(B) by inserting after subsection (a) the 
following new subsection (b): 
‘‘(b) POSTPARTUM CARE FOR CERTAIN MEMBERS 
AND DEPENDENTS.—(1) At intervals to be prescribed by 
the Secretary that follow the date on which a covered indi-
vidual gives birth, but not less frequently than four times 
during the one-year period beginning on such date, and 
upon consent of the covered individual, the Secretary shall 
furnish postpartum mental health assessments to the cov-
ered individual. Such assessments shall include screening 
questions related to postpartum anxiety and postpartum 
depression and may be provided in connection with the 
follow-up appointments described in paragraph (3). 
‘‘(2)(A) The Secretary shall ensure that, upon a cov-
ered individual giving birth or soon thereafter, the covered 
individual is offered a referral for a pelvic floor examina-
tion as part of the medical care to which the covered indi-
vidual is entitled under this chapter. 
‘‘(B) Pelvic floor examinations provided pursuant to 
subparagraph (A) shall be conducted in-person wherever 
possible, but if the Secretary determines a covered indi-
vidual for whom a referral is offered under such subpara-
graph is located in a geographic area with an inadequate 
number of physical therapists trained in providing such 
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examinations, the examination may be provided through 
a telehealth appointment. 
‘‘(3) The Secretary shall ensure that there is provided 
within each military medical treatment facility an option 
for any covered individual who has given birth at the facil-
ity, and who is eligible to receive care at the facility, to 
schedule a follow-up appointment for postpartum care of 
the covered individual that is concurrent with the date of 
the follow-up appointment for postnatal care of the cov-
ered individual’s newborn infant. 
‘‘(4) In this subsection, the term ‘covered individual’ 
means a member of the armed forces (including the re-
serve components) performing active service, or a depend-
ent of such member, who is entitled to medical care under 
this chapter.’’. 
(2) APPLICABILITY.—The amendments made 
by this subsection shall take effect on the date of the 
enactment of this Act and shall apply with respect 
to births that occur on or after the date that is six 
months after the date of the enactment of this Act. 
(c) PHYSICAL FITNESS TESTS.—Not later than after 
180 days after the date of the enactment of this Act, the 
Secretary of Defense shall— 
(1) develop a standardized policy under which 
any member of the Armed Forces who gives birth 
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while on active duty may not be required to take a 
physical fitness test until the date that is one year 
after the date on which the member gave birth; and 
(2) ensure such policy is implemented uniformly 
across each of the Armed Forces. 
(d) PILOT PROGRAM TO STREAMLINE POSTPARTUM 
APPOINTMENTS.— 
(1) PILOT
PROGRAM.—The Secretary shall 
carry out a one-year pilot program to further 
streamline the process of scheduling postpartum ap-
pointments at military medical treatment facilities 
by reducing the number of distinct visits required 
for such appointments. 
(2) STREAMLINING
OF
APPOINTMENTS.—In 
carrying out the pilot program under paragraph (1), 
the Secretary shall ensure that there is provided 
within each military medical treatment facility se-
lected under paragraph (3) an option for covered in-
dividuals who have recently given birth at the facil-
ity, and who are eligible to receive care at the facil-
ity, to receive a physical therapy evaluation in con-
nection with each appointment provided by the facil-
ity for postpartum care of the covered individual or 
for care of the covered individual’s newborn infant, 
including such appointments provided concurrently 
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pursuant to section 1074d(b) of title 10, United 25 
States Code (as added by subsection (b)). 
(3) SELECTION.—The Secretary shall select not 
fewer than ten military medical treatment facilities 
at which to carry out the pilot program under para-
graph (1). In making such selection, the Secretary 
shall ensure geographic diversity with respect to the 
location of the facilities, including by considering for 
selection facilities located outside of the United 
States. 
(4) REPORT.—Not later than one year after the 
commencement of the pilot program under para-
graph (1), the Secretary shall submit to the Com-
mittees on Armed Services of the House of Rep-
resentatives and the Senate a report on the effective-
ness of the pilot program. Such report shall in-
clude— 
(A) a recommendation by the Secretary on 
whether to expand or extend the pilot program; 
and 
(B) a summary of the findings that led to 
such recommendation. 
(5) COVERED INDIVIDUAL DEFINED.—In this 
subsection, the term ‘‘covered individual’’ has the 
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meaning given such term in section 1074d(b) of title 
10, United States Code (as added by subsection (b)). 
(e) PELVIC HEALTH AT MILITARY MEDICAL TREAT-
MENT FACILITIES.—The Secretary shall take such steps 
as are necessary to increase the capacity of military med-
ical treatment facilities to provide pelvic health rehabilita-
tion services, including by increasing the number of phys-
ical therapists employed at such facilities who are trained 
in pelvic health rehabilitation. 
(f) REVIEW OF PELVIC HEALTH REHABILITATION 
PROGRAMS.— 
(1) REVIEW
REQUIRED.—The Secretary shall 
conduct a review of any current pelvic health reha-
bilitation programs of the Department of Defense, 
including an evaluation of the outcomes of any such 
programs. 
(2) REPORT.—Not later than nine months after 
the date of the enactment of this Act, the Secretary 
shall submit to the Committees on Armed Services 
of the House of Representatives and the Senate a 
report containing the findings of the review required 
under paragraph (1). 
(g) GUIDANCE ON OBSTETRIC HEMORRHAGE TREAT-
MENT.—Not later than 180 days after the date of the en-
actment of this Act, the Secretary shall issue guidance on 
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the development and implementation of standard protocols 
across the military health system for the treatment of ob-
stetric hemorrhages, including through the use of patho-
gen reduced resuscitative blood products. 
Æ 
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