(3) To establish metrics for measuring the per-
formance of such partnerships in achieving such 
goals. 
(4) To develop methods of data collection and 
analysis for carrying out paragraph (3). 
(5) To communicate and coordinate lessons 
learned from such partnerships with the Joint Trau-
ma System established under section 4. 
(c) PARTNERSHIPS.— 
(1) IN
GENERAL.—The Secretary shall enter 
into partnerships with civilian trauma centers. 
(2) MILITARY
TRAUMA
TEAMS.—Under the 
partnerships entered into with civilian trauma cen-
ters under paragraph (1), military trauma teams led 
by military trauma care providers shall embed within 
the civilian trauma centers on an enduring basis. 
(3) SELECTION.—The Secretary shall select ci-
vilian trauma centers to enter into partnerships 
under paragraph (1) based on patient volume, acu-
ity, and other factors the Secretary determines nec-
essary to ensure that the military trauma care pro-
viders and the associated clinical support teams have 
adequate and continuous exposure to critically in-
jured patients. 
VerDate Sep 11 2014 
02:26 Sep 27, 2016
Jkt 059200
PO 00000
Frm 00018
Fmt 6652
Sfmt 6201
E:\BILLS\H6132.IH
H6132
SSpencer on DSK4SPTVN1PROD with BILLS
(4) CONSIDERATION.—In entering into partner-
ships under paragraph (1), the Secretary may con-
sider the experiences and lessons learned by the mili-
tary departments that have entered into memoranda 
of understanding with civilian medical centers for 
trauma care. 
(5) RESERVE
COMPONENTS.—The Secretary 
shall ensure that the partnerships under paragraph 
(1) provide opportunities for the participation of 
military trauma care providers and military trauma 
teams of the reserve components of the Armed 
Forces. 
(d) ANALYSIS.—The Secretary of Defense shall con-
duct an analysis to determine the number of military trau-
ma care providers, by specialty and component, that must 
be maintained within the Department of Defense to meet 
the requirements of the combatant commands. 
(e) IMPLEMENTATION PLAN.—Not later than one 
year after the date of the enactment of this Act, the Sec-
retary shall submit to the Committees on Armed Services 
of the House of Representatives and the Senate an imple-
mentation plan for establishing the Joint Trauma Edu-
cation and Training Directorate under subsection (a) and 
entering into partnerships under subsection (c). 
(f) DEFINITIONS.—In this section: 
VerDate Sep 11 2014 
02:26 Sep 27, 2016
Jkt 059200
PO 00000
Frm 00019
Fmt 6652
Sfmt 6201
E:\BILLS\H6132.IH
H6132
SSpencer on DSK4SPTVN1PROD with BILLS
(1) The term ‘‘military trauma care provider’’ 
means a member of the Armed Forces who furnishes 
emergency, critical care, and other trauma acute 
care, including a physician, military surgeon, physi-
cian assistant, nurse, respiratory therapist, flight 
paramedic, combat medic, or enlisted medical techni-
cian. 
(2) The term and ‘‘military trauma team’’ 
means a complete military trauma team consisting 
of military trauma care providers. 
SEC. 6. EVALUATION OF THE SECRETARIAL DESIGNEE PRO-
GRAM. 
(a) IN GENERAL.—Not later than one year after the 
date of the enactment of this Act, the Secretary of Defense 
shall submit to the Committees on Armed Services of the 
House of Representatives and the Senate a report on the 
activities of the Secretarial Designee Program, includ-
ing— 
(1) the number of applicants admitted to the 
Program since the inception of the Program; 
(2) the criteria used to grant admittance to the 
Program; 
(3) the admittance rate into the Program; 
(4) the costs associated with administering the 
Program; 
VerDate Sep 11 2014 
02:26 Sep 27, 2016
Jkt 059200
PO 00000
Frm 00020
Fmt 6652
Sfmt 6201
E:\BILLS\H6132.IH
H6132
SSpencer on DSK4SPTVN1PROD with BILLS
(5) the feasibility of allowing private institu-
tions and individuals to nominate applicants for ad-
mission to the Program; 
(6) recommendations for improving processing 
times of applications for the Program; 
(7) the current ability of the military health 
system to provide support to civil authorities during 
a mass casualty incident; and 
(8) an assessment of the Program. 
(b) STANDARDIZED ADMISSION POLICIES AND PROC-
ESSES.—The Secretary shall standardize the admission 
policies and processes of the Secretarial Designee Program 
with respect to the Secretary and each Secretary con-
cerned implementing the Program. 
(c) DEFINITIONS.—In this section: 
(1) The term ‘‘Secretarial Designee Program’’ 
means the program under which health care is pro-
vided to individuals other than members of the uni-
form services and dependents of such members at 
military medical treatment facilities, as described in 
Department of Defense Instruction 6025.23, dated 
October 2, 2013, and implemented by the Office of 
the Secretary of Defense and the military depart-
ments. 
VerDate Sep 11 2014 
02:26 Sep 27, 2016
Jkt 059200
PO 00000
Frm 00021
Fmt 6652
Sfmt 6201
E:\BILLS\H6132.IH
H6132
SSpencer on DSK4SPTVN1PROD with BILLS
(2) The term ‘‘Secretary concerned’’ has the 
meaning given that term in section 101(a)(9) of title 
10, United States Code. 
Æ 
VerDate Sep 11 2014 
02:26 Sep 27, 2016
Jkt 059200
PO 00000
Frm 00022
Fmt 6652
Sfmt 6301
E:\BILLS\H6132.IH
H6132
SSpencer on DSK4SPTVN1PROD with BILLS