[Congressional Record Volume 167, Number 194 (Thursday, November 4, 2021)]
[Senate]
[Page S7897]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]

  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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