S.Amdt. 4381

SA 4381. Mr. WARNER submitted an amendment intended to be proposed to
amendment SA 3867 submitted by Mr. Reed and intended to be proposed to
the bill H.R. 4350, to authorize appropriations for fiscal year 2022
for military activities of the Department of Defense, for military
construction, and for defense activities of the Department of Energy,
to prescribe military personnel strengths for such fiscal year, and for
other purposes; which was ordered to lie on the table; as follows:

At the end of subtitle B of title VII, insert the
following:

SEC. 728. MODIFICATIONS AND REPORT RELATED TO REALIGNMENT OR
REDUCTION OF MILITARY MEDICAL MANNING AND
MEDICAL BILLETS.

(a) Modifications to Limitation on Realignment or
Reduction.--Section 719 of the National Defense Authorization
Act for Fiscal Year 2020 (Public Law 116-92; 133 Stat. 1454),
as amended by section 717 of the William M. (Mac) Thornberry
National Defense Authorization Act for Fiscal Year 2021
(Public Law 116-283), is further amended--
(1) in subsection (a), by striking ``180 days following the
date of the enactment of the William M. (Mac) Thornberry
National Defense Authorization Act for Fiscal Year 2021'' and
inserting ``the one-year period following the date of the
enactment of the National Defense Authorization Act for
Fiscal Year 2022''; and
(2) in subsection (b)(1), by inserting ``, including any
billet validation requirements determined pursuant to
estimates provided in the joint medical estimate under
section 732(b)(1) of the John S. McCain National Defense
Authorization Act for Fiscal Year 2019 (Public Law 115-232;
132 Stat. 1817),'' after ``requirements of the military
department of the Secretary''.
(b) GAO Report on Realignment or Reduction of Military
Medical Manning and Medical Billets.--
(1) Report.--Not later than one year after the date of the
enactment of this Act, the Comptroller General of the United
States shall submit to the Committees on Armed Services of
the the Senate and the House of Representatives a report on
the analyses used to support any realignment or reduction of
military medical manning, including any realignment or
reduction of medical billets of the military departments.
(2) Elements.--The report under paragraph (1) shall include
the following:
(A) An analysis of the use of the joint medical estimate
under section 732(b)(1) of the John S. McCain National
Defense Authorization Act for Fiscal Year 2019 (Public Law
115-232; 132 Stat. 1817) and wartime scenarios to determine
military medical manpower requirements, including with
respect to pandemic influenza and homeland defense missions.
(B) An assessment of whether the Secretaries of the
military departments have used the processes under section
719(b) of the National Defense Authorization Act for Fiscal
Year 2020 (Public Law 116-92; 133 Stat. 1454) to ensure that
a sufficient combination of skills, specialties, and
occupations are validated and filled prior to the transfer of
any medical billets of a military department to fill other
military medical manpower needs.
(C) An assessment of the effect of the reduction or
realignment of such billets on local health care networks and
whether the Director of the Defense Health Agency has
conducted such an assessment in coordination with the
Secretaries of the military departments.
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