385 
(c) IMPLEMENTATION PLAN.—Not later than 90 days 
after the date the Secretary enters into an agreement under 
subsection (b)(1), the Secretary shall submit to the congres-
sional defense committees a plan to carry out the pilot pro-
gram. 
(d) DURATION.—A pilot program under this section 
shall terminate two years after the Secretary commences 
such pilot program. 
(e) REPORT.—Upon the termination of a pilot pro-
gram under this section, the Secretary of Defense shall sub-
mit to the congressional defense committees a report con-
taining the following information: 
(1) The number of individuals who used car 
sharing services offered pursuant to the pilot pro-
gram. 
(2) The cost to the United States of the pilot pro-
gram. 
(3) An analysis of the effect of the pilot program 
on mental health and community connectedness of 
members described in subsection (b)(2). 
(4) Other information the Secretary determines 
appropriate. 
(f) MILITARY INSTALLATION DEFINED.—In this sec-
tion, the term ‘‘military installation’’ has the meaning 
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given such term in section 2801 of title 10, United States 
Code. 
SEC. 596. SUPPORT FOR MEMBERS WHO PERFORM DUTIES 
REGARDING REMOTELY PILOTED AIRCRAFT: 
STUDY; REPORT. 
(a) STUDY.—The Secretary of Defense (in consultation 
with the Secretary of Transportation and Administrator of 
the Federal Aviation Administration) shall conduct a study 
to identify opportunities to provide more support services 
to, and greater recognition of combat accomplishments of, 
RPA crew. Such study shall identify the following with re-
spect to each covered Armed Force: 
(1) Safety policies applicable to crew of tradi-
tional aircraft that apply to RPA crew. 
(2) Personnel policies, including crew staffing 
and training practices, applicable to crew of tradi-
tional aircraft that apply to RPA crew. 
(3) Metrics the Secretaries of the military de-
partments use to evaluate the health of RPA crew. 
(4) Incentive pay, retention bonuses, promotion 
rates, and career advancement opportunities for RPA 
crew. 
(5) Combat zone compensation available to RPA 
crew. 
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(6) Decorations and awards for combat available 
to RPA crew. 
(7) Mental health care available to crew of tradi-
tional aircraft and RPA crew who conduct combat 
operations. 
(8) Whether RPA crew receive post-separation 
health (including mental health) care equivalent to 
crew of traditional aircraft. 
(9) An explanation of any difference under para-
graph (8). 
(b) REPORT.—Not later than one year after the date 
of the enactment of this Act, the Secretary of Defense shall 
submit to the appropriate congressional committees a report 
containing the results of the study conducted under this sec-
tion, including any policy recommendations of the Sec-
retary regarding such results. 
(c) DEFINITIONS.—In this section: 
(1) In this section, the term ‘‘appropriate con-
gressional committees’’ means the following: 
(A) The Committees on Armed Services of 
the Senate and House of Representatives. 
(B) The Committees on Appropriations of 
the Senate and House of Representatives. 
(C) The Committee on Commerce, Science, 
and Transportation of the Senate. 
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(D) The Committee on Transportation and 
Infrastructure of the House of Representatives. 
(2) The term ‘‘covered Armed Force’’ means an 
Armed Force under the jurisdiction of the Secretary 
of a military department. 
(3) The term ‘‘RPA crew’’ means members of 
covered Armed Forces who perform duties relating to 
remotely piloted aircraft. 
(4) The term ‘‘traditional aircraft’’ means fixed 
or rotary wing aircraft operated by an onboard pilot. 
SEC. 597. REVIEW OF MARKETING AND RECRUITING OF THE 
DEPARTMENT OF DEFENSE. 
(a) IN GENERAL.—Not later that September 30, 2023, 
the Secretary of Defense, in consultation with the Comp-
troller General of the United States and experts determined 
by the Secretary, shall evaluate the marketing and recruit-
ing efforts of the Department of Defense to determine how 
to use social media and other technology platforms to con-
vey to young people the opportunities and benefits of service 
in the covered Armed Forces. 
(b) COVERED ARMED FORCE DEFINED.—In this sec-
tion, the term ‘‘covered Armed Force’’ means the following: 
(1) The Army. 
(2) The Navy. 
(3) The Marine Corps. 
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(4) The Air Force. 
(5) The Space Force. 
SEC. 598. REPORT ON RECRUITING EFFORTS OF THE ARMY. 
(a) REPORT REQUIRED.—Not later than 120 days 
after the date of the enactment of this act, the Secretary 
of the Army shall submit to the congressional defense com-
mittees a report on recruiting efforts of the Army. Such re-
port shall contain the following elements: 
(1) A comparison of the number of active Army 
enlistments from each region annually during fiscal 
years 2018 through 2022, the number of recruiters 
stationed in each region, and advertising dollars 
spent in each region, including annual numbers and 
averages. 
(2) A comparison of the number of active Army 
enlistments produced by each Army Recruiting Bat-
talion during fiscal years 2018 through 2022, the 
number of recruiters stationed in each battalion, and 
advertising dollars spent in support of each battalion, 
including annual numbers and averages. 
(3) An analysis of the geographic dispersion of 
enlistments by military occupational specialty during 
fiscal years 2018 through 2022. 
(4) An analysis of the amount of Federal funds 
spent on advertising per active duty enlistment by 
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Army Recruiting Battalion and region during fiscal 
years 2018 through 2022, and a ranked list of those 
battalions from most efficient to least efficient. 
(5) A comparison of the race, religion, gender, 
education levels, military occupational specialties, 
and waivers for enlistment granted to enlistees by re-
gion and Army Recruiting Battalion area of respon-
sibility during fiscal years 2018 through 2022. 
(b) FORMAT.—The report under this section shall dis-
play data through infographics wherever possible. 
(c) PUBLICATION.—Not later than 30 days after sub-
mitting the report under subsection (a), the Secretary of 
the Army shall publish, on a publicly accessible website of 
the Army, the report and the data sets (scrubbed of all per-
sonally identifiable information) used to generate the re-
port. 
(d) REGION DEFINED.—In this section, the term ‘‘re-
gion’’ means a region used for the 2020 decennial census. 
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TITLE VI—COMPENSATION AND 
OTHER PERSONNEL BENEFITS 
Subtitle A—Basic Pay and 
Allowances 
SEC. 601. EXCLUSION OF BAH FROM GROSS HOUSEHOLD IN-
COME FOR PURPOSES OF BASIC NEEDS AL-
LOWANCE. 
Section 402b(k)(1) of title 37, United States Code, is 
amended by striking subparagraph (B) and inserting the 
following: 
‘‘(B) the basic allowance for housing under 
section 403 of this title paid to such member.’’. 
SEC. 602. BASIC ALLOWANCE FOR HOUSING FOR A MEMBER 
WITHOUT DEPENDENTS WHOSE RELOCATION 
WOULD FINANCIALLY DISADVANTAGE SUCH 
MEMBER. 
Section 403(o) of title 37, United States Code, is 
amended— 
(1) by inserting ‘‘(1)’’ before ‘‘In the case of a 
member who is assigned’’; and 
(2) by adding at the end the following new para-
graph: 
‘‘(2) In the case of a member without dependents who 
is assigned to a unit that undergoes a change of home port 
or a change of permanent duty station, the Secretary con-
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cerned may, if the Secretary concerned determines that it 
would be inequitable to base the member’s entitlement to, 
and amount of, a basic allowance for housing on the new 
home port or permanent duty station, treat such member, 
for the purposes of this section, as if the unit to which the 
member is assigned did not undergo such a change.’’. 
SEC. 603. TEMPORARY CONTINUATION OF RATE OF BASIC 
ALLOWANCE FOR HOUSING FOR MEMBERS OF 
THE ARMED FORCES WHOSE SOLE DEPEND-
ENT DIES WHILE RESIDING WITH THE MEM-
BER. 
(a) AUTHORITY.—Section 403 of title 37, United 
States Code, as amended by section 602, is further amended 
by— 
(1) redesignating subsections (m) through (p) as 
subsections (n) through (q); 
(2) by inserting after subsection (l) the following 
new subsection (m): 
‘‘(m) TEMPORARY CONTINUATION OF RATE OF BASIC 
ALLOWANCE
FOR MEMBERS
OF
THE ARMED FORCES 
WHOSE SOLE DEPENDENT DIES WHILE RESIDING WITH 
THE MEMBER.—(1) Notwithstanding subsection (a)(2) or 
any other section of law, the Secretary of Defense and or 
the Secretary of the Department in which the Coast Guard 
is operating, may, after the death of the sole dependent of 
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a member of the armed forces, continue to pay a basic al-
lowance for housing to such member at the rate paid to such 
member at the time of the death of such sole dependent if— 
‘‘(A) such sole dependent dies— 
‘‘(i) while the member is on active duty; 
and 
‘‘(ii) while residing with the member, unless 
separated by the necessity of military service or 
to receive institutional care as a result of dis-
ability or incapacitation or under such other cir-
cumstances as the Secretary concerned may by 
regulation prescribe; and 
‘‘(B) the member— 
‘‘(i) is not occupying a housing facility 
under the jurisdiction of the Secretary concerned 
on the date of the death of the sole dependent; or 
‘‘(ii) is occupying such housing on a rental 
basis on such date. 
‘‘(2) The continuation of the rate of an allowance 
under this subsection shall terminate 365 days after the 
date of the death of the sole dependent.’’. 
(b) CONFORMING AMENDMENT.—Section 2881a(c) of 
title 10, United States Code, is amended by striking ‘‘sec-
tion 403(n)’’ and inserting ‘‘section 403(o)’’. 
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SEC. 604. ALLOWANCE FOR GYM MEMBERSHIP FOR CER-
TAIN MEMBERS OF THE ARMED FORCES WHO 
RESIDE MORE THAN 10 MILES FROM A MILI-
TARY INSTALLATION. 
(a) ESTABLISHMENT.—Chapter 7 of title 37, United 
States Code, is amended by inserting after section 425 the 
following new section: 
‘‘§ 426. Allowance for gym membership for certain 
members of the armed forces who reside 
more than 10 miles from a military instal-
lation 
‘‘(a) ALLOWANCE AUTHORIZED.—The Secretary of the 
military department concerned may pay, to a covered mem-
ber, a monthly allowance for a gym membership. 
‘‘(b) AMOUNT.—A monthly allowance to a covered 
member under this section shall be in an amount deter-
mined by the Secretary of Defense based on the average cost 
of a gym membership in the military housing area in which 
the covered member resides. 
‘‘(c) DEFINITIONS.—In this section: 
‘‘(1) The term ‘covered armed force’ means the 
following: 
‘‘(A) The Army. 
‘‘(B) The Navy. 
‘‘(C) The Marine Corps. 
‘‘(D) The Air Force. 
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‘‘(E) The Space Force. 
‘‘(2) The term ‘covered member’ means a member 
of a covered armed force— 
‘‘(A) who resides more than 10 miles from 
a military installation; and 
‘‘(B) who furnishes to the Secretary of the 
military department concerned receipts or other 
evidence such member has a gym membership.’’. 
(b) CLERICAL AMENDMENT.—The table of sections at 
the beginning of such chapter is amended by inserting after 
the item relating to section 425 the following: 
‘‘426. Allowance for gym membership for certain members of the armed forces who 
reside more than 10 miles from a military installation.’’. 
SEC. 605. REVIVAL AND REDESIGNATION OF PROVISION ES-
TABLISHING BENEFITS FOR CERTAIN MEM-
BERS ASSIGNED TO THE DEFENSE INTEL-
LIGENCE AGENCY. 
(a) REVIVIAL.—Section 491 of title 37, United States 
Code— 
(1) is revived to read as it did immediately be-
fore its repeal under section 604 of the National De-
fense Authorization Act for Fiscal Year 2022 (Public 
Law 117–81); and 
(2) is redesignated as section 431 of such title. 
(b) CLERICAL AMENDMENT.—The table of sections at 
the beginning of chapter 7 of such title is amended by in-
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serting, after the item relating to section 427, the following 
new item: 
‘‘431. Benefits for certain members assigned to the Defense Intelligence Agency.’’. 
SEC. 606. REIMBURSEMENT OF CERTAIN CHILD CARE 
COSTS INCIDENT TO A PERMANENT CHANGE 
OF STATION OR ASSIGNMENT. 
(a) DESIGNATED CHILD CARE PROVIDER: DEFINI-
TION; INCLUSION
AS AUTHORIZED TRAVELER.—Section 
451(a) of title 37, United States Code, is amended— 
(1) in paragraph (2)(C), by inserting ‘‘, or as a 
designated child care provider if child care is not 
available to a member of the armed forces at a mili-
tary child development center (as that term is defined 
in section 1800 of title 10) at the permanent duty lo-
cation of such member not later than 30 days after 
the member arrives at such location’’ before the pe-
riod; and 
(2) by adding at the end the following new para-
graph: 
‘‘(4) The term ‘designated child care provider’ 
means an adult selected by a member of the armed 
forces to provide child care to a dependent child of 
such member.’’. 
(b) AUTHORIZATION
OF REIMBURSEMENT.—Section 
453 of title 37, United States Code, is amended by adding 
at the end the following new subsection: 
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‘‘(h) REIMBURSEMENT
OF CERTAIN CHILD CARE 
COSTS INCIDENT TO A MEMBER’S PERMANENT CHANGE OF 
STATION OR ASSIGNMENT.—(1) From amounts otherwise 
made available for a fiscal year to provide travel and trans-
portation allowances under this chapter, the Secretary con-
cerned may reimburse a member of the armed forces for 
travel expenses for a designated child care provider when— 
‘‘(A) the member is reassigned, either as a per-
manent change of station or permanent change of as-
signment, to a new duty station; 
‘‘(B) the movement of the member’s dependents is 
authorized at the expense of the United States under 
this section as part of the reassignment; 
‘‘(C) child care is not available at a military 
child development center (as that term is defined in 
section 1800 of title 10) at such duty station not later 
than 30 days after the member arrives at such duty 
station; and 
‘‘(D) the dependent child is on the wait list for 
child care at such military child development center. 
‘‘(2) Reimbursement provided to a member under this 
subsection may not exceed— 
‘‘(A) $500 for a reassignment between duty sta-
tions within the continental United States; and 
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‘‘(B) $1,500 for a reassignment involving a duty 
station outside of the continental United States. 
‘‘(3) A member may not apply for reimbursement 
under this subsection later than one year after a reassign-
ment described in paragraph (1). 
‘‘(4) In the event a household contains two or more 
members eligible for reimbursement under this subsection, 
reimbursement may be paid to one member among such 
members as such members shall jointly elect.’’. 
SEC. 607. ALLOWABLE TRAVEL AND TRANSPORTATION AL-
LOWANCES: COMPLEX OVERHAUL. 
Section 452(b) of title 37, United States Code, is 
amended— 
(1) by redesignating the second paragraph (18) 
as paragraph (21); and 
(2) by adding at the end the following new para-
graphs: 
‘‘(22) Permanent change of assignment to or 
from a naval vessel undergoing nuclear refueling or 
defueling and any concurrent complex overhaul, even 
if such assignment is within the same area as the cur-
rent assignment of the member. 
‘‘(23) Current assignment to a naval vessel en-
tering or exiting nuclear refueling or defueling and 
any concurrent complex overhaul.’’. 
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399 
SEC. 608. EXPANSION OF AUTHORITY TO REIMBURSE A 
MEMBER OF THE UNIFORMED SERVICES FOR 
SPOUSAL BUSINESS COSTS ARISING FROM A 
PERMANENT CHANGE OF STATION. 
Subsection (g) of section 453 of title 37, United States 
Code, as amended by section 606, is further amended— 
(1) in the heading, by inserting ‘‘OR BUSINESS 
COSTS’’ after ‘‘RELICENSING COSTS’’; 
(2) in paragraph (1), by inserting ‘‘or qualified 
business costs’’ after ‘‘qualified relicensing costs’’; 
(3) in paragraph (2)— 
(A) by inserting ‘‘(A)’’ before ‘‘Reimburse-
ment’’; 
(B) by inserting ‘‘for qualified relicensing 
costs’’ after ‘‘subsection’’; 
(C) by striking ‘‘$1000’’ and inserting 
‘‘$1,000’’; and 
(D) by adding at the end the following new 
subparagraph: 
‘‘(B) Reimbursement provided to a member under this 
subsection for qualified business costs may not exceed 
$2,000 in connection with each reassignment described in 
paragraph (1).’’; 
(4) in paragraph (3), by inserting ‘‘or qualified 
business costs’’ after ‘‘qualified relicensing costs’’; 
(5) in paragraph (4)— 
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(A) in the matter preceding subparagraph 
(A), by inserting ‘‘business license, permit,’’ after 
‘‘courses,’’; 
(B) in subparagraph (A)— 
(i) by inserting ‘‘, or owned a busi-
ness,’’ before ‘‘during’’; 
(ii) by inserting ‘‘professional’’ before 
‘‘license’’; and 
(iii) by inserting ‘‘, or business license 
or permit,’’ after ‘‘certification’’; and 
(C) in subparagraph (B)— 
(i) by inserting ‘‘professional’’ before 
‘‘license’’; and 
(ii) by inserting ‘‘, or business license 
or permit,’’ after ‘‘certification’’; and 
(6) by adding at the end the following new para-
graph: 
‘‘(5) In this subsection, the term ‘qualified business 
costs’ means costs, including moving services for equipment, 
equipment removal, new equipment purchases, information 
technology expenses, and inspection fees, incurred by the 
spouse of a member if— 
‘‘(A) the spouse owned a business during the 
member’s previous duty assignment and the costs re-
sult from a movement described in paragraph (1)(B) 
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in connection with the member’s change in duty loca-
tion pursuant to reassignment described in paragraph 
(1)(A); and 
‘‘(B) the costs were incurred or paid to move 
such business to a new location in connection with 
such reassignment.’’. 
SEC. 609. PERMANENT AUTHORITY TO REIMBURSE MEM-
BERS FOR SPOUSE RELICENSING COSTS PUR-
SUANT TO A PERMANENT CHANGE OF STA-
TION. 
Subsection (g) of section 453 of title 37, United States 
Code, as amended by sections 606 and 608, is further 
amended by striking paragraph (3) and redesignating 
paragraph (4) as paragraph (3). 
SEC. 609A. TRAVEL AND TRANSPORTATION ALLOWANCES 
FOR CERTAIN MEMBERS OF THE ARMED 
FORCES WHO ATTEND A PROFESSIONAL MILI-
TARY EDUCATION INSTITUTION OR TRAINING 
CLASSES. 
Section 453 of title 37, United States Code, as amend-
ed by sections 606, 608, and 609, is further amended by 
adding at the end the following new subsection: 
‘‘(i) ATTENDANCE AT PROFESSIONAL MILITARY EDU-
CATION INSTITUTION OR TRAINING CLASSES.— 
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‘‘(1) The Secretary of the military department 
concerned may authorize temporary duty status, and 
travel and transportation allowances payable to a 
member in such status, for a member under the juris-
diction of such Secretary who is reassigned— 
‘‘(A) between duty stations located within 
the United States; 
‘‘(B) for a period of not more than one 
year; 
‘‘(C) for the purpose of participating in 
professional military education or training 
classes, 
‘‘(D) with orders to return to the duty sta-
tion where the member maintains primary resi-
dence and the dependents of such member reside. 
‘‘(2) If the Secretary of the military department 
concerned assigns permanent duty status to a member 
described in paragraph (1), such member shall be eli-
gible for travel and transportation allowances includ-
ing the following: 
‘‘(A) Transportation, including mileage at 
the same rate paid for a permanent change of 
station. 
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403 
‘‘(B) Per diem while traveling between the 
permanent duty station and professional mili-
tary education institution or training site. 
‘‘(C) Per diem paid in the same manner 
and amount as temporary lodging expenses. 
‘‘(D) Per diem equal to the amount of the 
basic allowance for housing under section 403 of 
this title paid to a member— 
‘‘(i) in the grade of such member; 
‘‘(ii) without dependents; 
‘‘(iii) who resides in the military hous-
ing area in which the professional military 
education institution or training site is lo-
cated. 
‘‘(E) Movement of household goods in an 
amount determined under applicable regula-
tions.’’. 
SEC. 609B. ESTABLISHMENT OF ALLOWANCE FOR CERTAIN 
RELOCATIONS OF PETS OF MEMBERS OF THE 
UNIFORMED SERVICES. 
(a) ESTABLISHMENT.—Section 453 of title 37, United 
States Code, as amended by sections 606, 608, 609, and 
609A, is further amended by adding at the end the following 
new subsection: 
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404 
‘‘(j) PET RELOCATION ARISING FROM A PERMANENT 
CHANGE OF DUTY STATION TO OR FROM A LOCATION OUT-
SIDE THE CONTINENTAL UNITED STATES.—(1) The Sec-
retary concerned shall reimburse a member for costs— 
‘‘(A) to move a pet of the member; and 
‘‘(B) arising from a permanent change of duty 
station of such member to or from a location outside 
the continental United States. 
‘‘(2) Reimbursement provided to a member under this 
subsection may not exceed $2,000 in connection with each 
permanent change of duty station described in paragraph 
(1). 
‘‘(3) In this subsection, the term ‘pet’ has the meaning 
given such term in section 2266 of title 18.’’. 
(b) EFFECTIVE DATE.—The amendment made by this 
section takes effect on the day that is 180 days after the 
date of the enactment of this Act and applies to the reloca-
tion of a member of the uniformed services on or after such 
day. 
SEC. 609C. EXTENSION OF ONE-TIME UNIFORM ALLOWANCE 
FOR 
OFFICERS 
WHO 
TRANSFER 
TO 
THE 
SPACE FORCE. 
Subsection (d)(1) of section 606 of the William M. 
(Mac) Thornberry National Defense Authorization Act for 
Fiscal Year 2021 (Public Law 116–283; 134 Stat. 3672; 
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37 U.S.C. 416 note) is amended by striking ‘‘September 30, 
2022’’ and inserting ‘‘September 30, 2023’’. 
SEC. 609D. OCONUS COST OF LIVING ALLOWANCE: ADJUST-
MENTS; 
NOTICE 
TO 
CERTAIN 
CONGRES-
SIONAL COMMITTEES. 
(a) ADJUSTMENTS.— 
(1) REDUCTIONS: LIMITATION.—The Secretary of 
Defense and the Secretary of the Department in which 
the Coast Guard is operating may not reduce the cost- 
of-living allowance for a member of the Armed Forces 
assigned to a duty station located outside the United 
States except in connection with a permanent change 
of station for such member. 
(2) INCREASES.—The Secretary of Defense and 
the Secretary of the Department in which the Coast 
Guard is operating may increase the allowance de-
scribed in paragraph (1) for a member of the Armed 
Forces at any time. 
(b) NOTICE TO CERTAIN CONGRESSIONAL COMMIT-
TEES.—The Secretary of Defense shall notify the appro-
priate congressional committees not less than 180 days be-
fore modifying a table used to calculate the living allowance 
described in subsection (a). 
(c) BRIEFING.—Not later than March 1, 2023, the Sec-
retary of Defense shall brief the Committees on Armed Serv-
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ices of the Senate and House of Representatives regarding 
effects of this section on the allowance described in sub-
section (a). 
(d) APPROPRIATE CONGRESSIONAL COMMITTEES DE-
FINED.—In this section, the term ‘‘appropriate congres-
sional committees’’ means the following: 
(1) The Committee on Armed Services of the 
Senate. 
(2) The Committees on Armed Services of the 
House of Representatives. 
(3) The Committee on Commerce, Science, and 
Transportation of the Senate. 
(4) The Committee on Transportation and Infra-
structure of the House of Representatives. 
SEC. 609E. PAY FOR DOD AND COAST GUARD CHILD CARE 
PROVIDERS: STUDIES; ADJUSTMENT. 
(a) DOD CHILD CARE EMPLOYEE COMPENSATION RE-
VIEW.— 
(1) REVIEW REQUIRED.—The Secretary of De-
fense shall, for each geographic area in which the Sec-
retary of a military department operates a military 
child development center, conduct a study— 
(A) comparing the total compensation, in-
cluding all pay and benefits, of child care em-
ployees of each military child development center 
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in the geographic area to the total compensation 
of similarly credentialed employees of public ele-
mentary schools in such geographic area; and 
(B) estimating the difference in average pay 
and the difference in average benefits between 
such child care employees and such employees of 
public elementary schools. 
(2) SCHEDULE.—The Secretary of Defense shall 
complete the studies required under paragraph (1)— 
(A) for the geographic areas containing the 
military installations with the 25 longest wait 
lists for child care services at military child de-
velopment centers, not later than one year after 
the date of the enactment of this Act; and 
(B) for geographic areas other than geo-
graphic areas described in subparagraph (A), 
not later than two years after the date of the en-
actment of this Act. 
(3) REPORTS.— 
(A) INTERIM REPORT.—Not later than one 
year after the date of the enactment of this Act, 
the Secretary of Defense shall submit to the con-
gressional defense committees and the Coast 
Guard committees a report summarizing the re-
sults of the studies required under paragraph (1) 
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that have been completed as of the date of the 
submission of such report. 
(B) FINAL
REPORT.—Not later than 120 
days after the completion of all the studies re-
quired under paragraph (1), the Secretary shall 
submit to the congressional defense committees 
and the Coast Guard committees a report sum-
marizing the results of such studies. 
(b) COAST GUARD CHILD DEVELOPMENT CENTER EM-
PLOYEE COMPENSATION REVIEW.— 
(1) 
REVIEW
REQUIRED.—The 
Secretary 
of 
Homeland Security shall, for each geographic area in 
which the Secretary operates a Coast Guard child de-
velopment center, conduct a study— 
(A) comparing the total compensation (in-
cluding all pay and benefits) of child develop-
ment center employees of each Coast Guard child 
development center in such geographic area, to 
the total compensation of similarly credentialed 
employees of public elementary schools in such 
geographic area; and 
(B) estimating the difference in average pay 
and the difference in average benefits between 
such child development center employees and 
such employees of public elementary schools. 
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cluding the pay and benefits, of child develop-
ment center employees in such geographic area is 
not less than the average dollar value of the total 
compensation of similarly credentialed employees 
of public elementary schools in such geographic 
area. 
(2) ADJUSTMENT LIMIT.—No child care employee 
or child development center employee may have his or 
her pay or benefits decreased pursuant to paragraph 
(1). 
(3) REPORTS.— 
(A) DEPARTMENT OF DEFENSE.—Not later 
than one year after the date of the enactment of 
this Act, and annually thereafter for five years, 
each Secretary of a military department shall 
submit to the congressional defense committees 
and the Coast Guard committees a report detail-
ing the effects of changes in the total compensa-
tion under this subsection, including the effects 
on the hiring and retention of child care employ-
ees and on the number of children for which 
military child development centers provide child 
care services. 
(B) COAST
GUARD.—Not later than one 
year after the date of the enactment of this Act, 
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and annually thereafter for five years, the Com-
mandant of the Coast Guard shall submit to the 
Coast Guard committees and the congressional 
defense committees a report detailing the effects 
of changes in the total compensation under this 
subsection, including the effects on the hiring 
and retention of child development center em-
ployees and on the number of children for which 
Coast Guard child development centers provide 
child development services. 
(d) DEFINITIONS.—In this section: 
(1) The term ‘‘benefits’’ includes— 
(A) retirement benefits; 
(B) any insurance premiums paid by an 
employer; 
(C) education benefits, including tuition re-
imbursement and student loan repayment; and 
(D) any other compensation an employer 
provides to an employee for service performed as 
an employee (other than pay), as determined ap-
propriate by the Secretary of Defense or Sec-
retary of Homeland Security, as applicable. 
(2) The terms ‘‘child care employee’’ and ‘‘mili-
tary child development center’’ have the meanings 
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given such terms in section 1800 of title 10, United 
States Code. 
(3) The terms ‘‘child development center em-
ployee’’ and ‘‘Coast Guard child development center’’ 
have the meanings given such terms in section 2921 
of title 14, United States Code. 
(4) 
The 
term 
‘‘Coast 
Guard 
committees’’ 
means— 
(A) the Committee on Commerce, Science, 
and Transportation of the Senate; 
(B) the Committee on Transportation and 
Infrastructure of the House of Representatives; 
and 
(C) the Committees on Appropriations of 
the Senate and the House of Representatives. 
(5) The term ‘‘congressional defense committees’’ 
has the meaning given such term in section 101 of 
title 10, United States Code. 
(6) The term ‘‘elementary school’’ means a day 
or residential school which provides elementary edu-
cation, as determined under State law. 
(7) The term ‘‘pay’’ includes the basic rate of 
pay of an employee and any additional payments an 
employer pays to an employee for service performed 
as an employee. 
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Subtitle B—Bonus and Incentive 
Pays 
SEC. 611. ONE-YEAR EXTENSION OF CERTAIN EXPIRING 
BONUS AND SPECIAL PAY AUTHORITIES. 
(a) AUTHORITIES RELATING TO RESERVE FORCES.— 
Section 910(g) of title 37, United States Code, relating to 
income replacement payments for reserve component mem-
bers experiencing extended and frequent mobilization for ac-
tive duty service, is amended by striking ‘‘December 31, 
2022’’ and inserting ‘‘December 31, 2023’’. 
(b) TITLE 10 AUTHORITIES RELATING TO HEALTH 
CARE PROFESSIONALS.—The following sections of title 10, 
United States Code, are amended by striking ‘‘December 31, 
2022’’ and inserting ‘‘December 31, 2023’’: 
(1) Section 2130a(a)(1), relating to nurse officer 
candidate accession program. 
(2) Section 16302(d), relating to repayment of 
education loans for certain health professionals who 
serve in the Selected Reserve. 
(c) AUTHORITIES
RELATING
TO
NUCLEAR
OFFI-
CERS.—Section 333(i) of title 37, United States Code, is 
amended by striking ‘‘December 31, 2022’’ and inserting 
‘‘December 31, 2023’’. 
(d) AUTHORITIES RELATING TO TITLE 37 CONSOLI-
DATED SPECIAL PAY, INCENTIVE PAY, AND BONUS AU-
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THORITIES.—The following sections of title 37, United 
States Code, are amended by striking ‘‘December 31, 2022’’ 
and inserting ‘‘December 31, 2023’’: 
(1) Section 331(h), relating to general bonus au-
thority for enlisted members. 
(2) Section 332(g), relating to general bonus au-
thority for officers. 
(3) Section 334(i), relating to special aviation 
incentive pay and bonus authorities for officers. 
(4) Section 335(k), relating to special bonus and 
incentive pay authorities for officers in health profes-
sions. 
(5) Section 336(g), relating to contracting bonus 
for cadets and midshipmen enrolled in the Senior Re-
serve Officers’ Training Corps. 
(6) Section 351(h), relating to hazardous duty 
pay. 
(7) Section 352(g), relating to assignment pay or 
special duty pay. 
(8) Section 353(i), relating to skill incentive pay 
or proficiency bonus. 
(9) Section 355(h), relating to retention incen-
tives for members qualified in critical military skills 
or assigned to high priority units. 
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(e) AUTHORITY TO PROVIDE TEMPORARY INCREASE IN 
RATES
OF BASIC ALLOWANCE
FOR HOUSING.—Section 
403(b) of title 37, United States Code, is amended— 
(1) in paragraph (7)(E), by striking ‘‘December 
31, 2022’’ and inserting ‘‘December 31, 2023’’; and 
(2) in paragraph (8)(C), by striking ‘‘September 
30, 2022’’ and inserting ‘‘December 31, 2023’’. 
SEC. 612. INCREASE TO MAXIMUM AMOUNTS OF CERTAIN 
BONUS AND SPECIAL PAY AUTHORITIES. 
(a) GENERAL BONUS AUTHORITY
FOR ENLISTED 
MEMBERS.—Section 331(c)(1) of title 37, United States 
Code, is amended— 
(1) in subparagraph (A), by striking ‘‘$50,000’’ 
and inserting ‘‘$75,000’’; and 
(2) in subparagraph (B), by striking ‘‘$30,000’’ 
and inserting ‘‘$50,000’’. 
(b) SPECIAL BONUS AND INCENTIVE PAY AUTHORI-
TIES FOR NUCLEAR OFFICERS.—Section 333(d)(1)(A) of 
title 37, United States Code, is amended by striking 
‘‘$50,000’’ and inserting ‘‘$75,000’’. 
(c) SPECIAL AVIATION INCENTIVE PAY AND BONUS 
AUTHORITIES FOR OFFICERS.—Section 334(c)(1) of title 
37, United States Code, is amended— 
(1) in subparagraph (A), by striking ‘‘$1,000’’ 
and inserting ‘‘$1,500’’; and 
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(2) in subparagraph (B), by striking ‘‘$35,000’’ 
and inserting ‘‘$75,000’’. 
(d) SKILL INCENTIVE PAY OR PROFICIENCY BONUS.— 
Section 353(c)(1)(A) of title 37, United States Code, is 
amended by striking ‘‘$1,000’’ and inserting ‘‘$1,750’’. 
SEC. 613. SPECIAL PAY AND ALLOWANCES FOR MEMBERS 
OF THE ARMED FORCES ASSIGNED TO COLD 
WEATHER OPERATIONS. 
(a) SPECIAL PAY.— 
(1) ESTABLISHMENT.—Subchapter II of chapter 
5 of title 37, United States Code, is amended by in-
serting after section 336 the following new section: 
‘‘§ 337. Special pay: members of the armed forces as-
signed to cold weather operations 
‘‘(a) SPECIAL PAY AUTHORIZED.—The Secretary con-
cerned shall pay monthly special pay (to be known as ‘arc-
tic pay’) to a member of the armed forces— 
‘‘(1) assigned to perform cold weather operations; 
or 
‘‘(2) required to maintain proficiency through 
frequent operations in cold weather. 
‘‘(b) AMOUNT OF PAY.—Special pay under this section 
shall equal $300 per month. 
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‘‘(c) RELATIONSHIP
TO OTHER PAY
OR ALLOW-
ANCES.—Special pay under this section is in addition to 
any other pay or allowance to which a member is entitled. 
‘‘(d) SUNSET.—No special pay may be paid under this 
section after December 31, 2023.’’. 
(2) CLERICAL AMENDMENT.—The table of sec-
tions at the beginning of such chapter is amended by 
inserting after the item relating to section 336 the fol-
lowing: 
‘‘337. Special pay: members of the armed forces assigned to permanent duty sta-
tions in Alaska.’’. 
(3) REGULATIONS.—The Secretary of Defense 
shall prescribe regulations for the payment of arctic 
pay under section 337 of such title, as added by sub-
section (a). 
(b) PILOT ALLOWANCE FOR BROADBAND.— 
(1) ESTABLISHMENT.—Chapter 7 of title 37, 
United States Code, is amended by inserting after sec-
tion 425 the following new section: 
‘‘§ 426. Allowance for broadband for members of the 
armed forces assigned to permanent duty 
stations in Alaska 
‘‘(a) ALLOWANCE AUTHORIZED.—The Secretary con-
cerned shall pay, to a member of the armed forces assigned 
to a permanent duty station in Alaska, a monthly allow-
ance for broadband. 
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‘‘(b) AMOUNT.—The monthly allowance to a member 
under this section shall be— 
‘‘(1) $125 during calendar year 2023; and 
‘‘(2) in subsequent calendar years, an amount 
determined by the Secretary of Defense based on the 
difference between the average costs of unlimited 
broadband plans in Alaska and in the continental 
United States. 
‘‘(c) SUNSET.—No allowance may be paid under this 
section after December 31, 2028.’’. 
(2) CLERICAL AMENDMENT.—The table of sec-
tions at the beginning of such chapter is amended by 
inserting after the item relating to section 425 the fol-
lowing: 
‘‘426. Allowance for broadband for members of the armed forces assigned to perma-
nent duty stations in Alaska.’’. 
(3) EFFECTIVE DATE.—Section 426 of such title, 
as added by this subsection, shall take effect on the 
day the Secretary of Defense prescribes regulations 
under paragraph (4). 
(4) REGULATIONS.—Not later than six months 
after the date of the enactment of this Act, the Sec-
retary of Defense shall prescribe regulations to carry 
out section 426 of such title, as added by this sub-
section. 
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(5) REPORT.—Not later than December 31, 2027, 
the Secretary of Defense shall submit to the Commit-
tees on Armed Services of the Senate and House of 
Representatives a report containing— 
(A) the evaluation of the Secretary of the al-
lowance under section 426 of such title, as added 
by this subsection; and 
(B) any recommendation of the Secretary 
regarding whether such allowance should be 
amended, extended, or made permanent. 
(c) TRAVEL AND TRANSPORTATION ALLOWANCE.— 
(1) ENTITLEMENT.—Not later than 90 days after 
the date of the enactment of this Act, the Secretary of 
Defense shall prescribe regulations and guidance that 
entitle a member of the Armed Forces, assigned to a 
permanent duty station in Alaska, to a one-time al-
lowance for air travel for the member and dependents 
of such member. 
(2) AMOUNTS.—If the air travel is to the perma-
nent residence of the member, the amount of the al-
lowance shall equal the total costs of such air travel. 
If such air travel is to another destination within the 
United States, amount of the allowance shall be equal 
to the lesser of the following: 
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(A) The rate for such air travel under the 
City Pair Program of the General Services Ad-
ministration (or successor program) in effect at 
the time of such air travel. 
(B) The actual costs of such air travel. 
(3) TIMING.—Air travel reimbursed under such 
regulation may not commence later than 30 months 
after the member is assigned to a permanent duty sta-
tion in Alaska. 
(4) ADDITIONAL
AUTHORIZATION.—The Sec-
retary concerned may authorize an additional allow-
ance for a member who has used the allowance to 
which such member is entitled under this subsection. 
SEC. 614. AUTHORIZATION OF INCENTIVE PAY TO A MEM-
BER OF THE ARMED FORCES WHOSE DISCLO-
SURE OF FRAUD, WASTE, OR MISMANAGE-
MENT RESULTS IN COST SAVINGS TO THE 
MILITARY DEPARTMENT CONCERNED. 
(a) AUTHORITY.—Subchapter II of chapter 5 of title 
37, United States Code, is amended by adding at the end 
the following new section: 
‘‘§ 358. Incentive pay for cost savings disclosures 
‘‘(a) AUTHORITY.—The Secretary concerned may pay 
an incentive pay to a member of the Armed Forces whose 
disclosure of fraud, waste, or mismanagement to a covered 
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official, results in cost savings for the military department 
concerned. The amount of an award under this section may 
not exceed the lesser of— 
‘‘(1) $10,000; or 
‘‘(2) an amount equal to 1 percent of the cost 
savings that the covered official determines to be the 
total savings attributable to such disclosure. 
‘‘(b) CALCULATION.—For purposes of subsection 
(a)(2), the covered official may take into account cost sav-
ings projected for subsequent fiscal years that will be attrib-
utable to such disclosure. 
‘‘(c) COVERED OFFICIAL DEFINED.—In this section, 
the term ‘covered official’ includes the following: 
‘‘(1) The Secretary concerned. 
‘‘(2) The Inspector General concerned.’’. 
(b) CLERICAL AMENDMENT.—The table of sections at 
the beginning of such chapter is amended by inserting after 
the item relating to section 357 the following: 
‘‘358. Incentive pay for cost savings disclosures.’’. 
SEC. 615. INFLATION BONUS PAY. 
(a) BONUS PAY.—Beginning on January 1, 2023, the 
Secretary concerned shall pay a bonus to each eligible mem-
ber under the jurisdiction of such Secretary concerned. 
(b) PAYMENT.—Bonus pay under this section shall be 
paid to an eligible member on a monthly basis. 
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(c) AMOUNT OF PAY.—Each bonus payment under this 
section shall be in an amount equal to 2.4 percent of the 
rate— 
(1) in effect on January 1, 2023; and 
(2) of, for an eligible member— 
(A) pay under section 204 of title 37, 
United States Code; or 
(B) compensation under section 206 of title 
37, United States Code. 
(d) RELATIONSHIP
TO OTHER PAY
AND ALLOW-
ANCES.—Bonus pay paid to an eligible member under this 
section is in addition to any other pay and allowances to 
which the eligible member is entitled. 
(e) TERMINATION.—No bonus may be paid under this 
section after December 31, 2023. 
(f) ELIGIBLE MEMBER DEFINED.—In this section, the 
term ‘‘eligible member’’ means a member of the uniformed 
services— 
(1) who is entitled to pay or compensation de-
scribed in subsection (c)(2); and 
(2) whose basic pay for 2023 is less than 
$45,000. 
SEC. 616. ESTABLISHING COMPLEX OVERHAUL PAY. 
(a) ESTABLISHMENT.—Not later than six months after 
the date of the enactment of this Act, the Secretary of De-
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fense shall prescribe regulations under section 352 of title 
37, United States Code, for the payment of special monthly 
pay (to be known as ‘‘complex overhaul pay’’) to a member 
of the Armed Forces assigned to a naval vessel undergoing 
nuclear refueling or defueling and any concurrent complex 
overhaul. 
(b) AMOUNT OF PAY.—Complex overhaul pay shall 
equal $200 per month. 
(c) RELATIONSHIP TO OTHER PAY OR ALLOWANCES.— 
Complex overhaul pay is in addition to any other pay or 
allowance to which a member is entitled. 
SEC. 617. AIR FORCE RATED OFFICER RETENTION DEM-
ONSTRATION PROGRAM. 
(a) PROGRAM REQUIREMENT.—The Secretary shall es-
tablish and carry out within the Department of the Air 
Force a demonstration program to assess and improve re-
tention on active duty in the Air Force of rated officers 
described in subsection (b). 
(b) RATED OFFICERS DESCRIBED.—Rated officers de-
scribed in this subsection are rated officers serving on active 
duty in the Air Force, excluding rated officers with a re-
serve appointment in the Air National Guard or Air Force 
Reserve— 
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(1) whose continued service on active duty would 
be in the best interest of the Department of the Air 
Force, as determined by the Secretary; and 
(2) who have not more than three years and not 
less than one year remaining on an active duty serv-
ice obligation under section 653 of title 10, United 
States Code. 
(c) WRITTEN AGREEMENT.— 
(1) IN GENERAL.—Under the demonstration pro-
gram required under subsection (a), the Secretary 
shall offer retention incentives under subsection (d) to 
a rated officer described in subsection (b) who executes 
a written agreement to remain on active duty in a 
regular component of the Air Force for not less than 
four years after the completion of the active duty serv-
ice obligation of the officer under section 653 of title 
10, United States Code. 
(2) EXCEPTION.—If the Secretary of the Air 
Force determines that an assignment previously guar-
anteed under subsection (d)(1) to a rated officer de-
scribed in subsection (b) cannot be fulfilled, the agree-
ment of the officer under paragraph (1) to remain on 
active duty shall expire not later than one year after 
that determination. 
(d) RETENTION INCENTIVES.— 
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426 
(1) GUARANTEE OF FUTURE ASSIGNMENT LOCA-
TION.—Under the demonstration program required 
under subsection (a), the Secretary may offer to a 
rated officer described in subsection (b) a guarantee 
of future assignment locations based on the preference 
of the officer. 
(2) AVIATION BONUS.—Under the demonstration 
program required under subsection (a), notwith-
standing section 334(c) of title 37, United States 
Code, the Secretary may pay to a rated officer de-
scribed in subsection (b) an aviation bonus not to ex-
ceed an average annual amount of $50,000 (subject to 
paragraph (3)(B)). 
(3) COMBINATION
OF
INCENTIVES.—The Sec-
retary may offer to a rated officer described in sub-
section (b) a combination of incentives under para-
graphs (1) and (2). 
(4) VARIATIONS; LIMITATIONS.—The Secretary 
may vary or limit the total number of available con-
tracts and the combination of incentives within such 
contracts to target certain Air Force specialty codes, 
ensure required assignments locations are filled, and 
readiness is not negatively affected. The Secretary 
shall determine the criteria for such variations or 
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limitations and include such criteria in the annual 
briefing under subsection (e). 
(e) ANNUAL BRIEFING.—Not later than December 31, 
2023, and annually thereafter until the termination of the 
demonstration program required under subsection (a), the 
Secretary shall provide to the Committees on Armed Serv-
ices of the Senate and the House of Representatives a brief-
ing describing the use of such demonstration program and 
its effects on the retention on active duty in the Air Force 
of rated officers described in subsection (b). 
(f) DEFINITIONS.—In this section: 
(1) RATED OFFICER.—The term ‘‘rated officer’’ 
means an officer specified in section 9253 of title 10, 
United States Code. 
(2) SECRETARY.—The term ‘‘Secretary’’ means 
the Secretary of the Air Force. 
(g) TERMINATION.—This section shall terminate on 
December 31, 2028. 
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Subtitle C—Family and Survivor 
Benefits 
SEC. 621. EXPANDED ELIGIBILITY FOR BEREAVEMENT 
LEAVE 
FOR 
MEMBERS 
OF 
THE 
ARMED 
FORCES. 
(a) EXPANSION.—Section 701(m) of title 10, United 
States Code, is amended in paragraph (3) by striking sub-
paragraphs (A) and (B) and inserting the following: 
‘‘(A) a spouse; 
‘‘(B) a son or daughter; or 
‘‘(C) a parent. 
‘‘(4) In this section, the term ‘son or daughter’ 
means— 
‘‘(A) a biological, adopted, step, or foster son or 
daughter of the individual; 
‘‘(B) a person who is a legal ward of the mem-
ber, or was a legal ward of the individual when the 
person was a minor or otherwise required a legal 
guardian; or 
‘‘(C) a person for whom the member stands in 
loco parentis or stood in loco parentis when the per-
son was a minor or otherwise required the individual 
to stand in loco parentis. 
‘‘(5) In this section, the term ‘parent’ means— 
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‘‘(A) a biological, adoptive, step, or foster parent 
of the individual, or a person who was a foster parent 
of the individual when the individual was a minor; 
‘‘(B) a legal guardian of the individual, or per-
son who was a legal guardian of the individual when 
the individual was a minor or otherwise required a 
legal guardian; or 
‘‘(C) a person who stands in loco parentis to the 
member or stood in loco parentis when the individual 
was a minor or otherwise required a person to stand 
in loco parentis.’’. 
(b) EFFECTIVE DATE.—The amendment made by sub-
section (a) shall take effect on the latter of July 3, 2022, 
and the date of the enactment of this Act. 
SEC. 622. CLAIMS RELATING TO THE RETURN OF PERSONAL 
EFFECTS OF A DECEASED MEMBER OF THE 
ARMED FORCES. 
Section 1482(a) of title 10, United States Code, is 
amended by adding at the end the following new paragraph: 
‘‘(11)(A) Delivery of personal effects of a dece-
dent to the next of kin or other appropriate person. 
‘‘(B) If the Secretary concerned enters into an 
agreement with an entity to carry out subparagraph 
(A), the Secretary concerned shall pursue a claim 
against such entity that arises from the failure of 
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such entity to substantially perform such subpara-
graph. 
‘‘(C) If an entity described in subparagraph (B) 
fails to substantially perform subparagraph (A) by 
damaging, losing, or destroying the personal effects of 
a decedent, the Secretary concerned shall reimburse 
the person designated under subsection (c) the greater 
of $1,000 or the fair market value of such damage, 
loss, or destruction. The Secretary concerned may re-
quest from, the person designated under subsection 
(c), proof of fair market value and ownership of the 
personal effects.’’. 
SEC. 623. EXPANSION OF AUTHORIZED ASSISTANCE FOR 
PROVIDERS OF CHILD CARE SERVICES TO 
MEMBERS OF THE ARMED FORCES. 
(a) EXPANSION.—Section 1798 of title 10, United 
States Code, is amended— 
(1) by striking ‘‘financial assistance’’ each place 
it appears and inserting ‘‘covered assistance’’; and 
(2) by adding at the end the following new sub-
section: 
‘‘(d) COVERED ASSISTANCE DEFINED.—In this sec-
tion, the term ‘covered assistance’ includes— 
‘‘(1) financial assistance; and 
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‘‘(2) free or reduced-cost child care services fur-
nished by the Secretary.’’. 
(b) TECHNCIAL AND CONFORMING AMENDMENTS.— 
(1) SECTION HEADING.—The heading of such sec-
tion is amended by striking ‘‘financial’’. 
(2) TABLE OF SECTIONS.—The table of sections 
at the beginning of subchapter II of chapter 88 of 
such title is amended by striking the item relating to 
section 1798 and inserting the following: 
‘‘1798. Child care services and youth program services for dependents: assistance 
for providers.’’. 
SEC. 624. SURVIVOR BENEFIT PLAN OPEN ENROLLMENT PE-
RIOD. 
(a) PERSONS NOT CURRENTLY PARTICIPATING
IN 
SURVIVOR BENEFIT PLAN.— 
(1) ELECTION OF SBP COVERAGE.—An eligible 
retired or former member may elect to participate in 
the Survivor Benefit Plan during the open enrollment 
period specified in paragraph (4). 
(2) ELIGIBLE RETIRED OR FORMER MEMBER.— 
For purposes of subparagraph (A), an eligible retired 
or former member is a member or former member of 
the uniformed services who, on the day before the first 
day of the open enrollment period, discontinued par-
ticipation in the Survivor Benefit Plan under section 
1452(g) of title 10, United States Code, and— 
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(A) is entitled to retired pay; or 
(B) would be entitled to retired pay under 
chapter of title 10, United States Code (or chap-
ter 67 of such title as in effect before October 5, 
1994), but for the fact that such member or 
former member is under 60 years of age. 
(3) STATUS UNDER SBP OF PERSONS MAKING 
ELECTIONS.— 
(A) STANDARD ANNUITY.—A person making 
an election under subparagraph (A) by reason of 
eligibility under subparagraph (B)(i) shall be 
treated for all purposes as providing a standard 
annuity under the Survivor Benefit Plan. 
(B) 
RESERVE-COMPONENT
ANNUITY.—A 
person making an election under subparagraph 
(A) by reason of eligibility under subparagraph 
(B)(ii) shall be treated for all purposes as pro-
viding a reserve-component annuity under the 
Survivor Benefit Plan. 
(b) MANNER OF MAKING ELECTIONS.— 
(1) IN GENERAL.—An election under this sub-
section must be made in writing, signed by the person 
making the election, and received by the Secretary 
concerned before the end of the open enrollment pe-
riod. Except as provided in subparagraph (B), any 
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such election shall be made subject to the same condi-
tions, and with the same opportunities for designa-
tion of beneficiaries and specification of base amount, 
that apply under the Survivor Benefit Plan. A person 
making an election under paragraph (1) to provide a 
reserve-component annuity shall make a designation 
described in section 1448(e) of title 10, United States 
Code. 
(2) ELECTION MUST BE VOLUNTARY.—An elec-
tion under this subsection is not effective unless the 
person making the election declares the election to be 
voluntary. An election to participate in the Survivor 
Benefit Plan under this subsection may not be re-
quired by any court. An election to participate or not 
to participate in the Survivor Benefit Plan is not 
subject to the concurrence of a spouse or former spouse 
of the person. 
(c) EFFECTIVE DATE FOR ELECTIONS.—Any such elec-
tion shall be effective as of the first day of the first calendar 
month following the month in which the election is received 
by the Secretary concerned. 
(d) OPEN ENROLLMENT PERIOD DEFINED.—The open 
enrollment period is the period beginning on the date of 
the enactment of this Act and ending on January 1, 2024. 
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(e) APPLICABILITY
OF
CERTAIN
PROVISIONS
OF 
LAW.—The provisions of sections 1449, 1453, and 1454 of 
title 10, United States Code, are applicable to a person 
making an election, and to an election, under this sub-
section in the same manner as if the election were made 
under the Survivor Benefit Plan. 
(f) PREMIUMS FOR OPEN ENROLLMENT ELECTION.— 
(1) PREMIUMS TO BE CHARGED.—The Secretary 
of Defense shall prescribe in regulations premiums 
which a person electing under this subsection shall be 
required to pay for participating in the Survivor 
Benefit Plan pursuant to the election. The total 
amount of the premiums to be paid by a person 
under the regulations shall be equal to the sum of— 
(A) the total amount by which the retired 
pay of the person would have been reduced before 
the effective date of the election if the person had 
elected to participate in the Survivor Benefit 
Plan (for the same base amount specified in the 
election) at the first opportunity that was af-
forded the member to participate under chapter 
73 of title 10, United States Code; 
(B) interest on the amounts by which the 
retired pay of the person would have been so re-
duced, computed from the dates on which the re-
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tired pay would have been so reduced at such 
rate or rates and according to such methodology 
as the Secretary of Defense determines reason-
able; and 
(C) any additional amount that the Sec-
retary determines necessary to protect the actu-
arial soundness of the Department of Defense 
Military Retirement Fund against any increased 
risk for the fund that is associated with the elec-
tion. 
(2) PREMIUMS TO BE CREDITED TO RETIREMENT 
FUND.—Premiums paid under the regulations shall be 
credited to the Department of Defense Military Re-
tirement Fund. 
(g) DEFINITIONS.—In this subsection: 
(1) The term ‘‘Survivor Benefit Plan’’ means the 
program established under subchapter II of chapter 
73 of title 10, United States Code. 
(2) The term ‘‘retired pay’’ includes retainer pay 
paid under section 8330 of title 10, United States 
Code. 
(3) The terms ‘‘uniformed services’’ and ‘‘Sec-
retary concerned’’ have the meanings given those 
terms in section 101 of title 37, United States Code. 
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(4) The term ‘‘Department of Defense Military 
Retirement Fund’’ means the Department of Defense 
Military Retirement Fund established under section 
1461(a) of title 10, United States Code. 
SEC. 625. STUDY AND REPORT ON MILITARY INSTALLA-
TIONS WITH LIMITED CHILD CARE. 
(a) STUDY.— 
(1) IN GENERAL.—The Secretary of Defense shall 
conduct a study regarding child care at military in-
stallations of the covered Armed Forces— 
(A) that are not served by a military child 
development center; or 
(B) where the military child development 
center has few available spots. 
(2) ELEMENTS.—The study shall identify the fol-
lowing with regards to each military installation de-
scribed in paragraph (1): 
(A) The current and maximum possible en-
rollment at the military child development center 
(if one exists). 
(B) Plans of the Secretary to expand an ex-
isting, or construct a new, military child devel-
opment center. 
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(C) The resulting capacity of each military 
child development center described in subpara-
graph (B). 
(D) The median cost of services at accred-
ited child care facilities located near such mili-
tary installation compared to the amount of as-
sistance provided by the Secretary of the mili-
tary department concerned to members for child 
care services. 
(b) REPORT.—Not later than one year after the date 
of the enactment of this Act, the Secretary shall submit to 
the congressional defense committees a report containing the 
results of the study conducted under this section, including 
any policy recommendations of the Secretary to address the 
rising cost of child care near military installations and the 
rates of child care fee assistance provided to members of 
the covered Armed Forces. 
(c) DEFINITIONS.—In this section: 
(1) The term ‘‘covered Armed Force’’ means the 
following: 
(A) The Army. 
(B) The Navy. 
(C) The Marine Corps. 
(D) The Air Force. 
(E) The Space Force. 
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(2) The term ‘‘military child development cen-
ter’’ has the meaning given such term in section 1800 
of title 10, United States Code. 
Subtitle D—Defense Resale Matters 
SEC. 631. PROHIBITION ON SALE OF CHINESE GOODS IN 
COMMISSARY STORES AND MILITARY EX-
CHANGES. 
The Secretary of Defense shall prohibit the sale, at a 
commissary store or military exchange, of goods— 
(1) manufactured in China; 
(2) assembled in China; or 
(3) imported into the United States from China. 
Subtitle E—Miscellaneous Rights, 
Benefits, and Reports 
SEC. 641. TRANSITIONAL COMPENSATION AND BENEFITS 
FOR THE FORMER SPOUSE OF A MEMBER OF 
THE ARMED FORCES WHO ALLEGEDLY COM-
MITTED A DEPENDENT-ABUSE OFFENSE DUR-
ING MARRIAGE. 
(a) IN GENERAL.—Section 1059 of title 10, United 
States Code, is amended— 
(1) in the heading— 
(A) by striking ‘‘separated for’’ and in-
serting ‘‘who commit’’; and 
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(B) by inserting ‘‘; health care’’ after 
‘‘exchange benefits’’; 
(2) in subsection (b)— 
(A) in the heading, by striking ‘‘PUNITIVE 
AND OTHER ADVERSE ACTIONS COVERED’’ and 
inserting ‘‘COVERED MEMBERS’’; 
(B) in paragraph (2), by striking ‘‘offense.’’ 
and inserting ‘‘offense; or’’; and 
(C) by adding at the end the following new 
paragraph: 
‘‘(3) who is not described in paragraph (1) or 
(2) and whose former spouse alleges that the member 
committed a dependent-abuse offense— 
‘‘(A) during the marriage to the former 
spouse; 
‘‘(B) for which the applicable statute of lim-
itations has not lapsed; and 
‘‘(C) that an incident determination com-
mittee determines meets the criteria for abuse.’’; 
(3) in subsection (e)(1)— 
(A) in subparagraph (A)(ii), by striking ‘‘; 
and’’ and inserting a semicolon; 
(B) in subparagraph (B), by striking the 
period at the end and inserting ‘‘; and’’; and 
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(C) by adding at the end the following new 
subparagraph: 
‘‘(C) in the case of a member described in sub-
section (b)(3), shall commence upon the date of the 
final decree of divorce, dissolution, or annulment of 
that member from the former spouse described in such 
subsection.’’; and 
(4) by adding at the end the following new sub-
section: 
‘‘(n) 
HEALTH
CARE
FOR
CERTAIN
FORMER 
SPOUSES.—The Secretary concerned shall treat a former 
spouse described in subsection (b)(3) as an abused depend-
ent described in section 1076(e) of this title.’’. 
(b) TECHNICAL AMENDMENT.—The table of sections at 
the beginning of chapter 53 of such title is amended by 
striking the item relating to section 1059 and inserting the 
following: 
‘‘1059. Dependents of members who commit dependent abuse: transitional com-
pensation; commissary and exchange benefits; health care.’’. 
(c) EFFECTIVE DATE.—The amendments made by this 
Act shall apply to a former spouse described in subsection 
(b)(3) of such section 1059, as added by subsection (a)(2) 
of this section, whose final decree of divorce, dissolution, or 
annulment described in subsection (e)(1)(C) of such section 
1059, as added by subsection (a)(3) of this section, is issued 
on or after the date of the enactment of this Act. 
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SEC. 642. AUTHORIZATION OF PERMISSIVE TEMPORARY 
DUTY FOR WELLNESS. 
In order to reduce the rate of suicides in the Armed 
Forces, the Secretary of each military department may pre-
scribe regulations that authorize a member of an Armed 
Force under the jurisdiction of such Secretary to take not 
more than two weeks of permissive temporary duty each 
year to attend a seminar, retreat, workshop, or outdoor rec-
reational therapy event— 
(1) hosted by a non-profit organization; and 
(2) that focuses on psychological, physical, spir-
itual, or social wellness. 
SEC. 643. STUDY ON BASIC PAY. 
(a) IN GENERAL.—The Secretary of Defense shall seek 
to enter into an agreement with a nonprofit entity or a 
federally funded research and development center to conduct 
research and analysis on the value of basic pay for members 
of the Armed Forces. The Secretary may include such re-
search and analysis in the next quadrennial review of mili-
tary compensation. 
(b) ELEMENTS.—The research and analysis conducted 
under subsection (a) shall include the following: 
(1) An assessment of the model used to determine 
the basic pay in the current basic pay tables, includ-
ing— 
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(A) an analysis of whether to update the 
current model to meet the needs of the 2023 em-
ployment market; 
(B) a historical understanding of when the 
current model was established and how fre-
quently it has been during the last 10 years; 
(C) an understanding of the assumptions on 
which the model is based and how such assump-
tions are validated; 
(D) an analysis of time-in-grade require-
ments and how they may affect retention and 
promotion; and 
(E) an assessment of how recruiting and re-
tention information is used to adjust the model. 
(2) An assessment of whether to modify current 
basic pay tables to consider higher rates of pay for 
specialties the Secretary determines are in critical 
need of personnel. 
(3) An analysis of— 
(A) how basic pay has compared with civil-
ian pay since the 70th percentile benchmark for 
basic pay was established; and 
(B) whether to change the 70th percentile 
benchmark. 
(4) An assessment of whether— 
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(A) to adjust the annual increase in basic 
pay, currently guided by changes in the Employ-
ment Cost Index as a measure of the growth in 
private-sector employment costs; or 
(B) to use a different index, such as the De-
fense Employment Cost Index. 
(5) Legislative and policy recommendations re-
garding basic pay table based on analyses and assess-
ments under paragraphs (1) through (4). 
(c) BRIEFINGS AND PROGRESS REPORT.— 
(1) INTERIM BRIEFING.—Not later than April 1, 
2023, the Secretary shall provide to the appropriate 
congressional committees an interim briefing on the 
elements described in subsection (b). 
(2) PROGRESS
REPORT.—Not later than one 
year after the date of the enactment of this Act, the 
Secretary shall submit to the appropriate congres-
sional committees a progress report on the study 
under this section. 
(3) FINAL BRIEFING.—Not later than two years 
after the date of the enactment of this Act, the Sec-
retary shall submit to the appropriate congressional 
committees a final briefing on the study under this 
section. 
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(d) APPROPRIATE CONGRESSIONAL COMMITTEES DE-
FINED.—In this section, the term ‘‘appropriate congres-
sional committees’’ means the following: 
(1) The Committee on Armed Services of the 
House of Representatives. 
(2) The Committee on Armed Services of the 
Senate. 
(3) The Committee on Transportation and Infra-
structure of the House of Representatives. 
(4) The Committee on Commerce, Science, and 
Transportation of the Senate. 
SEC. 644. REPORT ON ACCURACY OF BASIC ALLOWANCE 
FOR HOUSING. 
(a) REPORT; ELEMENTS.—Not later than one year 
after the date of the enactment of this Act, the Secretary 
of Defense, in consultation with the Secretary of the depart-
ment in which the Coast Guard is operating, shall prepare 
and submit to the appropriate congressional committees a 
report on BAH. Such report shall contain the following ele-
ments: 
(1) The evaluation of the Secretary— 
(A) of the efficiency and accuracy of the 
current system used to calculate BAH; 
(B) the appropriateness of using mean and 
median housing costs in such calculation; 
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(C) of existing MHAs, in relation to choices 
in, 
and 
availability 
of, 
housing 
to 
servicemembers; 
(D) of the suitability of the six standard 
housing profiles in relation to the average family 
sizes of servicemembers, disaggregated by uni-
formed service, rank, and MHA; 
(E) of the flexibility of BAH to respond to 
changes in real estate markets; and 
(F) of residential real estate processes to de-
termine rental rates. 
(2) The recommendation of the Secretary— 
(A) regarding the feasibility of including 
information, furnished by Federal entities, re-
garding school districts, in calculating BAH; 
(B) whether to calculate BAH more fre-
quently, including in response to a sudden 
change in the housing market; 
(C) whether to enter into an agreement with 
a covered entity, to compile data and develop an 
enterprise grade, objective, data-driven algorithm 
to calculate BAH; 
(D) whether to publish the methods used by 
the Secretary to calculate BAH on a publicly ac-
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cessible website of the Department of Defense; 
and 
(E) whether BAH calculations appro-
priately account for increased housing costs asso-
ciated with Coast Guard facilities. 
(b) DEFINITIONS.—In this section: 
(1) The term ‘‘appropriate congressional com-
mittees’’ means the following: 
(A) The Committee on Armed Services of 
the House of Representatives. 
(B) The Committee on Armed Services of 
the Senate. 
(C) The Committee on Transportation and 
Infrastructure of the House of Representatives. 
(D) The Committee on Commerce, Science, 
and Transportation of the Senate. 
(2) The term ‘‘BAH’’ means the basic allowance 
for housing for members of the uniformed services 
under section 403 of title 37, United States Code. 
(3) The term ‘‘covered entity’’ means a nation-
ally recognized entity in the field of commercial real 
estate that has data on local rental rates in real estate 
markets across the United States. 
(4) The term ‘‘MHA’’ means military housing 
area. 
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(5) The term ‘‘servicemember’’ has the meaning 
given such term in section 101 of the Servicemembers 
Civil Relief Act (50 U.S.C. 3911). 
SEC. 645. STUDY AND REPORT ON BARRIERS TO HOME 
OWNERSHIP FOR MEMBERS OF THE ARMED 
FORCES. 
(a) IN GENERAL.—Not later than one year after the 
date of the enactment of this Act, the Secretary of Defense 
shall seek to enter into an agreement with a federally funded 
research and development center or non-profit entity to con-
duct a study on the barriers to home ownership for members 
of the Armed Forces. At the conclusion of such study, the 
Secretary shall submit, to the appropriate congressional 
committees, a report containing the following elements: 
(1) Potential barriers to such home ownership, 
including down payments, concerns about home 
maintenance, and challenges in selling a home. 
(2) The percentage of members who use the basic 
allowance for housing to pay for a mortgage, 
disaggregated by Armed Force, rank, and military 
housing area. 
(3) Any identified differences in home ownership 
rates among members correlated with race or gender. 
(4) What percentage of members own a home be-
fore separating from the Armed Forces. 
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(b) APPROPRIATE CONGRESSIONAL COMMITTEES DE-
FINED.—In this section, the term ‘‘appropriate congres-
sional committees’’ means the following: 
(1) The Committee on Armed Services of the 
House of Representatives. 
(2) The Committee on Armed Services of the 
Senate. 
(3) The Committee on Transportation and Infra-
structure of the House of Representatives. 
(4) The Committee on Commerce, Science, and 
Transportation of the Senate. 
TITLE VII—HEALTH CARE 
PROVISIONS 
Subtitle A—TRICARE and Other 
Health Care Benefits 
SEC. 701. CLARIFICATION OF COVERAGE OF ARTIFICIAL RE-
PRODUCTIVE 
SERVICES 
FOR 
CERTAIN 
TRICARE BENEFICIARIES. 
Section 1074(c)(4) of title 10, United States Code, is 
amended by adding at the end the following new subpara-
graphs: 
‘‘(C) In providing for the coverage under this sub-
section of artificial reproductive services to any member of 
a covered armed force who incurs a serious injury or illness 
on active duty as specified in subparagraph (A), the Sec-
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retary of Defense shall ensure that the coverage of such serv-
ices, including gamete donation and surrogacy services, is 
provided without regard to whether the member is married 
to a spouse of the same gender, married to a spouse of the 
opposite gender, or unmarried. 
‘‘(D) In this paragraph, the term ‘covered armed force’ 
means the following: 
‘‘(i) The Army. 
‘‘(ii) The Navy. 
‘‘(iii) The Marine Corps. 
‘‘(iv) The Air Force. 
‘‘(v) The Space Force.’’. 
SEC. 702. CLARIFICATION OF COVERAGE OF CERTAIN 
AREOLAR NIPPLE TATTOOING PROCEDURES 
UNDER TRICARE PROGRAM. 
(a) COVERAGE UNDER TRICARE PROGRAM.—Section 
1079(a)(11)(A) of title 10, United States Code, is amended 
by inserting ‘‘(including two-dimensional and three-dimen-
sional areolar nipple tattooing)’’ after ‘‘breast reconstruc-
tive surgery’’. 
(b) APPLICABILITY.—The amendments made by sub-
section (a) shall apply with respect to breast reconstructive 
surgeries provided on or after the date of the enactment of 
this Act. 
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SEC. 703. TRICARE DENTAL FOR SELECTED RESERVE. 
Section 1076a of title 10, United States Code, is 
amended— 
(1) in subsection (a)— 
(A) in paragraph (1)— 
(i) in the header, by striking ‘‘selected 
reserve and’’; and 
(ii) by striking ‘‘for members of the Se-
lected Reserve of the Ready Reserve and’’; 
(B) in paragraph (2), in the header, by in-
serting ‘‘individual ready’’ after ‘‘other’’; and 
(C) by adding at the end the following new 
paragraph: 
‘‘(5) PLAN FOR SELECTED RESERVE.—A dental 
benefits plan for members of the Selected Reserve of 
the Ready Reserve.’’; 
(2) in subsection (d)— 
(A) by redesignating paragraph (3) as 
paragraph (4); and 
(B) by inserting after paragraph (2) the fol-
lowing new paragraph: 
‘‘(3) NO PREMIUM PLANS.—(A) The dental in-
surance plan established under subsection (a)(5) is a 
no premium plan. 
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‘‘(B) Members enrolled in a no premium plan 
may not be charged a premium for benefits provided 
under the plan.’’; 
(3) in subsection (e)(2)(A), by striking ‘‘a mem-
ber of the Selected Reserve of the Ready Reserve or’’; 
(4) by redesignating subsections (f) through (k) 
as subsections (g) through (l), respectively; 
(5) by inserting after subsection (e) the following 
new subsection (f): 
‘‘(f) COPAYMENTS UNDER NO PREMIUM PLANS.—A 
member who receives dental care under a no premium plan 
referred to in subsection (d)(3) shall pay no charge for any 
care described in subsection (c).’’; and 
(6) in subsection (i), as redesignated by para-
graph (4), by striking ‘‘subsection (k)(2)’’ and insert-
ing ‘‘subsection (l)(2)’’. 
SEC. 704. REPORT REQUIREMENT FOR CERTAIN CON-
TRACTS UNDER TRICARE PROGRAM. 
(a) GAO REPORT UPON AWARD OF CERTAIN CON-
TRACTS.—Chapter 55 of title 10, United States Code, is 
amended by inserting after section 1097d the following new 
section (and conforming the table of sections at the begin-
ning of such chapter accordingly): 
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‘‘§ 1097e. TRICARE program: report requirement for 
certain contracts 
‘‘(a) GAO REPORT.—Not later than 180 days after the 
date on which the Secretary of Defense enters into a major 
military health care contract, the Comptroller General of 
the United States shall submit to the congressional defense 
committees a report on the contract. 
‘‘(b) MATTERS.—Each report under subsection (a) 
shall include, with respect to the contract for which the re-
port is submitted, a review of the process used in awarding 
the contract. 
‘‘(c) MAJOR MILITARY HEALTH CARE CONTRACT DE-
FINED.—In this section, the term ‘major military health 
care contract’ means a contract the Secretary determines 
is a managed care support contract for the administration 
of the TRICARE program (including the administration 
of medical and dental care services under such program) 
and is estimated by the Secretary to require an eventual 
total expenditure of more than $1,000,000,000.’’. 
(b) SUBMISSION OF CRITERIA TO CONGRESS.—Not 
later than 180 days after the date of the enactment of this 
Act, the Secretary of Defense shall develop specific criteria 
for the determination of a contract as a ‘‘major military 
health care contract’’ pursuant to section 1097e(c) of title 
10, United States Code, as added by subsection (a), and 
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submit to the congressional defense committees a detailed 
list of such criteria. 
SEC. 705. TEMPORARY REQUIREMENT FOR CONTRACEP-
TION 
COVERAGE 
PARITY 
UNDER 
THE 
TRICARE PROGRAM. 
(a) IN GENERAL.—The Secretary of Defense shall en-
sure that, during the one-year period beginning on the date 
that is 30 days after the date of the enactment of the Act, 
the imposition or collection of cost-sharing for certain serv-
ices is prohibited as follows: 
(1) PHARMACY
BENEFITS
PROGRAM.—Notwith-
standing subparagraphs (A), (B), and (C), of section 
1074g(a)(6) of title 10, United States Code, cost-shar-
ing may not be imposed or collected with respect to 
any eligible covered beneficiary for any prescription 
contraceptive on the uniform formulary provided 
through a retail pharmacy described in section 
1074(a)(2)(E)(ii) of such title or through the national 
mail-order pharmacy program of the TRICARE Pro-
gram. 
(2) TRICARE SELECT.—Notwithstanding any 
provision under section 1075 of title 10, United 
States Code, cost-sharing may not be imposed or col-
lected with respect to any beneficiary under such sec-
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tion for a covered service that is provided by a net-
work provider under the TRICARE program. 
(3) TRICARE PRIME.—Notwithstanding sub-
sections (a), (b), and (c) of section 1075a of title 10, 
United States Code, cost-sharing may not be imposed 
or collected with respect to any beneficiary under such 
section for a covered service that is provided under 
TRICARE Prime. 
(b) DEFINITIONS.—In this section: 
(1) The term ‘‘covered service’’ means any meth-
od of contraception approved by the Food and Drug 
Administration, any contraceptive care (including 
with respect to insertion, removal, and follow up), 
any sterilization procedure, or any patient education 
or counseling service provided in connection with any 
such method, care, or procedure. 
(2) The term ‘‘eligible covered beneficiary’’ has 
the meaning given such term in section 1074g of title 
10, United States Code. 
(3) The terms ‘‘TRICARE Program’’ and 
‘‘TRICARE Prime’’ have the meaning given such 
terms in section 1072 of title 10, United States Code. 
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SEC. 706. RATES OF REIMBURSEMENT FOR PROVIDERS OF 
APPLIED BEHAVIOR ANALYSIS. 
(a) IN GENERAL.—In furnishing applied behavior 
analysis under the TRICARE program to individuals de-
scribed in subsection (b) during the period beginning on 
the date of the enactment of this Act and ending on Decem-
ber 31, 2023, the Secretary of Defense shall ensure that the 
reimbursement rates for providers of applied behavior anal-
ysis are not less than the rates that were in effect on April 
30, 2022. 
(b) INDIVIDUALS DESCRIBED.—Individuals described 
in this subsection are individuals who are covered bene-
ficiaries by reason of being a member or former member 
of the Army, Navy, Air Force, Space Force, or Marine 
Corps, including the reserve components thereof, or a de-
pendent of such a member or former member. 
(c) DEFINITIONS.—In this section, the terms ‘‘covered 
beneficiary’’ and ‘‘TRICARE program’’ have the meaning 
given those terms in section 1072 of title 10, United States 
Code. 
SEC. 707. MEDICAL TESTING AND RELATED SERVICES FOR 
FIREFIGHTERS 
OF 
DEPARTMENT 
OF 
DE-
FENSE. 
(a) PROVISION
OF SERVICES.—During the annual 
periodic health assessment of each firefighter of the Depart-
ment of Defense, or at such other intervals as may be indi-
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cated in this subsection, the Secretary shall provide to the 
firefighter (at no cost to the firefighter) appropriate medical 
testing and related services to detect, document the presence 
or absence of, and prevent, certain cancers. Such services 
shall meet, at a minimum, the following criteria: 
(1) BREAST CANCER.—With respect to the breast 
cancer screening, if the firefighter is a female fire-
fighter— 
(A) such services shall include the provision 
of a mammogram to the firefighter— 
(i) on at least a biannual basis if the 
firefighter is 40 years old to 49 years old 
(inclusive); 
(ii) on at least an annual basis if the 
firefighter is at least 50 years old; and 
(iii) as clinically indicated (without 
regard to age); and 
(B) in connection with such provision, a li-
censed radiologist shall review the most recent 
mammogram provided to the firefighter, as com-
pared to prior mammograms so provided, and 
provide to the firefighter the results of such re-
view. 
(2) COLON CANCER.—With respect to colon can-
cer screening— 
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(A) if the firefighter is at least 40 years old, 
and as otherwise clinically indicated, such serv-
ices shall include the communication to the fire-
fighter of the risks and benefits of stool-based 
blood testing; 
(B) if the firefighter is at least 45 years old, 
and as clinically indicated (without regard to 
age), such services shall include the provision, at 
regular intervals, of visual examinations (such 
as a colonoscopy, CT colonoscopy, or flexible 
sigmoidoscopy) or stool-based blood testing; and 
(C) in connection with such provision, a li-
censed physician shall review and provide to the 
firefighter the results of such examination or test-
ing, as the case may be. 
(3) PROSTATE CANCER.—With respect to prostate 
cancer screening, if the firefighter is a male fire-
fighter, the communication to the firefighter of the 
risks and benefits of prostate cancer screenings and 
the provision to the firefighter of a prostate-specific 
antigen test— 
(A) on an annual basis, if the firefighter is 
at least 50 years old; 
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(B) on an annual basis, if the firefighter is 
at least 40 years old and is a high-risk indi-
vidual; and 
(C) as clinically indicated (without regard 
to age). 
(4) OTHER CANCERS.—Such services shall in-
clude routine screenings for any other cancer the risk 
or occurrence of which the Director of the Centers for 
Disease Control and Prevention has identified as 
higher among firefighters than among the general 
public, the provision of which shall be carried out 
during the annual periodic health assessment of the 
firefighter. 
(b) OPTIONAL NATURE.—A firefighter of the Depart-
ment of Defense may opt out of the receipt of a medical 
testing or related service provided under subsection (a). 
(c) USE OF CONSENSUS TECHNICAL STANDARDS.—In 
providing medical testing and related services under sub-
section (a), the Secretary shall use consensus technical 
standards in accordance with section 12(d) of the National 
Technology Transfer and Advancement Act of 1995 (15 
U.S.C. 272 note). 
(d) DOCUMENTATION.— 
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(1) IN GENERAL.—In providing medical testing 
and related services under subsection (a), the Sec-
retary— 
(A) shall document the acceptance rates of 
such tests offered and the rates of such tests per-
formed; 
(B) shall document tests results, to identify 
trends in the rates of cancer occurrences among 
firefighters; and 
(C) may collect and maintain additional 
information from the recipients of such tests and 
other services, to allow for appropriate scientific 
analysis. 
(2) PRIVACY.—In analyzing any information of 
an individual documented, collected, or maintained 
under paragraph (1), in addition to complying with 
other applicable privacy laws, the Secretary shall en-
sure the name, and any other personally identifiable 
information, of the individual is removed from such 
information prior to the analysis. 
(3) SHARING WITH CENTERS FOR DISEASE CON-
TROL AND PREVENTION.—The Secretary may share 
data from any tests performed under subsection (a) 
with the Director of the Centers for Disease Control 
and Prevention, as appropriate, to increase the 
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knowledge and understanding of cancer occurrences 
among firefighters. 
(e) DEFINITIONS.—In this section: 
(1) The term ‘‘firefighter’’ has the meaning given 
that term in section 707 of the National Defense Au-
thorization Act for Fiscal Year 2020 (Public Law 
116–92; 133 Stat. 1441; 10 U.S.C. 1074m note). 
(2) The term ‘‘high-risk individual’’ means an 
individual who— 
(A) is African American; 
(B) has at least one first-degree relative who 
has been diagnosed with prostate cancer at an 
early age; or 
(C) is otherwise determined by the Sec-
retary to be high-risk with respect to prostate 
cancer. 
SEC. 708. AUDIT OF BEHAVIORAL HEALTH CARE NETWORK 
PROVIDERS LISTED IN TRICARE DIRECTORY. 
(a) AUDIT REQUIRED.—The Secretary of Defense shall 
conduct an audit of the behavioral health care providers 
listed in the TRICARE directory. 
(b) REPORT.—Not later than one year after the date 
of the enactment of this Act, the Secretary shall submit to 
the congressional defense committees a report on the find-
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ings of the audit under subsection (a). Such report shall 
include the following: 
(1) 
An 
identification 
of 
the 
following, 
disaggregated by provider specialty and TRICARE 
region: 
(A) The number of such behavioral health 
care providers with respect to which there are 
duplicate listings in the TRICARE directory. 
(B) The number of such behavioral health 
care providers that, as of the commencement of 
the audit, were listed in the TRICARE directory 
as available and accepting new TRICARE pa-
tients. 
(C) The number of such behavioral health 
care providers that, as a result of the audit, the 
Secretary determines are no longer available or 
accepting new TRICARE patients. 
(D) The number of such behavioral health 
care providers that were not previously listed in 
the TRICARE directory as available and accept-
ing new TRICARE patients but that, as a result 
of the audit, the Secretary determines are so 
available and accepting. 
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(E) The number of behavioral health care 
providers listed in the TRICARE directory that 
are no longer practicing. 
(F) The number of behavioral health care 
providers that, in conducting the audit, the Sec-
retary of Defense could not reach for purposes of 
verifying information relating to availability or 
status. 
(2) An identification of the number of TRICARE 
beneficiaries in each TRICARE region, disaggregated 
by beneficiary category. 
(3) A description of the methods by which the 
Secretary measures the following: 
(A) The accessibility and accuracy of the 
TRICARE directory, with respect to behavioral 
health care providers listed therein. 
(B) The adequacy of behavioral health care 
providers under the TRICARE program. 
(4) A description of the efforts of the Secretary 
to recruit and retain behavioral health care providers. 
(5) Recommendations by the Secretary, based on 
the findings of the audit, on how to improve the 
availability of behavioral health care providers that 
are network providers under the TRICARE program, 
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including through the inclusion of specific require-
ments in the next generation of TRICARE contracts. 
(c) DEFINITIONS.—In this section: 
(1) The term ‘‘TRICARE directory’’ means the 
directory of network providers under the TRICARE 
program. 
(2) The term ‘‘TRICARE program’’ has the 
meaning given such term in section 1072 of title 10, 
United States Code. 
SEC. 709. INDEPENDENT ANALYSIS OF QUALITY AND PA-
TIENT SAFETY REVIEW PROCESS UNDER DI-
RECT CARE COMPONENT OF TRICARE PRO-
GRAM. 
(a) AGREEMENT.— 
(1) IN GENERAL.—The Secretary of Defense shall 
seek to enter into an agreement with the National 
Academies of Sciences, Engineering, and Medicine (in 
this section referred to as the ‘‘National Academies’’) 
for the National Academies to carry out the activities 
described in subsections (b) and (c). 
(2) TIMING.—The Secretary shall seek to enter 
into the agreement described in paragraph (1) not 
later than 60 days after the date of the enactment of 
this Act. 
(b) ANALYSIS BY THE NATIONAL ACADEMIES.— 
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(1) ANALYSIS.—Under an agreement between the 
Secretary and the National Academies entered into 
pursuant to subsection (a), the National Academies 
shall conduct an analysis of the quality and patient 
safety review process for health care provided under 
the direct care component of the TRICARE program 
and develop recommendations for the Secretary based 
on such analysis. 
(2) ELEMENTS.—The analysis conducted and 
recommendations developed under paragraph (1) shall 
include, with respect to the direct care component, the 
following: 
(A) An assessment of the procedures under 
such component regarding credentialing and 
privileging for health care providers (and an as-
sessment of compliance with such procedures). 
(B) An assessment of the processes under 
such component for quality assurance, standard 
of care, and incident review (and an assessment 
of compliance with such processes). 
(C) An assessment of the accountability 
processes under such component for health care 
providers who are found to have not met a re-
quired standard of care. 
(3) INFORMATION ACCESS AND PRIVACY.— 
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(A) 
ACCESS
TO
RECORDS.—Notwith-
standing section 1102 of title 10, United States 
Code, the Secretary shall provide the National 
Academies with access to such records of the De-
partment of Defense as the Secretary may deter-
mine necessary for purposes of the National 
Academies conducting the analysis and devel-
oping the recommendations under paragraph 
(1). 
(B) PRIVACY
OF
INFORMATION.—In con-
ducting the analysis and developing the rec-
ommendations under paragraph (1), the Na-
tional Academies— 
(i) shall maintain any personally 
identifiable information in records accessed 
by the National Academies pursuant to sub-
paragraph (A) in accordance with applica-
ble laws, protections, and best practices re-
garding the privacy of information; and 
(ii) may not permit access to such in-
formation by any individual or entity not 
engaged in conducting such analysis or de-
veloping such recommendations. 
(c) REPORT.—Under an agreement entered into be-
tween the Secretary and the National Academies under sub-
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section (a), the National Academies, not later than one year 
after the date of the execution of the agreement, shall— 
(1) submit to the congressional defense commit-
tees and (with respect to any findings concerning the 
Coast Guard when it is not operating as a service in 
the Department of the Navy) the Committee on 
Transportation and Infrastructure of the House of 
Representatives and the Committee on Commerce, 
Science, and Transportation of the Senate a report on 
the findings of the National Academies with respect to 
the analysis conducted and recommendations devel-
oped under subsection (b); and 
(2) make such report available on a public 
website in unclassified form. 
(d) TRICARE PROGRAM DEFINED.—In this section, 
the term ‘‘TRICARE program’’ has the meaning given such 
term in section 1072 of title 10, United States Code. 
Subtitle B—Health Care 
Administration 
SEC. 721. CONGRESSIONAL NOTIFICATION REQUIREMENT 
TO MODIFY SCOPE OF SERVICES PROVIDED 
AT MILITARY MEDICAL TREATMENT FACILI-
TIES. 
Section 1073c(a) of title 10, United States Code, is 
amended by adding at the end the following new paragraph: 
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‘‘(7)(A) The Secretary of Defense may not modify the 
scope of medical care provided at a military medical treat-
ment facility pursuant to paragraph (2)(C) (including by 
modifying the staff, types of services available, or bene-
ficiary population served, at the facility), unless— 
‘‘(i) the Secretary submits to the Committees on 
Armed Services of the House of Representatives and 
the Senate a notification of the proposed modification 
in scope; 
‘‘(ii) a period of 180 days has elapsed following 
the date on which the Secretary submits such notifica-
tion; and 
‘‘(iii) if the proposed modification in scope in-
volves the termination or reduction of inpatient capa-
bilities at a military medical treatment facility lo-
cated outside the United States, the Secretary has 
provided to each member of the armed forces or cov-
ered beneficiary receiving services at such facility a 
transition plan for the continuity of health care for 
such member or covered beneficiary and an oppor-
tunity to participate in at least two public forums 
convened by the Secretary, to discuss the transition 
plan and any related concerns. 
‘‘(B) Each notification under subparagraph (A) shall 
contain information demonstrating, with respect to the 
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military medical treatment facility for which the modifica-
tion in scope has been proposed, the extent to which the 
commander of the military installation at which the facility 
is located has been consulted regarding such modification, 
to ensure that the proposed modification in scope would 
have no impact on the operational plan for such installa-
tion.’’. 
SEC. 722. MODIFICATION OF CERTAIN DEADLINE AND RE-
QUIREMENT TO TRANSFER RESEARCH AND 
DEVELOPMENT 
FUNCTIONS 
TO 
DEFENSE 
HEALTH AGENCY. 
Section 1073c of title 10, United States Code, is 
amended— 
(1) in subsection (e)— 
(A) in the matter preceding paragraph (1), 
by striking ‘‘September 30, 2022’’ and inserting 
‘‘September 30, 2023’’; and 
(B) in paragraph (1)(B), by striking ‘‘the 
Army Medical Research and Materiel Com-
mand’’ and inserting ‘‘such elements and func-
tions of the Army Medical Research and Materiel 
Command as the Secretary determines appro-
priate’’; 
(2) by redesignating subsections (g) and (h) as 
subsections (h) and (i); and 
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(3) by inserting after subsection (f) the following 
new subsection: 
‘‘(g) REPORT REQUIREMENT.—The Secretary of De-
fense may not take any action to exclude an element or 
function of the Army Medical Research and Materiel Com-
mand from organization under or transfer to the Defense 
Health Agency Research and Development pursuant to a 
determination referred to in subsection (e)(1)(B) unless— 
‘‘(1) the Secretary submits to the Committees on 
Armed Services of the House of Representatives and 
the Senate a report containing an explanation of the 
determination and a plan for the proposed exclusion; 
and 
‘‘(2) a period of 90 days has elapsed following 
the date on which the Secretary submits such report.’’. 
SEC. 723. MODIFICATION OF REQUIREMENT TO TRANSFER 
PUBLIC HEALTH FUNCTIONS TO DEFENSE 
HEALTH AGENCY. 
Section 1073c(e)(2) of title 10, United States Code, is 
amended— 
(1) in the matter preceding subparagraph (A), 
by striking ‘‘A subordinate’’ and inserting ‘‘(A) A 
subordinate’’; 
(2) by redesignating subparagraphs (A) and (B) 
as clauses (i) and (ii); 
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(3) in clause (ii), as so redesignated— 
(A) by striking ‘‘comprised of’’ and insert-
ing ‘‘except as provided in subparagraph (B), 
comprised of’’; and 
(B) by striking ‘‘Command’’ each place it 
appears and inserting ‘‘Center’’; and 
(4) by adding at the end the following new sub-
paragraph: 
‘‘(B) At the discretion of the Secretary of De-
fense, the Secretary of a military department may re-
tain an element or function that would otherwise be 
organized under or transferred to the Defense Health 
Agency Public Health pursuant to subparagraph 
(A)(ii) if the Secretary of Defense determines such ele-
ment or function— 
‘‘(i) addresses a need that is unique to that 
military department; and 
‘‘(ii) is in direct support of operating forces 
and necessary to implement national security or 
defense strategies. 
‘‘(C) The Secretary of a military department 
may not take any action to retain an element or 
function pursuant to a determination by the Sec-
retary of Defense referred to in subparagraph (B) un-
less— 
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‘‘(i) the Secretary of Defense submits to the 
Committees on Armed Services of the House of 
Representatives and the Senate a report con-
taining an explanation of such determination 
and a plan for the proposed retention; and 
‘‘(ii) a period of 90 days has elapsed fol-
lowing the date on which the Secretary submits 
such report.’’. 
SEC. 724. OTHER TRANSACTION AUTHORITY FOR STUDIES 
AND DEMONSTRATION PROJECTS RELATING 
TO DELIVERY OF HEALTH AND MEDICAL 
CARE. 
Section 1092(b) of title 10, United States Code, is 
amended by inserting ‘‘or transactions (other than con-
tracts, cooperative agreements, and grants)’’ after ‘‘con-
tracts’’. 
SEC. 
725. 
LICENSURE 
REQUIREMENT 
FOR 
CERTAIN 
HEALTH-CARE PROFESSIONALS PROVIDING 
SERVICES AS PART OF MISSION RELATING TO 
EMERGENCY, HUMANITARIAN, OR REFUGEE 
ASSISTANCE. 
Section 1094(d)(2) of title 10, United States Code, is 
amended by inserting ‘‘ contractor not covered under section 
1091 of this title who is providing medical treatment as 
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part of a mission relating to emergency, humanitarian, or 
refugee assistance,’’ after ‘‘section 1091 of this title,’’. 
SEC. 726. IMPROVEMENTS RELATING TO MEDICAL OFFICER 
OF THE MARINE CORPS POSITION. 
(a) IN GENERAL.—Chapter 806 of title 10, United 
States Code, is amended by adding at the end the following 
new section (and conforming the table of sections at the be-
ginning of such chapter accordingly): 
‘‘§ 8048. Medical Officer of the Marine Corps 
‘‘(a) There is a Medical Officer of the Marine Corps 
who shall be appointed from among flag officers of the 
Navy. 
‘‘(b) The Medical Officer of the Marine Corps, while 
so serving, shall hold the grade of rear admiral (lower 
half).’’. 
(b) EXCLUSION FROM CERTAIN DISTRIBUTION LIMI-
TATIONS.—Section 525 of such title is amended— 
(1) by redesignating subsection (g) as subsection 
(h); and 
(2) by inserting after subsection (f) the following 
new subsection: 
‘‘(g) A naval officer while serving as the Medical Offi-
cer of the Marine Corps is in addition to the number that 
would otherwise be permitted for the Navy for officers serv-
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ing on active duty in the grade of rear admiral (lower half) 
under subsection (a).’’. 
(c) EXCLUSION FROM ACTIVE DUTY STRENGTH LIMI-
TATIONS PRIOR TO DECEMBER 31, 2022.—Section 526 of 
such title is amended— 
(1) by redesignating subsection (k) as subsection 
(l); and 
(2) by inserting after subsection (j) the following 
new subsection: 
‘‘(k) EXCLUSION OF MEDICAL OFFICER OF MARINE 
CORPS.—The limitations of this section do not apply to the 
flag officer who is serving as the Medical Officer of the Ma-
rine Corps.’’. 
(d) EXCLUSION FROM ACTIVE DUTY STRENGTH LIMI-
TATIONS AFTER DECEMBER 31, 2022.—Section 526a of 
such title is amended— 
(1) by redesignating subsections (h) through (k) 
as subsections (i) through (l), respectively; and 
(2) by inserting after subsection (g) the following 
new subsection: 
‘‘(h) EXCLUSION OF MEDICAL OFFICER OF MARINE 
CORPS.—The limitations of this section do not apply to the 
flag officer who is serving as the Medical Officer of the Ma-
rine Corps.’’. 
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SEC. 727. AUTHORITY FOR DEPARTMENT OF DEFENSE PRO-
GRAM TO PROMOTE EARLY LITERACY AMONG 
CERTAIN YOUNG CHILDREN AS PART OF PE-
DIATRIC PRIMARY CARE. 
(a) PROGRAM.—Chapter 55 of title 10, United States 
Code, is amended by inserting after section 1109 the fol-
lowing new section (and conforming the table of sections 
at the beginning of such chapter accordingly): 
‘‘§ 1109A. Authority for program to promote early lit-
eracy among certain young children as 
part of pediatric primary care 
‘‘(a) AUTHORITY.—The Secretary of Defense may 
carry out a program to promote early literacy among young 
children the caregivers of whom are members of the armed 
forces as part of the pediatric primary care of such children. 
‘‘(b) ACTIVITIES.—Activities under the program under 
subsection (a) shall be evidence-informed and include the 
following: 
‘‘(1) The provision to pediatric primary care 
providers and other appropriate personnel of the De-
partment of training on early literacy promotion. 
‘‘(2) The purchase and distribution of age-appro-
priate books to covered caregivers. 
‘‘(3) The modification of waiting rooms in mili-
tary medical treatment facilities, including in specific 
clinics within such facilities, to ensure such waiting 
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rooms include materials that reinforce language-rich 
interactions between young children and their covered 
caregivers, including a full selection of literature for 
young children. 
‘‘(4) The dissemination to covered caregivers of 
education materials on pediatric early literacy. 
‘‘(5) Such other activities as the Secretary deter-
mines appropriate. 
‘‘(c) LOCATIONS.—In carrying out the program under 
subsection (a), the Secretary may conduct the activities 
under subsection (b) at any military medical treatment fa-
cility. 
‘‘(d) DEFINITIONS.—In this section: 
‘‘(1) The term ‘covered caregiver’ means a mem-
ber of the armed forces who is a caregiver of a young 
child. 
‘‘(2) The term ‘young child’ means any child 
from birth to the age of five years old, inclusive.’’. 
(b) REPORT.—Not later than one year after the date 
of the enactment of this Act, the Secretary of Defense shall 
submit to the Committees on Armed Services of the House 
of Representatives and the Senate a report on the extent 
to which the authority under section 1109A(a) of title 10, 
United States Code, (as added by subsection (a)) is used, 
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including a description of any activities carried out under 
the program so authorized. 
(c) RULE OF CONSTRUCTION.—Nothing in this section, 
or the amendments made by this section, shall be construed 
as requiring that a child have more than one caregiver as 
a condition of receiving services under, or otherwise partici-
pating in, the program authorized under such section 
1109A. 
SEC. 728. ACCOUNTABILITY FOR WOUNDED WARRIORS UN-
DERGOING DISABILITY EVALUATION. 
(a) IN GENERAL.—Not later than April 1, 2023, the 
Secretary of Defense, in consultation with the Secretaries 
concerned, shall establish a policy to ensure accountability 
for actions taken under the authorities of the Defense Health 
Agency and the Armed Forces, respectively, concerning 
wounded, ill, and injured members of the Armed Forces 
during the integrated disability evaluation system process. 
Such policy shall include the following: 
(1) A requirement that a determination of fitness 
for duty under chapter 61 of title 10, United States 
Code, of a member of the Armed Forces falls under the 
jurisdiction of the Secretary concerned. 
(2) A description of the role of the Director of the 
Defense Health Organization in supporting the Secre-
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taries concerned in carrying out determinations of 
fitness for duty as specified in paragraph (1). 
(3) A requirement that a medical evaluation 
provided under the authority of the Defense Health 
Agency under section 1073c of title 10, United States 
Code, shall comply with applicable law and Depart-
ment of Defense regulations and shall be considered 
by the Secretary concerned in determining fitness for 
duty under such chapter. 
(4) A description of how the Director of the De-
fense Health Agency adheres to the medical evaluation 
processes of the Armed Forces, including an identi-
fication of each applicable regulation or policy the 
Director is required to adhere to. 
(5) A requirement that wounded, ill, and injured 
members of the Armed Forces shall not be denied the 
protections, privileges, or right to due process afforded 
under applicable law and regulations of the Depart-
ment of Defense and the Armed Forces. 
(6) A description of the types of due process pro-
tections, privileges, and rights afforded to members of 
the Armed Forces pursuant to paragraph (5), includ-
ing an identification of each such due process protec-
tion. 
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(b) CLARIFICATION OF RESPONSIBILITIES REGARDING 
MEDICAL EVALUATION BOARDS.—Section 1073c of title 10, 
United States Code, is amended by redesignating subsection 
(h) as subsection (i); and by inserting after subsection (g) 
the following new subsection (h): 
‘‘(h) AUTHORITIES RESERVED TO THE SECRETARIES 
CONCERNED REGARDING
THE DISABILITY EVALUATION 
SYSTEM.—Notwithstanding the responsibilities and au-
thorities of the Defense Health Agency with respect to the 
administration of military medical treatment facilities as 
set forth in this section, including medical evaluations of 
members of the armed forces, the Secretary concerned shall 
maintain personnel authority over and responsibility for 
any member of the armed forces while the member is being 
considered by a medical evaluation board. Such responsi-
bility shall include the following: 
‘‘(1) Responsibility for administering the morale 
and welfare of the member. 
‘‘(2) Responsibility for determinations of fitness 
for duty of the member under chapter 61 of this 
title.’’. 
(c) BRIEFING.—Not later than February 1, 2023, the 
Secretary of Defense shall provide to the appropriate con-
gressional committees a briefing on the status of the imple-
mentation of subsections (a) and (b). 
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(d) DEFINITIONS.—In this section: 
(1) The term ‘‘appropriate congressional com-
mittees’’ means— 
(A) the Committee on Armed Services and 
the Committee on Transportation and Infra-
structure of the House of Representatives; and 
(B) the Committee on Armed Services and 
the Committee on Commerce, Science, and 
Transportation of the Senate. 
(2) The term ‘‘Secretary concerned’’ has the 
meaning given that term in section 101 of title 10, 
United States Code. 
SEC. 729. INCENTIVE PAYMENTS FOR RETENTION OF CER-
TAIN BEHAVIORAL HEALTH PROVIDERS. 
(a) INCENTIVE PAYMENTS FOR CERTAIN BEHAVIORAL 
HEALTH PROVIDERS.— 
(1) INCENTIVE PAYMENTS.—The Secretary of De-
fense, using authorities available to the Secretary, 
shall increase the use of incentive payments paid to 
individuals described in paragraph (2) for the pur-
pose of retaining such employees. 
(2) ELIGIBLE
RECIPIENTS.—Individuals de-
scribed in this paragraph are covered civilian behav-
ioral health providers in the following professions: 
(A) Clinical psychologists. 
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(B) Social workers. 
(C) Counselors. 
(3) PRIORITIZATION.—In increasing the use of 
incentive payments under paragraph (1), the Sec-
retary of Defense shall give priority for such an in-
centive payment to an individual described in para-
graph (2) who is stationed at a remote installation or 
an installation with a higher-than-average turnover 
of covered civilian behavioral health providers, as de-
termined by the Secretary. 
(4) REPORTS.—Not later than February 1 of 
each of calendar years 2023, 2024, 2025, and 2026, 
the Secretary of Defense shall submit to the congres-
sional defense committees a report that includes the 
following: 
(A) The number of covered civilian behav-
ioral health providers as of the end of the fiscal 
year preceding the year in which the report is 
submitted, disaggregated by the professions speci-
fied in paragraph (2) and by whether the covered 
civilian behavioral health provider is stationed 
at a remote installation. 
(B) Of such covered civilian behavioral 
health providers, the number who, during such 
preceding fiscal year, received an incentive pay-
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ment referred to in paragraph (1), disaggregated 
by the professions specified in paragraph (2) and 
by whether the covered civilian behavioral health 
provider is stationed at a remote installation. 
(C) With respect to such covered civilian be-
havioral health providers who so received an in-
centive payment, the median and mean incentive 
payment amount so received, disaggregated by 
the professions specified in paragraph (2) and by 
whether the covered civilian behavioral health 
provider is stationed at a remote installations. 
(D) For the five fiscal years preceding the 
year in which the report is submitted, the aggre-
gate amount of incentive payments referred to in 
paragraph (1) paid to covered civilian behav-
ioral health providers. 
(E) A summary of the actions taken by the 
Secretary to implement the requirements of this 
section. 
(F) An assessment of the effectiveness of in-
creasing the use of incentive payments under 
paragraph (1) for improved retention of covered 
civilian behavioral health providers. 
(G) Any recommendations by the Secretary 
for additional authorities, or modifications to 
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authorities already available to the Secretary, to 
further improve the retention of covered civilian 
behavioral health providers. 
(b) DEFINITIONS.—In this section: 
(1) The term ‘‘behavioral health’’ includes clin-
ical 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 ‘‘counselor’’ means an individual 
who holds— 
(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. 
(4) The term ‘‘covered civilian behavioral health 
provider’’ means a civilian behavioral health provider 
whose employment by the Secretary of Defense in-
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volves the provision of behavioral health services at a 
military medical treatment facility. 
(5) The term ‘‘military installation’’ has the 
meaning given that term in section 2801 of title 10, 
United States Code. 
(6) The term ‘‘remote installation’’ means a 
military installation that the Secretary determines to 
be in a remote location. 
SEC. 730. CLARIFICATION OF LICENSE PORTABILITY FOR 
HEALTH CARE PROVIDERS PROVIDING SERV-
ICES UNDER RESERVE HEALTH READINESS 
PROGRAM. 
For purposes of license portability under paragraph 
(1) of section 1094(d) of title 10, United States Code, a 
health care provider who provides medical or dental services 
under the Reserve Health Readiness program of the Depart-
ment of Defense (or any successor program) and meets the 
requirements specified in subparagraphs (A) and (B) of 
paragraph (2) of such section shall be considered a health- 
care professional described in such paragraph. 
SEC. 731. POLICY OF DEFENSE HEALTH AGENCY ON EX-
PANDED RECOGNITION OF BOARD CERTIFI-
CATIONS FOR PHYSICIANS. 
Not later than 180 days after the date of the enactment 
of this Act, the Director of the Defense Health Agency shall 
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revise the policy of the Defense Health Agency relating to 
credentialing and privileging under the military health sys-
tem, to expand the recognition of board certifications for 
physicians under such policy to a wide range of additional 
board certifications. 
Subtitle C—Studies and Reports 
SEC. 741. GAO STUDY ON COVERAGE OF MENTAL HEALTH 
DISORDERS UNDER TRICARE PROGRAM AND 
RELATIONSHIP TO CERTAIN MENTAL HEALTH 
PARITY LAWS. 
(a) STUDY AND REPORT REQUIRED.—Not later than 
180 days after the date of the enactment of this Act, the 
Comptroller General of the United States shall— 
(1) conduct a study to identify and assess the 
similarities and differences with respect to coverage of 
mental health disorders under the TRICARE program 
and coverage requirements under mental health par-
ity laws; and 
(2) submit to the Secretary of Defense, the con-
gressional defense committees, and (with respect to 
any findings concerning the Coast Guard when it is 
not operating as a service in the Department of the 
Navy), the Secretary of Homeland Security, the Com-
mittee on Transportation and Infrastructure of the 
House of Representatives, and the Committee on Com-
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merce, Science, and Transportation of the Senate a 
report containing the findings of such study. 
(b) MATTERS.—The report under subsection (a) shall 
include the following: 
(1) A description of any overlaps or gaps be-
tween coverage requirements under the TRICARE 
program and under the mental health parity laws, 
with respect to treatment for the continuum of mental 
health disorders (including substance use disorder). 
(2) An identification of any existing or antici-
pated effects of any such overlaps or gaps on access 
to care by TRICARE beneficiaries. 
(3) An identification of denial rates under the 
TRICARE program for requests by TRICARE bene-
ficiaries for coverage of mental or behavioral health 
care services, and the overturn rates of appeals for 
such requests, disaggregated by type of health care 
service. 
(4) A list of each mental or behavioral health 
care provider type that is not an authorized provider 
type under the TRICARE program. 
(5) An identification of any anticipated effects of 
modifying 
coverage 
requirements 
under 
the 
TRICARE program to bring such requirements into 
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conformity with mental health parity laws, including 
an assessment of the following: 
(A) Potential costs to the Department of De-
fense, the Department of Homeland Security 
(with respect to matters concerning the Coast 
Guard when it is not operating as a service in 
the Department of the Navy), and TRICARE 
beneficiaries as a result of such modification. 
(B) The adequacy of the TRICARE pro-
gram network to support such modification. 
(C) Potential effects of such modification on 
access to care by TRICARE beneficiaries. 
(D) Such other matters as may be deter-
mined appropriate by the Comptroller General. 
(c) BRIEFING.—Not later than 90 days after the date 
on which the Secretaries receives the report submitted under 
subsection (a), the Secretaries shall provide to the congres-
sional defense committees a briefing on any statutory 
changes the Secretaries determine necessary to close gaps 
in the coverage of mental health disorders under the 
TRICARE program, including any such gaps identified in 
the report, to bring such coverage into conformity with re-
quirements under mental health parity laws. 
(d) DEFINITIONS.—In this section: 
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(1) The term ‘‘mental health parity laws’’ 
means— 
(A) section 2726 of the Public Health Serv-
ice Act (42 U.S.C. 300gg–26); 
(B) section 712 of the Employee Retirement 
Income Security Act of 1974 (29 U.S.C. 1185a); 
(C) section 9812 of the Internal Revenue 
Code of 1986 (26 U.S.C. 9812); or 
(D) any other Federal law that applies the 
requirements under any of the sections described 
in subparagraph (A), (B), or (C), or require-
ments that are substantially similar to those pro-
vided under any such section, as determined by 
the Comptroller General. 
(2) The term ‘‘TRICARE program’’ has the 
meaning given such term in section 1072 of title 10, 
United States Code. 
SEC. 742. FEASIBILITY STUDY ON ESTABLISHMENT OF NEW 
COMMAND ON DEFENSE HEALTH. 
(a) STUDY.—The Secretary of Defense shall conduct a 
feasibility study regarding the establishment of a new de-
fense health command under which the Defense Health 
Agency would be a joint component. In conducting such 
study, the Secretary shall consider for the new command 
each of the following potential structures: 
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(1) A unified combatant command. 
(2) A specified combatant command. 
(3) Any other defense health command structure 
the Secretary determines appropriate. 
(b) MATTERS.—The study under subsection (a) shall 
include, with respect to the new command specified in such 
subsection, the following: 
(1) An assessment of the organizational structure 
required to establish the new command with the fol-
lowing responsibilities and duties: 
(A) The conduct of health operations among 
operational units of the Armed Forces. 
(B) The administration of military medical 
treatment facilities. 
(C) The administration of the TRICARE 
program. 
(D) Serving as the element of the Armed 
Forces with the primary responsibility for the 
following: 
(i) Medical treatment, advanced trau-
ma management, emergency surgery, and 
resuscitative care. 
(ii) Emergency and specialty surgery, 
intensive care, medical specialty care, and 
related services. 
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(iii) Preventive, acute, restorative, cu-
rative, rehabilitative, and convalescent care. 
(E) Collaboration with medical facilities 
participating in the National Disaster Medical 
System established pursuant to section 2812 of 
the Public Health Service Act (42 U.S.C. 300hh– 
11), the Veterans Health Administration, and 
such other Federal departments and agencies and 
nongovermental organizations as may be deter-
mined appropriate, including with respect to the 
care services specified in subparagraph (D)(iii). 
(F) The conduct of existing research and 
education activities of the Department of Defense 
in the filed of health sciences. 
(G) The conduct of public health and global 
health activities not otherwise assigned to the 
Armed Forces. 
(H) The administration of the Defense 
Health Program Account under section 1100 of 
title 10, United States Code. 
(2) A description of the potential reporting rela-
tionship between the commander of the new com-
mand, the Assistant Secretary of Defense for Health 
Affairs, and the Under Secretary of Defense for Per-
sonnel and Readiness. 
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(3) A description of the roles of the Surgeons 
General of the Army, Navy and Air Force, with re-
spect to the commander of the new command. 
(4) A description of the additional legislative au-
thorities, if any, necessary to establish the new com-
mand. 
(c) BRIEFING; REPORT.—Not later than September 30, 
2023, the Secretary of Defense shall— 
(1) provide to the Committees of Armed Services 
of the House of Representatives and the Senate brief-
ing on the results of the study under subsection (a); 
and 
(2) submit to the Committees of Armed Services 
of the House of Representatives and the Senate brief-
ing and report on the results of such study. 
SEC. 743. STUDY AND AWARENESS INITIATIVE REGARDING 
USE OF MEDICINAL CANNABIS TO TREAT CER-
TAIN MEMBERS OF THE ARMED FORCES ON 
TERMINAL LEAVE. 
(a) STUDY.—The Secretary of Defense shall conduct a 
study on the use of medicinal cannabis as an alternative 
to prescription opioids in the treatment of members of the 
Armed Forces on terminal leave preceding separation, re-
tirement, or release from active duty. 
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(b) PARTICIPANTS.—The Secretary shall select partici-
pants in the study under subsection (a) from among mem-
bers of the Armed Forces on terminal leave— 
(1) who have been diagnosed with post traumatic 
stress disorder, a traumatic brain injury, or any 
other condition involving severe pain, as determined 
by the Secretary for purposes of this section; 
(2) who but for such participation, would be pre-
scribed opioid medications in connection with the 
treatment of such condition; and 
(3) who elect to participate in the study (includ-
ing in the post-study monitoring under subsection 
(c)). 
(c) POST-STUDY MONITORING.—Following the conclu-
sion of the study under subsection (a), the Secretary shall 
monitor the effects of such study on the health of former 
participants by conducting assessments of such former par-
ticipants, and shall submit to the congressional defense com-
mittees reports on the results of such monitoring, at the fol-
lowing intervals: 
(1) One year after the date of such conclusion. 
(2) Three years after the date of such conclusion. 
(d) EFFECT ON OTHER BENEFITS.—The eligibility or 
entitlement of a member of the Armed Forces to any other 
benefit under the laws administered by the Secretary shall 
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not be affected by the participation of the member in the 
study under this section (including by participation in the 
post-study monitoring under subsection (c)). 
(e) REPORT.—Not later than one year after the date 
of the enactment of this Act, the Secretary of Defense shall 
submit to the appropriate congressional committees a report 
on the findings of the study under subsection (a). Such re-
port shall include— 
(1) a description of any such findings relating to 
the benefits or other effects of using medicinal can-
nabis as an alternative to prescription opioids under 
the study; and 
(2) any recommendations of the Secretary based 
on such findings. 
(f) EDUCATION INITIATIVE.—The Secretary shall carry 
out an education initiative regarding the use of medicinal 
cannabis for the treatment of the conditions referred to in 
subsection (b)(1). In carrying out such initiative, the Sec-
retary shall take into consideration— 
(1) to the extent practicable, the findings of the 
study under subsection (a); 
(2) the specific vulnerability to opioid abuse and 
substance abuse disorder of individuals transitioning 
from serving on active duty in the Armed Forces; and 
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(C) by amending subparagraph (D) to read 
as follows: 
‘‘(D) A review of the health outcomes, in-
cluding mental health outcomes, for individuals 
who have received applied behavioral analysis 
treatments over time.’’; 
(D) in subparagraph (E), by inserting ‘‘, 
since the inception of such program,’’ after 
‘‘demonstration program’’; 
(E) in subparagraph (F), by striking ‘‘effec-
tiveness’’ and inserting ‘‘cost effectiveness, pro-
gram effectiveness, and clinical effectiveness’’; 
(F) in subparagraph (G), by inserting 
‘‘than in the general population’’ after ‘‘military 
families’’; 
(G) by redesignating subparagraph (H) as 
subparagraph (I); and 
(H) by inserting after subparagraph (G), as 
amended by subparagraph (F) of this paragraph, 
the following new subparagraph: 
‘‘(H) An analysis on whether the diagnosis 
and treatment of autism is more prevalent 
among the children of military families than in 
the general population.’’; and 
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