Sec. 703. Military medical treatment facilities
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Chapter 55 of title 10, United States Code, as amended by section 702, is further amended by inserting after section 1073c the following new section: To support the medical readiness of the armed forces and the readiness of medical personnel, the Secretary of Defense, in consultation with the Secretaries of the military departments, shall maintain the military medical treatment facilities described in subsections (b), (c), and (d). The Secretary of Defense shall maintain medical centers in areas with a large population of members of the armed forces and covered beneficiaries.
Medical centers shall serve as referral facilities for members and covered beneficiaries who require comprehensive health care services that support medical readiness. Medical centers shall consist of the following: Inpatient and outpatient tertiary care facilities that incorporate specialty and subspecialty care. Graduate medical education programs. Residency training programs. Level one or level two trauma care capabilities. The Secretary of Defense shall maintain hospitals in areas where civilian health care facilities are unable to support the health care needs of members of the armed forces and covered beneficiaries.
Hospitals shall provide— inpatient and outpatient health services to maintain medical readiness; and such other programs and functions as the Secretary determines appropriate. Hospitals shall consist of inpatient and outpatient care facilities with limited specialty care that the Secretary determines— is cost effective; or is not available at civilian health care facilities in the area of the hospital. The Secretary of Defense shall maintain ambulatory care centers in areas where civilian health care facilities are able to support the health care needs of members of the armed forces and covered beneficiaries.
Ambulatory care centers shall provide the outpatient health services required to maintain medical readiness, including with respect to partnerships established pursuant to section 707 of the National Defense Authorization Act for Fiscal Year 2017. Ambulatory care centers shall consist of outpatient care facilities with limited specialty care that the Secretary determines— is cost effective; or is not available at civilian health care facilities in the area of the ambulatory care center. .
The table of sections at the beginning of such chapter, as amended by section 702, is further amended by inserting after the item relating to section 1073c the following new item: 1073d. Military medical treatment facilities. . The Secretary of Defense, in collaboration with the Secretaries of the military departments, shall update the report described in paragraph
(2)to address the restructuring or realignment of military medical treatment facilities pursuant to section 1073d of title 10, United States Code, as added by subsection (a), including with respect to any expansions or consolidations of such facilities. The report described in this paragraph is the Military Health System Modernization Study dated May 29th, 2015, required by section 713(a)(2) of the Carl Levin and Howard P. Buck McKeon National Defense Authorization Act for Fiscal Year 2015 ( Public Law 113–291 ; 128 Stat. 3414). Not later than 270 days after the date of the enactment of this Act, the Secretary of Defense shall submit to the congressional defense committees the updated report under paragraph (1). Not later than two years after the date of the enactment of this Act, the Secretary of Defense shall submit to the congressional defense committees an implementation plan to restructure or realign the military medical treatment facilities pursuant to section 1073d of title 10, United States Code, as added by subsection (a). The implementation plan under paragraph
(1)shall include the following: With respect to each military medical treatment facility— whether the facility will be realigned or restructured under the plan; whether the functions of such facility will be expanded or consolidated; the costs of such realignment or restructuring; a description of any changes to the military and civilian personnel assigned to such facility as of the date of the plan; a timeline for such realignment or restructuring; and the justifications for such realignment or restructuring, including an assessment of the capacity of the civilian health care facilities located near such facility. A description of the relocation of the graduate medical education programs and the residency programs.
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- 128 Stat. 3414
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