing military 
families who is not an employee of an organiza-
tion representing such families. 
(M) Any other individual as determined by 
the Chief Medical Officer of the TRICARE pro-
gram. 
(2) TERMS.—Each member shall be appointed 
for the life of the working group. A vacancy in the 
working group shall be filled in the manner in which 
the original appointment was made. 
(3) TRAVEL
EXPENSES.—Each member shall 
receive travel expenses, including per diem in lieu of 
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subsistence, in accordance with applicable provisions 
under subchapter I of chapter 57 of title 5, United 
States Code. 
(4) STAFF.—The Secretary of Defense shall en-
sure that employees of the TRICARE program pro-
vide the working group with the necessary support 
to carry out this section. 
(d) MEETINGS.— 
(1) SCHEDULE.—The working group shall— 
(A) convene its first meeting not later than 
60 days after the date of the enactment of this 
Act; and 
(B) convene not less than four other times. 
(2) FORM.—Any meeting of the working group 
may be conducted in-person or through the use of 
video conferencing. 
(3) QUORUM.—Seven members of the working 
group shall constitute a quorum but a lesser number 
may hold hearings. 
(e) ADVICE.—With respect to carrying out the review 
of the TRICARE program and pediatric special and 
chronic health care needs under subsection (b)(3), the 
working group shall seek counsel from the following indi-
viduals acting as an expert advisory group: 
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(1) One individual representing the Exceptional 
Family Member Program of the Army. 
(2) One individual representing the Exceptional 
Family Member Program of the Navy. 
(3) One individual representing the Exceptional 
Family Member Program of the Air Force. 
(4) One individual representing the Exceptional 
Family Member Program of the Marine Corps. 
(5) One individual representing the Office of 
Community Support for Military Families with Spe-
cial Needs. 
(6) One individual who is not an employee of an 
organization representing military families shall rep-
resent a military family with a child with special 
health care needs. 
(7) Not more than three individuals rep-
resenting organizations that— 
(A) are not otherwise represented in this 
paragraph or in the working group; and 
(B) possess expertise needed to carry out 
the goals of the working group. 
(f) REPORTS REQUIRED.— 
(1) REPORT.—Not later than 12 months after 
the date on which the working group convenes its 
first meeting, the working group shall submit to the 
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congressional defense committees a report includ-
ing— 
(A) any changes described in subsection 
(b)(2)(A)(ii) identified by the working group 
that— 
(i) require legislation to carry out, in-
cluding proposed legislative language for 
such changes; 
(ii) require regulations to carry out, 
including proposed regulatory language for 
such changes; and 
(iii) may be carried out without legis-
lation or regulations, including a time line 
for such changes; and 
(B) steps that States and local commu-
nities may take to improve the experiences of 
military families with special-needs children in 
interacting with and accessing State and local 
community resources. 
(2) FINAL REPORT.—Not later than 18 months 
after the date on which the report is submitted 
under paragraph (1), the working group shall sub-
mit to the congressional defense committees a final 
report including— 
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(A) any additional information and up-
dates to the report submitted under paragraph 
(1); 
(B) information with respect to how the 
Secretary of Defense is implementing the 
changes identified in the report submitted 
under paragraph (1); and 
(C) information with respect to any steps 
described in subparagraph (B) of such para-
graph that were taken by States and local com-
munities after the date on which such report 
was submitted. 
(g) TERMINATION.—The working group shall termi-
nate on the date that is 30 days after the date on which 
the working group submits the final report pursuant to 
subsection (f)(2). 
(h) DEFINITIONS.—In this Act: 
(1) The term ‘‘children’’ means dependents of a 
member of the Armed Forces who are— 
(A) individuals who have not yet attained 
the age of 21; or 
(B) individuals who have not yet attained 
the age of 27 if the inclusion of such depend-
ents is applicable and relevant to a program or 
policy being reviewed under this Act. 
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(2) The term ‘‘congressional defense commit-
tees’’ has the meaning given that term in section 
101(a)(16) of title 10, United States Code. 
(3) The term ‘‘ECHO program’’ means the pro-
gram established pursuant to subsections (d) 
through (e) of section 1079 of title 10, United 
States Code (commonly referred to as the ‘‘Extended 
Care Health Option program’’). 
(4) The term ‘‘TRICARE program’’ means the 
managed health care program that is established by 
the Department of Defense under chapter 55 of title 
10, United States Code. 
SEC. 724. REPORT ON STRATEGY TO TRANSITION TO USE 
OF HUMAN-BASED METHODS FOR CERTAIN 
MEDICAL TRAINING. 
(a) REPORT.— 
(1) IN
GENERAL.—Not later than March 1, 
2013, the Secretary of Defense shall submit to the 
congressional defense committees a report that out-
lines a strategy to refine and, when appropriate, 
transition to using human-based training methods 
for the purpose of training members of the Armed 
Forces in the treatment of combat trauma injuries 
by October 1, 2017. 
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(2) ELEMENTS.—The report under paragraph 
(1) shall include the following: 
(A) Required research, development, test-
ing, and evaluation investments to validate 
human-based training methods to refine, re-
duce, and, when appropriate, transition from 
the use of live animals in medical education and 
training by October 1, 2015. 
(B) Phased sustainment and readiness 
costs to refine, reduce, and, when appropriate, 
replace the use of live animals in medical edu-
cation and training by October 1, 2017. 
(C) Any risks associated with transitioning 
to human-based training methods, including re-
source availability, anticipated technological de-
velopment time lines, and potential impact on 
the present combat trauma training curricula. 
(D) An assessment of the potential effect 
of transitioning to human based-training meth-
ods on the quality of medical care delivered on 
the battlefield including any reduction in the 
competency of combat medical personnel. 
(E) An assessment of risks to maintaining 
the level of combat life-saver techniques per-
formed by all members of the Armed Forces. 
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(b) UPDATED ANNUAL REPORTS.—Not later than 
March 1, 2014, and each year thereafter, the Secretary 
shall submit to the congressional defense committees a re-
port on the development and implementation of human- 
based training methods for the purposes of training mem-
bers of the Armed Forces in the treatment of combat trau-
ma injuries under this section. 
(c) DEFINITIONS.—In this section: 
(1) The term ‘‘combat trauma injuries’’ means 
severe injuries likely to occur during combat, includ-
ing— 
(A) extremity hemorrhage; 
(B) tension pneumothorax; 
(C) amputation resulting from blast injury; 
(D) compromises to the airway; and 
(E) other injuries. 
(2) The term ‘‘human-based training methods’’ 
means, with respect to training individuals in med-
ical treatment, the use of systems and devices that 
do not use animals, including— 
(A) simulators; 
(B) partial task trainers; 
(C) moulage; 
(D) simulated combat environments; and 
(E) human cadavers. 
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(3) The term ‘‘partial task trainers’’ means 
training aids that allow individuals to learn or prac-
tice specific medical procedures. 
SEC. 725. PILOT PROGRAM ON ENHANCEMENTS OF DE-
PARTMENT OF DEFENSE EFFORTS ON MEN-
TAL HEALTH IN THE NATIONAL GUARD AND 
RESERVES THROUGH COMMUNITY PARTNER-
SHIPS. 
(a) PROGRAM AUTHORITY.—The Secretary of De-
fense may carry out a pilot program to enhance the efforts 
of the Department of Defense in research, treatment, edu-
cation, and outreach on mental health and substance use 
disorders and traumatic brain injury in members of the 
National Guard and Reserves, their family members, and 
their caregivers through community partners. 
(b) COMMUNITY PARTNERS.—The Secretary of De-
fense may award grants to community partners described 
in subsection (c) using a competitive and merit-based 
award process whereby the awardee agrees to make con-
tributions toward the costs of activities carried out with 
the grant, from non-Federal sources, an amount equal to 
not less than $3 for each $1 of funds provided under the 
grant. 
(c) COMMUNITY PARTNER DESCRIBED.—A commu-
nity partner described in this subsection is a private non- 
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profit organization or institution that engages in one or 
more of the following: 
(1) Research on the causes, development, and 
innovative treatment of mental health and substance 
use disorders and traumatic brain injury in members 
of the National Guard and Reserves, their family 
members, and their caregivers. 
(2) Providing treatment to such members and 
their families for such mental health and substance 
use disorders and traumatic brain injury. 
(3) Identifying and disseminating evidence- 
based treatments of mental health and substance use 
disorders and traumatic brain injury described in 
paragraph (1). 
(4) Outreach and education to such members, 
their families and caregivers, and the public about 
mental health and substance use disorders and trau-
matic brain injury described in paragraph (1). 
(d) DURATION.—The duration of the pilot program 
may not exceed three years. 
(e) REPORT.—Not later than 180 days before the 
completion of the pilot program, the Secretary of Defense 
shall submit to the Secretary of Veterans Affairs and Con-
gress a report on the results of the pilot program, includ-
ing the amount of grants so awarded and activities carried 
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out, the number of members of the National Guard and 
Reserves provided treatment or services by community 
partners, and a description and assessment of the effec-
tiveness and achievements of the pilot program with re-
spect to research, treatment, education, and outreach on 
mental health and substance use disorders and traumatic 
brain injury. 
SEC. 726. STUDY ON BREAST CANCER AMONG MEMBERS OF 
THE ARMED FORCES AND VETERANS. 
(a) STUDY.—The Secretary of Defense and the Sec-
retary of Veterans Affairs shall jointly conduct a study 
on the incidence of breast cancer among members of the 
Armed Forces (including members of the National Guard 
and reserve components) and veterans. Such study shall 
include the following: 
(1) A determination of the number of members 
and veterans diagnosed with breast cancer. 
(2) A determination of demographic informa-
tion regarding such members and veterans, includ-
ing— 
(A) race; 
(B) ethnicity; 
(C) sex; 
(D) age; 
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(E) possible exposure to hazardous ele-
ments or chemical or biological agents (includ-
ing any vaccines) and where such exposure oc-
curred; 
(F) the locations of duty stations that such 
member or veteran was assigned; 
(G) the locations in which such member or 
veteran was deployed; and 
(H) the geographic area of residence prior 
to deployment. 
(3) An analysis of breast cancer treatments re-
ceived by such members and veterans. 
(4) Other information the Secretaries consider 
necessary. 
(b) REPORT.—Not later than 18 months after the 
date of the enactment of this Act, the Secretary of Defense 
and the Secretary of Veterans Affairs shall jointly submit 
to Congress a report containing the results of the study 
required under subsection (a). 
(c) FUNDING INCREASE AND OFFSETTING REDUC-
TION.—Notwithstanding the amounts set forth in the 
funding tables in division D— 
(1) the amount authorized to be appropriated in 
section 1406 for the Defense Health Program, as 
specified in the corresponding funding table in divi-
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sion D, is hereby increased by $10,000,000, with the 
amount of the increase allocated to the Defense 
Health Program, as set forth in the table under sec-
tion 4501, to carry out this section; and 
(2) the amount authorized to be appropriated in 
section 101 for Weapons Procurement, Navy, as 
specified in the corresponding funding table in sec-
tion 4101 of division D, is hereby reduced by a total 
$10,000,000, with the amount of the reduction to be 
derived from— 
(A) Line 004 (AMRAAM) in the amount 
of $2,700,000; 
(B) Line 006 (JSOW) in the amount of 
$2,700,000; and 
(C) Line 009 (Hellfire) in the amount of 
$4,600,000. 
SEC. 727. INCREASED COLLABORATION WITH NIH TO COM-
BAT TRIPLE NEGATIVE BREAST CANCER. 
The Office of Health of the Department of Defense 
shall work in collaboration with the National Institutes of 
Health to— 
(1) identify specific genetic and molecular tar-
gets and biomarkers for triple negative breast can-
cer; and 
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(2) provide information useful in biomarker se-
lection, drug discovery, and clinical trials design that 
will enable both— 
(A) triple negative breast cancer patients 
to be identified earlier in the progression of 
their disease; and 
(B) the development of multiple targeted 
therapies for the disease. 
SEC. 728. PILOT PROGRAM ON PAYMENT FOR TREATMENT 
OF MEMBERS OF THE ARMED FORCES AND 
VETERANS FOR TRAUMATIC BRAIN INJURY 
AND POST-TRAUMATIC STRESS DISORDER. 
(a) PAYMENT PROCESS.—The Secretary of Defense 
and the Secretary of Veterans Affairs shall carry out a 
five-year pilot program under which each such Secretary 
shall establish a process through which each Secretary 
shall provide payment for treatments (including diagnostic 
testing) of traumatic brain injury or post-traumatic stress 
disorder received by members of the Armed Forces and 
veterans in health care facilities other than military treat-
ment facilities or Department of Veterans Affairs medical 
facilities. Such process shall provide that payment be 
made directly to the health care facility furnishing the 
treatment. 
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(b) CONDITIONS FOR PAYMENT.—The approval by a 
Secretary for payment for a treatment pursuant to sub-
section (a) shall be subject to the following conditions: 
(1) Any drug or device used in the treatment 
must be approved or cleared by the Food and Drug 
Administration for any purpose. 
(2) The treatment must have been approved by 
an institutional review board operating in accordance 
with regulations issued by the Secretary of Health 
and Human Services. 
(3) The treatment (including any patient disclo-
sure requirements) must be used by the health care 
provider delivering the treatment. 
(4) The patient receiving the treatment must 
demonstrate an improvement as a result of the 
treatment on one or more of the following: 
(A) Standardized independent pre-treat-
ment and post-treatment neuropsychological 
testing. 
(B) Accepted survey instruments. 
(C) Neurological imaging. 
(D) Clinical examination. 
(5) The patient receiving the treatment must be 
receiving the treatment voluntarily. 
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(6) The patient receiving the treatment may not 
be a retired member of the uniformed services or of 
the Armed Forces who is entitled to benefits under 
part A, or eligible to enroll under part B, of title 
XVIII of the Social Security Act. 
(c) ADDITIONAL RESTRICTIONS PROHIBITED.—Ex-
cept as provided in this subsection (b), no restriction or 
condition for reimbursement may be placed on any health 
care provider that is operating lawfully under the laws of 
the State in which the provider is located with respect to 
the receipt of payment under this section. 
(d) PAYMENT DEADLINE.—The Secretary of Defense 
and the Secretary of Veterans Affairs shall make a pay-
ment for a treatment pursuant to subsection (a) not later 
than 30 days after a member of the Armed Forces or vet-
eran (or health care provider on behalf of such member 
or veteran) submits to the Secretary documentation re-
garding the treatment. The Secretary of Defense and the 
Secretary of Veterans Affairs shall ensure that the docu-
mentation required under this subsection may not be an 
undue burden on the member of the Armed Forces or vet-
eran or on the health care provider. 
(e) PAYMENT AUTHORITY.— 
(1) DEPARTMENT
OF
DEFENSE.—The Sec-
retary of Defense shall make payments under this 
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section for treatments received by members of the 
Armed Forces using the authority in subsection 
(c)(1) of section 1074 of title 10, United States 
Code. 
(2) DEPARTMENT
OF
VETERANS
AFFAIRS.— 
The Secretary of Veterans Affairs shall make pay-
ments under this section for treatments received by 
veterans using the authority in section 1728 of title 
38, United States Code. 
(f) PAYMENT AMOUNT.—A payment under this sec-
tion shall be made at the equivalent Centers for Medicare 
and Medicaid Services reimbursement rate in effect for ap-
propriate treatment codes for the State or territory in 
which the treatment is received. If no such rate is in effect, 
payment shall be made at a fair market rate, as deter-
mined by the Secretary of Defense, in consultation with 
the Secretary of Health and Human Services, with respect 
to a patient who is a member of the Armed Forces or 
the Secretary of Veterans Affairs with respect to a patient 
who is a veteran. 
(g) DATA COLLECTION AND AVAILABILITY.— 
(1) IN
GENERAL.—The Secretary of Defense 
and the Secretary of Veterans Affairs shall jointly 
develop and maintain a database containing data 
from each patient case involving the use of a treat-
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ment under this section. The Secretaries shall en-
sure that the database preserves confidentiality and 
be made available only— 
(A) for third-party payer examination; 
(B) to the appropriate congressional com-
mittees and employees of the Department of 
Defense, the Department of Veterans Affairs, 
the Department of Health and Human Services, 
and appropriate State agencies; and 
(C) to the primary investigator of the insti-
tutional review board that approved the treat-
ment, in the case of data relating to a patient 
case involving the use of such treatment. 
(2) ENROLLMENT IN INSTITUTIONAL REVIEW 
BOARD STUDY.—In the case of a patient enrolled in 
a registered institutional review board study, results 
may be publically distributable in accordance with 
the regulations prescribed pursuant to the Health 
Insurance Portability and Accountability Act of 
1996 (Public Law 104–191) and other regulations 
and practices in effect as of the date of the enact-
ment of this Act. 
(3) 
QUALIFIED
INSTITUTIONAL
REVIEW 
BOARDS.—The Secretary of Defense and the Sec-
retary of Veterans Affairs shall each ensure that the 
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Internet Web site of their respective departments in-
cludes a list of all civilian institutional review board 
studies that have received a payment under this sec-
tion. 
(h) ASSISTANCE FOR MEMBERS TO OBTAIN TREAT-
MENT.— 
(1) ASSIGNMENT TO TEMPORARY DUTY.—The 
Secretary of a military department may assign a 
member of the Armed Forces under the jurisdiction 
of the Secretary to temporary duty or allow the 
member a permissive temporary duty in order to 
permit the member to receive treatment for trau-
matic brain injury or post-traumatic stress disorder, 
for which payments shall be made under subsection 
(a), at a location beyond reasonable commuting dis-
tance of the member’s permanent duty station. 
(2) PAYMENT OF PER DIEM.—A member who is 
away from the member’s permanent station may be 
paid a per diem in lieu of subsistence in an amount 
not more than the amount to which the member 
would be entitled if the member were performing 
travel in connection with a temporary duty assign-
ment. 
(3) GIFT RULE WAIVER.—Notwithstanding any 
rule of any department or agency with respect to 
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ethics or the receipt of gifts, any assistance provided 
to a member of the Armed Forces with a service- 
connected injury or disability for travel, meals, or 
entertainment incidental to receiving treatment 
under this section, or for the provision of such treat-
ment, shall not be subject to or covered by any such 
rule. 
(i) RETALIATION PROHIBITED.—No retaliation may 
be made against any member of the Armed Forces or vet-
eran who receives treatment as part of registered institu-
tional review board study carried out by a civilian health 
care practitioner. 
(j) TREATMENT OF UNIVERSITY AND NATIONALLY 
ACCREDITED
INSTITUTIONAL
REVIEW
BOARDS.—For 
purposes of this section, a university-affiliated or nation-
ally accredited institutional review board shall be treated 
in the same manner as a Government institutional review 
board. 
(k) MEMORANDA OF UNDERSTANDING.—The Sec-
retary of Defense and the Secretary of Veterans Affairs 
shall seek to expeditiously enter into memoranda of under-
standings with civilian institutional review boards de-
scribed in subsection (j) for the purpose of providing for 
members of the Armed Forces and veterans to receive 
treatment carried out by civilian health care practitioners 
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under a treatment approved by and under the oversight 
of civilian institutional review boards that would qualify 
for payment under this section. 
(l) OUTREACH REQUIRED.— 
(1) OUTREACH TO VETERANS.—The Secretary 
of Veterans Affairs shall notify each veteran with a 
service-connected injury or disability of the oppor-
tunity to receive treatment pursuant to this section. 
(2) OUTREACH TO MEMBERS OF THE ARMED 
FORCES.—The Secretary of Defense shall notify 
each member of the Armed Forces with a service- 
connected injury or disability of the opportunity to 
receive treatment pursuant to this section. 
(m) REPORT TO CONGRESS.—Not later than 30 days 
after the last day of each fiscal year during which the Sec-
retary of Defense and the Secretary of Veterans Affairs 
are authorized to make payments under this section, the 
Secretaries shall jointly submit to Congress an annual re-
port on the implementation of this section. Such report 
shall include each of the following for that fiscal year: 
(1) The number of individuals for whom the 
Secretary has provided payments under this section. 
(2) The condition for which each such indi-
vidual receives treatment for which payment is pro-
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vided under this section and the success rate of each 
such treatment. 
(3) Treatment methods that are used by enti-
ties receiving payment provided under this section 
and the respective rate of success of each such meth-
od. 
(4) The recommendations of the Secretaries 
with respect to the integration of treatment methods 
for which payment is provided under this section 
into facilities of the Department of Defense and De-
partment of Veterans Affairs. 
(n) TERMINATION.—The authority to make a pay-
ment under this section shall terminate on the date that 
is five years after the date of the enactment of this Act. 
(o) AUTHORIZATION OF APPROPRIATIONS.—There is 
authorized to be appropriated to carry out this section 
$10,000,000 for each fiscal year during which the Sec-
retary of Veterans Affairs and the Secretary of Defense 
are authorized to make payments under this section. 
(p) FUNDING INCREASE AND OFFSETTING REDUC-
TION.— 
(1) 
IN
GENERAL.—Notwithstanding 
the 
amounts set forth in the funding tables in division 
D, to carry out this section during fiscal year 
2013— 
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(A) the amount authorized to be appro-
priated in section 1406 for the Defense Health 
Program, as specified in the corresponding 
funding table in division D, is hereby increased 
by $10,000,000, with the amount of the in-
crease allocated to the Defense Health Pro-
gram, as set forth in the table under section 
4501, to carry out this section; and 
(B) the amount authorized to be appro-
priated in section 301 for Operation and Main-
tenance, Defense-wide, as specified in the cor-
responding funding table in division D, is here-
by reduced by $10,000,000, with the amount of 
the reduction to be derived from Line 260, Of-
fice of the Secretary of Defense as set forth in 
the table under section 4301. 
(2) MERIT-BASED
OR
COMPETITIVE
DECI-
SIONS.—A decision to commit, obligate, or expend 
funds referred to in paragraph (1)(A) with or to a 
specific entity shall— 
(A) be based on merit-based selection pro-
cedures in accordance with the requirements of 
sections 2304(k) and 2374 of title 10, United 
States Code, or on competitive procedures; and 
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(B) comply with other applicable provisions 
of law. 
SEC. 
729. 
CONGRESSIONAL 
SUPPORT 
FOR 
GREATER 
AWARENESS OF POST-TRAUMATIC STRESS 
DISORDER. 
(a) FINDINGS.—Congress makes the following find-
ings: 
(1) The brave men and women of the United 
States Armed Forces, who proudly serve the United 
States, risk their lives to protect the freedom of the 
United States and deserve the investment of every 
possible resource to ensure their lasting physical, 
mental, and emotional well-being. 
(2) More than 2,400,000 members of the 
Armed Forces have deployed overseas as part of 
overseas contingency operations since the events of 
September 11, 2001. 
(3) One in five members who have returned 
from deployment reported symptoms of post-trau-
matic stress disorder (PTSD). 
(4) Just over 1⁄2 of the members have sought 
treatment for PTSD symptoms. 
(5) More than 90,000 members returning from 
deployment to Operation Enduring Freedom or Op-
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eration Iraqi Freedom are clinically diagnosed with 
PTSD. 
(6) The Armed Forces have sustained an oper-
ational tempo for a period of time unprecedented in 
the history of the United States, with many mem-
bers deploying multiple times, placing them at high 
risk of PTSD. 
(7) Up to 10 percent of Operation Desert 
Storm veterans, 30 percent of Vietnam veterans, and 
8 percent of the general population of the United 
States suffer or have suffered from PTSD. 
(8) Many cases of PTSD remain unreported, 
undiagnosed, and untreated due to a lack of aware-
ness about PTSD and the persistent stigma associ-
ated with mental health issues. 
(9) PTSD significantly increases the risk of de-
pression, suicide, and drug- and alcohol-related dis-
orders and deaths, especially if left untreated. 
(10) The Departments of Defense and Veterans 
Affairs have made significant advances in the pre-
vention, diagnosis, and treatment of PTSD and the 
symptoms of PTSD, but many challenges remain. 
(11) About 1⁄2 of members and their spouses re-
port they are somewhat or not at all knowledgeable 
about the signs and symptoms of PTSD. 
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(b) CONGRESSIONAL EXPRESSION OF SUPPORT.—In 
light of the findings made in subsection (a), Congress— 
(1) supports the efforts of the Secretary of Vet-
erans Affairs and the Secretary of Defense to edu-
cate service members, veterans, the families of serv-
ice members and veterans, and the public about the 
causes, symptoms, and treatment of post-traumatic 
stress disorder (PTSD); and 
(2) supports the creation of an advisory com-
mission on PTSD to coordinate the efforts of the 
Department of Defense, Department of Veterans Af-
fairs, and other executive departments and agencies 
for the prevention, diagnosis, and treatment of 
PTSD. 
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TITLE VIII—ACQUISITION POL-
ICY, ACQUISITION MANAGE-
MENT, AND RELATED MAT-
TERS 
Subtitle A—Acquisition Policy and 
Management 
SEC. 801. PILOT EXEMPTION REGARDING TREATMENT OF 
PROCUREMENTS ON BEHALF OF THE DE-
PARTMENT OF DEFENSE IN ACCORDANCE 
WITH THE DEPARTMENT OF ENERGY’S WORK 
FOR OTHERS PROGRAM. 
(a) EXEMPTION FROM INSPECTOR GENERAL RE-
VIEWS AND DETERMINATIONS.—Subsection (a) of section 
801 of the National Defense Authorization Act for Fiscal 
Year 2008 (Public Law 110–181; 10 U.S.C. 2304 note) 
is amended by adding at the end the following new para-
graph: 
‘‘(7) 
TREATMENT
OF
PROCUREMENTS 
THROUGH DEPARTMENT OF ENERGY.—For purposes 
of this subsection, effective during the 24-month pe-
riod beginning on the date of the enactment of the 
National Defense Authorization Act for Fiscal Year 
2013, the procurement of property or services on be-
half of the Department of Defense pursuant to an 
interagency agreement between the Department of 
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Defense and the Department of Energy in accord-
ance with the Department of Energy’s Work For 
Others Program, under which the property or serv-
ices are provided by a management and operating 
contractor of the Department of Energy and are 
procured on behalf of the Department of Defense, 
shall not be considered a procurement of property or 
services on behalf of the Department of Defense by 
a covered non-defense agency.’’. 
(b) EXEMPTION FROM CERTAIN CERTIFICATION RE-
QUIREMENTS.—Subsection (b) of such section is amend-
ed— 
(1) in paragraph (1), by striking ‘‘paragraph 
(2)’’ and inserting ‘‘paragraphs (2) and (4)’’; and 
(2) by adding at the end the following new 
paragraph: 
‘‘(4) EXCEPTION FOR PROCUREMENTS IN AC-
CORDANCE WITH THE DEPARTMENT OF ENERGY’S 
WORK FOR OTHERS PROGRAM.—Effective during the 
24-month period beginning on the date of the enact-
ment of the National Defense Authorization Act for 
Fiscal Year 2013, the limitation in paragraph (1) 
shall not apply to the procurement of property or 
services on behalf of the Department of Defense 
pursuant to an interagency agreement between the 
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Department of Defense and the Department of En-
ergy in accordance with the Department of Energy’s 
Work for Others Program, under which the property 
or services are provided by a management and oper-
ating contractor of the Department of Energy and 
procured on behalf of the Department of Defense.’’. 
(c) CERTIFICATION.—Not later than 20 months after 
the date of the enactment of this Act, the Under Secretary 
of Defense for Acquisition, Technology, and Logistics shall 
submit to the congressional defense committees the fol-
lowing: 
(1) A statement certifying whether the procure-
ment policies, procedures, and internal controls of 
the Department of Energy provide sufficient protec-
tion and oversight for Department of Defense funds 
expended through the Department of Energy Work 
for Others Program. 
(2) A recommendation regarding whether the 
pilot exemption granted by the amendments made by 
this section should be extended. 
SEC. 802. REQUIREMENTS RELATING TO CONTRACTS FOR 
PURCHASE OF HELICOPTERS FOR AFGHAN 
SECURITY FORCES. 
(a) REQUIREMENT FOR COMPETITIVELY BID CON-
TRACTS.—Subject to subsection (b), the Secretary of De-
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fense shall award any contract that will use United States 
funds for the procurement of helicopters for the Afghan 
Security Forces using competitive procedures. 
(b) PROHIBITION ON CONTRACTING WITH CERTAIN 
ENTITIES.—Notwithstanding subsection (a), the Sec-
retary of Defense may not award a contract, directly or 
indirectly, to any entity controlled, directed, or influenced 
by— 
(1) a country that has provided weapons to 
Syria at any time after the date of the enactment of 
the Syria Accountability and Lebanese Sovereignty 
Restoration Act of 2003 (Public Law 108–175); or 
(2) any country that is currently a state spon-
sor of terrorism. 
(c) STATE SPONSOR OF TERRORISM DEFINED.—In 
subsection (b), the term ‘‘state sponsor of terrorism’’ 
means any country the government of which the Secretary 
of State has determined has repeatedly provided support 
for acts of international terrorism pursuant to section 6(j) 
of the Export Administration Act of 1979, section 620A 
of the Foreign Assistance Act of 1961, or section 40 of 
the Arms Export Control Act. 
(d) EFFECTIVE DATE.—The requirement in sub-
section (a) shall apply to contracts awarded after the date 
of the enactment of this Act. 
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(e) NATIONAL SECURITY WAIVER AUTHORITY.—The 
Secretary of Defense may waive the applicability of this 
section if the Secretary determines such a waiver is nec-
essary in the national security interests of the United 
States. 
SEC. 803. PROHIBITION ON CONTRACTING WITH PERSONS 
THAT HAVE BUSINESS OPERATIONS WITH 
STATE SPONSORS OF TERRORISM. 
(a) PROHIBITION.—The Department of Defense may 
not enter into a contract for the procurement of goods 
or services with any person that has business operations 
with a state sponsor of terrorism. 
(b) DEFINITIONS.—In this section: 
(1) STATE SPONSOR OF TERRORISM.—The term 
‘‘state sponsor of terrorism’’ means any country the 
government of which the Secretary of State has de-
termined has repeatedly provided support for acts of 
international terrorism pursuant to— 
(A) section 6(j) of the Export Administra-
tion Act of 1979 (50 U.S.C. App. 2405(j)) (as 
continued in effect pursuant to the Inter-
national Emergency Economic Powers Act); 
(B) section 620A of the Foreign Assistance 
Act of 1961 (22 U.S.C. 2371); or 
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(C) section 40 of the Arms Export Control 
Act (22 U.S.C. 2780). 
(2) BUSINESS OPERATIONS.—The term ‘‘busi-
ness operations’’ means engaging in commerce in 
any form, including acquiring, developing, maintain-
ing, owning, selling, possessing, leasing, or operating 
equipment, facilities, personnel, products, services, 
personal property, real property, or any other appa-
ratus of business or commerce. 
(3) PERSON.—The term ‘‘person’’ means— 
(A) a natural person, corporation, com-
pany, business association, partnership, society, 
trust, or any other nongovernmental entity, or-
ganization, or group; 
(B) any governmental entity or instrumen-
tality of a government, including a multilateral 
development institution (as defined in section 
1701(c)(3) of the International Financial Insti-
tutions Act (22 U.S.C. 262r(c)(3))); and 
(C) any successor, subunit, parent entity, 
or subsidiary of, or any entity under common 
ownership or control with, any entity described 
in subparagraph (A) or (B). 
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Subtitle B—Amendments to Gen-
eral 
Contracting 
Authorities, 
Procedures, and Limitations 
SEC. 811. MODIFICATION OF TIME PERIOD FOR CONGRES-
SIONAL NOTIFICATION OF THE LEASE OF 
CERTAIN VESSELS BY THE DEPARTMENT OF 
DEFENSE. 
Section 2401(h)(2) of title 10, United States Code, 
is amended by striking ‘‘30 days of continuous session of 
Congress’’ and inserting ‘‘60 days’’. 
SEC. 812. EXTENSION OF AUTHORITY FOR USE OF SIM-
PLIFIED 
ACQUISITION 
PROCEDURES 
FOR 
CERTAIN COMMERCIAL ITEMS. 
(a) EXTENSION.—Effective as of January 1, 2012, 
section 4202 of the Clinger–Cohen Act of 1996 (division 
D of Public Law 104–106; 110 Stat. 652; 10 U.S.C. 2304 
note) is amended in subsection (e) by striking ‘‘2012’’ and 
inserting ‘‘2015’’. 
(b) TECHNICAL
AMENDMENT
TO
CROSS
REF-
ERENCES.—Subsection (e) of such Act is further amended 
by striking ‘‘section 303(g)(1) of the Federal Property and 
Administrative Services Act of 1949, and section 31(a) of 
the Office of Federal Procurement Policy Act, as amended 
by this section,’’ and inserting ‘‘section 3305(a) of title 
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41, United States Code, and section 1901(a) of title 41, 
United States Code,’’. 
SEC. 813. CODIFICATION AND AMENDMENT RELATING TO 
LIFE-CYCLE MANAGEMENT AND PRODUCT 
SUPPORT REQUIREMENTS. 
(a) CODIFICATION AND AMENDMENT.— 
(1) IN
GENERAL.—Chapter 137 of title 10, 
United States Code, is amended by adding at the 
end the following new section: 
‘‘§ 2335. Life-cycle management and product support 
‘‘(a) GUIDANCE
ON LIFE-CYCLE MANAGEMENT.— 
The Secretary of Defense shall issue and maintain com-
prehensive guidance on life-cycle management and the de-
velopment and implementation of product support strate-
gies for major weapon systems. The guidance issued pur-
suant to this subsection shall— 
‘‘(1) maximize competition and make the best 
possible use of available Department of Defense and 
industry resources at the system, subsystem, and 
component levels; and 
‘‘(2) maximize value to the Department of De-
fense by providing the best possible product support 
outcomes at the lowest operations and support cost. 
‘‘(b) PRODUCT SUPPORT MANAGERS.— 
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launch and reentry range support requirements of 
the Department of Defense if— 
‘‘(A) the Secretary determines that the in-
clusion of such support and services in such re-
quirements— 
‘‘(i) is in the best interest of the Fed-
eral Government; 
‘‘(ii) does not interfere with the re-
quirements of the Department of Defense; 
and 
‘‘(iii) does not compete with the com-
mercial space activities of other covered en-
tities, unless that competition is in the na-
tional security interests of the United 
States; and 
‘‘(B) any commercial requirement included 
in the agreement has full non-Federal funding 
before the execution of the agreement. 
‘‘(c) CONTRIBUTIONS.— 
‘‘(1) IN GENERAL.—The Secretary of Defense 
may enter into an agreement with a covered entity 
on a cooperative and voluntary basis to accept con-
tributions of funds, services, and equipment to carry 
out this section. 
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(1) The term ‘‘appropriate committees of Con-
gress’’ means— 
(A) the Committee on Armed Services, the 
Committee on Appropriations, and the Select 
Committee on Intelligence of the Senate; and 
(B) the Committee on Armed Services, the 
Committee on Appropriations, and the Perma-
nent Select Committee on Intelligence of the 
House of Representatives. 
(2) The term ‘‘individual detained at Guanta-
namo’’ means any individual located at United 
States Naval Station, Guantanamo Bay, Cuba, as of 
October 1, 2009, who— 
(A) is not a citizen of the United States or 
a member of the Armed Forces of the United 
States; and 
(B) is— 
(i) in the custody or under the control 
of the Department of Defense; or 
(ii) otherwise under detention at 
United States Naval Station, Guantanamo 
Bay, Cuba. 
(3) The term ‘‘foreign terrorist organization’’ 
means any organization so designated by the Sec-
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