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sonnel to meet needs for Applied Behavioral Analysis
under this subsection.’’.
Subtitle C—Studies and Reports
SEC. 741. PILOT PROJECTS ON EARLY DIAGNOSIS AND
TREATMENT OF POST TRAUMATIC STRESS
DISORDER AND OTHER MENTAL HEALTH
CONDITIONS.
(a) PILOT PROJECTS REQUIRED.—The Secretary of
Defense shall carry out not less than three pilot projects
to evaluate the efficacy of various approaches to improving
the capability of the military and civilian health care sys-
tems to provide early diagnosis and treatment of Post Trau-
matic Stress Disorder (PTSD) and other mental health con-
ditions.
(b) DURATION.—The requirement to carry out pilot
projects under this section shall commence on October 1,
2007. Any pilot projects carried out under this section shall
cease on September 30, 2008.
(c) PILOT PROJECT REQUIREMENTS.—
(1) MOBILIZATION-DEMOBILIZATION FACILITY.—
(A) IN GENERAL.—One of the pilot projects
under this section shall be carried out at a mili-
tary medical facility at a large military instal-
lation at which the mobilization or demobiliza-
tion of members of the Armed Forces occurs.
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(B) ELEMENTS.—The pilot project under
this paragraph shall be designed to evaluate and
produce effective diagnostic and treatment ap-
proaches for use by primary care providers in
the military health care system in order to im-
prove the capability of such providers to diag-
nose and treat Post Traumatic Stress Disorder
in a manner that avoids the referral of patients
to specialty care by a psychiatrist or other men-
tal health professional.
(2) NATIONAL GUARD OR RESERVE FACILITY.—
(A) IN GENERAL.—One of the pilot projects
under this section shall be carried out at the lo-
cation of a National Guard or Reserve unit or
units that are located more than 40 miles from
a military medical facility and whose personnel
are served primarily by civilian community
health resources.
(B) ELEMENTS.—The pilot project under
this paragraph shall be designed—
(i) to evaluate approaches for pro-
viding evidence-based clinical information
on Post Traumatic Stress Disorder to civil-
ian primary care providers; and
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(ii) to develop educational materials
and other tools for use by members of the
National Guard or Reserve who come into
contact with other members of the National
Guard or Reserve who may suffer from Post
Traumatic Stress Disorder in order to en-
courage and facilitate early reporting and
referral for treatment.
(3) INTERNET-BASED
DIAGNOSIS
AND
TREAT-
MENT.—One of the pilot projects under this section
shall be designed to evaluate—
(A) Internet-based automated tools available
to military and civilian health care providers for
the early diagnosis and treatment of Post Trau-
matic Stress Disorder, and for tracking patients
who suffer from Post Traumatic Stress Disorder;
and
(B) Internet-based tools available to family
members of members of the Armed Forces in
order to assist such family members in the iden-
tification of the emergence of Post Traumatic
Stress Disorder.
(d) EVALUATION OF PILOT PROJECTS.—The Secretary
shall evaluate each pilot project carried out under this sec-
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tion in order to assess the effectiveness of the approaches
taken under such pilot project—
(1) to improve the capability of the military and
civilian health care systems to provide early diagnosis
and treatment of Post Traumatic Stress Disorder and
other mental health conditions among members of the
regular components of the Armed Forces, and among
members of the National Guard and Reserves, who
have returned from deployment; and
(2) to provide outreach to the family members of
the members of the Armed Forces described in para-
graph (1) on Post Traumatic Stress Disorder and
other mental health conditions among such members
of the Armed Forces.
(e) REPORT TO CONGRESS.—
(1) REPORT REQUIRED.—Not later than Decem-
ber 31, 2008, the Secretary shall submit to the con-
gressional defense committees a report on the pilot
projects carried out under this section.
(2) ELEMENTS.—The report required by para-
graph (1) shall include the following:
(A) A description of each pilot project car-
ried out under this section.
(B) An assessment of the effectiveness of the
approaches taken under each pilot project to im-
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prove the capability of the military and civilian
health care systems to provide early diagnosis
and treatment of Post Traumatic Stress Disorder
and other mental health conditions among mem-
bers of the Armed Forces.
(C) Any recommendations for legislative or
administrative action that the Secretary con-
siders appropriate in light of the pilot projects,
including recommendations on—
(i) the training of health care pro-
viders in the military and civilian health
care systems on early diagnosis and treat-
ment of Post Traumatic Stress Disorder
and other mental health conditions; and
(ii) the provision of outreach on Post
Traumatic Stress Disorder and other men-
tal health conditions to members of the Na-
tional Guard and Reserves who have re-
turned from deployment.
(D) A plan, in light of the pilot projects, for
the improvement of the health care services pro-
vided to members of the Armed Forces in order
to better assure the early diagnosis and treat-
ment of Post Traumatic Stress Disorder and
other mental health conditions among members
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of the Armed Forces, including a specific plan
for outreach on Post Traumatic Stress Disorder
and other mental health conditions to members
of the National Guard and Reserve who have re-
turned from deployment in order to facilitate
and enhance the early diagnosis and treatment
of Post Traumatic Stress Disorder and other
mental health conditions among such members of
the National Guard and Reserves.
(f) FUNDING.—
(1) IN GENERAL.—Of the amount authorized to
be appropriated by section 303(a) for the Defense
Health Program, $10,000,000 shall be available for
pilot projects under this section.
(2) AVAILABILITY.—The amount available under
paragraph (1) shall remain available until expended.
SEC. 742. ANNUAL REPORTS ON CERTAIN MEDICAL MAL-
PRACTICE CASES.
(a) ANNUAL REPORTS TO SECRETARY OF DEFENSE.—
(1) ANNUAL
REPORTS
REQUIRED.—Not later
than February 1, 2007, and annually thereafter, each
Secretary of a military department shall submit to
the Secretary of Defense a report on the following:
(A) Each case (other than a case involving
the treatment of a member of the Armed Forces
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on active duty) during the preceding calendar
year in which—
(i) a complaint or claim was made of
medical malpractice committed in a med-
ical treatment facility of such military de-
partment or by a health care provider of or
employed by such military department; and
(ii) either—
(I) 
a 
judgment 
was 
entered
against the United States in the
amount of $1,000,000 or more; or
(II) an award, compromise, or
settlement was entered into by the
United States requiring payment by
the United States in the amount of
$1,000,000 or more.
(B) Each case during the preceding cal-
endar year in which the death of, or serious per-
sonal injury to, a member of the Armed Forces
on active duty occurred as a result of medical
malpractice while the member was a patient in
a medical treatment facility of such military de-
partment or under the care of a health care pro-
vider of or employed by such military depart-
ment.
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(2) REQUIRED INFORMATION.—The information
required in a report under paragraph (1) on a case
covered by such paragraph shall include the following:
(A) A description of the medical mal-
practice involved.
(B) A description of the actions, if any,
taken with respect to the continued practice in
the military health care system of the health care
professionals involved.
(b) TRANSMITTAL OF REPORTS TO CONGRESS.—
(1) TRANSMITTAL
REQUIRED.—Not later than
April 1, 2007, and annually thereafter, the Secretary
of Defense shall transmit to the congressional defense
committees the reports submitted to the Secretary by
the Secretaries of the military departments in such
year.
(2) TRANSMITTAL
MATTERS.—In transmitting
reports for a year under paragraph (1), the Secretary
may include with such reports the following:
(A) Any information or recommendations
with respect to the matters covered by such re-
ports that the Secretary considers appropriate.
(B) A summary of the actions taken during
the year to address medical malpractice in the
military health care system.
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(c) DISCLOSURE OF INFORMATION.—In submitting or
transmitting reports under this section, the Secretaries of
the military departments and the Secretary of Defense shall
ensure that the information contained in such reports is
suitable for disclosure to the public, taking into account the
provisions of law as follows:
(1) Section 552a of title 5, United States Code
(commonly referred to as the ‘‘Privacy Act’’).
(2) Laws relating to the protection and confiden-
tiality of medical quality assurance records, includ-
ing the provisions of section 1102 of title 10, United
States Code.
(3) Any other laws relating to the protection and
confidentiality of medical records.
SEC. 743. COMPTROLLER GENERAL STUDY ON DEPART-
MENT OF DEFENSE PHARMACY BENEFITS
PROGRAM.
(a) IN GENERAL.—The Comptroller General of the
United States shall conduct a study of the Department of
Defense pharmacy benefits program required by section
1074g of title 10, United States Code.
(b) ELEMENTS.—The study required by subsection (a)
shall include an examination of the following:
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(1) The cost of the Department of Defense phar-
macy benefits program since the inception of the pro-
gram.
(2) The relative costs of various options under
the program.
(3) The copayment structure under the program.
(4) The effectiveness of the rebate system under
the program as a way of passing on discounts re-
ceived by the Federal Government in the purchase of
pharmaceutical agents.
(5) The uniform formulary under the program,
including the success of the formulary in achieving
savings anticipated through use of the formulary.
(6) Various alternative means of purchasing
pharmaceutical agents more efficiently for avail-
ability under the program.
(7) The composition and decision-making proc-
esses of the Pharmacy and Therapeutics Committee.
(8) The composition of the Beneficiary Advisory
Panel and its history as an advisory panel under the
program (including the frequency of the acceptance of
its recommendations by the Secretary of Defense).
(9) Quality assurance mechanisms under the
program.
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(10) The role of the program in support of the
disease and chronic care management programs of the
Department of Defense.
(11) Mechanisms for customer service and cus-
tomer feedback under the program.
(12) Beneficiary satisfaction with the program.
(c) RESPONSE TO CERTAIN FINDINGS.—
(1) 
PHARMACY
AND
THERAPEUTICS
COM-
MITTEE.—The Pharmacy and Therapeutics Com-
mittee shall—
(A) examine the results of the study of the
Comptroller General under subsection (b)(7); and
(B) make such recommendations to the Sec-
retary of Defense for modifications in the com-
position and decision-making processes of the
Committee as the Committee considers appro-
priate in light of such results in order to im-
prove the efficiency of such processes.
(2) BENEFICIARY ADVISORY PANEL.—The Bene-
ficiary Advisory Panel shall—
(A) examine the results of the study of the
Comptroller General under subsection (b)(8); and
(B) make such recommendations to the Sec-
retary of Defense for modifications in the com-
position and advisory functions of the Panel as