[Congressional Bills 103th Congress]
[From the U.S. Government Publishing Office]
[H.R. 530 Introduced in House (IH)]

103d CONGRESS
  1st Session
                                H. R. 530

 To condition the closure of a military medical facility in the United 
   States or a reduction in the level of care provided at a military 
   medical facility in the United States upon a determination by the 
   Secretary of Defense and the Secretary of the military department 
   concerned that the closure or reduction is cost effective for the 
                          Federal Government.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                            January 21, 1993

 Mr. Panetta introduced the following bill; which was referred to the 
                      Committee on Armed Services

_______________________________________________________________________

                                 A BILL


 
 To condition the closure of a military medical facility in the United 
   States or a reduction in the level of care provided at a military 
   medical facility in the United States upon a determination by the 
   Secretary of Defense and the Secretary of the military department 
   concerned that the closure or reduction is cost effective for the 
                          Federal Government.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. CONDITIONS ON CLOSURE OF, OR REDUCTION IN CARE AT, MILITARY 
              MEDICAL FACILITIES.

    (a) Conditions.--The Secretary of a military department may not 
take any action to close, or reduce the level of care provided at, a 
military medical facility in the United States under the jurisdiction 
of the Secretary until 90 days after the date on which the Secretary 
determines that the closure or reduction will be cost effective, as 
calculated under subsection (b). If the closure of a military medical 
facility or a reduction in the level of care provided at a military 
medical facility is proposed as part of the closure or realignment of a 
military installation selected for closure or realignment under a base 
closure law, the Secretary of Defense shall make the determination 
required by this subsection.
    (b) Calculation of Cost Effectiveness.--To determine whether the 
closure of a military medical facility or a reduction in the level of 
care provided at a military medical facility is cost effective, the 
Secretary of Defense or the Secretary of the military department 
concerned, as the case may be, shall calculate whether--
            (1) the cost to the Federal Government of continuing to 
        provide care at the military medical facility to persons who 
        are eligible to receive care at the facility pursuant to 
        section 1074(b), 1074a, 1074b, 1076, or 1145(a) of title 10, 
        United States Code, and receive or are likely to seek treatment 
        at the facility; exceeds
            (2) the cost to the Federal Government of providing 
        alternate equivalent care to such persons at other Federal or 
        private health care facilities as a consequence of the closure 
        or reduction.
    (c) Notification of Congress.--The Secretary of Defense or the 
Secretary of a military department shall notify Congress of each 
determination made by the Secretary concerned under subsection (a), and 
the basis for making the determination, not later than 10 days after 
the Secretary makes the determination.
    (d) Notification of and Consultation With Community Reuse 
Entities.--In the case of a military medical facility located on a 
military installation in the United States selected for closure or 
realignment under a base closure law, the Secretary of Defense shall 
promptly notify all community reuse entities formed with respect to the 
installation if the Secretary is considering the closure of the 
military medical facility or a reduction in the level of care provided 
at the military medical facility as part of the closure or realignment 
of the installation. The Secretary shall consult with such community 
reuse entities in making the determination under subsection (a) with 
regard to that military medical facility.
    (e) Application of Section.--This section shall apply with respect 
to any closure of a military medical facility in the United States or 
any reduction in the level of care provided at a military medical 
facility in the United States, even if the military medical facility is 
located on a military installation selected for closure or realignment 
under a base closure law.
    (f) Definition.--For purposes of this section, the term ``base 
closure law'' means the following:
            (1) The Defense Base Closure and Realignment Act of 1990 
        (part A of title XXIX of Public Law 101-510; 104 Stat. 1808; 10 
        U.S.C. 2687 note).
            (2) Title II of the Defense Authorization Amendments and 
        Base Closure and Realignment Act (Public Law 100-526; 102 Stat. 
        2627; 10 U.S.C. 2687 note).
            (3) Section 2687 of title 10, United States Code.
            (4) Any other similar law enacted after the date of the 
        enactment of this Act.

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