493 
(3) best practices for reducing the stigmatization 
of medicinal cannabis. 
(g) DEFINITIONS.—In this section: 
(1) The terms ‘‘active duty’’ and ‘‘Armed Forces’’ 
have the meaning given those terms in section 101 of 
title 10, United States Code. 
(2) The term ‘‘appropriate congressional com-
mittees’’ means— 
(A) the congressional defense committees; 
(B) the Committee on Energy and Com-
merce of the House of Representatives; and 
(C) the Committee on Commerce, Science, 
and Transportation of the Senate. 
SEC. 744. REPORT ON COMPOSITION OF MEDICAL PER-
SONNEL OF EACH MILITARY DEPARTMENT 
AND RELATED MATTERS. 
(a) REPORT.—Not later than 180 days after the date 
of the enactment of this Act, and annually thereafter for 
five years, the Secretary of Defense, in coordination with 
the Secretaries of the military departments, shall submit 
to the Committees on Armed Services of the House of Rep-
resentatives and the Senate a report on the composition of 
the medical personnel of each military department and re-
lated matters. 
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(b) MATTERS.—The report under subsection (a) shall 
include the following: 
(1) With respect to each military department, 
the following: 
(A) An identification of the total number of 
medical personnel of the military department. 
(B) An identification of the number of such 
medical personnel who are officers in a grade 
above O–6. 
(C) An identification of the number of such 
medical personnel who are officers in a grade 
below O–7. 
(D) An identification of the number of such 
medical personnel who are enlisted members. 
(E) An assessment of potential issues relat-
ing to the composition of such medical personnel. 
(F) A description of any plans of the Sec-
retary to— 
(i) reduce the total number of such 
medical personnel; or 
(ii) eliminate any covered position for 
such medical personnel. 
(G) A recommendation by the Secretary for 
the number of covered positions for such medical 
personnel that should be required for purposes of 
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maximizing medical readiness (without regard to 
current statutory limitations, or potential future 
statutory limitations, on such number), pre-
sented as a total number for each military de-
partment and disaggregated by grade. 
(2) An assessment of the advisability of estab-
lishing within the Department of the Air Force, by 
not later than five years after the date of the enact-
ment of this Act, a position of the Medical Officer of 
the Space Force with the responsibilities of advising 
the Chief of Space Operations on all matters relating 
to health care for members of the Space Force and 
serving as the expert on such matters in working with 
the heads of other Federal departments and agencies 
on related issues. 
(3) An assessment of the necessity of maintain-
ing the position of the Medical Officer of the Marine 
Corps, including— 
(A) a comparison of the effects of filling 
such position with an officer in the grade of O– 
6 versus an officer in the grade of O–7; 
(B) an assessment of potential issues associ-
ated with the elimination of such position; and 
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(C) a description of any potential effects of 
such elimination with respect to medical readi-
ness. 
(c) DISAGGREGATION OF CERTAIN DATA.—The data 
specified in subparagraphs (A) through (D) of subsection 
(b)(1) shall be presented as a total number and 
disaggregated by each medical component of the respective 
military department. 
(d) CONSIDERATIONS IN ASSESSING CERTAIN SPACE 
FORCE MATTER.—In conducting the assessment pursuant 
to subsection (b)(2), the Secretary of Defense shall take into 
consideration the tasks, operations, and specific health care 
considerations that accompany the space warfighting mis-
sion of the Space Force. 
(e) DEFINITIONS.—In this section: 
(1) The term ‘‘covered position’’ means a posi-
tion for an officer in a grade above O–6. 
(2) The terms ‘‘enlisted member’’ and ‘‘officer’’ 
have the meanings given those terms in section 101(b) 
of title 10, United States Code. 
(3) The term ‘‘medical component’’ means— 
(A) in the case of the Army, the Medical 
Corps, Dental Corps, Nurse Corps, Medical Serv-
ice Corps, Veterinary Corps, and Army Medical 
Specialist Corps; 
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(B) in the case of the Air Force, members 
designated as medical officers, dental officers, 
Air Force nurses, medical service officers, and 
biomedical science officers; and 
(C) in the case of the Navy, the Medical 
Corps, Dental Corps, Nurse Corps, and Medical 
Service Corps. 
(4) The term ‘‘medical personnel’’ has the mean-
ing given such term in section 115a(e) of title 10, 
United States Code. 
(5) The term ‘‘military department’’ has the 
meaning given that term in section 101(a) of such 
title. 
SEC. 745. BRIEFING AND REPORT ON REDUCTION OR RE-
ALIGNMENT OF MILITARY MEDICAL MANNING 
AND MEDICAL BILLETS. 
Section 731(a)(2)(A) of the National Defense Author-
ization Act for Fiscal Year 2022 (Public Law 117–81) is 
amended to read as follows: 
‘‘(A) BRIEFING; REPORT.—The Comptroller 
General shall submit to the Committees on 
Armed Services of the House of Representatives 
and the Senate— 
‘‘(i) a briefing on preliminary observa-
tions regarding the analyses used to support 
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any reduction or realignment of military 
medical manning, including any reduction 
or realignment of medical billets of the mili-
tary departments, not later than December 
27, 2022; and 
‘‘(ii) a report on such analyses not 
later than May 31, 2023.’’. 
Subtitle D—Other Matters 
SEC. 761. INCLUSION OF EXPOSURE TO PERFLUOROALKYL 
AND 
POLYFLUOROALKYL 
SUBSTANCES 
AS 
COMPONENT OF PERIODIC HEALTH ASSESS-
MENTS. 
(a) PERIODIC
HEALTH
ASSESSMENT.—Each Sec-
retary concerned shall ensure that any periodic health as-
sessment provided to a member of the Armed Forces in-
cludes an evaluation of whether the member has been— 
(1) based or stationed at a military installation 
identified by the Secretary concerned as a location 
with a known or suspected release of perfluoroalkyl 
substances or polyfluoroalkyl substances during the 
period in which the member was based or stationed 
at the military installation; or 
(2) exposed to such substances, including by eval-
uating any information in the health record of the 
member. 
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(b) SEPARATION HISTORY AND PHYSICAL EXAMINA-
TIONS.—Section 1145(a)(5) of title 10, United States Code 
is amended by adding at the end the following new subpara-
graph: 
‘‘(D) The Secretary concerned shall ensure that each 
physical examination of a member under subparagraph (A) 
includes an assessment of whether the member was— 
‘‘(i) based or stationed at a military installation 
identified by the Secretary concerned as a location 
with a known or suspected release of perfluoroalkyl 
substances or polyfluoroalkyl substances during the 
period in which the member was based or stationed 
at the military installation; or 
‘‘(ii) exposed to such substances, including by as-
sessing any information in the health record of the 
member.’’. 
(c) DEPLOYMENT ASSESSMENTS.—Section 1074f(b)(2) 
of title 10, United States Code, is amended by adding at 
the end the following new subparagraph: 
‘‘(E) An assessment of whether the member 
was— 
‘‘(i) based or stationed at a military instal-
lation identified by the Secretary concerned as a 
location with a known or suspected release of 
perfluoroalkyl substances or polyfluoroalkyl sub-
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stances during the period in which the member 
was based or stationed at the military installa-
tion; or 
‘‘(ii) exposed to such substances, including 
by assessing any information in the health 
record of the member.’’ 
(d) PROVISION OF BLOOD TESTING TO DETERMINE 
EXPOSURE
TO
PERFLUOROALKYL
SUBSTANCES
OR 
POLYFLUOROALKYL SUBSTANCES.— 
(1) PROVISION OF BLOOD TESTING.— 
(A) IN GENERAL.—If a covered evaluation 
of a member of the Armed Forces results in a 
positive determination of potential exposure to 
perfluoroalkyl substances or polyfluoroalkyl sub-
stances, the Secretary concerned shall provide to 
that member, during the covered evaluation, 
blood testing to determine and document poten-
tial exposure to such substances. 
(B) INCLUSION IN HEALTH RECORD.—The 
results of blood testing of a member of the Armed 
Forces conducted under subparagraph (A) shall 
be included in the health record of the member. 
(2) ANALYSIS OF BLOOD TESTING RESULTS.— 
(A) PLAN.—Not later than one year after 
the date of the enactment of this Act, the Sec-
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501 
retary of Defense shall submit to the Committees 
on Armed Services of the House of Representa-
tives and the Senate a plan, consistent with De-
partment of Defense Instruction 6055.05 (or such 
successor instruction), to track and analyze, in-
cluding through the identification and analysis 
of trends, the results of blood testing results pro-
vided pursuant to the paragraph (1) or under 
section 707 of the National Defense Authoriza-
tion Act for Fiscal Year 2020 (Public Law 116– 
92; 133 Stat. 1441; 10 U.S.C. 1074m note). 
(B) ANNUAL REPORTS.—Not later than two 
years after the date of the enactment of this Act, 
and annually thereafter, the Secretary shall sub-
mit to the Committees on Armed Services of the 
House of Representatives and the Senate a report 
containing a summary of the results of blood 
testing provided pursuant to paragraph (1), at a 
Department of Defense-wide level. 
(e) DEFINITIONS.—In this section: 
(1) The term ‘‘covered evaluation’’ means— 
(A) a periodic health assessment conducted 
in accordance with subsection (a); 
(B) a separation history and physical ex-
amination conducted under section 1145(a)(5) of 
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502 
title 10, United States Code, as amended by sub-
section (b); or 
(C) a deployment assessment conducted 
under section 1074f(b)(2) of such title, as amend-
ed by subsection (c). 
(2) The term ‘‘Secretary concerned’’ has the 
meaning given such term in section 101 of title 10, 
United States Code. 
SEC. 762. MANDATORY TRAINING ON HEALTH EFFECTS OF 
PERFLUOROALKYL 
OR 
POLYFLUOROALKYL 
SUBSTANCES. 
The Secretary of Defense shall provide to each medical 
provider of the Department of Defense mandatory training 
with respect to the potential health effects of perfluoroalkyl 
or polyfluoroalkyl substances. 
SEC. 763. NON-MEDICAL COUNSELING SERVICES FOR MILI-
TARY FAMILIES. 
Section 1781 of title 10, United States Code, is amend-
ed by adding at the end the following new subsections: 
‘‘(d) NON-MEDICAL COUNSELING SERVICES.—(1) In 
carrying out the duties of the Office under subsection (b), 
the Director of Military Family Readiness Policy may co-
ordinate programs and activities for the provision of non- 
medical counseling services to military families through the 
Military and Family Counseling Program. 
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‘‘(2) Notwithstanding any law regarding the licensure 
or certification of mental health professionals, a mental 
health professional described in paragraph (3) may provide 
non-medical counseling services through the Military and 
Family Counseling Program at any location in a State, 
the District of Columbia, or a Commonwealth, territory or 
possession of the United States, without regard to where the 
provider or recipient of such services is located or the mode 
of the delivery of such services, if the provision of such serv-
ices is within the scope of the authorized Federal duties of 
the professional. 
‘‘(3) A mental health professional described in this 
paragraph is an individual who is— 
‘‘(A) a mental health professional who holds a 
current license or certification that is— 
‘‘(i) issued by a State, the District of Co-
lumbia, or a Commonwealth, territory, or posses-
sion of the United States; and 
‘‘(ii) recognized by the Secretary of Defense; 
‘‘(B) a member of the uniformed services, a civil-
ian employee of the Department of Defense, or a con-
tractor designated by the Secretary of Defense; and 
‘‘(C) performing authorized duties for the De-
partment of Defense under a program or as part of 
an activity referred to in paragraph (1). 
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‘‘(e) DEFINITIONS.—In this section: 
‘‘(1) The term ‘Military and Family Counseling 
Program’ means the Military and Family Counseling 
Program of the Department of Defense, or any suc-
cessor program. 
‘‘(2) The term ‘non-medical counseling services’ 
means mental health care services that— 
‘‘(A) are non-clinical, short-term, and solu-
tion-focused; and 
‘‘(B) address topics related to personal 
growth, development, and positive functioning.’’. 
SEC. 764. CLARIFICATIONS RELATING TO ANALYSIS OF DE-
PARTMENT OF DEFENSE COMPREHENSIVE 
AUTISM DEMONSTRATION PROGRAM BY NA-
TIONAL ACADEMIES. 
(a) CLARIFICATIONS.—Section 737 of the National De-
fense Authorization Act for Fiscal Year 2022 (Public Law 
117–81; 135 Stat. 1800) is amended— 
(1) in subsection (b)(2)— 
(A) in subparagraph (A), by inserting 
‘‘broadly’’ after ‘‘disorder’’; 
(B) in subparagraph (C), by inserting ‘‘pa-
rental involvement in applied behavior analysis 
treatment, and’’ after ‘‘including’’; 
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(2) in subsection (c), by striking ‘‘nine months’’ 
and inserting ‘‘two years and seven months’’. 
(b) TECHNICAL
AND CONFORMING AMENDMENT.— 
Such section is further amended by striking ‘‘demonstration 
project’’ each place it appears and inserting ‘‘demonstra-
tion program’’. 
SEC. 765. CLARIFICATION OF ELIGIBILITY FOR MEMBER-
SHIP TO INDEPENDENT SUICIDE PREVEN-
TION AND RESPONSE REVIEW COMMITTEE. 
Section 738(b)(3) of the National Defense Authoriza-
tion Act for Fiscal Year 2022 (Public Law 117–81; 135 
Stat. 1801) is amended by inserting ‘‘, unless the individual 
is a retired member of the Armed Forces or a former civil-
ian employee of the Department, or the individual is hired 
for the purpose of serving on such committee’’ after ‘‘De-
partment of Defense’’. 
SEC. 766. IMPROVEMENT TO WOUNDED WARRIOR SERVICE 
DOG PROGRAM. 
Section 745 of the William M. (Mac) Thornberry Na-
tional Defense Authorization Act for Fiscal Year 2021 (134 
Stat. 3710; Public Law 10 U.S.C. 1071 note) is amended— 
(1) by redesignating subsection (b) as subsection 
(c); and 
(2) by inserting after subsection (a) the following 
new subsection: 
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‘‘(b) GRANTS.— 
‘‘(1) IN GENERAL.—In carrying out the Wound-
ed Warrior Service Dog Program, the Secretary of 
Defense may award grants to nonprofit organizations 
to provide assistance dogs under such program. 
‘‘(2) APPLICATIONS.—An applicant for a grant 
under paragraph (1) shall submit an application at 
such time, in such manner, and containing such in-
formation as the Secretary determines. 
‘‘(3) SELECTION.—The Secretary shall select 
nonprofit organizations that submit applications for 
the award of grants under the Wounded Warrior 
Service Dog Program using a competitive process. 
‘‘(4) CONSIDERATIONS FOR GRANT AMOUNT.—In 
determining the amount of a grant to award to a 
nonprofit organization selected under paragraph (3), 
the Secretary shall consider the following: 
‘‘(A) The merits of the application sub-
mitted by the nonprofit organization. 
‘‘(B) Whether, and to what extent, there is 
demand by covered members or covered veterans 
for assistance dogs provided by the nonprofit or-
ganization. 
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‘‘(C) The capacity and capability of the 
nonprofit organization to raise and train assist-
ance dogs to meet such demand. 
‘‘(D) Such other factors as the Secretary 
may determine appropriate. 
‘‘(5) LIMITATION
ON
GRANT
AMOUNTS.—The 
amount of a grant awarded to a nonprofit organiza-
tion selected under paragraph (3) may not exceed 
$2,000,000.’’. 
SEC. 767. IMPROVEMENTS RELATING TO BEHAVIORAL 
HEALTH CARE AVAILABLE UNDER MILITARY 
HEALTH SYSTEM. 
(a) EXPANSION OF CERTAIN BEHAVIORAL HEALTH 
PROGRAMS AT THE UNIFORMED SERVICES UNIVERSITY OF 
THE HEALTH SCIENCES.— 
(1) 
ESTABLISHMENT
OF
GRADUATE
PRO-
GRAMS.—The Secretary of Defense shall establish 
graduate degree-granting programs in counseling and 
social work at the Uniformed Services University of 
the Health Sciences. 
(2) EXPANSION OF CLINICAL PSYCHOLOGY GRAD-
UATE PROGRAM.—The Secretary of Defense shall take 
such steps as may be necessary to expand the clinical 
psychology graduate program of the Uniformed Serv-
ices University of the Health Sciences. 
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(3) POST-AWARD EMPLOYMENT OBLIGATION.— 
(A) AGREEMENT WITH SECRETARY.—Sub-
ject to subparagraph (B), as a condition of en-
rolling in a degree-granting program in clinical 
psychology, social work, or counseling at the 
Uniformed Services University of the Health 
Sciences, a civilian student shall enter into an 
agreement with the Secretary of Defense pursu-
ant to which the student agrees that, if the stu-
dent does not become a member of a uniformed 
service upon graduating such program, the stu-
dent shall work on a full-time basis as a covered 
civilian behavioral health provider for a period 
of a duration that is at least equivalent to the 
period during which the student was enrolled in 
such program. 
(B) OTHER TERMS AND CONDITIONS.—An 
agreement entered into pursuant to subpara-
graph (A) may include such other terms and 
conditions as the Secretary of Defense may deter-
mine necessary to protect the interests of the 
United States or otherwise appropriate for pur-
poses of this section, including terms and condi-
tions providing for limited exceptions from the 
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employment obligation specified in such sub-
paragraph. 
(C) REPAYMENT.—A civilian graduate who 
does not complete the employment obligation re-
quired under the agreement entered into pursu-
ant to subparagraph (A) shall repay to the Sec-
retary of Defense a prorated portion of the stu-
dent’s costs of attendance in the program de-
scribed in such paragraph. The amount of such 
prorated portion shall be determined by the Sec-
retary. 
(D) APPLICABILITY.—This subsection shall 
apply to civilian students who enroll in the first 
year of a degree-granting program in clinical 
psychology, social work, or counseling at the 
Uniformed Services University of the Health 
Sciences on or after the date of the enactment of 
this Act. 
(4) IMPLEMENTATION PLAN.—Not later than one 
year after the date of the enactment of this Act, the 
Secretary shall submit to the congressional defense 
committees a plan for the implementation of this sub-
section. Such plan shall include— 
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(A) a determination as to the resources for 
personnel and facilities required for such imple-
mentation; 
(B) estimated timelines for such implemen-
tation; and 
(C) a projection of the number of graduates 
from the programs specified in paragraph (1) 
upon the completion of such implementation. 
(b) SCHOLARSHIP-FOR-SERVICE PROGRAM FOR CIVIL-
IAN BEHAVIORAL HEALTH PROVIDERS.— 
(1) IN GENERAL.—Beginning not later than two 
years after the date of the enactment of this Act, the 
Secretary of Defense shall carry out a program under 
which— 
(A) the Secretary may provide— 
(i) direct grants to cover tuition, fees, 
living expenses, and other costs of attend-
ance at an institution of higher education 
to an individual enrolled in a program of 
study leading to a graduate degree in clin-
ical psychology, social work, counseling, or 
a related field (as determined by the Sec-
retary); and 
(ii) student loan repayment assistance 
to a credentialed behavioral health provider 
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who has a graduate degree in clinical psy-
chology, social work, counseling, or a related 
field (as determined by the Secretary); and 
(B) in exchange for such assistance, the re-
cipient shall commit to work as a covered civil-
ian behavioral health provider in accordance 
with paragraph (2). 
(2) POST-AWARD EMPLOYMENT OBLIGATIONS.— 
(A) IN GENERAL.—Subject to subparagraph 
(B), as a condition of receiving assistance under 
paragraph (1), the recipient of such assistance 
shall enter into an agreement with the Secretary 
of Defense pursuant to which the recipient agrees 
to work on a full-time basis as a covered civilian 
behavioral health provider for a period of a du-
ration that is at least equivalent to the period 
during which the recipient received assistance 
under such paragraph. 
(B) OTHER TERMS AND CONDITIONS.—An 
agreement entered into pursuant to subpara-
graph (A) may include such other terms and 
conditions as the Secretary of Defense may deter-
mine necessary to protect the interests of the 
United States or otherwise appropriate for pur-
poses of this section, including terms and condi-
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tions providing for limited exceptions from the 
post-award employment obligation specified in 
such subparagraph. 
(3) REPAYMENT.—An individual who receives 
assistance under paragraph (1) and does not complete 
the employment obligation required under the agree-
ment entered into pursuant to paragraph (2) shall 
repay to the Secretary of Defense a prorated portion 
of the financial assistance received by the individual 
under paragraph (1). The amount of such prorated 
portion shall be determined by the Secretary. 
(4) IMPLEMENTATION PLAN.—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 plan for the implementation of 
this subsection. Such plan shall include— 
(A) a determination as to the resources re-
quired for such implementation; 
(B) estimated timelines for such implemen-
tation; and 
(C) a projection of the number of recipients 
of assistance under paragraph (1) upon the com-
pletion of such implementation. 
(c) REPORT ON BEHAVIORAL HEALTH WORKFORCE.— 
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(1) REPORT.—Not later than 90 days after the 
date of the enactment of this Act, the Secretary of De-
fense shall conduct an analysis of the behavioral 
health workforce under the direct care component of 
the TRICARE program and submit to the congres-
sional defense committees a report containing the re-
sults of such analysis. Such report shall include, with 
respect to such workforce, the following: 
(A) The number of positions authorized for 
military behavioral health providers within such 
workforce, and the number of such positions 
filled, disaggregated by the professions described 
in paragraph (2). 
(B) The number of positions authorized for 
civilian behavioral health providers within such 
workforce, and the number of such positions 
filled, disaggregated by the professions described 
in paragraph (2). 
(C) For each military department, the ratio 
of military behavioral health providers assigned 
to military medical treatment facilities com-
pared to civilian behavioral health providers so 
assigned, disaggregated by the professions de-
scribed in paragraph (2). 
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(D) For each military department, the 
number of military behavioral health providers 
authorized to be embedded within an operational 
unit, and the number of such positions filled, 
disaggregated by the professions described in 
paragraph (2). 
(E) Data on the historical demand for be-
havioral health services by members of the Armed 
Forces. 
(F) An estimate of the number of health 
care providers necessary to meet the demand by 
such members for behavioral health care services 
under 
the 
direct 
care 
component 
of 
the 
TRICARE program, disaggregated by provider 
type. 
(G) An identification of any shortfall be-
tween the estimated number under subparagraph 
(F) and the total number of positions for behav-
ioral health providers filled within such work-
force. 
(H) Such other information as the Sec-
retary may determine appropriate. 
(2) PROVIDER TYPES.—The professions described 
in this paragraph are as follows: 
(A) Clinical psychologists. 
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(B) Social workers. 
(C) Counselors. 
(D) Such other professions as the Secretary 
may determine appropriate. 
(3) BEHAVIORAL WORKFORCE AT REMOTE LOCA-
TIONS.—In conducting the analysis of the behavioral 
health workforce under paragraph (1), the Secretary 
of Defense shall ensure such behavioral health work-
force at remote locations (including Guam and Ha-
waii) and any shortfalls thereof, is taken into ac-
count. 
(d) PLAN TO ADDRESS SHORTFALLS IN BEHAVIORAL 
HEALTH WORKFORCE.—Not later than 180 days after the 
date of the enactment of this Act, the Secretary shall submit 
to the congressional defense committees a plan to address 
any shortfall of the behavioral health workforce identified 
under subsection (c)(1)(G). Such plan shall address the fol-
lowing: 
(1) With respect to any such shortfall of military 
behavioral health providers (addressed separately with 
respect to such providers assigned to military medical 
treatment facilities and such providers assigned to be 
embedded within operational units), the recruitment, 
accession, retention, special pay and other aspects of 
compensation, workload, role of the Uniformed Serv-
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ices University of the Health Sciences and the Armed 
Forces Health Professions Scholarship Program under 
chapter 105 of title 10, United States Code, any addi-
tional authorities or resources necessary for the Sec-
retary to increase the number of such providers, and 
such other considerations as the Secretary may con-
sider appropriate. 
(2) With respect to addressing any such shortfall 
of civilian behavioral health providers, the recruit-
ment, hiring, retention, pay and benefits, workload, 
educational scholarship programs, any additional au-
thorities or resources necessary for the Secretary to 
increase the number of such providers, and such other 
considerations as the Secretary may consider appro-
priate. 
(3) A recommendation as to whether the number 
of military behavioral health providers in each mili-
tary department should be increased, and if so, by 
how many. 
(4) A plan to ensure that remote installations 
are prioritized for the assignment of military behav-
ioral health providers. 
(5) Updated access standards for behavioral 
health care under the military health system, taking 
into account— 
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(A) the duration of time between a patient 
receiving a referral for such care and the patient 
receiving individualized treatment (following an 
initial intake assessment) from a behavioral 
health provider; and 
(B) the frequency of regular follow-up ap-
pointments subsequent to the first appointment 
at which a patient receives such individualized 
treatment. 
(6) A plan to expand access to behavioral health 
care under the military health system using tele-
health. 
(e) DEFINITIONS.—In this section: 
(1) The term ‘‘behavioral health’’ includes psy-
chiatry, clinical psychology, social work, counseling, 
and related fields. 
(2) The term ‘‘civilian behavioral health pro-
vider’’ means a behavioral health provider who is a 
civilian employee of the Department of Defense. 
(3) The term ‘‘cost of attendance’’ has the mean-
ing given that term in section 472 of the Higher Edu-
cation Act of 1965 (20 U.S.C. 1087ll). 
(4) The term ‘‘counselor’’ means an individual 
who holds— 
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(A) a master’s or doctoral degree from an 
accredited graduate program in— 
(i) marriage and family therapy; or 
(ii) clinical mental health counseling; 
and 
(B) a current license or certification from a 
State that grants the individual the authority to 
provide counseling services as an independent 
practitioner in the respective field of the indi-
vidual. 
(5) The term ‘‘covered civilian behavioral health 
provider’’ means a civilian behavioral health provider 
whose employment by the Secretary of Defense in-
volves the provision of behavioral health services at a 
military medical treatment facility. 
(6) The term ‘‘institution of higher education’’ 
has the meaning given that term in section 101 of the 
Higher Education Act of 1965 (20 U.S.C. 1001). 
(7) The term ‘‘military behavioral health pro-
vider’’ means a behavioral health provider who is a 
member of the Armed Forces. 
(8) The term ‘‘military installation’’ has the 
meaning given that term in section 2801 of title 10, 
United States Code. 
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(9) The term ‘‘military medical treatment facil-
ity’’ means a facility specified in section 1073d of 
such title. 
(10) The term ‘‘remote installation’’ means a 
military installation that the Secretary determines to 
be in a remote location. 
(11) The term ‘‘State’’ means each of the several 
States, the District of Columbia, and each common-
wealth, territory or possession of the United States. 
(12) The term ‘‘TRICARE program’’ has the 
meaning given that term in section 1072 of title 10, 
United States Code. 
SEC. 768. ASSIGNMENT OF BEHAVIORAL HEALTH PRO-
VIDERS AND TECHNICIANS TO AIRCRAFT 
CARRIERS. 
(a) ASSIGNMENT.—Beginning not later than December 
31, 2023, the Secretary of the Navy shall ensure there is 
assigned to each aircraft carrier not fewer than two mili-
tary behavioral health providers and not fewer than two 
behavioral health technicians. 
(b) DEFINITIONS.—In this section: 
(1) The term ‘‘behavioral health’’ includes clin-
ical psychology, social work, counseling, and related 
fields. 
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(2) The term ‘‘behavioral health technician’’ 
means an enlisted member of the Armed Forces who 
is trained to perform clinical activities in support of 
a licensed behavioral health provider. 
(3) The term ‘‘military behavioral health pro-
vider’’ means a behavioral health provider who is a 
member of the Armed Forces. 
SEC. 769. DEPARTMENT OF DEFENSE INTERNSHIP PRO-
GRAMS RELATING TO CIVILIAN BEHAVIORAL 
HEALTH PROVIDERS. 
(a) INTERNSHIP PROGRAMS
FOR CIVILIAN BEHAV-
IORAL HEALTH.— 
(1) ESTABLISHMENT OF PROGRAMS.—The Sec-
retary of Defense shall establish paid pre-doctoral and 
post-doctoral internship programs for the purpose of 
training clinical psychologists to work as covered ci-
vilian behavioral health providers. 
(2) EMPLOYMENT OBLIGATION.— 
(A) IN GENERAL.—Subject to subparagraph 
(B), as a condition of participating in an in-
ternship program under paragraph (1), the par-
ticipant shall enter into an agreement with the 
Secretary of Defense pursuant to which the par-
ticipant agrees to work on a full-time basis as a 
covered civilian behavioral health provider for a 
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period of a duration that is at least equivalent 
to the period of participation in such internship 
program. 
(B) OTHER TERMS AND CONDITIONS.—An 
agreement entered into pursuant to subpara-
graph (A) may include such other terms and 
conditions as the Secretary of Defense may deter-
mine necessary to protect the interests of the 
United States or otherwise appropriate for pur-
poses of this section, including terms and condi-
tions providing for limited exceptions from the 
employment obligation specified in such sub-
paragraph. 
(3) REPAYMENT.—An individual who partici-
pates in an internship program under paragraph (1) 
and does not complete the employment obligation re-
quired under the agreement entered into pursuant to 
paragraph (2) shall repay to the Secretary of Defense 
a prorated portion of the cost of administering such 
program with respect to such individual and of any 
payment received by the individual under such pro-
gram. The amount of such prorated portion shall be 
determined by the Secretary. 
(4) IMPLEMENTATION PLAN.—Not later than one 
year after the date of the enactment of this Act, the 
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Secretary of Defense shall submit to the congressional 
defense committees a plan for the implementation of 
this subsection. Such plan shall include an expla-
nation of how the Secretary will adjust the workload 
and staffing of behavioral health providers in mili-
tary medical treatment facilities to ensure sufficient 
capacity to supervise participants in the internship 
programs under paragraph (1). 
(b) DEFINITIONS.—In this section: 
(1) The term ‘‘behavioral health’’ includes psy-
chiatry, clinical psychology, social work, counseling, 
and related fields. 
(2) The term ‘‘covered civilian behavioral health 
provider’’ means a civilian behavioral health provider 
whose employment by the Secretary of Defense in-
volves the provision of behavioral health services at a 
military medical treatment facility. 
(3) The term ‘‘civilian behavioral health pro-
vider’’ means a behavioral health provider who is a 
civilian employee of the Department of Defense. 
(4) The term ‘‘military medical treatment facil-
ity’’ means a facility specified in section 1073d of 
such title. 
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SEC. 770. BRAIN HEALTH INITIATIVE OF DEPARTMENT OF 
DEFENSE. 
(a) IN GENERAL.—The Secretary of Defense, in con-
sultation with the Secretaries concerned, shall establish a 
comprehensive initiative for brain health to be known as 
the ‘‘Warfighter Brain Health Initiative’’ (in this section 
referred to as the ‘‘Initiative’’) for the purpose of unifying 
efforts and programs across the Department of Defense to 
improve the cognitive performance and brain health of 
members of the Armed Forces. 
(b) OBJECTIVES.—The objectives of the Initiative shall 
be the following: 
(1) To enhance, maintain, and restore the cog-
nitive performance of members of the Armed Forces 
through education, training, prevention, protection, 
monitoring, detection, diagnosis, treatment, and reha-
bilitation, including through the following activities: 
(A) The establishment of a program to mon-
itor cognitive brain health across the Department 
of Defense, beginning upon the accession of a 
member to the Armed Forces and repeated at 
regular intervals thereafter, with the goal of de-
tecting any need for cognitive enhancement or 
restoration resulting from potential brain expo-
sures of the member, to mitigate possible evo-
lution of injury or disease progression. 
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(B) The identification and dissemination of 
thresholds for blast pressure safety and associated 
emerging scientific evidence. 
(C) The modification of high-risk training 
and operational activities to mitigate the nega-
tive effects of repetitive blast exposure. 
(D) The identification of individuals who 
perform high-risk training or occupational ac-
tivities, for purposes of increased monitoring of 
the brain health of such individuals. 
(E) The development and operational field-
ing of non-invasive, portable, point-of-care med-
ical devices, to inform the diagnosis and treat-
ment of traumatic brain injury. 
(F) The establishment of a standardized 
monitoring program that documents and ana-
lyzes blast exposures that may affect the brain 
health of members of the Armed Forces. 
(G) The development of a resource that 
would set forth specific criteria used in the 
awarding of potential grants for research 
projects relating to the direct correlation of envi-
ronmental exposures and brain injuries to the 
brain health of members of the Armed Forces. 
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(H) The incorporation of the findings and 
recommendations of the report of the National 
Academies of Science, Engineering, and Medi-
cine titled ‘‘Traumatic Brain Injury: A Road-
map for Accelerating Progress’’ and published in 
2022 (relating to the acceleration of progress in 
traumatic brain injury research and care), or 
any successor report, into activities of the De-
partment relating to brain health, as applicable. 
(2) To harmonize and prioritize the efforts of the 
Department of Defense into a single approach to 
brain health, to produce more efficient and effective 
results. 
(c) STRATEGY
AND IMPLEMENTATION PLAN.—Not 
later than one year after the date of the enactment of this 
Act, the Secretary of Defense shall submit to the congres-
sional defense committees a report setting forth a strategy 
and implementation plan of the Department of Defense to 
achieve the objectives of the Initiative under subsection (b). 
(d) ANNUAL BUDGET JUSTIFICATION DOCUMENTS.— 
In the budget justification materials submitted to Congress 
in support of the Department of Defense budget for each 
of fiscal years 2025 through 2029 (as submitted with the 
budget of the President under section 1105(a) of title 31, 
United States Code), the Secretary of Defense shall include 
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a budget justification display that includes all activities of 
the Department relating to the Initiative. 
(e) ANNUAL REPORTS.—Not later than January 31, 
2024, and annually thereafter until January 31, 2030, the 
Secretary of Defense shall submit to the congressional de-
fense committees a report on the Initiative that includes 
the following: 
(1) A description of the activities taken under 
the Initiative and resources expended under the Ini-
tiative during the prior fiscal year. 
(2) A summary of the progress made during the 
prior fiscal year with respect to the objectives of the 
Initiative under subsection (b). 
(f) SECRETARY CONCERNED DEFINED.—In this sec-
tion, the term ‘‘Secretary concerned’’ has the meaning given 
that term in section 101 of title 10, United States Code. 
SEC. 771. AUTHORITY TO CONDUCT PILOT PROGRAM RE-
LATING TO MONITORING OF BLAST OVER-
PRESSURE EXPOSURE. 
(a) AUTHORITY.—The Director of the Defense Health 
Agency may conduct, as part of the initiative of the Depart-
ment of Defense known as the ‘‘Warfighter Brain Initia-
tive’’ (or any successor initiative), a pilot program under 
which the Director shall monitor blast overpressure exposure 
through the use of commercially available, off-the-shelf, 
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wearable sensors, and document and evaluate data collected 
as a result of such monitoring. 
(b) LOCATIONS.—Monitoring activities under a pilot 
program conducted pursuant to subsection (a) shall be car-
ried out in each training environment that the Director de-
termines poses a risk for blast overpressure exposure. 
(c) DOCUMENTATION AND SHARING OF DATA.—If the 
Director conducts a pilot program pursuant to subsection 
(a), the Director shall— 
(1) ensure that any data collected pursuant to 
such pilot program that is related to the health effects 
of the blast overpressure exposure of a member of the 
Armed Forces who participated in the pilot program 
is documented and maintained by the Secretary of 
Defense in an electronic health record for the member; 
and 
(2) to the extent practicable, and in accordance 
with applicable provisions of law relating to data 
privacy, make data collected pursuant to such pilot 
program available to other academic and medical re-
searchers for the purpose of informing future research 
and treatment options. 
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SEC. 772. STANDARDIZATION ACROSS DEPARTMENT OF DE-
FENSE OF POLICIES RELATING TO SERVICE 
BY INDIVIDUALS DIAGNOSED WITH HBV. 
(a) IN GENERAL.—The Secretary of Defense, in coordi-
nation with the Secretaries concerned, shall— 
(1) review regulations, establish policies, and 
issue guidance relating to service by individuals diag-
nosed with HBV, consistent with the health care 
standards and clinical guidelines of the Department 
of Defense; and 
(2) identify areas where regulations, policies, 
and guidance of the Department relating to individ-
uals diagnosed with HBV (including with respect to 
enlistments, assignments, deployments, and retention 
standards) may be standardized across the Armed 
Forces. 
(b) AWARENESS, EDUCATION, AND TRAINING.— 
(1) REVIEWS
AND
RECOMMENDATIONS.—The 
Secretary of Defense shall— 
(A) conduct a review of the education, 
training, and resources furnished to members of 
the Armed Forces regarding the regulations and 
policies of the Department of Defense that govern 
the screening, documentation, treatment, man-
agement, and practice standards for individuals 
diagnosed with HBV, including a review of the 
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awareness and understanding of such policies 
within clinical settings; 
(B) conduct a review of the resources and 
support services furnished to members of the 
Armed Forces diagnosed with HBV, including 
any resources containing information on— 
(i) the health care options of the mem-
ber; or 
(ii) regulations or policies of the De-
partment relating to such diagnosed mem-
bers; and 
(C) identify recommendations, based on the 
findings of the reviews conducted under sub-
sections (A) and (B), to improve the awareness 
and understanding of regulations and policies of 
the Department for individuals diagnosed with 
HBV. 
(2) PROVISION
OF
EDUCATION, TRAINING, RE-
SOURCES, AND SUPPORT.—The Secretary of Defense, 
taking into account the recommendations under para-
graph (1)(C), shall provide to members of the Armed 
Forces— 
(A) education, training, and resources to 
increase awareness and understanding of the reg-
ulations and policies of the Department of De-
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fense that govern the screening, documentation, 
treatment, management, and practice standards 
for individuals diagnosed with HBV, including 
in health care settings; and 
(B) in the case of members of the Armed 
Forces diagnosed with HBV, education, re-
sources, and support services regarding the regu-
lations and policies of the Department relating 
to such diagnosed members, including with re-
spect to enlistments, assignments, deployments, 
retention standards, and health care services 
available to such members. 
(c) DEFINITIONS.—In this section: 
(1) The term ‘‘HBV’’ means the Hepatitis B 
Virus. 
(2) The term ‘‘Secretary concerned’’ has the 
meaning given that term in section 101 of title 10, 
United States Code. 
SEC. 773. CERTIFICATION PROGRAM IN PROVISION OF MEN-
TAL HEALTH SERVICES TO MEMBERS OF THE 
ARMED FORCES, VETERANS, AND MILITARY 
FAMILIES. 
(a) IN GENERAL.—The Secretary of Defense, in con-
sultation with the Secretary of Veterans Affairs and the 
President of the Uniformed Services University of the 
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Health Sciences, shall develop a curriculum and certifi-
cation program to provide civilian mental health profes-
sionals and students in mental health-related disciplines 
with the specialized knowledge and skills necessary to ad-
dress the unique mental health needs of members of the 
Armed Forces, veterans, and military families. 
(b) IMPLEMENTATION.—Not later than 90 days after 
completing the development of the curriculum and certifi-
cation program under subsection (a), the Secretary of De-
fense shall implement such curriculum and certification 
program in the Uniformed Services University of the 
Health Sciences. 
(c) AUTHORITY TO DISSEMINATE BEST PRACTICES.— 
The Secretary of Defense may disseminate best practices 
based on the curriculum and certification program devel-
oped and implemented under this section to other institu-
tions of higher education. 
(d) TERMINATION.—The authority to carry out the 
curriculum and certification program under this section 
shall terminate on the date that is five years after the date 
of the enactment of this Act. 
(e) REPORT.—Not later than 180 days after the termi-
nation date specified in subsection (d), the Secretary of De-
fense shall submit to the appropriate congressional commit-
tees a report on the results of the curriculum and certifi-
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cation program developed and implemented under this sec-
tion. 
(f) DEFINITIONS.—In this section: 
(1) The term ‘‘appropriate congressional com-
mittees’’ means— 
(A) the Committee on Armed Services and 
the Committee on Energy and Commerce of the 
House of Representatives; and 
(B) the Committee on Armed Services and 
the Committee on Health, Education, Labor, and 
Pensions of the Senate. 
(2) The term ‘‘institution of higher education’’ 
has the meaning given that term in section 102 of the 
Higher Education Act of 1965 (20 U.S.C. 1002). 
SEC. 774. PILOT PROGRAM ON CRYOPRESERVATION AND 
STORAGE. 
(a) PILOT PROGRAM.—The Secretary of Defense shall 
establish a pilot program to provide not more than 1,000 
members of the Armed Forces serving on active duty with 
the opportunity to cryopreserve and store their gametes 
prior to deployment in support of combat or special oper-
ations. 
(b) PERIOD.— 
(1) IN GENERAL.—The Secretary shall provide 
for the cryopreservation and storage of gametes of a 
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participating member of the Armed Forces under sub-
section (a), at no cost to the member, in a facility of 
the Department of Defense or at a private entity pur-
suant to an agreement under subsection (d) until the 
date that is one year after the retirement, separation, 
or release of the member from the Armed Forces. 
(2) CONTINUED CRYOPRESERVATION AND STOR-
AGE.—At the end of the one-year period specified in 
paragraph (1), the Secretary shall authorize an indi-
vidual whose gametes were cryopreserved and stored 
in a facility of the Department as described in such 
paragraph to select, including pursuant to an ad-
vance medical directive or military testamentary in-
strument completed under subsection (c), one of the 
following options: 
(A) To continue such cryopreservation and 
storage in such facility with the cost of such 
cryopreservation and storage borne by the indi-
vidual. 
(B) To transfer the gametes to a private 
cryopreservation and storage facility selected by 
the individual. 
(C) To authorize the Secretary to dispose of 
the gametes of the individual not earlier than the 
date that is 90 days after the end of the one-year 
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period specified in paragraph (1) with respect to 
the individual. 
(c) ADVANCE MEDICAL DIRECTIVE
AND MILITARY 
TESTAMENTARY INSTRUMENT.—A member of the Armed 
Forces who elects to cryopreserve and store their gametes 
under this section shall complete an advance medical direc-
tive described in section 1044c(b) of title 10, United 25 
States Code, and a military testamentary instrument de-
scribed in section 1044d(b) of such title, that explicitly 
specifies the use of their cryopreserved and stored gametes 
if such member dies or otherwise loses the capacity to con-
sent to the use of their cryopreserved and stored gametes. 
(d) AGREEMENTS.—To carry out this section, the Sec-
retary— 
(1) may enter into agreements with private enti-
ties that provide cryopreservation and storage services 
for gametes; and 
(2) in selecting such private entities with which 
to enter into agreements, shall (to the maximum ex-
tent practicable) select such private entities that offer 
multi-site storage and fertility testing services prior 
to cryopreservation. 
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SEC. 775. PILOT PROGRAM FOR PARTICIPATION BY MEM-
BERS OF SELECTED RESERVE IN HEALTH 
PROFESSIONS SCHOLARSHIP AND FINANCIAL 
ASSISTANCE PROGRAMS. 
(a) PILOT PROGRAM.—Notwithstanding section 2123 
of title 10, United States Code, and in accordance with such 
regulations as may be prescribed by the Secretary of Defense 
for the purpose of carrying out this section, each Secretary 
of a military department shall carry out a pilot program 
under which that Secretary may modify service obligations 
for certain individuals under the health professions scholar-
ship and financial assistance program of that military de-
partment, to expand participation in such program to such 
individuals. 
(b) ELIGIBILITY.—To be eligible for participation in 
the pilot program under subsection (a), in addition to meet-
ing the eligibility requirements under section 2122 of title 
10, United States Code, an individual may not have pre-
viously been a member of the health professions scholarship 
and financial assistance program. 
(c) CONDITIONS ON PARTICIPATION.— 
(1) IN
GENERAL.—As a condition of partici-
pating in the pilot program under subsection (a), an 
individual eligible under subsection (b) shall enter 
into an agreement with the Secretary of the military 
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department concerned pursuant to which the indi-
vidual agrees— 
(A) to participate as a member of the health 
professions scholarship and financial assistance 
program of that military department; 
(B) to complete courses of study and spe-
cialized training under such program in a health 
profession discipline designated by that Sec-
retary as a critically needed wartime discipline; 
and 
(C) upon completion of participation in 
such program, to satisfy, in lieu of the active 
duty obligation under section 2123 of title 10, 
United States Code, a service obligation in the 
Selected Reserve of the Ready Reserve of that 
military department for the period described in 
paragraph (2). 
(2) LENGTH OF PERIOD OF SERVICE.—The pe-
riod described in this paragraph is a period of time 
of a length determined by the Secretary of the mili-
tary department concerned, except that such period 
may not be shorter than a period equal to— 
(A) each year of participation in the health 
professions scholarship and financial assistance 
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program pursuant to paragraph (1)(A) multi-
plied by two and a half; plus 
(B) if such participation was for a period 
of two years or fewer, an additional two and a 
half years. 
(3) DETAILS OF SERVICE OBLIGATION.—Unless 
otherwise specified by the Secretary of the military 
department concerned— 
(A) any period of time spent in intern or 
residency training shall not be creditable in sat-
isfying the service obligation under paragraph 
(1)(C); 
(B) any period of time used to satisfy an-
other military service obligation shall not be 
creditable in satisfying the service obligation 
under paragraph (1)(C); and 
(C) the period described in paragraph (2) 
shall be a consecutive period of time. 
(4) FAILURE TO COMPLETE.— 
(A) ALTERNATIVE OBLIGATIONS.—A partic-
ipant in the pilot program under subsection (a) 
who is relieved of the service obligation under 
paragraph (1)(C) before the completion of that 
service obligation may be given, with or without 
the consent of the participant, either of the fol-
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lowing alternative obligations, as determined by 
the Secretary of the military department con-
cerned: 
(i) A service obligation in the Selected 
Reserve of the Ready Reserve of another 
military department for a period of time 
not less than the remaining service obliga-
tion of the participant. 
(ii) Repayment to the Secretary of De-
fense of a percentage of the total cost in-
curred by the Secretary under such pilot 
program on behalf of the member pursuant 
to the repayment provisions of section 
303a(e) or 373 of title 37, United States 
Code. 
(B) CIVILIAN EMPLOYEE ALTERNATIVE.—In 
addition to the alternative obligations specified 
in subparagraph (A), if a participant in the 
pilot program under subsection (a) is relieved of 
the service obligation under paragraph (1)(C) by 
reason of the separation of the participant be-
cause of a physical disability, the Secretary of 
the military department concerned may give the 
participant a service obligation as a civilian em-
ployee employed as a health care professional in 
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a facility of the uniformed services for a period 
of time determined by that Secretary, but not to 
exceed the remaining service obligation of the 
participant. 
(d) METRICS AND EVALUATIONS.—The Secretary of 
Defense shall establish metrics, and carry out evaluations 
using such metrics, to determine the effectiveness of the pilot 
program under subsection (a). 
(e) TERMINATION.—The authority to carry out the 
pilot program under subsection (a) shall terminate on Octo-
ber 1, 2027. 
(f) BRIEFINGS.—Not later than 180 days prior to the 
date on which the pilot program under subsection (a) termi-
nates, each Secretary of a military department shall pro-
vide to the Committees on Armed Services of the House of 
Representatives and the Senate a briefing on the effective-
ness of the pilot program. 
(g) DEFINITIONS.—In this section: 
(1) The terms ‘‘course of study’’ and ‘‘specialized 
training’’ have the meaning given those terms in sec-
tion 2120 of title 10, United States Code. 
(2) The term ‘‘health professions scholarship and 
financial assistance program’’ has the meaning given 
the term ‘‘program’’ under such section. 
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(3) The term ‘‘member of the health professions 
scholarship and financial assistance program’’ has 
the meaning given the term ‘‘member of the program’’ 
under such section. 
SEC. 
776. 
PILOT 
PROGRAM 
ON 
ENSURING 
PHARMA-
CEUTICAL SUPPLY STABILITY. 
(a) IN GENERAL.—Not later than January 1 2024, the 
Secretary of Defense, acting through the Director of the De-
fense Logistics Agency, shall establish a pilot program to 
acquire, manage, and replenish a 180-day supply of at least 
30 commonly used generic drugs at risk of shortage under 
the military health system as a result of a pharmaceutical 
supply chain disruption, to ensure the stability of such sup-
ply. 
(b) MILITARY MEDICAL TREATMENT FACILITIES.— 
The Secretary of Defense shall select for participation in 
the pilot program established under subsection (a) not fewer 
than five military medical treatment facilities that are— 
(1) located in the continental United States; and 
(2) at the greatest risk of pharmaceutical supply 
chain disruption, as determined by the Secretary. 
(c) ELEMENTS.—In carrying out the pilot program es-
tablished under subsection (a), the Secretary of Defense 
shall— 
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(1) use the systems and processes of the Direct 
Vendor Delivery System established by section 352 of 
the National Defense Authorization Act for Fiscal 
Year 1996 (Public Law 104–106; 10 U.S.C. 2458 
note); 
(2) include the establishment of a vendor man-
aged inventory approach to pharmaceutical distribu-
tion, to acquire, manage, and replenish the vendor- 
held supply described in subsection (a) to prevent 
product expiration and shortages; and 
(3) ensure guaranteed Department of Defense ac-
cess to the vendor managed inventory approach speci-
fied in paragraph (2). 
(d) TERMINATION.—The pilot program established 
under this section shall terminate on the date that is three 
years after the date of the enactment of this Act. 
(e) INITIAL REPORT.—Not later than 30 days after the 
date of the establishment of the pilot program under sub-
section (a), the Secretary of Defense shall submit to the 
Committees on Armed Services of the House of Representa-
tives and Senate a report on the design of the pilot pro-
gram. Such report shall include— 
(1) a description of the military medical treat-
ment facilities selected under subsection (b) and the 
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generic drugs selected for the pilot program pursuant 
to subsection (a); 
(2) the plan for the implementation and man-
agement of the pilot program; and 
(3) key performance indicators to measure the 
success of the pilot program in ensuring the avail-
ability of generic drugs selected for the pilot program 
pursuant to subsection (a). 
(f) FINAL REPORT.—Not later than 180 days after the 
termination date under subsection (d), the Secretary of De-
fense shall submit to the Committees on Armed Services of 
the House of Representatives and Senate a final report on 
the results of the pilot program. The report shall include— 
(1) measurements of key performance indicators 
identified in the initial report required under sub-
section (e); 
(2) an analysis of the success of the pilot pro-
gram in preventing shortages of commonly used ge-
neric drugs within the military medical treatment fa-
cilities selected under subsection (b); and 
(3) recommendations for further expansions of 
the pilot program, including any legislative or regu-
latory proposals the Secretary determines would re-
duce supply chain risk to commonly used generic 
drugs under the military health system. 
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(g) DEFINITIONS.—In this section: 
(1) The term ‘‘generic drug’’ means a drug (as 
defined in section 201 of the Federal Food, Drug, and 
Cosmetic Act (21 U.S.C. 231)) that is approved pur-
suant to section 505(j) of such Act (21 U.S.C. 355(j)). 
(2) The term ‘‘pharmaceutical supply chain dis-
ruption’’ means a disruption described in the report 
of the Inspector General of the Department of Defense 
titled ‘‘Evaluation of the Department of Defense’s 
Mitigation of Foreign Suppliers in the Pharma-
ceutical Supply Chain’’ (DODIG-2021-126) and pub-
lished on September 20, 2021. 
SEC. 777. ESTABLISHMENT OF PARTNERSHIP PROGRAM BE-
TWEEN UNITED STATES AND UKRAINE FOR 
MILITARY TRAUMA CARE AND RESEARCH. 
Not later than February 24, 2023, the Secretary of De-
fense shall seek to enter into a partnership with the appro-
priate counterpart from the Government of Ukraine for the 
establishment of a joint program on military trauma care 
and research. Such program shall consist of the following: 
(1) The sharing of relevant lessons learned from 
the Russo-Ukraine War. 
(2) The conduct of relevant joint conferences and 
exchanges with military medical professionals from 
Ukraine and the United States. 
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(3) Collaboration with the armed forces of 
Ukraine on matters relating to health policy, health 
administration, and medical supplies and equipment, 
including through knowledge exchanges. 
(4) The conduct of joint research and develop-
ment on the health effects of new and emerging weap-
ons. 
(5) The entrance into agreements with military 
medical schools of Ukraine for reciprocal education 
programs under which students at the Uniformed 
Services University of the Health Sciences receive spe-
cialized military medical instruction at the such 
military medical schools of Ukraine and military 
medical personnel of Ukraine receive specialized mili-
tary medical instruction at the Uniformed Services 
University of the Health Sciences, pursuant to section 
2114(f) of title 10, United States Code. 
(6) The provision of support to Ukraine for the 
purpose of facilitating the establishment in Ukraine 
of a program substantially similar to the Wounded 
Warrior Program in the United States. 
(7) The provision of training to the armed forces 
of Ukraine in the following areas: 
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