Sec. 711. IMPROVEMENT OF ADMINISTRATION OF THE DEFENSE HEALTH AGENCY AND MILITARY MEDICAL TREATMENT FACILITIES
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## SEC. 711 IMPROVEMENT OF ADMINISTRATION OF THE DEFENSE HEALTH AGENCY AND MILITARY MEDICAL TREATMENT FACILITIES ###
(a)Administration of Facilities by Director of Defense Health Agency ####
(1)In general Subsection
(a)of section 1073c of title 10, United States Code, is amended— #####
(A)in paragraph (1), by striking “Beginning October 1, 2018,” and inserting “In accordance with paragraph (4), by not later than September 30, 2021,”; #####
(B)by redesignating paragraphs
(2)and
(3)as paragraphs
(3)and (5), respectively; #####
(C)by inserting after paragraph
(1)the following new paragraph (2): > > #### “(2) > > In addition to the responsibilities set forth in paragraph (1), the Director of the Defense Health Agency shall, commencing when the Director begins to exercise responsibilities under that paragraph, have the authority— > > > ##### “(A) > > to direct, control, and serve as the primary rater of the performance of commanders or directors of military medical treatment facilities; > > > ##### “(B) > > to direct and control any intermediary organizations between the Defense Health Agency and military medical treatment facilities; > > > ##### “(C) > > to determine the scope of medical care provided at each military medical treatment facility to meet the military personnel readiness requirements of the senior military operational commander of the military installation; > > > ##### “(D) > > to determine total workforce requirements at each military medical treatment facility; > > > ##### “(E) > > to direct joint manning at military medical treatment facilities and intermediary organizations; > > > ##### “(F) > > to address personnel staffing shortages at military medical treatment facilities; and > > > ##### “(G) > > to select among service nominations for commanders or directors of military medical treatment facilities.” > ; #####
(D)by inserting after paragraph (3), as redesignated by subparagraph (B), the following new paragraph (4): > > #### “(4) > > The Secretary of Defense shall establish a timeline to ensure that each Secretary of a military department transitions the administration of military medical treatment facilities from such Secretary to the Director of the Defense Health Agency pursuant to paragraph
(1)by the date specified in such paragraph.” > ; and #####
(E)in paragraph (5), as so redesignated, by striking “subsection (a)” and inserting “paragraphs
(1)and (2)”. ####
(2)Combat support responsibilities Subsection (d)(2) of such section is amended by adding at the end the following new subparagraph: > > ##### “(C) > > Ensuring that the Defense Health Agency meets the military medical readiness requirements of the senior military operational commanders of the military installations.” > . ####
(3)Limitation on closures and downsizings in connection with transition of administration **[**[10 U.S.C. 1073c note](/us/usc/t10/s1073c)**]** In carrying out the transition of responsibility for the administration of military medical treatment facilities pursuant to subsection
(a)of section 1073c of title 10, United States Code (as amended by paragraph (1)), and in addition to any other applicable requirements under section 1073d of that title, the Secretary of Defense may not close any military medical treatment facility, or downsize any medical center, hospital, or ambulatory care center (as specified in section 1073d of that title), that addresses the medical needs of beneficiaries and the community in the vicinity of such facility, center, hospital, or care center until the Secretary submits to the congressional defense committees a report setting forth the following: #####
(A)A description of the methodology and criteria to be used by the Secretary to make decisions to close any military medical treatment facility, or to downsize any medical center, hospital, or ambulatory care center, in connection with the transition, including input from the military department concerned. #####
(B)A requirement that no closure of a military medical treatment facility, or downsizing of a medical center, hospital, or ambulatory care center, in connection with the transition will occur until 90 days after the date on which Secretary submits to the Committees on Armed Services of the Senate and the House of Representatives a report on the closure or downsizing. ###
(b)Additional Defense Health Agency Organizations ####
(1)In general Section 1073c of such title is further amended— #####
(A)by redesignating subsection
(e)as subsection (f); and #####
(B)by inserting after subsection
(d)the following new subsection (e): > > ### “(e) Additional DHA Organizations > > Not later than September 30, 2022, the Secretary of Defense shall, acting though the Director of the Defense Health Agency, establish within the Defense Health Agency the following: > > > #### “(1) > > A subordinate organization, to be called the Defense Health Agency Research and Development— > > > ##### “(A) > > led, at the election of the Director, by a director or commander (to be called the Director or Commander of Defense Health Agency Research and Development); > > > ##### “(B) > > comprised of the Army Medical Research and Materiel Command and such other medical research organizations and activities of the armed forces as the Secretary considers appropriate; and > > > ##### “(C) > > responsible for coordinating funding for Defense Health Program Research, Development, Test, and Evaluation, the Congressionally Directed Medical Research Program, and related Department of Defense medical research. > > > #### “(2) > > A subordinate organization, to be called the Defense Health Agency Public Health— > > > ##### “(A) > > led, at the election of the Director, by a director or commander (to be called the Director or Commander of Defense Health Agency Public Health); and > > > ##### “(B) > > comprised of the Army Public Health Command, the Navy-Marine Corps Public Health Command, Air Force public health programs, and any other related defense health activities that the Secretary considers appropriate, including overseas laboratories focused on preventive medicine, environmental health, and similar matters.” > . ####
(2)Report on feasibility of further additional organization in dha Not later than 270 days after the date of the enactment of this Act, the Secretary of Defense shall submit to the Committees on Armed Services of the Senate and the House of Representatives a report on a study, conducted by the Secretary for purposes of the report, of the feasibility of establishing with the Defense Health Agency a subordinate organization, to be called the Defense Health Agency Education and Training, to be led by the President of the Uniformed Services University of the Health Sciences and to be comprised of the current Medical Education and Training Campus, the Uniformed Services University of the Health Sciences, the medical education and training commands of the Armed Forces, and such other elements, facilities, and commands of the Department of Defense as the Secretary considers appropriate. ###
(c)Report on Feasibility of Superseding Organization for DHA ####
(1)Report required Not later than 270 days after the date of the enactment of this Act, the Secretary of Defense shall submit to the Committees on Armed Services of the Senate and the House of Representatives a report on a study, conducted by the Secretary for purposes of the report, of the feasibility of establishing a command, to be called the Defense Health Command, as a superseding organization to the Defense Health Agency. ####
(2)Elements If the Secretary determines in the report under paragraph
(1)that a command as a superseding organization to the Defense Health Agency is feasible, the report shall include the following: #####
(A)A description of the required responsibilities of the commander of the command. #####
(B)A description of any current organizations that support the Defense Health Agency to be included in the command. #####
(C)A description of any authorities required for the leadership and direction of the command. #####
(D)Any other matters in the connection with the establishment, operations, and activities of the command that the Secretary considers appropriate.
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Sec. 711
IMPROVEMENT OF ADMINISTRATION OF THE DEFENSE HEALTH AGENCY AND MILITARY MEDICAL TREATMENT FACILITIES
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