Sec. 780. Limitation on realignment or reduction of military medical manning end strength: certification requirement and other reforms

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In addition to the limitation under section 719 of the National Defense Authorization Act for Fiscal Year 2020 ( Public Law 116–92 ; 133 Stat. 1454), as most recently amended by section 731 of the National Defense Authorization Act for Fiscal Year 2022 ( Public Law 117–81 ; 135 Stat. 1795), the Secretary of Defense and the Secretaries concerned may not realign or reduce military medical end strength authorizations during the period described in paragraph (2), and after such period, may not realign or reduce such authorizations unless— the report is submitted under subsection (b); and the certification is submitted under subsection (c).

The period described in this paragraph is a period of at least three years that begins on the date of the enactment of this Act. The Secretary of Defense, in coordination with the Secretaries of the military departments, shall conduct an assessment of military medical manning requirements and submit to Committees on Armed Services of the House of Representatives and the Senate a report containing the findings of such assessment. Such assessment shall be informed by the following:

The National Defense Strategy submitted under section 113(g) of title 10, United States Code. The National Military Strategy prepared under section 153(b) of such title. The campaign plans of the combatant commands. Theater strategies. 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). The plan of the Department of Defense on integrated medical operations, as updated pursuant to paragraph

(1)of section 724(a) of the National Defense Authorization Act for Fiscal Year 2022 ( Public Law 117–81 ; 135 Stat. 1793; 10 U.S.C. 1096 note). The plan of the Department of Defense on global patient movement, as updated pursuant to paragraph

(2)of such section. The biosurveillance program of the Department of Defense established pursuant to Department of Defense Directive 6420.02 (relating to biosurveillance). Requirements for graduate medical education. The report of the COVID–19 Military Health System Review Panel under section 731 of the William M.

(Mac)Thornberry National Defense Authorization Act for Fiscal Year 2021 ( Public Law 116–283 ; 134 Stat. 3698). The report of the Inspector General of the Department of Defense titled Evaluation of Department of Defense Military Medical Treatment Facility Challenges During the Coronavirus Disease-2019 (COVID-19) Pandemic in Fiscal Year 2021 (DODIG-2022-081) and published on April 5, 2022. Such other reports as may be determined appropriate by the Secretary of Defense. The Secretary of Defense shall submit to the Committees on Armed Services of the House of Representatives and the Senate a certification containing the following: A certification of the completion of a comprehensive review of military medical manning, including with respect to the medical corps (or other health- or medical-related component of a military department), designator, profession, occupation, and rating of medical personnel. A justification for any proposed increase, realignment, reduction, or other change to the specialty and occupational composition of military medical end strength authorizations, which may include compliance with a requirement or recommendation set forth in a strategy, plan, or other matter specified in subsection (b). A certification that, in the case that any change to such specialty or occupational composition is required, a vacancy resulting from such change may not be filled with a position other than a health- or medical-related position until such time as there are no military medical billets remaining to fill the vacancy. A risk analysis associated with the potential realignment or reduction of any military medical end strength authorizations. An identification of any plans of the Department to backfill military medical personnel positions with civilian personnel. A plan to address persistent vacancies for civilian personnel in health- or medical-related positions, and a risk analysis associated with the hiring, onboarding, and retention of such civilian personnel, taking into account provider shortfalls across the United States. A comprehensive plan to mitigate any risk identified pursuant to paragraph

(4)or (6), including with respect to funding necessary for such mitigation across fiscal years. Not later than April 1, 2023, the Secretary of Defense shall provide to the Committees on Armed Services of the House of Representatives and the Senate a briefing on how the Secretary plans to meet the report requirement under subsection

(b)and the certification requirement under subsection (c). Not later than two years after the date of the enactment of this Act, the Secretary of Defense shall provide to the Committees on Armed Services of the House of Representatives and the Senate a briefing on the progress made towards completion of such requirements. Not later than three years after the date of the enactment of this Act, the Secretary of Defense shall submit to the Committees on Armed Services of the House of Representatives and the Senate a final report on the completion of such requirements. Such final report shall be in addition to the report required under subsection

(b)and the certification required under subsection (c). In this section: The term medical personnel has the meaning given such term in section 115a(e) of such title. The term theater strategy means an overarching construct outlining the vision of a combatant commander for the integration and synchronization of military activities and operations with other national power instruments to achieve the strategic objectives of the United States.

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