[Congressional Bills 108th Congress]
[From the U.S. Government Publishing Office]
[S. 2430 Introduced in Senate (IS)]







108th CONGRESS
  2d Session
                                S. 2430

 To provide for improved medical readiness of the members of the Armed 
                    Forces, and for other purposes.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                              May 18, 2004

Mrs. Clinton (for herself, Mr. Talent, and Mr. Schumer) introduced the 
 following bill; which was read twice and referred to the Committee on 
                             Armed Services

_______________________________________________________________________

                                 A BILL


 
 To provide for improved medical readiness of the members of the Armed 
                    Forces, and for other purposes.

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

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Medical Readiness and Tracking Act 
of 2004''.

                  TITLE I--RESERVE COMPONENT PERSONNEL

SEC. 101. STUDY OF HEALTH OF RESERVES ORDERED TO ACTIVE DUTY FOR 
              OPERATIONS ENDURING FREEDOM AND IRAQI FREEDOM.

    (a) Requirement for GAO Study.--The Comptroller General of the 
United States shall carry out a study of the health of the members of 
the reserve components of the Armed Forces who have been called or 
ordered to active duty for a period of more than 30 days in support of 
Operation Enduring Freedom and Operation Iraqi Freedom. The Comptroller 
General shall commence the study not later than 180 days after the date 
of the enactment of this Act.
    (b) Purposes.--The purposes of the study under this section are as 
follows:
            (1) To review the health status and medical fitness of the 
        activated Reserves when they were called or ordered to active 
        duty.
            (2) To review the effects, if any, on logistics planning 
        and the deployment schedules for the operations referred to in 
        subsection (a) that resulted from deficiencies in the health or 
        medical fitness of activated Reserves.
            (3) To review compliance of the responsible Department of 
        Defense personnel with Department of Defense policies on 
        routine medical and physical fitness examinations that are 
        applicable to the reserve components of the Armed Forces.
            (4) To review in the case of activated Reserves deployed to 
        the theater of an operation referred to in subsection (a), the 
        medical care that was provided to such personnel in the theater 
        during the first six months after arrival in the theater.
    (c) Report.--The Comptroller General shall, not later than 18 
months after the date of the enactment of this Act, submit a report on 
the results of the study under this section to the Committees on Armed 
Services of the Senate and the House of Representatives. The report 
shall include the following matters:
            (1) With respect to the matters reviewed under paragraph 
        (1) of subsection (b)--
                    (A) the percentage of activated Reserves who were 
                determined to be medically unfit for deployment, 
                together with an analysis of the medical illnesses or 
                conditions most commonly found among the activated 
                Reserves that were grounds for determinations of 
                medical unfitness for deployment; and
                    (B) the percentage of the activated Reserves who, 
                before being deployed, needed medical care for health 
                conditions identified when called or ordered to active 
                duty, together with an analysis of the types of care 
                that were provided for such conditions.
            (2) With respect to the matters reviewed under paragraph 
        (2) of subsection (b)--
                    (A) the delays and other disruptions in deployment 
                schedules that resulted from deficiencies in the health 
                status or medical fitness of activated Reserves; and
                    (B) an analysis of the extent to which it was 
                necessary to merge units or otherwise alter the 
                composition of units, and the extent to which it was 
                necessary to merge or otherwise alter objectives, in 
                order to compensate for limitations on the 
                deployability of activated Reserves resulting from 
                deficiencies in the health status or medical fitness of 
                activated Reserves.
            (3) With respect to the matters reviewed under paragraph 
        (3) of subsection (b), an assessment of the extent of the 
        compliance of the responsible Department of Defense personnel 
        with Department of Defense policies on routine medical and 
        physical fitness examinations that are applicable to the 
        reserve components of the Armed Forces.
            (4) With respect to the matters reviewed under paragraph 
        (4) of subsection (b), an analysis of the extent to which the 
        medical care provided to activated Reserves in each theater of 
        operations referred to in subsection (a) related to preexisting 
        conditions that were not adequately addressed before the 
        deployment of such personnel to the theater.
    (d) Definitions.--In this section:
            (1) The term ``activated Reserves'' means the members of 
        the Armed Forces referred to in subsection (a).
            (2) The term ``active duty for a period of more than 30 
        days'' has the meaning given such term in section 101(d) of 
        title 10, United States Code.
            (3) The term ``health condition'' includes a dental 
        condition.
            (4) The term ``reserve components of the Armed Forces'' 
        means the reserve components listed in section 10101 of title 
        10, United States Code.

SEC. 102. PHYSICAL EXAMINATIONS.

    (a) Requirement.--Section 10206(a) of title 10, United States Code, 
is amended by striking ``shall--'' and all that follows and inserting 
``shall be examined as to his physical fitness every 30 months, or more 
often as the Secretary concerned considers necessary.''.
    (b) Effective Date.--This section and the amendment made by 
subsection (a) shall take effect on October 1, 2004.

SEC. 103. RETRAINING OR SEPARATION OF MEDICALLY UNFIT MEMBERS.

    (a) Requirement.--Chapter 1007 of title 10, United States Code, is 
amended by inserting after section 10206 the following new section:
``Sec. 10206a. Required actions for members not medically fit
    ``(a) In General.--The Secretary of a military department shall 
take action under subsection (b) in the case of each member of a 
reserve component under the Secretary's jurisdiction who--
            ``(1) as a result of an examination under section 10206 of 
        this title or any other physical or medical examination 
        performed under regulations prescribed by the Secretary, is 
        determined not medically qualified for the performance of the 
        duties of such member's position; and
            ``(2) either--
                    ``(A) as of the date that is 180 days after the 
                date of that determination, is not making progress to 
                become medically qualified in accordance with a plan 
                approved under regulations prescribed by the Secretary; 
                or
                    ``(B) does not become medically qualified for the 
                position within the period covered by such a plan.
    ``(b) Required Actions.--A member of a reserve component described 
in subsection (a)--
            ``(1) shall be reassigned to a position in such reserve 
        component for which the member is medically and otherwise 
        qualified; or
            ``(2) if there is no position in such reserve component for 
        which the member is medically and otherwise qualified, shall be 
        separated from such reserve component.''.
    (b) Clerical Amendment.--The table of sections at the beginning of 
such chapter is amended by inserting after the item relating to section 
10206 the following new item:

``10206a. Required actions for members not medically fit.''.

SEC. 104. POLICY ON DEFERRAL OF MEDICAL TREATMENT PENDING DEPLOYMENT TO 
              THEATERS OF OPERATION.

    (a) Requirement for Policy.--(1) Chapter 1007 of title 10, United 
States Code, as amended by section 103, is further amended by inserting 
after section 10206a the following new section:
``Sec. 10206b. Members ordered to active duty: treatment of medical 
              conditions
    ``(a) Policy Required.--The Secretary of Defense shall prescribe a 
policy that specifies for members of the reserve components called or 
ordered to active duty for a period of more than 30 days under a 
provision of law referred to in section 101(a)(13)(B) of this title--
            (1) the circumstances under which treatment for medical 
        conditions may be deferred to be provided within a theater of 
        operations in order to prevent delay or other disruption of a 
        deployment to that theater; and
            (2) the circumstances under which medical conditions are to 
        be treated before deployment to that theater.
    ``(b) Factors To Be Considered.--The policy under subsection (a) 
shall specify the factors to be considered in a determination of 
deferral or initiation of treatment of a medical condition of a member 
to be deployed to a theater of operations, including the following 
factors:
            ``(1) Severity of the condition, including the extent of 
        risk of significant aggravation of the condition if treatment 
        is delayed or inadequate.
            ``(2) Medical treatment capabilities available to the 
        member for such condition in the theater of operations.
            ``(3) The cost of treatment of the condition in such 
        theater as compared to the cost of treatment of the condition 
        under chapter 55 of this title at or in the vicinity of the 
        facility or installation from which the member is to be 
        deployed.''.
    (2) The table of sections at the beginning of such chapter, as 
amended by section 103(b), is further amended by inserting after the 
item relating to section 10206a the following new item:

``10206b. Members ordered to active duty: treatment of medical 
                            conditions.''.
    (b) Time for Issuance of Policy.--The Secretary of Defense shall 
issue the policy required by section 10206b of title 10, United States 
Code (as added by subsection (a)), not later than 180 days after the 
date of the enactment of this Act.

                  TITLE II--ALL ARMED FORCES PERSONNEL

                      Subtitle A--Health Screening

SEC. 201. RECRUIT ASSESSMENT PROGRAM.

    (a) Baseline Health Data.--(1) Chapter 55 of title 10, United 
States Code, is amended by inserting after section 1092 the following 
new section:
``Sec. 1092a. Persons entering the armed forces: baseline health data
    ``(a) Program Required.--The Secretary of Defense shall, for the 
purposes set forth in subsection (b), carry out a program for--
            ``(1) the routine collection of baseline health data from 
        all persons entering the armed forces;
            ``(2) computerized compilation and maintenance of the 
        baseline health data; and
            ``(3) analysis of the data.
    ``(b) Purposes.--The program under this section shall be designed 
to achieve the following purposes:
            ``(1) To facilitate understanding of how exposures related 
        to service in the armed forces affect health.
            ``(2) To facilitate development of early intervention and 
        prevention programs to protect health and readiness.
    ``(c) Baseline Health Data Defined.--In this section, the term 
`baseline health data', with respect to a person entering any of the 
armed forces, means comprehensive information on the health of that 
person upon entry.
    ``(d) Applicability to Coast Guard.--(1) The program under this 
section shall apply to members of the Coast Guard to the extent 
approved by the Secretary of Homeland Security.
    ``(2) Nothing in paragraph (1) shall be construed to limit the 
application of the program under this section to a member of the Coast 
Guard in that member's capacity as a person entering a reserve 
component of the Army, Navy, Air Force, or Marine Corps.''.
    (2) The table of sections at the beginning of such chapter is 
amended by inserting after the item relating to section 1092 the 
following new item:

``1092a. Persons entering the armed forces: baseline health data.''.
    (b) Time for Implementation.--The Secretary of Defense shall 
implement the program required under section 1092a of title 10, United 
States Code (as added by paragraph (1)), not later than two years after 
the date of the enactment of this Act.

SEC. 202. FURTHER REFINEMENT OF MEDICAL TRACKING SYSTEM FOR MEMBERS 
              DEPLOYED OVERSEAS.

    (a) Establishment of Advisory Working Group.--(1) Not later than 90 
days after the date of the enactment of this Act, the Secretary of 
Defense shall convene a working group to improve the medical tracking 
system for members deployed overseas established under section 1074f of 
title 10, United States Code.
    (2) The working group under paragraph (1) shall be composed of any 
number of members, not less than 12 and not more than 20, that the 
Secretary of Defense determines appropriate for the working group to 
carry out its duties effectively, including members appointed by the 
Secretary as follows:
            (A) One or more representatives of the Assistant Secretary 
        of Defense for Health Affairs.
            (B) One or more representatives of the Secretary of 
        Veterans Affairs, with the consent of the Secretary.
            (C) One or more civilian health professionals who have 
        expertise in public health and epidemiology.
            (D) Three or more civilian health professionals who have 
        been involved in military health research or treatment.
            (E) Three or more civilian health professionals who have 
        been involved in environmental health research or treatment.
            (F) Three or more civilians who are representative of 
        veterans and military health advocacy organizations.
    (3) The working group shall--
            (A) analyze the strengths and weaknesses of the medical 
        tracking system administered under section 1074f of title 10, 
        United States Code, as a means for detecting--
                    (i) any health problems (including mental health 
                conditions) of members of the Armed Forces 
                contemporaneous with the performance of the assessment 
                under the system; and
                    (ii) exposures of the assessed members to 
                environmental hazards that potentially lead to future 
                health problems;
            (B) analyze the strengths and weaknesses of such medical 
        tracking system as a means for supporting future research on 
        health issues presenting in the years following the deployment 
        of the members of the Armed Forces assessed under the system; 
        and
            (C) identify and develop recommended changes to such 
        medical tracking system that strengthen the system as a means 
        for--
                    (i) detecting health problems and exposures to 
                environmental hazards as described in subparagraph (A); 
                and
                    (ii) supporting future research as described in 
                subparagraph (B).
    (4) Not later than 180 days after convening, the working group 
shall submit to the Secretary a report setting forth the analyses and 
recommendations of the working group.
    (b) Actions by Secretary of Defense.--Not later than 180 days after 
receipt of the report under subsection (a)(4), the Secretary of Defense 
shall prescribe regulations to implement the recommendations of the 
working group to the extent that the Secretary considers appropriate. 
The regulations shall include policies and standards for drawing blood 
samples for effective assessment and tracking of the medical conditions 
of personnel before deployment, upon the end of a deployment, and for a 
follow-up period of appropriate length.
    (c) Interim Standards for Blood Sampling.--(1) The Secretary of 
Defense shall require that, under the medical tracking system 
administered under section 1074f of title 10, United States Code--
            (A) the blood samples necessary for the predeployment 
        medical examination of a member of the Armed Forces required 
        under subsection (b) of such section be drawn not earlier than 
        30 days before the date of the deployment;
            (B) the blood samples necessary for the postdeployment 
        medical examination of a member of the Armed Forces required 
        under such subsection be drawn not later than 30 days after the 
        date on which the deployment ends; and
            (C) annually, for the first three years after the 
        deployment of a member ends, blood samples be drawn from that 
        person for the purpose of assessing the medical condition of 
        such person under such system.
    (2) In the case of a person who is no longer a member of the Armed 
Forces when a blood sample is to be drawn from such person under 
paragraph (1)(C), the blood may be drawn at any medical facility of the 
uniformed services designated by the Secretary of Defense. The 
Secretary shall attempt to accommodate the convenience of that person 
in selecting a facility for the drawing of that person's blood sample.
    (3) The requirements of paragraph (1) shall cease to be effective 
on the date on which the regulations prescribed under subsection (b) 
take effect.

           Subtitle B--Medical Care in Theater of Operations

SEC. 211. MEDICAL SERVICES PROVIDED IN ALLIED HEALTH FACILITIES.

    Not later than one year after the date of the enactment of this 
Act, the Assistant Secretary of Defense for Health Affairs shall submit 
to the Secretary of Defense and the Committees on Armed Services of the 
Senate and the House of Representatives a report on the extent and 
types of medical services that were provided to members of the Armed 
Forces in facilities of allies of the United States during previous and 
current deployments of the Armed Forces, including Operations Desert 
Shield, Desert Storm, Joint Endeavor, Joint Forge, Joint Guardian, 
Enduring Freedom, and Iraqi Freedom.

SEC. 212. DEVELOPMENT OF POLICY ON PERSONNEL LOCATION DATA.

    (a) Requirement for Policy.--The Secretary of Defense shall 
prescribe a Department of Defense policy on the collection and 
dissemination of in-theater individual personnel location data for the 
following purposes:
            (1) To facilitate health care research and informed health 
        care policy making for the Armed Forces.
            (2) To enhance the capabilities of the Armed Forces to 
        recognize and meet the health care needs of members of the 
        Armed Forces returning to home stations from deployment to a 
        theater of operations.
    (b) Advisory Working Group.--(1) The Secretary shall establish a 
working group to advise the Secretary on the development of the policy 
under subsection (a). The working group shall include the following:
            (A) One or more representatives of the Assistant Secretary 
        of Defense for Health Affairs.
            (B) One or more representatives of the Secretary of 
        Veterans Affairs, with the consent of the Secretary.
            (C) One or more representatives of the program manager for 
        the Global Combat Support System.
            (D) One or more representatives of the defense manpower 
        data center.
            (E) One or more representatives of the program manager for 
        the Land Warrior System.
            (F) One or more civilian health professionals who have been 
        involved in research and treatment of Gulf War Syndrome.
            (G) One or more representatives of the Joint Staff.
    (2) In developing the policy recommendations, the working group 
shall take into consideration--
            (A) traditional medical requirements for complete and open 
        access to specific, individual personnel location data to 
        provide for--
                    (i) adequate and independent peer review by all 
                interested parties; and
                    (ii) an open and transparent process for setting 
                scientifically rigorous health policy and formulating 
                clinical guidelines for care;
            (B) traditional operational requirements for securing 
        personnel location data so as to prevent--
                    (i) compromise of mission objectives; or
                    (ii) unauthorized disclosure of tactical and 
                logistical planning; and
            (C) existing practical limitations on the collection of 
        such data, together with solutions for eliminating such 
        limitations.

SEC. 213. REPORT ON TRAINING OF FIELD MEDICAL PERSONNEL.

    (a) Requirement for Report.--Not later than one year 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 the training on environmental hazards that 
is provided by the Armed Forces to medical personnel of the Armed 
Forces who are deployable to the field in direct support of combat 
personnel.
    (b) Content.--The report under subsection (a) shall include the 
following:
            (1) An assessment of the adequacy of the training 
        regarding--
                    (A) the identification of--
                            (i) common environmental hazards; and
                            (ii) exposures to such hazards; and
                    (B) the prevention and treatment of adverse health 
                effects of such exposures.
            (2) A discussion of the actions taken and to be taken to 
        improve such training.

         Subtitle C--Medical Care After Return From Deployment

SEC. 221. FINDINGS.

    Congress makes the following findings:
            (1) One out of every nine members of the Armed Forces 
        returning to home station from a deployment overseas listed on 
        the member's post-deployment self-reported health assessment 
        under the Health Evaluation Assessment Review program of the 
        United States Army Center for Health Promotion and Preventive 
        Medicine a concern about possibly having been exposed to 
        environmental hazards deleterious to the member's health during 
        the deployment, according to an article in the edition of the 
        Medical Surveillance Monthly Report published for July and 
        August 2003 by the Army Medical Surveillance Activity of the 
        Directorate of Epidemiology and Disease Surveillance of the 
        United States Army Center for Health Promotion and Prevention 
        of Disease.
            (2) This constitutes a high proportion of members who might 
        have suffered exposure to environmental hazards that 
        potentially lead to immediate or future health problems.

SEC. 222. REPORT ON RESPONSES TO HEALTH CONCERNS OF MEMBERS.

    (a) Requirement for Report.--Not later than 180 days after the date 
of the enactment of this Act, the Assistant Secretary of Defense for 
Health Affairs shall submit to the Secretary of Defense and the 
Committees on Armed Services of the Senate and the House of 
Representatives a report on Department of Defense responses to 
expressions of concerns made as described in section 221(1).
    (b) Content.--The report regarding health concerns submitted under 
subsection (a) shall include the following:
            (1) A discussion of the actions taken by Department of 
        Defense officials to investigate the circumstances underlying 
        such concerns in order to determine the validity of the 
        concerns.
            (2) A discussion of the actions taken by Department of 
        Defense officials to evaluate or treat members and former 
members of the Armed Forces who are confirmed to have been exposed to 
environmental hazards deleterious to their health during deployments of 
the Armed Forces.

SEC. 223. RESPONSIBILITIES OF INSTALLATION COMMANDERS.

    (a) Preparations To Meet Health Care Needs.--Chapter 55 of title 
10, United States Code, is amended by inserting after section 1074k the 
following new section:
``Sec. 1074l. Care of members redeploying from overseas deployment
    ``(a) Needs Assessment.--The Secretary of Defense shall require the 
commander of each military installation at which members of the armed 
forces are to be processed upon redeployment from an overseas 
deployment--
            ``(1) to identify and analyze the anticipated health care 
        needs of such members before the arrival of such members at 
        that installation; and
            ``(2) to report such needs to the Secretary.
    ``(b) Data Sources.--To carry out the duties imposed under 
subsection (a), the commander of an installation shall obtain the 
necessary information from the sources available to the commander, 
including the following information:
            ``(1) Information on schedules and locations from 
        transportation and logistics personnel.
            ``(2) Information on disease and nonbattle injuries from 
        the Surgeon General of the armed force concerned.
            ``(3) Information collected from environmental surveillance 
        of the theater of military operations from which members are 
        redeploying.
            ``(4) Information on the prevalence of combat and noncombat 
        injuries, to the extent relevant.
    ``(c) Health Care To Meet Needs.--The Secretary of Defense shall 
prescribe in regulations procedures for the commander of each military 
installation described in subsection (a) to meet the anticipated health 
care needs that are identified by the commander in the performance of 
duties under this section. The procedures shall include the following:
            ``(1) Arrangements for health care provided by the 
        Secretary of Veterans Affairs.
            ``(2) Procurement of services from local health care 
        providers.
            ``(3) Temporary employment of health care personnel to 
        provide services at such installation.''.
    (b) Clerical Amendment.--The table of sections at the beginning of 
such chapter is amended by inserting after the item relating to section 
1074k the following new item:

``1074l. Care of members redeploying from overseas deployment.''.

                 TITLE III--POLICY COMPLIANCE ASSURANCE

SEC. 301. SERUM REPOSITORY AUDITS.

    (a) Requirement for Biennial Audit.--(1) Chapter 55 of title 10, 
United States Code, is amended by inserting after section 1073a the 
following new section:
``Sec. 1073b. Serum repository audits
    ``(a) Periodic Audits.--The Secretary of Defense shall require the 
director of the serum repository of the Department of Defense to audit 
at least twice every two years the records of blood samples stored in 
such repository to determine the percentage of members of the armed 
forces who are in compliance with the applicable Department of Defense 
and military department policies on the collection of blood samples 
from members of the armed forces. The Secretary may impose any higher 
minimum number of periodic audits under this section that the Secretary 
considers appropriate.
    ``(b) Report.--(1) Upon completion of an audit under subsection 
(a), the director of the serum repository shall submit a report on the 
audit to the Secretary of Defense. The report shall include the 
following information:
            ``(A) The compliance percentage determined under such 
        subsection.
            ``(B) A discussion of the most common compliance problems 
        identified.
            ``(C) Any recommendations for actions to improve 
        compliance.
    ``(2) The Secretary shall transmit the report received under 
paragraph (1) to the Committees on Armed Services of the Senate and the 
House of Representatives. The Secretary may include any comments and 
recommendations that the Secretary considers appropriate.''.
    (2) The table of sections at the beginning of such chapter is 
amended by inserting after the item relating to section 1073a the 
following new item:

``1073b. Serum repository audits.''.
    (b) Initial Audit.--The first audit under section 1073b of title 
10, United States Code (as added by subsection (a)), shall be completed 
not later than 180 days after the date of the enactment of this Act.

SEC. 302. DEPLOYMENT-RELATED HEALTH ASSESSMENT AUDITS.

    (a) Requirement for Biennial Audit.--Section 1074f(d) of title 10, 
United States Code, is amended--
            (1) by inserting ``(1)'' after ``(d) Quality Assurance.--
        ''; and
            (2) by adding at the end the following:
    ``(2)(A) The Secretary of Defense shall require the director of the 
Defense Medical Surveillance System to audit, every two years, the 
predeployment and postdeployment health assessment database maintained 
by the director in order to determine the percentage of members of the 
armed forces who are in compliance with the applicable Department of 
Defense and military department policies on the collection of 
predeployment and postdeployment health assessment data.
    ``(B) Upon completion of the biennial audit under subparagraph (A), 
the director of the Defense Medical Surveillance System shall submit a 
report on the audit to the Secretary of Defense. The report shall 
include the following information:
            ``(i) The compliance percentage determined under such 
        audit.
            ``(ii) A discussion of the most common compliance problems 
        identified.
            ``(iii) Any recommendations for actions to improve 
        compliance.
    ``(C) The Secretary shall transmit the report received under 
subparagraph (B) to the Committees on Armed Services of the Senate and 
the House of Representatives. The Secretary may include any comments 
and recommendations that the Secretary considers appropriate.''.
    (b) Initial Audit.--The first audit under section 1074f(d)(2) of 
title 10, United States Code (as added by subsection (a)), shall be 
completed not later than 180 days after the date of the enactment of 
this Act.

SEC. 303. DECLASSIFICATION OF INFORMATION ON EXPOSURES TO ENVIRONMENTAL 
              HAZARDS.

    (a) Requirement for Review.--The Secretary of Defense shall review 
and, as determined appropriate, revise the classification policies of 
the Armed Forces Medical Intelligence Center with a view to 
facilitating the declassification of data that is potentially useful 
for the monitoring and assessment of the health of members of the Armed 
Forces who have been exposed to environmental hazards during 
deployments overseas, including the following data:
            (1) In-theater injury rates.
            (2) Data derived from environmental surveillance.
            (3) Health tracking data.
    (b) Participation of Director of Armed Forces Medical Intelligence 
Center.--The Secretary may act through or consult with the Director of 
the Armed Forces Medical Intelligence Center in carrying out the review 
and revising policies under subsection (b).
    (c) Report.--Not later than 180 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 any changes to policies described in 
subsection (a) that have been made as a result of the review under such 
subsection.

SEC. 304. ACCESSIBILITY OF HEALTH ASSESSMENT INFORMATION TO ARMY 
              MEMBERS ON THE INTERNET.

    Not later than one year after the date of the enactment of this 
Act, the Chief Information Officer of the Department of the Army shall 
ensure that the Army Knowledge Online portal website includes the 
following health-assessment related information:
            (1) Information on the Department of Defense policies 
        regarding predeployment and postdeployment health assessments, 
        including policies on the following matters:
                    (A) Health surveys.
                    (B) Physical examinations.
                    (C) Collection of blood samples and other tissue 
                samples.
            (2) Procedural information on compliance with such 
        policies, including the following information:
                    (A) Information for determining whether a member is 
                in compliance.
                    (B) Information on how to comply.
            (3) Health assessment surveys that are either--
                    (A) web-based; or
                    (B) accessible (with instructions) in       
                printer-ready form by download.

SEC. 305. FULL IMPLEMENTATION OF FORCE HEALTH PROTECTION AND READINESS 
              PROGRAM.

    (a) Implementation at All Levels.--The Secretary of Defense, in 
conjunction with the Secretaries of the military departments, shall 
take such actions as are necessary to ensure that each of the Armed 
Forces fully implements at all levels the Force Health Protection and 
Readiness Program of the Department of Defense (relating to the 
prevention of injury and illness and the reduction of disease and 
noncombat injury threats).
    (b) Action Official.--The Secretary of Defense may act through the 
Deputy Assistant Secretary of Defense for Force Health Protection and 
Readiness in carrying out subsection (a).
                                 <all>