[Congressional Record Volume 168, Number 158 (Thursday, September 29, 2022)]
[Senate]
[Page S5578]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]

  SA 6048. Mr. REED (for himself and Mr. Inhofe) submitted an amendment 
intended to be proposed to amendment SA 5499 submitted by Mr. Reed (for 
himself and Mr. Inhofe) and intended to be proposed to the bill H.R. 
7900, to authorize appropriations for fiscal year 2023 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. 730. ESTABLISHMENT OF CORE CASUALTY RECEIVING FACILITIES 
                   TO IMPROVE MEDICAL FORCE GENERATION AND 
                   READINESS.

       (a) In General.--Pursuant to the requirements of this 
     section, the Secretary of Defense shall establish certain 
     military medical treatment facilities as Core Casualty 
     Receiving Facilities to maintain the medical capability and 
     capacity required to diagnose, treat, and rehabilitate large 
     volume combat casualties and to provide a medical response to 
     natural disasters, mass casualty events, or other national 
     emergencies as may be directed by the President or the 
     Secretary.
       (b) Location of Facilities.--The Secretary shall ensure 
     that facilities established under subsection (a) are 
     geographically located to facilitate aeromedical evacuation 
     of casualties from military operational theaters.
       (c) Timeline for Establishment.--
       (1) Designation.--Not later than October 1, 2024, the 
     Secretary shall designate four military medical treatment 
     facilities as Core Casualty Receiving Facilities to be 
     established under subsection (a).
       (2) Operational.--Not later than October 1, 2025, the 
     Secretary shall ensure that the facilities designated under 
     paragraph (1) are fully staffed and operational.
       (d) Personnel Assignment.--
       (1) In general.--The Secretary of Defense shall ensure that 
     the Secretaries of the military departments assign military 
     personnel to Core Casualty Receiving Facilities established 
     under subsection (a) at not less than 90 percent of the 
     staffing level needed to maintain operating bed capacities to 
     support operation planning requirements.
       (2) Use of civilian personnel.--The Secretary of Defense 
     may augment the staffing of military personnel at Core 
     Casualty Receiving Facilities established under subsection 
     (a) with civilian personnel to achieve the staffing 
     requirement under paragraph (1).
       (3) Executive staffing.--The Secretary shall staff each 
     Core Casualty Receiving Facility established under subsection 
     (a) with a civilian Chief Financial Officer and a civilian 
     Chief Operations Officer with experience in the management of 
     civilian hospital systems to ensure continuity in management 
     of the facility.
       (e) Funding.--The Secretary shall include with the 
     submission to Congress by the President of the annual budget 
     of the Department of Defense for a fiscal year under section 
     1105(a) of title 31, United States Code, a line item budget 
     request for each Core Casualty Receiving Facility established 
     under subsection (a) that includes the funding requirements 
     for the operation and maintenance of each such facility.
       (f) Definitions.--In this section:
       (1) Core casualty receiving facilities.--The term ``Core 
     Casualty Receiving Facilities'' means Role 4 medical 
     treatment facilities that serve as the medical hubs for 
     receipt of casualties that may result from combat, natural 
     disasters, mass casualty events, or other national 
     emergencies.
       (2) Role 4 medical treatment facilities.--The term ``Role 4 
     medical treatment facilities'' means facilities that provide 
     the full range of preventative, curative, acute, 
     convalescent, restorative, and rehabilitative care.
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