Sec. 702. REFORM OF ADMINISTRATION OF THE DEFENSE HEALTH AGENCY AND MILITARY MEDICAL TREATMENT FACILITIES
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## SEC. 702 REFORM OF ADMINISTRATION OF THE DEFENSE HEALTH AGENCY AND MILITARY MEDICAL TREATMENT FACILITIES ###
(a)Administration ####
(1)In general Chapter 55 of title 10, United States Code, is amended by inserting after section 1073b the following new section: > > ## “SEC. 1073c Administration of Defense Health Agency and military medical treatment facilities > > **[**[10 U.S.C. 1073c](/us/usc/t10/s1073c)**]** > > > ### “(a) Administration of Military Medical Treatment Facilities > > > ####
(1)> > Beginning October 1, 2018, the Director of the Defense Health Agency shall be responsible for the administration of each military medical treatment facility, including with respect to— > > > ##### “(A) > > budgetary matters; > > > ##### “(B) > > information technology; > > > ##### “(C) > > health care administration and management; > > > ##### “(D) > > administrative policy and procedure; > > > ##### “(E) > > miliary medical construction; and > > > ##### “(F) > > any other matters the Secretary of Defense determines appropriate. > > > #### “(2) > > The commander of each military medical treatment facility shall be responsible for— > > > ##### “(A) > > ensuring the readiness of the members of the armed forces and civilian employees at such facility; and > > > ##### “(B) > > furnishing the health care and medical treatment provided at such facility. > > > #### “(3) > > The Secretary of Defense shall establish within the Defense Health Agency a professional staff to provide policy, oversight, and direction to carry out subsection (a). The Secretary shall carry out this paragraph by appointing the positions specified in subsections
(b)and (c). > > > ### “(b) DHA Assistant Director > > > ####
(1)> > There is in the Defense Health Agency an Assistant Director for Health Care Administration. The Assistant Director shall— > > > ##### “(A) > > be a career appointee within the Department; and > > > ##### “(B) > > report directly to the Director of the Defense Health Agency. > > > #### “(2) > > The Assistant Director shall be appointed from among individuals who have equivalent education and experience as a chief executive officer leading a large, civilian health care system. > > > #### “(3) > > The Assistant Director shall be responsible for the following: > > > ##### “(A) > > Establishing priorities for health care administration and management. > > > ##### “(B) > > Establishing policies, procedures, and direction for the provision of direct care at military medical treatment facilities. > > > ##### “(C) > > Establishing priorities for budgeting matters with respect to the provision of direct care at military medical treatment facilities. > > > ##### “(D) > > Establishing policies, procedures, and direction for clinic management and operations at military medical treatment facilities. > > > ##### “(E) > > Establishing priorities for information technology at and between the military medical treatment facilities. > > > ### “(c) DHA Deputy Assistant Directors > > > ####
(1)> > > #####
(A)> > There is in the Defense Health Agency a Deputy Assistant Director for Information Operations. > > > ##### “(B) > > The Deputy Assistant Director for Information Operations shall be responsible for policies, management, and execution of information technology operations at and between the military medical treatment facilities. > > > #### “(2) > > > #####
(A)> > There is in the Defense Health Agency a Deputy Assistant Director for Financial Operations. > > > ##### “(B) > > The Deputy Assistant Director for Financial Operations shall be responsible for the policy, procedures, and direction of budgeting matters and financial management with respect to the provision of direct care across the military health system. > > > #### “(3) > > > #####
(A)> > There is in the Defense Health Agency a Deputy Assistant Director for Health Care Operations. > > > ##### “(B) > > The Deputy Assistant Director for Health Care Operations shall be responsible for the policy, procedures, and direction of health care administration in the military medical treatment facilities. > > > #### “(4) > > > #####
(A)> > There is in the Defense Health Agency a Deputy Assistant Director for Medical Affairs. > > > ##### “(B) > > The Deputy Assistant Director for Medical Affairs shall be responsible for policy, procedures, and direction of clinical quality and process improvement, patient safety, infection control, graduate medical education, clinical integration, utilization review, risk management, patient experience, and civilian physician recruiting. > > > #### “(5) > > Each Deputy Assistant Director appointed under paragraphs
(1)through
(4)shall report directly to the Assistant Director for Health Care Administration. > > > ### “(d) Certain Responsibilities of DHA Director > > > ####
(1)> > In addition to the other duties of the Director of the Defense Health Agency, the Director shall coordinate with the Joint Staff Surgeon to ensure that the Director most effectively carries out the responsibilities of the Defense Health Agency as a combat support agency under section 193 of this title. > > > #### “(2) > > The responsibilities of the Director shall include the following: > > > ##### “(A) > > Ensuring that the Defense Health Agency meets the operational needs of the commanders of the combatant commands. > > > ##### “(B) > > Coordinating with the military departments to ensure that the staffing at the military medical treatment facilities supports readiness requirements for members of the armed forces and health care personnel. > > > ### “(e) Definitions > > In this section: > > > #### “(1) > > The term ‘career appointee’ has the meaning given that term in section 3132(a)(4) of title 5. > > > #### “(2) > > The term ‘Defense Health Agency’ means the Defense Agency established pursuant to Department of Defense Directive 5136.13, or such successor Defense Agency.” > . ####
(2)Clerical amendment **[**[10 U.S.C. 1071](/us/usc/t10/s1071)**]** 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. Administration of Defense Health Agency and military medical treatment facilities.” ". ###
(b)Positions of Surgeon General in the Armed Forces ####
(1)Surgeon general of the army Section 3036 of title 10, United States Code, is amended— #####
(A)in subsection (d), by striking “(1)”; #####
(B)by redesignating subsection
(e)as subsection (g); #####
(C)by inserting after subsection
(d)a new subsection (e); #####
(D)by transferring paragraphs
(2)and
(3)of subsection
(d)to subsection (e), as added by subparagraph (C), and redesignating such paragraphs as paragraphs
(1)and (2), respectively; and #####
(E)by adding after subsection (e), as added by subparagraph (C), the following new subsection (f): > > ### “(f) > > > ####
(1)> > The Surgeon General serves as the principal advisor to the Secretary of the Army and the Chief of Staff of the Army on all health and medical matters of the Army, including strategic planning and policy development relating to such matters. > > > #### “(2) > > The Surgeon General serves as the chief medical advisor of the Army to the Director of the Defense Health Agency on matters pertaining to military health readiness requirements and safety of members of the Army. > > > #### “(3) > > The Surgeon General, acting under the authority, direction, and control of the Secretary of the Army, shall recruit, organize, train, and equip, medical personnel of the Army.” > . ####
(2)Surgeon general of the navy #####
(A)In general Section 5137 of title 10, United States Code, is amended to read as follows: > > ## “SEC. 5137 Surgeon General: appointment; duties > > > ### “(a) Appointment > > The Surgeon General of the Navy shall be appointed by the President, by and with the advice and consent of the Senate, for a term of four years, from officers on the active-duty list of the Navy in any corps of the Navy Medical Department. > > > ### “(b) Duties > > > ####
(1)> > The Surgeon General serves as the Chief of the Bureau of Medicine and Surgery and serves as the principal advisor to the Secretary of the Navy and the Chief of Naval Operations on all health and medical matters of the Navy and the Marine Corps, including strategic planning and policy development relating to such matters. > > > #### “(2) > > The Surgeon General serves as the chief medical advisor of the Navy and the Marine Corps to the Director of the Defense Health Agency on matters pertaining to military health readiness requirements and safety of members of the Navy and the Marine Corps. > > > #### “(3) > > The Surgeon General, acting under the authority, direction, and control of the Secretary of the Navy, shall recruit, organize, train, and equip, medical personnel of the Navy and the Marine Corps.” > . #####
(B)Clerical amendment **[**[10 U.S.C. 5131](/us/usc/t10/s5131)**]** The table of sections at the beginning of chapter 513 of such title is amended by striking the item relating to section 5137 and inserting the following new item:" “5137. Surgeon General: appointment; duties.” ". ####
(3)Surgeon general of the air force #####
(A)In general Section 8036 of title 10, United States Code, is amended to read as follows: > > ## “SEC. 8036 Surgeon General: appointment; duties > > > ### “(a) Appointment > > The Surgeon General of the Air Force shall be appointed by the President, by and with the advice and consent of the Senate from officers of the Air Force who are in the Air Force medical department. > > > ### “(b) Duties > > > ####
(1)> > The Surgeon General serves as the principal advisor to the Secretary of the Air Force and the Chief of Staff of the Air Force on all health and medical matters of the Air Force, including strategic planning and policy development relating to such matters. > > > #### “(2) > > The Surgeon General serves as the chief medical advisor of the Air Force to the Director of the Defense Health Agency on matters pertaining to military health readiness requirements and safety of members of the Air Force. > > > #### “(3) > > The Surgeon General, acting under the authority, direction, and control of the Secretary of the Air Force, shall recruit, organize, train, and equip, medical personnel of the Air Force.” > . #####
(B)Clerical amendment **[**[10 U.S.C. 8031](/us/usc/t10/s8031)**]** The table of sections at the beginning of chapter 805 of such title is amended by striking the item relating to section 8036 and inserting the following new item:" “8036. Surgeon General: appointment; duties.” ". ###
(c)Appointments **[**[10 U.S.C. 1073c note](/us/usc/t10/s1073c)**]** The Secretary of Defense shall make appointments of the positions under section 1073c of title 10, United States Code, as added by subsection (a)— ####
(1)by not later than October 1, 2018; and ####
(2)by not increasing the number of full-time equivalent employees of the Defense Health Agency. ###
(d)Implementation Plan ####
(1)In general The Secretary of Defense shall develop a plan to implement section 1073c of title 10, United States Code, as added by subsection (a). ####
(2)Elements The plan developed under paragraph
(1)shall include the following: #####
(A)How the Secretary will carry out subsection
(a)of such section 1073c. #####
(B)Efforts to eliminate duplicative activities carried out by the elements of the Defense Health Agency and the military departments. #####
(C)Efforts to maximize efficiencies in the activities carried out by the Defense Health Agency. #####
(D)How the Secretary will implement such section 1073c in a manner that reduces the number of members of the Armed Forces, civilian employees who are full-time equivalent employees, and contractors relating to the headquarters activities of the military health system, as of the date of the enactment of this Act. ###
(e)Reports ####
(1)Interim report Not later than March 1, 2017, the Secretary shall submit to the Committees on Armed Services of the House of Representatives and the Senate a report containing— #####
(A)a preliminary draft of the plan developed under subsection (d)(1); and #####
(B)any recommendations for legislative actions the Secretary determines necessary to carry out the plan. ####
(2)Final report Not later than March 1, 2018, the Secretary shall submit to the Committees on Armed Services of the House of Representatives and the Senate a report containing the final version of the plan developed under subsection (d)(1). ####
(3)Comptroller general reviews #####
(A)The Comptroller General of the United States shall submit to the Committees on Armed Services of the House of Representatives and the Senate— ######
(i)a review of the preliminary draft of the plan submitted under paragraph
(1)by not later than September 1, 2017; and ######
(ii)a review of the final version of the plan submitted under paragraph
(2)by not later than September 1, 2018. #####
(B)Each review of the plan conducted under subparagraph
(A)shall determine whether the Secretary has addressed the required elements for the plan under subsection (d)(2).
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- 10 USC 5131
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Sec. 702
REFORM OF ADMINISTRATION OF THE DEFENSE HEALTH AGENCY AND MILITARY MEDICAL TREATMENT FACILITIES
Cite10 USC 5131
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