236 
utility of making available at military golf courses golf 
carts that are accessible for disabled persons authorized to 
use such courses and the demand among disabled persons 
authorized to use such courses for accessible golf carts. The 
Secretary shall provide at least two accessible golf carts at 
each pilot project location. 
(b) PILOT PROJECT LOCATIONS.—The military golf 
courses selected to participate in the pilot project shall be 
geographically dispersed, except that one of the military golf 
courses shall be in the Washington metropolitan area. 
(c) DURATION.—The Secretary shall conduct the pilot 
project for a minimum of one year. 
(d) REPORT REQUIRED.—Not later than 180 days 
after the conclusion of the pilot project, the Secretary shall 
submit a report to Congress containing the results of the 
project and such recommendations as the Secretary con-
siders appropriate regarding providing golf carts accessible 
to disabled persons. 
SEC. 663. ENHANCED AUTHORITY TO REMIT OR CANCEL IN-
DEBTEDNESS OF MEMBERS OF THE ARMED 
FORCES INCURRED ON ACTIVE DUTY. 
(a) PERIOD OF EXERCISE OF SERVICE SECRETARY 
AUTHORITY AFTER SEPARATION FROM ACTIVE DUTY.— 
Sections 4837(b), 6161(b), and 9837(b) of title 10, United 
States Code, are each amended by striking ‘‘one-year pe-
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riod’’ each place it appears and inserting ‘‘five-year pe-
riod’’. 
(b) TWO-YEAR EXTENSION OF ENHANCED AUTHOR-
ITY.—Subsections (a)(3), (b)(3), and (c)(3) of section 683 
of the National Defense Authorization Act for Fiscal Year 
2006 (Public Law 109–163; 119 Stat. 3322) are amended 
by striking ‘‘December 31, 2007’’ in the first sentence and 
inserting ‘‘December 31, 2009’’. 
TITLE VII—HEALTH CARE 
PROVISIONS 
Subtitle A—TRICARE Program Improvements 
Sec. 701. TRICARE coverage for forensic examination following sexual assault or 
domestic violence. 
Sec. 702. Authorization of anesthesia and other costs for dental care for children 
and certain other patients. 
Sec. 703. Improvements to descriptions of cancer screening. 
Sec. 704. Prohibition on increases in certain health care costs for members of the 
uniformed services. 
Sec. 705. Services of mental health counselors. 
Sec. 706. Demonstration project on coverage of selected over-the-counter medica-
tions under the pharmacy benefit program. 
Sec. 707. Requirement to reimburse certain travel expenses of certain beneficiaries 
covered by TRICARE for life. 
Sec. 708. Inflation adjustment of differential payments to children’s hospitals 
participating in TRICARE program. 
Sec. 709. Expanded eligibility of Selected Reserve members under TRICARE pro-
gram. 
Sec. 710. Extension to TRICARE of medicare prohibition of financial incentives 
not to enroll in group health plan. 
Subtitle B—Studies and Reports 
Sec. 711. Department of Defense task force on the future of military health care. 
Sec. 712. Study and plan relating to chiropractic health care services. 
Sec. 713. Comptroller General study and report on Defense Health Program. 
Sec. 714. Transfer of custody of the Air Force Health Study assets to Medical 
Follow-up Agency. 
Sec. 715. Study on allowing dependents of activated members of Reserve Compo-
nents to retain civilian health care coverage. 
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Subtitle C—Other Matters 
Sec. 721. Costs of incentive payments to employees for TRICARE enrollment 
made unallowable for contractors. 
Sec. 722. Requirement for military medical personnel to be trained in preserva-
tion of remains. 
Subtitle D—Pharmacy Benefits Program Improvements 
Sec. 731. TRICARE pharmacy program cost-share requirements. 
Subtitle A—TRICARE Program 
Improvements 
SEC. 701. TRICARE COVERAGE FOR FORENSIC EXAMINA-
TION FOLLOWING SEXUAL ASSAULT OR DO-
MESTIC VIOLENCE. 
Section 1079(a) of title 10, United States Code, is 
amended by adding at the end the following new paragraph: 
‘‘(17) Forensic examinations following a sexual 
assault or domestic violence may be provided.’’. 
SEC. 702. AUTHORIZATION OF ANESTHESIA AND OTHER 
COSTS FOR DENTAL CARE FOR CHILDREN 
AND CERTAIN OTHER PATIENTS. 
Section 1079(a)(1) of title 10, United States Code, is 
amended to read as follows: 
‘‘(1) With respect to dental care— 
‘‘(A) except as provided in subparagraph 
(B), only that care required as a necessary ad-
junct to medical or surgical treatment may be 
provided; and 
‘‘(B) in connection with dental treatment 
for patients with developmental, mental, or phys-
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ical disabilities or for pediatric patients age 5 or 
under, only institutional and anesthesia services 
may be provided.’’. 
SEC. 703. IMPROVEMENTS TO DESCRIPTIONS OF CANCER 
SCREENING. 
(a) TERMS RELATED TO PRIMARY AND PREVENTIVE 
HEALTH CARE SERVICES FOR WOMEN.—Section 1074d(b) 
of title 10, United States Code, is amended— 
(1) in paragraph (1), by striking ‘‘Papanicolaou 
tests (pap smear)’’ and inserting ‘‘Cervical cancer 
screening’’; and 
(2) in paragraph (2), by striking ‘‘Breast exami-
nations and mammography’’ and inserting ‘‘Breast 
cancer screening’’. 
(b) TERMS RELATED TO CONTRACTS FOR MEDICAL 
CARE FOR SPOUSES AND CHILDREN.—Section 1079(a)(2) 
of such title is amended— 
(1) in the matter preceding subparagraph (A), 
by striking ‘‘the schedule of pap smears and mammo-
grams’’ and inserting ‘‘the schedule and method of 
breast and cervical cancer screenings’’; and 
(2) in subparagraph (B), by striking ‘‘pap 
smears and mammograms or’’ and inserting ‘‘cer-
vical, breast,’’. 
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SEC. 
704. 
PROHIBITION 
ON 
INCREASES 
IN 
CERTAIN 
HEALTH CARE COSTS FOR MEMBERS OF THE 
UNIFORMED SERVICES. 
(a) PROHIBITION ON INCREASE IN CHARGES UNDER 
CONTRACTS FOR MEDICAL CARE.—Section 1097(e) of title 
10, United States Code, is amended by adding at the end 
the following: ‘‘A premium, deductible, copayment, or other 
charge prescribed by the Secretary under this subsection 
may not be increased during the period beginning on April 
1, 2006, and ending on December 31, 2007.’’. 
(b) PROHIBITION ON INCREASE IN CHARGES FOR IN-
PATIENT CARE.—Section 1086(b)(3) of title 10, United 
States Code, is amended by inserting after ‘‘charges for in-
patient care’’ the following: ‘‘, except that in no case may 
the charges for inpatient care for a patient exceed $535 per 
day during the period beginning on April 1, 2006, and end-
ing on December 31, 2007.’’. 
(c) PROHIBITION ON INCREASE IN PREMIUMS UNDER 
TRICARE COVERAGE FOR CERTAIN MEMBERS IN THE SE-
LECTED RESERVE.—Section 1076d(d)(3) of title 10, United 
States Code, is amended by adding at the end the following: 
‘‘During the period beginning on April 1, 2006, and ending 
on December 31, 2007, the monthly amount of the premium 
may not be increased above the amount in effect for the 
month of March 2006.’’. 
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241 
(d) PROHIBITION ON INCREASE IN PREMIUMS UNDER 
TRICARE COVERAGE FOR MEMBERS OF THE READY RE-
SERVE.—Section 1076b(e)(3) of title 10, United States 
Code, is amended by adding at the end the following: ‘‘Dur-
ing the period beginning on April 1, 2006, and ending on 
December 31, 2007, the monthly amount of a premium 
under paragraph (2) may not be increased above the 
amount in effect for the first month health care is provided 
under this section as amended by Public Law 109–163.’’. 
SEC. 705. SERVICES OF MENTAL HEALTH COUNSELORS. 
(a) REIMBURSEMENT
OF MENTAL HEALTH COUN-
SELORS UNDER TRICARE.— 
(1) REIMBURSEMENT UNDER TRICARE.—Section 
1079(a)(8) of title 10, United States Code, is amend-
ed— 
(A) by inserting ‘‘or licensed or certified 
mental health counselors’’ after ‘‘certified mar-
riage and family therapists’’ both places it ap-
pears; and 
(B) by inserting ‘‘or licensed or certified 
mental health counselors’’ after ‘‘that the thera-
pists.’’ 
(2) AUTHORITY TO ASSESS MEDICAL OR PSYCHO-
LOGICAL NECESSITY OF SERVICE OR SUPPLY.—Sec-
tion 1079(a)(13) of such title is amended by inserting 
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‘‘, licensed or certified mental health counselor, ’’ after 
‘‘certified marriage and family therapist’’. 
(b) SERVICES OF MENTAL HEALTH COUNSELORS.— 
(1) AUTHORITY TO ENTER INTO PERSONAL SERV-
ICES CONTRACTS.—Section 704(c)(2) of the National 
Defense Authorization Act for Fiscal Year 1995 (Pub-
lic Law 103–337; 108 Stat. 2799; 10 U.S.C. 1091 
note) is amended by inserting ‘‘mental health coun-
selors,’’ after ‘‘psychologists,’’. 
(2) APPLICABILITY OF LICENSURE REQUIREMENT 
FOR
HEALTH-CARE
PROFESSIONALS.—Section 1094 
(e)(2) of title 10, United States Code, is amended by 
inserting ‘‘mental health counselor,’’ after ‘‘psycholo-
gist,’’. 
SEC. 706. DEMONSTRATION PROJECT ON COVERAGE OF SE-
LECTED OVER-THE-COUNTER MEDICATIONS 
UNDER THE PHARMACY BENEFIT PROGRAM. 
(a) REQUIREMENT TO CONDUCT DEMONSTRATION.— 
The Secretary of Defense shall conduct a demonstration 
project under section 1092 of title 10, United States Code, 
to allow particular over-the-counter medications to be in-
cluded on the uniform formulary under section 1074g of 
such title. 
(b) ELEMENTS OF DEMONSTRATION PROJECT.— 
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(1) INCLUSION OF CERTAIN OVER-THE-COUNTER 
MEDICATIONS.—As part of the demonstration project, 
the Secretary shall modify uniform formulary speci-
fications under section 1074g(a)(2) of such title to in-
clude on the uniform formulary any pharmaceutical 
agent that does not require a prescription (commonly 
referred to as an over-the-counter medication) if the 
Pharmacy and Therapeutics Committee finds that the 
over-the-counter medication is a clinically effective 
and cost-effective alternative to a pharmaceutical 
agent that requires a prescription. If the Pharmacy 
and Therapeutics Committee makes such a finding, 
the over-the-counter medication shall be considered to 
be in the same therapeutic class of pharmaceutical 
agents that the agent requiring a prescription is in, 
and to the same extent as any agent in the class that 
requires a prescription. Such an over-the-counter 
medication shall be made available to a beneficiary 
through the demonstration program only if the medi-
cation is in place of a pharmaceutical agent requir-
ing a prescription and the beneficiary has a prescrip-
tion for that pharmaceutical agent. 
(2) CONDUCT
THROUGH
MILITARY
FACILITIES, 
RETAIL PHARMACIES, OR MAIL ORDER PROGRAM.— 
The Secretary shall conduct the demonstration project 
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through at least two of the means described in sub-
paragraph (E) of section 1074g(a)(2) through which 
over-the-counter medications are provided and may 
conduct the demonstration project throughout the en-
tire pharmacy benefits program or at a limited num-
ber of sites. If the project is conducted at a limited 
number of sites, the number of sites shall be not less 
than five in each TRICARE region for each of the 
two means described in such subparagraph (E). 
(3) PERIOD OF DEMONSTRATION.—The Secretary 
shall provide for conducting the demonstration project 
for a period of time necessary to evaluate the feasi-
bility and cost effectiveness of the demonstration. 
Such period shall be at least as long as the period 
covered by pharmacy contracts in existence on the 
date of the enactment of this Act (including any ex-
tensions of the contracts), or five years, whichever is 
shorter. 
(4) IMPLEMENTATION DEADLINE.— Implementa-
tion of the demonstration project shall begin not later 
than May 1, 2007. 
(c) REPORT.—Not later than 60 days before the end 
of the demonstration project, the Secretary shall submit to 
the Committees on Armed Services of the House of Rep-
resentatives and the Senate a report on the demonstration 
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project. The report shall contain an evaluation by the Sec-
retary of the costs and benefits of the project, and rec-
ommendations on whether permanent authority should be 
provided to cover over-the-counter medications under the 
pharmacy benefits program. 
(d) CONTINUATION OF DEMONSTRATION PROJECT.—If 
the Secretary recommends in the report under subsection 
(c) that permanent authority should be provided, the Sec-
retary may continue the demonstration project for up to 
one year after submitting the report. 
SEC. 707. REQUIREMENT TO REIMBURSE CERTAIN TRAVEL 
EXPENSES OF CERTAIN BENEFICIARIES COV-
ERED BY TRICARE FOR LIFE. 
(a) REQUIREMENT.—Section 1074i of title 10, United 
States Code, is amended by adding at the end the following 
new subsection: 
‘‘(c) TRICARE FOR LIFE BENEFICIARIES.— 
‘‘(1) An eligible TRICARE for Life beneficiary 
shall be provided reimbursement for travel expenses to 
a military medical treatment facility if— 
‘‘(A) the purpose of the travel is for a fol-
low-up appointment for medical treatment of a 
condition of the beneficiary; and 
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‘‘(B) the initial appointment for medical 
treatment of the condition was at the same facil-
ity. 
‘‘(2) Reimbursement under this subsection shall, 
as nearly as practicable, be under the same terms and 
conditions, and shall be at the same rate, as apply to 
beneficiary travel reimbursement provided under sub-
section (a), except that reimbursement shall be pro-
vided— 
‘‘(A) for no more than 3 follow-up appoint-
ments; and 
‘‘(B) only if adequate follow-up medical 
treatment, as determined under the TRICARE 
program, cannot be obtained within 100 miles of 
the residence of the beneficiary. 
‘‘(3) In this subsection, the term ‘eligible 
TRICARE for Life beneficiary’ means a person— 
‘‘(A) who is eligible for health benefits under 
section 1086 of this title by reason of subsection 
(d)(2)(A) of that section; 
‘‘(B) who attained age 65 after an initial 
appointment for medical treatment at a military 
medical treatment facility; and 
‘‘(C) who resides more than 100 miles from 
the military medical treatment facility and was 
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referred to such facility for treatment by a spe-
cialty care provider.’’. 
(b) EFFECTIVE DATE.—Subsection (c) of section 1074i 
of title 10, United States Code, as added by subsection (a), 
shall apply with respect to beneficiaries who attain age 65 
after the date of the enactment of this Act. 
SEC. 708. INFLATION ADJUSTMENT OF DIFFERENTIAL PAY-
MENTS TO CHILDREN’S HOSPITALS PARTICI-
PATING IN TRICARE PROGRAM. 
(a) ANNUAL INFLATION ADJUSTMENT.—Beginning in 
fiscal year 2007, the Secretary of Defense shall annually 
adjust for inflation the TRICARE children’s hospital dif-
ferential payment rate. The adjustment for a fiscal year 
shall be the same as the applicable percentage increase de-
fined under section 1886(d)(3)(B)(i) of the Social Security 
Act (42 U.S.C. 1395ww(d)(3)(B)(i)) for that fiscal year for 
hospitals located in large urban areas. 
(b) TRICARE CHILDREN’S HOSPITAL DIFFERENTIAL 
PAYMENT RATE.—In this section, the term ‘‘TRICARE 
children’s hospital differential payment rate’’ means the 
differential payment rate by the Department of Defense to 
children’s hospitals for health care services for dependent 
children of members of the uniformed services under the 
TRICARE program. 
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248 
SEC. 709. EXPANDED ELIGIBILITY OF SELECTED RESERVE 
MEMBERS UNDER TRICARE PROGRAM. 
(a) GENERAL ELIGIBILITY.—Subsection (a) of section 
1076d of title 10, United States Code, is amended— 
(1) by striking ‘‘(a) ELIGIBILITY.—A member’’ 
and inserting ‘‘(a) ELIGIBILITY.—(1) Except as pro-
vided in paragraph (2), a member’’; 
(2) by striking ‘‘after the member completes’’ and 
all that follows through ‘‘one or more whole years fol-
lowing such date’’; and 
(3) by adding at the end the following new para-
graph: 
‘‘(2) Paragraph (1) does not apply to a member who 
is enrolled, or is eligible to enroll, in a health benefits plan 
under chapter 89 of title 5.’’. 
(b) CONDITION FOR TERMINATION OF ELIGIBILITY.— 
Subsection (b) of such section is amended— 
(1) by striking ‘‘(b) PERIOD OF COVERAGE.—(1) 
TRICARE Standard’’ and all that follows through 
‘‘(4) Eligibility’’ and inserting ‘‘(b) TERMINATION OF 
ELIGIBILITY UPON TERMINATION OF SERVICE.—Eli-
gibility’’; and 
(2) by striking paragraph (5). 
(c) CONFORMING AMENDMENTS.— 
(1) Such section is further amended— 
(A) by striking subsection (e); 
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(B) by redesignating subsection (g) as sub-
section (e) and transferring such subsection with-
in such section so as to appear following sub-
section (d); and 
(C) by striking paragraph (3) of subsection 
(f). 
(2) The heading for such section is amended to 
read as follows: 
‘‘§ 1076d. TRICARE program: TRICARE standard cov-
erage for members of the Selected Re-
serve’’. 
(d) REPEAL
OF
OBSOLETE
PROVISION.—Section 
1076b of title 10, United States Code, is repealed. 
(e) CLERICAL AMENDMENTS.—The table of sections at 
the beginning of chapter 55 of title 10, United States Code, 
is amended— 
(1) by striking the item relating to section 
1076b; and 
(2) by striking the item relating to section 1076d 
and inserting the following: 
‘‘1076d. TRICARE program: TRICARE Standard coverage for members of the Se-
lected Reserve.’’. 
(f) SAVINGS PROVISION.—Enrollments in TRICARE 
Standard that are in effect on the day before the date of 
the enactment of this Act under section 1076d of title 10, 
United States Code, as in effect on such day, shall be contin-
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ued until terminated after such day under such section 
1076d as amended by this section. 
(g) EFFECTIVE DATE.—The Secretary of Defense shall 
ensure that health care under TRICARE Standard is pro-
vided under section 1076d of title 10, United States Code, 
as amended by this section, beginning not later than Octo-
ber 1, 2007. 
SEC. 710. EXTENSION TO TRICARE OF MEDICARE PROHIBI-
TION OF FINANCIAL INCENTIVES NOT TO EN-
ROLL IN GROUP HEALTH PLAN. 
(a) IN GENERAL.—Section 1097b of title 10, United 
States Code, is amended by redesignating subsection (c) as 
subsection (d) and by adding the following after subsection 
(b): 
‘‘(c) PROHIBITION OF FINANCIAL INCENTIVES NOT TO 
ENROLL IN A GROUP HEALTH PLAN.—(1) Except as pro-
vided in this subsection, the provisions of section 
1862(b)(3)(C) of the Social Security Act shall apply with 
respect to financial or other incentives for an individual 
eligible for benefits under section 1086 of this title not to 
enroll (or to terminate enrollment) under a health plan 
which would (in the case of such enrollment) be a primary 
plan under sections 1079(j)(1) and 1086(g) of this title in 
the same manner as such section 1862(b)(3)(C) applies to 
financial or other incentives for an individual entitled to 
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benefits under title XVIII of the Social Security Act not 
to enroll (or to terminate enrollment) under a group health 
plan or a large group health plan which would (in the case 
of enrollment) be a primary plan (as defined in section 
1862(b)(2)(A) of such Act). 
‘‘(2)(A) The Secretary of Defense may by regulation 
adopt such exceptions to the prohibition referenced and ap-
plied under paragraph (1) as the Secretary deems appro-
priate and such paragraph (1) shall be implemented taking 
into account the adoption of such exceptions. 
‘‘(B) The Secretary of Defense and the Secretary of 
Health and Human Services are authorized to enter into 
agreements for carrying out this subsection. Any such agree-
ment shall provide that any expenses incurred by the Sec-
retary of Health and Human Services pertaining to car-
rying out this subsection shall be reimbursed by the Sec-
retary of Defense. 
‘‘(C) Authorities of the Inspector General of the De-
partment of Defense shall be available for oversight and in-
vestigations of responsibilities of employers and other enti-
ties under this subsection. 
‘‘(D) Information obtained under section 1095(k) of 
this title may be used in carrying out this subsection in 
the same manner as information obtained under section 
1862(b)(5) may be used in carrying out section 1862(b). 
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‘‘(E) Any amounts collected in carrying out paragraph 
(1) shall be handled in accordance with section 1079a of 
this title. 
‘‘(3) In addition to any penalty applied under the au-
thority of paragraph (1), the Secretary of Defense may by 
regulation provide that repeated violations by an employer 
or other entity of the prohibition referenced and applied 
under paragraph (1) are grounds for exclusion of the em-
ployer or other entity from any contract or subcontract to 
provide goods or services to, or any financial assistance 
from, the Department of Defense.’’. 
(b) CONFORMING AMENDMENT.—Section 1095(k)(5) of 
such title is amended by striking ‘‘and 1086(d)’’ and insert-
ing ‘‘, 1086(d), and 1097b(c)’’. 
(c) EFFECTIVE DATE.—The amendments made by this 
section shall take effect January 1, 2008. 
Subtitle B—Studies and Reports 
SEC. 711. DEPARTMENT OF DEFENSE TASK FORCE ON THE 
FUTURE OF MILITARY HEALTH CARE. 
(a) REQUIREMENT TO ESTABLISH.—The Secretary of 
Defense shall establish within the Department of Defense a 
task force to examine matters relating to the future of mili-
tary health care. 
(b) COMPOSITION.— 
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(1) MEMBERS.—The task force shall consist of 
not more than 14 members appointed by the Sec-
retary of Defense from among individuals described 
in paragraph (2) who have demonstrated expertise in 
the area of health care programs and costs. 
(2) RANGE OF MEMBERS.—The individuals ap-
pointed to the task force shall include— 
(A) at least one member of each of the Med-
ical Departments of the Army, Navy, and Air 
Force; 
(B) a number of persons from outside the 
Department of Defense equal to the total number 
of personnel from within the Department of De-
fense (whether members of the Armed Forces or 
civilian personnel) who are appointed to the task 
force; 
(C) persons who have experience in— 
(i) health care actuarial forecasting; 
(ii) health care program development; 
(iii) health care budget management; 
(iv) evidence-based medicine; 
(v) health care performance measure-
ment; 
(vi) health care quality improvement; 
and 
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(vii) academic institute research in 
health care services; 
(D) at least one member from the Institute 
of Medicine; 
(E) at least one member from the Defense 
Business Board; and 
(F) at least one representative from a mili-
tary or veterans service organization who has ex-
perience in health care. 
(3) INDIVIDUALS APPOINTED OUTSIDE THE DE-
PARTMENT OF DEFENSE.— 
(A) Individuals appointed to the task force 
from outside the Department of Defense may in-
clude officers or employees of other departments 
or agencies of the Federal Government, officers or 
employees of State and local governments, or in-
dividuals from the private sector. 
(B) Individuals appointed to the task force 
from outside the Department of Defense shall in-
clude— 
(i) an officer or employee of the De-
partment of Veterans Affairs; and 
(ii) an officer or employee of the De-
partment of Health and Human Services. 
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(4) DEADLINE FOR APPOINTMENT.—All appoint-
ments of individuals to the task force shall be made 
not later than 90 days after the date of the enactment 
of this Act. 
(5) CO-CHAIRS OF TASK FORCE.—There shall be 
two co-chairs of the task force. One of the co-chairs 
shall be designated by the Secretary of Defense at the 
time of appointment from among the Department of 
Defense personnel appointed to the task force. The 
other co-chair shall be selected from among the mem-
bers appointed from outside the Department of De-
fense by members so appointed. 
(c) ASSESSMENT AND RECOMMENDATIONS ON THE FU-
TURE OF MILITARY HEALTH CARE.— 
(1) IN
GENERAL.—Not later than 12 months 
after the date on which all members of the task force 
have been appointed, the task force shall submit to the 
Secretary a report containing an assessment of, and 
recommendations for, sustaining the military health 
care services being provided to members of the Armed 
Forces, retirees, and their families. 
(2) UTILIZATION OF OTHER EFFORTS.—In pre-
paring the report, the task force shall take into con-
sideration the findings and recommendation included 
in the Healthcare for Military Retirees Task Group 
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of the Defense Business Board, previous Government 
Accountability Office reports, studies and reviews by 
the Assistant Secretary of Defense for Health Affairs, 
and any other studies or research conducted by orga-
nizations regarding improvements to sustain the mili-
tary health care system. 
(3) 
ELEMENTS.—The 
assessment 
and 
rec-
ommendations (including recommendations for legis-
lative or administrative action) shall include meas-
ures to improve the following: 
(A) Wellness initiatives and disease man-
agement programs of the Department of Defense, 
including health risk tracking and the use of re-
wards for wellness. 
(B) Education programs focused on preven-
tion awareness and patient-initiated health care. 
(C) The ability to account for the true and 
accurate cost of health care in the military 
health system. 
(D) Alternative health care initiatives to 
manage patient behavior and costs. 
(E) The appropriate command and control 
structure within the Department of Defense and 
the Armed Forces to manage the military health 
system. 
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(F) The adequacy of the military health 
care procurement system, including methods to 
streamline existing procurement activities. 
(G) The appropriate mix of military and 
civilian personnel to meet future readiness and 
high-quality health care service requirements. 
(H) The beneficiary and Government cost 
sharing structure required to sustain the mili-
tary health benefits over the long term. 
(I) Programs focused on managing the 
health care needs of Medicare-eligible military 
beneficiaries. 
(J) Efficient and cost effective contracts for 
health care services, including performance-based 
requirements for health care provider reimburse-
ment. 
(c) ADMINISTRATIVE MATTERS.— 
(1) COMPENSATION.—Each member of the task 
force who is a member of the Armed Forces or a civil-
ian officer or employee of the United States shall 
serve without compensation (other than compensation 
to which entitled as a member of the Armed Forces 
or an officer or employee of the United States, as the 
case may be). Other members of the task force shall 
be treated for purposes of section 3161 of title 5, 
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United States Code, as having been appointed under 
subsection (b) of such section. 
(2) OVERSIGHT.—The Under Secretary of De-
fense for Personnel and Readiness shall oversee the ac-
tivities of the task force. 
(3) 
ADMINISTRATIVE
SUPPORT.—The 
Wash-
ington Headquarters Services of the Department of 
Defense shall provide the task force with personnel, fa-
cilities, and other administrative support as nec-
essary for the performance of the duties of the task 
force. 
(4) ACCESS
TO
FACILITIES.—The Under Sec-
retary of Defense for Personnel and Readiness shall, 
in coordination with the Secretaries of the military 
departments, ensure appropriate access by the task 
force to military installations and facilities for pur-
poses of the discharge of the duties of the task force. 
(e) REPORT.— 
(1) IN GENERAL.—The task force shall submit to 
the Secretary of Defense a report on its activities 
under this section. The report shall include— 
(A) a description of the activities of the task 
force; 
(B) the assessment and recommendations re-
quired by subsection (c); and 
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(C) such other matters relating to the ac-
tivities of the task force that the task force con-
siders appropriate. 
(2) TRANSMITTAL TO CONGRESS.—Not later than 
90 days after receipt of the report under paragraph 
(1), the Secretary shall transmit the report to the 
Committees on Armed Services of the Senate and the 
House of Representatives. The Secretary may include 
in the transmittal such comments on the report as the 
Secretary considers appropriate. 
(f) PLAN REQUIRED.—Not later than 6 months after 
receipt of the report from the task force under subsection 
(e)(1), the Secretary of Defense shall develop a plan based 
on the recommendations of the task force and submit the 
plan to the Committees on Armed Services of the Senate 
and the House of Representatives. 
(g) TERMINATION.—The task force shall terminate 90 
days after the date on which the report of the task force 
is submitted to Congress under subsection (e)(2). 
SEC. 712. STUDY AND PLAN RELATING TO CHIROPRACTIC 
HEALTH CARE SERVICES. 
(a) STUDY REQUIRED.— 
(1) GROUPS
COVERED.—The Secretary of De-
fense shall conduct a study of providing chiropractic 
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health care services and benefits to the following 
groups: 
(A) All members of the uniformed services 
on active duty and entitled to care under section 
1074(a) of title 10, United States Code. 
(B) All members described in subparagraph 
(A) and their eligible dependents, and all mem-
bers of reserve components of the uniformed serv-
ices and their eligible dependents. 
(C) All members or former members of the 
uniformed services who are entitled to retired or 
retainer pay or equivalent pay and their eligible 
dependents. 
(2) MATTERS EXAMINED.— 
(A) For each group listed in subparagraphs 
(A), (B), and (C) of paragraph (1), the study 
shall examine the following with respect to chiro-
practic health care services and benefits: 
(i) The cost of providing such services 
and benefits. 
(ii) The feasibility of providing such 
services and benefits. 
(iii) An assessment of the health care 
benefits of providing such services and bene-
fits. 
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(iv) An estimate of the potential cost 
savings of providing such services and bene-
fits in lieu of other medical services. 
(v) The identification of existing and 
planned health care infrastructure, includ-
ing personnel, equipment, and facilities, to 
accommodate the provision of chiropractic 
health care services. 
(B) For the members of the group listed in 
subparagraph (A) of paragraph (1), the study 
shall examine the effects of providing chiro-
practic health care services and benefits— 
(i) on the readiness of such members; 
and 
(ii) on the acceleration of the return to 
duty of such members following an identi-
fied injury or other malady that can be ap-
propriately treated with chiropractic health 
care services. 
(3) SPACE AVAILABLE COSTS.—The study shall 
also include a detailed analysis of the projected costs 
of providing chiropractic health care services on a 
space available basis in the military treatment facili-
ties currently providing chiropractic care under sec-
tion 702 of the Floyd D. Spence National Defense Au-
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thorization Act of Fiscal Year 2001 (as enacted by 
Public Law 106–398; 10 U.S.C. 1092 note). 
(4) ELIGIBLE DEPENDENTS DEFINED.—In this 
section, the term ‘‘eligible dependent’’ has the mean-
ing given that term in section 1076a(k) of title 10, 
United States Code. 
(b) PLAN REQUIRED.—Not later than March 31, 2007, 
the Secretary of Defense shall revise the plan required under 
section 702 of the Floyd D. Spence National Defense Au-
thorization Act of Fiscal Year 2001 (as enacted by Public 
Law 106–398; 10 U.S.C. 1092 note), including a detailed 
analysis of the projected costs, to provide chiropractic health 
care services and benefits as a permanent part of the De-
fense Health Program (including the TRICARE program) 
as required under that section. 
(c) REPORT REQUIRED.—Not later than March 31, 
2007, the Secretary of Defense shall submit a report on the 
study required under subsection (a), together with the plan 
required under subsection (b), to the Committees on Armed 
Services of the Senate and the House of Representatives. 
SEC. 713. COMPTROLLER GENERAL STUDY AND REPORT ON 
DEFENSE HEALTH PROGRAM. 
(a) STUDY REQUIRED.—The Comptroller General, in 
cooperation with the Congressional Budget Office, shall con-
duct a study of the projected cost savings to the Defense 
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Health Program included in the fiscal year 2007 budget 
request. 
(b) ELEMENTS.—The study required by subsection (a) 
shall include the following: 
(1) An evaluation of the rationale for calcula-
tions made by the Department of Defense for the por-
tion of total health care costs paid by beneficiaries in 
1995 and in 2005, including issues such as— 
(A) the rationale for the Department’s stat-
ed costs of providing the benefit in 1995 and in 
2005; 
(B) the basis for the Department’s calcula-
tions of increases in cost between 1995 and 2005; 
and 
(C) the amounts paid by beneficiaries for 
health care in 1995 and 2005. 
(2) An evaluation of the rationale for calcula-
tions and assumptions made by the Department of 
Defense for the estimated savings associated with the 
implementation of its cost share increases. 
(3) A review of the annual rate of medical infla-
tion of the Department of Defense and how it com-
pares with the annual rates of increase in health care 
premiums in the Federal Employee Health Benefit 
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Program and other health care programs as well as 
other health care indexes for the past 5 years. 
(4) An assessment of the rationale for the cost 
share increase amounts made by the Department of 
Defense. 
(c) INDEPENDENT EXPERTS.—To ensure the avail-
ability of appropriate expertise in addressing the elements 
of the study required under this section, the Comptroller 
General may use independent experts, such as actuaries, if 
needed. 
(d) REPORT.—The Comptroller General shall submit 
to the Committees on Armed Services of the Senate and the 
House of Representatives a report on the study required by 
subsection (a) not later than June 1, 2007. 
SEC. 714. TRANSFER OF CUSTODY OF THE AIR FORCE 
HEALTH STUDY ASSETS TO MEDICAL FOL-
LOW-UP AGENCY. 
(a) TRANSFER.— 
(1) NOTIFICATION OF PARTICIPANTS.—The Sec-
retary of the Air Force shall notify the participants 
of the Air Force Health Study that the study as cur-
rently constituted is ending as of September 30, 2006. 
In consultation with the Medical Follow-up Agency 
(in this section referred to as the ‘‘Agency’’) of the In-
stitute of Medicine of the National Academy of 
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Sciences, the Secretary of the Air Force shall request 
the written consent of the participants to transfer 
their data and biological specimens to the Agency 
during fiscal year 2007 and written consent for the 
Agency to maintain the data and specimens and 
make them available for additional studies. 
(2) COMPLETION OF TRANSFER.—Custodianship 
of the Air Force Health Study shall be completely 
transferred to the Agency on or before September 30, 
2007. Assets to be transferred shall include electronic 
data files and biological specimens of all the study 
participants. 
(3) COPIES TO ARCHIVES.—The Air Force shall 
send paper copies of all study documents to the Na-
tional Archives. 
(b) REPORT ON TRANSFER.— 
(1) REQUIREMENT.—Not later than 30 days 
after completion of the transfer of the assets of the Air 
Force Health Study under subsection (a), the Sec-
retary of the Air Force shall submit to the Committees 
on Armed Services of the Senate and the House of 
Representatives a report on the transfer. 
(2) MATTERS COVERED.—At a minimum, the re-
port shall include information on the number of study 
participants whose data and biological specimens 
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were not transferred, the efforts that were taken to 
contact such participants, and the reasons why the 
transfer of their data and specimens did not occur. 
(c) DISPOSITION OF ASSETS NOT TRANSFERRED.— 
The Secretary of the Air Force may not destroy any data 
or biological specimens not transferred under subsection (a) 
until the expiration of the one-year period following sub-
mission of the report under subsection (b). 
(d) FUNDING.— 
(1) COSTS OF TRANSFER.—The Secretary of De-
fense shall make available to the Air Force $850,000 
for preparation, transfer of the assets of the Air Force 
Health Study and shipment of data and specimens to 
the Medical Follow-up Agency and the National Ar-
chives during fiscal year 2007 from amounts avail-
able from the Department of Defense for that year. 
The Secretary of Defense is authorized to transfer the 
freezers and other physical assets assigned to the Air 
Force Health Study to the Agency without charge. 
(2) COSTS OF COLLABORATION.—The Secretary 
of Defense may reimburse the National Academy of 
Sciences up to $200,000 for costs of the Medical Fol-
low-up Agency to collaborate with the Air Force in 
the transfer and receipt of the assets of the Air Force 
Health Study to the Agency during fiscal year 2007 
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from amounts available from the Department of De-
fense for that year. 
SEC. 715. STUDY ON ALLOWING DEPENDENTS OF ACTI-
VATED MEMBERS OF RESERVE COMPONENTS 
TO RETAIN CIVILIAN HEALTH CARE COV-
ERAGE. 
(a) STUDY REQUIREMENT.—The Secretary of Defense 
shall conduct a study on the feasibility of allowing family 
members of members of the Reserve Components who are 
called or ordered to active duty to continue health care cov-
erage under a civilian health care program and provide re-
imbursement for such health care. 
(b) ELEMENTS.—The study required by subsection (a) 
shall include the following: 
(1) An assessment of the number of military de-
pendents with special health care needs (such as ongo-
ing chemotherapy or physical therapy) who would 
benefit from continued coverage under the member’s 
civilian health care plan instead of enrolling in the 
TRICARE program. 
(2) An assessment of the feasibility of providing 
reimbursement to the member or the sponsor of the ci-
vilian health coverage. 
(3) A recommendation on the appropriate rate of 
reimbursement for civilian employers or members. 
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(4) The feasibility of including dependents who 
do not have access to health care providers that accept 
payment under the TRICARE program (such as those 
in rural areas). 
(c) REPORT REQUIRED.—Not later than 180 days 
after the date of the enactment of this Act, the Secretary 
of Defense shall submit to the Committees on Armed Serv-
ices of the Senate and the House of Representatives a report 
on the study required under subsection (a). 
Subtitle C—Other Matters 
SEC. 721. COSTS OF INCENTIVE PAYMENTS TO EMPLOYEES 
FOR TRICARE ENROLLMENT MADE UNALLOW-
ABLE FOR CONTRACTORS. 
(a) DEFENSE CONTRACTS.—Section 2324(e)(1) of title 
10, United States Code, is amended by adding at the end 
the following new subparagraph: 
‘‘(Q) Costs incurred by a contractor for incentive 
payments to employees to encourage enrollment in the 
TRICARE program under chapter 55 of this title or 
any other Government-sponsored health care program, 
except that this subparagraph does not apply to such 
costs incurred by a contractor performing a contract 
to which any of the following applies: 
‘‘(i) The Services Contract Act of 1965 (41 
U.S.C. 351 et seq.). 
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‘‘(ii) Any other law or labor agreement that 
requires a company to compensate its employees 
for health care whether or not the employee par-
ticipates in a company health plan.’’. 
(b) CIVILIAN AGENCY CONTRACTS.—Section 306(e)(1) 
of the Federal Property and Administrative Services Act 
of 1949 (41 U.S.C. 256(e)(1)) is amended by adding at the 
end the following new subparagraph: 
‘‘(P) Costs incurred by a contractor for incentive 
payments to employees to encourage enrollment in the 
TRICARE program under chapter 55 of title 10, 
United States Code, or any other Government-spon-
sored health care program, except that this subpara-
graph does not apply to such costs incurred by a con-
tractor performing a contract to which any of the fol-
lowing applies: 
‘‘(i) The Services Contract Act of 1965 (41 
U.S.C. 351 et seq.). 
‘‘(ii) Any other law or labor agreement that 
requires a company to compensate its employees 
for health care whether or not the employee par-
ticipates in a company health plan.’’. 
(c) EFFECTIVE DATE.—The amendments made by this 
section shall apply with respect to contracts entered into 
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after the date occurring 180 days after the date of the enact-
ment of this Act. 
SEC. 722. REQUIREMENT FOR MILITARY MEDICAL PER-
SONNEL TO BE TRAINED IN PRESERVATION 
OF REMAINS. 
(a) REQUIREMENT.—The Secretary of Defense shall 
develop a program requiring each military department to 
include training in the preservation of remains for health 
care professionals under the department’s jurisdiction. The 
training shall be provided before a health care professional 
is deployed into a theater of operation and periodically 
thereafter as determined necessary for refresher training. 
(b) MATTERS COVERED BY TRAINING.—The training 
shall include, at a minimum— 
(1) best practices and procedures for the preser-
vation of the remains of a member of the Armed 
Forces after death, taking into account the needs, sen-
sitivities, and potential wishes of the family of the de-
cedent, including the return of the remains to the 
family in the best possible condition; and 
(2) practical case studies to illustrate the objec-
tives of paragraph (1) and provide a real world per-
spective. 
(c) HEALTH CARE PROFESSIONAL.—In this section, 
the term ‘‘health care professional’’ means a physician, den-
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tist, clinical psychologist, nurse, nurse practitioner, or phy-
sician assistant and any other person providing direct pa-
tient care as may be designated by the Secretary of Defense 
in regulations. 
Subtitle D—Pharmacy Benefits 
Program Improvements 
SEC. 731. TRICARE PHARMACY PROGRAM COST-SHARE RE-
QUIREMENTS. 
Paragraph (6) of section 1074g(a) of title 10, United 
States Code, is amended to read as follows: 
‘‘(6)(A) The Secretary, in regulations prescribed under 
subsection (g), may establish cost-sharing requirements 
(which may be established as a percentage or fixed dollar 
amount) under the pharmacy benefits program for generic, 
formulary, and nonformulary agents. 
‘‘(B)(i) With respect to agents available through the 
national mail-order pharmacy program, the Secretary of 
Defense may not establish requirements for cost sharing for 
generic and formulary agents that are in excess of cost shar-
ing requirements for generic and formulary agents available 
through facilities of the uniformed services. 
‘‘(ii) With respect to agents available through retail 
pharmacies, the Secretary of Defense may not establish cost 
sharing in excess of— 
‘‘(I) $6 for generic agents; 
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‘‘(II) $16 for formulary agents; and 
‘‘(III) $22 for nonformulary agents. 
‘‘(iii) The cost sharing requirements of this subpara-
graph shall be in effect during the period beginning 90 days 
after the date of the enactment of the National Defense Au-
thorization Act for Fiscal Year 2007 and ending on Decem-
ber 31, 2007.’’. 
TITLE VIII—ACQUISITION POL-
ICY, ACQUISITION MANAGE-
MENT, AND RELATED MAT-
TERS 
Subtitle A—Provisions Relating to Major Defense Acquisition Programs 
Sec. 801. Requirements Management Certification Training Program. 
Sec. 802. Additional requirements relating to technical data rights. 
Sec. 803. Study and report on revisions to Selected Acquisition Report require-
ments. 
Sec. 804. Quarterly updates on implementation of acquisition reform in the De-
partment of Defense. 
Sec. 805. Establishment of defense challenge process for critical cost growth 
threshold breaches in major defense acquisition programs. 
Sec. 806. Market research required for major defense acquisition programs before 
proceeding to Milestone B. 
Subtitle B—Acquisition Policy and Management 
Sec. 811. Applicability of statutory executive compensation cap made prospective. 
Sec. 812. Prohibition on procurement from beneficiaries of foreign subsidies. 
Sec. 813. Time-certain development for Department of Defense information tech-
nology business systems. 
Sec. 814. Establishment of Panel on Contracting Integrity. 
Subtitle C—Amendments to General Contracting Authorities, Procedures, and 
Limitations 
Sec. 821. Extension of special temporary contract closeout authority. 
Sec. 822. Limitation on contracts for the acquisition of certain services. 
Sec. 823. Use of Federal supply schedules by State and local governments for 
goods and services for recovery from natural disasters, terrorism, 
or nuclear, biological, chemical, or radiological attack. 
Sec. 824. Waivers to extend task order contracts for advisory and assistance serv-
ices. 
Sec. 825. Enhanced access for small business. 
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Sec. 826. Procurement goal for Hispanic-serving institutions. 
Sec. 827. Prohibition on defense contractors requiring licenses or fees for use of 
military likenesses and designations. 
Subtitle D—United States Defense Industrial Base Provisions 
Sec. 831. Protection of strategic materials critical to national security. 
Sec. 832. Strategic Materials Protection Board. 
Subtitle A—Provisions Relating to 
Major Defense Acquisition Pro-
grams 
SEC. 801. REQUIREMENTS MANAGEMENT CERTIFICATION 
TRAINING PROGRAM. 
(a) TRAINING PROGRAM.— 
(1) REQUIREMENT.—The Under Secretary of De-
fense for Acquisition, Technology, and Logistics, in 
consultation with the Defense Acquisition University, 
shall develop a training program to certify civilian 
and military personnel of the Department of Defense 
with responsibility for generating requirements for 
major defense acquisition programs (as defined in sec-
tion 2430 of title 10, United States Code). 
(2) COMPETENCY AND OTHER REQUIREMENTS.— 
The Under Secretary shall establish competency re-
quirements for the personnel undergoing the training 
program. The Under Secretary shall define the target 
population for such training program by identifying 
which civilian and military personnel should have re-
sponsibility for generating requirements. The Under 
Secretary also may establish other training programs 
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for personnel not subject to chapter 87 of title 10, 
United States Code, and who contribute significantly 
to other types of acquisitions by the Department of 
Defense. 
(3) MATTERS
COVERED.—At a minimum, the 
training program shall, with respect to a major de-
fense acquisition program— 
(A) provide instruction on the interrelation-
ship among the requirements generation process, 
the budget process, and the acquisition process 
within the Department of Defense for such a pro-
gram; 
(B) stress the importance of generating re-
quirements for such a program that result in 
joint applications to the maximum extent pos-
sible; 
(C) provide instruction on the effects of in-
troducing new requirements for such a pro-
gram— 
(i) both before and after the commence-
ment of system development and demonstra-
tion; and 
(ii) during initial operational test and 
evaluation; 
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(D) ensure that requirements for such a 
program are derived primarily from capability 
shortfalls in the program identified by a com-
mander of a combatant command; 
(E) ensure that requirements for such a pro-
gram are informed by a sound analysis of alter-
natives, by realistic technical assessments based 
on technology readiness levels, and by fiscal 
guidance, including consultation with produc-
tion engineers on the cost, schedule and technical 
feasibility of the requirements; 
(F) ensure that, for the introduction of any 
changes to requirements for such a program, an 
engineering feasibility assessment that weighs 
technology readiness, integration, cost, and 
schedule impacts is conducted after Milestone B 
approval at the latest, and before Milestone B 
approval to the maximum extent practicable; 
(G) stress the importance of introducing re-
quirements for such a program that are techno-
logically mature, feasible, and achievable without 
schedule risk; and 
(H) stress the importance of stable require-
ments for such a program to provide the baseline 
for successful execution of the program. 
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E:\BILLS\H5122.RH
H5122
sroberts on PROD1PC70 with BILLS