To establish requirements and prohibitions relating to the provision of health care services at Fort Leonard Wood, Missouri.

SA 3799. Mr. HAWLEY submitted an amendment intended to be proposed to
amendment SA 3748 proposed by Mr. Wicker (for himself and Mr. Reed) to
the bill S. 2296, to authorize appropriations for fiscal year 2026 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, add the following:

SEC. 718. PROVISION OF HEALTH CARE SERVICES AT FORT LEONARD
WOOD, MISSOURI.

(a) Assessment.--The Secretary of Defense, in consultation
with the Secretary of the Army, shall conduct an assessment
of the adequacy of health care services available to covered
beneficiaries under the TRICARE program located at Fort
Leonard Wood, Missouri.
(b) Elements.--The assessment required by subsection (a)
shall include the following elements:
(1) An evaluation of the ability of the local area to
provide adequate access to care for the covered beneficiary
population surrounding Fort Leonard Wood.
(2) An evaluation of potential impacts to access and
quality of care for such beneficiaries if the General Leonard
Wood Army Community Hospital were to be realigned,
downgraded, or have its scope of services reduced.
(3) An evaluation of the ability to establish additional
partnerships with the Department of Veterans Affairs for the
provision of health care service at the General Leonard Wood
Army Community Hospital.
(4) Such other matters as the Secretary considers relevant
for determining the continued viability of the General
Leonard Wood Army Community Hospital.
(c) Prohibition.--The Secretary of Defense may not close,
downgrade, or reduce the scope of care offered by the General
Leonard Wood Army Community Hospital unless--
(1) the Secretary--
(A) completes the assessment required by subsection (a) and
delivers such assessment to the Committees on Armed Services
of the Senate and the House of Representatives; and
(B) certifies to the Committees on Armed Services of the
Senate and the House of Representatives that any such changes
would not reduce or degrade the health care services
available to covered beneficiaries and the local community;
and
(2) the Chief of Staff of the Army certifies to the
Committees on Armed Services of the Senate and the House of
Representatives that there will be no degradation of medical
readiness of units assigned to Fort Leonard Wood as a result
of any changes to the status of the General Leonard Wood Army
Community Hospital.
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