the privacy rights of United States per-
sons, or constitute abuses of human rights. 
‘‘(3) FORM.—Each report under paragraph (1) 
shall be submitted in unclassified form, but may in-
clude a classified annex. 
‘‘(f) NOTIFICATION.—In addition to the annual re-
ports under subsection (e), if a head of an element of the 
intelligence community determines that the services pro-
vided by a former employee who occupies a covered post- 
service position pose a threat or risk described in clause 
(iii) of paragraph (2)(B) of such subsection, or include ac-
tivities described in clause (iv) of such paragraph, the 
head shall notify the congressional intelligence committees 
of such determination by not later than 7 days after mak-
ing such determination. The notification shall include the 
following: 
‘‘(1) The name of the former employee. 
‘‘(2) The name of the employer. 
‘‘(3) The foreign government, including the spe-
cific foreign individual, agency, or entity, for whom 
the covered post-service employment is being per-
formed. 
‘‘(4) As applicable, a description of— 
‘‘(A) the risk to national security, the 
counterintelligence risk, or both; and 
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‘‘(B) the activities that may violate Fed-
eral law, infringe upon the privacy rights of 
United States persons, or constitute abuses of 
human rights. 
‘‘(g) DEFINITIONS.—In this section: 
‘‘(1) COVERED INTELLIGENCE POSITION.—The 
term ‘covered intelligence position’ means a position 
within an element of the intelligence community 
that, based on the level of access of a person occu-
pying such position to information regarding sen-
sitive intelligence sources or methods or other excep-
tionally sensitive matters, the head of such element 
determines should be subject to the requirements of 
this section. 
‘‘(2) COVERED POST-SERVICE EMPLOYMENT.— 
The term ‘covered post-service employment’ means 
direct or indirect employment by, representation of, 
or any provision of advice or services relating to, na-
tional security, intelligence, the military, or internal 
security to the government of a foreign country or 
any company, entity, or other person whose activities 
are directly or indirectly supervised, directed, con-
trolled, financed, or subsidized, in whole or in major 
part, by any government of a foreign country. 
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‘‘(3) COVERED POST-SERVICE POSITION.—The 
term ‘covered post-service position’ means a position 
of employment described in paragraph (2). 
‘‘(4) EMPLOYEE.—The term ‘employee’, with 
respect to an employee occupying a covered intel-
ligence position, includes an officer or official of an 
element of the intelligence community, a contractor 
of such an element, a detailee to such an element, 
or a member of the Armed Forces assigned to such 
an element. 
‘‘(5) FORMER EMPLOYEE.—The term ‘former 
employee’ means an individual— 
‘‘(A) who was an employee occupying a 
covered intelligence position; and 
‘‘(B) who is subject to the requirements 
under subsection (a) or (b). 
‘‘(6) GOVERNMENT OF A FOREIGN COUNTRY.— 
The term ‘government of a foreign country’ has the 
meaning given the term in section 1(e) of the For-
eign Agents Registration Act of 1938 (22 U.S.C. 
611(e)).’’. 
(2) 
APPLICATION.—Such 
section 
304, 
as 
amended by paragraph (1), shall apply with respect 
to employees who occupy covered intelligence posi-
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tions (as defined in such section) on or after the 
date of the enactment of this Act. 
(3) REVISED REGULATIONS.— 
(A) SUBMISSION.—Not later than 90 days 
after the date of the enactment of this Act, the 
head of each element of the intelligence commu-
nity shall submit to the congressional intel-
ligence committees new or updated regulations 
issued under such section 304, as amended by 
paragraph (1). 
(B) CERTIFICATION.—Not later than 180 
days after the date of the enactment of this 
Act, the Director of National Intelligence shall 
submit to the congressional intelligence commit-
tees— 
(i) a written certification for each 
head of an element of the intelligence com-
munity who has issued the updated regula-
tions under such section 304, as amended 
by paragraph (1); and 
(ii) for each head of an element of the 
intelligence community who has not issued 
such updated regulations, an explanation 
for the failure to issue such updated regu-
lations. 
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(4) INITIAL REPORT.—In the first report sub-
mitted by the Director of National Intelligence 
under subsection (e) of such section 304, as amend-
ed by paragraph (1), the Director shall include an 
assessment of the licensing requirements under the 
Arms Export Control Act (22 U.S.C. 2751 et seq.) 
and recommendations with respect to strengthening 
the activities regulated under such section 304. 
(b) CLERICAL AMENDMENT.—The table of sections 
at the beginning of such Act is amended by striking the 
item relating to section 304 and inserting the following 
new item: 
‘‘Sec. 304. Requirements for certain employment activities by former intel-
ligence officers and employees.’’. 
SEC. 306. AUTHORITY FOR TRANSPORT OF CERTAIN CA-
NINES ASSOCIATED WITH FORCE PROTEC-
TION DUTIES OF INTELLIGENCE COMMUNITY. 
Title I of the National Security Act of 1947 (50 
U.S.C. 3021 et seq.) is amended by inserting after section 
116 the following new section (and conforming the table 
of contents at the beginning of such Act accordingly): 
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‘‘SEC. 116A. AUTHORITY FOR TRANSPORTATION OF CER-
TAIN CANINES ASSOCIATED WITH FORCE 
PROTECTION 
DUTIES 
OF 
INTELLIGENCE 
COMMUNITY. 
‘‘(a) TRANSPORTATION.—For purposes of section 
1344 of title 31, United States Code, the transportation 
of federally owned canines associated with force protection 
duties of an element of the intelligence community be-
tween the residence of an officer or employee of the ele-
ment and various locations that is essential for the per-
formance of the force protection duty shall be deemed es-
sential for the safe and efficient performance of intel-
ligence duties. 
‘‘(b) OFFICERS AND EMPLOYEES COVERED.—In the 
administration of section 1344 of title 31, United States 
Code, an officer or employee of an element of the intel-
ligence community shall be treated as being listed in sub-
section (b).’’. 
SEC. 307. DEVELOPMENT OF DEFINITIONS FOR CERTAIN 
TERMS RELATING TO INTELLIGENCE. 
(a) DEVELOPMENT.—Not later than September 30, 
2023, the Director of National Intelligence and the Under 
Secretary of Defense for Intelligence and Security, in con-
sultation with the heads of the elements of the intelligence 
community, shall jointly develop and publish definitions 
for the following terms: 
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(1) Acoustic intelligence. 
(2) All-source intelligence. 
(3) Communications intelligence. 
(4) Critical intelligence. 
(5) Cyber-threat intelligence. 
(6) Electronic intelligence. 
(7) Explosive ordnance intelligence. 
(8) Instrumentation signals intelligence. 
(9) General military intelligence. 
(10) Imagery intelligence. 
(11) Joint intelligence. 
(12) Measurement and signature intelligence. 
(13) Medical intelligence. 
(14) Open-source intelligence. 
(15) Operational intelligence. 
(16) Scientific and technical intelligence. 
(17) Signals intelligence. 
(18) Strategic intelligence. 
(19) Tactical intelligence. 
(20) Target intelligence. 
(21) Technical intelligence. 
(22) Such others terms as may be jointly deter-
mined necessary by the Director of National Intel-
ligence and the Under Secretary of Defense for In-
telligence. 
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(b) APPLICATION TO ACTIVITIES OF INTELLIGENCE 
COMMUNITY.—The Director of National Intelligence shall 
ensure that the definitions developed under subsection (a) 
are used uniformly across activities of the intelligence 
community with respect to the corresponding terms speci-
fied in such subsection. 
(c) NOTICE OF MODIFICATIONS.—The Director of 
National Intelligence and the Under Secretary of Defense 
for Intelligence shall submit to the congressional intel-
ligence committees notification of any modification by the 
Director and Under Secretary to a definition of a term 
specified in subsection (a) following the initial publication 
of the definition under such subsection. 
(d) DEFINITIONS.—In this section, the terms ‘‘con-
gressional intelligence committees’’ and ‘‘intelligence com-
munity’’ have the meanings given such terms in section 
3 of the National Security Act of 1947 (50 U.S.C. 3003). 
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TITLE IV—MATTERS RELATING 
TO ELEMENTS OF THE INTEL-
LIGENCE COMMUNITY 
SEC. 401. PROTECTION OF CERTAIN FACILITIES AND AS-
SETS OF CENTRAL INTELLIGENCE AGENCY 
FROM UNMANNED AIRCRAFT. 
The Central Intelligence Agency Act of 1949 (50 
U.S.C. 3501 et seq.) is amended by inserting after section 
15 the following new section: 
‘‘SEC. 15A. PROTECTION OF CERTAIN FACILITIES AND AS-
SETS OF CENTRAL INTELLIGENCE AGENCY 
FROM UNMANNED AIRCRAFT. 
‘‘(a) AUTHORITY.—In accordance with subsection 
(b), the Director shall have the same authority for the 
Agency as is available to the Secretary of Homeland Secu-
rity for the Department of Homeland Security and the At-
torney General for the Department of Justice under sec-
tion 210G of the Homeland Security Act of 2002 (6 
U.S.C. 124n), and shall be subject to the same limitations 
and requirements under such section. 
‘‘(b) ADMINISTRATION.—For purposes of subsection 
(a)— 
‘‘(1) the reference in subsection (i) of section 
210G of the Homeland Security Act of 2002 (6 
U.S.C. 124n) to ‘the date that is 4 years after the 
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date of enactment of this section’ shall be deemed to 
be a reference to ‘October 5, 2026’; 
‘‘(2) the term ‘appropriate congressional com-
mittees’ as defined in paragraph (1) of subsection 
(k) of such section shall be deemed to mean the Per-
manent Select Committee on Intelligence of the 
House of Representatives and the Select Committee 
on Intelligence of the Senate; and 
‘‘(3) the term ‘covered facility or asset’ as de-
fined in paragraph (3) of such subsection (k) shall 
be deemed to mean installations, property, and per-
sons— 
‘‘(A) that are located in the United States; 
‘‘(B) for which the Director may provide 
protection pursuant to section 5(a)(4) or 
15(a)(1) of this Act; and 
‘‘(C) that the Director identifies as high- 
risk and a potential target for unlawful un-
manned aircraft activity.’’. 
SEC. 402. MODIFICATION OF NATIONAL GEOSPATIAL-IN-
TELLIGENCE AGENCY PERSONNEL MANAGE-
MENT AUTHORITY TO ATTRACT EXPERTS IN 
SCIENCE AND ENGINEERING. 
Section 1599h(b)(2)(A) of title 10, United States 
Code, is amended— 
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(1) by striking ‘‘paragraph (1)(B)’’ and insert-
ing ‘‘subparagraph (B) of paragraph (1)’’; and 
(2) by inserting ‘‘or employees appointed pursu-
ant to the first subparagraph (G) of such paragraph 
to any of 2 positions of administration or manage-
ment designated by the Director of the National 
Geospatial-Intelligence Agency for purposes of this 
subparagraph’’ after ‘‘this subparagraph’’. 
SEC. 403. REQUIREMENTS FOR TERMINATION OF DUAL-HAT 
ARRANGEMENT FOR COMMANDER OF THE 
UNITED STATES CYBER COMMAND. 
Section 1642 of the National Defense Authorization 
Act for Fiscal Year 2017 (Public Law 114–328; 130 Stat. 
2601), as amended by section 1636 of the National De-
fense Authorization Act for Fiscal Year 2020 (Public Law 
116–92; 133 Stat. 1748), is further amended— 
(1) by striking subsections (a), (b), and (c), and 
inserting the following new subsections: 
‘‘(a) LIMITATION ON TERMINATION OF DUAL-HAT 
ARRANGEMENT.—The Secretary of Defense may not ter-
minate the dual-hat arrangement until the date on which 
the Secretary submits to the appropriate committees of 
Congress the certification under subsection (b)(1). The 
Secretary shall implement such termination by not later 
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than the first day of the fiscal year following the fiscal 
year in which the Secretary submits such certification. 
‘‘(b) ANNUAL SUBMISSION OF INFORMATION.—To-
gether with the defense budget materials for fiscal year 
2023, and annually thereafter until the termination of the 
dual-hat arrangement, the Secretary of Defense, in coordi-
nation with the Director of National Intelligence, shall 
submit to the appropriate committees of Congress a report 
containing either of the following: 
‘‘(1) A certification that the United States 
Cyber Command has met each of the following con-
ditions: 
‘‘(A) Sufficient operational infrastructure 
has been deployed to meet the unique cyber 
mission needs of the United States Cyber Com-
mand. 
‘‘(B) Sufficient command and control sys-
tems and processes have been established for 
planning, deconflicting, and executing military 
cyber operations. 
‘‘(C) Capabilities have been established to 
enable intelligence collection and operational 
preparation of the environment for cyber oper-
ations consistent with the United States Cyber 
Command reaching full operational status. 
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‘‘(D) Mechanisms have been established to 
train cyber operations personnel, test cyber ca-
pabilities, and rehearse cyber missions. 
‘‘(E) The United States Cyber Command 
has achieved full operational capability. 
‘‘(2) If the Secretary, in coordination with the 
Director, is not able to make the certification under 
paragraph (1)— 
‘‘(A) an identification of the items con-
tained in the defense budget materials that are 
related to meeting the conditions specified in 
such paragraph; and 
‘‘(B) an assessment of the funding re-
quired to meet such conditions during the pe-
riod covered by the future-years defense pro-
gram under section 221 of title 10, United 
States Code.’’; 
(2) by redesignating subsection (d) as sub-
section (c); and 
(3) in subsection (c), as so redesignated, by 
adding at the end the following new paragraph: 
‘‘(3) DEFENSE BUDGET MATERIALS.—The term 
‘defense budget materials’ has the meaning given 
that term in section 231(f) of title 10, United States 
Code.’’. 
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SEC. 404. PROCUREMENT BY FEDERAL BUREAU OF INVES-
TIGATION OF CHINESE PRODUCTS AND SERV-
ICES. 
(a) SECURITY ASSESSMENT.—The Director of the 
Federal Bureau of Investigation may not procure a Chi-
nese product or service unless, before such procurement, 
the Counterintelligence Division of the Federal Bureau of 
Investigation— 
(1) conducts a security assessment of such 
product or service, including with respect to any 
physical or cyber vulnerabilities; and 
(2) makes a recommendation to the Director re-
garding such proposed procurement. 
(b) SUBMISSION.—Not later than 30 days after the 
date on which the Counterintelligence Division of the Bu-
reau conducts a security assessment under subsection (a), 
the Director shall submit to the congressional intelligence 
committees a copy of such assessment and the rec-
ommendation under paragraph (2) of such subsection. 
(c) CHINESE PRODUCT OR SERVICE DEFINED.—In 
this section, the term ‘‘Chinese product or service’’ means 
a product or service provided by an entity that is owned 
or controlled by, or otherwise connected to, the govern-
ment of China. 
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SEC. 405. COUNTERINTELLIGENCE UNITS AT NON-INTEL-
LIGENCE 
COMMUNITY 
FEDERAL 
DEPART-
MENTS AND AGENCIES. 
(a) ESTABLISHMENT.—The Director of the Federal 
Bureau of Investigation shall establish counterintelligence 
units in the departments and agencies described in sub-
section (b). Such units shall be composed of officers of 
the Counterintelligence Division of the Federal Bureau of 
Investigation. 
(b) DEPARTMENTS
AND AGENCIES DESCRIBED.— 
The departments and agencies described in this subsection 
are the following departments and agencies of the United 
States Government: 
(1) The Department of Agriculture. 
(2) Any other department or agency that the 
Director, in coordination with the Director of Na-
tional Intelligence, determines appropriate. 
(c) DUTIES.—The Director of the Federal Bureau of 
Investigation shall ensure that each counterintelligence 
unit established under subsection (a) in a department or 
agency described in subsection (b) carries out the fol-
lowing duties: 
(1) Conducts assessments, in coordination with 
the leadership of the department or agency, to deter-
mine the counterintelligence posture of the depart-
ment or agency, including any components thereof. 
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(2) Informs and consults with the leadership of 
the department or agency, including any components 
thereof, and provides recommendations with respect 
to any counterintelligence threats identified by the 
intelligence community. 
(3) Provides such administrative and technical 
support as is necessary to develop, in coordination 
with the leadership of the department or agency, a 
plan to eliminate or reduce the threats described in 
paragraph (2). 
(4) Serves as the primary point of contact for 
the department or agency with respect to counter-
intelligence for the intelligence community. 
(d) INTELLIGENCE
COMMUNITY
SUPPORT.—The 
heads of the elements of the intelligence community shall 
ensure that relevant counterintelligence information is 
provided to counterintelligence units established under 
subsection (a) in a manner that is consistent with the need 
to protect sources and methods. 
SEC. 406. DETECTION AND MONITORING OF WILDFIRES. 
(a) SENSE OF CONGRESS.—It is the sense of Con-
gress that the Director of the National Geospatial-Intel-
ligence Agency, in accordance with relevant provisions of 
law, should continue to manage the systems of the Na-
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tional Geospatial-Intelligence Agency that enable the 
FireGuard program of the Department of Defense. 
(b) REPORT.—Not later than 120 days after the date 
of the enactment of this Act, the Director of the National 
Geospatial-Intelligence Agency, in consultation with the 
Secretary of Defense and the heads of the departments 
and agencies of the United States Government and other 
organizations that constitute the National Interagency 
Fire Center, and any other relevant organization the Di-
rector determines appropriate, shall submit to the appro-
priate congressional committees a coordinated interagency 
report that— 
(1) explains how to leverage existing resources 
to improve processes and organization alignment; 
(2) identifies future opportunities to improve 
the ability to detect and track wildfires and support 
firefighting efforts; and 
(3) includes an explication of the relevant au-
thorities with respect to the matters under para-
graphs (1) and (2). 
(c) APPROPRIATE CONGRESSIONAL COMMITTEES DE-
FINED.—In this section, the term ‘‘appropriate congres-
sional committees’’ means— 
(1) the congressional intelligence committees; 
and 
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(2) the congressional defense committees (as 
defined in section 101(a)(16) of title 10, United 
States Code). 
SEC. 407. NATIONAL SPACE INTELLIGENCE CENTER. 
(a) FINDINGS.—Congress finds the following: 
(1) Section 9081 of title 10, United States 
Code, establishes the United States Space Force as 
an Armed Force within the Department of the Air 
Force to, as stated in subsection (c) of such sec-
tion— 
(A) provide freedom of operation for the 
United States in, from, and to space; 
(B) conduct space operations; and 
(C) protect the interests of the United 
States in space. 
(2) The National Air and Space Intelligence 
Center, headquartered at Wright-Patterson Air 
Force Base, Ohio, is the primary source for foreign 
air and space threat analysis within the intelligence 
enterprise of the Air Force. 
(3) Section 8041 of the Department of Defense 
Appropriations Act, 2020 (division A of Public Law 
116–93; 133 Stat. 2345) prohibits the establishment 
of a new field operating agency using funds made 
available under that Act, although the Secretary of 
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Defense or the Secretary of a military department 
may waive the prohibition in cases where the rel-
evant Secretary determines that the establishment 
will reduce the personnel or financial requirements 
of the relevant department. 
(b) SENSE OF CONGRESS.—It is the sense of Con-
gress that— 
(1) space has become increasingly contested, 
congested, and competitive, mandating an expanded 
need for space intelligence; 
(2) to support this increasingly complex oper-
ational environment, the Space Force should have its 
own intelligence organization dedicated to providing 
the Joint Combat forces with the required intel-
ligence and analysis to support operations; 
(3) the co-location of the National Space Intel-
ligence Center at Wright-Patterson Air Force Base 
has provided an operational and geographic synergy 
which greatly benefits combat operations across the 
air and space operational environments, and main-
taining mission synergy across these domains must 
factor prominently in the basing decision; 
(4) the Air Force has requested authority to es-
tablish the National Space Intelligence Center as a 
field operating agency to ensure the appropriate 
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prioritization of analytic effort for the space domain, 
enhance responsiveness to national-level customers, 
and align command relationships with the Director 
of Intelligence, Surveillance, and Reconnaissance of 
the Space Force; and 
(5) establishing the National Space Intelligence 
Center as a field operating agency would be a re-
source-neutral administrative realignment of billets, 
and would facilitate a lean and agile space intel-
ligence enterprise. 
(c) EXCEPTION.—Notwithstanding section 8041 of 
the Department of Defense Appropriations Act, 2020 (di-
vision A of Public Law 116–93; 133 Stat. 2345), or any 
other provision of law prohibiting the establishment of a 
field operating agency, the Secretary of the Air Force may 
establish the National Space Intelligence Center as a field 
operating agency of the Space Force to perform the anal-
ysis and production of scientific and technical intelligence 
on foreign space and counter-space threat capabilities in 
the support of the Space Force. 
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TITLE V—ANOMALOUS HEALTH 
INCIDENTS 
AND 
OTHER 
HEALTH CARE MATTERS 
SEC. 501. COMPENSATION AND PROFESSIONAL STANDARDS 
FOR CERTAIN MEDICAL OFFICERS OF THE 
CENTRAL INTELLIGENCE AGENCY. 
The Central Intelligence Agency Act of 1949 (50 
U.S.C. 3501 et seq.) is amended by adding at the end 
the following new section: 
‘‘SEC. 26. COMPENSATION AND PROFESSIONAL STANDARDS 
FOR CERTAIN MEDICAL OFFICERS. 
‘‘(a) OFFICE OF MEDICAL SERVICES.—There is in 
the Agency an Office of Medical Services. 
‘‘(b) COMPENSATION.—Beginning not later than 1 
year after the date of the enactment of the Intelligence 
Authorization Act for Fiscal Year 2022, each medical offi-
cer of the Office of Medical Services who meets the quali-
fications under subsection (c) shall be compensated during 
a pay period pursuant to a pay range that is equal to the 
pay range published in the Federal Register pursuant to 
section 7431(e)(1)(C) of title 38, United States Code (for 
the corresponding pay period), for a physician in the Vet-
erans Health Administration in the District of Columbia 
region with a medical subspecialty that is the equivalent 
of the medical subspecialty of the officer. 
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‘‘(c) CLINICAL PRACTICE QUALIFICATIONS.—A med-
ical officer meets the qualifications under this subsection 
if the officer provides direct care services to patients in 
connection with the official duties of the officer and— 
‘‘(1) maintains current, active, full, and unre-
stricted licensure or registration as a physician from 
a State, the District of Columbia, or a common-
wealth or territory of the United States; 
‘‘(2) holds active board certification and main-
tains accreditation in an American Board of Medical 
Specialties direct care clinical specialty; and 
‘‘(3) except as provided in subsection (d), main-
tains a minimum of 160 hours per year of clinical 
practice in an accredited clinic or hospital facility 
that is not affiliated with the Central Intelligence 
Agency. 
‘‘(d) EXCEPTION
FOR OVERSEAS SERVICE.—If a 
medical officer is a regional medical officer located in a 
duty station outside of the United States pursuant to a 
permanent change of station and greater than 50 percent 
of the official duties of the officer in such duty station 
involve direct patient care, the officer, in lieu of per-
forming the minimum hours under subsection (c)(3) on 
an annual basis, may perform up to 480 hours of clinical 
practice as specified in such subsection prior to such 
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change of station, to fulfil in advance the requirement 
under such subsection for up to 3 years. 
‘‘(e) CLINICAL PRACTICE HOURS.—The head of the 
Office of Medical Services shall make available to medical 
officers excused absence time to allow for the maintenance 
of clinical practice hours in accordance with subsection 
(c)(3).’’. 
SEC. 502. MEDICAL ADVISORY BOARD OF THE CENTRAL IN-
TELLIGENCE AGENCY. 
(a) ESTABLISHMENT.—The Central Intelligence 
Agency Act of 1949 (50 U.S.C. 3501 et seq.), as amended 
by section 501, is further amended by adding at the end 
the following new section: 
‘‘SEC. 27. MEDICAL ADVISORY BOARD. 
‘‘(a) ESTABLISHMENT.—The Director shall establish 
within the Agency a medical advisory board (in this sec-
tion referred to as the ‘Board’). 
‘‘(b) DUTIES.—The Board shall— 
‘‘(1) conduct a study on the Office of Medical 
Services of the Agency, and submit reports regard-
ing such study, in accordance with subsection (c); 
and 
‘‘(2) upon request, provide advice and guidance 
in connection with any independent review of the Of-
fice conducted by an inspector general. 
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‘‘(c) STUDY.— 
‘‘(1) OBJECTIVES.—In conducting the study 
under subsection (b)(1), the Board shall seek to— 
‘‘(A) contribute to the modernization and 
reform of the Office of Medical Services; 
‘‘(B) ensure that the activities of the Of-
fice are of the highest professional quality; and 
‘‘(C) ensure that all medical care provided 
by the Office is provided in accordance with the 
highest professional medical standards. 
‘‘(2) REPORTS.—The Board shall submit to the 
congressional intelligence committees, in writing— 
‘‘(A) interim reports on the study; and 
‘‘(B) a final report on the study, which 
shall— 
‘‘(i) set forth in detail the findings of 
the study and the recommendations of the 
Board, based on such findings and taking 
into consideration the objectives under 
paragraph (1), regarding any changes to 
the activities of the Office of Medical Serv-
ices; and 
‘‘(ii) include, as applicable, any addi-
tional or dissenting views submitted by a 
member of the Board. 
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‘‘(d) MEMBERSHIP.— 
‘‘(1) NUMBER AND APPOINTMENT.—The Board 
shall be composed of 11 members, appointed as fol-
lows: 
‘‘(A) 2 members appointed by the Chair-
man of the Permanent Select Committee on In-
telligence of the House of Representatives. 
‘‘(B) 2 members appointed by the ranking 
minority member of the Permanent Select Com-
mittee on Intelligence of the House of Rep-
resentatives. 
‘‘(C) 2 members appointed by the Chair-
man of the Select Committee on Intelligence of 
the Senate. 
‘‘(D) 2 members appointed by the Vice 
Chairman of the Select Committee on Intel-
ligence of the Senate. 
‘‘(E) 3 members appointed by the Director 
of National Intelligence. 
‘‘(2) CHAIRPERSON.—During the first meeting 
under subsection (e)(1), the members of the Board 
shall elect a Chairperson of the Board. In addition 
to meeting the criteria under paragraph (3), the 
Chairperson may not be an employee, or former em-
ployee, of the Agency. 
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‘‘(3) CRITERIA.—The members appointed under 
paragraph (1) shall meet the following criteria: 
‘‘(A) Each member shall be a recognized 
expert in at least 1 medical field, as dem-
onstrated by appropriate credentials. 
‘‘(B) Each member shall possess signifi-
cant and diverse medical experience, including 
clinical experience. 
‘‘(C) Each member shall hold a security 
clearance at the top secret level and be able to 
access sensitive compartmented information. 
‘‘(4) TERMS.— 
‘‘(A) IN GENERAL.—Each member, includ-
ing the Chairperson, shall be appointed or elect-
ed, as applicable, for the life of the Board. 
‘‘(B) VACANCIES.—Any vacancy in the 
Board occurring prior to the expiration of the 
term under subparagraph (A) shall be filled in 
the manner in which the original appointment 
or election was made. 
‘‘(5) 
COMPENSATION
AND
TRAVEL
EX-
PENSES.— 
‘‘(A) COMPENSATION.—Except as provided 
in subparagraph (B), each member of the 
Board, including the Chairperson, may be com-
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pensated at not to exceed the daily equivalent 
of the annual rate of basic pay in effect for a 
position at level IV of the Executive Schedule 
under section 5315 of title 5, United States 
Code, for each day during which that member 
is engaged in the actual performance of the du-
ties under subsection (b). 
‘‘(B) EXCEPTION FOR FEDERAL EMPLOY-
EES.—Members of the Board, including the 
Chairperson, who are officers or employees of 
the United States shall receive no additional 
pay by reason of the service of the member on 
the Board. 
‘‘(C) TRAVEL
EXPENSES.—Each member 
of the Board, including the Chairperson, while 
away from the home or regular places of busi-
ness of the member in the performance of serv-
ices for the Board, may be allowed travel ex-
penses, including per diem in lieu of subsist-
ence, in the same manner as persons employed 
intermittently in the Government service are al-
lowed expenses under section 5703 of title 5, 
United States Code. 
‘‘(6) DETAILEES.— 
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‘‘(A) IN GENERAL.—Upon request of the 
Board, the Director of National Intelligence 
may detail to the Board, without reimburse-
ment from the Board, any of the personnel of 
the Office of the Director of National Intel-
ligence to assist in carrying out the duties 
under subsection (b). Any such detailed per-
sonnel shall retain the rights, status, and privi-
leges of the regular employment of the per-
sonnel without interruption. 
‘‘(B) CLEARANCE.—Any personnel detailed 
to the Board under subparagraph (A) shall pos-
sess a security clearance in accordance with ap-
plicable laws and regulations concerning the 
handling of classified information. 
‘‘(e) MEETINGS.— 
‘‘(1) BOARD MEETINGS.—The Board shall meet 
not less frequently than on a quarterly basis. 
‘‘(2) MEETINGS WITH CONGRESS.—The Board 
shall meet with the congressional intelligence com-
mittees on a biannual basis. 
‘‘(f) INFORMATION ACCESS.— 
‘‘(1) IN GENERAL.—Except as provided in para-
graph (2), the Board may secure directly from any 
department or agency of the United States Govern-
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ment information necessary to enable it to carry out 
the duties under subsection (b) and, upon request of 
the Chairperson of the Board, the head of that de-
partment or agency shall furnish such information to 
the Board. 
‘‘(2) EXCEPTION.—The Director (without dele-
gation) may deny a request for information made by 
the Board pursuant to paragraph (1), regardless of 
the agency from which such information is re-
quested. 
‘‘(3) NOTIFICATION REQUIREMENT.—If the Di-
rector denies a request under paragraph (2), not 
later than 15 days after the date of such denial, the 
Director shall submit to the congressional intel-
ligence committees a written notification of such de-
nial. 
‘‘(4) BRIEFINGS.—The Director shall ensure 
that the Board receives comprehensive briefings on 
all activities of the Office, including by promptly 
scheduling such briefings at the request of the 
Board. 
‘‘(g) TERMINATION.—The Board shall terminate on 
the date that is 5 years after the date of the first meeting 
of the Board. 
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‘‘(h) DEFINITIONS.—In this section, the terms ‘con-
gressional intelligence committees’ and ‘intelligence com-
munity’ have the meanings given such terms in section 
3 of the National Security Act of 1947 (50 U.S.C. 
3003).’’. 
(b) DEADLINE FOR APPOINTMENTS; FIRST MEET-
INGS.— 
(1) DEADLINE
FOR
APPOINTMENTS.—Each 
member of the medical advisory board established 
under section 27 of the Central Intelligence Agency 
Act of 1949 (as added by subsection (a)), including 
the Chairperson, shall be appointed or elected, as 
applicable, in accordance with subsection (d) of such 
section by not later than 45 days after the date of 
the enactment of this Act. 
(2) FIRST BOARD MEETING.—Not later than 30 
days after the first date on which at least 7 mem-
bers of the Board described in paragraph (1) hold 
the security clearance and are able to access infor-
mation in accordance with subsection (d)(3)(C) of 
such section 27, the Board shall meet. During such 
meeting, the Director of the Central Intelligence 
Agency shall provide to the Board a comprehensive 
briefing on all aspects of the Office of Medical Serv-
ices of the Central Intelligence Agency. 
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(3) FIRST
MEETING
WITH
CONGRESS.—Not 
later than 30 days after the date of the briefing 
under paragraph (2), the Board described in such 
paragraph shall meet with the staff members of the 
congressional intelligence committees to discuss top-
ics for the Board to examine in carrying out the du-
ties under subsection (b) of such section 27. 
SEC. 503. REPORT ON PROTOCOLS FOR CERTAIN INTEL-
LIGENCE COMMUNITY EMPLOYEES AND DE-
PENDENTS. 
(a) IN GENERAL.—Beginning not later than 180 
days after the date of enactment of this Act, the President 
shall develop, for uniform implementation across the ele-
ments of the intelligence community, each of the protocols 
described in subsections (c) through (f). Such protocols 
shall be subject to review and revision on a periodic basis, 
and any implementation of such protocols shall be con-
ducted in accordance with the current clinical and profes-
sional practices of the interagency medical community. 
(b) PRIVACY.—No data collected pursuant to any 
protocol under this section may be used for research or 
analytical purposes without the written consent of the in-
dividual from whom such data was collected with respect 
to such use. 
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(c) PROTOCOL ON BASELINE MEDICAL TESTING.— 
The protocol described in this subsection is a protocol for 
conducting baseline medical testing of covered employees, 
and the dependents of covered employees, with respect to 
anomalous health incidents. Such protocol shall set forth 
the required elements of such baseline medical testing, 
such as— 
(1) the collection and testing of relevant bio-
fluids; 
(2) the conduct of relevant visual and auditory 
examinations; 
(3) the conduct of Acquired Brain Injury Tool 
assessments; 
(4) the assessment of relevant medical histories 
relating to prior brain injuries; and 
(5) the conduct of any other relevant medical or 
neurological examinations, testing, or assessments. 
(d) PROTOCOLS ON POST-INCIDENT MEDICAL TEST-
ING.—The protocols described in this subsection are pro-
tocols for the medical testing and treatment of covered em-
ployees, and the dependents of covered employees, fol-
lowing a reported anomalous health incident, such as— 
(1) a protocol that sets forth required elements, 
similar to the required elements described in sub-
section (c), of such testing; 
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(2) a protocol pertaining to the testing and 
treatment of victims of anomalous health incidents 
who are children; 
(3) a protocol for ensuring that all victims of 
anomalous health incidents receive prompt and con-
sistent medical treatment, including from medical 
professionals holding appropriate security clearances 
and medical professionals with expertise in child 
care; 
(4) a protocol for ensuring that all victims of 
anomalous health incidents are offered options for 
psychological treatment for the effects of such inci-
dents; and 
(5) a protocol for ensuring that any testing, 
evaluation, or collection of biofluids or other samples 
following a reported anomalous health incident may 
be compared against the baseline for the victim of 
the anomalous health incident. 
(e) PROTOCOL ON INFORMATION COLLECTION, STOR-
AGE, AND SAFEGUARDING.—The protocol described in this 
subsection is a protocol for the collection, storage, and 
safeguarding of information acquired as a result of the 
protocols described in subsections (c) and (d). 
(f) PROTOCOL ON REPORTING MECHANISMS.—The 
protocol described in this subsection is a protocol for the 
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reporting of matters relating to anomalous health inci-
dents by covered employees and the dependents of covered 
employees, including the development of a system for the 
adjudication of complaints regarding medical treatment 
submitted by such covered employees or dependents. 
(g) REPORT AND BRIEFINGS.— 
(1) REPORT.—Not later than 120 days after 
the date of the enactment of this Act, the Director 
of National Intelligence shall submit to the congres-
sional intelligence committees a report on the proto-
cols described in subsections (c) through (f). 
(2) ELEMENTS.—Such report shall include the 
following elements: 
(A) A copy of each protocol under this sec-
tion. 
(B) A description of the following: 
(i) Any interagency agreements, au-
thorities, or policies required to effectively 
implement the protocols under this section. 
(ii) Any new facilities, medical equip-
ment, tools, training, or other resources re-
quired to effectively implement such proto-
cols. 
(C) A timeline for the implementation of 
the protocols under this section, including a 
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proposal for the prioritization of implementa-
tion with respect to various categories of cov-
ered employees and the dependents of covered 
employees. 
(3) BRIEFING.—Not later than 60 days fol-
lowing the date of submission of the report under 
paragraph (1), and biannually thereafter, the Direc-
tor shall provide to the congressional intelligence 
committees a briefing regarding the implementation 
of the protocols under this section. 
(h) DEFINITIONS.—In this section: 
(1) COVERED EMPLOYEE.—The term ‘‘covered 
employee’’ means an individual who is an employee, 
contractor, assignee, or detailee, of an element of the 
intelligence community. 
(2) VICTIM OF AN ANOMALOUS HEALTH INCI-
DENT.—The term ‘‘victim of an anomalous health 
incident’’ means a covered employee, or a dependent 
of a covered employee (including a child), who is, or 
is suspected to have been, affected by an anomalous 
health incident. 
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SEC. 504. INSPECTOR GENERAL OF THE CENTRAL INTEL-
LIGENCE AGENCY REVIEW OF OFFICE OF 
MEDICAL SERVICES. 
(a) REVIEW.—Not later than one year after the date 
of the enactment of this Act, the Inspector General of the 
Central Intelligence Agency, in coordination with, and 
with the support of, the Inspector General of the Intel-
ligence Community, shall submit to the congressional in-
telligence committees a report containing a review of the 
responsibilities, authorities, resources, and performance of 
the Office of Medical Services of the Central Intelligence 
Agency (in this section referred to as the ‘‘Office’’). 
(b) MATTERS INCLUDED.—The review under sub-
section (a) shall include the following: 
(1) A detailed description of the responsibilities 
and authorities of the Office, as set forth in Federal 
law and any applicable regulation, policy, or other 
document of the Central Intelligence Agency. 
(2) A detailed description of the budgetary, 
human, and other resources available to the Office, 
including with respect to employees and any other 
personnel. 
(3) An assessment of the ability of the Office 
to consistently discharge the responsibilities of the 
Office, with an emphasis on the provision of medical 
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treatment and care by personnel of the Office, in-
cluding with respect to— 
(A) the roles of personnel of the Office, 
and of senior officials of the Agency outside of 
the Office, in determining what medical evalua-
tion, treatment, and care should be provided in 
a particular case, including the provision of spe-
cialty care by medical personnel outside of the 
Office; 
(B) whether personnel of the Office con-
sistently provide appropriate and high-quality 
medical treatment and care in accordance with 
standards set independently by the professional 
medical community; 
(C) whether the Office has sufficient 
human and other resources, including personnel 
with specialized background, qualifications, or 
expertise, to consistently provide high-quality 
medical treatment and care in accordance with 
standards set independently by the professional 
medical community; 
(D) whether personnel of the Office, in-
cluding personnel claiming specialized medical 
backgrounds and expertise, are required by the 
Agency to maintain current board certifications 
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or other certifications and licenses, and the ex-
tent to which the Office verifies such certifi-
cations and licenses; 
(E) the extent to which the Office makes 
consistent and effective use of the specialized 
medical background, qualifications, and exper-
tise of the personnel of the Office in providing 
medical treatment and care; 
(F) an assessment of whether personnel of 
the Office who provide medical treatment and 
care, or who make decisions with respect to 
such treatment or care, are required to have ex-
tensive clinical or other experience in directly 
treating patients, including in areas requiring 
specialized background, qualifications, or exper-
tise; 
(G) any factors that have frustrated or de-
layed the provision of medical treatment and 
care by personnel of the Office in significant 
cases; and 
(H) any factors that have frustrated or 
could frustrate prompt detection, effective over-
sight, and swift remediation of problems within 
the Office, including such factors that frustrate 
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or delay the provision of medical treatment and 
care in significant cases. 
(c) INDEPENDENT ADVICE.—In conducting the re-
view under subsection (a), the Inspector General may ob-
tain the advice of the medical advisory board established 
under section 502. 
(d) FORM.—The report under subsection (a) shall be 
submitted in an unclassified form to the extent prac-
ticable, consistent with the protection of intelligence 
sources and methods, but may include a classified annex. 
SEC. 505. CLARIFICATION OF EFFECT OF CERTAIN BENE-
FITS RELATING TO INJURIES TO THE BRAIN. 
(a) PERSONNEL OF CENTRAL INTELLIGENCE AGEN-
CY.—Subsection (d) of section 19A of the Central Intel-
ligence Agency Act of 1949 (50 U.S.C. 3519b), as added 
by the HAVANA Act of 2021, is amended by adding at 
the end the following new paragraph: 
‘‘(5) NO EFFECT ON OTHER BENEFITS.—Pay-
ments made under paragraph (2) are supplemental 
to any other benefit furnished by the United States 
Government for which a covered dependent, covered 
employee, or covered individual is entitled, and the 
receipt of such payments may not affect the eligi-
bility of such a person to any other benefit furnished 
by the United States Government.’’. 
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(b) PERSONNEL OF DEPARTMENT OF STATE.—Sub-
section (i) of section 901 of title IX of division J of the 
Further Consolidated Appropriations Act, 2020 (22 
U.S.C. 2680b), as added by the HAVANA Act of 2021, 
is amended by adding at the end the following new para-
graph: 
‘‘(5) NO EFFECT ON OTHER BENEFITS.—Pay-
ments made under paragraph (2) are supplemental 
to any other benefit furnished by the United States 
Government for which a covered dependent, depend-
ent of a former employee, covered employee, former 
employee, or covered individual is entitled, and the 
receipt of such payments may not affect the eligi-
bility of such a person to any other benefit furnished 
by the United States Government.’’. 
TITLE VI—MATTERS RELATING 
TO FOREIGN COUNTRIES 
SEC. 601. NATIONAL INTELLIGENCE ESTIMATE ON SECU-
RITY SITUATION IN AFGHANISTAN AND RE-
LATED REGION. 
(a) REQUIREMENT.—The Director of National Intel-
ligence, acting through the National Intelligence Council, 
shall produce a National Intelligence Estimate on the situ-
ation in Afghanistan and the covered region. 
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(b) MATTERS.—The National Intelligence Estimate 
produced under subsection (a) shall include, with respect 
to the 2-year period beginning on the date on which the 
Estimate is produced, an assessment of the following: 
(1) The presence in Afghanistan (including fi-
nancial contributions to the Taliban, political rela-
tions with the Taliban, military presence in the cov-
ered region, economic presence in the covered region, 
and diplomatic presence in the covered region) of 
China, Iran, Pakistan, Russia, and any other foreign 
country determined relevant by the Director, respec-
tively, and an assessment of the potential risks, or 
benefits, of any such presence, contributions, or rela-
tions. 
(2) Any increased threat to the United States 
homeland or United States entities abroad as a re-
sult of the withdrawal of the Armed Forces from Af-
ghanistan on August 31, 2021, including an assess-
ment of the risk of al-Qaeda or any affiliates there-
of, the Islamic State of Iraq and ash Sham- 
Khorasan or any affiliates thereof, or any other 
similar international terrorist group, using Afghani-
stan as a safe harbor. 
(3) The political composition and sustainability 
of the governing body of Afghanistan, including an 
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assessment of the ability of the United States Gov-
ernment to influence the policies of such governing 
body on the following: 
(A) Counterterrorism. 
(B) Counternarcotics. 
(C) Human rights (particularly regarding 
women 
and 
traditionally 
targeted 
ethnic 
groups). 
(D) The treatment and safe transit of Af-
ghans holding special immigrant visa status 
under section 602 of the Afghan Allies Protec-
tion Act of 2009 (8 U.S.C. 1101 note) and 
other Afghans who, during the period beginning 
in 2001, assisted efforts of the United States in 
Afghanistan or the covered region. 
(4) The effect on the covered region, and Eu-
rope, of refugees leaving Afghanistan. 
(5) The commitments of the Taliban relating to 
counterterrorism, including an assessment of— 
(A) whether such commitments required 
under the agreement entered into between the 
United States Government and the Taliban in 
February 2020, have been tested, or will be 
tested during the 2-year period covered by the 
Estimate, and what such commitments entail; 
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(B) whether any additional commitments 
relating to counterterrorism agreed to by the 
Taliban pursuant to subsequent negotiations 
with the United States Government following 
February 2020, have been tested, or will be 
tested during the 2-year period covered by the 
Estimate, and, if applicable, what such commit-
ments entail; 
(C) any benchmarks against which the 
Taliban are to be evaluated with respect to 
commitments relating to counterterrorism; and 
(D) the intentions and capabilities of the 
Taliban with respect to counterterrorism (as 
such term is understood by the United States 
and by the Taliban, respectively), including the 
relations of the Taliban with al-Qaeda or any 
affiliates thereof, the Islamic State of Iraq and 
ash Sham-Khorasan or any affiliates thereof, or 
any other similar international terrorist group. 
(c) SUBMISSION TO CONGRESS.— 
(1) SUBMISSION.—Not later than one year after 
the date of the enactment of this Act, the Director 
shall submit to the congressional intelligence com-
mittees the National Intelligence Estimate produced 
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under subsection (a), including all intelligence re-
porting underlying the Estimate. 
(2) FORM.—The National Intelligence Estimate 
shall be submitted under paragraph (1) in classified 
form. 
(d) PUBLIC VERSION.—Consistent with the protec-
tion of intelligence sources and methods, at the same time 
as the Director submits to the congressional intelligence 
committees the National Intelligence Estimate under sub-
section (c), the Director shall make publicly available on 
the internet website of the Director an unclassified version 
of the key findings of the National Intelligence Estimate. 
(e) DEFINITIONS.—In this section: 
(1) COVERED REGION.—The term ‘‘covered re-
gion’’ includes the following countries: 
(A) India. 
(B) Iran. 
(C) Pakistan. 
(D) Saudi Arabia. 
(E) Tajikistan. 
(F) Turkey. 
(G) Turkmenistan. 
(H) Uzbekistan. 
(2) 
UNITED
STATES
ENTITY.—The 
term 
‘‘United States entity’’ means a citizen of the United 
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States, an embassy or consulate of the United 
States, or an installation, facility, or personnel of 
the United States Government. 
SEC. 602. REPORT ON INTELLIGENCE COLLECTION POS-
TURE AND OTHER MATTERS RELATING TO 
AFGHANISTAN AND RELATED REGION. 
(a) REPORT.—Not later than 90 days after the date 
of the enactment of this Act, the Director of National In-
telligence, in consultation with the heads of elements of 
the intelligence community determined relevant by the Di-
rector, shall submit to the congressional intelligence com-
mittees a report on the collection posture of the intel-
ligence community and other matters relating to Afghani-
stan and the covered region. 
(b) MATTERS.—The report under subsection (a) shall 
include the following: 
(1) A detailed description of the collection pos-
ture of the intelligence community with respect to 
Afghanistan, including with respect to the following: 
(A) The countering of terrorism threats 
that are directed at the United States homeland 
or United States entities abroad. 
(B) The finances of the Taliban, including 
financial contributions to the Taliban from for-
eign countries (particularly from China, Iran, 
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(2) The potential risks and benefits of granting 
the additional authorities or resources described in 
paragraph (1) to the Director, the Under Secretary, 
or both. 
(3) With respect to potential future covered na-
tional emergencies, including future outbreaks of an 
infectious pandemic disease or similar public health 
emergencies, the following: 
(A) The ability of the intelligence commu-
nity to ensure the timely administration of med-
ical interventions to covered personnel during 
the covered national emergency. 
(B) Whether additional authorities or re-
sources are necessary to ensure, or may other-
wise facilitate, such timely administration, in-
cluding with respect to the ability of the Direc-
tor or Under Secretary to provide an alternative 
means of access to covered personnel with re-
duced access to the interventions provided by 
the respective element. 
(C) The potential risks and benefits of 
granting the additional authorities or resources 
described in subparagraph (B) to the Director, 
the Under Secretary, or both. 
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