H. R. 5515—160 
of the per diem allowance, or the maximum amount of reimburse-
ment, for a locality based on the duration of the travel in the 
locality of an employee of the Department.’’. 
(c) REPEALS.— 
(1) EXISTING POLICY AND REGULATIONS.—The policy, and 
any regulations issued pursuant to such policy, implemented 
by the Secretary of Defense on November 1, 2014, with respect 
to reductions in per diem allowances based on duration of 
temporary duty assignment or civilian travel shall have no 
force or effect. 
(2) ATTEMPTED STATUTORY FIX.—Section 672 of the National 
Defense Authorization Act for Fiscal Year 2017 (Public Law 
114–328; 37 U.S.C. 474 note; 130 Stat. 2178) is repealed. 
SEC. 604. EXTENSION OF PARKING EXPENSES ALLOWANCE TO 
CIVILIAN EMPLOYEES AT RECRUITING FACILITIES. 
Section 481i(b)(1) of title 37, United States Code, is amended 
by striking ‘‘as a recruiter for any’’ and inserting ‘‘at a recruiting 
facility’’. 
SEC. 605. ELIGIBILITY OF RESERVE COMPONENT MEMBERS FOR NON-
REDUCTION IN PAY WHILE SERVING IN THE UNIFORMED 
SERVICES OR NATIONAL GUARD. 
Section 5538(a) of title 5, United States Code, is amended 
in the matter preceding paragraph (1) by inserting ‘‘section 12304b 
of title 10 or’’ after ‘‘under’’. 
SEC. 606. MILITARY HOUSING PRIVATIZATION INITIATIVE. 
(a) PAYMENT AUTHORITY.—Each month beginning on the first 
month after the date of the enactment of this Act, the Secretary 
shall pay a lessor of covered housing 5 percent of the amount 
calculated under section 403(b)(3)(A)(i) of title 37, United States 
Code, for the area in which the covered housing exists. Any such 
payment shall be in addition to any other payment made by the 
Secretary to that lessor. 
(b) PLAN FOR MHPI HOUSING.—Not later than December 1, 
2018, the Secretary shall submit to the congressional defense 
committees a long-range plan to develop measures to consistently 
address the future sustainment, recapitalization, and financial 
condition of MHPI housing. The plan shall include— 
(1) efforts to mitigate the losses incurred by MHPI housing 
projects because of the reductions to BAH under section 603 
of the National Defense Authorization Act for Fiscal Year 2016 
(Public Law 114-92; 37 U.S.C. 403(b)(3)(B)); and 
(2) a full assessment of the effects of such reductions (in 
relation to calculations of market rates for rent and utilities) 
on the financial condition of MHPI housing. 
(c) REPORTING.—The Secretary shall direct the Assistant Sec-
retary of Defense for Energy, Installations, and Environment to 
take the following steps regarding reports under section 2884(c) 
of title 10, United States Code: 
(1) Provide additional contextual information on MHPI 
housing to identify any differences in the calculation of debt 
coverage ratios and any effect of such differences on their 
comparability. 
(2) Immediately resume issuing such reports on the finan-
cial condition of MHPI housing.
H. R. 5515—161 
(3) Revise Department of Defense guidance on MHPI 
housing— 
(A) to ensure that relevant financial data (such as 
debt coverage ratios) in such reports are consistent and 
comparable in terms of the time periods of the data col-
lected; 
(B) to include a requirement that the secretary of each 
military 
department 
includes 
measures 
of 
future 
sustainment into each assessments of MHPI housing 
projects; and 
(C) to require the secretary of each military department 
to define risk tolerance regarding the future sustainability 
of MHPI housing projects. 
(4) Report financial information on future sustainment of 
each MHPI housing project in such reports. 
(5) Provide Department of Defense guidance to the secre-
taries of the military departments to— 
(A) assess the significance of the specific risks to indi-
vidual MHPI housing projects from the reduction in BAH; 
and 
(B) identify methods to mitigate such risks based on 
their significance. 
(6) Not later than December 1, 2018, finalize Department 
of Defense guidance that clearly defines— 
(A) the circumstances in which the military depart-
ments shall provide notification of housing project changes 
to the congressional defense committees; and 
(B) which types of such changes require prior notifica-
tion to or prior approval from the congressional defense 
committees. 
(d) DEFINITIONS.—In this section: 
(1) The term ‘‘BAH’’ means the basic allowance for housing 
under section 403 of title 37, United States Code. 
(2) The term ‘‘covered housing’’ means a unit of MHPI 
housing that is leased to a member of a uniformed service 
who resides in such unit. 
(3) The term ‘‘MHPI housing’’ means housing acquired 
or constructed under the alternative authority of subchapter 
IV of chapter 169 of title 10, United States Code (known as 
the Military Housing Privatization Initiative) on or before Sep-
tember 30, 2014. 
Subtitle B—Bonuses and Special 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 members experiencing extended 
and frequent mobilization for active duty service, is amended by 
striking ‘‘December 31, 2018’’ and inserting ‘‘December 31, 2019’’. 
(b) TITLE 10 AUTHORITIES RELATING TO HEALTH CARE PROFES-
SIONALS.—The following sections of title 10, United States Code, 
are amended by striking ‘‘December 31, 2018’’ and inserting 
‘‘December 31, 2019’’:
H. R. 5515—162 
(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 OFFICERS.—Section 
333(i) of title 37, United States Code, is amended by striking 
‘‘December 31, 2018’’ and inserting ‘‘December 31, 2019’’. 
(d) AUTHORITIES RELATING TO TITLE 37 CONSOLIDATED SPECIAL 
PAY, INCENTIVE PAY, AND BONUS AUTHORITIES.—The following sec-
tions of title 37, United States Code, are amended by striking 
‘‘December 31, 2018’’ and inserting ‘‘December 31, 2019’’: 
(1) Section 331(h), relating to general bonus authority for 
enlisted members. 
(2) Section 332(g), relating to general bonus authority 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 professions. 
(5) Section 336(g), relating to contracting bonus for cadets 
and midshipmen enrolled in the Senior Reserve 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 pro-
ficiency bonus. 
(9) Section 355(h), relating to retention incentives for mem-
bers qualified in critical military skills or assigned to high 
priority units. 
(e) AUTHORITY
TO PROVIDE TEMPORARY INCREASE
IN RATES 
OF BASIC ALLOWANCE FOR HOUSING.—Section 403(b)(7)(E) of title 
37, United States Code, is amended by striking ‘‘December 31, 
2018’’ and inserting ‘‘December 31, 2019’’. 
SEC. 612. REPORT ON IMMINENT DANGER PAY AND HOSTILE FIRE 
PAY. 
(a) REPORT REQUIRED.—Not later than March 1, 2019, the 
Secretary of Defense shall submit to the Committees on Armed 
Services of the Senate and the House of Representatives a report 
examining the current processes for awarding imminent danger 
pay and hostile fire pay to members of the Armed Forces. 
(b) ELEMENTS.—This report under this section shall include 
the following: 
(1) An analysis of difficulties in implementing the current 
system. 
(2) An explanation of how geographic regions are selected 
to be eligible for such pay and the criteria used to define 
these regions. 
(3) An examination of whether the current geographic 
model is the most appropriate way to award such pay, including 
the following: 
(A) A discussion of whether the current model most 
accurately reflects the realities of modern warfare and 
is responsive enough to the needs of members.
H. R. 5515—163 
(B) Whether the Secretary believes it would be appro-
priate to tie such pay to specific authorizations for deploy-
ments (including deployments of special operations forces) 
in addition to geographic criteria. 
(C) A description of any change the Secretary would 
consider to update such pay to reflect the current oper-
ational environment. 
(D) How the Secretary would implement each change 
under subparagraph (C). 
(E) Recommendations of the Secretary for related regu-
lations or legislative action. 
Subtitle C—Other Matters 
SEC. 621. EXTENSION OF CERTAIN MORALE, WELFARE, AND RECRE-
ATION PRIVILEGES TO CERTAIN VETERANS AND THEIR 
CAREGIVERS. 
(a) SHORT TITLE.—This section may be cited as the ‘‘Purple 
Heart and Disabled Veterans Equal Access Act of 2018’’. 
(b) COMMISSARY STORES AND MWR FACILITIES PRIVILEGES FOR 
CERTAIN VETERANS AND VETERAN CAREGIVERS.— 
(1) EXTENSION
OF
PRIVILEGES.—Chapter 54 of title 10, 
United States Code, is amended by adding at the end the 
following new section: 
‘‘§ 1065. Use of commissary stores and MWR facilities: certain 
veterans and caregivers for veterans 
‘‘(a) ELIGIBILITY OF VETERANS AWARDED THE PURPLE HEART.— 
A veteran who was awarded the Purple Heart shall be permitted 
to use commissary stores and MWR facilities on the same basis 
as a member of the armed forces entitled to retired or retainer 
pay. 
‘‘(b) ELIGIBILITY
OF VETERANS WHO ARE MEDAL
OF HONOR 
RECIPIENTS.—A veteran who is a Medal of Honor recipient shall 
be permitted to use commissary stores and MWR facilities on the 
same basis as a member of the armed forces entitled to retired 
or retainer pay. 
‘‘(c) ELIGIBILITY OF VETERANS WHO ARE FORMER PRISONERS 
OF WAR.—A veteran who is a former prisoner of war shall be 
permitted to use commissary stores and MWR facilities on the 
same basis as a member of the armed forces entitled to retired 
or retainer pay. 
‘‘(d) ELIGIBILITY
OF
VETERANS
WITH
SERVICE-CONNECTED 
DISABILITIES.—A veteran with a service-connected disability shall 
be permitted to use commissary stores and MWR facilities on the 
same basis as a member of the armed forces entitled to retired 
or retainer pay. 
‘‘(e) ELIGIBILITY OF CAREGIVERS FOR VETERANS.—A caregiver 
or family caregiver shall be permitted to use commissary stores 
and MWR facilities on the same basis as a member of the armed 
forces entitled to retired or retainer pay. 
‘‘(f) USER FEE AUTHORITY.—(1) The Secretary of Defense shall 
prescribe regulations that impose a user fee on individuals who 
are eligible solely under this section to purchase merchandise at 
a commissary store or MWR retail facility.
H. R. 5515—164 
‘‘(2) The Secretary shall set the user fee under this subsection 
at a rate that the Secretary determines will offset any increase 
in expenses arising from this section borne by the Department 
of the Treasury on behalf of commissary stores associated with 
the use of credit or debit cards for customer purchases, including 
expenses related to card network use and related transaction proc-
essing fees. 
‘‘(3) The Secretary shall deposit funds collected pursuant to 
a user fee under this subsection in the General Fund of the 
Treasury. 
‘‘(4) Any fee under this subsection is in addition to the uniform 
surcharge under section 2484(d) of this title. 
‘‘(g) DEFINITIONS.—In this section: 
‘‘(1) The term ‘MWR facilities’ includes— 
‘‘(A) MWR retail facilities, as that term is defined 
in section 1063(e) of this title; and 
‘‘(B) military lodging operated by the Department of 
Defense for the morale, welfare, and recreation of members 
of the armed forces. 
‘‘(2) The term ‘Medal of Honor recipient’ has the meaning 
given that term in section 1074h(c) of this title. 
‘‘(3) The terms ‘veteran’, ‘former prisoner of war’, and 
‘service-connected’ have the meanings given those terms in 
section 101 of title 38. 
‘‘(4) The terms ‘caregiver’ and ‘family caregiver’ have the 
meanings given those terms in section in section 1720G(d) 
of title 38.’’. 
(2) CLERICAL AMENDMENT.—The table of sections at the 
beginning of chapter 54 of title 10, United States Code, is 
amended by adding at the end the following new item: 
‘‘1065. Use of commissary stores and MWR facilities: certain veterans and care-
givers for veterans.’’. 
(3) EFFECTIVE
DATE.—Section 1065 of title 10, United 
States Code, as added by paragraph (1), shall take effect on 
January 1, 2020. 
(4) BRIEFING REQUIRED.—Not later than October 1, 2019, 
the Secretary of Defense shall submit to the Committees on 
Armed Services of the Senate and House of Representatives 
a briefing on the plan of the Secretary to implement section 
1065 of title 10, United States Code, as added by paragraph 
(1). 
SEC. 622. TECHNICAL CORRECTIONS IN CALCULATION AND PUBLICA-
TION OF SPECIAL SURVIVOR INDEMNITY ALLOWANCE 
COST OF LIVING ADJUSTMENTS. 
(a) MONTHS FOR WHICH ADJUSTMENT APPLICABLE.—Paragraph 
(2) of section 1450(m) of title 10, United States Code, is amended— 
(1) in subparagraph (I), by striking ‘‘December’’ and 
inserting ‘‘November’’; and 
(2) in subparagraph (J), by striking ‘‘for months during 
any calendar year after 2018’’ and inserting ‘‘for months after 
November 2018’’. 
(b) COST OF LIVING ADJUSTMENT.—Paragraph (6) of such section 
is amended— 
(1) in the paragraph heading, by striking ‘‘AFTER
2018’’ 
and inserting ‘‘AFTER NOVEMBER 2018’’; and
H. R. 5515—165 
(2) by striking subparagraphs (A) and (B) and inserting 
the following new subparagraphs: 
‘‘(A) IN GENERAL.—Whenever retired pay is increased 
for a month under section 1401a of this title (or any other 
provision of law), the amount of the allowance payable 
under paragraph (1) for that month shall also be increased. 
‘‘(B) AMOUNT OF INCREASE.—With respect to an eligible 
survivor of a member of the uniformed services, the 
increase for a month shall be— 
‘‘(i) the amount payable pursuant to paragraph 
(2) for months during the preceding 12-month period; 
plus 
‘‘(ii) an amount equal to a percentage of the 
amount determined pursuant to clause (i), which 
percentage is the percentage by which the retired pay 
of the member would have increased for the month, 
as described in subparagraph (A), if the member was 
alive (and otherwise entitled to such pay). 
‘‘(C) ROUNDING
DOWN.—The monthly amount of an 
allowance payable under this subsection, if not a multiple 
of $1, shall be rounded to the next lower multiple of $1. 
‘‘(D) PUBLIC NOTICE ON AMOUNT OF ALLOWANCE PAY-
ABLE.—Whenever an increase in the amount of the allow-
ance payable under paragraph (1) is made pursuant to 
this paragraph, the Secretary of Defense shall publish the 
amount of the allowance so payable by reason of such 
increase, including the months for which payable.’’. 
(c) EFFECTIVE DATE.—The amendments made by this section 
shall take effect on December 1, 2018. 
SEC. 623. AUTHORITY TO AWARD DAMAGED PERSONAL PROTECTIVE 
EQUIPMENT TO MEMBERS SEPARATING FROM THE ARMED 
FORCES AND VETERANS AS MEMENTOS OF MILITARY 
SERVICE. 
(a) IN GENERAL.—Chapter 152 of title 10, United States Code, 
is amended by adding at the end the following new section: 
‘‘§ 2568a. Damaged personal protective equipment: award to 
members separating from the Armed Forces and 
veterans 
‘‘(a) IN GENERAL.—The Secretary of a military department, 
acting through a disposition service distribution center of the 
Defense Logistics Agency, may award to a covered individual the 
demilitarized PPE of that covered individual. The award of PPE 
under this section shall be without cost to the covered individual. 
‘‘(b) DEFINITIONS.—In this section: 
‘‘(1) The term ‘covered individual’ means— 
‘‘(A) a member of the armed forces— 
‘‘(i) under the jurisdiction of the Secretary con-
cerned; and 
‘‘(ii) who is separating from the armed forces; or 
‘‘(B) a veteran who was under the jurisdiction of the 
Secretary concerned while a member of the armed forces. 
‘‘(2) The term ‘PPE’ means personal protective equipment 
that was damaged in combat or otherwise— 
‘‘(A) during the deployment of a covered individual; 
and
H. R. 5515—166 
‘‘(B) after September 11, 2001.’’. 
(b) CLERICAL AMENDMENT.—The table of sections at the begin-
ning of chapter 152 of such title is amended by adding at the 
end the following new item: 
‘‘2568a. Damaged personal protective equipment: award to members separating from 
the armed forces and veterans.’’. 
SEC. 624. SPACE-AVAILABLE TRAVEL ON DEPARTMENT OF DEFENSE 
AIRCRAFT FOR VETERANS WITH SERVICE-CONNECTED 
DISABILITIES RATED AS TOTAL. 
(a) IN GENERAL.—Subsection (c) of section 2641b of title 10, 
United States Code, is amended— 
(1) by redesignating paragraphs (4) and (5) as paragraphs 
(5) and (6), respectively; and 
(2) by inserting after paragraph (3) the following new para-
graph (4): 
‘‘(4) Subject to subsection (f), veterans with a permanent 
service-connected disability rated as total.’’. 
(b) CONDITIONS
AND LIMITATIONS.—Such section is further 
amended— 
(1) by redesignating subsection (f) as subsection (g); and 
(2) by inserting after subsection (e) the following new sub-
section (f): 
‘‘(f) VETERANS WITH SERVICE-CONNECTED DISABILITIES RATED 
AS TOTAL.—(1) Travel may not be provided under this section to 
a veteran eligible for travel pursuant to subsection (c)(4) in priority 
over any member eligible for travel under subsection (c)(1) or any 
dependent of such a member eligible for travel under this section. 
‘‘(2) The authority in subsection (c)(4) may not be construed 
as affecting or in any way imposing on the Department of Defense, 
any armed force, or any commercial company with which they 
contract an obligation or expectation that they will retrofit or alter, 
in any way, military aircraft or commercial aircraft, or related 
equipment or facilities, used or leased by the Department or such 
armed force to accommodate passengers provided travel under such 
authority on account of disability. 
‘‘(3) The authority in subsection (c)(4) may not be construed 
as preempting the authority of a flight commander to determine 
who boards the aircraft and any other matters in connection with 
safe operation of the aircraft.’’. 
SEC. 625. MANDATORY INCREASE IN INSURANCE COVERAGE UNDER 
SERVICEMEMBERS’ GROUP LIFE INSURANCE FOR MEM-
BERS DEPLOYED TO COMBAT THEATERS OF OPERATION. 
Section 1967(a)(3) of title 38, United States Code, is amended— 
(1) in subparagraph (A), by striking ‘‘subparagraphs (B) 
and (C)’’ and inserting ‘‘subparagraphs (B), (C), and (D)’’; and 
(2) by adding at the end the following new subparagraph: 
‘‘(D) In the case of a member who elects under paragraph 
(2)(A) not to be insured under this section, or who elects under 
subparagraph (B) to be insured for an amount less than the 
maximum amount provided under subparagraph (A), and who 
is deployed to a combat theater of operations the member— 
‘‘(i) shall be insured under this subchapter for the 
maximum amount provided under subparagraph (A) for 
the period of such deployment; and 
‘‘(ii) upon the end of such deployment—
H. R. 5515—167 
‘‘(I) shall be insured in the amount elected by 
the member under subparagraph (B); or 
‘‘(II) shall not be insured, if so elected under para-
graph (2)(A).’’. 
SEC. 626. ACCESS TO MILITARY INSTALLATIONS FOR CERTAIN SUR-
VIVING SPOUSES AND OTHER NEXT OF KIN OF MEMBERS 
OF THE ARMED FORCES WHO DIE WHILE ON ACTIVE DUTY 
OR CERTAIN RESERVE DUTY. 
(a) 
PROCEDURES
FOR
ACCESS
OF
SURVIVING
SPOUSES 
REQUIRED.—The Secretary of Defense, acting jointly with the Sec-
retary of Homeland Security, shall establish procedures by which 
an eligible surviving spouse may obtain unescorted access, as appro-
priate, to military installations in order to receive benefits to which 
the eligible surviving spouse may be entitled by law or policy. 
(b) PROCEDURES FOR ACCESS OF NEXT OF KIN AUTHORIZED.— 
(1) IN GENERAL.—The Secretary of Defense, acting jointly 
with the Secretary of Homeland Security, may establish proce-
dures by which the next of kin of a covered member of the 
Armed Forces, in addition to an eligible surviving spouse, may 
obtain access to military installations for such purposes and 
under such conditions as the Secretaries jointly consider appro-
priate. 
(2) NEXT OF KIN.—If the Secretaries establish procedures 
pursuant to paragraph (1), the Secretaries shall jointly specify 
the individuals who shall constitute next of kin for purposes 
of such procedures. 
(c) CONSIDERATIONS.—Any procedures established under this 
section shall— 
(1) be applied consistently across the Department of 
Defense and the Department of Homeland Security, including 
all components of the Departments; 
(2) minimize any administrative burden on a surviving 
spouse or dependent child, including through the elimination 
of any requirement for a surviving spouse to apply as a personal 
agent for continued access to military installations in accom-
paniment of a dependent child; 
(3) take into account measures required to ensure the secu-
rity of military installations, including purpose and eligibility 
for access and renewal periodicity; and 
(4) take into account such other factors as the Secretary 
of Defense or the Secretary of Homeland Security considers 
appropriate. 
(d) DEADLINE.—The procedures required by subsection (a) shall 
be established by the date that is not later than one year after 
the date of the enactment of this Act. 
(e) DEFINITIONS.—In this section: 
(1) The term ‘‘eligible surviving spouse’’ means an indi-
vidual who is a surviving spouse of a covered member of the 
Armed Forces, without regard to whether the individual 
remarries after the death of the covered member of the Armed 
Forces. 
(2) The term ‘‘covered member of the Armed Forces’’ means 
a member of the Armed Forces who dies while serving— 
(A) on active duty; or
H. R. 5515—168 
(B) on such reserve duty as the Secretary of Defense 
and the Secretary of Homeland Security may jointly specify 
for purposes of this section. 
SEC. 627. STUDY AND REPORT ON DEVELOPMENT OF A SINGLE 
DEFENSE RESALE SYSTEM. 
(a) STUDY.—The Secretary of Defense shall conduct a study 
to determine the feasibility of consolidating the military resale 
entities into a single defense resale system. Such study shall include 
the following: 
(1) A financial assessment of consolidation of the military 
resale entities. 
(2) A business case analysis of consolidation of the military 
resale entities. 
(3) Organizational, operational, and business model 
integration plans for consolidation of the military resale enti-
ties. 
(4) Determinations of which back-office processes and sys-
tems associated with finance and payment processing tech-
nologies the Secretary could convert to common technologies. 
(b) REPORT.—Not later than January 1, 2019, the Secretary 
shall submit a report to the congressional defense committees 
regarding the study under subsection (a). That report shall contain 
the following: 
(1) Details of the internal and external organizational struc-
tures of a consolidated defense resale system. 
(2) Recommendations of the Secretaries of each of the mili-
tary departments regarding the plan to consolidate the military 
resale entities. 
(3) The costs and associated plan for the merger of tech-
nologies or implementation of new technology from a third- 
party provider to standardize financial management and 
accounting processes of a consolidated defense resale system. 
(4) Best practices to maximize reductions in costs associated 
with back-office retail payment processing for a consolidated 
defense resale system. 
(5) A timeline for converting the Defense Commissary 
Agency into a non-appropriated fund instrumentality under 
section 2484(j) of title 10, United States Code. 
(6) A determination whether the business case analysis 
supports consolidation of the military resale entities. 
(7) Recommendations of the Secretary for legislation related 
to consolidation of the military resale entities. 
(8) Other elements the Secretary determines are necessary 
for a successful evaluation of a consolidation of the military 
resale entities. 
(c) PROHIBITION
ON USE
OF FUNDS.—None of the amounts 
authorized to be appropriated or otherwise made available in this 
Act may be obligated or expended for the purpose of implementing 
consolidation of the military resale entities until October 1, 2019. 
(d) MILITARY RESALE ENTITIES DEFINED.—In this section the 
term ‘‘military resale entities’’ means— 
(1) the Defense Commissary Agency; 
(2) the Army and Air Force Exchange Service; 
(3) the Navy Exchange; and 
(4) the Marine Corps Exchange.
H. R. 5515—169 
TITLE VII—HEALTH CARE PROVISIONS 
Subtitle A—TRICARE and Other Health Care Benefits 
Sec. 701. Cessation of requirement for mental health assessment of members after 
redeployment from a contingency operation upon discharge or release 
from the Armed Forces. 
Sec. 702. Pilot program on treatment of members of the Armed Forces for post- 
traumatic stress disorder related to military sexual trauma. 
Subtitle B—Health Care Administration 
Sec. 711. Improvement of administration of the Defense Health Agency and mili-
tary medical treatment facilities. 
Sec. 712. Organizational framework of the military healthcare system to support 
the medical requirements of the combatant commands. 
Sec. 713. Administration of TRICARE dental plans through the Federal Employees 
Dental and Vision Insurance Program. 
Sec. 714. Streamlining of TRICARE Prime beneficiary referral process. 
Sec. 715. Sharing of information with State prescription drug monitoring programs. 
Sec. 716. Pilot program on opioid management in the military health system. 
Sec. 717. Wounded warrior policy review. 
Sec. 718. Medical simulation technology and live tissue training within the Depart-
ment of Defense. 
Sec. 719. Improvements to trauma center partnerships. 
Sec. 720. Improvement to notification to Congress of hospitalization of combat- 
wounded members of the Armed Forces. 
Subtitle C—Reports and Other Matters 
Sec. 731. Extension of authority for Joint Department of Defense-Department of 
Veterans Affairs Medical Facility Demonstration Fund. 
Sec. 732. Joint forces medical capabilities development and standardization. 
Sec. 733. Inclusion of gambling disorder in health assessments of members of the 
Armed Forces and related research efforts. 
Sec. 734. Report on requirement for certain former members of the Armed Forces 
to enroll in Medicare Part B to be eligible for TRICARE for Life. 
Sec. 735. Pilot program on earning by special operations forces medics of credit to-
ward a physician assistant degree. 
Sec. 736. Strategic medical research plan. 
Sec. 737. Comptroller General of the United States review of Defense Health Agen-
cy oversight of transition between managed care support contractors for 
the TRICARE program. 
Sec. 738. Comptroller General study on availability of long-term care options for 
veterans from Department of Veterans Affairs. 
Sec. 739. Increase in number of appointed members of the Henry M. Jackson Foun-
dation for the Advancement of Military Medicine. 
Subtitle A—TRICARE and Other Health 
Care Benefits 
SEC. 701. CESSATION OF REQUIREMENT FOR MENTAL HEALTH ASSESS-
MENT OF MEMBERS AFTER REDEPLOYMENT FROM A 
CONTINGENCY 
OPERATION 
UPON 
DISCHARGE 
OR 
RELEASE FROM THE ARMED FORCES. 
Section 1074m of title 10, United States Code, is amended— 
(1) in subsection (a)(1)(C), by striking ‘‘Once’’ and inserting 
‘‘Subject to subsection (d), once’’; and 
(2) in subsection (d), by striking ‘‘subsection (a)(1)(D)’’ and 
inserting ‘‘subparagraph (C) or (D) of subsection (a)(1)’’. 
SEC. 702. PILOT PROGRAM ON TREATMENT OF MEMBERS OF THE 
ARMED FORCES FOR POST-TRAUMATIC STRESS DISORDER 
RELATED TO MILITARY SEXUAL TRAUMA. 
(a) IN GENERAL.—The Secretary of Defense may carry out a 
pilot program to assess the feasibility and advisability of using
H. R. 5515—170 
intensive outpatient programs to treat members of the Armed 
Forces suffering from post-traumatic stress disorder resulting from 
military sexual trauma, including treatment for substance abuse, 
depression, and other issues related to such conditions. 
(b) DISCHARGE THROUGH PARTNERSHIPS.—The pilot program 
authorized by subsection (a) shall be carried out through partner-
ships with public, private, and non-profit health care organizations, 
universities, and institutions that— 
(1) provide health care to members of the Armed Forces; 
(2) provide evidence-based treatment for psychological and 
neurological conditions that are common among members of 
the Armed Forces, including post-traumatic stress disorder, 
traumatic brain injury, substance abuse, and depression; 
(3) provide health care, support, and other benefits to 
family members of members of the Armed Forces; and 
(4) provide health care under the TRICARE program (as 
that term is defined in section 1072 of title 10, United States 
Code). 
(c) PROGRAM ACTIVITIES.—Each organization or institution that 
participates in a partnership under the pilot program authorized 
by subsection (a) shall— 
(1) carry out intensive outpatient programs of short dura-
tion to treat members of the Armed Forces suffering from 
post-traumatic stress disorder resulting from military sexual 
trauma, including treatment for substance abuse, depression, 
and other issues related to such conditions; 
(2) use evidence-based and evidence-informed treatment 
strategies in carrying out such programs; 
(3) share clinical and outreach best practices with other 
organizations and institutions participating in the pilot pro-
gram; and 
(4) annually assess outcomes for members of the Armed 
Forces individually and among the organizations and institu-
tions participating in the pilot program with respect to the 
treatment of conditions described in paragraph (1). 
(d) EVALUATION METRICS.—Before commencement of the pilot 
program, the Secretary shall establish metrics to be used to evaluate 
the effectiveness of the pilot program and the activities under 
the pilot program. 
(e) REPORTS.— 
(1) INITIAL REPORT.—Not later than 180 days after the 
date of the enactment of this Act, the Secretary shall submit 
to the Committees on Armed Services of the Senate and the 
House of Representatives a report on the pilot program author-
ized by subsection (a). The report shall include a description 
of the pilot program and such other matters on the pilot pro-
gram as the Secretary considers appropriate. 
(2) FINAL REPORT.—Not later than 180 days after the ces-
sation of the pilot program under subsection (f), the Secretary 
shall submit to the committees of Congress referred to in para-
graph (1) a report on the pilot program. The report shall include 
the following: 
(A) A description of the pilot program, including the 
partnerships under the pilot program as described in sub-
section (b). 
(B) An assessment of the effectiveness of the pilot 
program and the activities under the pilot program.
H. R. 5515—171 
(C) Such recommendations for legislative or adminis-
trative action as the Secretary considers appropriate in 
light of the pilot program, including recommendations for 
extension or making permanent the authority for the pilot 
program. 
(f) TERMINATION.—The Secretary may not carry out the pilot 
program authorized by subsection (a) after the date that is three 
years after the date of the enactment of this Act. 
Subtitle B—Health Care Administration 
SEC. 711. IMPROVEMENT OF ADMINISTRATION OF THE DEFENSE 
HEALTH AGENCY AND MILITARY MEDICAL TREATMENT 
FACILITIES. 
(a) ADMINISTRATION OF FACILITIES BY DIRECTOR OF DEFENSE 
HEALTH AGENCY.— 
(1) IN GENERAL.—Subsection (a) of section 1073c of title 
10, United States Code, is amended— 
(A) in paragraph (1), by striking ‘‘Beginning October 
1, 2018,’’ and inserting ‘‘In accordance with paragraph (4), 
by not later than September 30, 2021,’’; 
(B) by redesignating paragraphs (2) and (3) as para-
graphs (3) and (5), respectively; 
(C) by inserting after paragraph (1) the following new 
paragraph (2): 
‘‘(2) In addition to the responsibilities set forth in paragraph 
(1), the Director of the Defense Health Agency shall, commencing 
when the Director begins to exercise responsibilities under that 
paragraph, have the authority— 
‘‘(A) to direct, control, and serve as the primary rater 
of the performance of commanders or directors of military med-
ical treatment facilities; 
‘‘(B) to direct and control any intermediary organizations 
between the Defense Health Agency and military medical treat-
ment facilities; 
‘‘(C) to determine the scope of medical care provided at 
each military medical treatment facility to meet the military 
personnel readiness requirements of the senior military oper-
ational commander of the military installation; 
‘‘(D) to determine total workforce requirements at each 
military medical treatment facility; 
‘‘(E) to direct joint manning at military medical treatment 
facilities and intermediary organizations; 
‘‘(F) to address personnel staffing shortages at military 
medical treatment facilities; and 
‘‘(G) to select among service nominations for commanders 
or directors of military medical treatment facilities.’’; 
(D) by inserting after paragraph (3), as redesignated 
by subparagraph (B), the following new paragraph (4): 
‘‘(4) The Secretary of Defense shall establish a timeline to 
ensure that each Secretary of a military department transitions 
the administration of military medical treatment facilities from 
such Secretary to the Director of the Defense Health Agency pursu-
ant to paragraph (1) by the date specified in such paragraph.’’; 
and
H. R. 5515—172 
(E) in paragraph (5), as so redesignated, by striking 
‘‘subsection (a)’’ and inserting ‘‘paragraphs (1) and (2)’’. 
(2) COMBAT SUPPORT RESPONSIBILITIES.—Subsection (d)(2) 
of such section is amended by adding at the end the following 
new subparagraph: 
‘‘(C) Ensuring that the Defense Health Agency meets the 
military medical readiness requirements of the senior military 
operational commanders of the military installations.’’. 
(3) LIMITATION ON CLOSURES AND DOWNSIZINGS IN CONNEC-
TION WITH TRANSITION OF ADMINISTRATION.—In carrying out 
the transition of responsibility for the administration of military 
medical treatment facilities pursuant to subsection (a) of section 
1073c of title 10, United States Code (as amended by paragraph 
(1)), and in addition to any other applicable requirements under 
section 1073d of that title, the Secretary of Defense may not 
close any military medical treatment facility, or downsize any 
medical center, hospital, or ambulatory care center (as specified 
in section 1073d of that title), that addresses the medical needs 
of beneficiaries and the community in the vicinity of such 
facility, center, hospital, or care center until the Secretary 
submits to the congressional defense committees a report set-
ting forth the following: 
(A) A description of the methodology and criteria to 
be used by the Secretary to make decisions to close any 
military medical treatment facility, or to downsize any 
medical center, hospital, or ambulatory care center, in 
connection with the transition, including input from the 
military department concerned. 
(B) A requirement that no closure of a military medical 
treatment facility, or downsizing of a medical center, hos-
pital, or ambulatory care center, in connection with the 
transition will occur until 90 days after the date on which 
Secretary submits to the Committees on Armed Services 
of the Senate and the House of Representatives a report 
on the closure or downsizing. 
(b) ADDITIONAL DEFENSE HEALTH AGENCY ORGANIZATIONS.— 
(1) IN
GENERAL.—Section 1073c of such title is further 
amended— 
(A) by redesignating subsection (e) as subsection (f); 
and 
(B) by inserting after subsection (d) the following new 
subsection (e): 
‘‘(e) ADDITIONAL DHA ORGANIZATIONS.—Not later than Sep-
tember 30, 2022, the Secretary of Defense shall, acting though 
the Director of the Defense Health Agency, establish within the 
Defense Health Agency the following: 
‘‘(1) A subordinate organization, to be called the Defense 
Health Agency Research and Development— 
‘‘(A) led, at the election of the Director, by a director 
or commander (to be called the Director or Commander 
of Defense Health Agency Research and Development); 
‘‘(B) comprised of the Army Medical Research and 
Materiel Command and such other medical research 
organizations and activities of the armed forces as the 
Secretary considers appropriate; and
H. R. 5515—173 
‘‘(C) responsible for coordinating funding for Defense 
Health Program Research, Development, Test, and Evalua-
tion, the Congressionally Directed Medical Research Pro-
gram, and related Department of Defense medical research. 
‘‘(2) A subordinate organization, to be called the Defense 
Health Agency Public Health— 
‘‘(A) led, at the election of the Director, by a director 
or commander (to be called the Director or Commander 
of Defense Health Agency Public Health); and 
‘‘(B) comprised of the Army Public Health Command, 
the Navy–Marine Corps Public Health Command, Air Force 
public health programs, and any other related defense 
health activities that the Secretary considers appropriate, 
including overseas laboratories focused on preventive medi-
cine, environmental health, and similar matters.’’. 
(2) REPORT
ON
FEASIBILITY
OF
FURTHER
ADDITIONAL 
ORGANIZATION IN DHA.—Not later than 270 days after the date 
of the enactment of this Act, the Secretary of Defense shall 
submit to the Committees on Armed Services of the Senate 
and the House of Representatives a report on a study, conducted 
by the Secretary for purposes of the report, of the feasibility 
of establishing with the Defense Health Agency a subordinate 
organization, to be called the Defense Health Agency Education 
and Training, to be led by the President of the Uniformed 
Services University of the Health Sciences and to be comprised 
of the current Medical Education and Training Campus, the 
Uniformed Services University of the Health Sciences, the med-
ical education and training commands of the Armed Forces, 
and such other elements, facilities, and commands of the 
Department of Defense as the Secretary considers appropriate. 
(c) REPORT ON FEASIBILITY OF SUPERSEDING ORGANIZATION FOR 
DHA.— 
(1) REPORT REQUIRED.—Not later than 270 days after the 
date of the enactment of this Act, the Secretary of Defense 
shall submit to the Committees on Armed Services of the Senate 
and the House of Representatives a report on a study, conducted 
by the Secretary for purposes of the report, of the feasibility 
of establishing a command, to be called the Defense Health 
Command, as a superseding organization to the Defense Health 
Agency. 
(2) ELEMENTS.—If the Secretary determines in the report 
under paragraph (1) that a command as a superseding organiza-
tion to the Defense Health Agency is feasible, the report shall 
include the following: 
(A) A description of the required responsibilities of 
the commander of the command. 
(B) A description of any current organizations that 
support the Defense Health Agency to be included in the 
command. 
(C) A description of any authorities required for the 
leadership and direction of the command. 
(D) Any other matters in the connection with the 
establishment, operations, and activities of the command 
that the Secretary considers appropriate.
H. R. 5515—174 
SEC. 
712. 
ORGANIZATIONAL 
FRAMEWORK 
OF 
THE 
MILITARY 
HEALTHCARE 
SYSTEM 
TO 
SUPPORT 
THE 
MEDICAL 
REQUIREMENTS OF THE COMBATANT COMMANDS. 
(a) ORGANIZATIONAL FRAMEWORK REQUIRED.— 
(1) IN GENERAL.—The Secretary of Defense shall, acting 
through the Director of the Defense Health Agency, implement 
an organizational framework for the military healthcare system 
that most effectively implements chapter 55 of title 10, United 
States Code, in a manner that maximizes interoperability and 
fully integrates medical capabilities of the Armed Forces in 
order to enhance joint military medical operations in support 
of requirements of the combatant commands. 
(2) 
COMPLIANCE
WITH
CERTAIN
REQUIREMENTS.—The 
organizational framework, as implemented, shall comply with 
all requirements of section 1073c of title 10, United States 
Code, except for the implementation date specified in subsection 
(a) of such section. 
(b) DEFENSE HEALTH REGIONS IN CONUS.—The organizational 
framework required by subsection (a) shall meet the requirements 
as follows: 
(1) DEFENSE HEALTH REGIONS.—There shall be not more 
than two defense health regions in the continental United 
States. 
(2) LEADERS.—Each region under paragraph (1) shall be 
led by a commander or director who is a member of the Armed 
Forces serving in a grade not higher than major general or 
rear admiral, and who— 
(A) shall be selected by the Director of the Defense 
Health Agency from among members of the Armed Forces 
recommended by the Secretaries of the military depart-
ments for service in such position; and 
(B) shall be under the authority, direction, and control 
of the Director while serving in such position. 
(c) DEFENSE HEALTH REGIONS OCONUS.—The organizational 
framework required by subsection (a) shall provide for the establish-
ment of not more than two defense health regions outside the 
continental United States in order— 
(1) to enhance joint military medical operations in support 
of the requirements of the combatant commands in such region 
or regions, with a specific focus on current and future contin-
gency and operational plans; 
(2) to ensure the provision of high-quality healthcare serv-
ices to beneficiaries; and 
(3) to improve the interoperability of healthcare delivery 
systems in the defense health regions (whether under this 
subsection, subsection (b), or both). 
(d) PLANNING AND COORDINATION.— 
(1) 
SUSTAINMENT
OF
CLINICAL
COMPETENCIES
AND 
STAFFING.—The Director of the Defense Health Agency shall— 
(A) provide in each defense health region under this 
section healthcare delivery venues for uniformed medical 
and dental personnel to obtain operational clinical com-
petencies; and 
(B) coordinate with the military departments to ensure 
that staffing at military medical treatment facilities in 
each region supports readiness requirements for members 
of the Armed Forces and military medical personnel.
H. R. 5515—175 
(2) OVERSIGHT AND ALLOCATION OF RESOURCES.— 
(A) IN GENERAL.—The Director shall, consistent with 
section 193 of title 10, United States Code, coordinate 
with the Chairman of the Joint Chiefs of Staff, through 
the Joint Staff Surgeon, to conduct oversight and direct 
resources to support requirements related to readiness and 
operational medicine support that are validated by the 
Joint Staff. 
(B) SUPPLY
AND
DEMAND
FOR
MEDICAL
SERVICES.— 
Based on operational medical force readiness requirements 
of the combatant commands validated by the Joint Staff, 
the Director shall— 
(i) validate supply and demand requirements for 
medical and dental services at each military medical 
treatment facility; 
(ii) in coordination with the Surgeons General of 
the Armed Forces, provide currency workload for uni-
formed medical and dental personnel at each such 
facility to maintain skills proficiency; and 
(iii) if workload is insufficient to meet require-
ments, identify alternative training and clinical prac-
tice sites for uniformed medical and dental personnel, 
and establish military-civilian training partnerships, 
to provide such workload. 
(e) ADDITIONAL DUTIES OF SURGEONS GENERAL OF THE ARMED 
FORCES.— 
(1) IN
GENERAL.—The Surgeons General of the Armed 
Forces shall have the duties as follows: 
(A) To assign uniformed medical and dental personnel 
of the military department concerned to military medical 
treatment facilities for training activities specific to such 
military department and for operational and training mis-
sions, during which assignment such personnel shall be 
under the operational control of the commander or director 
of the military medical treatment facility concerned, subject 
to the authority, direction, and control of the Director of 
the Defense Health Agency. 
(B) To ensure the readiness for operational deployment 
of medical and dental personnel and deployable medical 
or dental teams or units of the Armed Force or Armed 
Forces concerned. 
(C) To provide logistical support for operational deploy-
ment of medical and dental personnel and deployable med-
ical or dental teams or units of the Armed Force or Armed 
Forces concerned. 
(D) To oversee mobilization and demobilization in 
connection with the operational deployment of medical and 
dental personnel of the Armed Force or Armed Forces 
concerned. 
(E) To carry out operational medical and dental force 
development for the military department concerned. 
(F) In coordination with the Secretary concerned, to 
ensure that the operational medical force readiness 
organizations of the Armed Forces support the medical 
and dental readiness responsibilities of the Director.
H. R. 5515—176 
(G) 
To 
develop 
operational 
medical 
capabilities 
required to support the warfighter, and to develop policy 
relating to such capabilities. 
(H) To provide health professionals to serve in leader-
ship positions across the military healthcare system. 
(2) MEDICAL FORCE REQUIREMENTS OF THE COMBATANT COM-
MANDS.—The Surgeon General of each Armed Force shall, on 
behalf of the Secretary concerned, ensure that the uniformed 
medical and dental personnel serving in such Armed Force 
receive training and clinical practice opportunities necessary 
to ensure that such personnel are capable of meeting the oper-
ational medical force requirements of the combatant commands 
applicable to such personnel. Such training and practice 
opportunities shall be provided through programs and activities 
of the Defense Health Agency and by such other mechanisms 
as the Secretary of Defense shall designate for purposes of 
this paragraph. 
(3) CONSTRUCTION OF DUTIES.—The duties of a Surgeon 
General of the Armed Forces under this subsection are in 
addition to the duties of such Surgeon General under section 
3036, 5137, or 8036 of title 10, United States Code, as 
applicable. 
(f) REPORT.—Not later than 270 days after the date of the 
enactment of this Act, the Secretary of Defense shall submit to 
the Committees on Armed Services of the Senate and the House 
of Representatives a report that sets forth the following: 
(1) A description of the organizational structure of the 
office of each Surgeon General of the Armed Forces, and of 
any subordinate organizations of the Armed Forces that will 
support the functions and responsibilities of a Surgeon General 
of the Armed Forces. 
(2) The manning documents for staffing in support of the 
organizational structures described pursuant to paragraph (1), 
including manning levels before and after such organizational 
structures are implemented. 
(3) Such recommendations for legislative or administrative 
action as the Secretary considers appropriate in connection 
with the implementation of such organizational structures and, 
in particular, to avoid duplication of functions and tasks 
between the organizations in such organizational structures 
and the Defense Health Agency. 
SEC. 713. ADMINISTRATION OF TRICARE DENTAL PLANS THROUGH 
THE FEDERAL EMPLOYEES DENTAL AND VISION INSUR-
ANCE PROGRAM. 
(a) ELIGIBILITY OF ADDITIONAL BENEFICIARIES UNDER FEDERAL 
EMPLOYEES DENTAL
AND VISION INSURANCE PROGRAM.—Section 
8951(8) of title 5, United States Code, is amended by striking 
‘‘1076c’’ and inserting ‘‘1076a or 1076c’’. 
(b) ADMINISTRATION OF TRICARE DENTAL PLANS.—Subsection 
(b) of section 1076a of title 10, United States Code, is amended 
to read as follows: 
‘‘(b) ADMINISTRATION OF PLANS.—The plans established under 
this section shall be administered by the Secretary of Defense 
through an agreement with the Director of the Office of Personnel 
Management to allow persons described in subsection (a) to enroll 
in an insurance plan under chapter 89A of title 5, in accordance
H. R. 5515—177 
with terms prescribed by the Secretary, including terms, to the 
extent practical, as defined by the Director through regulation, 
consistent with subsection (d) and, to the extent practicable in 
relation to such chapter 89A, other provisions of this section.’’. 
(c) APPLICABILITY.—The amendments made by this section shall 
apply with respect to the first contract year for chapter 89A of 
title 5, United States Code, that begins on or after January 1, 
2022. 
(d) TRANSITION.—To ensure a successful transition pursuant 
to the amendments made by this section in the administration 
of the TRICARE dental plans under section 1076a of title 10, 
United States Code, the Secretary of Defense shall ensure that 
the contractor for such plans provides claims information under 
such plans to carriers providing dental coverage under chapter 
89A of title 5, United States Code, after the transition. 
(e) REPORT.— 
(1) IN GENERAL.—Not later than January 1, 2020, the Sec-
retary of Defense shall submit to the Committees on Armed 
Services of the Senate and the House of Representatives a 
report on the transition in the administration of the TRICARE 
dental insurance plan for retirees from administration by the 
Department of Defense as the TRICARE Retiree Dental Plan 
to administration by the Office of Personnel Management as 
part of the Federal Employees Dental and Vision Insurance 
Program. 
(2) ELEMENTS.—The report required by paragraph (1) shall 
include the following: 
(A) A description of lessons learned from the transition 
of the administration of the TRICARE dental insurance 
plan for retirees from administration by the Department 
as the TRICARE Retiree Dental Plan to administration 
by the Office of Personnel Management as part of the 
Federal Employees Dental and Vision Insurance Program. 
(B) An assessment of the effectiveness of the transition. 
(C) A timeline for the implementation plan for the 
transition of the administration of the TRICARE dental 
plans under section 1076a of title 10, United States Code, 
to administration as part of the Federal Employees Dental 
and Vision Insurance Program pursuant to the amend-
ments made by this section. 
SEC. 714. STREAMLINING OF TRICARE PRIME BENEFICIARY REFERRAL 
PROCESS. 
(a) IN GENERAL.—The Secretary of Defense shall streamline 
the process under section 1095f of title 10, United States Code, 
by which beneficiaries enrolled in TRICARE Prime are referred 
to the civilian provider network for inpatient or outpatient care 
under the TRICARE program. 
(b) OBJECTIVES.—In carrying out the requirement in subsection 
(a), the Secretary shall meet the following objectives: 
(1) The referral process shall model best industry practices 
for referrals from primary care managers to specialty care 
providers. 
(2) The process shall limit administrative requirements 
for enrolled beneficiaries.
H. R. 5515—178 
(3) Beneficiary preferences for communications relating to 
appointment referrals using state-of-the-art information tech-
nology shall be used to expedite the process. 
(4) There shall be effective and efficient processes to deter-
mine the availability of appointments at military medical treat-
ment facilities and, when unavailable, to make prompt referrals 
to network providers under the TRICARE program. 
(c) DEADLINE FOR IMPLEMENTATION.—The requirement in sub-
section (a) shall be implemented for referrals under TRICARE Prime 
in calendar year 2019. 
(d) EVALUATION AND IMPROVEMENT.—After 2019, the Secretary 
shall— 
(1) evaluate the referral process described in subsection 
(a) not less often than annually; and 
(2) make appropriate improvements to the process in light 
of such evaluations. 
(e) DEFINITIONS.—In this section, the terms ‘‘TRICARE pro-
gram’’ and ‘‘TRICARE Prime’’ have the meaning given such terms 
in section 1072 of title 10, United States Code. 
SEC. 715. SHARING OF INFORMATION WITH STATE PRESCRIPTION 
DRUG MONITORING PROGRAMS. 
(a) IN GENERAL.—Section 1074g of title 10, United States Code, 
is amended— 
(1) by redesignating subsections (g) and (h) as subsections 
(h) and (i), respectively; and 
(2) by inserting after subsection (f) the following new sub-
section (g): 
‘‘(g) SHARING OF INFORMATION WITH STATE PRESCRIPTION DRUG 
MONITORING PROGRAMS.—(1) The Secretary of Defense shall estab-
lish and maintain a program (to be known as the ‘Military Health 
System Prescription Drug Monitoring Program’) in accordance with 
this subsection. The program shall include a special emphasis on 
drugs provided through facilities of the uniformed services. 
‘‘(2) The program shall be— 
‘‘(A) comparable to prescription drug monitoring programs 
operated by States, including such programs approved by the 
Secretary of Health and Human Services under section 399O 
of the Public Health Service Act (42 U.S.C. 280g–3); and 
‘‘(B) applicable to designated controlled substance prescrip-
tions under the pharmacy benefits program. 
‘‘(3)(A) The Secretary shall establish appropriate procedures 
for the bi-directional sharing of patient-specific information 
regarding prescriptions for designated controlled substances 
between the program and State prescription drug monitoring pro-
grams. 
‘‘(B) The purpose of sharing of information under this paragraph 
shall be to prevent misuse and diversion of opioid medications 
and other designated controlled substances. 
‘‘(C) Any disclosure of patient-specific information by the Sec-
retary under this paragraph is an authorized disclosure for purposes 
of the health information privacy regulations promulgated under 
the Health Insurance Portability and Accountability Act of 1996 
(Public Law 104–191).
H. R. 5515—179 
‘‘(4)(A) Any procedures developed pursuant to paragraph (3)(A) 
shall include appropriate safeguards, as determined by the Sec-
retary, concerning cyber security of Department of Defense systems 
and operational security of Department personnel. 
‘‘(B) To the extent the Secretary considers appropriate, the 
program may be treated as comparable to a State program for 
purposes of bi-directional sharing of controlled substance prescrip-
tion information. 
‘‘(5) For purposes of this subsection, any reference to a program 
operated by a State includes any program operated by a county, 
municipality, or other subdivision within that State.’’. 
(b) CONFORMING AMENDMENT.—Section 1079(q) of such title 
is amended by striking ‘‘section 1074g(g)’’ and inserting ‘‘section 
1074g(h)’’. 
SEC. 716. PILOT PROGRAM ON OPIOID MANAGEMENT IN THE MILITARY 
HEALTH SYSTEM. 
(a) PILOT PROGRAM.— 
(1) IN GENERAL.—Beginning not later than 180 days after 
the date of the enactment of this Act, the Director of the 
Defense Health Agency shall implement a comprehensive pilot 
program to assess the feasability and advisability of mecha-
nisms to minimize early exposure of beneficiaries under the 
TRICARE program to opioids and to prevent the progression 
of beneficiaries to misuse or abuse of opioid medications. 
(2) OPIOID SAFETY ACROSS CONTINUUM OF CARE.—The pilot 
program shall include elements to maximize opioid safety across 
the entire continuum of care consisting of patient, physician 
or dentist, and pharmacist. 
(b) ELEMENTS OF PILOT PROGRAM.—The pilot program shall 
include the following: 
(1) Identification of potential misuse or abuse of opioid 
medications in pharmacies of military treatment facilities, retail 
network pharmacies, and the home delivery pharmacy, and 
the transmission of alerts regarding such potential misuse or 
abuse of opioids to prescribing physicians and dentists. 
(2) Direct engagement with, education for, and manage-
ment of beneficiaries under the TRICARE program to help 
such beneficiaries avoid misuse or abuse of opioid medications. 
(3) Proactive outreach by specialist pharmacists to bene-
ficiaries under the TRICARE program when identifying poten-
tial misuse or abuse of opioid medications. 
(4) Monitoring of beneficiaries under the TRICARE pro-
gram through the use of predictive analytics to identify the 
potential for opioid abuse and addiction before beneficiaries 
begin an opioid prescription. 
(5) Detection of fraud, waste, and abuse in connection with 
opioids. 
(c) DURATION.— 
(1) IN GENERAL.—Except as provided in paragraph (2), the 
Director shall carry out the pilot program for a period of not 
more than three years. 
(2) EXPANSION.—The Director may carry out the pilot pro-
gram on a permanent basis if the Director determines that 
the mechanisms under the pilot program successfully reduce
H. R. 5515—180 
early opioid exposure in beneficiaries under the TRICARE pro-
gram and prevent the progression of beneficiaries to misuse 
or abuse of opioid medications. 
(d) REPORT.— 
(1) IN GENERAL.—Not later than 180 days before completion 
of the pilot program, the Secretary of Defense shall submit 
to the Committees on Armed Services of the Senate and the 
House of Representatives a report on the pilot program. 
(2) ELEMENTS.—The report required by paragraph (1) shall 
include the following: 
(A) A description of the pilot program, including out-
come measures developed to determine the overall effective-
ness of the mechanisms under the pilot program. 
(B) A description of the ability of the mechanisms 
under the pilot program to identify misuse and abuse of 
opioid 
medications 
among 
beneficiaries 
under 
the 
TRICARE program in each pharmacy venue of the phar-
macy program of the military health system. 
(C) A description of the impact of the use of predictive 
analytics to monitor beneficiaries under the TRICARE pro-
gram in order to identify the potential for opioid abuse 
and addiction before beneficiaries begin an opioid prescrip-
tion. 
(D) A description of any reduction in the misuse or 
abuse of opioid medications among beneficiaries under the 
TRICARE program as a result of the pilot program. 
(e) TRICARE PROGRAM DEFINED.—In this section, the term 
‘‘TRICARE program’’ has the meaning given that term in section 
1072 of title 10, United States Code. 
SEC. 717. WOUNDED WARRIOR POLICY REVIEW. 
(a) IN GENERAL.—Not later than 180 days after the date of 
the enactment of this Act, the Secretary of Defense shall review 
and update policies and procedures relating to the care and manage-
ment of recovering service members. In conducting such review, 
the Secretary shall consider best practices— 
(1) in the care of recovering service members; 
(2) in the administrative management relating to such 
care; 
(3) to carry out applicable provisions of Federal law; and 
(4) recommended by the Comptroller General of the United 
States in the report titled ‘‘Army Needs to Improve Oversight 
of Warrior Transition Units’’. 
(b) SCOPE OF POLICY.—In carrying out subsection (a), the Sec-
retary shall update policies of the Department of Defense with 
respect to each of the following: 
(1) The case management coordination of members of the 
Armed Forces between the military departments and the mili-
tary medical treatment facilities administered by the Director 
of the Defense Health Agency pursuant to section 1073c of 
title 10, United States Code, including with respect to the 
coordination of— 
(A) appointments; 
(B) rehabilitative services; 
(C) recuperation in an outpatient status; 
(D) contract care provided by a private health care 
provider outside of a military medical treatment facility;
H. R. 5515—181 
(E) the disability evaluation system; and 
(F) other administrative functions relating to the mili-
tary department. 
(2) The transition of a member of the Armed Forces who 
is retired under chapter 61 of title 10, United States Code, 
from receiving treatment furnished by the Secretary of Defense 
to treatment furnished by the Secretary of Veterans Affairs. 
(3) Facility standards related to lodging and accommoda-
tions for recovering service members and the family members 
and non-medical attendants of recovering service members. 
(c) REPORT.—Not later than one year after the date of the 
enactment of this Act, the Secretary of Defense and Secretaries 
of the military departments shall jointly submit to the Committees 
on Armed Services of the Senate and the House of Representatives 
a report on the review conducted under subsection (a), including 
a description of the policies updated pursuant to subsection (b). 
(d) DEFINITIONS.—In this section, the terms ‘‘disability evalua-
tion system’’, ‘‘outpatient status’’, and ‘‘recovering service members’’ 
have the meaning given those terms in section 1602 of the Wounded 
Warrior Act (title XVI of Public Law 110–181; 10 U.S.C. 1071 
note). 
SEC. 718. MEDICAL SIMULATION TECHNOLOGY AND LIVE TISSUE 
TRAINING WITHIN THE DEPARTMENT OF DEFENSE. 
(a) IN GENERAL.— 
(1) USE OF SIMULATION TECHNOLOGY.—Except as provided 
by paragraph (2), the Secretary of Defense shall use medical 
simulation technology, to the maximum extent practicable, 
before the use of live tissue training to train medical profes-
sionals and combat medics of the Department of Defense. 
(2) DETERMINATION.—The use of live tissue training within 
the Department of Defense may be used as determined nec-
essary by the medical chain of command. 
(b) BRIEFING.—Not later than 180 days after the date of the 
enactment of this Act, the Secretary of Defense, in consultation 
with the Chairman of the Joint Chiefs of Staff and the Secretaries 
of the military departments, shall provide a briefing to the Commit-
tees on Armed Services of the House of Representatives and the 
Senate on the use and benefit of medical simulation technology 
and live tissue training within the Department of Defense to train 
medical professionals, combat medics, and members of the Special 
Operations Forces. 
(c) ELEMENTS.—The briefing under subsection (b) shall include 
the following: 
(1) A discussion of the benefits and needs of both medical 
simulation technology and live tissue training. 
(2) Ways and means to enhance and advance the use of 
simulation technologies in training. 
(3) An assessment of current medical simulation technology 
requirements, gaps, and limitations. 
(4) An overview of Department of Defense medical training 
programs, as of the date of the briefing, that use live tissue 
training and medical simulation technologies. 
(5) Any other matters the Secretary determines appro-
priate.
H. R. 5515—182 
SEC. 719. IMPROVEMENTS TO TRAUMA CENTER PARTNERSHIPS. 
Section 708(c) of the National Defense Authorization Act for 
Fiscal Year 2017 (Public Law 114–328; 10 U.S.C. 1071 note) is 
amended— 
(1) in paragraph (1), by striking ‘‘large metropolitan 
teaching hospitals that have level I civilian’’; 
(2) in paragraph (2)— 
(A) by striking ‘‘with civilian academic medical centers 
and large metropolitan teaching hospitals’’; and 
(B) by striking ‘‘the trauma centers of the medical 
centers and hospitals’’ and inserting ‘‘trauma centers’’; and 
(3) in paragraph (3), by striking ‘‘large metropolitan 
teaching hospitals’’ and inserting ‘‘trauma centers’’. 
SEC. 720. IMPROVEMENT TO NOTIFICATION TO CONGRESS OF HOS-
PITALIZATION OF COMBAT-WOUNDED MEMBERS OF THE 
ARMED FORCES. 
Section 1074l(a) of title 10, United States Code, is amended 
by striking ‘‘admitted to a military treatment facility within the 
United States’’ and inserting ‘‘admitted to any military medical 
treatment facility’’. 
Subtitle C—Reports and Other Matters 
SEC. 731. EXTENSION OF AUTHORITY FOR JOINT DEPARTMENT OF 
DEFENSE-DEPARTMENT OF VETERANS AFFAIRS MEDICAL 
FACILITY DEMONSTRATION FUND. 
Section 1704(e) of the National Defense Authorization Act for 
Fiscal Year 2010 (Public Law 111–84; 123 Stat. 2573), as most 
recently amended by section 719 of the National Defense Authoriza-
tion Act for Fiscal Year 2018 (Public Law 115–91; 131 Stat. 1440), 
is further amended by striking ‘‘September 30, 2019’’ and inserting 
‘‘September 30, 2020’’. 
SEC. 732. JOINT FORCES MEDICAL CAPABILITIES DEVELOPMENT AND 
STANDARDIZATION. 
(a) PROCESS REQUIRED.—Not later than 180 days after the 
date of the enactment of this Act, the Secretary of Defense shall, 
in coordination with the Secretaries of the military departments 
and the Chairman of the Joint Chiefs of Staff, develop a process 
to establish required joint force medical capabilities for members 
of the Armed Forces that meet the operational planning require-
ments of the combatant commands. 
(b) PROCESS ELEMENTS.—The process developed under sub-
section (a) shall include the following: 
(1) A joint medical estimate to determine the medical 
requirements for treating members of the Armed Forces who 
are wounded, ill, or injured during military operations, 
including with respect to environmental health and force health 
protection. 
(2) A process to review and revise military health related 
mission essential tasks in order to ensure that such tasks 
are aligned with health professional knowledge, skills, and 
abilities. 
(3) A process to standardize the interoperability of medical 
equipment and capabilities to support the joint force.
H. R. 5515—183 
(c) REPORT.—Not later than June 1, 2019, the Secretary of 
Defense shall submit to the Committees on Armed Services of 
the Senate and the House of Representatives a report describing 
the process developed under subsection (a). 
SEC. 733. INCLUSION OF GAMBLING DISORDER IN HEALTH ASSESS-
MENTS OF MEMBERS OF THE ARMED FORCES AND 
RELATED RESEARCH EFFORTS. 
(a) INCLUSION
IN NEXT ANNUAL PERIODIC HEALTH ASSESS-
MENTS.—The Secretary of Defense shall incorporate medical 
screening questions specific to gambling disorder into the Annual 
Periodic Health Assessments of members of the Armed Forces con-
ducted by the Department of Defense during the one-year period 
beginning 180 days after the date of the enactment of this Act. 
(b) INCLUSION IN CERTAIN SURVEYS.—The Secretary shall incor-
porate into ongoing research efforts of the Department questions 
on gambling disorder, as appropriate, including by restoring such 
questions to the following: 
(1) The first Health Related Behaviors Survey of Active 
Duty Military Personnel conducted after the date of the enact-
ment of this Act. 
(2) The first Health Related Behaviors Survey of Reserve 
Component Personnel conducted after that date. 
(c) REPORTS.—Not later than one year after the date of the 
completion of the assessment referred to in subsection (a), and 
of each survey referred to in subsection (b), as modified pursuant 
to this section, the Secretary shall submit to the Committees on 
Armed Services of the Senate and the House of Representatives 
a report on the findings of the assessment or survey in connection 
with the prevalence of gambling disorder among members of the 
Armed Forces. 
SEC. 734. REPORT ON REQUIREMENT FOR CERTAIN FORMER MEMBERS 
OF THE ARMED FORCES TO ENROLL IN MEDICARE PART 
B TO BE ELIGIBLE FOR TRICARE FOR LIFE. 
(a) IN GENERAL.—Not later than one year after the date of 
the enactment of this Act, the Secretary of Defense, the Secretary 
of Health and Human Services, and the Commissioner of Social 
Security shall jointly submit to the Committees on Armed Services 
of the House of Representatives and the Senate, the Committee 
on Ways and Means of the House of Representatives, and the 
Committee on Finance of the Senate a report on the findings of 
a study, conducted by the Secretaries for purposes of the report, 
on the requirement that a covered individual enroll in the supple-
mentary medical insurance program under part B of title XVIII 
of the Social Security Act (42 U.S.C. 1395j et seq.) in order to 
be eligible for TRICARE for Life. 
(b) MATTERS INCLUDED.—The study under subsection (a) shall 
include the following: 
(1) An analysis of whether the requirement described in 
such subsection affects covered individuals from returning to 
work. 
(2) The number of individuals who— 
(A) are retired from the Armed Forces under chapter 
61 of title 10, United States Code; 
(B) are entitled to hospital insurance benefits under 
part A of title XVIII of the Social Security Act pursuant
H. R. 5515—184 
to receiving benefits for 24 months as described in subpara-
graph (A) or (C) of section 226(b)(2) of such Act (42 U.S.C. 
426(b)(2)); and 
(C) because of such entitlement, are no longer enrolled 
in TRICARE Standard, TRICARE Prime, TRICARE Extra, 
or TRICARE Select. 
(3) The number of covered individuals who would poten-
tially enroll in TRICARE for Life but not enroll in the supple-
mentary medical insurance program under part B of title XVIII 
of the Social Security Act (42 U.S.C. 1395j et seq.) if able. 
(c) DEFINITIONS.—In this section: 
(1) The term ‘‘covered individual’’ means an individual— 
(A) who is under 65 years of age; 
(B) who is entitled to hospital insurance benefits under 
part A of title XVIII of the Social Security Act pursuant 
to subparagraph (A) or (C) of section 226(b)(2) of such 
Act (42 U.S.C. 426(b)(2)); 
(C) whose entitlement to a benefit described in 
subparagraph (A) of such section has terminated due to 
performance of substantial gainful activity; and 
(D) who is retired under chapter 61 of title 10, United 
States Code. 
(2) The terms ‘‘TRICARE for Life’’, ‘‘TRICARE Extra’’, 
‘‘TRICARE Standard’’, ‘‘TRICARE Select’’, and ‘‘TRICARE 
Prime’’ have the meanings given those terms in section 1072 
of title 10, United States Code. 
SEC. 735. PILOT PROGRAM ON EARNING BY SPECIAL OPERATIONS 
FORCES MEDICS OF CREDIT TOWARD A PHYSICIAN ASSIST-
ANT DEGREE. 
(a) IN GENERAL.—The Assistant Secretary of Defense for Health 
Affairs may conduct a pilot program to assess the feasibility and 
advisability of partnerships between special operations forces and 
institutions of higher education, and health care systems if deter-
mined appropriate by the Assistant Secretary for purposes of the 
pilot program, through which special operations forces medics earn 
credit toward the master’s degree of physician assistant for military 
operational work and training performed by the medics. 
(b) DURATION.—The Assistant Secretary shall conduct the pilot 
program for a period not to exceed five years. 
(c) CLINICAL TRAINING.—Partnerships under subsection (a) shall 
permit medics participating in the pilot program to conduct clinical 
training at medical facilities of the Department of Defense and 
the civilian sector. 
(d) EVALUATION.—The evaluation of work and training per-
formed by medics for which credits are earned under the pilot 
program shall comply with civilian clinical evaluation standards 
applicable to the awarding of the master’s degree of physician 
assistant. 
(e) REPORTS.— 
(1) INITIAL REPORT.—Not later than 180 days after the 
date of the enactment of this Act, the Secretary of Defense 
shall submit to the Committees on Armed Services of the Senate 
and the House of Representatives a report on the pilot program 
that shall include the following: 
(A) A comprehensive framework for the military edu-
cation to be provided to special operations forces medics
H. R. 5515—185 
under the pilot program, including courses of instruction 
at institutions of higher education and any health care 
systems participating in the pilot program. 
(B) Metrics to be used to assess the effectiveness of 
the pilot program. 
(C) A description of the mechanisms to be used by 
the Department, medics, or both to cover the costs of edu-
cation received by medics under the pilot program through 
institutions of higher education or health care systems, 
including payment by the Department in return for a mili-
tary service commitment, tuition or other educational 
assistance by the Department, use by medics of post-9/ 
11 educational assistance available through the Depart-
ment of Veterans Affairs, and any other mechanisms the 
Secretary considers appropriate for purposes of the pilot 
program. 
(2) FINAL REPORT.—Not later than 180 days after comple-
tion of the pilot program, the Secretary shall submit to the 
committees of Congress referred to in paragraph (1) a final 
report on the pilot program. The report shall include the fol-
lowing: 
(A) An evaluation of the pilot program using the 
metrics of assessment set forth pursuant to paragraph 
(1)(B). 
(B) An assessment of the utility of the funding mecha-
nisms set forth pursuant to paragraph (1)(C). 
(C) An assessment of the effects of the pilot program 
on recruitment and retention of medics for special oper-
ations forces. 
(D) An assessment of the feasibility and advisability 
of extending one or more authorities for joint professional 
military education under chapter 107 of title 10, United 
States Code, to warrant officers or enlisted personnel, and 
if the Secretary considers the extension of any such authori-
ties feasible and advisable, recommendations for legislative 
or administrative action to so extend such authorities. 
(f) CONSTRUCTION OF AUTHORITIES.—Nothing in this section 
may be construed to— 
(1) authorize an officer or employee of the Federal Govern-
ment to create, endorse, or otherwise incentivize a particular 
curriculum or degree track; or 
(2) require, direct, review, or control a State or educational 
institution, or the instructional content, curriculum, and related 
activities of a State or educational institution. 
SEC. 736. STRATEGIC MEDICAL RESEARCH PLAN. 
(a) PLAN.—Not later than 30 days after the date on which 
the budget of the President for fiscal year 2020 is submitted to 
Congress pursuant to section 1105 of title 31, United States Code, 
the Secretary of Defense, in consultation with the Secretaries of 
the military departments, shall submit to the congressional defense 
committees a comprehensive strategic medical research plan. 
(b) MATTERS INCLUDED.—The plan under subsection (a) shall 
include the following: 
(1) A description of all medical research focus areas of 
the Department of Defense and a description of the coordination
H. R. 5515—186 
process to ensure the focus areas are linked to military readi-
ness, joint force requirements, and relevance to individuals 
eligible for care at military medical treatment facilities or 
through the TRICARE program. 
(2) A description of the medical research projects funded 
under the Defense Health Program account and the projects 
under the Congressional Directed Medical Research Program. 
(3) A description of the process to ensure synergy across 
the military medical research community in order to address 
gaps in military medical research, minimize duplication of 
research, and promote collaboration within research focus 
areas. 
(4) A description of the efforts of the Secretary to coordinate 
with other departments and agencies of the Federal Govern-
ment to increase awareness of complementary medical research 
efforts that are being carried out through the Federal Govern-
ment. 
SEC. 737. COMPTROLLER GENERAL OF THE UNITED STATES REVIEW 
OF DEFENSE HEALTH AGENCY OVERSIGHT OF TRANSITION 
BETWEEN MANAGED CARE SUPPORT CONTRACTORS FOR 
THE TRICARE PROGRAM. 
(a) BRIEFING AND REPORT ON CURRENT TRANSITION.— 
(1) IN GENERAL.—The Comptroller General of the United 
States shall provide to the Committees on Armed Services 
of the Senate and the House of Representatives a briefing 
and a report on a review by the Comptroller General of the 
oversight conducted by the Defense Health Agency with respect 
to the current transition between managed care support con-
tractors for the TRICARE program. The briefing shall be pro-
vided by not later than July 1, 2019. 
(2) ELEMENTS.—The briefing and report under paragraph 
(1) shall each include the following: 
(A) A description and assessment of the extent to which 
the Defense Health Agency provided guidance and over-
sight to the outgoing and incoming managed care support 
contractors for the TRICARE program during the transition 
described in paragraph (1) and before the start of health 
care delivery by the incoming contractor. 
(B) A description and assessment of any issues with 
health care delivery under the TRICARE program as a 
result of or in connection with the transition, and, with 
respect to such issues— 
(i) the effect, if any, of the guidance and oversight 
provided by the Defense Health Agency during the 
transition on such issues; and 
(ii) the solutions developed by the Defense Health 
Agency for remediating any deficiencies in managed 
care support for the TRICARE program in connection 
with such issues. 
(C) A description and assessment of the extent to which 
the Defense Health Agency has reviewed any lessons 
learned from past transitions between managed care sup-
port contractors for the TRICARE program, and incor-
porated such lessons into the transition. 
(D) A review of the Department of Defense briefing 
provided in accordance with the provisions of the Report
H. R. 5515—187 
of the Committee on Armed Services of the House of Rep-
resentatives to Accompany H.R. 5515 (115th Congress; 
House Report 115–676) on TRICARE Managed Care Sup-
port Contractor Reporting. 
(b) REPORT ON FUTURE TRANSITIONS.—Not later than 270 days 
after the completion of any future transition between managed 
care support contractors for the TRICARE program, the Comptroller 
General shall submit to the committees of Congress referred to 
in subsection (a)(1) a report on a review by the Comptroller General 
of the oversight conducted by the Defense Health Agency with 
respect to such transition. The report shall include each description 
and assessment specified in subparagraphs (A) through (C) of sub-
section (a)(2) with respect to such transition. 
(c) TRICARE PROGRAM DEFINED.—In this section, the term 
‘‘TRICARE program’’ has the meaning given that term in section 
1072 of title 10, United States Code. 
SEC. 738. COMPTROLLER GENERAL STUDY ON AVAILABILITY OF LONG- 
TERM CARE OPTIONS FOR VETERANS FROM DEPARTMENT 
OF VETERANS AFFAIRS. 
(a) IN GENERAL.—The Comptroller General of the United States 
shall conduct a study on the availability of long-term care options 
from the Department of Veterans Affairs for veterans with combat- 
related disabilities, including veterans who served in the Armed 
Forces after September 11, 2001. 
(b) ELEMENTS.—The study required by subsection (a) shall— 
(1) determine the potential demand for long-term care by 
veterans eligible for health care from the Department; 
(2) determine the capacity of the Department for providing 
all four levels of long-term care, which are independent living, 
assisted living, nursing home care, and memory care; 
(3) identify the number of veterans with combat-related 
disabilities who require a personal care assistant and which 
facilities of the Department provide this service; and 
(4) examine the value of long-term care benefits provided 
by the Department, including personal care assistant services, 
to identify the potential elements of a pilot program that affords 
aging veterans the choice of receiving long-term care benefits 
at nonprofit continuing care retirement communities. 
(c) REPORT.—Not later than January 1, 2020, the Comptroller 
General shall submit to the Committee on Armed Services and 
the Committee on Veterans’ Affairs of the Senate and the Com-
mittee on Armed Services and the Committee on Veterans’ Affairs 
of the House of Representatives a report on the study conducted 
under this section. 
SEC. 739. INCREASE IN NUMBER OF APPOINTED MEMBERS OF THE 
HENRY M. JACKSON FOUNDATION FOR THE ADVANCE-
MENT OF MILITARY MEDICINE. 
Section 178(c)(1)(C) of title 10, United States Code, is amended 
by striking ‘‘four members’’ and inserting ‘‘six members’’.
H. R. 5515—188 
TITLE VIII—ACQUISITION POLICY, AC-
QUISITION MANAGEMENT, AND RE-
LATED MATTERS 
Sec. 800. Effective dates; coordination of amendments. 
Subtitle A—Streamlining of Defense Acquisition Statutes and Regulations 
PART I—CONSOLIDATION OF DEFENSE ACQUISITION STATUTES IN NEW PART V OF 
SUBTITLE A OF TITLE 10, UNITED STATES CODE 
Sec. 801. Framework for new part V of subtitle A. 
PART II—REDESIGNATION OF SECTIONS AND CHAPTERS OF SUBTITLES B, C, AND D TO 
PROVIDE ROOM FOR NEW PART V OF SUBTITLE A 
Sec. 806. Redesignation of sections and chapters of subtitle D of title 10, United 
States Code—Air Force. 
Sec. 807. Redesignation of sections and chapters of subtitle C of title 10, United 
States Code—Navy and Marine Corps. 
Sec. 808. Redesignation of sections and chapters of subtitle B of title 10, United 
States Code—Army. 
Sec. 809. Cross references to redesignated sections and chapters. 
PART III—REPEALS OF CERTAIN PROVISIONS OF DEFENSE ACQUISITION LAW 
Sec. 811. Amendment to and repeal of statutory requirements for certain positions 
or offices in the Department of Defense. 
Sec. 812. Repeal of certain defense acquisition laws. 
Sec. 813. Repeal of certain Department of Defense reporting requirements. 
Subtitle B—Amendments to General Contracting Authorities, Procedures, and 
Limitations 
Sec. 816. Modification of limitations on single source task or delivery order con-
tracts. 
Sec. 817. Preliminary cost analysis requirement for exercise of multiyear contract 
authority. 
Sec. 818. Revision of requirement to submit information on services contracts to 
Congress. 
Sec. 819. Data collection and inventory for services contracts. 
Sec. 820. Report on clarification of services contracting definitions. 
Sec. 821. Increase in micro-purchase threshold applicable to Department of De-
fense. 
Sec. 822. Department of Defense contracting dispute matters. 
Sec. 823. Inclusion of best available information regarding past performance of sub-
contractors and joint venture partners. 
Sec. 824. Subcontracting price and approved purchasing systems. 
Sec. 825. Modification of criteria for waivers of requirement for certified cost and 
price data. 
Subtitle C—Provisions Relating to Major Defense Acquisition Programs 
Sec. 831. Revisions in authority relating to program cost targets and fielding tar-
gets for major defense acquisition programs. 
Sec. 832. Implementation of recommendations of the Independent Study on Consid-
eration of Sustainment in Weapons Systems Life Cycle. 
Sec. 833. Comptroller General assessment of acquisition programs and related ini-
tiatives. 
Subtitle D—Provisions Relating to Commercial Items 
Sec. 836. Revision of definition of commercial item for purposes of Federal acquisi-
tion statutes. 
Sec. 837. Limitation on applicability to Department of Defense commercial con-
tracts of certain provisions of law. 
Sec. 838. Modifications to procurement through commercial e-commerce portals. 
Sec. 839. Review of Federal acquisition regulations on commercial products, com-
mercial services, and commercially available off-the-shelf items. 
Subtitle E—Industrial Base Matters 
Sec. 841. Report on limited sourcing of specific components for Naval vessels.
H. R. 5515—189 
Sec. 842. Removal of national interest determination requirements for certain enti-
ties. 
Sec. 843. Pilot program to test machine-vision technologies to determine the au-
thenticity and security of microelectronic parts in weapon systems. 
Sec. 844. Limitation on certain procurements application process. 
Sec. 845. Report on defense electronics industrial base. 
Sec. 846. Support for defense manufacturing communities to support the defense 
industrial base. 
Sec. 847. Limitation on procurement of certain items for T–AO–205 program. 
Subtitle F—Small Business Matters 
Sec. 851. Department of Defense small business strategy. 
Sec. 852. Prompt payments of small business contractors. 
Sec. 853. Increased participation in the Small Business Administration microloan 
program. 
Sec. 854. Amendments to Small Business Innovation Research Program and Small 
Business Technology Transfer Program. 
Sec. 855. Construction contract administration. 
Sec. 856. Comptroller General study of impact of broadband speed and price on 
small businesses. 
Sec. 857. Consolidated budget display for the Department of Defense Small Busi-
ness Innovation Research Program and Small Business Technology 
Transfer Program. 
Sec. 858. Funding for procurement technical assistance program. 
Sec. 859. Authorization for payment of certain costs relating to procurement tech-
nical assistance centers. 
Sec. 860. Commercialization Assistance Pilot Program. 
Sec. 861. Puerto Rico businesses. 
Sec. 862. Opportunities for employee-owned business concerns through Small Busi-
ness Administration loan programs. 
Subtitle G—Provisions Related to Software and Technical Data Matters 
Sec. 865. Validation of proprietary and technical data. 
Sec. 866. Continuation of technical data rights during challenges. 
Sec. 867. Requirement for negotiation of technical data price before sustainment of 
major weapon systems. 
Sec. 868. Implementation of recommendations of the final report of the Defense 
Science Board Task Force on the Design and Acquisition of Software for 
Defense Systems. 
Sec. 869. Implementation of pilot program to use agile or iterative development 
methods required under section 873 of the National Defense Authoriza-
tion Act for Fiscal Year 2018. 
Sec. 870. Report on requiring access to digital technical data in future acquisitions 
of combat, combat service, and combat support systems. 
Subtitle H—Other Matters 
Sec. 871. Prohibition on acquisition of sensitive materials from non-allied foreign 
nations. 
Sec. 872. Extension of prohibition on providing funds to the enemy. 
Sec. 873. Data, policy, and reporting on the use of other transactions. 
Sec. 874. Standardization of formatting and public accessibility of Department of 
Defense reports to Congress. 
Sec. 875. Promotion of the use of Government-wide and other interagency con-
tracts. 
Sec. 876. Increasing competition at the task order level. 
Sec. 877. Individual acquisition for commercial leasing services. 
Sec. 878. Procurement administrative lead time definition and plan. 
Sec. 879. Briefing on funding of product support strategies. 
Sec. 880. Use of lowest price technically acceptable source selection process. 
Sec. 881. Permanent Supply Chain Risk Management Authority. 
Sec. 882. Review of market research. 
Sec. 883. Establishment of integrated review team on defense acquisition industry- 
government exchange. 
Sec. 884. Exchange program for acquisition workforce employees. 
Sec. 885. Process to limit foreign access to technology. 
Sec. 886. Procurement of telecommunications supplies for experimental purposes. 
Sec. 887. Access by developmental and operational testing activities to data regard-
ing modeling and simulation activity. 
Sec. 888. Instruction on pilot program regarding employment of persons with dis-
abilities. 
Sec. 889. Prohibition on certain telecommunications and video surveillance services 
or equipment. 
Sec. 890. Pilot program to accelerate contracting and pricing processes.
H. R. 5515—190 
SEC. 800. EFFECTIVE DATES; COORDINATION OF AMENDMENTS. 
(a) EFFECTIVE DATES.— 
(1) PARTS I AND II.—Parts I and II of this subtitle, and 
the redesignations and amendments made by such parts, shall 
take effect on February 1, 2019. 
(2) PART
III.—Part III of this subtitle shall take effect 
on the date of the enactment of this Act. 
(b) COORDINATION OF AMENDMENTS.—The redesignations and 
amendments made by part II of this subtitle shall be executed 
before the amendments made by part I of this subtitle. 
(c) RULE
FOR CERTAIN REDESIGNATIONS.—In the case of a 
redesignation specified in part II of this subtitle (1) that is to 
be made to a section of subtitle B, C, or D of title 10, United 
States Code, for which the current section designation consists 
of a four-digit number and a letter, and (2) that is directed to 
be made by the addition of a specified number to the current 
section designation, the new section designation shall consist of 
a new four-digit number and the same letter, with the new four- 
digit number being the number that is the sum of the specified 
number and the four-digit number in the current section designa-
tion. 
Subtitle A—Streamlining of Defense 
Acquisition Statutes and Regulations 
PART I—CONSOLIDATION OF DEFENSE ACQUI-
SITION STATUTES IN NEW PART V OF SUB-
TITLE A OF TITLE 10, UNITED STATES CODE 
SEC. 801. FRAMEWORK FOR NEW PART V OF SUBTITLE A. 
(a) IN GENERAL.—Subtitle A of title 10, United States Code, 
is amended by adding at the end the following new part: 
‘‘PART V—ACQUISITION 
‘‘Chap. 
Sec. 
‘‘subpart a—general 
‘‘201. Definitions ....................................................................................................
3001 
‘‘203. General Matters ...........................................................................................
3021 
‘‘205. Defense Acquisition System ........................................................................
3051 
‘‘207. Budgeting and Appropriations Matters .....................................................
3101 
‘‘209. Operational Contract Support ....................................................................
3151 
‘‘subpart b—acquisition planning 
‘‘221. Planning and Solicitation Generally ..........................................................
3201 
‘‘223. Planning and Solicitation Relating to Particular Items or Services ........
3251 
‘‘subpart c—contracting methods and contract types 
‘‘241. Awarding of Contracts .................................................................................
3301 
‘‘243. Specific Types of Contracts .........................................................................
3351 
‘‘245. Task and Delivery Order Contracts (Multiple Award Contracts) ............
3401 
‘‘247. Acquisition of Commercial Items ................................................................
3451 
‘‘249. Multiyear Contracts .....................................................................................
3501 
‘‘251. Simplified Acquisition Procedures ..............................................................
3551 
‘‘253. Emergency and Rapid Acquisitions ............................................................
3601 
‘‘255. Contracting With or Through Other Agencies ..........................................
3651
H. R. 5515—191 
‘‘subpart d—general contracting requirements 
‘‘271. Truthful Cost or Pricing Data .....................................................................
3701 
‘‘273. Allowable Costs ............................................................................................
3741 
‘‘275. Proprietary Contractor Data and Technical Data .....................................
3771 
‘‘277. Contract Financing ......................................................................................
3801 
‘‘279. Contractor Audits and Accounting .............................................................
3841 
‘‘281. Claims and Disputes ....................................................................................
3861 
‘‘283. Foreign Acquisitions ....................................................................................
3881 
‘‘285. Small Business Programs ...........................................................................
3901 
‘‘287. Socioeconomic Programs ..............................................................................
3961 
‘‘subpart e—special categories of contracting: major defense acquisition programs and major systems 
‘‘301. Major Defense Acquisition Programs .........................................................
4001 
‘‘303. Weapon Systems Development and Related Matters ...............................
4071 
‘‘305. Other Matters Relating to Major Systems .................................................
4121 
‘‘subpart f—special categories of contracting: research, development, test, and evaluation 
‘‘321. Research and Development Generally .......................................................
4201 
‘‘323. Innovation .....................................................................................................
4301 
‘‘325. Department of Defense Laboratories .........................................................
4351 
‘‘327. Research and Development Centers and Facilities ...................................
4401 
‘‘329. Operational Test and Evaluation; Developmental Test and Evaluation 
4451 
‘‘subpart g—other special categories of contracting 
‘‘341. Contracting for Performance of Civilian Commercial or Industrial Type 
Functions ..................................................................................................
4501 
‘‘343. Acquisition of Services .................................................................................
4541 
‘‘345. Acquisition of Information Technology ......................................................
4571 
‘‘subpart h—contract management 
‘‘361. Contract Administration .............................................................................
4601 
‘‘363. Prohibitions and Penalties ..........................................................................
4651 
‘‘365. Contractor Workforce ..................................................................................
4701 
‘‘367. Other Administrative and Miscellaneous Provisions ................................
4751 
‘‘subpart i—defense industrial base 
‘‘381. Defense Industrial Base Generally .............................................................
4801 
‘‘383. Loan Guarantee Programs ..........................................................................
4861 
‘‘385. Procurement Technical Assistance Cooperative Agreement Program .....
4881 
‘‘Subpart A—General 
‘‘CHAPTER 201—DEFINITIONS 
‘‘§ 3001. øReserved¿ 
øReserved¿ 
‘‘CHAPTER 203—GENERAL MATTERS 
‘‘§ 3021. øReserved¿ 
øReserved¿ 
‘‘CHAPTER 205—DEFENSE ACQUISITION SYSTEM 
‘‘§ 3051. øReserved¿ 
øReserved¿ 
‘‘CHAPTER 207—BUDGETING AND APPROPRIATIONS 
MATTERS 
‘‘§ 3101. øReserved¿ 
øReserved¿
H. R. 5515—192 
‘‘CHAPTER 209—OPERATIONAL CONTRACT SUPPORT 
‘‘§ 3151. øReserved¿ 
øReserved¿ 
‘‘Subpart B—Acquisition Planning 
‘‘CHAPTER 221—PLANNING AND SOLICITATION 
GENERALLY 
‘‘§ 3201. øReserved¿ 
øReserved¿ 
‘‘CHAPTER 223—PLANNING AND SOLICITATION 
RELATING TO PARTICULAR ITEMS OR SERVICES 
‘‘§ 3251. øReserved¿ 
øReserved¿ 
‘‘Subpart C—Contracting Methods and Contract 
Types 
‘‘CHAPTER 241—AWARDING OF CONTRACTS 
‘‘§ 3301. øReserved¿ 
øReserved¿ 
‘‘CHAPTER 243—SPECIFIC TYPES OF CONTRACTS 
‘‘§ 3351. øReserved¿ 
øReserved¿ 
‘‘CHAPTER 245—TASK AND DELIVERY ORDER 
CONTRACTS (MULTIPLE AWARD CONTRACTS) 
‘‘§ 3401. øReserved¿ 
øReserved¿ 
‘‘CHAPTER 247—ACQUISITION OF COMMERCIAL ITEMS 
‘‘§ 3451. øReserved¿ 
øReserved¿ 
‘‘CHAPTER 249—MULTIYEAR CONTRACTS 
‘‘§ 3501. øReserved¿ 
øReserved¿ 
‘‘CHAPTER 251—SIMPLIFIED ACQUISITION 
PROCEDURES 
‘‘§ 3551. øReserved¿ 
øReserved¿
H. R. 5515—193 
‘‘CHAPTER 253—EMERGENCY AND RAPID ACQUISITIONS 
‘‘§ 3601. øReserved¿ 
øReserved¿ 
‘‘CHAPTER 255—CONTRACTING WITH OR THROUGH 
OTHER AGENCIES 
‘‘§ 3651. øReserved¿ 
øReserved¿ 
‘‘Subpart D—General Contracting Requirements 
‘‘CHAPTER 271—TRUTHFUL COST OR PRICING DATA 
‘‘§ 3701. øReserved¿ 
øReserved¿ 
‘‘CHAPTER 273—ALLOWABLE COSTS 
‘‘§ 3741. øReserved¿ 
øReserved¿ 
‘‘CHAPTER 275—PROPRIETARY CONTRACTOR DATA AND 
TECHNICAL DATA 
‘‘§ 3771. øReserved¿ 
øReserved¿ 
‘‘CHAPTER 277—CONTRACT FINANCING 
‘‘§ 3801. øReserved¿ 
øReserved¿ 
‘‘CHAPTER 279—CONTRACTOR AUDITS AND 
ACCOUNTING 
‘‘§ 3841. øReserved¿ 
øReserved¿ 
‘‘CHAPTER 281—CLAIMS AND DISPUTES 
‘‘§ 3861. øReserved¿ 
øReserved¿ 
‘‘CHAPTER 283—FOREIGN ACQUISITIONS 
‘‘§ 3881. øReserved¿ 
øReserved¿ 
‘‘CHAPTER 285—SMALL BUSINESS PROGRAMS 
‘‘§ 3901. øReserved¿ 
øReserved¿
H. R. 5515—619 
TITLE XXVI—GUARD AND RESERVE 
FORCES FACILITIES 
Subtitle A—Project Authorizations and 
Authorization of Appropriations 
Subtitle A—Project Authorizations and Authorization of Appropriations 
Sec. 2601. Authorized Army National Guard construction and land acquisition 
projects. 
Sec. 2602. Authorized Army Reserve construction and land acquisition projects. 
Sec. 2603. Authorized Navy Reserve and Marine Corps Reserve construction and 
land acquisition projects. 
Sec. 2604. Authorized Air National Guard construction and land acquisition 
projects. 
Sec. 2605. Authorized Air Force Reserve construction and land acquisition projects. 
Sec. 2606. Authorization of appropriations, National Guard and Reserve. 
Subtitle B—Other Matters 
Sec. 2611. Modification of authority to carry out certain fiscal year 2016 project. 
Sec. 2612. Modification of authority to carry out certain fiscal year 2018 project. 
Sec. 2613. Additional authority to carry out certain fiscal year 2019 project. 
SEC. 2601. AUTHORIZED ARMY NATIONAL GUARD CONSTRUCTION AND 
LAND ACQUISITION PROJECTS. 
Using amounts appropriated pursuant to the authorization of 
appropriations in section 2606 and available for the National Guard 
and Reserve as specified in the funding table in section 4601, 
the Secretary of the Army may acquire real property and carry 
out military construction projects for the Army National Guard 
locations inside the United States, and in the amounts, set forth 
in the following table: 
Army National Guard 
State 
Location 
Amount 
Alaska .....................
Joint Base Elmendorf-Richardson .........
$27,000,000 
Illinois .....................
Marseilles Training Center ....................
$5,000,000 
Montana .................
Malta .......................................................
$15,000,000 
Nevada ....................
North Las Vegas .....................................
$32,000,000 
New Hampshire .....
Pembroke .................................................
$12,000,000 
North Dakota .........
Fargo ........................................................
$32,000,000 
Ohio ........................
Camp Ravenna ........................................
$7,400,000 
Oklahoma ...............
Lexington .................................................
$11,000,000 
Oregon ....................
Boardman ................................................
$11,000,000 
South Dakota .........
Rapid City ...............................................
$15,000,000 
SEC. 2602. AUTHORIZED ARMY RESERVE CONSTRUCTION AND LAND 
ACQUISITION PROJECTS. 
Using amounts appropriated pursuant to the authorization of 
appropriations in section 2606 and available for the National Guard 
and Reserve as specified in the funding table in section 4601, 
the Secretary of the Army may acquire real property and carry 
out military construction projects for the Army Reserve locations 
inside the United States, and in the amounts, set forth in the 
following table:
H. R. 5515—620 
Army Reserve: Inside the United States 
State 
Location 
Amount 
California ...............
Barstow ....................................................
$34,000,000 
Washington ............
Yakima Training Center ........................
$23,000,000 
Wisconsin ...............
Fort McCoy ..............................................
$23,000,000 
SEC. 2603. AUTHORIZED NAVY RESERVE AND MARINE CORPS RESERVE 
CONSTRUCTION AND LAND ACQUISITION PROJECTS. 
Using amounts appropriated pursuant to the authorization of 
appropriations in section 2606 and available for the National Guard 
and Reserve as specified in the funding table in section 4601, 
the Secretary of the Navy may acquire real property and carry 
out military construction projects for the Navy Reserve and Marine 
Corps Reserve locations inside the United States, and in the 
amounts, set forth in the following table: 
Navy Reserve and Marine Corps Reserve 
State 
Location 
Amount 
California ...............
Naval Weapons Station Seal Beach ......
$21,740,000 
Georgia ...................
Fort Benning ...........................................
$13,630,000 
SEC. 2604. AUTHORIZED AIR NATIONAL GUARD CONSTRUCTION AND 
LAND ACQUISITION PROJECTS. 
Using amounts appropriated pursuant to the authorization of 
appropriations in section 2606 and available for the National Guard 
and Reserve as specified in the funding table in section 4601, 
the Secretary of the Air Force may acquire real property and 
carry out military construction projects for the Air National Guard 
locations inside the United States, and in the amounts, set forth 
in the following table: 
Air National Guard 
State 
Location 
Amount 
California ...............
Channel Islands Air National Guard 
Station.
$8,000,000 
Hawaii ....................
Joint Base Pearl Harbor-Hickam ..........
$17,000,000 
llinois ......................
Greater Peoria Regional Airport ...........
$9,000,000 
Louisiana ................
Naval Air Station Joint Reserve Base 
New Orleans.
$39,000,000 
Minnesota ...............
Duluth International Airport .................
$8,000,000 
Montana .................
Great Falls International Airport .........
$9,000,000 
New York ...............
Francis S. Gabreski Airport ...................
$20,000,000 
Ohio ........................
Mansfield Lahm Airport ........................
$13,000,000 
Rickenbacker International Airport ......
$8,000,000 
Pennsylvania ..........
Fort Indiantown Gap ..............................
$8,000,000 
Virginia ...................
Joint Base Langley-Eustis .....................
$10,000,000 
SEC. 2605. AUTHORIZED AIR FORCE RESERVE CONSTRUCTION AND 
LAND ACQUISITION PROJECTS. 
Using amounts appropriated pursuant to the authorization of 
appropriations in section 2606 and available for the National Guard
H. R. 5515—691 
than a vessel described in section 3703a(b)(3) of title 46, United 
States Code)’’. 
SEC. 3545. GROUNDS FOR DENIAL OR REVOCATION. 
(a) DANGEROUS DRUGS AS GROUNDS FOR DENIAL.—Section 7503 
of title 46, United States Code, is amended to read as follows: 
‘‘§ 7503. Dangerous drugs as grounds for denial 
‘‘A license, certificate of registry, or merchant mariner’s docu-
ment authorized to be issued under this part may be denied to 
an individual who— 
‘‘(1) within 10 years before applying for the license, certifi-
cate, or document, has been convicted of violating a dangerous 
drug law of the United States or of a State; or 
‘‘(2) when applying, has ever been a user of, or addicted 
to, a dangerous drug unless the individual provides satisfactory 
proof that the individual is cured.’’. 
(b) DANGEROUS DRUGS AS GROUNDS FOR REVOCATION.—Section 
7704 of title 46, United States Code, is amended by redesignating 
subsections (b) and (c) as subsections (a) and (b), respectively. 
SEC. 3546. MISCELLANEOUS CORRECTIONS TO TITLE 46, U.S.C. 
(a) Section 2110 of title 46, United States Code, is amended 
by striking subsection (k). 
(b) Section 2116(c) of title 46, United States Code, is amended 
by striking ‘‘Beginning with fiscal year 2011 and each fiscal year 
thereafter, the’’ and inserting ‘‘The’’. 
(c) Section 3302(g)(2) of title 46, United States Code, is amended 
by striking ‘‘After December 31, 1988, this’’ and inserting ‘‘This’’. 
(d) Section 6101(j) of title 46, United States Code, is amended 
by striking ‘‘, as soon as possible, and no later than January 
1, 2005,’’. 
(e) Section 7505 of title 46, United States Code, is amended 
by striking ‘‘section 206(b)(7) of the National Driver Register Act 
of 1982 (23 U.S.C. 401 note)’’ and inserting ‘‘section 30305(b)(7) 
of title 49’’. 
(f) Section 7702(c)(1) of title 46, United States Code, is amended 
by striking ‘‘section 206(b)(4) of the National Driver Register Act 
of 1982 (23 U.S.C. 401 note)’’ and inserting ‘‘section 30305(b)(7) 
of title 49’’. 
(g) Section 8106(f) of title 46, United States Code, is amended 
by striking paragraph (3) and inserting the following: 
‘‘(3) CONTINUING VIOLATIONS.—The maximum amount of 
a civil penalty for a violation under this subsection shall be 
$100,000.’’. 
(h) Section 8703 of title 46, United States Code, is amended 
by redesignating subsection (c) as subsection (b). 
(i) Section 11113 of title 46, United States Code, is amended— 
(1) in subsection (a)(4)(A) by striking ‘‘paragraph (2)’’ and 
inserting ‘‘paragraph (3)’’; and 
(2) in subsection (c)(2)(B)— 
(A) by striking ‘‘section 2(9)(a)’’ and inserting ‘‘section 
2(a)(9)(A)’’; and 
(B) by striking ‘‘33 U.S.C. 1901(9)(a)’’ and inserting 
‘‘33 U.S.C. 1901(a)(9)(A)’’. 
(j) Section 12113(d)(2)(C)(iii) of title 46, United States Code, 
is amended by striking ‘‘118 Stat. 2887)’’ and inserting ‘‘118 Stat. 
2887))’’.
H. R. 5515—761 
SEC. 4302. OPERATION AND MAINTENANCE FOR OVERSEAS CONTINGENCY OPERATIONS 
(In Thousands of Dollars) 
Line 
Item 
FY 2019 
Request 
Conference 
Authorized 
080 
COMBAT SUPPORT FORCES .........................................
13,737 
13,737 
SUBTOTAL OPERATING FORCES .....................
25,637 
25,637 
TOTAL OPERATION & MAINTENANCE, 
NAVY RES ..........................................................
25,637 
25,637 
OPERATION & MAINTENANCE, MC RESERVE 
OPERATING FORCES 
010 
OPERATING FORCES ......................................................
2,550 
2,550 
040 
BASE OPERATING SUPPORT ........................................
795 
795 
SUBTOTAL OPERATING FORCES .....................
3,345 
3,345 
TOTAL OPERATION & MAINTENANCE, MC 
RESERVE ............................................................
3,345 
3,345 
OPERATION & MAINTENANCE, AIR FORCE 
OPERATING FORCES 
010 
PRIMARY COMBAT FORCES .........................................
166,274 
166,274 
020 
COMBAT ENHANCEMENT FORCES ............................
1,492,580 
1,492,580 
030 
AIR OPERATIONS TRAINING (OJT, MAINTAIN 
SKILLS) ...........................................................................
110,237 
110,237 
040 
DEPOT PURCHASE EQUIPMENT MAINTENANCE ...
209,996 
209,996 
050 
FACILITIES SUSTAINMENT ..........................................
92,412 
92,412 
060 
CONTRACTOR LOGISTICS SUPPORT AND SYSTEM 
SUPPORT ........................................................................
1,289,693 
1,289,693 
070 
FLYING HOUR PROGRAM ..............................................
2,355,264 
2,355,264 
080 
BASE SUPPORT ................................................................
1,141,718 
1,141,718 
090 
GLOBAL C3I AND EARLY WARNING ...........................
13,537 
13,537 
100 
OTHER COMBAT OPS SPT PROGRAMS .......................
224,713 
224,713 
110 
CYBERSPACE ACTIVITIES .............................................
17,353 
17,353 
120 
TACTICAL INTEL AND OTHER SPECIAL ACTIVI-
TIES .................................................................................
36,098 
36,098 
130 
LAUNCH FACILITIES ......................................................
385 
385 
140 
SPACE CONTROL SYSTEMS ..........................................
38,966 
38,966 
170 
US NORTHCOM/NORAD .................................................
725 
725 
180 
US STRATCOM ..................................................................
2,056 
2,056 
190 
US CYBERCOM .................................................................
35,189 
35,189 
200 
US CENTCOM ...................................................................
162,691 
162,691 
210 
US SOCOM .........................................................................
19,000 
19,000 
SUBTOTAL OPERATING FORCES .....................
7,408,887 
7,408,887 
MOBILIZATION 
230 
AIRLIFT OPERATIONS ....................................................
1,287,659 
1,287,659 
240 
MOBILIZATION PREPAREDNESS .................................
107,064 
107,064 
SUBTOTAL MOBILIZATION .................................
1,394,723 
1,394,723 
TRAINING AND RECRUITING 
280 
OFFICER ACQUISITION .................................................
300 
300 
290 
RECRUIT TRAINING ........................................................
340 
340 
330 
SPECIALIZED SKILL TRAINING ...................................
25,327 
25,327 
340 
FLIGHT TRAINING ..........................................................
844 
844 
350 
PROFESSIONAL DEVELOPMENT EDUCATION .........
1,199 
1,199 
360 
TRAINING SUPPORT .......................................................
1,320 
1,320 
SUBTOTAL TRAINING AND RECRUITING .....
29,330 
29,330 
ADMIN & SRVWD ACTIVITIES 
430 
LOGISTICS OPERATIONS ...............................................
154,485 
154,485 
440 
TECHNICAL SUPPORT ACTIVITIES ............................
13,608 
13,608 
480 
ADMINISTRATION ...........................................................
4,814 
4,814
H. R. 5515—762 
SEC. 4302. OPERATION AND MAINTENANCE FOR OVERSEAS CONTINGENCY OPERATIONS 
(In Thousands of Dollars) 
Line 
Item 
FY 2019 
Request 
Conference 
Authorized 
490 
SERVICEWIDE COMMUNICATIONS ............................
131,123 
131,123 
500 
OTHER SERVICEWIDE ACTIVITIES ............................
97,471 
97,471 
540 
INTERNATIONAL SUPPORT ..........................................
240 
240 
545 
CLASSIFIED PROGRAMS ................................................
51,108 
51,108 
SUBTOTAL ADMIN & SRVWD ACTIVITIES .....
452,849 
452,849 
TOTAL OPERATION & MAINTENANCE, 
AIR FORCE ........................................................
9,285,789 
9,285,789 
OPERATION & MAINTENANCE, AF RESERVE 
OPERATING FORCES 
030 
DEPOT PURCHASE EQUIPMENT MAINTENANCE ...
51,000 
51,000 
060 
BASE SUPPORT ................................................................
9,500 
9,500 
SUBTOTAL OPERATING FORCES .....................
60,500 
60,500 
TOTAL OPERATION & MAINTENANCE, AF 
RESERVE ............................................................
60,500 
60,500 
OPERATION & MAINTENANCE, ANG 
OPERATING FORCES 
020 
MISSION SUPPORT OPERATIONS ...............................
3,560 
3,560 
060 
BASE SUPPORT ................................................................
12,310 
12,310 
SUBTOTAL OPERATING FORCES .....................
15,870 
15,870 
TOTAL OPERATION & MAINTENANCE, 
ANG ......................................................................
15,870 
15,870 
OPERATION AND MAINTENANCE, DEFENSE- 
WIDE 
OPERATING FORCES 
010 
JOINT CHIEFS OF STAFF ..............................................
28,671 
28,671 
040 
SPECIAL 
OPERATIONS 
COMMAND/OPERATING 
FORCES ..........................................................................
3,733,161 
3,733,161 
SUBTOTAL OPERATING FORCES .....................
3,761,832 
3,761,832 
ADMIN & SRVWIDE ACTIVITIES 
100 
DEFENSE CONTRACT AUDIT AGENCY ......................
1,781 
1,781 
110 
DEFENSE CONTRACT MANAGEMENT AGENCY ......
21,723 
21,723 
130 
DEFENSE INFORMATION SYSTEMS AGENCY ..........
111,702 
111,702 
150 
DEFENSE LEGAL SERVICES AGENCY ........................
127,023 
127,023 
170 
DEFENSE MEDIA ACTIVITY ..........................................
14,377 
14,377 
190 
DEFENSE SECURITY COOPERATION AGENCY ........
2,208,442 
1,458,442 
Coalition Support Funds ............................................
[–550,000 ] 
Transfer of funds to Ukraine Security Assistance 
fund ...........................................................................
[–200,000 ] 
230 
DEFENSE THREAT REDUCTION AGENCY .................
302,250 
302,250 
250 
DEPARTMENT OF DEFENSE EDUCATION ACTIV-
ITY ...................................................................................
31,620 
31,620 
290 
OFFICE OF THE SECRETARY OF DEFENSE ..............
16,579 
16,579 
310 
WASHINGTON HEADQUARTERS SERVICES .............
7,766 
7,766 
315 
CLASSIFIED PROGRAMS ................................................
1,944,813 
1,944,813 
SUBTOTAL ADMIN & SRVWIDE ACTIVITIES 
4,788,076 
4,038,076 
TOTAL OPERATION AND MAINTENANCE, 
DEFENSE-WIDE ...............................................
8,549,908 
7,799,908 
UKRAINE SECURITY ASSISTANCE 
UKRAINE SECURITY ASSISTANCE 
010 
UKRAINE SECURITY ASSISTANCE .............................
250,000
H. R. 5515—763 
SEC. 4302. OPERATION AND MAINTENANCE FOR OVERSEAS CONTINGENCY OPERATIONS 
(In Thousands of Dollars) 
Line 
Item 
FY 2019 
Request 
Conference 
Authorized 
Program increase for defensive lethal assistance .....
[50,000 ] 
Transfer of funds from the Defense Security Co-
operation Agency .....................................................
[200,000 ] 
SUBTOTAL UKRAINE SECURITY ASSIST-
ANCE .......................................................................
250,000 
TOTAL UKRAINE SECURITY ASSISTANCE 
250,000 
TOTAL OPERATION & MAINTENANCE .......
48,782,670 
48,739,370 
TITLE XLIV—MILITARY PERSONNEL 
Sec. 4401. Military personnel. 
Sec. 4402. Military personnel for overseas contingency operations. 
SEC. 4401. MILITARY PERSONNEL. 
SEC. 4401. MILITARY PERSONNEL 
(In Thousands of Dollars) 
Item 
FY 2019 
Request 
Conference 
Authorized 
Military Personnel Appropriations .......................................
140,689,301 
139,524,021 
Foreign Currency adjustments .....................................................
[–133,000 ] 
Historical unobligated balances ...................................................
[–1,308,500 ] 
JROTC program increase ..............................................................
[1,220 ] 
Permanently reverse BAH reduction for Military Housing Pri-
vatization Initiative ...................................................................
[275,000 ] 
Medicare-Eligible Retiree Health Fund Contributions ....
7,533,090 
7,533,090 
Total, Military Personnel ..................................................
148,222,391 
147,057,111 
SEC. 4402. MILITARY PERSONNEL FOR OVERSEAS CONTINGENCY 
OPERATIONS. 
SEC. 4402. MILITARY PERSONNEL FOR OVERSEAS CONTINGENCY OPERATIONS 
(In Thousands of Dollars) 
Item 
FY 2019 
Request 
Conference 
Authorized 
Military Personnel Appropriations .......................................
4,660,661 
4,660,661 
Total, Military Personnel Appropriations ....................
4,660,661 
4,660,661 
TITLE XLV—OTHER AUTHORIZATIONS 
Sec. 4501. Other authorizations. 
Sec. 4502. Other authorizations for overseas contingency operations. 
SEC. 4501. OTHER AUTHORIZATIONS. 
SEC. 4501. OTHER AUTHORIZATIONS 
(In Thousands of Dollars) 
Program Title 
FY 2019 
Request 
Conference 
Authorized 
WORKING CAPITAL FUND, ARMY