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Code · BILL · 117th Congress · H.R. 4350 (Reported in House) — To authorize appropriations for fiscal year 2022 for military activities of the Department of Defense and for militar... · Sec. 725

Sec. 725. Development and update of certain policies relating to military health system and integrated medical operations

907 words·~4 min read·/bill/117/hr/4350/rh/section-725·

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By not later than October 1, 2022, the Secretary of Defense, in coordination with the Secretaries of the military departments and the Chairman of the Joint Chiefs of Staff, shall develop and update certain policies relating to the military health system and integrated medical operations of the Department of Defense as follows: The Secretary of Defense shall develop an updated plan on integrated medical operations in the continental United States and update the Department of Defense Instruction 6010.22, titled National Disaster Medical System
(NDMS)(or such successor instruction) accordingly. Such updated plan shall— be informed by the operational plans of the combatant commands and by the joint medical estimate under section 732 of the John S. McCain National Defense Authorization Act for Fiscal Year 2019 ( Public Law 115–232 ; 132 Stat. 1817); include a determination as to whether combat casualties should receive medical care under the direct care or purchased care component of the military health system and a risk analysis in support of such determination; identify the manning levels required to furnish medical care under the updated plan, including with respect to the levels of military personnel, civilian employees of the Department, and contractors of the Department; and include a cost estimate for the furnishment of such medical care. The Secretary of Defense shall develop an updated plan on global patient movement and update the Department of Defense Instruction 5154.06, relating to medical military treatment facilities and patient movement (or such successor instruction) accordingly. Such updated plan shall— be informed by the operational plans of the combatant commands and by the joint medical estimate under section 732 of the John S. McCain National Defense Authorization Act for Fiscal Year 2019 ( Public Law 115–232 ; 132 Stat. 1817); include a risk assessment with respect to patient movement compared against overall operational plans; include a description of any capabilities-based assessment of the Department that informed the updated plan or that was in progress during the time period in which the updated plan was developed; and identify the manning levels, equipment and consumables, and funding levels, required to carry out the updated plan. The Secretary of Defense shall conduct an assessment of biosurveillance and medical research capabilities of the Department of Defense. Such assessment shall include the following: An identification of the location and strategic value of the overseas medical laboratories and overseas medical research programs of the Department. An assessment of the current capabilities of such laboratories and programs with respect to force health protection and evidence-based medical research. A determination as to whether such laboratories and programs have the capabilities, including as a result of the geographic location of such laboratories and programs, to provide force health protection and evidence-based medical research, including by actively monitoring for future pandemics, infectious diseases, and other potential health threats to members of the Armed Forces. The current capabilities, with respect to biosurveillance and medical research, of the following entities: The Army Medical Research Development Command. The Navy Medical Research Command. The Air Force Medical Readiness Agency. The Walter Reed Army Institute of Research. The United States Army Medical Research Institute of Infectious Disease. The Armed Forces Health Surveillance Branch (including the Global Emerging Infectious Surveillance program). Such other entities as the Secretary may determine appropriate. A determination as to whether the entities specified in subparagraph
(D)have the capabilities, including as a result of the geographic location of the entity, to provide force health protection and evidence-based medical research, including by actively monitoring for future pandemics, infectious diseases, and other potential health threats to members of the Armed Forces. The current manning levels of the entities specified in subparagraph (D), including an assessment of whether such entities are manned at a level necessary to support the missions of the combatant commands (including with respect to missions related to pandemic influenza or homeland defense). The current funding levels of the entities specified in subparagraph (D), including a risk assessment as to whether such funding is sufficient to sustain the manning levels necessary to support missions as specified in subparagraph (F). The Secretary of Defense shall conduct an analysis to determine whether the current organizational structure of the military health system allows for the implementation of the updated plans under paragraphs
(1)and
(2)and of any recommendations made by the Secretary as a result of the assessment under paragraph (3). Such analysis shall include— an assessment of how the Secretary may leverage TRICARE Regional Offices, TRICARE managed care support contractors, and local or regional health care systems, to address any potential gaps in the provision of medical care under the military health system that may limit the progress of such implementation or may arise as the result of such implementation; and recommendations on any organizational changes to the military health system that would be necessary for such implementation. Not later than April 1, 2022, the Secretary of Defense, in coordination with the Secretaries of the military departments and the Chairman of the Joint Chiefs of Staff, shall provide to the Committees on Armed Services of the House of Representatives and the Senate an interim briefing on the progress of implementation of the plans, assessment, and analysis required under subsection (a). Not later than December 1, 2022, the Secretary of Defense shall submit to the Committees on Armed Services of the House of Representatives and the Senate a report describing each updated plan, assessment, and analysis required under subsection (a).
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  • 132 Stat. 1817
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Sec. 725
Development and update of certain policies relating to military health system and integrated medical operations
Stat.132 Stat. 1817
Cites 2Cited by 0 across 0 sources
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