686 
(2) PRIVACY.—In analyzing any information of 
an individual documented, collected, or maintained 
under paragraph (1), in addition to complying with 
other applicable privacy laws, the Secretary shall en-
sure the name, and any other personally identifiable 
information, of the individual is removed from such 
information prior to the analysis. 
(3) SHARING
WITH
CENTERS
FOR
DISEASE 
CONTROL
AND
PREVENTION.—The Secretary may 
share data from any tests performed under sub-
section (a) with the Director of the Centers for Dis-
ease Control and Prevention, as appropriate, to in-
crease the knowledge and understanding of cancer 
occurrences among firefighters. 
(e) DEFINITIONS.—In this section: 
(1) The term ‘‘firefighter’’ has the meaning 
given that term in section 707 of the National De-
fense Authorization Act for Fiscal Year 2020 (Pub-
lic Law 116–92; 133 Stat. 1441; 10 U.S.C. 1074m 
note). 
(2) The term ‘‘high-risk individual’’ means an 
individual who— 
(A) is African American;
687 
(B) has at least one first-degree relative 
who has been diagnosed with prostate cancer at 
an early age; or 
(C) is otherwise determined by the Sec-
retary to be high-risk with respect to prostate 
cancer. 
SEC. 708. AUDIT OF BEHAVIORAL HEALTH CARE NETWORK 
PROVIDERS LISTED IN TRICARE DIRECTORY. 
(a) AUDIT REQUIRED.—The Secretary of Defense 
shall conduct an audit of the behavioral health care pro-
viders listed in the TRICARE directory. 
(b) REPORT.—Not later than one year after the date 
of the enactment of this Act, the Secretary shall submit 
to the congressional defense committees a report on the 
findings of the audit under subsection (a). Such report 
shall include the following: 
(1) 
An 
identification 
of 
the 
following, 
disaggregated by provider specialty and TRICARE 
region: 
(A) The number of such behavioral health 
care providers with respect to which there are 
duplicate listings in the TRICARE directory. 
(B) The number of such behavioral health 
care providers that, as of the commencement of 
the audit, were listed in the TRICARE direc-
688 
tory as available and accepting new TRICARE 
patients. 
(C) The number of such behavioral health 
care providers that, as a result of the audit, the 
Secretary determines are no longer available or 
accepting new TRICARE patients. 
(D) The number of such behavioral health 
care providers that were not previously listed in 
the TRICARE directory as available and ac-
cepting new TRICARE patients but that, as a 
result of the audit, the Secretary determines 
are so available and accepting. 
(E) The number of behavioral health care 
providers listed in the TRICARE directory that 
are no longer practicing. 
(F) The number of behavioral health care 
providers that, in conducting the audit, the Sec-
retary of Defense could not reach for purposes 
of verifying information relating to availability 
or status. 
(2) An identification of the number of 
TRICARE beneficiaries in each TRICARE region, 
disaggregated by beneficiary category. 
(3) A description of the methods by which the 
Secretary measures the following:
689 
(A) The accessibility and accuracy of the 
TRICARE directory, with respect to behavioral 
health care providers listed therein. 
(B) The adequacy of behavioral health care 
providers under the TRICARE program. 
(4) A description of the efforts of the Secretary 
to recruit and retain behavioral health care pro-
viders. 
(5) Recommendations by the Secretary, based 
on the findings of the audit, on how to improve the 
availability of behavioral health care providers that 
are network providers under the TRICARE pro-
gram, including through the inclusion of specific re-
quirements in the next generation of TRICARE con-
tracts. 
(c) DEFINITIONS.—In this section: 
(1) The term ‘‘TRICARE directory’’ means the 
directory of network providers under the TRICARE 
program. 
(2) The term ‘‘TRICARE program’’ has the 
meaning given such term in section 1072 of title 10, 
United States Code.
697 
(B) by striking ‘‘Command’’ each place it 
appears and inserting ‘‘Center’’; and 
(4) by adding at the end the following new sub-
paragraph: 
‘‘(B) At the discretion of the Secretary of De-
fense, the Secretary of a military department may 
retain an element or function that would otherwise 
be organized under or transferred to the Defense 
Health Agency Public Health pursuant to subpara-
graph (A)(ii) if the Secretary of Defense determines 
such element or function— 
‘‘(i) addresses a need that is unique to that 
military department; and 
‘‘(ii) is in direct support of operating 
forces and necessary to implement national se-
curity or defense strategies. 
‘‘(C) The Secretary of a military department 
may not take any action to retain an element or 
function pursuant to a determination by the Sec-
retary of Defense referred to in subparagraph (B) 
unless— 
‘‘(i) the Secretary of Defense submits to 
the Committees on Armed Services of the 
House of Representatives and the Senate a re-
port containing an explanation of such deter-
704 
Secretaries concerned in carrying out determinations 
of fitness for duty as specified in paragraph (1). 
(3) A requirement that a medical evaluation 
provided under the authority of the Defense Health 
Agency under section 1073c of title 10, United 
States Code, shall comply with applicable law and 
Department of Defense regulations and shall be con-
sidered by the Secretary concerned in determining 
fitness for duty under such chapter. 
(4) A description of how the Director of the De-
fense Health Agency adheres to the medical evalua-
tion processes of the Armed Forces, including an 
identification of each applicable regulation or policy 
the Director is required to adhere to. 
(5) A requirement that wounded, ill, and in-
jured members of the Armed Forces shall not be de-
nied the protections, privileges, or right to due proc-
ess afforded under applicable law and regulations of 
the Department of Defense and the Armed Forces. 
(6) A description of the types of due process 
protections, privileges, and rights afforded to mem-
bers of the Armed Forces pursuant to paragraph 
(5), including an identification of each such due 
process protection.
731 
ficiaries for coverage of mental or behavioral health 
care services, and the overturn rates of appeals for 
such requests, disaggregated by type of health care 
service. 
(4) A list of each mental or behavioral health 
care provider type that is not an authorized provider 
type under the TRICARE program. 
(5) An identification of any anticipated effects 
of modifying coverage requirements under the 
TRICARE program to bring such requirements into 
conformity with mental health parity laws, including 
an assessment of the following: 
(A) Potential costs to the Department of 
Defense, the Department of Homeland Security 
(with respect to matters concerning the Coast 
Guard when it is not operating as a service in 
the Department of the Navy), and TRICARE 
beneficiaries as a result of such modification. 
(B) The adequacy of the TRICARE pro-
gram network to support such modification. 
(C) Potential effects of such modification 
on access to care by TRICARE beneficiaries. 
(D) Such other matters as may be deter-
mined appropriate by the Comptroller General.
1168 
Secretary of a military department may obligate and 
expend, from amounts specified in paragraph (2), 
not more than $5,000,000 for the following: 
(A) Training related to civilian harm pre-
vention, mitigation, and response. 
(B) Information technology equipment, 
support and maintenance, and data storage, in 
order to implement the policy of the Depart-
ment relating to harms to civilians resulting 
from United States military operations as re-
quired by section 936 of the John S. McCain 
National Defense Authorization Act for Fiscal 
Year 2019. 
(2) FUNDS.—The funds for a fiscal year speci-
fied in this subparagraph are funds as follows: 
(A) In the case of the Secretary of De-
fense, amounts authorized to be appropriated 
for such fiscal year for operation and mainte-
nance, Defense-wide. 
(B) In the case of a Secretary of a military 
department, amounts authorized to be appro-
priated for such fiscal year for operation and 
maintenance for the components of the Armed 
Forces under the jurisdiction of such Secretary.