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nurses, licensed professional counselors, or clinical 
social workers. 
(2) Suicide prevention counselors. 
(g) TIMELINE.— 
(1) The demonstration project required by this 
section shall be implemented not later than Sep-
tember 30, 2010. 
(2) Authority for this demonstration project 
shall expire on September 30, 2012. 
(h) REPORTS.—The Secretary of Defense shall sub-
mit to the congressional defense committees— 
(1) a plan to implement the demonstration 
project, including site selection and criteria for 
choosing the site, not later than June 1, 2010; 
(2) an interim report every 180 days thereafter; 
and 
(3) a final report detailing the results not later 
than January 1, 2013. 
SEC. 710. REPORT ON JOINT VIRTUAL LIFETIME ELEC-
TRONIC RECORD. 
Not later than December 31, 2009, the Secretary of 
Defense, in coordination with the Secretary of Veterans 
Affairs, shall submit to Congress a report on the progress 
that has been made on the establishment, announced by 
the President on April 9, 2009, of a Joint Virtual Lifetime 
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Electronic Record for members of the Armed Forces to 
improve the quality of medical care and create a seamless 
integration between the Department of Defense and the 
Department of Veterans Affairs. The report shall— 
(1) explain what steps compose the Secretaries’ 
plan to fully achieve the establishment of the seam-
less record system between the two departments; 
(2) identify any unforeseen obstacles that have 
arisen that may require legislative action; and 
(3) explain how the plan relates to the mandate 
in section 1635 of the National Defense Authoriza-
tion Act for Fiscal Year 2008 (Public Law 110–181; 
10 U.S.C. 1071 note) that the Secretary of Defense 
and the Secretary of the Department of Veterans 
Affairs jointly develop and implement, by September 
30, 2009, electronic health record systems or capa-
bilities that allow for full interoperability of personal 
health care information between the Department of 
Defense and the Department of Veterans Affairs. 
SEC. 710A. SUICIDE AMONG MEMBERS OF THE INDIVIDUAL 
READY RESERVE. 
(a) FINDINGS.—Congress finds that veterans who are 
members of the Individual Ready Reserve (in this section 
referred to as the ‘‘IRR’’) and are not assigned to units 
that muster regularly and have an established support 
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structure are less likely to be helped by existing suicide 
prevention programs run by the Secretary of Defense and 
the Secretary of Veterans Affairs. 
(b) IN GENERAL.—The Secretary of Defense shall 
ensure that all covered members receive a counseling call 
from properly trained personnel not less than once every 
90 days so long as the member remains a member of the 
IRR. 
(c) PERSONNEL.—In carrying out this section, the 
Secretary shall ensure the following: 
(1) Personnel conducting calls determine the 
emotional, psychological, medical, and career needs 
and concerns of the covered member.
(2) Any covered member identified as being at- 
risk of self-caused harm is referred to the nearest 
military medical treatment facility or accredited 
TRICARE provider for immediate evaluation and 
treatment by a qualified mental health care provider. 
(3) If a covered member is identified under 
paragraph (2), the Secretary shall confirm that the 
member has received the evaluation and any nec-
essary treatment.
(d) REPORT.—Not later than January 31 of each 
year, beginning in 2010, the Secretary shall submit to 
Congress a report on the number of IRR members not 
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assigned to units who have been referred for counseling 
or mental health treatment, as well as the health and ca-
reer status of such members. 
(e) COVERED MEMBER DEFINED.—In this section, a 
‘‘covered member’’ is a member of the Individual Ready 
Reserve who has completed at least one tour in either Iraq 
or Afghanistan. 
SEC. 710B. TREATMENT OF AUTISM UNDER TRICARE. 
(a) IN GENERAL.—Section 1077 of title 10, United 
States Code, is amended— 
(1) in subsection (a), by adding at the end the 
following new paragraph: 
‘‘(18) In accordance with subsection (g), treat-
ment of autism spectrum disorders.’’; and 
(2) by adding at the end the following new sub-
section: 
‘‘(g)(1) For purposes of subsection (a)(18), and to 
the extent that appropriated funds are available for the 
purposes of this subsection, treatment of autism spectrum 
disorders shall be provided if a health care professional 
determines that the treatment is medically necessary. 
Such treatment shall include the following: 
‘‘(A) Habilitative or rehabilitative care. 
‘‘(B) Pharmaceutical agents. 
‘‘(C) Psychiatric care. 
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‘‘(D) Psychological care. 
‘‘(E) Speech therapy. 
‘‘(F) Occupational therapy. 
‘‘(G) Physical therapy. 
‘‘(H) Group therapy, if a health care profes-
sional determines it necessary to develop, maintain, 
or restore the skills of the beneficiary. 
‘‘(I) Any other care or treatment that a health 
care professional determines medically necessary. 
‘‘(2) Beneficiaries under the age of five who have de-
velopmental delays and are considered at-risk for autism 
may not be denied access to treatment described by para-
graph (1) if a health care professional determines that the 
treatment is medically necessary. 
‘‘(3) The Secretary may not consider the use of ap-
plied behavior analysis or other structured behavior pro-
grams under this section to be special education for pur-
poses of section 1079(a)(9) of this title. 
‘‘(4) In carrying out this subsection, the Secretary 
shall ensure that— 
‘‘(A) a person who is authorized to provide ap-
plied behavior analysis or other structured behavior 
programs is licensed or certified by a state, the Be-
havior Analyst Certification Board, or other accred-
ited national certification board; and 
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‘‘(B) if applied behavior analysis or other struc-
tured behavior program is provided by an employee 
or contractor of a person authorized to provide such 
treatment, the employee or contractor shall meet 
minimum qualifications, training, and supervision 
requirements consistent with business best practices 
in the field of behavior analysis and autism services. 
‘‘(5)(A) This subsection shall not apply to a medi-
care-eligible beneficiary. 
‘‘(B) Except as provided in subparagraph (A), noth-
ing in this subsection shall be construed as limiting or oth-
erwise affecting the benefits provided to a medicare-eligi-
ble beneficiary under— 
‘‘(i) this chapter; 
‘‘(ii) part A of title XVIII of the Social Security 
Act (42 U.S.C. 1395c et seq.); or 
‘‘(iii) any other law. 
‘‘(6) In this section: 
‘‘(A) The term ‘autism spectrum disorders’ in-
cludes autistic disorder, Asperger’s syndrome, and 
any of the pervasive developmental disorders as de-
fined by the most recent edition of the Diagnostic 
and Statistical Manual of Mental Disorders. 
‘‘(B) The term ‘habilitative and rehabilitative 
care’ includes— 
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‘‘(i) professional counseling; 
‘‘(ii) guidance service; 
‘‘(iii) treatment programs, including not 
more than 40 hours per week of applied behav-
ior analysis; and 
‘‘(iv) other structured behavior programs 
that a health care professional determines nec-
essary to develop, improve, maintain, or restore 
the functions of the beneficiary. 
‘‘(C) The term ‘health care professional’ has the 
meaning given that term in section 1094(e)(2) of 
this title. 
‘‘(D) The term ‘medicare-eligible’ has the 
meaning given that term in section 1111(b) of this 
title.’’. 
(b) REGULATIONS.—Not later than 180 days after 
the date of the enactment of this Act, the Secretary of 
Defense shall prescribe such regulations as may be nec-
essary to carry out section 1077(a)(18) of title 10, United 
States Code, as added by subsection (a). 
(c) FUNDING.— 
(1) FUNDING INCREASE.—The amount other-
wise provided by section 1403 for TRICARE fund-
ing is hereby increased by $50,000,000 to provide 
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funds to carry out section 1077(a)(18) of title 10, 
United States Code, as added by subsection (a). 
(2) OFFSETTING REDUCTION.— 
(A) Reduce the amount of Operation and 
Maintenance, Army, by $25,000,000, to be de-
rived from the Service-wide Communications. 
(B) Reduce the amount of Operation and 
Maintenance, Navy, by $15,000,000, to be de-
rived from Service-wide Communications. 
(C) Reduce the amount of Research Devel-
opment Test and Evaluation, by $10,000,000, 
to be derived from Advanced Aerospace Sys-
tems Integrated Sensor IS Structure, PE 
68286E. 
Subtitle B—Reports 
SEC. 711. REPORT ON POST-TRAUMATIC STRESS DISORDER 
EFFORTS. 
(a) REPORT REQUIRED.—Not later than December 
31, 2010, the Secretary of Defense and the Secretary of 
Veterans Affairs, in consultation with the Secretary of 
Health and Human Services, shall jointly submit to the 
appropriate committees a report on the treatment of post- 
traumatic stress disorder. The report shall include the fol-
lowing: 
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(1) A list of each program and method available 
for the prevention, screening, diagnosis, treatment, 
or rehabilitation of post-traumatic stress disorder, 
including— 
(A) the rates of success for each such pro-
gram or method (including an operational defi-
nition of the term ‘‘success’’ and a discussion of 
the process used to quantify such rates); 
(B) the number of members of the Armed 
Forces and veterans diagnosed by the Depart-
ment of Defense or the Department of Veterans 
Affairs as having post-traumatic stress disorder 
and the number of such veterans who have been 
successfully treated; and 
(C) any collaborative efforts between the 
Department of Defense and the Department of 
Veterans Affairs to prevent, screen, diagnose, 
treat, or rehabilitate post-traumatic stress dis-
order. 
(2) The status of studies and clinical trials in-
volving innovative treatments of post-traumatic 
stress disorder that are conducted by the Depart-
ment of Defense, the Department of Veterans Af-
fairs, or the private sector, including— 
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(A) efforts to identify physiological mark-
ers of post-traumatic stress disorder; 
(B) with respect to efforts to determine 
causation of post-traumatic stress disorder, 
brain imaging studies and the correlation be-
tween brain region atrophy and post-traumatic 
stress disorder diagnoses and the results (in-
cluding any interim results) of such efforts; 
(C) the effectiveness of alternative thera-
pies in the treatment of post-traumatic stress 
disorder, including the therapeutic use of ani-
mals; 
(D) the effectiveness of administering 
pharmaceutical agents before, during, or after a 
traumatic event in the prevention and treat-
ment of post-traumatic stress disorder; and 
(E) identification of areas in which the De-
partment of Defense and the Department of 
Veterans Affairs may be duplicating studies, 
programs, or research with respect to post-trau-
matic stress disorder. 
(3) A description of each treatment program for 
post-traumatic stress disorder, including a compari-
son of the methods of treatment by each program, 
at the following locations: 
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(A) Fort Hood, Texas. 
(B) Fort Bliss, Texas. 
(C) Fort Campbell, Tennessee. 
(D) Other locations the Secretary of De-
fense considers appropriate. 
(4) The respective annual expenditure by the 
Department of Defense and the Department of Vet-
erans Affairs for the treatment and rehabilitation of 
post-traumatic stress disorder. 
(5) A description of gender-specific and racial 
and ethnic group-specific mental health treatment 
and services available for members of the Armed 
Forces, including— 
(A) the availability of such treatment and 
services; 
(B) the access to such treatment and serv-
ices; 
(C) the need for such treatment and serv-
ices; and 
(D) the efficacy and adequacy of such 
treatment and services. 
(6) A description of areas for expanded future 
research with respect to post-traumatic stress dis-
order. 
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(7) Any other matters the Secretaries consider 
relevant. 
(b) UPDATED REPORT REQUIRED.—Not later than 
December 31, 2012, the Secretary of Defense and the Sec-
retary of Veterans Affairs, in consultation with the Sec-
retary of Health and Human Services, shall jointly submit 
to the appropriate committees an update of the report re-
quired by subsection (a). 
(c) APPROPRIATE COMMITTEES DEFINED.—In this 
section, the term ‘‘appropriate committees’’ means— 
(1) the Committee on Armed Services, the 
Committee on Appropriations, the Committee on 
Veterans’ Affairs, and the Committee on Energy and 
Commerce of the House of Representatives; and 
(2) the Committee on Armed Services, the 
Committee on Appropriations, the Committee on 
Veterans’ Affairs, and the Committee on Health, 
Education, Labor, and Pensions of the Senate. 
SEC. 712. REPORT ON THE FEASIBILITY OF TRICARE PRIME 
IN CERTAIN COMMONWEALTHS AND TERRI-
TORIES OF THE UNITED STATES. 
(a) STUDY REQUIRED.—The Secretary of Defense 
shall conduct a study examining the feasibility and cost- 
effectiveness of offering TRICARE Prime in each of the 
following locations: 
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(1) American Samoa. 
(2) Guam. 
(3) The Commonwealth of the Northern Mar-
iana Islands. 
(4) The Commonwealth of Puerto Rico. 
(5) The Virgin Islands. 
(b) REPORT.—Not later than 180 days after the date 
of the enactment of this Act, the Secretary shall submit 
to the congressional defense committees a report on the 
study. 
(c) TRICARE PRIME DEFINED.—In this section, the 
term ‘‘TRICARE Prime’’ has the meaning given that term 
in section 1097a(f)(1) of title 10, United States Code. 
SEC. 713. REPORT ON THE HEALTH CARE NEEDS OF MILI-
TARY FAMILY MEMBERS. 
(a) REPORT REQUIRED.—Not later than 1 year after 
the date of the enactment of this Act, the Secretary of 
Defense shall submit to the congressional defense commit-
tees a report on the health care needs of dependents (as 
defined in section 1072(2) of title 10, United States 
Code). The report shall include, at a minimum, the fol-
lowing: 
(1) With respect to both the direct care system 
and the purchased care system, an analysis of the 
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type of health care facility in which dependents seek 
care. 
(2) The 10 most common medical conditions for 
which dependents seek care. 
(3) The availability of and access to health care 
providers to treat the conditions identified under 
paragraph (2), both in the direct care system and 
the purchased care system. 
(4) Any shortfalls in the ability of dependents 
to obtain required health care services. 
(5) Recommendations on how to improve access 
to care for dependents. 
(6) With respect to dependents accompanying a 
member stationed at a military installation outside 
of the United States, the need for and availability of 
mental health care services. 
(b) PILOT PROGRAM.— 
(1) ELEMENTS.—The Secretary of the Army 
shall carry out a pilot program on the mental health 
care needs of military children and adolescents. In 
carrying out the pilot program, the Secretary shall 
establish a center to— 
(A) develop teams to train primary care 
managers in mental health evaluations and 
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treatment of common psychiatric disorders af-
fecting children and adolescents; 
(B) develop strategies to reduce barriers to 
accessing behavioral health services and encour-
age better use of the programs and services by 
children and adolescents; and 
(C) expand the evaluation of mental heath 
care using common indicators, including— 
(i) psychiatric hospitalization rates; 
(ii) 
non-psychiatric 
hospitalization 
rates; and 
(iii) mental health relative value units. 
(2) REPORTS.— 
(A) INTERIM REPORT.—Not later than 90 
days after establishing the pilot program, the 
Secretary of the Army shall submit to the con-
gressional defense committees a report describ-
ing the— 
(i) structure and mission of the pro-
gram; and 
(ii) the resources allocated to the pro-
gram. 
(B) FINAL REPORT.—Not later than Sep-
tember 30, 2012, the Secretary of the Army 
shall submit to the congressional defense com-
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mittees a report that addresses the elements de-
scribed under paragraph (1). 
SEC. 714. REPORT ON STIPENDS FOR MEMBERS OF RE-
SERVE COMPONENTS FOR HEALTH CARE FOR 
CERTAIN DEPENDENTS. 
Not later than 90 days after the date of the enact-
ment of this Act, the Secretary of Defense shall submit 
to the congressional defense committees a report on sti-
pends paid under section 704 of the National Defense Au-
thorization Act for Fiscal Year 2008 (Public Law 110– 
181; 122 Stat. 188; 10 U.S.C. 1076 note). The report 
shall include— 
(1) the number of stipends paid; 
(2) the amount of the average stipend; and 
(3) the number of members who received such 
stipends. 
SEC. 715. REPORT ON THE REQUIRED NUMBER OF MILI-
TARY MENTAL HEALTH PROVIDERS. 
Not later than 1 year after the date of the enactment 
of this Act, the Secretary of Defense shall submit to the 
congressional defense committees a report on the appro-
priate number of military mental health providers required 
to meet the mental health care needs of members of the 
Armed Forces, retired members, and dependents. The re-
port shall include, at a minimum, the following: 
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(1) An evaluation of the recommendation titled 
‘‘Ensure an Adequate Supply of Uniformed Pro-
viders’’ made by the Department of Defense Task 
Force on Mental Health established by section 723 
of the National Defense Authorization Act for Fiscal 
Year 2006 (Public Law 109–163; 119 Stat. 3348). 
(2) The criteria and models used to determine 
the appropriate number of military mental health 
providers. 
(3) A plan for how the Secretary of Defense 
will achieve the appropriate number of military men-
tal health providers, including timelines, budgets, 
and any additional legislative authority the Secretary 
determines is required for such plan. 
SEC. 716. REPORT ON RURAL ACCESS TO HEALTH CARE. 
The Secretary of Defense shall submit to the congres-
sional defense committees a report on the health care of 
rural members of the Armed Forces and individuals who 
receive health care under chapter 55 of title 10, United 
States. The report shall include recommendations of re-
sources or legislation the Secretary determines necessary 
to improve access to health care for such individuals. 
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TITLE VIII—ACQUISITION POL-
ICY, ACQUISITION MANAGE-
MENT, AND RELATED MAT-
TERS 
Subtitle A—Acquisition Policy and Management 
Sec. 801. Temporary authority to acquire products and services produced in 
countries along a major route of supply to Afghanistan; Re-
port. 
Sec. 802. Assessment of improvements in service contracting. 
Sec. 803. Display of annual budget requirements for procurement of contract 
services and related clarifying technical amendments. 
Sec. 804. Demonstration authority for alternative acquisition process for de-
fense information technology programs. 
Sec. 805. Limitation on performance of product support integrator functions. 
Subtitle B—Amendments to General Contracting Authorities, Procedures, and 
Limitations 
Sec. 811. Revision of Defense Supplement relating to payment of costs prior to 
definitization. 
Sec. 812. Revisions to definitions relating to contracts in Iraq and Afghanistan. 
Sec. 813. Amendment to notification requirements for awards of single source 
task or delivery orders. 
Sec. 814. Clarification of uniform suspension and debarment requirement. 
Sec. 815. Extension of authority for use of simplified acquisition procedures for 
certain commercial items. 
Sec. 816. Revision to definitions of major defense acquisition program and 
major automated information system. 
Sec. 817. Small Arms Production Industrial Base. 
Sec. 818. Publication of justification for bundling of contracts of the Depart-
ment of Defense. 
Sec. 819. Contract authority for advanced component development or prototype 
units. 
Subtitle C—Other Matters 
Sec. 821. Enhanced expedited hiring authority for defense acquisition workforce 
positions. 
Sec. 822. Acquisition Workforce Development Fund amendments. 
Sec. 823. Reports to Congress on full deployment decisions for major auto-
mated information system programs. 
Sec. 824. Requirement for Secretary of Defense to deny award and incentive 
fees to companies found to jeopardize health or safety of Gov-
ernment personnel. 
Sec. 825. Authorization for actions to correct the industrial resource shortfall 
for high-purity beryllium metal in amounts not in excess of 
$85,000,000. 
Sec. 826. Review of post employment restrictions applicable to the Department 
of Defense. 
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Sec. 827. Requirement to buy military decorations, ribbons, badges, medals, in-
signia, and other uniform accouterments produced in the 
United States. 
Sec. 828. Findings and report on the usage of rare earth materials in the de-
fense supply chain. 
Sec. 829. Furniture standards. 
Subtitle A—Acquisition Policy and 
Management 
SEC. 801. TEMPORARY AUTHORITY TO ACQUIRE PRODUCTS 
AND SERVICES PRODUCED IN COUNTRIES 
ALONG A MAJOR ROUTE OF SUPPLY TO AF-
GHANISTAN; REPORT. 
(a) IN GENERAL.—In the case of a product or service 
to be acquired in support of military or stability operations 
in Afghanistan for which the Secretary of Defense makes 
a determination described in subsection (b), the Secretary 
may conduct a procurement in which— 
(1) competition is limited to products or serv-
ices that are from one or more countries along a 
major route of supply to Afghanistan; or 
(2) a preference is provided for products or 
services that are from one or more countries along 
a major route of supply to Afghanistan. 
(b) DETERMINATION.—A determination described in 
this subsection is a determination by the Secretary that— 
(1) the product or service concerned is to be 
used only by personnel that ship goods, or provide 
support for shipping goods, for military forces, po-
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lice, or other security personnel of Afghanistan, or 
for military or civilian personnel of the United 
States, United States allies, or Coalition partners 
operating in military or stability operations in Af-
ghanistan; 
(2) it is in the national security interest of the 
United States to limit competition or provide a pref-
erence as described in subsection (a) because such 
limitation or preference is necessary— 
(A) to reduce overall United States trans-
portation costs and risks in shipping goods in 
support of military or stability operations in Af-
ghanistan; 
(B) to encourage countries along a major 
route of supply to Afghanistan to cooperate in 
expanding supply routes through their territory 
in support of military or stability operations in 
Afghanistan; or 
(C) to help develop more robust and endur-
ing routes of supply to Afghanistan; and 
(3) limiting competition or providing a pref-
erence as described in subsection (a) will not ad-
versely affect— 
(A) military or stability operations in Af-
ghanistan; or 
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(B) the United States industrial base. 
(c) PRODUCTS, SERVICES, AND SOURCES FROM A 
COUNTRY ALONG A MAJOR ROUTE OF SUPPLY TO AF-
GHANISTAN.—For the purposes of this section: 
(1) A product is from a country along a major 
route of supply to Afghanistan if it is mined, pro-
duced, or manufactured in a covered country. 
(2) A service is from a country along a major 
route of supply to Afghanistan if it is performed in 
a covered country by citizens or permanent resident 
aliens of a covered country. 
(3) A source is from a country along a major 
route of supply to Afghanistan if it— 
(A) is located in a covered country; and 
(B) offers products or services that are 
from a covered country. 
(d) COVERED COUNTRY DEFINED.—In this section, 
the term ‘‘covered country’’ means Georgia, Kyrgyzstan, 
Pakistan, Armenia, Azerbaijan, Kazakhstan, Tajikistan, 
Uzbekistan, or Turkmenistan. 
(e) CONSTRUCTION WITH OTHER AUTHORITY.—The 
authority provided in subsection (a) is in addition to the 
authority set forth in section 886 of the National Defense 
Authorization Act for Fiscal Year 2008 (Public Law 110– 
181; 122 Stat. 266; 10 U.S.C. 2302 note). 
VerDate Nov 24 2008 
23:17 Jul 06, 2009
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