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uates to receive casualty assistance in the event of the 
death of such graduates. 
(6) Sections 623 and 625 of the National Defense 
Authorization Act for Fiscal Year 2020 apply only to 
a Senior Reserve Officers’ Training Corps graduate 
who receives a commission but dies before receiving a 
first duty assignment on or after the date of the en-
actment of that Act. 
(7) The death of Lieutenant Collins played a 
critical role in changing the eligibility criteria for the 
death gratuity for Senior Reserve Officers’ Training 
Corps graduates who die prior to their first assign-
ment. 
(b) APPLICABILITY OF LAWS.— 
(1) DEATH GRATUITY.—Section 623 of the Na-
tional Defense Authorization Act for Fiscal Year 2020 
(Public Law 116–92), and the amendment made by 
that section, shall apply to Lieutenant Richard W. 
Collins III as if his death had occurred after the date 
of the enactment of that section. 
(2) CASUALTY ASSISTANCE.—Section 625 of the 
National Defense Authorization Act for Fiscal Year 
2020, and the amendment made by that section, shall 
apply to Lieutenant Richard W. Collins III as if his
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death had occurred after the date of the enactment of 
that section. 
(c) LIMITATION.—No amount exceeding 10 percent of 
a payment made under subsection (b)(1) may be paid to 
or received by any attorney or agent for services rendered 
in connection with the payment. Any person who violates 
this subsection shall be guilty of an infraction and shall 
be subject to a fine in the amount provided under title 18, 
United States Code. 
Subtitle D—Other Matters 
SEC. 631. PERMANENT AUTHORITY FOR AND ENHANCE-
MENT OF THE GOVERNMENT LODGING PRO-
GRAM. 
(a) PERMANENT AUTHORITY.—Section 914 of the Carl 
Levin and Howard P. ‘‘Buck’’ McKeon National Defense 
Authorization Act for Fiscal Year 2015 (5 U.S.C. 5911 
note) is amended— 
(1) in subsection (a), by striking ‘‘, for the pe-
riod of time described in subsection (b),’’; and 
(2) by striking subsection (b). 
(b) EXCLUSION OF CERTAIN SHIPYARD EMPLOYEES.— 
Such section is further amended by inserting after sub-
section (a) the following new subsection (b): 
‘‘(b) EXCLUSION
OF CERTAIN SHIPYARD EMPLOY-
EES.—In carrying out a Government lodging program
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under the authority in subsection (a), the Secretary shall 
exclude from the requirements of the program employees 
who are traveling for the performance of mission functions 
of a public shipyard of the Department if the purpose or 
mission of such travel would be adversely affected by the 
requirements of the program.’’. 
(c) CONFORMING AMENDMENT.—The heading of such 
section is amended to read as follows: 
‘‘SEC. 914. GOVERNMENT LODGING PROGRAM.’’. 
SEC. 632. APPROVAL OF CERTAIN ACTIVITIES BY RETIRED 
AND RESERVE MEMBERS OF THE UNIFORMED 
SERVICES. 
(a) CLARIFICATION OF ACTIVITIES FOR WHICH AP-
PROVAL REQUIRED.—Section 908 of title 37, United States 
Code, is amended— 
(1) in subsection (a)— 
(A) in the matter preceding paragraph 
(1)— 
(i) by striking ‘‘subsection (b)’’ and in-
serting ‘‘subsections (b) and (c)’’; and 
(ii) by inserting ‘‘, accepting payment 
for speeches, travel, meals, lodging, or reg-
istration fees, or accepting a non-cash 
award,’’ after ‘‘that employment)’’; and
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(B) in paragraph (2), by striking ‘‘armed 
forces’’ and inserting ‘‘armed forces, except mem-
bers serving on active duty under a call or order 
to active duty for a period in excess of 30 days’’; 
(2) in the heading of subsection (b), by inserting 
‘‘FOR EMPLOYMENT AND COMPENSATION’’ after ‘‘AP-
PROVAL REQUIRED’’; 
(3) by redesignating subsections (c) and (d) as 
subsections (d) and (e), respectively; and 
(4) by inserting after subsection (b) the following 
new subsection (c): 
‘‘(c) APPROVAL REQUIRED FOR CERTAIN PAYMENTS 
AND AWARDS.—A person described in subsection (a) may 
accept payment for speeches, travel, meals, lodging, or reg-
istration fees described in that subsection, or accept a non- 
cash award described in that subsection, only if the Sec-
retary concerned approves the payment or award.’’. 
(b) ANNUAL REPORTS ON APPROVALS.—Subsection (d) 
of such section, as redesignated by subsection (a)(3) of this 
section, is amended— 
(1) by inserting ‘‘(1)’’ before ‘‘Not later than’’; 
(2) in paragraph (1), as designated by para-
graph (1) of this subsection, by inserting ‘‘, and each 
approval under subsection (c) for a payment or
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award described in subsection (a),’’ after ‘‘in sub-
section (a)’’; and 
(3) by adding at the end the following new para-
graph: 
‘‘(2) The report under paragraph (1) on an approval 
described in that paragraph with respect to an officer shall 
set forth the following: 
‘‘(A) The foreign government providing the em-
ployment or compensation or payment or award. 
‘‘(B) The duties, if any, to be performed in con-
nection with the employment or compensation or pay-
ment or award. 
‘‘(C) The total amount of compensation, if any, 
or payment to be provided.’’. 
(c) CONFORMING AMENDMENTS.— 
(1) SECTION HEADING.—The heading of such sec-
tion is amended to read as follows: 
‘‘§ 908. Reserves and retired members: acceptance of 
employment, payments, and awards from 
foreign governments’’. 
(2) TABLE OF SECTIONS.—The table of sections 
at the beginning of chapter 17 of such title is amend-
ed by striking the item relating to section 908 and in-
serting the following new item: 
‘‘908. Reserves and retired members: acceptance of employment, payments, and 
awards from foreign governments.’’.
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TITLE VII—HEALTH CARE 
PROVISIONS 
Subtitle A—TRICARE and Other 
Health Care Benefits 
SEC. 701. AUTHORITY FOR SECRETARY OF DEFENSE TO 
MANAGE PROVIDER TYPE REFERRAL AND SU-
PERVISION REQUIREMENTS UNDER TRICARE 
PROGRAM. 
Section 1079(a)(12) of title 10, United States Code, 
is amended, in the first sentence, by striking ‘‘or certified 
clinical social worker,’’ and inserting ‘‘certified clinical so-
cial worker, or other class of provider as designated by the 
Secretary of Defense,’’. 
SEC. 702. REMOVAL OF CHRISTIAN SCIENCE PROVIDERS AS 
AUTHORIZED 
PROVIDERS 
UNDER 
THE 
TRICARE PROGRAM. 
(a) REPEAL.—Subsection (a) of section 1079 of title 
10, United States Code, is amended by striking paragraph 
(4). 
(b) CONFORMING AMENDMENT.—Paragraph (12) of 
such subsection is amended, in the first sentence, by striking 
‘‘, except as authorized in paragraph (4)’’.
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SEC. 703. WAIVER OF FEES CHARGED TO CERTAIN CIVIL-
IANS FOR EMERGENCY MEDICAL TREATMENT 
PROVIDED AT MILITARY MEDICAL TREAT-
MENT FACILITIES. 
Section 1079b of title 10, United States Code, is 
amended— 
(1) by redesignating subsection (b) as subsection 
(c); and 
(2) by inserting after subsection (a) the following 
new subsection (b): 
‘‘(b) WAIVER OF FEES.—Under the procedures imple-
mented under subsection (a), a military medical treatment 
facility may waive a fee charged under such procedures to 
a civilian who is not a covered beneficiary if— 
‘‘(1) after insurance payments, if any, the civil-
ian is not able to pay for the trauma or other medical 
care provided to the civilian; and 
‘‘(2) the provision of such care enhanced the 
medical readiness of the health care provider or health 
care providers furnishing such care.’’. 
SEC. 704. MENTAL HEALTH RESOURCES FOR MEMBERS OF 
THE ARMED FORCES AND THEIR DEPEND-
ENTS DURING THE COVID–19 PANDEMIC. 
(a) PLAN.—Not later than 180 days after the date of 
the enactment of this Act, the Secretary of Defense shall de-
velop a plan to protect and promote the mental health and
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well-being of members of the Armed Forces and their de-
pendents, which shall include the following: 
(1) A strategy to combat existing stigma sur-
rounding mental health conditions that might deter 
such individuals from seeking care. 
(2) Guidance to commanding officers at all levels 
on the mental health ramifications of the COVID–19 
crisis. 
(3) Additional training and support for mental 
health care professionals of the Department of Defense 
on supporting individuals who are concerned for the 
health of themselves and their family members, or 
grieving the loss of loved ones due to COVID–19. 
(4) A strategy to leverage telemedicine to ensure 
safe access to mental health services. 
(b) OUTREACH.—The Secretary of Defense shall con-
duct outreach to the military community to identify re-
sources and health care services, including mental health 
care services, available under the TRICARE program to 
support members of the Armed Forces and their dependents. 
(c) DEFINITIONS.—In this section, the terms ‘‘depend-
ent’’ and ‘‘TRICARE program’’ have the meanings given 
those terms in section 1072 of such title.
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SEC. 705. TRANSITIONAL HEALTH BENEFITS FOR CERTAIN 
MEMBERS OF THE NATIONAL GUARD SERV-
ING UNDER ORDERS IN RESPONSE TO THE 
CORONAVIRUS (COVID–19). 
(a) IN GENERAL.—The Secretary of Defense shall pro-
vide to a member of the National Guard separating from 
active service after serving on full-time National Guard 
duty pursuant to section 502(f) of title 32, United States 
Code, the health benefits authorized under section 1145 of 
title 10, United States Code, for a member of a reserve com-
ponent separating from active duty, as referred to in sub-
section (a)(2)(B) of such section 1145, if the active service 
from which the member of the National Guard is separating 
was in support of the whole of government response to the 
coronavirus (COVID–19). 
(b) DEFINITIONS.—In this section, the terms ‘‘active 
duty’’, ‘‘active service’’, and ‘‘full-time National Guard 
duty’’ have the meanings given those terms in section 
101(d) of title 10, United States Code. 
SEC. 706. EXTRAMEDICAL MATERNAL HEALTH PROVIDERS 
DEMONSTRATION PROJECT. 
(a) DEMONSTRATION PROJECT REQUIRED.—Not later 
than one year after the date of the enactment of this Act, 
the Secretary of Defense shall commence the conduct of a 
demonstration project designed to evaluate the cost, quality 
of care, and impact on maternal and fetal outcomes of using
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extramedical 
maternal 
health 
providers 
under 
the 
TRICARE program to determine the appropriateness of 
making coverage of such providers under the TRICARE 
program permanent. 
(b) ELEMENTS OF DEMONSTRATION PROJECT.—The 
demonstration project under subsection (a) shall include, for 
participants in the demonstration project, the following: 
(1) Access to doulas. 
(2) Access to lactation consultants who are not 
otherwise authorized to provide services under the 
TRICARE program. 
(c) PARTICIPANTS.—The Secretary shall establish a 
process under which covered beneficiaries may enroll in the 
demonstration project in order to receive the services pro-
vided under the demonstration project. 
(d) DURATION.—The Secretary shall carry out the 
demonstration project for a period of five years beginning 
on the date on which notification of the commencement of 
the demonstration project is published in the Federal Reg-
ister. 
(e) SURVEY.— 
(1) IN GENERAL.—Not later than one year after 
the date of the enactment of this Act, and annually 
thereafter for the duration of the demonstration
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project, the Secretary shall administer a survey to de-
termine— 
(A) how many members of the Armed 
Forces or spouses of such members give birth 
while their spouse or birthing partner is unable 
to be present due to deployment, training, or 
other mission requirements; 
(B) how many single members of the Armed 
Forces give birth alone; and 
(C) how many members of the Armed 
Forces or spouses of such members use doula sup-
port or lactation consultants. 
(2) MATTERS COVERED BY THE SURVEY.—The 
survey administered under paragraph (1) shall in-
clude an identification of the following: 
(A) The race, ethnicity, age, sex, relation-
ship status, military service, military occupa-
tion, and rank, as applicable, of each individual 
surveyed. 
(B) If individuals surveyed were members of 
the Armed Forces or the spouses of such mem-
bers, or both. 
(C) The length of advanced notice received 
by individuals surveyed that the member of the
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Armed Forces would be unable to be present dur-
ing the birth, if applicable. 
(D) Any resources or support that the indi-
viduals surveyed found useful during the preg-
nancy and birth process, including doula or lac-
tation counselor support. 
(f) REPORTS.— 
(1) IMPLEMENTATION PLAN.—Not later than 180 
days after the date of the enactment of this Act, the 
Secretary shall submit to the Committees on Armed 
Services of the Senate and the House of Representa-
tives a plan to implement the demonstration project. 
(2) ANNUAL REPORT.— 
(A) IN GENERAL.—Not later than one year 
after the commencement of the demonstration 
project, and annually thereafter for the duration 
of the demonstration project, the Secretary shall 
submit to the Committees on Armed Services of 
the Senate and the House of Representatives a 
report on the cost of the demonstration project 
and the effectiveness of the demonstration project 
in improving quality of care and the maternal 
and fetal outcomes of covered beneficiaries en-
rolled in the demonstration project.
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(B) MATTERS COVERED.—Each report sub-
mitted under subparagraph (A) shall address, at 
a minimum, the following: 
(i) The number of covered beneficiaries 
who are enrolled in the demonstration 
project. 
(ii) The number of enrolled covered 
beneficiaries who have participated in the 
demonstration project. 
(iii) The results of the surveys under 
subsection (f). 
(iv) The cost of the demonstration 
project. 
(v) An assessment of the quality of care 
provided to participants in the demonstra-
tion project. 
(vi) An assessment of the impact of the 
demonstration project on maternal and fetal 
outcomes. 
(vii) An assessment of the effectiveness 
of the demonstration project. 
(viii) Recommendations for adjust-
ments to the demonstration project.
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(ix) The estimated costs avoided as a 
result of improved maternal and fetal health 
outcomes due to the demonstration project. 
(x) Recommendations for extending the 
demonstration project or implementing per-
manent coverage under the TRICARE pro-
gram of extramedical maternal health pro-
viders. 
(xi) An identification of legislative or 
administrative action necessary to make the 
demonstration project permanent. 
(C) FINAL REPORT.—The final report under 
subparagraph (A) shall be submitted not later 
than 90 days after the termination of the dem-
onstration project. 
(g) EXPANSION OF DEMONSTRATION PROJECT.— 
(1) REGULATIONS.—If the Secretary determines 
that the demonstration project is successful, the Sec-
retary 
may 
prescribe 
regulations 
to 
include 
extramedical maternal health providers as health care 
providers authorized to provide care under the 
TRICARE program. 
(2) CREDENTIALING
AND
OTHER
REQUIRE-
MENTS.—The Secretary may establish credentialing 
and other requirements for doulas and lactation con-
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sultants through public notice and comment rule-
making for purposes of including doulas and lacta-
tion consultations as health care providers authorized 
to provide care under the TRICARE program pursu-
ant to regulations prescribed under paragraph (1). 
(h) DEFINITIONS.—In this section: 
(1) EXTRAMEDICAL
MATERNAL
HEALTH
PRO-
VIDER.—The term ‘‘extramedical maternal health pro-
vider’’ means a doula or lactation consultant. 
(2) COVERED
BENEFICIARY; 
TRICARE
PRO-
GRAM.—The 
terms 
‘‘covered 
beneficiary’’ 
and 
‘‘TRICARE program’’ have the meanings given those 
terms in section 1072 of title 10, United States Code. 
SEC. 707. PILOT PROGRAM ON RECEIPT OF NON-GENERIC 
PRESCRIPTION MAINTENANCE MEDICATIONS 
UNDER TRICARE PHARMACY BENEFITS PRO-
GRAM. 
(a) REQUIREMENT.—The Secretary of Defense shall 
carry out a pilot program under which eligible covered 
beneficiaries may elect to receive non-generic prescription 
maintenance medications selected under subsection (c) 
through military treatment facility pharmacies, retail 
pharmacies, or the national mail-order pharmacy program, 
notwithstanding section 1074g(a)(9) of title 10, United 
States Code.
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(b) DURATION.—The Secretary shall carry out the 
pilot program for a three-year period beginning not later 
than March 1, 2021. 
(c) SELECTION OF MEDICATION.—The Secretary shall 
select non-generic prescription maintenance medications 
described in section 1074g(a)(9)(C)(i) of title 10, United 
States Code, to be covered by the pilot program. 
(d) USE OF VOLUNTARY REBATES.— 
(1) REQUIREMENT.—In carrying out the pilot 
program, the Secretary shall seek to renew and mod-
ify contracts described in paragraph (2) in a manner 
that— 
(A) includes for purposes of the pilot pro-
gram retail pharmacies as a point of sale for the 
non-generic prescription maintenance medica-
tion covered by the contract; and 
(B) provides the manufacturer with the op-
tion to provide voluntary rebates for such medi-
cations at retail pharmacies. 
(2) CONTRACTS DESCRIBED.—The contracts de-
scribed in this paragraph are contracts for the pro-
curement of non-generic prescription maintenance 
medications selected under subsection (c) that are eli-
gible for renewal during the period in which the pilot 
program is carried out.
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(ii) The rate by which eligible covered 
beneficiaries elected to receive non-generic 
prescription maintenance medications at a 
retail pharmacy pursuant to the pilot pro-
gram, and how such rate affected military 
treatment facility pharmacies and the na-
tional mail-order pharmacy program. 
(iii) The amount of cost savings real-
ized by the pilot program, including with 
respect to— 
(I) dispensing fees incurred at re-
tail pharmacies compared to the na-
tional mail-order pharmacy program 
for brand name prescription drugs; 
(II) administrative fees; 
(III) any costs paid by the United 
States for the drugs in addition to the 
procurement costs; 
(IV) the use of military treatment 
facilities; and 
(V) copayments paid by eligible 
covered beneficiaries. 
(iv) A comparison of supplemental re-
bates between retail pharmacies and other 
points of sale.
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(g) RULE OF CONSTRUCTION.—Nothing in this section 
may be construed to affect the ability of the Secretary to 
carry out section 1074g(a)(9)(C) of title 10, United States 
Code, after the date on which the pilot program is com-
pleted. 
(h) DEFINITIONS.—In this section: 
(1) The term ‘‘eligible covered beneficiary’’ has 
the meaning given that term in section 1074g(i) of 
title 10, United States Code. 
(2) The terms ‘‘military treatment facility phar-
macies’’, ‘‘retail pharmacies’’, and ‘‘the national 
mail-order pharmacy program’’ mean the methods for 
receiving prescription drugs as described in clauses 
(i), 
(ii), 
and 
(iii), 
respectively, 
of 
section 
1074g(a)(2)(E) of title 10, United States Code. 
Subtitle B—Health Care 
Administration 
SEC. 721. MODIFICATIONS TO TRANSFER OF ARMY MEDICAL 
RESEARCH AND DEVELOPMENT COMMAND 
AND PUBLIC HEALTH COMMANDS TO DE-
FENSE HEALTH AGENCY. 
(a) DELAY OF TRANSFER.— 
(1) IN GENERAL.—Section 1073c(e) of title 10, 
United States Code, is amended, in the matter pre-
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† HR 6395 EAS 
ceding paragraph (1), by striking ‘‘September 30, 
2022’’ and inserting ‘‘September 30, 2024’’. 
(2) CONFORMING AMENDMENTS.—Section 737 of 
the National Defense Authorization Act for Fiscal 
Year 2020 (Public Law 116–92) is amended, in sub-
sections (a) and (c), by striking ‘‘September 30, 
2022’’ and inserting ‘‘September 30, 2024’’ each place 
it appears. 
(b) MODIFICATION TO RESOURCES PRESERVED.— 
Such section 737 is amended— 
(1) in the section heading, by striking ‘‘RE-
SOURCES’’ and inserting ‘‘INFRASTRUCTURE AND 
PERSONNEL’’; and 
(2) in subsection (a)— 
(A) by striking ‘‘resources’’ and inserting 
‘‘infrastructure and personnel’’; and 
(B) by striking ‘‘, which shall include man-
power and funding, at not less than the level of 
such resources’’. 
(c) ELIMINATION OF TRANSFER OF FUNDS.—Such sec-
tion 737 is further amended by— 
(1) striking subsection (b); and 
(2) redesignating subsection (c) as subsection (b). 
(d) CHANGE OF NAME OF COMMAND.—
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† HR 6395 EAS 
(1) 
DELAY
OF
TRANSFER.—Section 
1073c(e)(1)(B) of title 10, United States Code, is 
amended by striking ‘‘Materiel’’ and inserting ‘‘Devel-
opment’’. 
(2) PRESERVATION
OF
INFRASTRUCTURE
AND 
PERSONNEL.—Section 737 of the National Defense 
Authorization Act for Fiscal Year 2020 (Public Law 
116–92) is amended— 
(A) in the section heading, by striking ‘‘MA-
TERIEL’’ and inserting ‘‘DEVELOPMENT’’; and 
(B) by striking ‘‘Materiel’’ each place it ap-
pears and inserting ‘‘Development’’. 
(e) CLERICAL AMENDMENT.—The table of contents for 
the National Defense Authorization Act for Fiscal Year 
2020 is amended by striking the item relating to section 
737 and inserting the following new item: 
‘‘Sec. 737. Preservation of infrastructure and personnel of the Army Medical Re-
search and Development Command and continuation as Center 
of Excellence.’’. 
SEC. 722. DELAY OF APPLICABILITY OF ADMINISTRATION 
OF TRICARE DENTAL PLANS THROUGH FED-
ERAL EMPLOYEES DENTAL AND VISION IN-
SURANCE PROGRAM. 
Section 713(c) of the John S. McCain National Defense 
Authorization Act for Fiscal Year 2019 (Public Law 115– 
232; 5 U.S.C. 8951 note) is amended by striking ‘‘January 
1, 2022’’ and inserting ‘‘January 1, 2023’’.
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SEC. 723. AUTHORITY OF SECRETARY OF DEFENSE TO 
WAIVE REQUIREMENTS DURING NATIONAL 
EMERGENCIES FOR PURPOSES OF PROVISION 
OF HEALTH CARE. 
(a) IN GENERAL.—Chapter 55 of title 10, United 
States Code, is amended by inserting after section 1073d 
the following new section: 
‘‘§ 1073e. Authority to waive requirements during na-
tional emergencies 
‘‘(a) PURPOSE.—The purpose of this section is to en-
able the Secretary of Defense to ensure, to the maximum 
extent feasible, in an emergency area during an emergency 
period— 
‘‘(1) that sufficient authorized health care items 
and services are available to meet the needs of covered 
beneficiaries in such area eligible for the programs 
under this chapter; and 
‘‘(2) that private sector health care providers au-
thorized under the TRICARE program that furnish 
such authorized items and services in good faith may 
be reimbursed for such items and services absent any 
determination of fraud or abuse. 
‘‘(b) AUTHORITY.— 
‘‘(1) IN GENERAL.—To the extent necessary to 
accomplish the purpose specified in subsection (a), the 
Secretary, subject to the provisions of this section,
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may, for a period of 60 days, waive or modify the ap-
plication of the requirements of this chapter or any 
regulation prescribed thereunder with respect to 
health care items and services furnished by a health 
care provider (or class of health care providers) in an 
emergency area (or portion of such area) during an 
emergency period (or portion of such period), includ-
ing by deferring the termination of status of a covered 
beneficiary. 
‘‘(2) RENEWAL.—The Secretary may renew a 
waiver or modification under paragraph (1) for sub-
sequent 60-day periods during the duration of the ap-
plicable emergency declaration. 
‘‘(c) IMPLEMENTATION.—The Secretary may imple-
ment any temporary waiver or modification made pursu-
ant to this section by program instruction or otherwise. 
‘‘(d) RETROACTIVE APPLICATION.—A waiver or modi-
fication made pursuant to this section with respect to an 
emergency period may, at the discretion of the Secretary, 
be made retroactive to the beginning of the emergency pe-
riod or any subsequent date in such period specified by the 
Secretary. 
‘‘(e) SATISFACTION OF PRECONDITIONS FOR STATUS 
AS COVERED BENEFICIARY.—A deferral under subsection 
(b) of termination of status of a covered beneficiary may
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be contingent upon retroactive satisfaction by such bene-
ficiary of any premium or enrollment fee payments or other 
preconditions for such status. 
‘‘(f) CERTIFICATION.— 
‘‘(1) IN GENERAL.—Not later than two days be-
fore exercising a waiver or modification under sub-
section (b)(1) or renewing a waiver or modification 
under subsection (b)(2), the Secretary shall submit to 
the Committees on Armed Services of the Senate and 
the House of Representatives a certification and ad-
vance written notice regarding the authority to be ex-
ercised. 
‘‘(2) MATTERS
INCLUDED.—Certification and 
advanced written notice required under paragraph 
(1) shall include— 
‘‘(A) a description of— 
‘‘(i) the specific provisions of law that 
will be waived or modified; 
‘‘(ii) the health care providers to whom 
the waiver or modification will apply; 
‘‘(iii) the geographic area in which the 
waiver or modification will apply; and 
‘‘(iv) the period of time for which the 
waiver or modification will be in effect; and
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‘‘(B) a certification that the waiver or 
modification is necessary to carry out the pur-
pose specified in subsection (a). 
‘‘(g) TERMINATION OF WAIVER.—A waiver or modi-
fication of requirements pursuant to this section terminates 
upon the termination of the applicable emergency declara-
tion. 
‘‘(h) REPORT.—Not later than one year after the end 
of an emergency period during which the Secretary exer-
cised the authority under this section, the Secretary shall 
submit to the Committees on Armed Services of the Senate 
and the House of Representatives a report on the ap-
proaches used to accomplish the purpose described in sub-
section (a), including an evaluation of such approaches and 
recommendations for improved approaches should the need 
for the exercise of such authority arise in the future. 
‘‘(i) DEFINITIONS.—In this section: 
‘‘(1) EMERGENCY AREA.—The term ‘emergency 
area’ means a geographical area covered by an emer-
gency declaration. 
‘‘(2) 
EMERGENCY
DECLARATION.—The 
term 
‘emergency declaration’ means— 
‘‘(A) an emergency or disaster declared by 
the President pursuant to the National Emer-
gencies Act (50 U.S.C. 1601 et seq.) or the Robert
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T. Stafford Disaster Relief and Emergency As-
sistance Act (42 U.S.C. 5121 et seq.); or 
‘‘(B) a public health emergency declared 
pursuant to section 319 of the Public Health 
Service Act (42 U.S.C. 247d). 
‘‘(3) EMERGENCY PERIOD.—The term ‘emergency 
period’ means the period covered by an emergency 
declaration.’’. 
(b) CLERICAL AMENDMENT.—The table of sections at 
the beginning of chapter 55 of such title is amended by in-
serting after the item relating to section 1073d the following 
new item: 
‘‘1073e. Authority to waive requirements during national emergencies.’’. 
Subtitle C—Reports and Other 
Matters 
SEC. 741. EXTENSION OF AUTHORITY FOR JOINT DEPART-
MENT OF DEFENSE-DEPARTMENT OF VET-
ERANS AFFAIRS MEDICAL FACILITY DEM-
ONSTRATION FUND. 
Section 1704(e) of the National Defense Authorization 
Act for Fiscal Year 2010 (Public Law 111–84; 123 Stat. 
2573), as most recently amended by section 732(4)(B) of 
the National Defense Authorization Act for Fiscal Year 
2020 (Public Law 116–92), is further amended by striking 
‘‘September 30, 2021’’ and inserting ‘‘September 30, 2022’’.
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SEC. 742. MEMBERSHIP OF BOARD OF REGENTS OF UNI-
FORMED 
SERVICES 
UNIVERSITY 
OF 
THE 
HEALTH SCIENCES. 
(a) IN GENERAL.—Section 2113a(b) of title 10, United 
States Code, is amended— 
(1) by redesignating paragraphs (3) and (4) as 
paragraphs (4) and (5), respectively; and 
(2) by inserting after paragraph (2) the fol-
lowing new paragraph: 
‘‘(3) the Director of the Defense Health Agency, 
who shall be an ex officio member;’’. 
(b) RULE OF CONSTRUCTION.—The amendments made 
by this section may not be construed to invalidate any ac-
tion taken by the Uniformed Services University of the 
Health Sciences or its Board of Regents prior to the effective 
date of this section. 
(c) EFFECTIVE DATE.—The amendments made by this 
section shall take effect on January 1, 2021. 
SEC. 743. MILITARY HEALTH SYSTEM CLINICAL QUALITY 
MANAGEMENT PROGRAM. 
(a) IN GENERAL.—The Secretary of Defense, acting 
through the Director of the Defense Health Agency, shall 
implement a comprehensive program to be known as the 
‘‘Military Health System Clinical Quality Management 
Program’’ (in this section referred to as the ‘‘Program’’).
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(b) ELEMENTS OF PROGRAM.—The Program shall in-
clude, at a minimum, the following: 
(1) The implementation of systematic procedures 
to eliminate, to the maximum extent feasible, risk of 
harm to patients at military medical treatment fa-
cilities, including through identification, investiga-
tion, and analysis of events indicating a risk of pa-
tient harm and corrective action plans to mitigate 
such risks. 
(2) With respect to a potentially compensable 
event (including those involving members of the 
Armed Forces) at a military medical treatment facil-
ity— 
(A) an analysis of such event, which shall 
occur and be documented as soon as possible 
after the event; 
(B) use of such analysis for clinical quality 
management; and 
(C) reporting of such event to the National 
Practitioner Data Bank in accordance with 
guidelines of the Secretary of Health and 
Human Services under the Health Care Quality 
Improvement Act of 1986 (42 U.S.C. 11101 et 
seq.), giving special emphasis to the results of ex-
ternal peer reviews of the event.
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(3) Validation of provider credentials and grant-
ing of clinical privileges by the Director of the De-
fense Health Agency for all health care providers at 
a military medical treatment facility. 
(4) Accreditation of military medical treatment 
facilities by a recognized external accreditation body. 
(5) Systematic measurement of indicators of 
health care quality, emphasizing clinical outcome 
measures, comparison of such indicators with bench-
marks from leading health care quality improvement 
organizations, and transparency with the public of 
appropriate clinical measurements for military med-
ical treatment facilities. 
(6) Systematic activities emphasized by leader-
ship at all organizational levels to use all elements of 
the Program to eliminate unwanted variance through-
out the health care system of the Department of De-
fense and make constant improvements in clinical 
quality. 
(7) A full range of procedures for productive 
communication between patients and health care pro-
viders regarding actual or perceived adverse clinical 
events at military medical treatment facilities, in-
cluding procedures—
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(A) for full disclosure of such events (re-
specting the confidentiality of peer review infor-
mation under a medical quality assurance pro-
gram under section 1102 of title 10, United 
States Code); 
(B) providing an opportunity for the pa-
tient to be heard in relation to quality reviews; 
and 
(C) to resolve patient concerns by inde-
pendent, neutral healthcare resolution specialists. 
(c) ADDITIONAL CLINICAL QUALITY MANAGEMENT AC-
TIVITIES.— 
(1) IN GENERAL.—In addition to the elements of 
the Program set forth in subsection (b), the Secretary 
shall establish and maintain clinical quality manage-
ment activities in relation to functions of the health 
care system of the Department separate from delivery 
of health care services in military medical treatment 
facilities. 
(2) HEALTH CARE DELIVERY OUTSIDE MILITARY 
MEDICAL TREATMENT FACILITIES.—In carrying out 
paragraph (1), the Secretary shall maintain policies 
and procedures to promote clinical quality in health 
care delivery on ships and planes, in deployed set-
tings, and in all other circumstances not covered by
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subsection (b), with the objective of implementing 
standards and procedures comparable, to the extent 
practicable, to those under such subsection. 
(3) PURCHASED CARE SYSTEM.—In carrying out 
paragraph (1), the Secretary shall maintain policies 
and procedures for health care services provided out-
side the Department but paid for by the Department, 
reflecting best practices by public and private health 
care reimbursement and management systems. 
(d) MILITARY MEDICAL TREATMENT FACILITY DE-
FINED.—In this section, the term ‘‘military medical treat-
ment facility’’ means any fixed facility or portion thereof 
of the Department of Defense that is outside of a deployed 
environment and used primarily for health care. 
SEC. 744. MODIFICATIONS TO PILOT PROGRAM ON CIVILIAN 
AND MILITARY PARTNERSHIPS TO ENHANCE 
INTEROPERABILITY AND MEDICAL SURGE CA-
PABILITY AND CAPACITY OF NATIONAL DIS-
ASTER MEDICAL SYSTEM. 
Section 740 of the National Defense Authorization Act 
for Fiscal Year 2020 (Public Law 116–92) is amended— 
(1) in subsection (a)— 
(A) by striking ‘‘The Secretary of Defense 
may’’ and inserting ‘‘Beginning not later than
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September 30, 2021, the Secretary of Defense 
shall’’; and 
(B) by striking ‘‘health care organizations, 
institutions, and entities’’ and inserting ‘‘health 
care organizations, health care institutions, 
health care entities, academic medical centers of 
institutions of higher education, and hospitals’’; 
and 
(C) by striking ‘‘in the vicinity of major 
aeromedical and other transport hubs and logis-
tics centers of the Department of Defense’’; 
(2) by striking subsection (c) and inserting the 
following new subsections: 
‘‘(c) LEAD OFFICIAL FOR DESIGN AND IMPLEMENTA-
TION OF PILOT PROGRAM.— 
‘‘(1) IN GENERAL.—The Assistant Secretary of 
Defense for Health Affairs shall be the lead official for 
design and implementation of the pilot program 
under subsection (a). 
‘‘(2) RESOURCES.—The Assistant Secretary of 
Defense for Health Affairs shall leverage the resources 
of the Defense Health Agency for execution of the pilot 
program under subsection (a) and shall coordinate 
with the Chairman of the Joint Chiefs of Staff
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throughout the planning and duration of the pilot 
program. 
‘‘(d) LOCATIONS.— 
‘‘(1) IN
GENERAL.—The Secretary of Defense 
shall carry out the pilot program under subsection (a) 
at not fewer than five locations in the United States 
that are located at or near locations with established 
expertise in disaster health preparedness and response 
and trauma care that augment and enhance the effec-
tiveness of the pilot program. 
‘‘(2) PHASED SELECTION OF LOCATIONS.— 
‘‘(A) INITIAL SELECTION.—Not later than 
the earlier of the date that is 180 days after the 
date of the enactment of this Act or March 31, 
2021, the Assistant Secretary of Defense for 
Health Affairs, in consultation with the Sec-
retary of Veterans Affairs, the Secretary of 
Health and Human Services, the Secretary of 
Homeland Security, and the Secretary of Trans-
portation, shall select not fewer than two loca-
tions at which to carry out the pilot program. 
‘‘(B) SUBSEQUENT SELECTION.—Not later 
than the end of each one-year period following 
selection of locations under subparagraph (A), 
the Assistant Secretary of Defense for Health Af-
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fairs, in consultation with the Secretary of Vet-
erans Affairs, the Secretary of Health and 
Human Services, the Secretary of Homeland Se-
curity, and the Secretary of Transportation, 
shall select not fewer than two additional loca-
tions at which to carry out the pilot program 
until not fewer than five locations are selected in 
total. 
‘‘(3) CONSIDERATION AND PRIORITY FOR LOCA-
TIONS.—In selecting locations for the pilot program 
under subsection (a), the Secretary shall— 
‘‘(A) consider— 
‘‘(i) the proximity of the location to ci-
vilian or military transportation hubs, in-
cluding airports, railways, interstate high-
ways, or ports; 
‘‘(ii) the ability of the location to ac-
cept a redistribution of casualties during 
times of war; 
‘‘(iii) the ability of the location to pro-
vide trauma care training opportunities for 
medical personnel of the Department of De-
fense; and 
‘‘(iv) the proximity of the location to 
existing academic medical centers of insti-
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tutions of higher education, facilities of the 
Department, or other institutions that have 
established expertise in the areas of— 
‘‘(I) highly infectious disease; 
‘‘(II) biocontainment; 
‘‘(III) quarantine; 
‘‘(IV) trauma care; 
‘‘(V) combat casualty care; 
‘‘(VI) the National Disaster Med-
ical System under section 2812 of the 
Public Health Service Act (42 U.S.C. 
300hh–11); 
‘‘(VII) disaster health prepared-
ness and response; 
‘‘(VIII) medical and public health 
management of biological, chemical, 
radiological, or nuclear hazards; or 
‘‘(IX) such other areas of expertise 
as the Secretary considers appropriate; 
and 
‘‘(B) give priority to public-private part-
nerships with academic medical centers of insti-
tutions of higher education, hospitals, and other 
entities with facilities that have an established 
history of providing clinical care, treatment,
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training, and research in the areas described in 
subparagraph (A)(ii) or other specializations de-
termined important by the Secretary for pur-
poses of the pilot program.’’; 
(3) by redesignating subsections (d) through (f) 
as subsections (e) through (g), respectively; 
(4) in subsection (g), as redesignated by para-
graph (3)— 
(A) in paragraph (1)— 
(i) in subparagraph (A), by striking 
‘‘the commencement of the pilot program 
under subsection (a)’’ and inserting ‘‘the 
initial selection of locations for the pilot 
program under subsection (d)(2)(A)’’; and 
(ii) in subparagraph (B)— 
(I) in clause (ii), by striking 
‘‘subsection (d)’’ and inserting ‘‘sub-
section (e)’’; 
(II) in clause (iii), by striking 
‘‘subsection (e)’’ and inserting ‘‘sub-
section (f)’’; and 
(B) in paragraph (2)(B)(iv), by striking 
‘‘the authority for’’; and 
(5) by adding at the end the following new sub-
section:
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† HR 6395 EAS 
‘‘(h) INSTITUTION
OF
HIGHER
EDUCATION
DE-
FINED.—In this section, the term ‘institution of higher edu-
cation’ means a four-year institution of higher education, 
as defined in section 101(a) of the Higher Education Act 
of 1965 (20 U.S.C. 1001(a)).’’. 
SEC. 745. STUDY ON FORCE MIX OPTIONS AND SERVICE 
MODELS TO ENHANCE READINESS OF MED-
ICAL FORCE OF THE ARMED FORCES TO PRO-
VIDE COMBAT CASUALTY CARE. 
(a) STUDY REQUIRED.—Not later than 30 days after 
the date of the enactment of this Act, the Secretary of De-
fense shall seek to enter into an agreement with a federally 
funded research and development center or other inde-
pendent entity to perform a study on force mix options and 
service models (including traditional and nontraditional 
active and reserve models) to optimize the readiness of the 
medical force of the Armed Forces to deliver combat care 
on the battlefield. 
(b) ISSUES TO BE ADDRESSED.—The study required 
by subsection (a) shall include, at a minimum— 
(1) with respect to options relating to members 
of the Armed Forces on active duty— 
(A) a review of existing models for such 
members who are medical professionals to sup-
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port clinical readiness skills by serving in civil-
ian trauma centers; 
(B) an assessment of the extent to which ex-
isting models can be optimized, standardized, 
and scaled to address current readiness short-
falls; and 
(C) an evaluation of the cost and effective-
ness of alternative models for such members who 
are medical professionals to serve in civilian 
trauma centers; and 
(2) with respect to options relating to members 
of the reserve components of the Armed Forces— 
(A) a review of existing models for such 
members of the reserve components who are med-
ical professionals to support clinical readiness 
skills by serving in civilian trauma centers; 
(B) an assessment of the extent to which ex-
isting models can be optimized, standardized, 
and scaled to address current readiness short-
falls; and 
(C) an evaluation of the cost and effective-
ness of alternative models for such members of 
the reserve components who are medical profes-
sionals to serve in civilian trauma centers.
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(c) REPORT.—Not later than 15 months after the date 
of the enactment of this Act, the Secretary shall submit to 
the Committees on Armed Services of the Senate and the 
House of Representatives a report on the findings and rec-
ommendations of the independent study required by sub-
section (a). 
SEC. 746. COMPTROLLER GENERAL STUDY ON DELIVERY OF 
MENTAL HEALTH SERVICES TO MEMBERS OF 
THE RESERVE COMPONENTS OF THE ARMED 
FORCES. 
(a) IN GENERAL.—The Comptroller General of the 
United States shall conduct a study on the delivery of Fed-
eral, State, and private mental health services to members 
of the reserve components. 
(b) ELEMENTS.—The study conducted under sub-
section (a) shall— 
(1) identify all programs, coverage, and costs as-
sociated with services described in such subsection; 
(2) specify gaps or barriers to access that could 
result in delayed or insufficient mental health care 
support to members of the reserve components. 
(3) evaluate the mental health screening require-
ments for members of the reserve components imme-
diately before, during, and after—
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(A) Federal deployment under title 10, 
United States Code; or 
(B) State deployment under title 32, United 
States Code; and 
(4) provide recommendations when practicable to 
strengthen the reintegration of members of the reserve 
components, including an assessment of the effective-
ness of making programming mandatory. 
(c) REPORT.—Not later than one year after the date 
of the enactment of this Act, the Comptroller General shall 
submit to the Committees on Armed Services of the Senate 
and the House of Representatives a report on the study con-
ducted under subsection (a). 
(d) RESERVE COMPONENT DEFINED.—In this section, 
the term ‘‘reserve component’’ means a reserve component 
of the Armed Forces named in section 10101 of title 10, 
United States Code. 
SEC. 747. REVIEW AND REPORT ON PREVENTION OF SUI-
CIDE 
AMONG 
MEMBERS 
OF 
THE 
ARMED 
FORCES STATIONED AT REMOTE INSTALLA-
TIONS OUTSIDE THE CONTIGUOUS UNITED 
STATES. 
(a) REVIEW REQUIRED.—The Comptroller General of 
the United States shall conduct a review of efforts by the
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(1) the Committee on Intelligence, the Committee 
on Commerce, Science, and Transportation, the Com-
mittee on Foreign Relations, the Committee on Armed 
Services, the Committee on Energy and Natural Re-
sources, the Committee on Appropriations, the Com-
mittee on Banking, Housing, and Urban Affairs, and 
the Committee on Homeland Security and Govern-
mental Affairs of the Senate; and 
(2) the Permanent Select Committee on Intel-
ligence, the Committee on Energy and Commerce, the 
Committee on Foreign Affairs, the Committee on 
Armed Services, the Committee on Science, Space, 
and Technology, the Committee on Financial Serv-
ices, and the Committee on Homeland Security of the 
House of Representatives. 
(b) SENSE OF CONGRESS.—It is the sense of Congress 
that the leadership of the United States in semiconductor 
technology and innovation is critical to the economic 
growth and national security of the United States. 
(c) SUBCOMMITTEE
ON SEMICONDUCTOR LEADER-
SHIP.— 
(1) ESTABLISHMENT REQUIRED.—The President 
shall establish in the National Science and Tech-
nology Council a subcommittee on matters relating to