368 
(9) Section 477 is amended by adding at the 
end the following new subsection: 
‘‘(i) TERMINATION.—No dislocation allowance may 
be paid under this section for a move that begins after 
the travel authorities transition expiration date.’’. 
(10) Section 478 is amended by adding at the 
end the following new subsection: 
‘‘(c) TERMINATION.—No travel and transportation 
allowance, payment, or reimbursement may be provided 
under this section for travel that begins after the travel 
authorities transition expiration date.’’. 
(11) Section 479 is amended by adding at the 
end the following new subsection: 
‘‘(e) TERMINATION.—No transportation of a house 
trailer or mobile home, or storage or payment in connec-
tion therewith, may be provided under this section for 
transportation that begins after the travel authorities 
transition expiration date.’’. 
(12) Section 481 is amended by adding at the 
end the following new subsection: 
‘‘(e) TERMINATION.—The regulations prescribed 
under this section shall cease to be in effect as of the trav-
el authorities transition expiration date.’’. 
(13) Section 481a is amended by adding at the 
end the following new subsection:
369 
‘‘(c) TERMINATION.—No travel and transportation 
allowance may be provided under this section for travel 
that is authorized after the travel authorities transition 
expiration date.’’. 
(14) Section 481b is amended by adding at the 
end the following new subsection: 
‘‘(h) TERMINATION.—No travel and transportation 
allowance may be provided under this section for travel 
that is authorized after the travel authorities transition 
expiration date.’’. 
(15) Section 481c is amended by adding at the 
end the following new subsection: 
‘‘(c) TERMINATION.—No transportation may be pro-
vided under this section after the travel authorities transi-
tion expiration date, and no payment may be made under 
this section for transportation that begins after that 
date.’’. 
(16) Section 481d is amended by adding at the 
end the following new subsection: 
‘‘(d) TERMINATION.—No transportation may be pro-
vided under this section after the travel authorities transi-
tion expiration date.’’. 
(17) Section 481e is amended by adding at the 
end the following new subsection:
370 
‘‘(c) TERMINATION.—No travel and transportation 
allowance or reimbursement may be provided under this 
section for travel that begins after the travel authorities 
transition expiration date.’’. 
(18) Section 481f is amended by adding at the 
end the following new subsection: 
‘‘(h) TERMINATION.—No travel and transportation 
allowance or reimbursement may be provided under this 
section for travel that begins after the travel authorities 
transition expiration date.’’. 
(19) Section 481h is amended by adding at the 
end the following new subsection: 
‘‘(e) TERMINATION.—No transportation, allowance, 
reimbursement, or per diem may be provided under this 
section for travel that begins after the travel authorities 
transition expiration date.’’. 
(20) Section 481i is amended by adding at the 
end the following new subsection: 
‘‘(c) TERMINATION.—No reimbursement may be pro-
vided under this section for expenses incurred after the 
travel authorities transition expiration date.’’. 
(21) Section 481j is amended by adding at the 
end the following new subsection: 
‘‘(e) TERMINATION.—No transportation, allowance, 
reimbursement, or per diem may be provided under this
371 
section for travel that begins after the travel authorities 
transition expiration date.’’. 
(22) Section 481k is amended by adding at the 
end the following new subsection: 
‘‘(e) TERMINATION.—No transportation, allowance, 
or reimbursement may be provided under this section for 
travel that begins after the travel authorities transition ex-
piration date.’’. 
(23) Section 484 is amended by adding at the 
end the following new subsection: 
‘‘(k) TERMINATION.—No transportation, allowance, 
or reimbursement may be provided under this section for 
a move that begins after the travel authorities transition 
expiration date.’’. 
(24) Section 488 is amended— 
(A) by inserting ‘‘(a) AUTHORITY.—’’ be-
fore ‘‘In addition’’; and 
(B) by adding at the end the following new 
subsection: 
‘‘(b) TERMINATION.—No reimbursement may be pro-
vided under this section for expenses incurred after the 
travel authorities transition expiration date.’’. 
(25) Section 489 is amended— 
(A) by inserting ‘‘(a) AUTHORITY.—’’ be-
fore ‘‘In addition’’; and
372 
(B) by adding at the end the following new 
subsection: 
‘‘(e) TERMINATION.—No transportation or allowance 
may be provided under this section for travel that begins 
after the travel authorities transition expiration date.’’. 
(26) Section 490 is amended by adding at the 
end the following new subsection: 
‘‘(g) TERMINATION.—No transportation, allowance, 
reimbursement, or per diem may be provided under this 
section for travel that begins after the travel authorities 
transition expiration date.’’. 
(27) Section 492 is amended by adding at the 
end the following new subsection: 
‘‘(c) TERMINATION.—No transportation or allowance 
may be provided under this section for travel that begins 
after the travel authorities transition expiration date.’’. 
(28) Section 494 is amended by adding at the 
end the following new subsection: 
‘‘(d) TERMINATION.—No reimbursement may be pro-
vided under this section for expenses incurred after the 
travel authorities transition expiration date.’’. 
(29) Section 495 is amended by adding at the 
end the following new subsection:
373 
‘‘(c) TERMINATION.—No allowance may be paid 
under this section for any day after the travel authorities 
transition expiration date.’’. 
SEC. 635. TECHNICAL AND CLERICAL AMENDMENTS. 
(a) CHAPTER HEADING.—The heading of chapter 7 
of title 37, United States Code, is amended to read as 
follows: 
‘‘CHAPTER 7—ALLOWANCES OTHER THAN 
TRAVEL AND TRANSPORTATION AL-
LOWANCES’’. 
(b) TABLE OF CHAPTERS.—The table of chapters 
preceding chapter 1 of such title is amended by striking 
the item relating to chapter 7 and inserting the following 
new items: 
‘‘7. Allowances Other Than Travel and Transportation Allowances ........
401
‘‘8. Travel and Transportation Allowances ...............................................
451’’. 
(c) TABLE OF SECTIONS.— 
(1) CHAPTER 7.—The table of sections at the 
beginning of chapter 7 of such title is amended by 
striking the items relating to sections 404 through 
412, 428 through 432, 434, and 435. 
(2) CHAPTER 8.—The table of sections at the 
beginning of chapter 8 of such title, as added by sec-
tion 632, is amended— 
(A) by inserting after the item relating to 
section 454 the following new item:
374 
‘‘455. Appropriations for travel: may not be used for attendance at certain meet-
ings.’’; and 
(B) by inserting after the item relating to 
section 463 the following: 
‘‘SUBCHAPTER III—TRAVEL AND TRANSPORTATION AUTHORITIES—OLD LAW 
‘‘Sec. 
‘‘471. Travel authorities transition expiration date. 
‘‘472. Definitions and other incorporated provisions of chapter 7. 
‘‘474. Travel and transportation allowances: general. 
‘‘474a. Travel and transportation allowances: temporary lodging expenses. 
‘‘474b. Travel and transportation allowances: payment of lodging expenses at 
temporary duty location during authorized absence of member. 
‘‘475. Travel and transportation allowances: per diem while on duty outside the 
continental United States. 
‘‘475a. Travel and transportation allowances: departure allowances. 
‘‘476. Travel and transportation allowances: dependents; baggage and household 
effects. 
‘‘476a. Travel and transportation allowances: authorized for travel performed 
under orders that are canceled, revoked, or modified. 
‘‘476b. Travel and transportation allowances: members of the uniformed services 
attached to a ship overhauling or inactivating. 
‘‘476c. Travel and transportation allowances: members assigned to a vessel 
under construction. 
‘‘477. Travel and transportation allowances: dislocation allowance. 
‘‘478. Travel and transportation allowances: travel within limits of duty station. 
‘‘478a. Travel and transportation allowances: inactive duty training outside of 
the normal commuting distances. 
‘‘479. Travel and transportation allowances: house trailers and mobile homes. 
‘‘480. Travel and transportation allowances: miscellaneous categories. 
‘‘481. Travel and transportation allowances: administrative provisions. 
‘‘481a. Travel and transportation allowances: travel performed in connection 
with convalescent leave. 
‘‘481b. Travel and transportation allowances: travel performed in connection 
with leave between consecutive overseas tours. 
‘‘481c. Travel and transportation allowances: travel performed in connection 
with rest and recuperative leave from certain stations in for-
eign countries. 
‘‘481d. Travel and transportation allowances: transportation incident to personal 
emergencies for certain members and dependents. 
‘‘481e. Travel and transportation allowances: transportation incident to certain 
emergencies for members performing temporary duty. 
‘‘481f. Travel and transportation allowances: transportation for survivors of de-
ceased member to attend the member’s burial ceremonies. 
‘‘481g. Travel and transportation allowances: transportation incident to vol-
untary extensions of overseas tours of duty. 
‘‘481h. Travel and transportation allowances: transportation of family members 
incident to illness or injury of members. 
‘‘481i. Travel and transportation allowances: parking expenses. 
‘‘481j. Travel and transportation allowances: transportation of family members 
incident to the repatriation of members held captive.
375 
‘‘481k. Travel and transportation allowances: non-medical attendants for mem-
bers determined to be very seriously or seriously wounded, ill, 
or injured. 
‘‘484. Travel and transportation: dependents of members in a missing status; 
household and personal effects; trailers; additional movements; 
motor vehicles; sale of bulky items; claims for proceeds; appro-
priation chargeable. 
‘‘488. Allowance for recruiting expenses. 
‘‘489. Travel and transportation allowances: minor dependent schooling. 
‘‘490. Travel and transportation: dependent children of members stationed over-
seas. 
‘‘491. Benefits for certain members assigned to the Defense Intelligence Agency. 
‘‘492. Travel and transportation: members escorting certain dependents. 
‘‘494. Subsistence reimbursement relating to escorts of foreign arms control in-
spection teams. 
‘‘495. Funeral honors duty: allowance.’’. 
(3) CHAPTER 10.—The table of sections at the 
beginning of chapter 10 of such title is amended by 
striking the item relating to section 554. 
(d) CROSS REFERENCES.— 
(1) DEFENSE LAWS.—Any section of title 10, 
32, or 37, United States Code, that includes a ref-
erence to a section of title 37 that is transferred and 
redesignated by section 633 is amended so as to con-
form the reference to the section number of the sec-
tion as so redesignated. 
(2) OTHER LAWS.—Any reference in a provision 
of law other than a section of title 10 or 37, United 
States Code, to a section of title 37 that is trans-
ferred and redesignated by section 633 is deemed to 
refer to the section as so redesignated. 
SEC. 636. TRANSITION PROVISIONS. 
(a) IMPLEMENTATION PLAN.—The Secretary of De-
fense shall develop a plan to implement subchapters I and
376 
II of chapter 8 of title 37, United States Code, as added 
by section 632, and to transition all of the travel and 
transportation programs for members of the uniformed 
services under chapter 7 of title 37, United States Code, 
solely to provisions of those subchapters by the end of the 
transition period. 
(b) AUTHORITY FOR MODIFICATIONS TO OLD LAW 
AUTHORITIES DURING TRANSITION PERIOD.—During the 
transition period, the Secretary of Defense and the Secre-
taries concerned (as defined in section 101(5) of title 37, 
United States Code), in using the authorities under sub-
chapter III of chapter 8 of title 37, United States Code, 
as added by section 633, may apply those authorities sub-
ject to the terms of such provisions and such modifications 
as the Secretary of Defense may include in the implemen-
tation plan required under subsection (a) or in any subse-
quent modification to that implementation plan. 
(c) COORDINATION.—The Secretary of Defense shall 
prepare the implementation plan under subsection (a) and 
any modification to that plan under subsection (b) in co-
ordination with— 
(1) the Secretary of Homeland Security, with 
respect to the Coast Guard;
377 
(2) the Secretary of Health and Human Serv-
ices, with respect to the commissioned corps of the 
Public Health Service; and 
(3) the Secretary of Commerce, with respect to 
the National Oceanic and Atmospheric Administra-
tion. 
(d) TRANSITION PERIOD.—In this section, the term 
‘‘transition period’’ means the 10-year period beginning 
on the first day of the first month beginning after the date 
of the enactment of this Act. 
Subtitle E—Commissary and Non-
appropriated Fund Instrumen-
tality Benefits and Operations 
SEC. 641. EXPANSION OF USE OF UNIFORM FUNDING AU-
THORITY TO INCLUDE PERMANENT CHANGE 
OF STATION AND TEMPORARY DUTY LODG-
ING PROGRAMS OPERATED THROUGH NON-
APPROPRIATED FUND INSTRUMENTALITIES. 
(a) INCLUSION OF ADDITIONAL PROGRAMS.—Sub-
section (a) of section 2491 of title 10, United States Code, 
is amended— 
(1) by striking ‘‘Under regulations’’ and insert-
ing ‘‘(1) Under regulations’’;
378 
(2) by striking ‘‘morale, welfare, and recreation 
programs’’ the first place it appears and inserting 
‘‘a program specified in paragraph (2)’’; 
(3) by striking ‘‘morale, welfare, and recreation 
programs’’ the second place it appears and inserting 
‘‘such programs’’; and 
(4) by adding at the end the following new 
paragraph: 
‘‘(2) This section applies with respect to the fol-
lowing: 
‘‘(A) Morale, welfare, and recreation programs 
of the Department of Defense. 
‘‘(B) Permanent change of station and tem-
porary duty lodging programs conducted as supple-
mental mission programs of the Department of De-
fense.’’. 
(b) CONFORMING AMENDMENTS.—Such section is 
further amended— 
(1) in subsection (b), by striking ‘‘morale, wel-
fare, and recreation program’’ and inserting ‘‘pro-
gram specified in subsection (a)(2)’’; and 
(2) in subsection (c)(1), by striking ‘‘morale, 
welfare, and recreation programs within the Depart-
ment of Defense’’ and inserting ‘‘a program speci-
fied in subsection (a)(2)’’.
379 
(c) CLERICAL AMENDMENTS.— 
(1) SECTION HEADING.—The heading of such 
section is amended to read as follows: 
‘‘§ 2491. Uniform funding and management of morale, 
welfare, and recreation programs and 
certain supplemental mission programs’’. 
(2) TABLE OF SECTIONS.—The table of sections 
at the beginning of subchapter III of chapter 147 of 
such title is amended by striking the item relating 
to section 2491 and inserting the following new 
item: 
‘‘2491. Uniform funding and management of morale, welfare, and recreation 
programs and certain supplemental mission programs.’’. 
SEC. 
642. 
CONTRACTING 
AUTHORITY 
FOR 
NON-
APPROPRIATED FUND INSTRUMENTALITIES 
TO PROVIDE AND OBTAIN GOODS AND SERV-
ICES. 
(a) CLARIFICATION OF MULTI-YEAR AND PARTNER-
SHIP ISSUES.—Section 2492 of title 10, United States 
Code, is amended to read as follows: 
‘‘§ 2492. 
Nonappropriated 
fund 
instrumentalities: 
contracting authority to provide and ob-
tain goods and services 
‘‘(a) CONTRACT AUTHORITY.—An agency or instru-
mentality of the Department of Defense that supports the 
operation of the exchange system, or the operation of a
380 
morale, welfare, and recreation system, of the Department 
of Defense may enter into a single-year or multi-year con-
tract or other agreement to provide or obtain goods and 
services beneficial to the efficient management and oper-
ation of the exchange system or that morale, welfare, and 
recreation system with any of the following: 
‘‘(1) Another element of the Department of De-
fense. 
‘‘(2) Another Federal department, agency, or 
instrumentality. 
‘‘(3) A private-sector entity. 
‘‘(b) INCLUSION OF CERTAIN SERVICES.—Contracts 
and other agreements authorized by subsection (a) may 
include a contract or agreement to provide or obtain rec-
reational, educational, family support, or youth develop-
mental programs and services. 
‘‘(c) PARTNERSHIPS.—Contracts and other agree-
ments authorized by subsection (a) may include partner-
ships with private-sector entities that provide programs 
and services at no cost to the Government on military in-
stallations using Government facilities and other support 
resources.’’. 
(b) CLERICAL AMENDMENT.—The table of sections 
at the beginning of subchapter III of chapter 147 of such
381 
title is amended by striking the item relating to section 
2492 and inserting the following new item: 
‘‘2492. Nonappropriated fund instrumentalities: contracting authority to provide 
and obtain goods and services.’’. 
SEC. 643. DESIGNATION OF FISHER HOUSE FOR THE FAMI-
LIES OF THE FALLEN AND MEDITATION PA-
VILION AT DOVER AIR FORCE BASE AS A 
FISHER HOUSE. 
Section 2493 of title 10, United States Code, is 
amended by adding at the end the following new sub-
section: 
‘‘(h) TREATMENT OF FISHER HOUSE FOR THE FAMI-
LIES
OF
THE FALLEN
AND MEDITATION PAVILION, 
DOVER AIR FORCE BASE.—(1) The Fisher House for the 
Families of the Fallen and Meditation Pavilion at Dover 
Air Force Base, Delaware, is deemed to be a Fisher House 
for purposes of this section and any other law applicable 
to Fisher Houses and Fisher Suites. 
‘‘(2) The Fisher House for the Families of the Fallen 
and Meditation Pavilion at Dover Air Force Base shall 
be available for use by the following: 
‘‘(A) The primary next of kin of a member of 
the armed forces who dies while located or serving 
overseas.
382 
‘‘(B) Other family members of the member eli-
gible for transportation under section 411f(e) of title 
37. 
‘‘(C) An escort of a family member described in 
subparagraph (A) or (B).’’. 
SEC. 644. DISCRETION OF THE SECRETARY OF THE NAVY 
TO SELECT CATEGORIES OF MERCHANDISE 
TO BE SOLD BY SHIP STORES AFLOAT. 
Section 7604(c) of title 10, United States Code, is 
amended by striking ‘‘shall’’ and inserting ‘‘may’’. 
SEC. 645. ACCESS OF MILITARY EXCHANGE STORES SYS-
TEM TO CREDIT AVAILABLE THROUGH FED-
ERAL FINANCING BANK. 
Section 2487 of title 10, United States Code, is 
amended by adding at the end the following new sub-
section: 
‘‘(c) ACCESS
OF EXCHANGE STORES SYSTEM
TO 
FEDERAL FINANCING BANK.—To facilitate the provision 
of in-store credit to patrons of the exchange stores system 
while reducing the costs of providing such credit, the Army 
and Air Force Exchange Service, Navy Exchange Service 
Command, and Marine Corps exchanges may issue and 
sell their obligations to the Federal Financing Bank as 
provided in section 6 of the Federal Financing Bank Act 
of 1973 (12 U.S.C. 2285).’’.
383 
SEC. 646. ENHANCED COMMISSARY STORES PILOT PRO-
GRAM. 
(a) AUTHORITY
TO
OPERATE
ENHANCED
COM-
MISSARY STORES.—Subchapter II of chapter 147 of title 
10, United States Code, is amended by inserting after sec-
tion 2488 the following new section: 
‘‘§ 2488a. Enhanced commissary stores 
‘‘(a) AUTHORITY TO OPERATE.—The Defense Com-
missary Agency may operate an enhanced commissary 
store at a military installation designated for closure or 
adverse realignment under a base closure law. 
‘‘(b) ADDITIONAL CATEGORIES OF MERCHANDISE.— 
(1) In addition to selling items in the merchandise cat-
egories specified in subsection (b) of section 2484 of this 
title in the manner provided by such section, an enhanced 
commissary store also may sell items in the following cat-
egories as commissary merchandise: 
‘‘(A) Alcoholic beverages. 
‘‘(B) Tobacco products. 
‘‘(C) Items in such other merchandise cat-
egories (not covered by subsection (b) of section 
2484 of this title) as the Secretary of Defense may 
authorize. 
‘‘(2) Subsections (c) and (g) of section 2484 of this 
title shall not apply with regard to the selection, or method 
of sale, of merchandise in the categories specified in sub-
384 
paragraphs (A) and (B) of paragraph (1) or in any other 
merchandise category authorized under subparagraph (C) 
of such paragraph for sale in, at, or by an enhanced com-
missary store. 
‘‘(c) SALES
PRICE
ESTABLISHMENT
AND
SUR-
CHARGE.—Subsections (d) and (e) of section 2484 of this 
title shall not apply to the pricing of merchandise in the 
categories specified in subparagraphs (A) and (B) of para-
graph (1) of subsection (b) or in any other merchandise 
category authorized under subparagraph (C) of such para-
graph for sale in, at, or by an enhanced commissary store. 
Instead, the Secretary of Defense shall determine appro-
priate prices for such merchandise sold in, at, or by an 
enhanced commissary store, except that prices for such 
merchandise shall be at least 10 percent below the average 
price of comparable merchandise sold in retail stores with-
in the geographic area of the enhanced commissary store. 
‘‘(d) RETENTION AND USE OF PORTION OF PRO-
CEEDS.—(1) The Secretary of Defense may retain 
amounts equal to the difference between— 
‘‘(A) the retail price of merchandise in the cat-
egories specified in subparagraphs (A) and (B) of 
paragraph (1) of subsection (b) and in other mer-
chandise categories authorized under subparagraph
386 
(1) AVAILABILITY
OF
FUNDS.—The amounts 
authorized to be appropriated by section 301 for op-
eration and maintenance for Defense-wide activities, 
as specified in the corresponding funding table in 
section 4301, is increased by $1,000,000 to support 
substance abuse prevention programs for patrons of 
enhanced commissary stores. 
(2) FUNDING
REDUCTION.—Notwithstanding 
the amounts set forth in the funding tables in divi-
sion D, the amount authorized to be appropriated in 
section 201 for research, development, test, and 
evaluation, Army, as specified in the corresponding 
funding table in division D, is hereby reduced by 
$1,000,000, with the amount of the reduction to be 
derived from the Aerostat Joint Project Office as set 
forth in the table under section 4201.
387 
Subtitle F—Disability, Retired Pay 
and Survivor Benefits 
SEC. 651. MONTHLY AMOUNT AND DURATION OF SPECIAL 
SURVIVOR INDEMNITY ALLOWANCE FOR WID-
OWS AND WIDOWERS OF DECEASED MEM-
BERS OF THE ARMED FORCES AFFECTED BY 
REQUIRED SURVIVOR BENEFIT PLAN ANNU-
ITY OFFSET FOR DEPENDENCY AND INDEM-
NITY COMPENSATION. 
(a) PAYMENT AMOUNT PER FISCAL YEAR.—Para-
graph (2) of section 1450(m) of title 10, United States 
Code, is amended— 
(1) in subparagraph (E), relating to fiscal year 
2013, by striking ‘‘$90’’ and inserting ‘‘$163’’; 
(2) in subparagraph (F), relating to fiscal year 
2014, by striking ‘‘$150’’ and inserting ‘‘$200’’; 
(3) in subparagraph (G), relating to fiscal year 
2015, by striking ‘‘$200’’ and inserting ‘‘$215’’; 
(4) in subparagraph (H), relating to fiscal year 
2016, by striking ‘‘$275; and’’ and inserting 
‘‘$282;’’; 
(5) in subparagraph (I), relating to fiscal year 
2017, by striking ‘‘$310.’’ and inserting ‘‘$314;’’; 
and
388 
(6) by adding at the end the following new sub-
paragraphs: 
‘‘(J) for months during fiscal year 2018, 
$9; 
‘‘(K) for months during fiscal year 2019, 
$15; 
‘‘(L) for months during fiscal year 2020, 
$20; and 
‘‘(M) for months during fiscal year 2021, 
$27.’’. 
(b) DURATION.—Paragraph (6) of such section is 
amended— 
(1) by striking ‘‘September 30, 2017’’ and in-
serting ‘‘September 30, 2021’’; and 
(2) by striking ‘‘October 1, 2017’’ both places 
it appears and inserting ‘‘October 1, 2021’’. 
Subtitle G—Other Matters 
SEC. 661. REIMBURSEMENT OF AMERICAN NATIONAL RED 
CROSS FOR HUMANITARIAN SUPPORT AND 
OTHER SERVICES PROVIDED TO MEMBERS 
OF THE ARMED FORCES AND THEIR DEPEND-
ENTS. 
Section 2602 of title 10, United States Code, is 
amended by adding at the end the following new sub-
section:
389 
‘‘(f) The Secretary of Defense or the Secretary of a 
military department may reimburse the American Na-
tional Red Cross for humanitarian support and other serv-
ices approved by the Secretary that are provided to mem-
bers of the Army, Navy, Air Force, and Marine Corps and 
their dependents. Such services may include identification 
and verification of family emergency circumstances and 
communications related to such circumstances.’’. 
SEC. 662. TREATMENT OF MEMBERS OF THE ARMED 
FORCES AND CIVILIAN EMPLOYEES OF THE 
DEPARTMENT 
OF 
DEFENSE 
WHO 
WERE 
KILLED OR WOUNDED IN THE NOVEMBER 5, 
2009, ATTACK AT FORT HOOD, TEXAS. 
(a) TREATMENT.—For purposes of all applicable 
Federal laws, regulations, and policies, a member of the 
Armed Forces or civilian employee of the Department of 
Defense who was killed or wounded in the attack that oc-
curred at Fort Hood, Texas, on November 5, 2009, shall 
be deemed as follows: 
(1) In the case of a member, to have been killed 
or wounded in a combat zone as the result of an act 
of an enemy of the United States. 
(2) In the case of a civilian employee of the De-
partment of Defense—
390 
(A) to have been killed or wounded while 
serving with the Armed Forces in a contingency 
operation; and 
(B) to have been killed or wounded in a 
terrorist attack. 
(b) EXCEPTION.—Subsection (a) shall not apply to 
a member of the Armed Forces whose death or wound as 
described in that subsection is the result of the willful mis-
conduct of the member. 
SEC. 663. REPORT ON INCENTIVES FOR RECRUITMENT AND 
RETENTION 
OF 
HEALTH 
CARE 
PROFES-
SIONALS FOR RESERVE COMPONENTS. 
Not later than 90 days after the date of the enact-
ment of this Act, the Surgeons General of the Army, Navy, 
and Air Force shall submit to Congress a report on their 
staffing needs for health care professionals in the active 
and reserve components of the Armed Forces. Such report 
shall— 
(1) identify the positions in most critical need 
for additional health care professionals, including— 
(A) the number of physicians needed; and 
(B) whether additional behavioral health 
professionals are needed to treat members of 
the Armed Forces for post traumatic stress dis-
order and traumatic brain injury; and
391 
(2) recommend incentives for healthcare profes-
sionals with more than 20 years of clinical experi-
ence to join the active or reserve components, includ-
ing changes in age or length of service requirements 
to qualify for partial retired pay for non-regular 
service. 
TITLE VII—HEALTH CARE 
PROVISIONS 
Subtitle A—Improvements to 
Health Benefits 
SEC. 701. ANNUAL ENROLLMENT FEES FOR CERTAIN RE-
TIREES AND DEPENDENTS. 
(a) SENSE OF CONGRESS.—It is the sense of Con-
gress that— 
(1) career members of the uniformed services 
and their families endure unique and extraordinary 
demands and make extraordinary sacrifices over the 
course of a 20- to 30-year career in protecting free-
dom for all Americans; and 
(2) those decades of sacrifice constitute a sig-
nificant pre-paid premium for health care during a 
career member’s retirement that is over and above 
what the member pays with money. 
(b) ANNUAL ENROLLMENT FEES.—Section 1097(e) 
of title 10, United States Code, is amended—
392 
(1) by striking ‘‘The Secretary of Defense’’ and 
inserting ‘‘(1) The Secretary of Defense’’; 
(2) by striking ‘‘A premium,’’ and inserting 
‘‘Except as provided by paragraph (2), a premium,’’; 
and 
(3) by adding at the end the following new 
paragraph: 
‘‘(2) Beginning October 1, 2012, the Secretary of De-
fense may only increase in any year the annual enrollment 
fees described in paragraph (1) by an amount equal to 
the percentage by which retired pay is increased under 
section 1401a of this title.’’. 
SEC. 702. PROVISION OF FOOD TO CERTAIN MEMBERS AND 
DEPENDENTS NOT RECEIVING INPATIENT 
CARE IN MILITARY MEDICAL TREATMENT FA-
CILITIES. 
(a) IN GENERAL.—Chapter 55 of title 10, United 
States Code, is amended by inserting after section 1078a 
the following new section: 
‘‘§ 1078b. Provision of food to certain members and 
dependents not receiving inpatient care 
in military medical treatment facilities 
‘‘(a) IN GENERAL.—(1) Under regulations prescribed 
by the Secretary of Defense, the Secretary may provide
393 
food and beverages to an individual described in para-
graph (2) at no cost to the individual. 
‘‘(2) An individual described in this paragraph is the 
following: 
‘‘(A) A member of the uniformed services or de-
pendent— 
‘‘(i) who is receiving outpatient medical 
care at a military medical treatment facility; 
and 
‘‘(ii) whom the Secretary determines is un-
able to purchase food and beverages while at 
such facility by virtue of receiving such care. 
‘‘(B) A member of the uniformed services or de-
pendent who— 
‘‘(i) is a family member of an infant receiv-
ing inpatient medical care at a military medical 
treatment facility; and 
‘‘(ii) provides care to the infant while the 
infant receives such inpatient medical care. 
‘‘(C) A member of the uniformed services or de-
pendent whom the Secretary determines is under 
similar circumstances as a member or dependent de-
scribed in subparagraph (A) or (B). 
‘‘(b) REGULATIONS.—The Secretary shall ensure 
that regulations prescribed under this section are con-
394 
sistent with generally accepted practices in private medical 
treatment facilities.’’. 
(b) CLERICAL AMENDMENT.—The table of sections 
at the beginning of such chapter is amended by inserting 
after the item relating to section 1078a the following new 
item: 
‘‘1078b. Provision of food to certain members and dependents not receiving in-
patient care in military medical treatment facilities.’’. 
(c) EFFECTIVE DATE.—The amendments made by 
this section shall take effect on the date that is 60 days 
after the date of the enactment of this Act. 
SEC. 703. BEHAVIORAL HEALTH SUPPORT FOR MEMBERS 
OF THE RESERVE COMPONENTS OF THE 
ARMED FORCES. 
(a) 
MENTAL
HEALTH
ASSESSMENTS.—Section 
1074a of title 10, United States Code, is amended— 
(1) by redesignating subsection (h) as sub-
section (i); 
(2) by inserting after subsection (g) the fol-
lowing new subsection (h): 
‘‘(h)(1) The Secretary of Defense shall provide to any 
member of the reserve components performing inactive- 
duty training during scheduled unit training assemblies 
access to mental health assessments with a licensed men-
tal health professional who shall be available for referrals
395 
during duty hours on the premises of the principal duty 
location of the member’s unit. 
‘‘(2) Mental health services provided to a member 
under this subsection shall be at no cost to the member.’’; 
and 
(3) in subsection (i), as redesignated by para-
graph (1), by striking ‘‘medical and dental readi-
ness’’ and inserting ‘‘medical, dental, and behavioral 
health readiness’’. 
(b) BEHAVIORAL HEALTH SUPPORT.— 
(1) IN GENERAL.—Each member of a reserve 
component of the Armed Forces participating in an-
nual training or individual duty training shall have 
access, while so participating, to the behavioral 
health support programs for members of the reserve 
components described in paragraph (2). 
(2) 
BEHAVIORAL
HEALTH
SUPPORT
PRO-
GRAMS.—The behavioral health support programs 
for member of the reserve components described in 
this paragraph shall include one or any combination 
of the following: 
(A) Programs providing access to licensed 
mental health providers in armories, reserve 
centers, or other places for scheduled unit 
training assemblies.
396 
(B) Programs providing training on suicide 
prevention and post-suicide response. 
(C) Psychological health programs. 
(D) Such other programs as the Secretary 
of Defense, in consultation with the Surgeon 
General for the National Guard of the State in 
which the members concerned reside, the Direc-
tor of Psychological Health of the State in 
which the members concerned reside, the De-
partment of Mental Health or the equivalent 
agency of the State in which the members con-
cerned reside, or the Director of the Psycho-
logical Health Program of the National Guard 
Bureau, considers appropriate. 
(3) STATE DEFINED.—In this subsection, the 
term ‘‘State’’ has the meaning given that term in 
section 10001 of title 10, United States Code. 
SEC. 704. TRANSITION ENROLLMENT OF UNIFORMED SERV-
ICES FAMILY HEALTH PLAN MEDICARE-ELI-
GIBLE RETIREES TO TRICARE FOR LIFE. 
Section 724(e) of the National Defense Authorization 
Act for Fiscal Year 1997 (Public Law 104–201; 10 U.S.C. 
1073 note) is amended—
397 
(1) by striking ‘‘If a covered beneficiary’’ and 
inserting ‘‘(1) Except as provided in paragraph (2), 
if a covered beneficiary’’; and 
(2) by adding at the end the following new 
paragraph: 
‘‘(2) After September 30, 2012, a covered beneficiary 
(other than a beneficiary under section 1079 of title 10, 
United States Code) who is also entitled to hospital insur-
ance benefits under part A of title XVIII of the Social 
Security Act due to age may not enroll in the managed 
care program of a designated provider unless the bene-
ficiary was enrolled in that program on September 30, 
2012.’’. 
SEC. 705. MENTAL HEALTH ASSESSMENTS FOR MEMBERS 
OF THE ARMED FORCES DEPLOYED IN SUP-
PORT OF A CONTINGENCY OPERATION. 
(a) MENTAL HEALTH EXAMINATIONS DURING A DE-
PLOYMENT.— 
(1) IN
GENERAL.—Chapter 55 of title 10, 
United States Code, is amended by inserting after 
section 1074l the following new section:
398 
‘‘§ 1074m. Mental health assessments for members of 
the armed forces deployed in support of a 
contingency operation 
‘‘(a) MENTAL HEALTH ASSESSMENTS.—(1) The Sec-
retary of Defense shall provide a person-to-person mental 
health assessment for each member of the armed forces 
who is deployed in support of a contingency operation as 
follows: 
‘‘(A) Once during the period beginning 60 days 
before the date of the deployment. 
‘‘(B) Once during each 180-day period in which 
the member is so deployed. 
‘‘(C) Once during the period beginning 90 days 
after the date of redeployment from the contingency 
operation and ending 180 days after such redeploy-
ment date. 
‘‘(D) Subject to subsection (d), not later than 
once during each of— 
‘‘(i) the period beginning 180 days after 
the date of redeployment from the contingency 
operation and ending one year after such rede-
ployment date; 
‘‘(ii) the period beginning one year after 
such redeployment date and ending two years 
after such redeployment date; and
399 
‘‘(iii) the period beginning two years after 
such redeployment date and ending three years 
after such redeployment date. 
‘‘(2) A mental health assessment is not required for 
a member of the armed forces under subparagraphs (C) 
and (D) of paragraph (1) if the Secretary determines 
that— 
‘‘(A) the member was not subjected or exposed 
to operational risk factors during deployment in the 
contingency operation concerned; or 
‘‘(B) providing such assessment to the member 
during the time periods under such subparagraphs 
would remove the member from forward deployment 
or put members or operational objectives at risk. 
‘‘(b) PURPOSE.—The purpose of the mental health 
assessments provided pursuant to this section shall be to 
identify post-traumatic stress disorder, traumatic brain in-
jury, suicidal tendencies, and other behavioral health con-
ditions identified among members of the armed forces de-
scribed in subsection (a) in order to determine which such 
members are in need of additional care and treatment for 
such health conditions. 
‘‘(c) ELEMENTS.—(1) The mental health assessments 
provided pursuant to this section shall—
400 
‘‘(A) be performed by personnel trained and 
certified to perform such assessments and may be 
performed— 
‘‘(i) by licensed mental health professionals 
if such professionals are available and the use 
of such professionals for the assessments would 
not impair the capacity of such professionals to 
perform higher priority tasks; and 
‘‘(ii) by personnel at private facilities in ac-
cordance with section 1074(c) of this title. 
‘‘(B) include a person-to-person dialogue be-
tween members of the armed forces described in sub-
section (a) and the professionals or personnel de-
scribed by paragraph (1), as applicable, on such 
matters as the Secretary shall specify in order that 
the assessments achieve the purpose specified in sub-
section (b) for such assessments; 
‘‘(C) be conducted in a private setting to foster 
trust and openness in discussing sensitive health 
concerns; 
‘‘(D) be provided in a consistent manner across 
the military departments; and 
‘‘(E) include a review of the health records of 
the member that are related to each previous deploy-
ment of the member or other relevant activities of
401 
the member while serving in the armed forces, as de-
termined by the Secretary. 
‘‘(2) The Secretary may treat periodic health assess-
ments and other person-to-person assessments that are 
provided to members of the armed forces, including exami-
nations under section 1074f, as meeting the requirements 
for mental health assessments required under this section 
if the Secretary determines that such assessments and 
person-to-person assessments meet the requirements for 
mental health assessments established by this section. 
‘‘(d) CESSATION
OF
ASSESSMENTS.—No mental 
health assessment is required to be provided to an indi-
vidual under subsection (a)(1)(D) after the individual’s 
discharge or release from the armed forces. 
‘‘(e) DIAGNOSES DURING DEPLOYMENT.—(1) In 
order to prevent suicide, self-harm, harm to others, and 
under-performance of members of the armed forces, the 
Secretary shall, with respect to a member described in 
paragraph (2)— 
‘‘(A) retire the member pursuant to section 
1201 of this title if such member is otherwise 
qualified for such retirement; or 
‘‘(B) redeploy such member from the con-
tingency operation to a location where the mem-
ber may receive appropriate medical treatment.
402 
‘‘(2) A member described in this paragraph is a mem-
ber of the armed forces who, as a result of a mental health 
assessment conducted under subsection (a)(1)(B)— 
‘‘(A) is diagnosed with post-traumatic stress 
disorder, traumatic brain injury, suicidal tendencies, 
or other behavioral health condition; and 
‘‘(B) as part of such diagnosis, is determined 
to— 
‘‘(i) require care or monitoring that the 
Secretary determines cannot be provided while 
the member is deployed in support of a contin-
gency operation; 
‘‘(ii) be at risk of self-harm or harming 
other members of the armed forces; or 
‘‘(iii) be unable to perform duties assigned 
during such deployment. 
‘‘(f) SHARING OF INFORMATION.—(1) The Secretary 
of Defense shall share with the Secretary of Veterans Af-
fairs such information on members of the armed forces 
that is derived from confidential mental health assess-
ments, including mental health assessments provided pur-
suant to this section and health assessments and other 
person-to-person assessments provided before the date of 
the enactment of this section as the Secretary of Defense 
and the Secretary of Veterans Affairs jointly consider ap-
403 
propriate to ensure continuity of mental health care and 
treatment of members of the armed forces during the 
transition from health care and treatment provided by the 
Department of Defense to health care and treatment pro-
vided by the Department of Veterans Affairs. 
‘‘(2) Any sharing of information under paragraph (1) 
shall occur pursuant to a protocol jointly established by 
the Secretary of Defense and the Secretary of Veterans 
Affairs for purposes of this subsection. Any such protocol 
shall be consistent with the following: 
‘‘(A) Applicable provisions of the Wounded 
Warrior Act (title XVI of Public Law 110–181; 10 
U.S.C. 1071 note), including section 1614 of that 
Act (122 Stat. 443; 10 U.S.C. 1071 note). 
‘‘(B) Section 1720F of title 38. 
‘‘(3) Before each mental health assessment is con-
ducted under subsection (a), the Secretary of Defense 
shall ensure that the member of the armed forces is noti-
fied of the sharing of information with the Secretary of 
Veterans Affairs under this subsection. 
‘‘(g) REGULATIONS.—The Secretary of Defense, in 
consultation with the other administering Secretaries, 
shall prescribe regulations for the administration of this 
section.
404 
‘‘(h) REPORTS.—(1) Upon the issuance of the regula-
tions prescribed under subsection (g), the Secretary of De-
fense shall submit to Congress a report describing such 
regulations. 
‘‘(2)(A) Not later than 270 days after the date of 
the issuance of the regulations prescribed under sub-
section (g), the Secretary shall submit to Congress an ini-
tial report on the implementation of the regulations by the 
military departments. 
‘‘(B) Not later than two years after the date of the 
issuance of the regulations prescribed under subsection 
(g), the Secretary shall submit to Congress a report on 
the implementation of the regulations by the military de-
partments. The report shall include an evidence-based as-
sessment of the effectiveness of the mental health assess-
ments provided pursuant to the regulations in achieving 
the purpose specified in subsection (b) for such assess-
ments.’’. 
(2) CLERICAL AMENDMENT.—The table of sec-
tions at the beginning of chapter 55 of such title is 
amended by inserting after the item relating to sec-
tion 1074l the following new item: 
‘‘1074m. Mental health assessments for members of the armed forces deployed 
in support of a contingency operation.’’. 
(3) REGULATIONS.—The Secretary of Defense 
shall prescribe an interim final rule with respect to
405 
the amendment made by paragraph (1), effective not 
later than 90 days after the date of the enactment 
of this Act. 
(b) CONFORMING REPEAL.—Section 708 of the Na-
tional Defense Authorization Act for Fiscal Year 2010 
(Public Law 111–84; 123 Stat. 2376; 10 U.S.C. 1074f 
note) is repealed. 
SEC. 706. TRICARE STANDARD FOR CERTAIN MEMBERS OF 
THE INDIVIDUAL READY RESERVE. 
(a) COVERAGE FOR CERTAIN IRR MEMBERS.— 
(1) IN
GENERAL.—Subsection (a) of section 
1076e of title 10, United States Code, is amended 
to read as follows: 
‘‘(a) ELIGIBILITY.—(1) Except as provided in para-
graph (2), the following individuals are eligible for health 
benefits under TRICARE Standard as provided in this 
section: 
‘‘(A) A member of the Retired Reserve of a re-
serve component of the armed forces who is qualified 
for a non-regular retirement at age 60 under chap-
ter 1223 of this title but has not attained the age 
of 60. 
‘‘(B) A member of the Individual Ready Re-
serve described in subsection 10144(b) of this title 
who served on active duty for an aggregate of not
406 
less than one year beginning on or after September 
11, 2001. 
‘‘(2) Paragraph (1) does not apply to a member who 
is enrolled, or is eligible to enroll, in a health benefits plan 
under chapter 89 of title 5.’’. 
(2) TERMINATION.—Subsection (b) of such sec-
tion is amended— 
(A) in the subsection heading, by striking 
‘‘STANDARD’’; 
(B) by striking ‘‘the member becoming’’ 
and inserting ‘‘a member described in sub-
section (a)(1)(A) becoming’’; and 
(C) by inserting before the period at the 
end the following: ‘‘or a member described in 
subsection (a)(1)(B) becoming eligible for 
TRICARE coverage under any other section of 
this chapter’’. 
(3) SECTION HEADING.—The heading of such 
section is amended by striking ‘‘who are quali-
fied for a non-regular retirement but are 
not yet age 60’’ and inserting ‘‘and Indi-
vidual Ready Reserve’’. 
(b) CLERICAL AMENDMENT.—The table of sections 
at the beginning of chapter 55 of title 10, United States
407 
Code, is amended by striking the item relating to section 
1076e and inserting the following new item: 
‘‘1076e. TRICARE program: TRICARE Standard coverage for certain members 
of the Retired Reserve and Individual Ready Reserve.’’. 
(c) FUNDING INCREASE AND OFFSETTING REDUC-
TION.—Notwithstanding the amounts set forth in the 
funding tables in division D— 
(1) the amount authorized to be appropriated in 
section 1406 for the Defense Health Program, as 
specified in the corresponding funding table in divi-
sion D, is hereby increased by $5,000,000, with the 
amount of the increase allocated to the Defense 
Health Program, as set forth in the table under sec-
tion 4501, to carry out the amendments made by 
this section; and 
(2) the amount authorized to be appropriated in 
section 101 for other procurement, Army, as speci-
fied in the corresponding funding table in division D, 
is hereby reduced by $5,000,000, with the amount 
of the reduction to be derived from Joint Tactical 
Radio System Maritime-Fixed radios under Line 
039 Joint Tactical Radio System as set forth in the 
table under section 4101.
408 
Subtitle B—Health Care 
Administration 
SEC. 711. UNIFIED MEDICAL COMMAND. 
(a) UNIFIED COMBATANT COMMAND.— 
(1) IN GENERAL.—Chapter 6 of title 10, United 
States Code, is amended by inserting after section 
167a the following new section: 
‘‘§ 167b. Unified combatant command for medical op-
erations 
‘‘(a) ESTABLISHMENT.—With the advice and assist-
ance of the Chairman of the Joint Chiefs of Staff, the 
President, through the Secretary of Defense, shall estab-
lish under section 161 of this title a unified command for 
medical operations (in this section referred to as the ‘uni-
fied medical command’). The principal function of the 
command is to provide medical services to the armed 
forces and other health care beneficiaries of the Depart-
ment of Defense as defined in chapter 55 of this title. 
‘‘(b) ASSIGNMENT OF FORCES.—In establishing the 
unified medical command under subsection (a), all active 
military medical treatment facilities, training organiza-
tions, and research entities of the armed forces shall be 
assigned to such unified command, unless otherwise di-
rected by the Secretary of Defense.
409 
‘‘(c) GRADE OF COMMANDER.—The commander of 
the unified medical command shall hold the grade of gen-
eral or, in the case of an officer of the Navy, admiral while 
serving in that position, without vacating his permanent 
grade. The commander of such command shall be ap-
pointed to that grade by the President, by and with the 
advice and consent of the Senate, for service in that posi-
tion. The commander of such command shall be a member 
of a health profession described in paragraph (1), (2), (3), 
(4), (5), or (6) of section 335(j) of title 37. During the 
five-year period beginning on the date on which the Sec-
retary establishes the command under subsection (a), the 
commander of such command shall be exempt from the 
requirements of section 164(a)(1) of this title. 
‘‘(d) SUBORDINATE COMMANDS.—(1) The unified 
medical command shall have the following subordinate 
commands: 
‘‘(A) A command that includes all fixed military 
medical treatment facilities, including elements of 
the Department of Defense that are combined, oper-
ated jointly, or otherwise operated in such a manner 
that a medical facility of the Department of Defense 
is operating in or with a medical facility of another 
department or agency of the United States.
410 
‘‘(B) A command that includes all medical 
training, education, and research and development 
activities that have previously been unified or com-
bined, including organizations that have been des-
ignated as a Department of Defense executive agent. 
‘‘(C) The Defense Health Agency established 
under subsection (f). 
‘‘(2) The commander of a subordinate command of 
the unified medical command shall hold the grade of lieu-
tenant general or, in the case of an officer of the Navy, 
vice admiral while serving in that position, without 
vacating his permanent grade. The commander of such a 
subordinate command shall be appointed to that grade by 
the President, by and with the advice and consent of the 
Senate, for service in that position. The commander of 
such a subordinate command shall also be required to be 
a surgeon general of one of the military departments. 
‘‘(e) AUTHORITY OF COMBATANT COMMANDER.—(1) 
In addition to the authority prescribed in section 164(c) 
of this title, the commander of the unified medical com-
mand shall be responsible for, and shall have the authority 
to conduct, all affairs of such command relating to medical 
operations activities. 
‘‘(2) The commander of such command shall be re-
sponsible for, and shall have the authority to conduct, the
411 
following functions relating to medical operations activities 
(whether or not relating to the unified medical command): 
‘‘(A) Developing programs and doctrine. 
‘‘(B) Preparing and submitting to the Secretary 
of Defense program recommendations and budget 
proposals for the forces described in subsection (b) 
and for other forces assigned to the unified medical 
command. 
‘‘(C) Exercising authority, direction, and con-
trol over the expenditure of funds— 
‘‘(i) for forces assigned to the unified med-
ical command; 
‘‘(ii) for the forces described in subsection 
(b) assigned to unified combatant commands 
other than the unified medical command to the 
extent directed by the Secretary of Defense; 
and 
‘‘(iii) for military construction funds of the 
Defense Health Program. 
‘‘(D) Training assigned forces. 
‘‘(E) Conducting specialized courses of instruc-
tion for commissioned and noncommissioned officers. 
‘‘(F) Validating requirements. 
‘‘(G) Establishing priorities for requirements.
412 
‘‘(H) Ensuring the interoperability of equip-
ment and forces. 
‘‘(I) Monitoring the promotions, assignments, 
retention, training, and professional military edu-
cation of medical officers described in paragraph (1), 
(2), (3), (4), (5), or (6) of section 335(j) of title 37. 
‘‘(3) The commander of such command shall be re-
sponsible for the Defense Health Program, including the 
Defense Health Program Account established under sec-
tion 1100 of this title. 
‘‘(f) DEFENSE HEALTH AGENCY.—(1) In estab-
lishing the unified medical command under subsection (a), 
the Secretary shall also establish under section 191 of this 
title a defense agency for health care (in this section re-
ferred to as the ‘Defense Health Agency’), and shall trans-
fer to such agency the organization of the Department of 
Defense referred to as the TRICARE Management Activ-
ity and all functions of the TRICARE Program (as de-
fined in section 1072(7)). 
‘‘(2) The director of the Defense Health Agency shall 
hold the rank of lieutenant general or, in the case of an 
officer of the Navy, vice admiral while serving in that posi-
tion, without vacating his permanent grade. The director 
of such agency shall be appointed to that grade by the 
President, by and with the advice and consent of the Sen-
413 
ate, for service in that position. The director of such agen-
cy shall be a member of a health profession described in 
paragraph (1), (2), (3), (4), (5), or (6) of section 335(j) 
of title 37. 
‘‘(g) REGULATIONS.—In establishing the unified 
medical command under subsection (a), the Secretary of 
Defense shall prescribe regulations for the activities of the 
unified medical command.’’. 
(2) CLERICAL AMENDMENT.—The table of sec-
tions at the beginning of such chapter is amended 
by inserting after the item relating to section 167a 
the following new item: 
‘‘167b. Unified combatant command for medical operations.’’. 
(b) PLAN, NOTIFICATION, AND REPORT.— 
(1) PLAN.—Not later than July 1, 2012, the 
Secretary of Defense shall submit to the congres-
sional defense committees a comprehensive plan to 
establish the unified medical command authorized 
under section 167b of title 10, United States Code, 
as added by subsection (a), including any legislative 
actions the Secretary considers necessary to imple-
ment the plan. 
(2) NOTIFICATION.—The Secretary shall sub-
mit to the congressional defense committees written 
notification of the decision of the Secretary to estab-
lish the unified medical command under such section
414 
167b by not later than the date that is 30 days be-
fore establishing such command. 
(3) REPORT.—Not later than 180 days after 
submitting the notification under paragraph (2), the 
Secretary shall submit to the congressional defense 
committees a report on— 
(A) the establishment of the unified med-
ical command; and 
(B) the establishment of the Defense 
Health Agency under subsection (f) of such sec-
tion 167b. 
SEC. 712. LIMITATION ON AVAILABILITY OF FUNDS FOR 
THE FUTURE ELECTRONIC HEALTH RECORDS 
PROGRAM. 
(a) LIMITATION.—Of the funds authorized to be ap-
propriated by this Act or otherwise made available for fis-
cal year 2012 for the procurement, research, development, 
test, and evaluation, or operation and maintenance of the 
future electronic health records program, not more than 
10 percent may be obligated or expended until the date 
that is 30 days after the date on which the Secretary of 
Defense submits to the congressional defense committees 
a report addressing— 
(1) an architecture to guide the transition of 
the electronic health records of the Department of
415 
Defense to a future state that is cost-effective and 
interoperable; 
(2) the process for selecting investments in in-
formation technology that support the architecture 
described in paragraph (1); 
(3) the report required by section 715 of the 
Ike Skelton National Defense Authorization Act for 
Fiscal Year 2011 (Public Law 111–383; 124 Stat. 
4249); 
(4) the effectiveness of the Interagency Pro-
gram Office to manage or oversee efforts with re-
spect to the future electronic health records pro-
gram; and 
(5) any other matters the Secretary considers 
appropriate. 
(b) FUTURE ELECTRONIC HEALTH RECORDS PRO-
GRAM DEFINED.—In this section, the term ‘‘future elec-
tronic health records program’’ means the programs of the 
Department of Defense referred to as the ‘‘EHR way 
ahead’’ and the ‘‘virtual lifetime electronic record’’. 
SEC. 713. EXPANSION OF STATE LICENSURE EXCEPTION 
FOR 
CERTAIN 
HEALTH 
CARE 
PROFES-
SIONALS. 
(a) SENSE OF CONGRESS.—It is the sense of Con-
gress that—
416 
(1) the Secretary of Defense and the Secretary 
of Veterans Affairs need to renew and improve ef-
forts to reach out to rural America, which has less 
access to care; 
(2) behavioral health services for active duty 
members of the Armed Forces, members of the re-
serve components, members of the National Guard, 
and veterans need to be more easily and readily ac-
cessible; and 
(3) medical records and records of deployment 
need a ‘‘warm transition’’ and better collaboration 
between the Department of Defense and the Depart-
ment of Veterans Affairs. 
(b) EXPANSION.—Section 1094(d) of title 10, United 
States Code, is amended— 
(1) in paragraph (1)— 
(A) by inserting ‘‘at any location’’ before 
‘‘in any State’’; and 
(B) by striking ‘‘regardless’’ and all that 
follows through the end and inserting ‘‘regard-
less of where such health-care professional or 
the patient are located, so long as the practice 
is within the scope of the authorized Federal 
duties.’’; and
417 
(2) in paragraph (2), by striking ‘‘member of 
the armed forces’’ and inserting ‘‘member of the 
armed forces, civilian employee of the Department of 
Defense, personal services contractor under section 
1091 of this title, or other health-care professional 
credentialed and privileged at a Federal health care 
institution or location specially designated by the 
Secretary for this purpose’’. 
(c) REPORTS.—Not later than 90 days after the date 
of the enactment of this Act, the Secretary of Defense, 
in coordination with the Secretary of Veterans Affairs, 
shall submit to Congress separate reports on each of the 
following: 
(1) The plans to develop and expand programs 
to use new Internet and communication technologies 
for improved access to care and resources, including 
telemedicine, telehealth care services, and telebehav-
ioral health programs that ensure patient privacy. 
(2) Any plans to improve the transition of 
health and battlefield deployment records to better 
assist and care for veterans. 
(d) REGULATIONS.—The Secretary of Defense shall 
prescribe regulations to carry out the amendments made 
by this section.
418 
Subtitle C—Other Matters 
SEC. 721. REVIEW OF WOMEN-SPECIFIC HEALTH SERVICES 
AND TREATMENT FOR FEMALE MEMBERS OF 
THE ARMED FORCES. 
(a) COMPREHENSIVE REVIEW.—The Secretary of 
Defense shall conduct a comprehensive review of— 
(1) the availability, efficacy, and adequacy of 
reproductive health care services available for female 
members of the Armed Forces, including gyneco-
logical services and breast and gynecological cancer 
services; 
(2) the availability, efficacy, and adequacy of 
women-specific preventative health care services for 
female members of the Armed Forces; 
(3) the availability of women-specific treatment 
for sexual assault or abuse; and 
(4) the extent to which military medical treat-
ment facilities are following the policies of the De-
partment of Defense with respect to women-specific 
health services. 
(b) MATTERS INCLUDED.—The review required by 
subsection (a) shall include an assessment of the following: 
(1) The need for women-specific health out-
reach, prevention, and treatment services for female 
members of the Armed Forces.
419 
(2) The access to and efficacy of existing 
women-specific mental health outreach, prevention, 
and treatment services and programs (including sub-
stance abuse programs). 
(3) The availability of women-specific services 
and treatment for female members of the Armed 
Forces who experience sexual assault or sexual 
abuse. 
(4) The access to and need for military medical 
treatment facilities to provide for the women-specific 
health care needs of female members of the Armed 
Forces. 
(5) The need for further clinical research on the 
women-specific health care needs of female members 
of the Armed Forces who served in a combat zone. 
(c) REPORT.—Not later than March 31, 2012, the 
Secretary of Defense shall submit to the congressional de-
fense committees a report on the review required by sub-
section (a). 
SEC. 722. COMPTROLLER GENERAL REVIEWS OF DEPART-
MENT OF DEFENSE–DEPARTMENT OF VET-
ERANS AFFAIRS MEDICAL FACILITY DEM-
ONSTRATION PROJECT. 
Section 1701(e)(1) of the National Defense Author-
ization Act for Fiscal Year 2010 (Public Law 111–84; 123
420 
Stat. 2568) is amended by striking ‘‘Not later’’ and all 
that follows through ‘‘thereafter’’ and inserting ‘‘Not later 
than July 31 of each of 2011, 2013, and 2015’’. 
SEC. 723. COMPTROLLER GENERAL REPORT ON CON-
TRACTED HEALTH CARE STAFFING FOR MILI-
TARY MEDICAL TREATMENT FACILITIES. 
(a) REPORT.—Not later than March 31, 2012, the 
Comptroller General shall submit to the Committee on 
Armed Services of the House of Representatives and the 
Committee on Armed Services of the Senate a report on 
the contracting activities of the military departments with 
respect to providing health care professional services to 
members of the Armed Forces, dependents, and retirees. 
(b) MATTERS INCLUDED.—The report under sub-
section (a) shall include the following: 
(1) A review of the contracting practices used 
by the military departments to provide health care 
professional services by civilian providers. 
(2) An assessment of whether the contracting 
practices described in paragraph (1) are the most 
cost effective means to provide necessary care. 
(3) A determination of— 
(A) the percentage of contract health care 
professionals who provide services to members 
of the Armed Forces, dependents, or retirees in
421 
military medical treatment facilities or other 
on-base facilities; and 
(B) the percentage of contract health care 
professionals who provide services to members 
of the Armed Forces, dependents, or retirees in 
off-base private facilities. 
(4) A comparison of the cost associated with 
the provision of care by contract health care profes-
sionals described in subparagraphs (A) and (B) of 
paragraph (3). 
(5) An assessment of whether or not consoli-
dating health care staffing requirements for military 
medical treatment facilities and other on-base clinics 
in defined geographic areas (including regions or 
catchment areas) would achieve economies of scale 
and cost savings or avoidance with respect to con-
tracting for health care professionals. 
(6) An assessment of whether private sector en-
tities that provide health care professional staff on 
a contract basis to military medical treatment facili-
ties and other on-base clinics meet certain basic 
standards of professionalism, including those de-
scribed in section 732(c)(2)(A) of the National De-
fense Authorization Act for Fiscal Year 2007 (Pub-
lic Law 109–364; 120 Stat. 2297).
422 
(7) An assessment of the acquisition training 
and experience of the contracting officers or other 
personnel within military medical treatment facilities 
that award or administer contracts regarding the 
services of health care professionals. 
(8) Any recommendations the Comptroller Gen-
eral considers appropriate regarding improving the 
contracting activities of the military departments 
with respect to providing health care professional 
services. 
SEC. 724. TREATMENT OF WOUNDED WARRIORS. 
(a) ADDITIONAL, DISCRETIONARY BUDGET AUTHOR-
ITY.—In the budget submitted to Congress under section 
1105 of title 31, United States Code, for fiscal year 2012, 
the President requested $9,679,444,000 for research, de-
velopment, test, and evaluation, Army, for advanced tech-
nology development, medical advanced technology. Of the 
amounts authorized to be appropriated by section 201, as 
specified in the corresponding funding table in division D, 
the Secretary of the Army shall obligate an additional 
$3,000,000 for the program described in subsection (c) 
in furtherance of national security objectives. 
(b) MERIT-BASED OR COMPETITIVE DECISIONS.—A 
decision to commit, obligate, or expend funds referred to
423 
in the second sentence of subsection (a) with or to a spe-
cific entity shall— 
(1) be based on merit-based selection proce-
dures in accordance with the requirements of sec-
tions 2304(k) and 2374 of title 10, United States 
Code, or on competitive procedures; and 
(2) comply with other applicable provisions of 
law. 
(c) WOUNDED WARRIOR PROGRAM.— 
(1) IN GENERAL.—The Secretary of the Army 
shall establish a program to enter into public-private 
partnerships to enable coordinated, rapid clinical 
evaluation and the wide-area deployment of novel 
treatment strategies for wounded service members, 
with an emphasis on the most common musculo-
skeletal injuries. 
(2) PRIORITIES.—In carrying out the program 
under this subsection, the Secretary shall ensure 
that the program— 
(A) is composed of a national network of 
leading clinical centers and includes an inte-
grated clinical trial effort; and 
(B) will address the priorities of the 
Armed Forces with respect to stabilization, re-
tention, and readiness.
424 
SEC. 725. COOPERATIVE HEALTH CARE AGREEMENTS. 
(a) ADDITIONAL, DISCRETIONARY BUDGET AUTHOR-
ITY.—In the budget submitted to Congress under section 
1105 of title 31, United States Code, for fiscal year 2012, 
the President requested $32,198,770,000 for the Defense 
Health Program. Of the amounts authorized to be appro-
priated by section 1407, as specified in the corresponding 
funding table in division D, the Secretary of Defense shall 
obligate an additional $500,000 for cooperative health 
care agreements between military installations and local 
or regional health care systems pursuant to section 713 
of the National Defense Authorization Act of 2010 (Public 
Law 111–84; 123 Stat. 2380; 10 U.S.C. 1073 note) to 
strengthen local or regional health care systems for mem-
bers of the Armed Forces and communities surrounding 
military installations with both active duty and training 
components with no inpatient medical facilities. 
(b) MERIT-BASED OR COMPETITIVE DECISIONS.—A 
decision to commit, obligate, or expend funds referred to 
in the second sentence of subsection (a) with or to a spe-
cific entity shall— 
(1) be based on merit-based selection proce-
dures in accordance with the requirements of sec-
tions 2304(k) and 2374 of title 10, United States 
Code, or on competitive procedures; and
425 
(2) comply with other applicable provisions of 
law. 
SEC. 726. PROSTATE CANCER IMAGING RESEARCH INITIA-
TIVE. 
(a) ADDITIONAL, DISCRETIONARY BUDGET AUTHOR-
ITY.—In the budget submitted to Congress under section 
1105 of title 31, United States Code, for fiscal year 2012, 
the President requested $7,581,000 for the prostate can-
cer imaging research initiative. Of the amounts authorized 
to be appropriated by section 1407, as specified in the cor-
responding funding table in division D, the Secretary of 
Defense shall obligate an additional $2,000,000 for the 
same purpose in furtherance of national security objec-
tives. 
(b) MERIT-BASED OR COMPETITIVE DECISIONS.—A 
decision to commit, obligate, or expend funds referred to 
in the second sentence of subsection (a) with or to a spe-
cific entity shall— 
(1) be based on merit-based selection proce-
dures in accordance with the requirements of sec-
tions 2304(k) and 2374 of title 10, United States 
Code, or on competitive procedures; and 
(2) comply with other applicable provisions of 
law.
426 
SEC. 727. DEFENSE CENTERS OF EXCELLENCE FOR PSY-
CHOLOGICAL 
HEALTH 
AND 
TRAUMATIC 
BRAIN INJURY. 
(a) ADDITIONAL, DISCRETIONARY BUDGET AUTHOR-
ITY.—In the budget submitted to Congress under section 
1105 of title 31, United States Code, for fiscal year 2012, 
the President requested $176,345,000 for information 
technology development under the Defense Health Pro-
gram. Of the amounts authorized to be appropriated by 
section 1407, as specified in the corresponding funding 
table in division D, the Secretary of Defense shall obligate 
an additional $2,000,000 for the Defense Centers of Ex-
cellence for Psychological Health and Traumatic Brain In-
jury to enhance efforts to disseminate post-deployment 
mental health information in furtherance of national secu-
rity objectives. 
(b) MERIT-BASED OR COMPETITIVE DECISIONS.—A 
decision to commit, obligate, or expend funds referred to 
in the second sentence of subsection (a) with or to a spe-
cific entity shall— 
(1) be based on merit-based selection proce-
dures in accordance with the requirements of sec-
tions 2304(k) and 2374 of title 10, United States 
Code, or on competitive procedures; and 
(2) comply with other applicable provisions of 
law.
427 
SEC. 728. COLLABORATIVE MILITARY-CIVILIAN TRAUMA 
TRAINING PROGRAMS. 
(a) ADDITIONAL, DISCRETIONARY BUDGET AUTHOR-
ITY.—In the budget submitted to Congress under section 
1105 of title 31, United States Code, for fiscal year 2012, 
the President requested $32,198,770,000 for the Defense 
Health Program. Of the amounts authorized to be appro-
priated by section 1407, as specified in the corresponding 
funding table in division D, the Secretary of Defense shall 
obligate an additional $3,000,000 for the Defense Health 
Program for collaborative military-civilian trauma training 
programs pursuant to the cooperative health care agree-
ments between military installations and local or regional 
health care systems under section 713 of the National De-
fense Authorization Act of 2010 (Public Law 111–84; 123 
Stat. 2380; 10 U.S.C. 1073 note) in furtherance of na-
tional security objectives. 
(b) MERIT-BASED OR COMPETITIVE DECISIONS.—A 
decision to commit, obligate, or expend funds referred to 
in the second sentence of subsection (a) with or to a spe-
cific entity shall— 
(1) be based on merit-based selection proce-
dures in accordance with the requirements of sec-
tions 2304(k) and 2374 of title 10, United States 
Code, or on competitive procedures; and
428 
(2) comply with other applicable provisions of 
law. 
(c) REPORT.—Not later than 120 days after the date 
on which the Secretary establishes collaborative military- 
civilian trauma training programs pursuant to subsection 
(a), the Secretary shall submit to the congressional de-
fense committees a report on the effectiveness of training 
under the programs as compared to training under other 
medical training programs. 
SEC. 729. TRAUMATIC BRAIN INJURY. 
(a) ADDITIONAL, DISCRETIONARY BUDGET AUTHOR-
ITY.—In the budget submitted to Congress under section 
1105 of title 31, United States Code, for fiscal year 2012, 
the President requested $32,198,770,000 for the Defense 
Health Program. Of the amounts authorized to be appro-
priated by section 1407, as specified in the corresponding 
funding table in division D, the Secretary of Defense shall 
obligate an additional $1,000,000 for the development of 
national medical guidelines regarding the post-acute reha-
bilitation of individuals with traumatic brain injury in fur-
therance of national security objectives. 
(b) MERIT-BASED OR COMPETITIVE DECISIONS.—A 
decision to commit, obligate, or expend funds referred to 
in the second sentence of subsection (a) with or to a spe-
cific entity shall—
429 
(1) be based on merit-based selection proce-
dures in accordance with the requirements of sec-
tions 2304(k) and 2374 of title 10, United States 
Code, or on competitive procedures; and 
(2) comply with other applicable provisions of 
law. 
SEC. 730. COMPETITIVE PROGRAMS FOR ALCOHOL AND 
SUBSTANCE ABUSE DISORDERS. 
(a) ADDITIONAL, DISCRETIONARY BUDGET AUTHOR-
ITY.—In the budget submitted to Congress under section 
1105 of title 31, United States Code, for fiscal year 2012, 
the President requested $415,000,000 for the continued 
support of wounded, ill, and injured medical research, to 
include psychological health, traumatic brain injury, and 
post-traumatic stress disorder. Of the amounts authorized 
to be appropriated by section 1406, as specified in the cor-
responding funding table in division D, the Secretary of 
Defense shall obligate an additional $5,000,000 for the 
continued support 
of 
a 
competitive 
program 
for 
translational research centers tasked with addressing alco-
hol and substance abuse issues in furtherance of national 
security objectives. 
(b) MERIT-BASED OR COMPETITIVE DECISIONS.—A 
decision to commit, obligate, or expend funds referred to
430 
in the second sentence of subsection (a) with or to a spe-
cific entity shall— 
(1) be based on merit-based selection proce-
dures in accordance with the requirements of sec-
tions 2304(k) and 2374 of title 10, United States 
Code, or on competitive procedures; and 
(2) comply with other applicable provisions of 
law. 
SEC. 731. PILOT PROGRAM ON PAYMENT FOR TREATMENT 
OF MEMBERS OF THE ARMED FORCES AND 
VETERANS FOR TRAUMATIC BRAIN INJURY 
AND POST-TRAUMATIC STRESS DISORDER. 
(a) PAYMENT PROCESS.—The Secretary of Defense 
and the Secretary of Veterans Affairs shall carry out a 
five-year pilot program under which each such Secretary 
shall establish a process through which each Secretary 
shall provide payment for treatments (including diagnostic 
testing) of traumatic brain injury or post-traumatic stress 
disorder received by members of the Armed Forces and 
veterans in health care facilities other than military treat-
ment facilities or Department of Veterans Affairs medical 
facilities. Such process shall provide that payment be 
made directly to the health care facility furnishing the 
treatment.
431 
(b) CONDITIONS FOR PAYMENT.—The approval by a 
Secretary for payment for a treatment pursuant to sub-
section (a) shall be subject to the following conditions: 
(1) Any drug or device used in the treatment 
must be approved or cleared by the Food and Drug 
Administration for any purpose. 
(2) The treatment must have been approved by 
an institutional review board operating in accordance 
with regulations issued by the Secretary of Health 
and Human Services. 
(3) The treatment (including any patient disclo-
sure requirements) must be used by the health care 
provider delivering the treatment. 
(4) The patient receiving the treatment must 
demonstrate an improvement as a result of the 
treatment on one or more of the following: 
(A) Standardized independent pre-treat-
ment and post-treatment neuropsychological 
testing. 
(B) Accepted survey instruments. 
(C) Neurological imaging. 
(D) Clinical examination. 
(5) The patient receiving the treatment must be 
receiving the treatment voluntarily.
432 
(6) The patient receiving the treatment may not 
be a retired member of the uniformed services or of 
the Armed Forces who is entitled to benefits under 
part A, or eligible to enroll under part B, of title 
XVIII of the Social Security Act. 
(c) ADDITIONAL RESTRICTIONS PROHIBITED.—Ex-
cept as provided in this subsection (b), no restriction or 
condition for reimbursement may be placed on any health 
care provider that is operating lawfully under the laws of 
the State in which the provider is located with respect to 
the receipt of payment under this section. 
(d) PAYMENT DEADLINE.—The Secretary of Defense 
and the Secretary of Veterans Affairs shall make a pay-
ment for a treatment pursuant to subsection (a) not later 
than 30 days after a member of the Armed Forces or vet-
eran (or health care provider on behalf of such member 
or veteran) submits to the Secretary documentation re-
garding the treatment. The Secretary of Defense and the 
Secretary of Veterans Affairs shall ensure that the docu-
mentation required under this subsection may not be an 
undue burden on the member of the Armed Forces or vet-
eran or on the health care provider. 
(e) PAYMENT AUTHORITY.— 
(1) DEPARTMENT
OF
DEFENSE.—The Sec-
retary of Defense shall make payments under this
433 
section for treatments received by members of the 
Armed Forces using the authority in subsection 
(c)(1) of section 1074 of title 10, United States 
Code. 
(2) DEPARTMENT
OF
VETERANS
AFFAIRS.— 
The Secretary of Veterans Affairs shall make pay-
ments under this section for treatments received by 
veterans using the authority in section 1728 of title 
38, United States Code. 
(f) PAYMENT AMOUNT.—A payment under this sec-
tion shall be made at the equivalent Centers for Medicare 
and Medicaid Services reimbursement rate in effect for ap-
propriate treatment codes for the State or territory in 
which the treatment is received. If no such rate is in effect, 
payment shall be made at a fair market rate, as deter-
mined by the Secretary of Defense, in consultation with 
the Secretary of Health and Human Services, with respect 
to a patient who is a member of the Armed Forces or 
the Secretary of Veterans Affairs with respect to a patient 
who is a veteran. 
(g) DATA COLLECTION AND AVAILABILITY.— 
(1) IN
GENERAL.—The Secretary of Defense 
and the Secretary of Veterans Affairs shall jointly 
develop and maintain a database containing data 
from each patient case involving the use of a treat-
434 
ment under this section. The Secretaries shall en-
sure that the database preserves confidentiality and 
be made available only— 
(A) for third-party payer examination; 
(B) to the appropriate congressional com-
mittees and employees of the Department of 
Defense, the Department of Veterans Affairs, 
the Department of Health and Human Services, 
and appropriate State agencies; and 
(C) to the primary investigator of the insti-
tutional review board that approved the treat-
ment, in the case of data relating to a patient 
case involving the use of such treatment. 
(2) ENROLLMENT IN INSTITUTIONAL REVIEW 
BOARD STUDY.—In the case of a patient enrolled in 
a registered institutional review board study, results 
may be publically distributable in accordance with 
the regulations prescribed pursuant to the Health 
Insurance Portability and Accountability Act of 
1996 (Public Law 104–191) and other regulations 
and practices in effect as of the date of the enact-
ment of this Act. 
(3) 
QUALIFIED
INSTITUTIONAL
REVIEW 
BOARDS.—The Secretary of Defense and the Sec-
retary of Veterans Affairs shall each ensure that the
435 
Internet Web site of their respective departments in-
cludes a list of all civilian institutional review board 
studies that have received a payment under this sec-
tion. 
(h) ASSISTANCE FOR MEMBERS TO OBTAIN TREAT-
MENT.— 
(1) ASSIGNMENT TO TEMPORARY DUTY.—The 
Secretary of a military department may assign a 
member of the Armed Forces under the jurisdiction 
of the Secretary to temporary duty or allow the 
member a permissive temporary duty in order to 
permit the member to receive treatment for trau-
matic brain injury or post-traumatic stress disorder, 
for which payments shall be made under subsection 
(a), at a location beyond reasonable commuting dis-
tance of the member’s permanent duty station. 
(2) PAYMENT OF PER DIEM.—A member who is 
away from the member’s permanent station may be 
paid a per diem in lieu of subsistence in an amount 
not more than the amount to which the member 
would be entitled if the member were performing 
travel in connection with a temporary duty assign-
ment. 
(3) GIFT RULE WAIVER.—Notwithstanding any 
rule of any department or agency with respect to
436 
ethics or the receipt of gifts, any assistance provided 
to a member of the Armed Forces with a service- 
connected injury or disability for travel, meals, or 
entertainment incidental to receiving treatment 
under this section, or for the provision of such treat-
ment, shall not be subject to or covered by any such 
rule. 
(i) RETALIATION PROHIBITED.—No retaliation may 
be made against any member of the Armed Forces or vet-
eran who receives treatment as part of registered institu-
tional review board study carried out by a civilian health 
care practitioner. 
(j) TREATMENT OF UNIVERSITY AND NATIONALLY 
ACCREDITED
INSTITUTIONAL
REVIEW
BOARDS.—For 
purposes of this section, a university-affiliated or nation-
ally accredited institutional review board shall be treated 
in the same manner as a Government institutional review 
board. 
(k) MEMORANDA OF UNDERSTANDING.—The Sec-
retary of Defense and the Secretary of Veterans Affairs 
shall seek to expeditiously enter into memoranda of under-
standings with civilian institutional review boards de-
scribed in subsection (j) for the purpose of providing for 
members of the Armed Forces and veterans to receive 
treatment carried out by civilian health care practitioners
437 
under a treatment approved by and under the oversight 
of civilian institutional review boards that would qualify 
for payment under this section. 
(l) OUTREACH REQUIRED.— 
(1) OUTREACH TO VETERANS.—The Secretary 
of Veterans Affairs shall notify each veteran with a 
service-connected injury or disability of the oppor-
tunity to receive treatment pursuant to this section. 
(2) OUTREACH TO MEMBERS OF THE ARMED 
FORCES.—The Secretary of Defense shall notify 
each member of the Armed Forces with a service- 
connected injury or disability of the opportunity to 
receive treatment pursuant to this section. 
(m) REPORT TO CONGRESS.—Not later than 30 days 
after the last day of each fiscal year during which the Sec-
retary of Defense and the Secretary of Veterans Affairs 
are authorized to make payments under this section, the 
Secretaries shall jointly submit to Congress an annual re-
port on the implementation of this section. Such report 
shall include each of the following for that fiscal year: 
(1) The number of individuals for whom the 
Secretary has provided payments under this section. 
(2) The condition for which each such indi-
vidual receives treatment for which payment is pro-
438 
vided under this section and the success rate of each 
such treatment. 
(3) Treatment methods that are used by enti-
ties receiving payment provided under this section 
and the respective rate of success of each such meth-
od. 
(4) The recommendations of the Secretaries 
with respect to the integration of treatment methods 
for which payment is provided under this section 
into facilities of the Department of Defense and De-
partment of Veterans Affairs. 
(n) TERMINATION.—The authority to make a pay-
ment under this section shall terminate on the date that 
is five years after the date of the enactment of this Act. 
(o) AUTHORIZATION OF APPROPRIATIONS.—There is 
authorized to be appropriated to carry out this section 
$10,000,000 for each fiscal year during which the Sec-
retary of Veterans Affairs and the Secretary of Defense 
are authorized to make payments under this section. 
(p) FUNDING INCREASE AND OFFSETTING REDUC-
TION.— 
(1) 
IN
GENERAL.—Notwithstanding 
the 
amounts set forth in the funding tables in division 
D, to carry out this section during fiscal year 
2012—
439 
(A) the amount authorized to be appro-
priated in section 1406 for the Defense Health 
Program, as specified in the corresponding 
funding table in division D, is hereby increased 
by $10,000,000, with the amount of the in-
crease allocated to the Defense Health Pro-
gram, as set forth in the table under section 
4501, to carry out this section; and 
(B) the amount authorized to be appro-
priated in section 101 for other procurement, 
Army, as specified in the corresponding funding 
table in division D, is hereby reduced by 
$10,000,000, with the amount of the reduction 
to be derived from Joint Tactical Radio System, 
ground-mobile radio program under Line 039 
Joint Tactical Radio System as set forth in the 
table under section 4101. 
(2) MERIT-BASED
OR
COMPETITIVE
DECI-
SIONS.—A decision to commit, obligate, or expend 
funds referred to in paragraph (1)(A) with or to a 
specific entity shall— 
(A) be based on merit-based selection pro-
cedures in accordance with the requirements of 
sections 2304(k) and 2374 of title 10, United 
States Code, or on competitive procedures; and
440 
(B) comply with other applicable provisions 
of law. 
SEC. 732. REPORT ON ESTABLISHMENT OF REGISTRY ON 
OCCUPATIONAL 
AND 
ENVIRONMENTAL 
CHEMICAL HAZARDS. 
(a) REPORT REQUIRED.—Not later than March 31, 
2012, the Secretary of Defense shall submit to the con-
gressional defense committees a report on establishing an 
active registry for each incidence of a member of the 
Armed Forces being exposed to occupational and environ-
mental chemical hazards, including waste disposal, during 
contingency operations in order to monitor possible health 
risks and to provide necessary treatment to such members. 
(b) MATTERS INCLUDED.—The report under sub-
section (a) shall include a discussion of each of the fol-
lowing: 
(1) Processes in which members of the Armed 
Forces may be included in the registry described in 
subsection (a). 
(2) Procedures to ensure that members eligible 
to be included in the registry are provided appro-
priate medical examinations. 
(3) Using existing medical surveillance systems 
to establish the registry.
441 
SEC. 733. PROVISION OF REHABILITATIVE EQUIPMENT 
UNDER WOUNDED WARRIOR ACT. 
Section 1631 of the Wounded Warrior Act (title XVI 
of Public Law 110–181; 10 U.S.C. 1071 note) is amended 
by adding at the end the following: 
‘‘(c) REHABILITATIVE EQUIPMENT FOR MEMBERS 
OF THE ARMED FORCES.— 
‘‘(1) IN GENERAL.—Subject to the availability 
of appropriations for such purpose, the Secretary of 
Defense may provide an active duty member of the 
Armed Forces with a severe injury or illness with re-
habilitative equipment, including recreational sports 
equipment that provide an adaption or accommoda-
tion for the member, regardless of whether such 
equipment is intentionally designed to be adaptive 
equipment. 
‘‘(2) CONSULTATION.—In carrying out this sub-
section, the Secretary of Defense shall consult with 
the Secretary of Veterans Affairs regarding similar 
programs carried out by the Secretary of Veterans 
Affairs.’’. 
SEC. 734. SENSE OF CONGRESS ON POST-TRAUMATIC 
STRESS DISORDER. 
It is the sense of Congress that—
442 
(1) post-traumatic stress disorder is an increas-
ingly common disease suffered by returning mem-
bers of the Armed Forces; and 
(2) access to treatment for members with post- 
traumatic stress disorder should be expanded to in-
clude local and community medical facilities. 
SEC. 735. REPORT ON RESEARCH AND TREATMENT OF 
POST-TRAUMATIC STRESS DISORDER. 
(a) FINDINGS.—Congress finds the following: 
(1) The high-incidence rate of neurological 
trauma in members of the Armed Forces needs to 
be addressed. 
(2) Critical research using neuroimaging that is 
concentrated on post-traumatic stress disorder offers 
great hope in identifying conditions allowing for a 
separate and distinct classification of post-traumatic 
stress disorder. 
(3) The Telemedicine and Advanced Technology 
Research Center within the Army Medical Research 
and Materiel Command has engaged the National 
Resources for Neuroscience and Neuroimaging to 
develop collaborative and inter-agency research link-
ing the Department of Defense and the Department 
of Veterans Affairs with appropriate and established 
university-affiliated partnerships.
443 
(b) REPORT.—Not later than one year after the date 
of the enactment of this Act, the Secretary of Defense 
shall submit to the congressional defense committees a re-
port assessing the benefits of neuroimaging research in an 
effort to identify and increase the diagnostic properties of 
post-traumatic stress disorder. 
SEC. 736. STUDY ON BREAST CANCER AMONG MEMBERS OF 
THE ARMED FORCES AND VETERANS. 
(a) STUDY.—The Secretary of Defense and the Sec-
retary of Veterans Affairs shall jointly conduct a study 
on the incidence of breast cancer among members of the 
Armed Forces (including members of the National Guard 
and reserve components) and veterans. Such study shall 
include the following: 
(1) A determination of the number of members 
and veterans diagnosed with breast cancer. 
(2) A determination of demographic informa-
tion regarding such members and veterans, includ-
ing— 
(A) race; 
(B) ethnicity; 
(C) sex; 
(D) age; 
(E) possible exposure to hazardous ele-
ments or chemical or biological agents (includ-
444 
ing any vaccines) and where such exposure oc-
curred; 
(F) the locations of duty stations that such 
member or veteran was assigned; 
(G) the locations in which such member or 
veteran was deployed; and 
(H) the geographic area of residence prior 
to deployment. 
(3) An analysis of breast cancer treatments re-
ceived by such members and veterans. 
(4) Other information the Secretaries consider 
necessary. 
(b) REPORT.—Not later than 18 months after the 
date of the enactment of this Act, the Secretary of Defense 
and the Secretary of Veterans Affairs shall jointly submit 
to Congress a report containing the results of the study 
required under subsection (a). 
(c) FUNDING INCREASE AND OFFSETTING REDUC-
TION.—Notwithstanding the amounts set forth in the 
funding tables in division D— 
(1) the amount authorized to be appropriated in 
section 1406 for the Defense Health Program, as 
specified in the corresponding funding table in divi-
sion D, is hereby increased by $10,000,000, with the 
amount of the increase allocated to the Defense
445 
Health Program, as set forth in the table under sec-
tion 4501, to carry out this section; 
(2) the amount authorized to be appropriated in 
section 101 for other procurement, Navy, as speci-
fied in the corresponding funding table in division D, 
is hereby reduced by $8,800,000, with the amount 
of the reduction to be derived from Joint Tactical 
Radio System Maritime-Fixed radios under Line 
075 Shipboard Tactical Communications as set forth 
in the table under section 4101; and 
(3) the amount authorized to be appropriated in 
section 101 for other procurement, Air Force, as 
specified in the corresponding funding table in divi-
sion D, is hereby reduced by $1,200,000, with the 
amount of the reduction to be derived from Joint 
Tactical Radio System Maritime-Fixed radios under 
Line 
049 
Tactical 
Communications-Electronic 
Equipment as set forth in the table under section 
4101. 
SEC. 737. TRANSFER OF DEFENSE CENTERS OF EXCEL-
LENCE FOR PSYCHOLOGICAL HEALTH AND 
TRAUMATIC BRAIN INJURY. 
(a) IN GENERAL.—The Secretary of Defense shall 
develop a plan to transfer the Defense Centers of Excel-
lence for Psychological Health and Traumatic Brain In-
446 
jury from the TRICARE Management Activity to a mili-
tary department, as determined by the Secretary. 
(b) NOTIFICATION.—Not later than 180 days after 
the date of the enactment of this Act, the Secretary shall 
notify the congressional defense committees of the plan 
under subsection (a), including the military department 
determined by the Secretary. 
SEC. 738. REPORT ON MEMORANDUM REGARDING TRAU-
MATIC BRAIN INJURIES. 
Not later than 180 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 how 
the Secretary will identify, refer, and treat traumatic brain 
injuries with respect to members of the Armed Forces who 
served in Operation Enduring Freedom or Operation Iraqi 
Freedom before the date in June, 2010, on which the 
memorandum regarding using a 50-meter distance from 
an explosion as a criterion to properly identify, refer, and 
treat members for potential traumatic brain injury took 
effect. 
SEC. 739. FREQUENCY OF REPORTS ON CONTINUED VIABIL-
ITY OF TRICARE STANDARD AND TRICARE 
EXTRA. 
Section 711(b)(2) of the National Defense Authoriza-
tion Act for Fiscal Year 2008 (Public Law 110–181; 10
447 
U.S.C. 1073 note) is amended in the matter preceding 
subparagraph (A) by striking ‘‘bi-annual’’ and inserting 
‘‘biennial’’. 
TITLE VIII—ACQUISITION POL-
ICY, ACQUISITION MANAGE-
MENT, AND RELATED MAT-
TERS 
Subtitle A—Acquisition Policy and 
Management 
SEC. 801. REQUIREMENTS RELATING TO CORE LOGISTICS 
CAPABILITIES FOR MILESTONE A AND MILE-
STONE B AND ELIMINATION OF REFERENCES 
TO KEY DECISION POINTS A AND B. 
(a) ADDITIONAL MILESTONE A REQUIREMENTS.— 
(1) ADDITIONAL ITEMS OF CERTIFICATION.— 
Subsection (a) of section 2366a of title 10, United 
States Code, is amended— 
(A) in paragraph (2), by striking ‘‘core 
competency’’ and inserting ‘‘function’’; 
(B) by redesignating paragraphs (4) and 
(5) as paragraphs (5) and (7), respectively; 
(C) by inserting after paragraph (3) the 
following new paragraph (4): 
‘‘(4) that relevant sustainment criteria and al-
ternatives were evaluated and addressed in the ini-
448 
tial capabilities document in sufficient depth to sup-
port an analysis of alternatives and to establish the 
foundation for developing key performance param-
eters for sustainment of the program throughout its 
projected life cycle;’’; 
(D) by striking ‘‘and’’ at the end of para-
graph (5) (as so redesignated); 
(E) by inserting after paragraph (5) (as so 
redesignated) the following new paragraph (6): 
‘‘(6) that a preliminary assessment of the core 
logistics capabilities necessary to maintain and re-
pair the program has been performed; and’’; and 
(F) in paragraph (7) (as so redesignated), 
by striking ‘‘develop and procure’’ and inserting 
‘‘develop, procure, and sustain’’. 
(2) DEFINITION.—Subsection (c) of such sec-
tion is amended by adding at the end the following 
new paragraphs: 
‘‘(7) The term ‘core logistics capabilities’ means 
the core logistics capabilities identified under section 
2464(a) of this title.’’. 
(b) ADDITIONAL MILESTONE B REQUIREMENTS.— 
(1) ADDITIONAL
ITEM
OF
CERTIFICATION.— 
Subsection (a)(3) of section 2366b of title 10, 
United States Code, is amended—
710 
any program, system, procedures, or other as-
pect of personnel management, as established 
or modified under authority of this section; and 
‘‘(B) submit to the appropriate committees 
of Congress and the Comptroller General, a re-
port describing the results of the assessments 
or surveys conducted under subparagraph (A) 
(including the methodology used), together with 
any other information which the Secretary con-
siders appropriate. 
‘‘(2) REVIEW.—After receiving any report 
under paragraph (1), the Comptroller General— 
‘‘(A) shall review the assessments or sur-
veys described in such report to determine if 
they were appropriately designed and statis-
tically valid; 
‘‘(B) shall conduct a review of the extent 
to which the program, system, procedures, or 
other aspect of program management concerned 
(as described in paragraph (1)(A)) is fair, cred-
ible, transparent, and otherwise in conformance 
with the requirements of this section; and 
‘‘(C) within 6 months after receiving such 
report, shall submit to the appropriate commit-
tees of Congress—