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(g) FUNDING LIMITATION.—Amounts authorized to 
be made available to the Medicare-Eligible Retiree Health 
Care Fund established under chapter 56 of title 10, 
United States Code, are not authorized to be transferred 
or otherwise made available to carry out the pilot program. 
(h) DEFINITIONS.—In this section: 
(1) The term ‘‘appropriate congressional com-
mittees’’ means— 
(A) the Committee on Armed Services and 
the Committee on Veterans’ Affairs of the 
House of Representatives; and 
(B) the Committee on Armed Services and 
the Committee on Veterans’ Affairs of the Sen-
ate. 
(2) The term ‘‘covered Armed Force’’ means 
the Army, Navy, Marine Corps, Air Force, or Space 
Force. 
(3) The term ‘‘covered individual’’ means any 
member of a covered Armed Force or veteran diag-
nosed with post-traumatic stress disorder, depres-
sion, or anxiety, or prescribed pain management, by 
a health professional furnishing care at a facility of 
the Department of Veterans Affairs or through the 
Veterans Community Care Program under section 
1703 of title 38, United States Code. 
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(4) The term ‘‘marijuana’’ has the meaning 
given that term in section 102(16) of the Controlled 
Substances Act (21 U.S.C. 802(16)). 
SEC. 711. PILOT PROGRAM ON CRYOPRESERVATION AND 
STORAGE OF GAMETES OF CERTAIN MEM-
BERS OF THE ARMED FORCES. 
(a) ESTABLISHMENT.—The Secretary of Defense 
shall establish a pilot program to reimburse not more than 
200 covered members for expenses incurred in the testing, 
cryopreservation, shipping, and storage of gametes of such 
covered members in a private storage facility determined 
appropriate by the Secretary. 
(b) AMOUNT OF REIMBURSEMENT.—A covered mem-
ber shall receive not more than— 
(1) $500 in the case of a member who preserves 
sperm; and 
(2) $7,500 in the case of a member who pre-
serves eggs. 
(c) INFORMATION TO PARTICIPANTS.—The Secretary 
shall provide to a covered member participating in the 
pilot program information regarding providers of services 
described in subsection (a) located near the covered mem-
ber. 
(d) IMPLEMENTATION SCHEDULE.—Not later than— 
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(1) 30 days after the date of the enactment of 
this Act, the Secretary shall notify covered members 
of the pilot program; and 
(2) 60 days after the date of the enactment of 
this Act, the Secretary shall— 
(A) submit to the Committees on Armed 
Services of the Senate and the House of Rep-
resentatives an implementation plan for the 
pilot program; and 
(B) carry out the pilot program. 
(e) NO LIABILITY OR CONTRACTUAL OBLIGATION.— 
The United States shall not be— 
(1) considered a party to any agreement be-
tween a covered member who participates in the 
pilot program and a private gamete storage facility; 
or 
(2) responsible for the management of gametes 
cryopreserved, or stored for which a covered member 
receives reimbursement under such pilot program. 
(f) ADVANCED MEDICAL DIRECTIVE.—A covered 
member who participates in the pilot program shall com-
plete an advanced medical directive that specifies how 
gametes preserved under the pilot program shall be han-
dled upon the death of such covered member. 
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(g) PROMOTION
OF PILOT PROGRAM.—Not later 
than 30 days after the date of the enactment of this Act, 
the Secretary shall promote the pilot program to covered 
members in the course of annual health examinations and 
pre-deployment screenings. 
(h) REPORT.—Not later than one year after the Sec-
retary establishes the pilot program, the Secretary shall 
submit to the Committees on Armed Services of the Sen-
ate and the House of Representatives a report on the pilot 
program. Such report shall include the following: 
(1) Usage by covered members. 
(2) Demographics of participating covered 
members. 
(3) Costs of services to participating covered 
members. 
(4) The feasibility of expanding the pilot pro-
gram. 
(5) The feasibility of making the pilot program 
permanent. 
(6) Other information determined appropriate 
by the Secretary. 
(i) TERMINATION.—The pilot program shall termi-
nate one year after the date of the enactment of this Act. 
(j) DEFINITIONS.—In this section: 
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(1) The term ‘‘covered member’’ means a mem-
ber of a covered Armed Force serving on active 
duty— 
(A) who has received orders (including de-
ployment orders) for duty for which the mem-
ber may receive hazardous duty pay under sec-
tion 351 of title 37, United States Code; 
(B) whom the Secretary determines is like-
ly to receive such orders in the next 120 days; 
(C) who will, under orders, be geographi-
cally separated from a spouse, domestic part-
ner, or dating partner for a period exceeding 
180 days; or 
(D) whose application to participate in the 
pilot program that the Secretary approves. 
(2) The term ‘‘covered Armed Forces’’ means 
the Army, Navy, Marine Corps, Air Force, or Space 
Force. 
(3) The term ‘‘deployment’’ has the meaning 
given such term in section 991(b) of title 10, United 
States Code. 
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SEC. 712. PSYCHOLOGICAL EVALUATIONS FOR CERTAIN 
MEMBERS OF THE ARMED FORCES WHO 
SERVED IN KABUL. 
(a) INITIAL EVALUATION.—Not later than 180 days 
after the date of the enactment of this Act, the Secretary 
of Defense shall provide an initial psychological evaluation 
to each member of the Armed Forces who— 
(1) served at the Hamid Karzai International 
Airport in Kabul, Afghanistan, between August 15 
and August 29, 2021; and 
(2) has not already received a psychological 
evaluation with respect to such service. 
(b) ADDITIONAL EVALUATIONS.—The Secretary of 
Defense shall provide to each member of the Armed 
Forces who receives a psychological evaluation under sub-
section (a), or would have received such an evaluation but 
for the application of subsection (a)(2)— 
(1) an additional psychological evaluation not 
later than two years after the date of the enactment 
of this Act; and 
(2) a second additional psychological evaluation 
not later than five years after the date of the enact-
ment of this Act. 
(c) REPORTING REQUIREMENT.—Not later than 220 
days after the date of the enactment of this Act, the Sec-
retary of Defense shall submit to the congressional defense 
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committees a report on the number of members of the 
Armed Forces, broken down by component (National 
Guard, Reserve, and Active), that are eligible for, and re-
ceive, an initial psychological evaluation— 
(1) under subsection (a); or 
(2) otherwise resulting from service at the 
Hamid Karzai International Airport in Kabul, Af-
ghanistan, between August 15 and August 29, 2021. 
SEC. 713. AUTHORITY TO EXPAND THE TRICARE COMPETI-
TIVE PLANS DEMONSTRATION PROJECT. 
(a) AUTHORITY.—To the extent practicable, the Sec-
retary of Defense shall seek to expand the TRICARE 
Competitive Plans Demonstration Project to not fewer 
than 10 locations on or after October 1, 2024. 
(b) TRICARE COMPETITIVE PLANS DEMONSTRA-
TION PROJECT DEFINED.—In this section, the term 
‘‘TRICARE Competitive Plans Demonstration Project’’ 
means the project designed to test the contract acquisition 
strategy of providing an opportunity for local, regional, 
and national health plans to participate in the competition 
for managed care support functions under the TRICARE 
program, in accordance with section 705(c)(3) of the Na-
tional Defense Authorization Act for Fiscal Year 2017 
(Public Law 114–328; 10 U.S.C. 1073a note). 
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SEC. 714. STUDY ON PROVIDER TRAINING GAPS WITH RE-
SPECT TO SCREENING AND TREATMENT OF 
MATERNAL MENTAL HEALTH CONDITIONS. 
(a) STUDY.—The Secretary of Defense, acting 
through the Assistant Secretary of Defense for Health Af-
fairs, shall conduct a study to identify gaps in the training 
of covered providers with respect to the screening and 
treatment of maternal mental health conditions. Such 
study shall include— 
(1) an assessment of the level of experience of 
covered providers with, and the attitudes of such 
providers regarding, the treatment of pregnant and 
postpartum women with mental or substance use 
disorders; and 
(2) recommendations for the training of covered 
providers, taking into account any training gaps 
identified pursuant to the study. 
(b) REPORT.—Not later than one year after the date 
of the enactment of this Act, the Secretary of Defense 
shall submit to the Committees on Armed Services of the 
House of Representatives and the Senate a report con-
taining the findings of the study under section (a). 
(c) DEFINITIONS.—In this section: 
(1) The term ‘‘covered provider’’ means a ma-
ternal health care provider or behavioral health pro-
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vider furnishing services under the military health 
system (including under the TRICARE program). 
(2) The term ‘‘TRICARE program’’ has the 
meaning given that term in section 1072 of title 10, 
United States Code. 
SEC. 715. EXPANSION OF WOUNDED WARRIOR SERVICE 
DOG PROGRAM. 
Section 745 of the William M. (Mac) Thornberry Na-
tional Defense Authorization Act for Fiscal Year 2021 (10 
U.S.C. 1071 note) is amended— 
(1) by redesignating subsection (b) as sub-
section (c); and 
(2) by inserting after subsection (a) the fol-
lowing new subsection: 
‘‘(b) GRANT AUTHORITY.— 
‘‘(1) IN GENERAL.—In carrying out the Wound-
ed Warrior Service Dog Program, the Secretary of 
Defense shall award grants on a competitive basis 
directly to eligible entities in accordance with this 
subsection. 
‘‘(2) ELIGIBLE ENTITIES.—To be eligible to re-
ceive a grant under this subsection, an entity shall 
be a nonprofit organization, the primary function of 
which is raising, training, and furnishing assistance 
dogs. 
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‘‘(3) APPLICATIONS.—An eligible entity desiring 
a grant under this subsection shall submit to the 
Secretary of Defense an application at such time, in 
such manner, and containing such information and 
assurances as such Secretary determines appro-
priate. 
‘‘(4) CONSIDERATION FOR GRANT AMOUNT.—In 
determining the amount of a grant awarded under 
this subsection, such Secretary shall consider— 
‘‘(A) the merits of the application sub-
mitted pursuant to paragraph (3); 
‘‘(B) whether, and to what extent, there is 
demand by covered members or covered vet-
erans for assistance dogs provided by the eligi-
ble entity desiring such grant; and 
‘‘(C) the capacity and capability of such el-
igible entity to raise and train assistance dogs 
to meet such demand. 
‘‘(5) USE OF FUNDS.—An eligible entity award-
ed a grant under this subsection shall use such 
grant to plan, design, establish, or operate a pro-
gram to furnish assistance dogs to covered members 
and covered veterans, or any combination thereof. 
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‘‘(6) LIMITATION
ON
GRANT
AMOUNT.—The 
amount of a grant awarded under this subsection 
may not exceed $2,000,000.’’. 
SEC. 716. PROHIBITION ON PAYMENT AND REIMBURSE-
MENT BY DEPARTMENT OF DEFENSE OF EX-
PENSES RELATING TO ABORTION SERVICES. 
(a) SENSE OF CONGRESS.—It is the sense of Con-
gress that— 
(1) consistent with section 1093 of title 10, 
United States Code, the Department of Defense may 
not use any funds for abortions except where the life 
of the mother would be endangered if the fetus were 
carried to term or in a case in which the pregnancy 
is the result of an act of rape or incest; 
(2) the Secretary of Defense has no legal au-
thority to implement any policies in which funds are 
to be used for such purpose; and 
(3) the Department of Defense Memorandum 
titled ‘‘Ensuring Access to Reproductive Health 
Care’’, dated October 20, 2022, is therefore unlawful 
and must be rescinded. 
(b) REPEAL OF MEMORANDUM.— 
(1) REPEAL.—The Department of Defense 
memorandum titled ‘‘Ensuring Access to Reproduc-
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tive Health Care’’, dated October 20, 2022, shall 
have no force or effect. 
(2) PROHIBITION ON AVAILABILITY OF FUNDS 
TO CARRY OUT MEMORANDUM.—No funds may be 
obligated or expended to carry out the memorandum 
specified in paragraph (1) or any successor to such 
memorandum. 
(c) PROHIBITION.—Section 1093 of title 10, United 
States Code, is amended by adding at the end the fol-
lowing new subsection: 
‘‘(c) PROHIBITION
ON PAYMENT
OR REIMBURSE-
MENT OF CERTAIN FEES.—(1) The Secretary of Defense 
may not pay for or reimburse any fees or expenses, includ-
ing travel expenses, relating to a health-care professional 
gaining a license in a State if the purpose of gaining such 
license is to provide abortion services. 
‘‘(2) In this subsection: 
‘‘(A) The term ‘health-care professional’ means 
a member of the armed forces, civilian employee of 
the Department of Defense, personal services con-
tractor under section 1091 of this title, or other in-
dividual who provides health care at a military med-
ical treatment facility. 
‘‘(B) The term ‘license’ has the meaning given 
that term in section 1094 of this title.’’. 
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SEC. 717. PROHIBITION ON COVERAGE OF CERTAIN SEX RE-
ASSIGNMENT 
SURGERIES 
AND 
RELATED 
SERVICES UNDER TRICARE PROGRAM. 
Chapter 55 of title 10, United States Code, is amend-
ed by inserting after section 1076f the following new sec-
tion (and conforming the table of sections at the beginning 
of such chapter accordingly): 
‘‘§ 1076g. TRICARE program: prohibition on coverage 
and furnishment of certain sex reassign-
ment surgeries and related services 
‘‘(a) PROHIBITION.—The medical care to which indi-
viduals are entitled to under this chapter does not include 
the services described in subsection (b) and the Secretary 
of Defense may not furnish any such service. 
‘‘(b) SERVICES DESCRIBED.—The services described 
in this subsection are the following: 
‘‘(1) Sex reassignment surgeries furnished for 
the 
purpose 
of 
the 
gender 
alteration 
of 
a 
transgender individual. 
‘‘(2) Hormone treatments furnished for the 
purpose of the gender alteration of a transgender in-
dividual.’’. 
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Subtitle B—Health Care 
Administration 
SEC. 721. CLARIFICATION OF GRADE OF SURGEON GEN-
ERAL OF THE NAVY. 
Section 8077 of title 10, United States Code, is 
amended by adding at the end the following new sub-
section: 
‘‘(c) GRADE.—The Surgeon General, while so serv-
ing, shall hold the grade of O–9.’’. 
SEC. 722. CLARIFICATION OF RESPONSIBILITIES REGARD-
ING THE INTEGRATED DISABILITY EVALUA-
TION SYSTEM. 
(a) CLARIFICATION.—Subsection (h) of section 1073c 
of title 10, United States Code, is amended— 
(1) in the heading, by striking ‘‘SECRETARIES 
CONCERNED AND MEDICAL EVALUATION BOARDS’’ 
and inserting ‘‘AUTHORITY OVER MEMBERS’’; 
(2) by inserting ‘‘(1)’’ before ‘‘Nothing’’; and 
(3) by adding at the end the following new 
paragraphs: 
‘‘(2) Notwithstanding the responsibilities and au-
thorities of the Defense Health Agency with respect to the 
administration of military medical treatment facilities as 
set forth in this section (including medical evaluations of 
members of the armed forces), the Secretary of each mili-
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tary department shall maintain personnel authority over, 
and responsibility for, any member of the armed forces 
under the jurisdiction of the military department con-
cerned while the member is being considered by a medical 
evaluation board or is otherwise subject to the integrated 
disability evaluation system. Such responsibility shall in-
clude the following: 
‘‘(A) Responsibility for administering the mo-
rale and welfare of the member. 
‘‘(B) Responsibility for determinations of fit-
ness for duty of the member under chapter 61 of 
this title. 
‘‘(3) Notwithstanding the responsibilities and au-
thorities of the Defense Health Agency with respect to the 
administration of the integrated disability evaluation sys-
tem, a commander shall, at all times, maintain absolute 
responsibility for, and authority over, a member of the 
armed forces referred to the integrated disability evalua-
tion system. Such responsibility and authority include the 
following: 
‘‘(A) The authority to pause any process of the 
integrated disability evaluation system regarding the 
member. 
‘‘(B) The authority to withdraw the member 
from the integrated disability evaluation system if 
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the commander determines that any policy, proce-
dure, regulation, or other guidance has not been fol-
lowed in the member’s case. 
‘‘(4) Pursuant to regulations prescribed by the Sec-
retary of Defense, a member referred to the integrated 
disability evaluation system may file an appeal of such re-
ferral with the Secretary of the military department con-
cerned. Such an appeal— 
‘‘(A) shall be in addition to any appeals process 
established as part of the integrated disability eval-
uation system; 
‘‘(B) shall include a hearing before an officer 
who may convene a general court-martial and who is 
in the chain of command of the member; and 
‘‘(C) shall be adjudicated not later than 90 
days after such filing.’’. 
(b) REGULATIONS.—The Secretary of Defense shall 
prescribe regulations to carry out paragraphs (2) through 
(4) of such subsection, as added by this section, not later 
than 90 days after the date of the enactment of this Act. 
(c) BRIEFING.—Not later than February 1, 2024, the 
Secretary of Defense shall provide to the Committees on 
Armed Services of the Senate and House of Representa-
tives a briefing on the implementation of such paragraphs. 
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SEC. 723. SHARING OF MEDICAL DATA REGARDING MEM-
BERS OF THE COAST GUARD. 
(a) IN GENERAL.—Chapter 55 of title 10, United 
States Code, is amended by adding at the end the fol-
lowing new section: 
‘‘§ 1110c. Sharing of medical data regarding members 
of the Coast Guard 
‘‘(a) SHARING OF DATA.—The Secretary of Defense 
shall provide, on an annual basis, to the Commandant of 
the Coast Guard, data regarding medical care— 
‘‘(1) provided at military medical treatment fa-
cilities established under section 1073c of this title 
to members of the Coast Guard and beneficiaries of 
such members; and 
‘‘(2) received by members of the Coast Guard 
and beneficiaries of such members through the 
TRICARE program. 
‘‘(b) CAPABILITY
AND CAPACITY REPORTS.—The 
Secretary of Defense, acting through the Director of the 
Defense Health Agency, shall provide to the Commandant 
of the Coast Guard capability and capacity reports regard-
ing members of the Coast Guard, and beneficiaries of such 
members, who receive treatment at military medical treat-
ment facilities. 
‘‘(c) HIPAA LIMITATION.—None of the information 
shared under this section shall include personally identifi-
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able information, sensitive patient health information, or 
information that violates the Health Insurance Portability 
and Accountability Act of 1996 (Public Law 104–191).’’. 
(b) PLAN; REPORT.—Not later than 270 days after 
the date of the enactment of this Act, the Secretary of 
Defense and the Commandant of the Coast Guard shall 
develop a plan to carry out section 1110c of such title, 
as added by this section, and submit a report containing 
such plan to the appropriate congressional committees. 
(c) IMPLEMENTATION DATE.—Not later than one 
year after the date of the enactment of this Act, the Sec-
retary and Commandant shall carry out section 1110c of 
such title, as added by this section. 
(d) APPROPRIATE
CONGRESSIONAL
COMMITTEES 
DEFINED.—In this section, the term ‘‘appropriate con-
gressional committees’’ means the following: 
(1) The Committee on Armed Services of the 
Senate. 
(2) The Committees on Armed Services of the 
House of Representatives. 
(3) The Committee on Commerce, Science, and 
Transportation of the Senate. 
(4) The Committee on Transportation and In-
frastructure of the House of Representatives. 
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SEC. 724. ORGANIZATIONAL FRAMEWORK OF THE MILI-
TARY HEALTH SYSTEM TO SUPPORT THE 
MEDICAL REQUIREMENTS OF THE COMBAT-
ANT COMMANDS. 
(a) DEFENSE
HEALTH
AGENCY
REGIONS
IN 
CONUS.—Section 712(c) of the John S. McCain National 
Defense Authorization Act for Fiscal Year 2019 (Public 
Law 115–232; 10 U.S.C. 1073c note) is amended— 
(1) in paragraph (1)— 
(A) in the paragraph heading, by striking 
‘‘HEALTHAGENCY’’ and inserting ‘‘HEALTH 
AGENCY’’; and 
(B) by striking ‘‘not more than two’’; and 
(2) in paragraph (2)(A), by striking ‘‘military’’. 
(b) 
DEFENSE
HEALTH
AGENCY
REGIONS 
OCONUS.—Section 712(d) of such Act (Public Law 115– 
232; 10 U.S.C. 1073c note) is amended— 
(1) in the matter preceding paragraph (1), by 
striking ‘‘not more than two’’; and 
(2) in paragraph (3), by striking ‘‘defense 
health regions’’ and inserting ‘‘Defense Health 
Agency regions’’. 
(c) 
PLANNING
AND
COORDINATION.—Section 
712(e)(1)(A) of such Act (Public Law 115–232; 10 U.S.C. 
1073c note) is amended by striking ‘‘defense health re-
gion’’ and inserting ‘‘Defense Health Agency region’’. 
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(d) EFFECTIVE DATE.—The amendments made by 
this section shall take effect on October 1, 2023. 
SEC. 725. MANDATORY TRAINING ON HEALTH EFFECTS OF 
PERFLUOROALKYL OR POLYFLUOROALKYL 
SUBSTANCES. 
The Secretary of Defense shall provide to each med-
ical provider of the Department of Defense mandatory 
training with respect to the potential health effects of 
perfluoroalkyl or polyfluoroalkyl substances. 
SEC. 
726. 
ESTABLISHMENT 
OF 
MILITARY 
PHARMA-
CEUTICAL AND MEDICAL DEVICE VULNER-
ABILITY WORKING GROUP. 
(a) ESTABLISHMENT.—Not later than one year after 
the date of the enactment of this Act, the Secretary of 
Defense, in coordination with the Chairman of the Joint 
Chiefs of Staff, the Under Secretary of Defense for Per-
sonnel and Readiness, and the Under Secretary of Defense 
for Acquisition and Sustainment, shall establish a military 
pharmaceutical and medical device vulnerability working 
group. 
(b) MEMBERSHIP.—Each member of the working 
group shall be a member of the Armed Forces or a civilian 
employee of the Department of Defense. 
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(c) COCHAIRS.—The Secretary shall appoint a chair 
of the working group. The working group shall elect a co-
chair from among its members. 
(d) DUTIES.—The duties of the working group shall 
include the following: 
(1) To provide a forum for members of the 
working group to discuss issues involving access, 
threats, and vulnerabilities to pharmaceuticals, 
therapeutics and medical devices in operational envi-
ronments of the Department. 
(2) To assess and catalog the work currently 
being performed within the Department regarding 
such access, threats, and vulnerabilities. 
(3) To identify current vulnerabilities, including 
supply chain issues, active pharmaceutical ingredient 
supplies, device component issues and cyber and 
electronic threats that may disrupt operations of the 
Department. 
(4) To identify medications necessary for the 
Department in specific circumstances (such as 
armed conflict) that are critical for operational read-
iness in each combatant command. 
(5) To develop an annually updated list of 
pharmaceuticals critical to the Department (includ-
ing medications identified under paragraph (4)) and 
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HR 2670 RDS
related quantities needed to mitigate the risk of sup-
ply disruptions for military treatment facilities. 
(6) To develop a risk assessment matrix regard-
ing such pharmaceuticals and medical devices to 
highlight related risks to missions of the combatant 
commands and the military health system. 
(7) To include any information in the joint 
medical estimate of the Department or a similar re-
port that highlights information that would be clas-
sified as sensitive or requiring a security classifica-
tion above unclassified. 
(8) To develop a plan for the allocation of 
scarce pharmaceutical resources within the Depart-
ment during supply chain disruptions and potential 
conflicts with competitors highlighted in the national 
defense strategy. 
(9) To develop a plan for stockpiling essential 
medications to ensure availability of a 180-day sup-
ply during armed conflict or other supply chain dis-
ruptions. 
(10) 
To 
develop 
a 
plan 
that 
mitigates 
vulnerabilities to active pharmaceutical ingredient 
supply chains and reduces dependence on active 
pharmaceutical ingredients from foreign sources. 
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(e) MEETINGS.—The working group shall meet at the 
call of the chair or cochairs and not less than once per 
quarter of the calendar year. 
(f) BRIEFING AND REPORTS.— 
(1) INITIAL
BRIEFING.—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 House of Representatives 
an interim report on the organization, activities, 
plans, actions and milestones of the working group. 
(2) ANNUAL
REPORT.—Not later than Sep-
tember 30 of each year, beginning in 2025 and end-
ing in 2028, the Secretary shall submit to the Com-
mittees on Armed Services of the Senate and House 
of Representatives a report describing the activities, 
funding, plans, actions, and milestones of the work-
ing group, and other matters determined by the Sec-
retary, during the preceding year. 
(g) TERMINATION.—The working group shall termi-
nate on September 30, 2028. 
SEC. 727. ESTABLISHMENT OF MEDICAL AND SURGICAL 
CONSUMABLES STANDARDIZATION WORKING 
GROUP. 
(a) ESTABLISHMENT.—Not later than March 1, 
2024, the Secretary of Defense shall establish a working 
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group of logistics experts, medical experts, and surgical 
experts from across the military departments and the De-
fense Health Agency to standardize the medical and sur-
gical consumable supplies procured and used within the 
Department of Defense. 
(b) CHAIR.—The Secretary shall appoint an officer 
in a grade above O-6 to serve as chair of the working 
group. 
(c) DUTIES.—The duties of the working group in-
clude the following: 
(1) To identify a list of the consumable medical 
and surgical supplies acquired by the Department, 
by national item identification number or national 
stock number. 
(2) To identify, of the supplies identified under 
paragraph (1)— 
(A) unique items; and 
(B) non-unique items that are functionally 
interchangeable. 
(3) Disaggregate such list by the offeror of the 
supplies, member of the acquisition workforce (as 
defined in section 101 of title 10, United States 
Code) responsible for procurement of the supplies, 
and the entity or end user of such supplies. 
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(4) To revise and standardize the catalog for 
consumable medical and surgical supplies of the De-
partment of Defense, including the elimination un-
necessary and duplicate supplies. 
(5) To ensure supplies identified under para-
graph (1) are provided to the appropriate entity or 
end user in a regular and timely manner. 
(6) To coordinate with the Director of the De-
fense Logistics Agency to conduct regular stress 
tests of the surge requirements for such supplies. 
(7) To generate methods to encourage health 
care providers in the Defense Health Agency to pro-
cure such supplies through the catalog described in 
paragraph (4) instead of through other means. 
(d) BRIEFINGS.— 
(1) INTERIM.—Not later than October 1, 2024, 
the Secretary of Defense shall submit to the Com-
mittees on Armed Services of the Senate and House 
of Representatives a briefing on the activities of the 
working group. 
(2) FINAL.—Not later than December 31, 
2025, the Secretary of Defense shall submit to the 
Committees on Armed Services of the Senate and 
House of Representatives a final briefing on the ac-
tivities of the working group. 
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(e) TERMINATION.—The working group shall termi-
nate two years after the date of the enactment of this Act. 
SEC. 728. PILOT PROGRAM ON REMOTE HEALTH MONI-
TORING TECHNOLOGIES. 
(a) ESTABLISHMENT.—The Secretary of Defense 
shall carry out a pilot program to furnish, to certain mem-
bers of the Armed Forces, technologies that offer remote 
health monitoring. 
(b) REQUIREMENTS
FOR PILOT PROGRAM.—The 
pilot program shall include members— 
(1) of special operations forces; and 
(2) the Center for Initial Military Training of 
the Army, including members undergoing— 
(A) basic combat training; and 
(B) the future soldier preparatory course. 
(c) CRITERIA
FOR TECHNOLOGIES.—Technologies 
furnished under the pilot program shall— 
(1) use facial detection technology; and 
(2) provide information on a member’s— 
(A) heart rate, including variability; 
(B) blood pressure; 
(C) blood oxygen saturation level; and 
(D) respiratory rate. 
(d) BRIEFING.—Not later than six months after com-
mencing the pilot program, the Secretary shall provide to 
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HR 2670 RDS
the congressional defense committees a briefing on the 
pilot program, including— 
(1) an explanation of— 
(A) the types of technologies considered for 
the pilot program; 
(B) the success of the pilot program in in-
creasing awareness of the physical and mental 
health of members furnished such technologies; 
and 
(C) any potential barriers to the expansion 
of the pilot program; and 
(2) recommendations for how the Secretary 
may use readily available remote health monitoring 
technologies to enhance physical and mental health 
awareness of members of the Armed Forces. 
(e) TERMINATION.—The pilot program shall termi-
nate five years after the date of the enactment of this Act. 
SEC. 729. TASK FORCE OF DEPARTMENT OF DEFENSE ON 
MENTAL HEALTH. 
(a) ESTABLISHMENT.—The Secretary of Defense 
shall establish a task force to examine matters relating 
to the mental health of members of the Armed Forces (in 
this section referred to as the ‘‘task force’’). 
(b) MEMBERSHIP.— 
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(1) QUALIFICATIONS.—The Secretary of De-
fense shall appoint to the task force individuals who 
have demonstrated expertise in the following areas: 
(A) National mental health policy. 
(B) Military personnel policy. 
(C) Research in the field of mental health. 
(D) Clinical care in mental health. 
(E) Military chaplain or pastoral care. 
(2) NUMBER; COMPOSITION.—The Secretary of 
Defense shall appoint not more than 15 individuals 
to the task force in accordance with the following: 
(A) 
DEPARTMENT
OF
DEFENSE
AP-
POINTEES.—The appointees shall include— 
(i) at least one member of each of the 
Army, Navy, Air Force, Marine Corps, and 
the National Guard; 
(ii) at least one surgeon general of an 
Armed Force; and 
(iii) at least one dependent of a mem-
ber of the Armed Forces who has experi-
ence working with military families. 
(B) NON-DEPARTMENT OF DEFENSE AP-
POINTEES.—Not fewer than 7 of the appointees 
shall be individuals who are not members of the 
Armed Forces, civilian employees of the Depart-
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HR 2670 RDS
ment of Defense, or dependents of such mem-
bers, and shall include— 
(i) an officer or employee of the De-
partment of Veterans Affairs; and 
(ii) an officer or employee of the Sub-
stance Abuse and Mental Health Services 
Administration of the Department of 
Health and Human Services. 
(C) DEADLINE.—The Secretary of Defense 
shall appoint all members by not later than 90 
days after the date of the enactment of this 
Act. 
(D) CO-CHAIRS.—There shall be two co- 
chairs of the task force, of whom— 
(i) one shall be designated by the Sec-
retary at the time of appointment from 
among the individuals appointed under 
subparagraph (A); and 
(ii) one shall be selected from among 
the members appointed under subpara-
graph (B) by the members so appointed. 
(c) ASSESSMENT AND RECOMMENDATIONS ON MEN-
TAL HEALTH SERVICES.— 
(1) REPORT.—Not later than one year after the 
date on which all members of the task force have 
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been appointed, the task force shall submit to the 
Secretary of Defense a report containing an assess-
ment of, and recommendations for improving, the ef-
ficacy of mental health services provided to members 
of the Armed Forces by the Secretary of Defense. 
(2) USE
OF
OTHER
EFFORTS.—In preparing 
the report under paragraph (1), the task force shall 
take into consideration completed and ongoing ef-
forts by the Secretary of Defense and the Secretary 
of Veterans Affairs to improve the efficacy of mental 
health care provided to members of the Armed 
Forces. 
(3) ELEMENTS.—The assessment and rec-
ommendations specified in paragraph (1) (including 
recommendations for legislative or administrative ac-
tion) shall include measures to improve the fol-
lowing: 
(A) The awareness of the potential for 
mental health conditions of members of the 
Armed Forces. 
(B) The access to, and efficacy of, existing 
programs (include telehealth programs) in pri-
mary care and mental health care to prevent, 
identify, and treat mental health conditions of 
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members of the Armed Forces, including pro-
grams for— 
(i) forward-deployed troops; 
(ii) members of the reserve compo-
nents; and 
(iii) members assigned to remote or 
austere duty locations. 
(C) The access to adequate telehealth re-
sources, including— 
(i) for members described in subpara-
graph (B) and immediate family members 
(including military spouses), including ac-
cess to equipment, bandwidths, and plat-
forms used to deliver care; and 
(ii) through the use of partnerships, 
consultation, and collaboration with private 
sector organizations and institutions, in-
cluding with respect to using telehealth to 
provide mental health care. 
(D) The assessment of disruptions to men-
tal health care as a result of frequent changes 
to eligibility and coverage for members of the 
National Guard under the TRICARE program, 
as well as potential benefits of more consistent 
care. 
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(E) Analysis of the potential effect on ac-
cess and outcomes for members serving on ac-
tive duty as a result of proposed cuts to mili-
tary end strengths regarding members with 
medical military occupational specialties. 
(F) The access to and programs for family 
members of members of the Armed Forces, in-
cluding family members overseas. 
(G) Access to, and quality of, private men-
tal health care received by members of the 
Armed Forces through the TRICARE program. 
(H) The reduction or elimination of bar-
riers to care, including the stigma associated 
with mental health conditions, by measures in-
cluding enhanced confidentiality for members of 
the Armed Forces who seek care for such condi-
tions. 
(I) The awareness of mental health serv-
ices available to dependents of members of the 
Armed Forces. 
(J) The adequacy of outreach, education, 
and support programs on mental health matters 
for families of members of the Armed Forces. 
(K) The early identification and treatment 
of mental health and substance abuse problems 
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through the use of internal mass media commu-
nications (including radio, and television, social 
media) and other education tools to change atti-
tudes within the Armed Forces regarding men-
tal health and substance abuse treatment. 
(L) The transition from mental health care 
furnished by the Secretary of Defense to such 
care furnished by the Secretary of Veterans Af-
fairs. 
(M) The availability of long-term follow-up 
and access to care for mental health conditions 
for members of the Individual Ready Reserve 
and the Selected Reserve and for discharged, 
separated, or retired members of the Armed 
Forces. 
(N) Collaboration between the heads of ele-
ments of the Department of Defense with re-
sponsibility for, or jurisdiction over, the provi-
sion of mental health services. 
(O) Coordination between the Secretary of 
Defense and civilian communities, including 
State, local, Tribal, and territorial governments, 
and local support organizations, with respect to 
mental health services. 
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(P) Coordination between the Secretary of 
Defense and the heads of relevant Federal 
stakeholders, including the Assistant Secretary 
for Mental Health and Substance Use, the Di-
rector of the National Institutes of Health, and 
the Director of the Centers for Disease Control 
and Prevention. 
(Q) The scope and efficacy of curricula 
and training on mental health matters for com-
manders in the Armed Forces. 
(R) The efficiency and effectiveness of pre- 
and post-deployment mental health screenings, 
including mental health screenings for members 
of the Armed Forces. 
(S) The effectiveness of mental health pro-
grams provided in languages other than 
English. 
(T) Tracking the use of behavioral health 
services and related outcomes, including wait 
times, continuity of care, symptom resolution, 
and maintenance of improvements resulting 
from treatment. 
(U) The awareness of 24/7 mental health 
resources, including the National Suicide Pre-
vention Lifeline. 
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(V) Other matters the task force deter-
mines appropriate. 
(d) ADMINISTRATIVE MATTERS.— 
(1) COMPENSATION.— 
(A) MEMBERS
OF
THE
ARMED
FORCES; 
UNITED
STATES
GOVERNMENT
EMPLOYEES.— 
Each member of the task force who is a mem-
ber of the Armed Forces or a civilian officer or 
employee of the United States Government shall 
serve without compensation (other than com-
pensation to which entitled as a member of the 
Armed Forces or an officer or employee of the 
United States Government, as the case may 
be). 
(B) OTHER
MEMBERS.—Any member of 
the task force not described in subparagraph 
(A) shall be treated for purposes of section 
3161 of title 5, 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 
activities of the task force. 
(3) ADMINISTRATIVE SUPPORT.—The Director 
of the Washington Headquarters Services of the De-
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partment of Defense shall provide the task force 
with personnel, facilities, and other administrative 
support as necessary for the performance of the du-
ties of the task force. 
(4) ACCESS TO FACILITIES.—The Under Sec-
retary of Defense for Personnel and Readiness, in 
coordination with the Secretaries of the military de-
partments, shall ensure appropriate access by the 
task force to military installations and facilities for 
purposes of the discharge of the duties of the task 
force. 
(e) TERMINATION.—The task force shall terminate 
90 days after the date on which the Secretary submits 
to the appropriate congressional committees the report of 
the task force under subsection (c)(1). 
(f) PLAN OF THE SECRETARY.—Not later than 180 
days after receiving the report of the task force under sub-
section (c)(1), the Secretary of Defense shall develop a 
plan based on the recommendations of the task force and 
submit such plan to the congressional defense committees. 
(g) REPORTS BY THE SECRETARY.—For each of the 
five years following the receipt of the report of the task 
force under subsection (c)(1), the Secretary of Defense 
shall submit to the congressional defense committees a re-
port on the recommendations made by the task force with 
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respect to the Department of Defense. Each such report 
shall include— 
(1) for each such recommendation, the deter-
mination of the Secretary of Defense as to whether 
to implement the recommendation; 
(2) in the case of a recommendation the Sec-
retary intends to implement, the intended timeline 
for implementation, a description of any additional 
resources or authorities required for such implemen-
tation, and the plan for such implementation; 
(3) in the case of a recommendation the Sec-
retary determines is not advisable or feasible, the 
analysis and justification of the Secretary in making 
that determination; and 
(4) in the case of a recommendation the Sec-
retary determines is already being implemented, the 
analysis and justification of the Secretary in making 
that determination. 
(h) BRIEFINGS BY THE SECRETARY.—Not less fre-
quently than annually during the five-year period following 
the receipt of the report of the task force under subsection 
(c)(1), the Secretary of Defense shall provide to the con-
gressional defense committees a briefing on— 
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(1) the progress of the Secretary of Defense in 
analyzing and implementing the recommendations 
made by the task force; 
(2) any programs, projects, or other activities of 
the Department of Defense that are being carried 
out to implement such recommendations; and 
(3) the amount of funding provided for such 
programs, projects, and activities. 
(i) APPROPRIATE CONGRESSIONAL COMMITTEES DE-
FINED.—In this section, the term ‘‘appropriate congres-
sional committees’’ means— 
(1) the Committee on Armed Services and the 
Committee on Veterans’ Affairs of the House of 
Representatives; and 
(2) the Committee on Armed Services and the 
Committee on Veterans’ Affairs of the Senate. 
SEC. 730. DISCLOSURES BY ENTITIES RECEIVING GRANTS 
THE SECRETARY OF DEFENSE FOR BIO-
MEDICAL RESEARCH. 
Any entity that receives a grant from the Secretary 
of Defense for biomedical research shall— 
(1) disclose to the Secretary each corporate par-
ent, affiliate, and subsidiary of such entity; and 
(2) certify to the Secretary that such entity 
does not receive funding from— 
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(A) the Chinese Communist Party; 
(B) a company included in the non-SDN 
Chinese military-industrial complex companies 
list maintained by the Secretary of the Treas-
ury; or 
(C) an entity on the sanctions list of the 
Office of Foreign Assets Control of the Depart-
ment of the Treasury. 
SEC. 731. DROP BOXES ON MILITARY INSTALLATIONS FOR 
DEPOSIT OF UNUSED PRESCRIPTION DRUGS. 
Not later than one year after the date of the enact-
ment of this Act, the Secretary of Defense shall submit 
a report to the Committee on Armed Services of the House 
of Representatives on the effectiveness of the program es-
tablished under Department of Defense Instruction 
6025.25, titled the ‘‘Drug Take Back Program’’, or suc-
cessor program. Such report shall include such rec-
ommendations on actions to improve or expand the pro-
gram as the Secretary of Defense determines appropriate. 
SEC. 732. INDIVIDUAL ACQUISITION FOR COMMERCIAL 
LEASING SERVICES. 
Section 877(c) of the John S. McCain National De-
fense Authorization Act for Fiscal Year 2019 is amended 
by striking ‘‘shall terminate on December 31, 2022’’ and 
inserting ‘‘shall terminate on December 31, 2032’’. 
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SEC. 733. IMPROVEMENTS TO TRICARE PROVIDER DIREC-
TORIES. 
(a) VERIFICATION; UPDATES.—A managed support 
contractor that supports TRICARE and maintains a di-
rectory of health care providers shall verify and update 
such directory not less than once every 90 days. 
(b) DATABASES.—A managed support contractor de-
scribed in subsection (a) shall update a database not later 
than two days after receipt of information that affects 
such database. 
(c) ANNUAL REVIEWS.—The Director of the Defense 
Health Agency shall review directories described in sub-
section (a) not less than once each year. 
SEC. 734. WAIVER OF CERTAIN REQUIREMENTS TO FACILI-
TATE URGENT ACCESS TO MENTAL HEALTH 
CARE 
SERVICES 
BY 
MEMBERS 
OF 
THE 
ARMED FORCES. 
The Director of the Defense Health Agency shall 
waive any requirement for a member of the Armed Forces 
to undergo an intake screening from a provider of the De-
partment of Defense at a military medical treatment facil-
ity prior to receiving a mental health care service from 
a TRICARE-authorized civilian provider if the Director 
determines— 
(1) such service may not be provided at a mili-
tary medical treatment facility during the 48-hour 
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HR 2670 RDS
period following the time at which the member pre-
sents with the condition requiring such service; and 
(2) urgent circumstances necessitate the rapid 
provision of such service. 
SEC. 735. POLICY OF DEFENSE HEALTH AGENCY ON EX-
PANDED RECOGNITION OF BOARD CERTIFI-
CATIONS FOR PHYSICIANS. 
(a) IN GENERAL.—Not later than 180 days after the 
date of the enactment of this Act, the Director of the De-
fense Health Agency shall revise the policy of the Defense 
Health Agency related to credentialing and privileging 
under the military health system to expand the recognition 
of board certification for physicians under such policy to 
a wide range of additional board certifications in medical 
specialties and subspecialties. 
(b) BASELINE STANDARDS FOR RECOGNITION.—To 
receive recognition, a physician board certification must 
meet the standards for recognition set forth, which shall 
ensure that the specialty or subspecialty board certifi-
cation reflects that any board certified physician has been 
certified by one of the following certifying bodies: 
(1) Under Multi-Specialty Organizations a phy-
sician should be board certified by one of the fol-
lowing: 
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(A) The American Board of Medical Spe-
cialties. 
(B) The American Osteopathic Association. 
(C) The American Board of Physician Spe-
cialties. 
(2) Under Singular Specialty Organizations a 
physician should be board certified by one of the fol-
lowing: 
(A) Certifying Boards approved by the 
Council on Podiatric Medical Educations. 
(B) The American Board of Oral and Max-
illofacial Surgery. 
(C) The American Board of Pain Medicine. 
(3) Should the physician board certification not 
be listed contact the identified organization of which 
each certifying body must maintain the following; 
(A) 
A 
website 
that 
allows 
for 
the 
verification of the certification that meets the 
standards of the NCQA, URAC, et al. 
(B) Must be a 501 nonprofit organization 
with a headquarter office. 
(C) Have a full-time certification staff with 
a psychometrician maintaining all testing psy-
chometric processes. 
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(D) Must maintain certification through 
continuous maintenance or recertification proc-
esses, with a requirement of continuous knowl-
edge development that maintains a demonstra-
tion component of testing [and/or] assessment. 
This will ensure physicians maintain their 
knowledge in the specialty or subspecialty in 
which they practice safeguarding patient safety 
and care. 
(E) Primary source verification of edu-
cation and training of all applicants. 
SEC. 736. PROHIBITION OF MASK MANDATE TO PREVENT 
THE SPREAD OF COVID-19 ON A MILITARY IN-
STALLATION IN THE UNITED STATES. 
The Secretary of Defense may not require that an 
individual wear a mask, in order to prevent the spread 
of COVID-19, on a military installation inside the United 
States. 
Subtitle C—Studies and Reports 
SEC. 741. AMENDMENTS TO REPORT ON BEHAVIORAL 
HEALTH WORKFORCE OF THE DEPARTMENT 
OF DEFENSE. 
Section 737 of the James M. Inhofe National Defense 
Authorization Act for Fiscal Year 2023 (Public Law 117– 
263) is amended as follows: 
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(1) In subsection (c)(1)— 
(A) by redesignating subparagraph (H) as 
subparagraph (M); and 
(B) by inserting, after subparagraph (G), 
the following new subparagraphs: 
‘‘(H) The number of behavioral health pro-
viders performing active duty who are perma-
nently assigned to positions outside of their 
field of training (including command, recruit-
ment or training, and staff assignments). 
‘‘(I) The extent to which collateral duties 
affect the ability of behavioral health providers 
described in subparagraph (H) to provide care. 
‘‘(J) The number of civilian behavioral 
health providers with collateral administrative 
duties, and the extent to which such duties af-
fect such providers/ ability to provide care. 
‘‘(K) The effects of preventing behavioral 
health providers from serving in positions rel-
evant to their fields. 
‘‘(L) An analysis of how a full-time equiva-
lent is calculated and the feasibility of stand-
ardizing the calculation within and across the 
Armed Forces.’’. 
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(2) In subsection (e), by adding at the end the 
following new paragraph: 
‘‘(11) The term ‘behavioral health provider’ in-
cludes a— 
‘‘(A) licensed independent clinical social 
worker; 
‘‘(B) psychologist; 
‘‘(C) licensed mental health counselor; 
‘‘(D) licensed marriage and family thera-
pist; 
‘‘(E) psychiatric nurse mental health clin-
ical specialist; or 
‘‘(F) psychiatrist.’’. 
SEC. 742. COMPREHENSIVE STRATEGY ON FORCE RESIL-
IENCE OF THE DEPARTMENT OF DEFENSE. 
(a) ESTABLISHMENT.—Not later than 270 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 House of Representatives and pub-
lish a comprehensive strategy on force resilience that pro-
vides a proactive, intentional approach to holistic health 
within the Total Force Fitness framework of the Depart-
ment of Defense. Such strategy shall include the following: 
(1) Priorities and objectives determined by the 
Secretary. 
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(2) Assessments of the effectiveness of current 
models, including the Holistic Health and Fitness 
model, and focusing on other models that are data- 
driven and evidence-based. 
(3) Implementation of the recommendation in 
the Report to Congress on the Department of De-
fense Plan to Achieve the Vision of the DoD Task 
Force on Mental Health, dated September 19, 2007, 
to provide embedded health care and support profes-
sional in high-risk units. 
(4) Provision of care in all health domains. 
(5) A reevaluation of operational requirements 
to ensure that embedded positions are appropriately 
billeted, funded, trained, and deployable (if deemed 
necessary). 
(6) Participation of the prevention workforce of 
the Department. 
(b) IMPLEMENTATION.—Not later than 90 days after 
publishing the strategy under subsection (a), the Secretary 
shall implement such strategy. 
(c) REPORTS.—The Secretary shall submit to the 
Committees on Armed Services of the Senate and House 
of Representatives a report not less than once each year 
on the progress of the implementation of the strategy until 
the Secretary determines all objectives of the strategy have 
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been achieved. Each such report shall include the fol-
lowing: 
(1) Challenges or barriers to implementation of 
the strategy. 
(2) An assessment of the effectiveness of the 
embedded health care professionals and support pro-
fessionals. 
(3) Any workforce challenges in finding quali-
fied trained professionals to implement elements of 
the strategy. 
(4) Improvements to the strategy implemented 
by the Secretary. 
(d) DEFINITIONS.—In this section: 
(1) The term ‘‘covered Armed Force’’ means 
the Army, Navy, Marine Corps, Air Force, or Space 
Force. 
(2) The term ‘‘health care professional’’ in-
cludes a psychiatrist, psychologist, licensed clinical 
social worker, nurse practitioner, or mental health 
technician. 
(3) The term ‘‘high-risk unit’’ means a unit of 
a covered Armed Force that the Secretary of the 
military department concerned determines is exposed 
to high levels of stress, trauma, and operational 
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tempo, and is more likely to experience negative 
health outcomes. 
(4) The term ‘‘support professional’’ means 
trained a professional in a field that immediately 
supports force resilience, such as a chaplain, nutri-
tionist, athletic trainer, or financial counselor. 
SEC. 743. STUDY ON NON-CLINICAL MENTAL HEALTH SERV-
ICES OF THE DEPARTMENT OF DEFENSE. 
(a) STUDY REQUIRED.—The Secretary of Defense, in 
coordination with the Secretaries of the military depart-
ments, shall conduct a study regarding the following: 
(1) How NCMH programs (including the Mili-
tary and Family Life Counseling Program), are im-
plemented throughout the Department of Defense, 
including distribution of NCMH professionals. 
(2) The differences in roles and responsibilities 
between NCMH professionals and clinical mental 
health professionals. 
(3) How the effectiveness of NCMH profes-
sionals and NCMH programs are measured. 
(4) The processes by which NCMH profes-
sionals— 
(A) track services they provide; 
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(B) refer and track such referrals to clin-
ical mental health professionals, chaplains, and 
other service providers; and 
(C) ease the transition for such a referral 
to ensure a treatment plan continues smoothly. 
(5) The costs to the United States of NCMH 
programs of the Department during the calendar 
years 2019 through 2023. 
(6) The outcomes of NCMH programs. 
(7) Recommendations for the future of NCMH 
programs. 
(b) REPORT.—Not later than June 1, 2024, the Sec-
retary of Defense shall submit to the Committees on 
Armed Services of the Senate and House of Representa-
tives a report containing the results of the study under 
this section. 
(c) NCMH DEFINED.—The term ‘‘NCMH’’ means 
non-clinical mental health. 
SEC. 744. CLINICAL STUDY ON TREATMENT OF CERTAIN 
MEMBERS 
WITH 
CERTAIN 
CONDITIONS 
USING CERTAIN PSYCHEDELIC SUBSTANCES. 
(a) ESTABLISHMENT.—Not later than 90 days after 
the date of enactment of this Act, the Secretary of Defense 
shall carry out a clinical study in military treatment facili-
ties on the treatment of members of the covered Armed 
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Forces serving on active duty with a covered condition 
using covered psychedelic substances. 
(b) REPORT REQUIRED.—Not later than one year 
after the date of the enactment of this Act, the Secretary 
shall submit to the Committees on Armed Services of the 
House of Representatives and the Senate a report on the 
results of the clinical study. The report shall include the 
following: 
(1) The number of members of the covered 
Armed Forces who participated in the clinical study. 
(2) The findings of such clinical study. 
(c) DEFINITIONS.—In this section: 
(1) The term ‘‘covered Armed Force’’ means 
the Army, Navy, Marine Corps, Air Force, or Space 
Force. 
(2) The term ‘‘covered condition’’ means any of 
the following: 
(A) Post-traumatic stress. 
(B) Traumatic brain injury. 
(C) Chronic traumatic encephalopathy. 
(3) The term ‘‘covered psychedelic substances’’ 
means any of the following: 
(A) 3,4-methylenedioxy-methamphetamine 
(commonly known as ‘‘MDMA’’). 
(B) Psilocybin. 
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(C) Ibogaine. 
(D) 
5–Methoxy-N,N-dimethyltryptamine 
(commonly known as ‘‘DMT’’). 
SEC. 745. STUDY ON OPIOID ALTERNATIVES. 
(a) ESTABLISHMENT.—Not later than 90 days after 
the date of the enactment of this Act, the Secretary of 
Defense shall carry out a study in military treatment fa-
cilities on the efficacy of opioid alternatives for pain man-
agement. 
(b) REPORT.—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 
House of Representatives a report on the results of the 
study under this section. Such report shall include rec-
ommendations of the Secretary regarding the use of opioid 
alternatives in military treatment facilities. 
(c) OPIOID ALTERNATIVE DEFINED.—In this sec-
tion, the term ‘‘opioid alternative’’ includes the following: 
(1) Cryotherapy. 
(2) Hyperbaric oxygen therapy. 
(3) Sensory deprivation. 
SEC. 746. REPORT ON OVERDOSES BY MEMBERS OF CER-
TAIN ARMED FORCES. 
(a) ANNUAL REPORT ON MILITARY OVERDOSES.— 
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(1) IN
GENERAL.—Not later than one year 
after the date of the enactment of this Act, and an-
nually thereafter for four subsequent years, the Sec-
retary of Defense shall submit to the appropriate 
congressional committees a report on the number of 
annual overdoses among members of the covered 
Armed Forces. 
(2) ELEMENTS.—The report required by para-
graph (1) shall include the following elements: 
(A) The total number of such members 
who suffered a fatal overdose during the pre-
vious calendar year, including— 
(i) demographic information, including 
gender, race, age, military department, 
rank, grade, station, and number of pre-
vious deployments; 
(ii) the location of the fatal overdose, 
including whether the overdose was on a 
military installation; and 
(iii) a list of the substances involved 
in the fatal overdose. 
(B) Of the members identified under sub-
paragraph (A)— 
(i) the number of members who pre-
viously had a non-fatal overdose; 
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(ii) the number of members who re-
ceived mental health or substance use dis-
order services prior to a fatal or non-fatal 
overdose, including a description of wheth-
er such services were received from a pri-
vate sector provider; 
(iii) the number of members with co- 
morbid mental health diagnoses; 
(iv) the number of members who had 
been prescribed opioids, benzodiazepines, 
or stimulants; 
(v) the number of members who were 
previously prescribed or provided naloxone; 
(vi) the number of members who had 
a positive drug test prior to the fatal over-
dose, including any substance identified in 
such test; 
(vii) the number of members referred, 
including by self-referral, to medical treat-
ment, including medication treatment for 
opioid use disorder; 
(viii) with respect to each members 
identified in clause (vii), whether the mem-
bers was referred after a positive drug test 
and the source of such referral; 
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(iii) the number of members with co- 
morbid mental health diagnoses prior to a 
non-fatal overdose; 
(iv) the number of members who had 
been prescribed opioids, benzodiazepines, 
or stimulants prior to a non-fatal overdose; 
(v) the number of members who had 
a positive drug test prior to the fatal over-
dose, including any substance identified in 
such test; 
(vi) the number of members who suf-
fered a non-fatal overdose in which a by-
stander was present; 
(vii) the number of members who had 
been categorized as high risk and pre-
scribed or provided naloxone prior to a 
non-fatal overdose; 
(viii) the number of members who suf-
fered a non-fatal overdose in which 
naloxone was administered; 
(ix) the number of members referred 
to medical treatment, including medication 
treatment for opioid use disorder, following 
a non-fatal overdose; 
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(G) The number of such members who are 
in recovery or currently taking a prescription 
medication for opioid use disorder. 
(H) The number of military family mem-
bers of such members who receive substance 
use disorder treatment at a medical facility of 
the Department of Defense. 
(I) An assessment of the availability of 
substance use disorder treatment for such mem-
bers who— 
(i) transferred military bases; or 
(ii) returned to the United States fol-
lowing an overseas tour. 
(J) The number of medical facilities of, or 
affiliated with, the Department of Defense that 
have opioid treatment programs. 
(K) A description of punitive measures 
taken by the Secretary of Defense in response 
to substance misuse, substance use disorder, or 
overdose by such members. 
(L) The number of military family mem-
bers who live on a military base who suffered 
a fatal or non-fatal overdose during the pre-
vious calendar year, including— 
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(i) demographic information, including 
gender, race, age, and relationship to a 
members; 
(ii) the location of the overdose; 
(iii) a list of the substances involved 
in the overdose; and 
(iv) a determination of whether the 
overdose was intentional. 
(3) REPORTING ON FEWER THAN FIVE MEM-
BERS.—If the number of such members or military 
family members identified under any subparagraph 
of paragraph (2) is fewer than five, the Secretary of 
Defense shall for, such subparagraph— 
(A) not report the exact number of such 
members or military family members identified; 
and 
(B) report that fewer than five such mem-
bers or military family members were identified. 
(4) PRIVACY.—Nothing in this section shall be 
construed to authorize the disclosure by the Sec-
retary of Defense of personally identifiable informa-
tion of such members or military family members, 
including anonymized personal information that 
could be used to re-identify such members or mili-
tary family members. 
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(b) DEFINITIONS.—In this section: 
(1) The term ‘‘appropriate congressional com-
mittees’’ means— 
(A) the congressional defense committees; 
(B) the Committee on Health, Education, 
Labor, and Pensions of the Senate; and 
(C) the Committee on Energy and Com-
merce of the House of Representatives. 
(2) The term ‘‘covered Armed Force’’ means 
the Army, Navy, Marine Corps, Air Force, or Space 
Force. 
(3) The term ‘‘military family member’’ means 
a family member of a member of a covered Armed 
Force, including a spouse, parent, dependent, child, 
or guardian of a child of such a member. 
SEC. 747. FEASIBILITY REPORT REGARDING DHA EMPLOY-
MENT OF CERTAIN MENTAL HEALTH PRO-
VIDERS AWAITING LICENSURE. 
(a) REPORT REQUIRED.—Not later than September 
30, 2024, the Secretary of Defense shall submit to the 
Committees on Armed Services of the Senate and House 
of Representatives a report on the feasibility of revising 
policies of DHA regarding the supervision of covered men-
tal health employees in order to align with the policies set 
forth in VHA Directive 1027 of the Veterans Health Ad-
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ministration (dated October 23, 2019). In determining 
such feasibility, the Secretary shall consider issues includ-
ing the following: 
(1) The need to employ covered mental health 
employees in DHA. 
(2) The capacity of licensed mental health pro-
fessionals employed in DHA to supervise covered 
mental health employees. 
(3) The effects of such alignment on access by 
members of the Armed Forces to mental health care. 
(4) The potential risks and costs to the United 
States of such alignment. 
(5) Any statutory or regulatory changes nec-
essary for such alignment. 
(b) DEFINITIONS.—In this section: 
(1) The term ‘‘covered mental health employee’’ 
means an individual— 
(A) employed by the Defense Health Agen-
cy as a psychologist, social worker, professional 
mental health counselor, or marriage and family 
therapist; and 
(B) who has yet to be licensed in such pro-
fession by a State. 
(2) The term ‘‘DHA’’ means the Defense 
Health Agency. 
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(3) The term ‘‘State’’ has the meaning given 
such term in section 901 of title 32, United States 
Code. 
SEC. 748. STUDY ON HEALTH CARE AVAILABLE TO INDIVID-
UALS SUPPORTING THE MISSIONS OF UNITED 
STATES FORCES, JAPAN, AND JOINT REGION 
MARIANAS. 
(a) STUDY REQUIRED.—The Commander, United 
States Indo-Pacific Command, shall conduct a study to de-
termine whether health care services available to covered 
individuals is sufficient to support— 
(1) the missions of United States Forces, 
Japan, and Joint Region Marianas; and 
(2) the National Defense Strategy. 
(b) ELEMENTS.—The study under this section shall 
include the following elements: 
(1) With regards to health care services fur-
nished through the military health system to covered 
individuals, an assessment of— 
(A) the sufficiency of such services; and 
(B) challenges to such services. 
(2) A assessment of the availability of health 
care services to covered individuals, including— 
(A) the sufficiency of such services; and 
(B) challenges to such services. 
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(3) A mission risk assessment for United States 
Forces, Japan, and Joint Region Marianas if health 
care services furnished through the military health 
system were available in the following scenarios: 
(A) To members, civilian employees of the 
Department of Defense, and dependents of such 
members and employees, only. 
(B) To covered individuals on a space- 
available basis, pursuant to the policy memo-
randum of the Defense Health Agency dated 
March 1, 2023. 
(C) To all covered individuals. 
(4) A mission cost analysis based on the risk 
assessment under paragraph (3). 
(5) Recommendations of the Commander re-
garding the assessment under paragraph (3) and the 
analysis under paragraph (4), including a rec-
ommendation regarding which scenario in paragraph 
(3) best supports the National Defense Strategy for 
the areas of responsibility of United States Forces, 
Japan, and Joint Region Marianas. 
(c) BRIEFINGS; REPORT.—The Commander, in co-
ordination with the Assistant Secretary of Defense for 
Health Affairs, shall submit to the Committees on Armed 
Services of the Senate and House of Representatives— 
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(1) an interim briefing on the study not later 
than 60 days after the date of the enactment of this 
Act; 
(2) a final briefing not later than one year after 
the date of the enactment of this Act; and 
(3) a final report not later than one year after 
the date of the enactment of this Act, including rec-
ommendations regarding legislation or funding to 
improve care services furnished through the military 
health system to covered individuals. 
(d) DEFINITIONS.—In this section: 
(1) The term ‘‘covered individual’’ means an in-
dividual who supports the mission of United States 
Forces, Japan, or Joint Region Marianas, includ-
ing— 
(A) a member of the Armed Forces; 
(B) an employee of the Federal Govern-
ment; 
(C) a dependent of a member described in 
subparagraph (B) or an employee described in 
subparagraph (C); or 
(D) an employee of an entity that has en-
tered into an agreement with the United States. 
(2) The term ‘‘health care services’’ includes 
such health care services furnished— 
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(A) through the military health system; 
and 
(B) by a source not described in subpara-
graph (A). 
SEC. 749. UNITED STATES-ISRAEL PTSD COLLABORATIVE 
RESEARCH. 
(a) GRANT PROGRAM FOR INCREASED COOPERATION 
ON POST-TRAUMATIC STRESS DISORDER RESEARCH BE-
TWEEN UNITED STATES AND ISRAEL.— 
(1) SENSE OF CONGRESS.—It is the sense of 
Congress that the Secretary of Defense, acting 
through the Psychological Health and Traumatic 
Brain Injury Research Program, should seek to ex-
plore scientific collaboration between American aca-
demic institutions and nonprofit research entities, 
and Israeli institutions with expertise in researching, 
diagnosing, and treating post-traumatic stress dis-
order. 
(2) GRANT PROGRAM.—The Secretary of De-
fense, in coordination with the Secretary of Veterans 
Affairs and the Secretary of State, shall award 
grants to eligible entities to carry out collaborative 
research between the United States and Israel with 
respect to post-traumatic stress disorders. The Sec-
retary of Defense shall carry out the grant program 
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under this subsection in accordance with the agree-
ment titled ‘‘Agreement Between the Government of 
the United States of America and the Government 
of Israel on the United States-Israel Binational 
Science Foundation’’, dated September 27, 1972. 
(3) ELIGIBLE ENTITIES.—To be eligible to re-
ceive a grant under this subsection, an entity shall 
be an academic institution or a nonprofit entity lo-
cated in the United States. 
(4) AWARD.—The Secretary shall award grants 
under this subsection to eligible entities that— 
(A) carry out a research project that— 
(i) addresses a requirement in the 
area of post-traumatic stress disorders that 
the Secretary determines appropriate to re-
search using such grant; and 
(ii) is conducted by the eligible entity 
and an entity in Israel under a joint re-
search agreement; and 
(B) meet such other criteria that the Sec-
retary may establish. 
(5) APPLICATION.—To be eligible to receive a 
grant under this subsection, an eligible entity shall 
submit an application to the Secretary at such time, 
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in such manner, and containing such commitments 
and information as the Secretary may require. 
(6) GIFT AUTHORITY.—The Secretary may ac-
cept, hold, and administer, any gift of money made 
on the condition that the gift be used for the pur-
pose of the grant program under this subsection. 
Such gifts of money accepted under this paragraph 
shall be deposited in the Treasury in the Depart-
ment of Defense General Gift Fund and shall be 
available, subject to appropriation, without fiscal 
year limitation. 
(7) REPORTS.—Not later than 180 days after 
the date on which an eligible entity completes a re-
search project using a grant under this subsection, 
the Secretary shall submit to Congress a report that 
contains— 
(A) a description of how the eligible entity 
used the grant; and 
(B) an evaluation of the level of success of 
the research project. 
(b) TERMINATION.—The authority to award grants 
under subsection (a) shall terminate on the date that is 
seven years after the date on which the first such grant 
is awarded. 
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SEC. 750. FEASIBILITY STUDY ON CREATION OF CENTERS 
OF EXCELLENCE IN UKRAINE FOR TREAT-
MENT OF TRAUMATIC BRAIN INJURIES AND 
TRAUMATIC EXTREMITY INJURIES. 
The Secretary of Defense shall conduct a feasibility 
study to— 
(1) determine whether opportunities exist for 
the head of the center of excellence established 
under section 723 of the Duncan Hunter National 
Defense Authorization Act for Fiscal Year 2009 (38 
U.S.C. 7327 note) to collaborate with an appropriate 
counterpart from the Government of Ukraine to es-
tablish a center of excellence of Ukraine for the 
treatment of traumatic extremity injury in Ukraine 
with the purpose of providing for the mitigation, 
treatment, and rehabilitation of traumatic extremity 
injuries and amputations experienced in Ukraine as 
a result of Russian aggression; and 
(2) determine whether opportunities exist for 
the head of the center of excellence established 
under section 1621 of the National Defense Author-
ization Act for Fiscal Year 2008 (Public Law 110– 
181; 122 Stat. 453; 10 U.S.C. 1071 note) to col-
laborate with an appropriate counterpart from the 
Government of Ukraine to establish a center of ex-
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cellence of Ukraine for the treatment of traumatic 
brain injury in Ukraine with the purpose of— 
(A) improving the lives of individuals af-
fected by traumatic brain injury experienced in 
Ukraine as a result of Russian aggression and 
improving the lives of the family members of 
any such individual; and 
(B) collaborating with such individuals, 
such family members, referring providers, and 
relevant researchers to provide to such individ-
uals, to the extent possible— 
(i) a point of entry into the health 
care system; 
(ii) a clear path through diagnosis, 
treatment, and reintegration, with respect 
to traumatic brain injury; and 
(iii) consistent access to high quality 
treatment, research, and education, with 
respect to traumatic brain injury. 
SEC. 751. TESTOSTERONE LEVELS AMONG MEMBERS OF 
SPECIAL FORCES OF THE ARMY: STUDY; RE-
PORT. 
(a) STUDY.—The Under Secretary of Defense for 
Personnel and Readiness shall conduct a five-year study, 
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beginning in fiscal year 2024, with respect to the following 
elements: 
(1) Whether members of special forces of the 
Army at entry to the qualification course have high-
er levels of testosterone than the average male civil-
ian for that age group. 
(2) The effects of special forces training and 
deployments on levels of testosterone of such mem-
bers. 
(3) The quality of testing for decreased testos-
terone levels among such members, and whether 
testing should be conducted at later times of the day 
to more accurately reflect testosterone levels. 
(4) Assistance offered to prevent and treat de-
creasing testosterone levels among such members. 
(5) The impacts of decreased testosterone levels 
on readiness of such members. 
(6) The impacts of decreased testosterone levels 
on the long-term health of such members. 
(7) Anything the Under Secretary determines 
appropriate. 
(b) REPORTS.— 
(1) INTERIM REPORT.—Not later than one year 
after the date of the enactment of this Act, the 
Under Secretary shall submit to the congressional 
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defense committees an interim report on the study 
under subsection (a), including recommendations of 
the Under Secretary regarding— 
(A) the appropriateness of conducting a 
pilot program to provide testosterone replace-
ment therapy to such members; and 
(B) providing natural remedies to such 
members to prevent testosterone loss, including 
personalized meal plans, exercise plans, sleep 
recommendations, and actions to improve bone 
density and red blood count. 
(2) FINAL REPORT.—Not later than one year 
after completing the study under subsection (a), the 
Under Secretary shall submit to the congressional 
defense committees a final report regarding such 
study. 
(3) FORM.—A report under this subsection 
shall be submitted in an unclassified form, but may 
include a classified annex. 
SEC. 752. GAO REPORT ON TRICARE PAYMENTS TO BEHAV-
IORAL HEALTH PROFESSIONALS. 
(a) REPORT REQUIRED.—Not later than one year 
after the date of the enactment of this Act, the Comp-
troller General of the United States shall submit to the 
Committees on Armed Services of the House of Represent-
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atives and the Senate the results of a study on TRICARE 
payments to TRICARE network behavioral professionals. 
(b) ELEMENTS.—The study shall include a com-
prehensive analysis of the following elements: 
(1) The timeliness of such payments. 
(2) The accuracy of such payments. 
(3) The extent to which contractors comply 
with section 6.2.1 of the TRICARE Operations 
Manual. 
(4) Areas of improvement that would enhance 
and improve the administrative process of such pay-
ments. 
SEC. 753. REPORT ON MENTAL HEALTH PROVIDER READI-
NESS DESIGNATIONS. 
Not later than 90 days after the date of the enact-
ment of this Act, the Secretary of Defense shall update 
the registry and provider lists under subsection (b) of sec-
tion 717 of the National Defense Authorization Act for 
Fiscal Year 2016 (Public Law 114–92; 129 Stat. 868; 10 
U.S.C. 1073 note) and submit to the congressional defense 
committees a report containing— 
(1) the number of providers that have received 
a mental health provider readiness designation under 
such section 717, disaggregated by geographic re-
gion and provider specialty; and 
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(2) recommendations to incentivize, or other-
wise increase the number of, providers with such 
designation. 
SEC. 754. STUDY ON ACCESSABILITY OF MENTAL HEALTH 
PROVIDERS 
AND 
SERVICES 
FOR 
ACTIVE 
DUTY MEMBERS OF THE ARMED FORCES. 
(a) STUDY.—The Secretary of Defense shall conduct 
a study on the accessibility of mental health care providers 
and services for members of the Armed Forces serving on 
active duty, including an assessment of— 
(1) the accessibility of mental health care pro-
viders on military installations; 
(2) the accessibility of inpatient services for 
mental health care for such members; and 
(3) steps that may be taken to improve such ac-
cessibility. 
(b) REPORT.—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 Services of the 
House of Representatives and the Senate a report con-
taining the findings of the study under subsection (a). 
SEC. 755. STUDY AND REPORT ON MENTAL HEALTH CARE 
FOR PILOTS AND AVIATORS. 
(a) STUDY.—The Secretary of Defense and the Sec-
retary of Health and Human Services shall collaborate on 
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a study on the barriers to mental health care for military 
pilots and aviators. The study shall include the develop-
ment of a set of recommendations to ensure that pilots 
and aviators who need mental health care have— 
(1) no more barriers to care; 
(2) no more consequences for seeking care; and 
(3) no less scientifically-robust bases for being 
treated and re-cleared for duty than pilots and avi-
ators who need physical health care. 
(b) REPORT.—Not later than one year after the date 
of the enactment of this Act, the Secretary of Defense and 
the Secretary of Health and Human Services shall jointly 
submit to Congress a report that contains the results of 
the study required under subsection (a). 
SEC. 756. MEDICAL RESEARCH AND DEVELOPMENT STRAT-
EGY FOR COMBINED TRAUMATIC INJURIES 
SUSTAINED IN COMBAT OPERATIONS. 
(a) STRATEGY.—Not later than May 31, 2024, the 
Assistant Secretary of Defense for Health Affairs (in co-
ordination with the Surgeons General of the Armed 
Forces, the Assistant Secretary of Defense for Nuclear, 
Chemical, and Biological Defense Programs, the Joint 
Trauma Analysis and Prevention of Injury in Combat 
partnership, and the National Center for Medical Intel-
ligence) shall develop a strategy to address medical re-
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search and development gaps essential to furnishing med-
ical care to casualties experiencing combined traumatic in-
juries and injuries resulting from exposures across the 
chemical, biological, radiological, and nuclear spectrum. 
(b) ELEMENTS.—The strategy under subsection (a) 
shall include, at a minimum, the following: 
(1) An assessment of the investments made by 
the Secretary of Defense into supporting efforts re-
lated to such combined injuries. 
(2) A review of the laboratory and medical 
product development capabilities of the Department 
of Defense to conduct research and development 
into, and support the transition and fielding of, 
treatments for such combined injuries; 
(3) An identification of any clinical practice 
guidelines to treat combined such combined injuries, 
and recommendations to amend any such guidelines. 
(4) Recommendations for increased investments 
in research and development to be made by the Sec-
retary of Defense for the conduct of preclinical re-
search, for the purpose of— 
(A) optimizing the treatment of such com-
bined injuries; and 
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(B) protecting health care providers and 
other medical personnel furnishing such treat-
ment. 
(5) A plan for the engagement between the De-
partment of Defense and institutions of higher edu-
cation with medical centers, and other similar enti-
ties, to support public-private partnerships to ad-
dress such combined injuries. 
(c) BRIEFING.—Not later than 30 days after the date 
on which the Assistant Secretary of Defense for Health 
Affairs completes the strategy under subsection (a), the 
Assistant Secretary shall provide to the congressional de-
fense committees a briefing on such strategy. 
SEC. 757. REPORT ON PLAN FOR COVERAGE OF CERTAIN 
DEVICES CAPABLE OF PREVENTING AND 
TREATING MIGRAINES FOR MILITARY PER-
SONNEL. 
Not later than February 1, 2024, the Assistant Sec-
retary of Defense for Health Affairs shall submit to the 
Committees on Armed Services of the House of Represent-
atives and the Senate a report on the plan of the Assistant 
Secretary to cover non-pharmacological, neuromodulation 
migraine prevention and treatment devices approved by 
the Food and Drug Administration capable of preventing 
and treating migraines for military personnel. 
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SEC. 758. STUDY ON UNINTENDED CONSEQUENCES OF RE-
DUCTION RELATING TO 6TH MEDICAL GROUP 
AT MACDILL AIR FORCE BASE IN TAMPA, 
FLORIDA. 
The Secretary of Defense shall conduct a study on 
the unintended consequences of the determination by the 
Director of the Defense Health Agency to make reductions 
with respect to the 6th Medical Group at MacDill Air 
Force Base located in Tampa, Florida, pursuant to section 
703 of the National Defense Authorization Act for Fiscal 
Year 2017 (Public Law 114–328; 130 Stat. 2197) and 
the amendments made by such section. 
SEC. 759. EPIDEMIOLOGICAL CONSULTATION REGARDING 
MEMBERS ASSIGNED TO CREECH AIR FORCE 
BASE. 
(a) CONSULTATION.—The Secretary of the Air 
Force, in coordination with the Director of the Defense 
Health Agency, shall conduct a behavioral health epide-
miological consultation on unique social and occupational 
stressors affecting members of the Air Force assigned to 
at Creech Air Force Base and dependents of such mem-
bers. 
(b) REPORT.—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 
House of Representatives a report that includes— 
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(1) an executive summary of findings from con-
sultation; and 
(2) recommendations regarding how to address 
key findings to improve the quality of life and resil-
iency of such members and dependents. 
SEC. 760. COMPTROLLER GENERAL REPORT ON EXCEP-
TIONAL FAMILY MEMBER PROGRAM. 
The Comptroller General of the United States shall 
conduct a study, and submit to the Secretary of Defense 
and Congress a report, on how the Exceptional Family 
Member Program currently supports members of the 
Armed Forces and children with intellectual and develop-
mental disabilities, including any limitations in the re-
sources available under such Program that affect the de-
livery of necessary services and information for such mem-
bers and their children, how to improve Program out-
comes, and how mental health and other support services 
could be further integrated in the delivery of care under 
the Program. 
SEC. 761. PERIODIC REPORTS ON TRICARE COVERAGE OF 
NARCAN. 
The Secretary of Defense shall submit to Congress 
periodic reports on how the Department of Defense is en-
suring adequate full TRICARE coverage of Narcan 
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(Naloxone) for Members of the Armed Forces and their 
families. 
SEC. 762. REPORT ON TRICARE AND CHAMPVA IN-HOME 
AND NURSING CARE. 
Not later than 180 days after the date of the enact-
ment of this Act, the Secretary of Defense shall submit 
to Congress a report on any discrepancies between in- 
home and nursing care provided under TRICARE and 
CHAMPVA. 
SEC. 763. STUDY ON EFFECT OF CANCER DRUG SHORT-
AGES. 
The Secretary of Defense shall conduct a study on 
the effect of the cancer drug shortage on veterans and 
members of the Armed Forces. 
SEC. 764. HOUSING ACCOMMODATIONS FOR MILITARY FAM-
ILIES ON HOUSING WAITLISTS. 
(a) WAITLIST ACCOMMODATIONS.—The Secretary of 
Defense shall provide to members of the Armed Forces 
and their dependents who, when undergoing a permanent 
change of station, are placed on a waitlist for on-base 
housing for a period of more than 10 days following the 
date of arrival at the new location, temporary accommoda-
tions for the entire duration of such period appropriate 
for the total size and composition of the family of the 
member and at a rate not to exceed the basic allowance 
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medical challenges related to extreme cold weather envi-
ronments. 
(b) ELEMENTS.—The strategy under subsection (a) 
shall include, at a minimum, the following: 
(1) An identification of future extreme cold 
weather medical requirements and capabilities nec-
essary to support operational health and readiness in 
Arctic conditions. 
(2) An identification of any current or potential 
partnerships with institutions of higher education 
with academic medical centers, or other entities, to 
support current and future medical requirements of 
members of the Armed Forces in extreme cold 
weather environments. 
(3) Requirements of the Department of Defense 
for laboratories and medical product development, 
including requirements for research and development 
to support the transition and fielding of medical 
products for extreme cold weather environments. 
(4) An identification of extreme cold weather 
medical capability gaps and actions necessary to 
close or mitigate those gaps. 
(5) Recommendations to amend relevant clinical 
practice guidelines to treat injuries sustained in ex-
treme cold weather environments. 
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(1) REVIEW
OF
ACTIONS
OF
SELECTION 
BOARDS AND CORRECTION OF MILITARY RECORDS.— 
Section 1558 is amended— 
(A) inserting ‘‘, or the Space Force,’’ after 
‘‘reserve component’’ each place it appears; and 
(B) in subsection (b)— 
(i) in paragraph (1)(C), by striking 
‘‘section 628 or 14502’’ and inserting 
‘‘section 628, 14502, or 20252’’; 
(ii) in paragraph (2)(A), by striking 
‘‘or 14705’’ and inserting ‘‘14507, or 
20403’’; and 
(iii) in paragraph (2)(B)(i), by strik-
ing 
‘‘or 
14101(a)’’ 
and 
inserting 
‘‘14101(a), or 20211’’. 
(2) TITLE
OF
AIR
FORCE
SERVICE
REVIEW 
AGENCY.— 
(A) Sections 1555(c)(3) and 1557(f)(3) 
are amended by inserting ‘‘the Department of’’ 
after ‘‘Air Force,’’. 
(B) Section 1556(a) is amended by insert-
ing ‘‘the Department of’’ after ‘‘the Army Re-
view Boards Agency,’’. 
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