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(C) The development and sustainment of a
long-term vaccine safety and efficacy registry.
(D) Support for an expert clinical advisory
board for case reviews related to disability as-
sessment questions.
(E) Long-term and short-term studies to
identify unanticipated benefits and adverse
events from vaccines.
(F) Educational outreach for immunization
providers and those required to receive immuni-
zations.
(G) The development, dissemination, and
validation of educational materials for Depart-
ment of Defense healthcare workers relating to
vaccine safety, efficacy, and acceptability.
(c) LIMITATION
ON RESTRUCTURING
OF VACCINE
HEALTHCARE CENTERS.—
(1) LIMITATION.—The Secretary of Defense may
not downsize or otherwise restructure the Vaccine
Healthcare Centers of the Department of Defense until
the Secretary submits to Congress a report setting
forth a plan for meeting the immunization needs of
the Armed Forces during the 10-year period begin-
ning on the date of the submittal of the report.
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(2) REPORT ELEMENTS.—The report submitted
under paragraph (1) shall include the following:
(A) An assessment of the potential biological
threats to members of the Armed Forces that are
addressable by vaccine.
(B) An assessment of the distance and time
required to travel to a Vaccine Healthcare Center
by members of the Armed Forces who have severe
reactions to a mandatory military vaccine.
(C) An identification of the most effective
mechanisms for ensuring the provision services
by the Vaccine Healthcare Centers to both mili-
tary medical professionals and members of the
Armed Forces.
(D) An assessment of current military and
civilian expertise with respect to mass adult im-
munization programs, including case manage-
ment under such programs for rare adverse reac-
tions to immunizations.
(E) An organizational structure for each
military department to ensure support of the
Vaccine Healthcare Centers in the provision of
services to members of the Armed Forces.
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SEC. 733. ENHANCED MENTAL HEALTH SCREENING AND
SERVICES FOR MEMBERS OF THE ARMED
FORCES.
(a) REQUIRED ELEMENTS OF ASSESSMENTS.—Each
pre-deployment mental health assessment of a member of
the Armed Forces, shall include the following:
(1) A mental health history of the member, with
emphasis on mental health status during the 12-
month period ending on the date of the assessment
and a review of military service during that period.
(2) An assessment of the current treatment of the
member, and any use of psychotropic medications by
the member, for a mental health condition or disorder.
(3) An assessment of any behavior of the member
identified by the member’s commanding officer that
could indicate the presence of a mental health condi-
tion.
(4) 
Information 
provided 
by 
the 
member
(through a checklist or other means) on the presence
of any serious mental illness or any symptoms indi-
cating a mental health condition or disorder.
(b) REFERRAL
FOR FURTHER EVALUATION.—Each
member of the Armed Forces who is determined during a
pre-deployment or post-deployment mental health assess-
ment to have, or have symptoms or indicators for, a mental
health condition or disorder shall be referred to a qualified
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health care professional with experience in the evaluation
and diagnosis of mental health conditions.
(c) REFERRAL OF MEMBERS DEPLOYED IN CONTIN-
GENCY
OR COMBAT OPERATIONS.—Any member of the
Armed Forces called or ordered to active duty in support
of contingency or combat operations who requests access to
mental health care services any time before, during, or after
deployment shall be provided access to such services—
(1) not later than 72 hours after the making of
such request; or
(2) at the earliest practicable time thereafter.
(d) MINIMUM MENTAL HEALTH STANDARDS FOR DE-
PLOYMENT.—
(1) STANDARDS
REQUIRED.—The Secretary of
Defense shall prescribe in regulations minimum
standards for mental health for the eligibility of a
member of the Armed Forces for deployment to a com-
bat operation or contingency operation.
(2) ELEMENTS.—The standards required by
paragraph (1) shall include the following:
(A) A specification of the mental health con-
ditions, treatment for such conditions, and re-
ceipt of psychotropic medications for such condi-
tions that preclude deployment of a member of
the Armed Forces to a combat operation or con-
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tingency operation, or to a specified type of such
operation.
(B) Guidelines for the deployability and
treatment of members of the Armed Forces diag-
nosed with a severe mental illness or Post Trau-
matic Stress Disorder (PTSD).
(3) UTILIZATION.—The Secretary shall take ap-
propriate actions to ensure the utilization of the
standards prescribed under paragraph (1) in the
making of determinations regarding the deployability
of members of the Armed Forces to a combat oper-
ation or contingency operation.
(e) MONITORING OF CERTAIN INDIVIDUALS.—The Sec-
retary of Defense shall develop a plan, to be implemented
throughout the Department of Defense, for monitoring the
mental health of each member of the Armed Forces who,
after deployment to a combat operation or contingency op-
eration, is known—
(1) to have a mental health condition or dis-
order; or
(2) to be receiving treatment, including psycho-
tropic medications, for a mental health condition or
disorder.
(f) IMPLEMENTATION.—Not later than six months after
the date of the enactment of this Act, the Secretary of De-
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fense shall submit to the Committees on Armed Services of
the Senate and the House or Representatives a report on
the actions taken to implement the requirements of this sec-
tion.
SEC. 734. EDUCATION, TRAINING, AND SUPERVISION OF
PERSONNEL 
PROVIDING 
SPECIAL 
EDU-
CATION SERVICES UNDER EXTENDED BENE-
FITS UNDER TRICARE.
Section 1079(d)(2) of title 10, United States Code is
amended by adding at the end the following: ‘‘The regula-
tions shall include the following:
‘‘(A) Requirements for education, training, and
supervision of individuals providing special education
services known as Applied Behavioral Analysis under
this subsection that are in addition to any other edu-
cation, training, and supervision requirements appli-
cable to Board Certified Behavior Analysts or Board
Certified Associate Behavior Analysts or are otherwise
applicable to personnel providing such services under
applicable State law.
‘‘(B) Metrics to identify and measure the avail-
ability and distribution of individuals of various ex-
pertise in Applied Behavioral Analysis in order to
evaluate and assure the availability of qualified per-