Sec. 713. Reports on proposed realignments of military medical treatment facilities
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Chapter 55 of title 10, United States Code, is amended by inserting after section 1073b the following new section: The Secretary of Defense may not restructure or realign a military medical treatment facility until— the Secretary submits to the congressional defense committees a report on such proposed restructuring or realignment; and a period of 90 days has elapsed following the date of such submission. Each report under subsection (a)(1) shall include, with respect to the military medical treatment facility covered by the report, the following:
The average daily inpatient census. The average inpatient capacity. The top five inpatient admission diagnoses. Each medical specialty available. The average daily percent of staffing available for each medical specialty. The beneficiary population within the catchment area. The budgeted funding level. Whether the facility has a helipad capable of receiving medical evacuation airlift patients arriving on the primary evacuation aircraft platform for the military installation served.
A determination of whether the civilian hospital system in which the facility resides, if any, is a Federally-designated underserved medical community and the effect on such community from any reduction in staff or functions or downgrade of the facility. If the facility serves a training center— a determination of the risk with respect to high-tempo, live-fire military operations, treating battlefield-like injuries, and the potential for a mass casualty event if the facility is downgraded to a clinic or reduced in personnel or capabilities; and a description of the extent to which the Secretary, in making such determination, consulted with the appropriate training directorate, training and doctrine command, and forces command of each military department.
A site assessment by the TRICARE program to assess the network capabilities of TRICARE providers in the local area. The inpatient mental health availability. The average annual inpatient care directed to civilian medical facilities. The civilian capacity by medical specialty in each catchment area. The distance in miles to the nearest civilian emergency care department. The distance in miles to the closest civilian inpatient hospital, listed by level of care and whether the facility is designated a sole community hospital.
The availability of ambulance service on the military installation and the distance in miles to the nearest civilian ambulance service, including the average response time to the military installation. An estimate of the cost to restructure or realign the military medical treatment facility, including with respect to bed closures and civilian personnel reductions. If the military medical treatment facility is restructured or realigned, an estimate of— the number of civilian personnel reductions, listed by series; the number of local support contracts terminated; and the increased cost of purchased care.
An assessment of the effect of the elimination of health care services at the military medical treatment facility on civilians employed at such facility. . The table of sections at the beginning of such chapter is amended by inserting after the item relating to section 1073b the following new item: 1073c. Reports on proposed realignments of military medical treatment facilities. .