FY2020 National Defense Authorization Act: Selected Military Personnel Issues

Congressional research reportSep 18, 2020

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FY2020 National Defense Authorization Act:

Selected Military Personnel Issues

Updated September 18, 2020

Congressional Research Service

https://crsreports.congress.gov

R46107

SUMMARY

FY2020 National Defense Authorization Act:

Selected Military Personnel Issues

Each year, the National Defense Authorization Act (NDAA) provides authorization of

appropriations for a range of Department of Defense (DOD) and national security programs and

related activities. New or clarified defense policies, organizational reform, and directed reports to

Congress are often included. For FY2020, the NDAA (P.L. 116-92) addresses or attempts to

resolve high-profile military personnel issues. Some are required annual authorizations (e.g., endstrengths); some are updates or modifications to existing programs; and some are issues

identified in certain military personnel programs.

In the FY2020 NDAA, Congress authorized end-strengths identical to the Administration’s

FY2020 budget proposal. The authorized active duty end-strength increased by about 1% to

1,339,500. The authorized Selected Reserves end-strength decreased by about 2% to 807,800. A

3.1% increase in basic military pay took effect on January 1, 2020. This increase is identical to

the Administration’s FY2020 budget proposal and equal to the automatic annual adjustment

amount directed by statutory formula (37 U.S.C. §1009).

Congress also directed modifications to several existing personnel programs, including

R46107

September 18, 2020

Bryce H. P. Mendez,

Coordinator

Analyst in Defense Health

Care Policy

Kristy N. Kamarck

Specialist in Military

Manpower

Lawrence Kapp

Specialist in Military

Manpower Policy

Alan Ott

Analyst in Defense and

Intelligence Personnel

Policy

extension of DOD Morale, Welfare, and Recreation (MWR) privileges to Foreign

Service Officers on mandatory home leave;

repeal of the Survivor Benefit Plan (SBP) and Veterans Affairs’ Dependency and

Indemnity Compensation (DIC) offset requirement (i.e., the widows’ tax);

modification of DOD workplace and command climate surveys to include questions

relating to experiences with supremacist activity, extremist activity, or racism;

expansion of Special Victim Counsel services for victims of domestic violence;

clarified roles and responsibilities for senior military medical leaders assigned to the Defense Health

Agency or a service medical department; and

Barbara Salazar Torreon

Senior Research Librarian

prohibition of gender-segregated Marine Corps recruit training;

expansion of spouse employment and education programs, including reimbursement for relicensing costs

associated with military relocations;

medical documentation and tracking requirements for servicemembers or family members exposed to

certain environmental or occupational hazards (e.g., lead, open air burn pits, blast pressure).

As part of the oversight process, several provisions address selected congressional items of interest, including

DOD review of service records of certain World War I veterans for potential eligibility for a posthumously

awarded Medal of Honor;

a process for former servicemembers to appeal decisions issued by a Board of Correction of Military

Records or a Discharge Review Board;

a feasibility study on the creation of a database to track domestic violence military protective orders and

reporting to the National Instant Criminal Background Check System;

transparency on military medical malpractice, including the ability for servicemembers to file

administrative claims against the United States; and

limitations on the reduction of military medical personnel.

Congressional Research Service

FY2020 National Defense Authorization Act: Selected Military Personnel Issues

Contents

Introduction ..................................................................................................................................... 1

*Active Component End-Strength .................................................................................................. 1

*Selected Reserve End-Strength ..................................................................................................... 3

Access to Reproductive Health Services ......................................................................................... 5

*Administration of the Military Health System .............................................................................. 8

Separation, Discharge, and Discharge Review .............................................................................. 13

*Defense Commissary System ...................................................................................................... 21

Diversity and Inclusion ................................................................................................................. 23

*Domestic Violence and Child Abuse ........................................................................................... 27

*Medal of Honor ........................................................................................................................... 30

Military Family Issues ................................................................................................................... 32

Military Medical Malpractice ........................................................................................................ 35

*Military Pay Raise ....................................................................................................................... 37

Military Retirement and Survivor Benefits ................................................................................... 38

*Military Sexual Assault and Sexual Harassment ......................................................................... 40

Screening and Testing for Environmental and Occupational Exposures ....................................... 49

Figures

Figure 1. Comparison of FY2019 Enacted Active Duty End-Strength, FY2020 President's

Budget, and FY2020 Enacted Active Duty End-Strength ............................................................ 2

Figure 2. Comparison of FY2019 Enacted Selected Reserve End-Strength, FY2020

President's Budget and FY2020 Enacted Selected Reserve End-Strength ................................... 4

Contacts

Author Information........................................................................................................................ 53

Congressional Research Service

FY2020 National Defense Authorization Act: Selected Military Personnel Issues

Introduction

Each year, the House and Senate armed services committees take up national defense

authorization bills. The House of Representatives passed its version of the National Defense

Authorization Act for Fiscal Year 2020 (NDAA; H.R. 2500) on July 12, 2019. The Senate passed

its version of the NDAA (S. 1790) on June 27, 2019. These bills contain numerous provisions that

affect military personnel, retirees, and their family members. Provisions in one version may not

be included in the other, may be treated differently, or may be identical to those in the other

versions. Following passage of each chamber’s bill, a conference committee typically convenes to

resolve the differences between the respective chambers’ versions of the bill. The House passed

the FY2020 NDAA conference report on December 11, 2019, and the Senate passed the report on

December 17, 2019. On December 20, 2019, President Donald J. Trump signed the bill into law

(P.L. 116-92).

This report highlights selected personnel-related issues that may generate high levels of

congressional and constituent interest. Related CRS products are identified in each section to

provide more detailed background information and analysis of the issues. For each issue, a CRS

analyst is identified.

Some issues discussed in this report were previously addressed in the FY2019 NDAA (P.L. 115232) and discussed in CRS Report R45343, FY2019 National Defense Authorization Act: Selected

Military Personnel Issues, by Bryce H. P. Mendez et al., or other reports. Issues that were

considered previously are designated with an asterisk in the relevant section titles of this report.

*Active Component End-Strength

Background: The authorized active duty end-strengths for FY2001, enacted in the year prior to

the September 11 terrorist attacks, were as follows: Army (480,000), Navy (372,642), Marine

Corps (172,600), and Air Force (357,000).1 Over the next decade, in response to the demands of

wars in Afghanistan and Iraq, Congress substantially increased the authorized personnel strength

of the Army and Marine Corps. Congress began reversing those increases in light of the

withdrawal of most U.S. forces from Iraq in 2011, the drawdown of U.S. forces in Afghanistan

beginning in 2012, and budgetary constraints. Congress halted further reductions in Army and

Marine Corps end-strength in FY2017, providing slight end-strength increases for both Services

that year. In FY2018 and FY2019, Congress again provided slight end-strength increases for the

Marine Corps, while providing a more substantial increase for the Army. However, the Army did

not reach its authorized end-strength of 483,500 in FY2018 or its authorized end-strength of

487,500 in FY2019, primarily due to missing enlisted recruiting goals. End-strength for the Air

Force generally declined from 2004 to 2015, but increased from 2016 to 2019. End-strength for

the Navy declined from 2002 to 2012, increased in 2013 and remained essentially stable through

2017; it increased again in 2018 and 2019.

Authorized end-strengths for FY2019 and FY2020 are shown in Figure 1.

1 The term end-strength refers to the authorized strength of a specified branch of the military at the end of a given fiscal

year. The term authorized strength, as described in 10 U.S.C. §101(b)(11), means “the largest number of members

authorized to be in an armed force, a component, a branch, a grade, or any other category of the armed forces.” As

such, end-strengths are maximum strength levels. Congress also sets minimum strength levels for the active

component, which may be identical to or lower than the end-strength.

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FY2020 National Defense Authorization Act: Selected Military Personnel Issues

House-Passed H.R. 2500

Senate-Passed S. 1790

Sec. 401 would authorize a total

FY2020 active duty end-strength of

1,339,500 including

480,000 for the Army

340,500 for the Navy

186,200 for the Marine Corps

332,800 for the Air Force

Sec. 401 would authorize a total

FY2020 active duty end-strength of

1,339,500 including

480,000 for the Army

340,500 for the Navy

186,200 for the Marine Corps

332,800 for the Air Force

Enacted Bill P.L. 116-92

Sec. 401 would authorize a total

FY2020 active duty end-strength of

1,339,500 including

480,000 for the Army

340,500 for the Navy

186,200 for the Marine Corps

332,800 for the Air Force

Discussion: In comparison to FY2019 authorized end-strengths, the Administration’s FY2020

budget proposed a decrease for the Army (-7,500) and increases for the Navy (+5,100), Marine

Corps (+100) and Air Force (+3,700). The administration’s proposed decrease for the Army

reflects the challenges the Army is facing in recruiting a sufficient number of new enlisted

personnel to expand its force. As stated in the Army’s military personnel budget justification

document, “Given the FY 2018 end strength outcome and a challenging labor market for military

recruiting, the Army Active Component has decided to pursue a new end strength growth ramp.

The Army has shifted to a more modest end strength growth ramp of 2,000 Soldiers per year, with

end strength targets of 478,000 in FY 2019 and 480,000 in FY 2020. Beyond FY 2019, the steady

2,000 Solider per year growth increases Active Army end strength while maintaining existing

high quality standards.”2

Section 401 of the enacted bill approved end-strengths identical to the Administration request.

Figure 1. Comparison of FY2019 Enacted Active Duty End-Strength, FY2020

President's Budget, and FY2020 Enacted Active Duty End-Strength

FY2019

FY2020

FY2020

Change from

Enacted

President's Budget

Enacted

FY2019

Army

487,500

480,000

480,000

-7,500

Navy

335,400

340,500

340,500

5,100

Marine Corps

186,100

186,200

186,200

100

Air Force

329,100

332,800

332,800

3,700

1,338,100

1,339,500

1,339,500

1,400

Total Active Duty

End-Strength

Note: Up and down arrows indicate increases and decreases, respectively, from the FY2019 enacted

authorization.

References: Previously discussed in CRS Report R45343, FY2019 National Defense

Authorization Act: Selected Military Personnel Issues, by Bryce H. P. Mendez et al. and similar

reports from earlier years. Enacted figures found in P.L. 115-232.

CRS Point of Contact: Lawrence Kapp.

2 Department of the Army, Fiscal Year 2020 Budget Estimates, Military Personnel, Army, Justification Book,

Washington, DC, March 2019, p. 5, https://www.asafm.army.mil/Portals/72/Documents/BudgetMaterial/2020/

Base%20Budget/Military%20Personnel/01%20Military%20Personnel%20Army.pdf.

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FY2020 National Defense Authorization Act: Selected Military Personnel Issues

*Selected Reserve End-Strength

Background: The authorized Selected Reserve3 end-strengths for FY2001, enacted the year prior

to the September 11 terrorist attacks, were: Army National Guard (350,526), Army Reserve

(205,300), Navy Reserve (88,900), Marine Corps Reserve (39,558), Air National Guard

(108,022), Air Force Reserve (74,358), and Coast Guard Reserve (8,000).4 The overall authorized

end-strength of the Selected Reserves has declined by about 6% over the past 18 years (874,664

in FY2001 versus 824,700 in FY2019). During this period, the overall decline is mostly attributed

to reductions in Navy Reserve strength (-29,800). There were also smaller reductions in the

authorized strength for the Army National Guard (-7,026), Army Reserve (-5,800), Marine Corps

Reserve (-1,058), Air National Guard (-922), Air Force Reserve (-4,358), and Coast Guard

Reserve (-1,000).

Authorized end-strengths for FY2019 and FY2020 are shown in Figure 2.

House-Passed H.R. 2500

Senate-Passed S. 1790

Sec. 411 would authorize a total

FY2020 Selected Reserve endstrength of 807,800 including:

Army National Guard: 336,000

Army Reserve: 189,500

Navy Reserve: 59,000

Marine Corps Reserve: 38,500

Air National Guard: 107,700

Air Force Reserve: 70,100

Coast Guard Reserve: 7,000

Sec. 411 would authorize a total

FY2020 Selected Reserve endstrength of 807,800 including:

Army National Guard: 336,000

Army Reserve: 189,500

Navy Reserve: 59,000

Marine Corps Reserve: 38,500

Air National Guard: 107,700

Air Force Reserve: 70,100

Coast Guard Reserve: 7,000

Enacted Bill P.L. 116-92

Sec. 411 would authorize a total

FY2020 Selected Reserve endstrength of 807,800 including:

Army National Guard: 336,000

Army Reserve: 189,500

Navy Reserve: 59,000

Marine Corps Reserve: 38,500

Air National Guard: 107,700

Air Force Reserve: 70,100

Coast Guard Reserve: 7,000

Discussion: Relative to FY2019 authorized end-strengths, the Administration’s FY2020 budget

proposed decreases in the Army National Guard (-7,500), Army Reserve (-10,000), and Navy

Reserve (-100), increases for the Air National Guard (+600) and Air Force Reserve (+100), and

no change for the Marine Corps Reserve and Coast Guard Reserve. The Administration’s

proposed decrease for the Army National Guard and the Army Reserve reflected the challenges

those reserve components have had in meeting their authorized strength. According to the Army

National Guard (ARNG) FY2020 military personnel budget justification document:

The ARNG fell short of the FY 2018 National Defense Authorization Act (NDAA)

Congressionally authorized End Strength 343,500 by 8,296 Soldiers due to recruiting

challenges, too few accessions, and to cover increased attrition losses in FY2018… The

ARNG began addressing these issues and challenges in FY 2018 by ramping up the

recruiting force, incentives programs, bonuses, and marketing efforts. While these efforts

are expected to result in additional accessions in FY 2019, they will not be enough to meet

the FY 2019 NDAA authorized End Strength of 343,500. The newly hired force will reach

full production levels by end of the FY 2019 in order to meet the required accessions

3 The Selected Reserves encompass those units and individuals designated as so essential to initial wartime missions

that they have priority over all other Reserves. Members of the Selected Reserve are generally required to perform one

weekend of training each month and two weeks of training each year, for which they receive pay and benefits. Some

members of the Selected Reserve perform considerably more military duty than this, while others may only be required

to perform the two weeks of annual training each year or other combinations of time. Members of the Selected Reserve

can be involuntarily ordered to active duty under all of the principal statutes for reserve activation.

4 P.L. 106-398 §411.

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FY2020 National Defense Authorization Act: Selected Military Personnel Issues

mission and a projected end strength of 336,000 in FY 2020 and continue the projected

ramp to an end strength of 338,000 by the end of FY 2024. 5

Similarly, the Army Reserve FY2020 Military Personnel budget justification document stated:

In FY 2018, the Army Reserve fell short of its end strength objective by 10,689 Soldiers

due to a challenging recruiting and retention environment…Prior to the FY 2020

President’s Budget request, the Army Reserve recognized it would not meet its FY 2019

end strength goal of 199,500 and subsequently reduced its goal to a more achievable end

strength of 189,250. The Army Reserve continues to set conditions for a successful and

productive recruiting and retention environment in support of achieving an end strength of

189,250 by the end of FY 2019 and sustaining that level through FY 2020.6

Section 411 of the enacted bill approved end-strengths identical to the Administration request.

Figure 2. Comparison of FY2019 Enacted Selected Reserve End-Strength, FY2020

President's Budget and FY2020 Enacted Selected Reserve End-Strength

FY2019

FY2020

FY2020

Change from

Enacted

President's Budget

Enacted

FY2019

Army National Guard

343,500

336,000

336,000

-7,500

Army Reserve

199,500

189,500

189,500

-10,000

Navy Reserve

59,100

59,000

59,000

-100

Marine Corps Reserve

38,500

38,500

38,500

0

Air National Guard

107,100

107,700

107,700

600

Air Force Reserve

70,000

70,100

70,100

100

Coast Guard Reserve

7,000

7,000

7,000

0

824,700

807,800

807,800

-16,900

Total Selected

Reserve End-Strength

Note: Up and down arrows indicate increases and decreases, respectively, from the FY2019 enacted

authorization.

References: Previously discussed in CRS Report R45343, FY2019 National Defense

Authorization Act: Selected Military Personnel Issues, by Bryce H. P. Mendez et al. and similar

reports from earlier years. For more on the Reserve Component see CRS Report RL30802,

Reserve Component Personnel Issues: Questions and Answers, by Lawrence Kapp and Barbara

Salazar Torreon, and CRS In Focus IF10540, Defense Primer: Reserve Forces, by Lawrence

Kapp.

CRS Point of Contact: Lawrence Kapp.

5 Department of the Army, Fiscal Year 2020 Budget Estimates, National Guard Personnel, Army, Justification Book,

Washington, DC, March 2019, p. 7, https://www.asafm.army.mil/Portals/72/Documents/BudgetMaterial/2020/

Base%20Budget/Military%20Personnel/National%20Guard%20Personnel%20Army.pdf.

6 Department of the Army, Fiscal Year 2020 Budget Estimates, Reserve Personnel, Army, Justification Book,

Washington, DC, March 2019, p. 7, https://www.asafm.army.mil/Portals/72/Documents/BudgetMaterial/2020/

Base%20Budget/Military%20Personnel/02%20Reserve%20Personnel%20Army.pdf. The planned Army Reserve endstrength for FY2020 in the budget justification book is 189,500 in the accompanying table, not 189,250 as indicated in

the text.

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Access to Reproductive Health Services

Background: In general, the Department of Defense (DOD) offers certain reproductive health

services in DOD-operated hospitals and clinics—known as military treatment facilities (MTFs)—

or through civilian health care providers participating in TRICARE.7 Reproductive health

services typically include counseling, therapy, or treatment for male or female conditions

affecting “fertility, overall health, and a person’s ability to enjoy a sexual relationship.”8

With regard to contraceptive services, DOD policy requires that all eligible beneficiaries have

access to “comprehensive contraceptive counseling and the full range of contraceptive methods.”9

The policy also requires that DOD provide contraceptive services when “feasible and medically

appropriate,” such as during

a health care visit before or during deployment;

enlisted or officer training;

annual well woman exams and reproductive health screenings;

physical exams; or

when referred after a periodic health assessment.10

With regard to fertility services, DOD offers

diagnostic services (e.g., hormone evaluation and semen analysis);

diagnosis and treatment of illness or injury to the male or female reproductive

system;

care for physically caused erectile dysfunction;11

genetic testing;12

certain prescription fertility drugs;13 and

certain assisted reproductive services for “seriously or severely ill/injured” active

duty servicemembers.14

7 The Department of Defense (DOD) administers certain health entitlements under chapter 55 of Title 10, U.S. Code,

through its TRICARE program. For more on TRICARE, see CRS In Focus IF10530, Defense Primer: Military Health

System, by Bryce H. P. Mendez.

8 Military Health System, “Women’s Health,” accessed July 29, 2019, https://www.health.mil/Military-Health-Topics/

Operation-Live-Well/Preventive-Health/Womens-Health.

9 Defense Health Agency (DHA) Procedural Instruction 6200.02, Comprehensive Contraceptive Counseling and

Access to the Full Range of Methods of Contraception, May 13, 2019, https://www.health.mil/Reference-Center/

Policies/2019/05/13/Comprehensive-Contraceptive-Counseling.

10 Ibid., p. 10. The periodic health assessment is an annual health assessment used to monitor the health status of

servicemembers and “provide timely, evidence-based preventive health care, information, counseling, treatment, or

testing as appropriate.” For more information, see Health Affairs Policy 06-006, Periodic Health Assessment Policy for

Active Duty and Selected Reserve Members, February 16, 2006, https://health.mil/Reference-Center/Policies/2006/02/

16/Periodic-Health-Assessment-Policy-for-Active-Duty-and-Selected-Reserve-Members.

11 DHA, “Assisted Reproductive Services,” accessed November 20, 2019, https://www.tricare.mil/CoveredServices/

IsItCovered/AssistedReproductiveServices.

12 TRICARE Policy Manual 6010.60-M, Genetic Testing and Counseling, Chapter 6, Section 3.1, updated February 21,

2018, https://manuals.health.mil/pages/DisplayManualHtmlFile/TP15/55/AsOf/TP15/C6S3_1.html.

13 32 C.F.R. §199.4(e) authorizes these services when medically necessary.

14 DOD policy authorizes certain assisted reproductive services, such as in-vitro fertilization, artificial insemination, or

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FY2020 National Defense Authorization Act: Selected Military Personnel Issues

Active duty military personnel generally incur no out-of-pocket costs for DOD health care

services.15 If a servicemember receives reproductive health services that are not directly provided,

referred by a DOD or TRICARE provider, or otherwise covered by DOD, then they may be

required to pay for those services.16 Other DOD beneficiaries may be subject to cost-sharing

based on their TRICARE health plan, beneficiary category, and type of medical service

received.17

House-Passed H.R. 2500

Senate-Passed S. 1790

Enacted Bill P.L. 116-92

Sec. 701 would amend 10 U.S.C.

§1074d to mandate TRICARE

coverage of “all methods of

contraception approved by the

Food and Drug Administration”

(FDA) for female servicemembers

and retirees. Beneficiaries enrolled

in TRICARE Prime or TRICARE

Select would have no cost-sharing

requirements.

Sec. 701 is a similar provision to

House Sec. 701. Coverage

requirements would take effect on

January 1, 2020.

Not adopted.

Sec. 5701 would revise Section

701 of the bill, providing TRICARE

program coverage of “all methods

of contraception approved by the

[FDA],” to instead take effect on

January 1, 2030.

Not adopted.

Sec. 702 would require DOD to

provide written and oral

information on “all methods of

emergency contraception approved

by the [FDA]” to all sexual assault

survivors presenting at a military

treatment facility. DOD would also

be required to provide emergency

contraception, upon request of a

sexual assault survivor.

No similar provision.

Not adopted.

Sec. 709 would allow DOD to

offer assisted reproductive services

to active duty servicemembers or

their spouses with no cost share.

No similar provision.

Not adopted.

Sec. 722 would direct the

Secretary of Defense to conduct a

pilot program that allows for

cryopreservation and storage of

sperm and eggs of active duty

servicemembers deploying to a

combat zone.

No similar provision.

Not adopted.

Sec. 728 would require DOD to

conduct a study on infertility among

active duty servicemembers.

No similar provision.

Not adopted.

cryopreservation and storage of embryos, for servicemembers seriously or severely ill/injured on active duty. For more

on these services, see https://www.tricare.mil/CoveredServices/IsItCovered/AssistedReproductiveServices and

Assistant Secretary of Defense for Health Affairs memorandum, “Policy for Assisted Reproductive Services for the

Benefit of Seriously or Severely Ill/Injured (Category II or III) Active Duty Services Members,” April 3, 2012.

15 10 U.S.C. §1075a(a)(1). Members of the Reserve Component who are enrolled in TRICARE Reserve Select, a

premium-based health plan available for Selected Reservists, may be subject to certain out of pocket costs. For more

information on TRICARE Reserve Select, see https://tricare.mil/trs.

16 This scenario generally includes military personnel who seek health care services from a private health care provider

and do not file a claim for TRICARE reimbursement, or are seeking non-FDA approved reproductive health services.

17 An overview of the 2019 cost-sharing features (including pharmacy co-pays) can be found at https://tricare.mil/-/

media/Files/TRICARE/Publications/Misc/Costs_Sheet_2019.pdf.

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House-Passed H.R. 2500

Senate-Passed S. 1790

Enacted Bill P.L. 116-92

Sec. 734 would require DOD, in

consultation with the Department

of Homeland Security (with respect

to the U.S. Coast Guard), to

establish a standardized family

planning education program for

servicemembers during the first

year of service and at other times

deemed appropriate.

No similar provision.

Not adopted.

Discussion: Currently, DOD offers comprehensive contraceptive counseling and a range of

contraceptive methods. However, non-active duty beneficiaries may be subject to certain costsharing requirements depending on the type of contraceptive service rendered, the accompanying

procedures or follow-up evaluations that may be clinically necessary, or health care provider

nonparticipation in the TRICARE network. Other reproductive health services, such as

cryopreservation of human gametes (i.e., sperm or eggs), are generally not offered or covered by

TRICARE unless narrow criteria are met.18

While there are no provisions in the enacted bill relating to access to reproductive health services,

the committee report (S.Rept. 116-48) accompanying the Senate bill (S. 1790) includes a similar

reporting requirement as House Section 728.19 The committee report directs DOD to “conduct a

study on the incidence of infertility among members of the Armed Forces” and provide a report to

the House and Senate armed services committees by June 1, 2020.20 The study is to include the

following elements:

number of servicemembers diagnosed with a common cause of infertility;

number of servicemembers whose infertility has no known cause;

incidence of miscarriage among female servicemembers;

infertility rates of female servicemembers, as compared to their civilian

counterparts;

demographic information on infertile servicemembers and potential hazardous

environmental exposures during service;

availability of infertility services for servicemembers who desire such treatment,

including waitlist times at MTFs offering reproductive health services;

criteria used by the military services to determine service-connection for

infertility; and

DOD policies for ensuring geographic stability for servicemembers receiving

treatment for infertility.21

Not adopted were provisions to expand TRICARE coverage of specific reproductive health

services to certain eligible beneficiaries.

References: CRS In Focus IF11109, Defense Health Primer: Contraceptive Services, by Bryce

H. P. Mendez.

18 See footnote 14.

19 See p. 211 of S.Rept. 116-48.

20 Ibid.

21 Ibid.

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CRS Point of Contact: Bryce H.P. Mendez.

*Administration of the Military Health System

Background: DOD operates a health care delivery system that serves approximately 9.5 million

beneficiaries.22 The Military Health System (MHS) administers the TRICARE program, which

offers health care services at military treatment facilities (MTFs) or through participating civilian

health care providers.23 Historically, the military services have administered the MTFs, while the

Defense Health Agency (DHA) administered the private sector care program of TRICARE. DHA

is a combat support agency that enables the Army, Navy, and Air Force medical services to

provide a medically ready force and ready medical force to combatant commands in both

peacetime and wartime.24

In 2016, Congress found that the organizational structure of the MHS could be streamlined to

sustain the “medical readiness of the Armed Forces, improve beneficiaries’ access to care and the

experience of care, improve health outcomes, and lower the total management cost.”25 Section

702 of the FY2017 NDAA (P.L. 114-328) directed significant reform to the MHS and

administration of MTFs by October 1, 2018. Reforms include

transfer of administration and management of MTFs from each respective service

surgeon general to the DHA Director;

reorganization of DHA’s internal structure; and

redesignation of the service surgeons general as principal advisors for their

respective military service, and as service chief medical advisor to the DHA.

In June 2018, DOD submitted its implementation plan to Congress. The implementation plan

details how DOD is to reform the MHS to a “streamlined organizational model that standardizes

the delivery of care across the MHS with less overhead, more timely policymaking, and a

transparent process for oversight and measurement of performance.”26 Congress later revised the

MHS reform mandate by further clarifying certain tasks relating to the transfer of MTFs, the roles

and responsibilities of the DHA and the service surgeons general, and by extending the deadline

for implementing reform efforts to September 30, 2021. DOD later revised its plan to accelerate

certain tasks.

On October 1, 2019, the military services transferred the administration and management of their

U.S.-based MTFs to the DHA. The military services are to continue to administer their overseas

MTFs until transfer to the DHA in 2020–2021.

22 DOD, Evaluation of the TRICARE Program: Fiscal Year 2019 Report to Congress, April 8, 2019, p. 19.

23 For more on TRICARE, see CRS In Focus IF10530, Defense Primer: Military Health System, by Bryce H. P.

Mendez.

24 For more on the DHA, see https://health.mil/About-MHS/OASDHA/Defense-Health-Agency.

25 H.Rept. 114-840, p. 1066.

26 DOD, Report to the Armed Services Committees of the Senate and House of Representatives, Final Plan to

Implement Section 1073c of Title 10, United States Code, June 30, 2018, p. 4, https://health.mil/Reference-Center/

Congressional-Testimonies/2018/06/28/Reform-of-Administration-of-the-Defense-Health-Agency-and-Military-MTFs.

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FY2020 National Defense Authorization Act: Selected Military Personnel Issues

House-Passed H.R. 2500

Senate-Passed S. 1790

Enacted Bill P.L. 116-92

Organizational Management

No similar provision

Organizational Management

Sec. 711 would amend 10 U.S.C.

§1073c by inserting additional

responsibilities for the DHA

Director in administering the MTFs,

revising the qualifications for the

DHA Assistant Director for Health

Care Administration, clarifying the

responsibilities for certain DHA

Deputy Assistant Directors, and

further defining an MTF.

Organizational Management

Sec. 711 adopts Senate Sec. 711

with an amendment that allows the

Secretary of Defense to reassign a

civil service employee from a DOD

component to a military

department, or vice-versa.

No similar provision.

Sec. 712 would amend Section 712

of the FY2019 NDAA (P.L. 115232) to further clarify the role of

the service surgeons general in

supporting medical requirements of

combatant commands and the role

of the Military Departments in

maintaining administrative control

of military personnel assigned to

MTFs.

Sec. 712 adopts Senate Sec. 712

with an amendment that further

clarifies MHS support to the

combatant commanders’ medical

requirements.

No similar provision.

Sec. 713 would establish a fouryear minimum requirement for the

tour of duty as an MTF commander

or director.

Not adopted.

No similar provision.

Sec. 715 would require DOD to

establish up to four “regional

medical hubs” to support

combatant command operational

medical requirements.

Not adopted.

No similar provision.

Sec. 5703 would require the

Secretary of Defense to preserve

the resources assigned to the Army

Medical Research and Materiel

Command (USAMRMC),

notwithstanding its administrative

and mission realignments to the

Army Futures Command and the

Defense Health Agency.

Sec. 737 adopts Senate Sec. 5703

with an amendment that requires

the Secretary of Defense to

preserve USAMRMC resources at a

certain baseline level through

September 30, 2022, and maintain

the Command’s designation as a

“Center of Excellence for Joint

Biomedical Research, Development

and Acquisition Management.”

Military Medical Workforce

Sec. 718 would limit certain

changes to military medical endstrength.

Military Medical Workforce

No similar provision.

Military Medical Workforce

Sec. 719 adopts House Sec. 718

with an amendment that provides

certain exceptions to allow for

military medical end-strength

reductions.

Sec. 749 would require the

Secretary of Defense to provide a

report to Congress on operational

medical and dental personnel

requirements.

No similar provision.

Not adopted.

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House-Passed H.R. 2500

Senate-Passed S. 1790

Enacted Bill P.L. 116-92

Civilian Partnerships

Sec. 726 would require DOD to

study the use of “military-civilian

integrated health delivery systems”

and provide a report to Congress

no later than 180 days after

enactment.

Civilian Partnerships

No similar provision.

Civilian Partnerships

Sec. 743 adopts House Sec. 726

with an amendment that requires

DOD to include a plan for further

development on military-civilian

integrated health delivery systems.

Sec. 751 would require DOD to

partner with academic health

centers and establish a “University

Affiliated Research Center” that

would focus on care for wounded

servicemembers.

No similar provision.

Not adopted.

No similar provision.

Sec. 727 would allow DOD to

conduct a pilot program using

military-civilian partnerships to

enhance interoperability and

medical surge capabilities of the

National Disaster Medical System.

Sec. 740 adopts Senate Sec. 727

with an amendment that expands

the locations where a pilot program

can take place.

Discussion: The enacted bill includes a number of provisions clarifying certain responsibilities

for DHA and other medical entities with service-specific responsibilities, such as administering

and managing MTFs, providing health service support to combatant commanders, performing

medical research, recruiting and retaining medical personnel, and establishing military-civilian

partnerships.

Organizational Management. Section 711 of the enacted bill amends 10 U.S.C. §1073c to clarify

the qualifications of the DHA assistant director and the deputy assistant directors, and allow DOD

to reassign certain civil service employees from a military department to a DOD component, or

vice-versa. The provision also adds the following to DHA’s existing roles and responsibilities:

provision of health care;

clinical privileging and quality of care programs;27

MTF capacities to support clinical currency and readiness standards;28 and

coordination with the military services for joint staffing.

Section 712 of the enacted bill clarifies the roles and responsibilities of the service surgeons

general, to include

support to combatant commanders for operational and deployment requirements;

support to DHA by assigning military medical personnel to MTFs;

27 DOD defines clinical privileging as the “granting of permission and responsibility of a healthcare provider to

independently provide specified or delineated healthcare within the scope of his or her license, certification, or

registration.” MHS, “Clinical Privileging,” accessed December 6, 2019, https://health.mil/Reference-Center/GlossaryTerms/2013/10/29/Clinical-Privileging.

28 P.L. 114-328 §725(b) directed DOD to establish clinical currency and readiness standards. DOD and the military

services identified core competencies that certain military medical providers are required to maintain as critical

wartime medical readiness skills.

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development of combat medical capabilities; and

medical readiness of the Armed Forces.

In 2018, Congress directed DOD to consolidate most of its medical research programs under the

DHA.29 While the military services are to retain certain medical research responsibilities, the

DHA is to be responsible for coordinating all research, development, test, and evaluation

(RDT&E) funds appropriated to the defense health program (DHP), including the

congressionally-directed medical research programs (CDMRP).30 The U.S. Army Medical

Research and Materiel Command (USAMRMC) administers the CDMRP and executes a variety

of RDT&E funds appropriated to the Department of the Army, DHP, and other DOD-wide

operation and maintenance accounts.31 USAMRMC executes most of the annual DHP RDT&E.

In FY2017, USAMRMC executed approximately 76% ($377.5 million) of the total DHP RDT&E

funds.32 As of June 1, 2019, USAMRMC restructured and realigned its responsibilities under two

separate DOD entities: the DHA and Army Futures Command.33 Depending on the research

mission (DHP requirements vs. service-specific requirements), USAMRMC resources were also

reallocated accordingly.34

Section 737 of the enacted bill directs the Secretary of Defense to retain certain manpower and

funding resources with USAMRMC. The provision requires USAMRMC manpower and funding

to be at a baseline of no less than “the level of such resources as of the date of the enactment of

this Act until September 30, 2022.”35 On October 1, 2022, DOD is to: (1) transfer USAMRMC

resources programmed to the Army’s research, development, test, and evaluation account to the

DHP; and (2) maintain USAMRMC as a “Center of Excellence for Biomedical Research,

Development and Acquisition Management.”

Military Medical Personnel. DOD’s budget request for FY2020 includes a proposal to reduce its

active duty medical force by 13% (14,707 personnel) in order to maintain a workforce that is

“appropriately sized and shaped to meet the National Defense Strategy requirements and allow

the MHS to optimize operational training and beneficiary care delivery.”36 Compared to FY2019

levels, the Army would have the largest reduction in medical forces (-16%), followed by the Air

29 P.L. 114-328 §711.

30 For more on the Congressionally Directed Medical Research Programs (CDMRP), see CRS In Focus IF10349,

Congressionally Directed Medical Research Programs Funding for FY2020, by Bryce H. P. Mendez.

31 On May 31, 2019, the Department of the Army redesignated the U.S. Army Medical Research and Materiel

Command (USAMRMC) to the U.S. Army Medical Research and Development Command (USAMRDC). Ramin A.

Khalili, "Same Goal, Same Mission: Town Hall Marks USAMRMC Redesignation to USAMRDC," U.S. Army, May

31, 2019, https://go.usa.gov/xdxnn.

32 Department of the Army, U.S. Army Medical Research and Material Command, “Command Overview” brief, p. 8,

October 18, 2018.

33 C.J. Lovelace, "Army Logistics Leaders Focus on Medical Materiel's Role in Readiness," Army Medical Logistics

Command, September 10, 2019, https://amlc.army.afpims.mil/News/Article/1956385/army-logistics-leaders-focus-onmedical-materiels-role-in-readiness/. For more on the Army Futures Command, see CRS Insight IN10889, Army

Futures Command (AFC), by Andrew Feickert.

34 Ibid.

35 The FY2020 NDAA was enacted on December 22, 2019.

36 The net reduction reflects DOD’s proposal to reduce the active duty medical force assigned to the Military Health

System by 22% (17,991 personnel), while concurrently increasing the active duty medical force assigned to deployable

or warfighting units, military service headquarters, or combatant commands by 10% (3,284 personnel). For more on

this proposal, see CRS Insight IN11115, DOD’s Proposal to Reduce Military Medical End Strength, by Bryce H. P.

Mendez; and DOD, Defense Budget Overview, March 2019, p. 2-5, https://comptroller.defense.gov/Portals/45/

Documents/defbudget/fy2020/fy2020_Budget_Request_Overview_Book.pdf.

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Force (-15%), and the Navy (-7%).37 DOD's initial plan to implement these reductions include (1)

transferring positions (also known as billets) from the MHS to new health service support

positions in deployable or warfighting units, military service headquarters, or combatant

commands; (2) transferring billets from the MHS to the military departments for repurposing as

nonmedical assets; and (3) converting certain military billets to civilian billets.38

Section 719 of the enacted bill limits DOD actions to reduce or realign its active duty medical

force until certain internal reviews, analyses, measurements, and outreach actions are conducted

within 180 days of enactment and at least 90 days after a report to the House and Senate armed

services committee on such actions have been provided. The report is to include also the

department’s plan to reduce or realign its military medical force. In addition, the provision

contains certain exceptions that allow DOD to proceed with reducing or realigning certain

positions. The exceptions are

administrative billets assigned to a service medical department that has been

vacant since at least October 1, 2018;

nonclinical billets that were identified in the President’s FY2020 budget

submission and not to exceed a total of 1,700; and

service medical department billets solely assigned to a headquarters office and

not dually assigned to support a deployable medical unit.39

Civilian Partnerships. The MHS states that its “success depends on building strong partnerships

with the civilian health care sector.”40 As a high-priority initiative, the MHS maintains numerous

partnerships with civilian health care organizations, academic institutions, and research entities to

enhance or supplement military medical readiness and deliver the health entitlements authorized

in chapter 55 of Title 10, U.S. Code.41 Section 740 of the enacted bill authorizes DOD to conduct

a pilot program to improve medical surge capabilities of the National Disaster Medical System

and interoperability with certain civilian health care organizations and other federal agencies.42 If

exercised by the Secretary of Defense, pilot program sites are to be located “in the vicinity of

major aeromedical and other transport hubs and logistics centers of the Department of Defense.”

37 DOD, Defense Health Program Fiscal Year (FY) 2020 Budget Estimates, March 2019, p. DHP-1,

https://comptroller.defense.gov/Portals/45/Documents/defbudget/fy2020/budget_justification/pdfs/

09_Defense_Health_Program/Vol_I_Sec_9_PB-11A_Personnel_Summary_DHP_PB20.pdf.

38 U.S. Congress, House Committee on Appropriations, Subcommittee on Defense, Defense Health Programs, prepared

by Mr. Tom McCaffery, Principal Deputy Assistant Secretary of Defense (Health Affairs) and Vice Admiral Bono,

Director, Defense Health Agency, 116th Cong., 1st sess., April 3, 2019 (Washington: GPO, 2019), p. 8,

https://docs.house.gov/meetings/AP/AP02/20190403/109223/HHRG-116-AP02-Wstate-BonoR-20190403.PDF.

39 A service medical department may assign individual personnel to multiple billets. For example, a military physician

could be placed in a billet assigned to an administrative setting, such as a headquarters office, and be assigned to a

deployable medical unit. Personnel in this type of assignment primarily work in an administrative setting, unless

otherwise training or mobilizing with their deployable medical unit.

40 MHS, “Initiatives and Areas of Impact,” accessed October 15, 2019, https://www.health.mil/About-MHS/MHSInitiatives.

41 Ibid.

42 The National Medical Disaster System (NDMS) is a coordinated effort between certain federal, state, and local

government entities, and civilian health care organizations that provide health and other social services during certain

declared emergencies. The NDMS is authorized under 42 U.S.C. §300hh-1 and administered by the Secretary of Health

and Human Services. For more on the NDMS, see https://www.phe.gov/Preparedness/responders/ndms/Pages/

default.aspx.

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Section 751 of the enacted bill directs DOD to study existing military-civilian integrated health

delivery systems and the activities conducted that promote value-based care, measurable health

outcomes, patient safety, access to care, critical wartime readiness skills, and cost. The provision

requires DOD to submit a report to the House and Senate armed services committees, within 180

days of enactment, on the study’s findings and a plan for further development of military-civilian

health partnerships.

References: Previously discussed in CRS Report R45343, FY2019 National Defense

Authorization Act: Selected Military Personnel Issues, by Bryce H. P. Mendez et al.; CRS In

Focus IF11273, Military Health System Reform, by Bryce H. P. Mendez; CRS Report

WPD00010, Military Health System Reform, by Bryce H. P. Mendez; CRS Insight IN11115,

DOD’s Proposal to Reduce Military Medical End Strength, by Bryce H. P. Mendez; and CRS

Report R45399, Military Medical Care: Frequently Asked Questions, by Bryce H. P. Mendez.

CRS Point of Contact: Bryce H.P. Mendez.

Separation, Discharge, and Discharge Review

Background: Each Military Department and the Department of Homeland Security has a board

for correction of military records (BCMR) and a discharge review board (DRB).43 An application

to change a reason for separation or a service characterization is typically made to a DRB.

A BCMR has general authority to correct an error in, or remove an injustice from, an individual’s

service record.44 It provides an administrative process for a current or former servicemember to

request a record correction, or present a monetary claim associated with the correction.45 Each

BCMR is composed of at least three members. A request for record correction must be made

within three years of discovering an alleged error or injustice.46

A DRB has specific authority to change an individual’s reason for separation or service

characterization.47 It provides an administrative process for a former active duty servicemember

to request a discharge review regarding a reason for separation or a service characterization,

however, a DRB may not review a discharge ordered by a general court-martial.48 Each DRB is

composed of at least three members.49 A request for discharge review must be made within fifteen

years of the discharge.50

Administrative Separation – Enlisted Personnel. A separation is an administrative process that

transitions a servicemember to former servicemember status or from active to reserve status. It

43 10 U.S.C. §1552 (BCMR); 10 U.S.C. §1553 (DRB).

44 32 C.F.R. §581.3 (Army BCMR); 32 C.F.R. Pt. 723 (Naval BCNR); 32 C.F.R. Pt. 865, Sub-Pt. A (Air Force

BCMR); 33 C.F.R. Pt. 52 (Coast Guard BCMR).

45 A Federal court may compel the Coast Guard BCMR to act under 5 U.S.C. §706(1) when requested to do so by a

BCMR applicant who has not obtained a decision within ten months (14 U.S.C. §2507 (BCMR Deadline)).

46 10 U.S.C. §1552(b) allows BCMRs to waive the three-year time limit in the “interest of justice” or for good cause.

47 32 C.F.R. §581.2 (Army DRB); 32 C.F.R. Pt. 724 (Naval DRB); 32 C.F.R. Pt. 865 Sub-Pt. B (Air Force DRB); 33

C.F.R. Pt. 51 (Coast Guard DRB).

48 A favorable review under 10 U.S.C. §1553 supersedes a bar to veterans’ benefits if it complies with the requirements

of 38 U.S.C. §5303(e)(1).

49 The minimum number of DRB members was reduced from five to three by the FY 2020 NDAA (P.L. 116-93, §522).

50 10 U.S.C. §1553(a). If a DRB application is not timely, the servicemember may apply to a BCMR because it may

excuse a failure to file within three years after discovery if it finds it to be in the interest of justice (footnote 46).

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may be voluntary (servicemember-initiated) or involuntary (Military Service-initiated) and it

must be based on an authorized reason.

Separation Reasons – DOD Enlisted Personnel. There are 16 reasons authorized by DOD for

enlisted servicemember voluntary and involuntary separations.51 A Military Department may

authorize additional reasons.

DOD Enlisted Personnel Voluntary and Involuntary Separation Reasons

Expiration of service obligation

Unsatisfactory performance

Unsatisfactory reserve participation

Change in service obligations

Drug abuse rehabilitation failure

Secretarial plenary authority

Convenience of the Government

Alcohol abuse rehabilitation failure

Military Department reasons

Disability

Misconduct

Weight control failure

Defective enlistments and induction

Separate in lieu of court-martial

—

Entry-level conduct/performance

Security

—

Separation Reasons – Coast Guard Enlisted Personnel. There are 14 reasons authorized by the

Coast Guard for enlisted servicemember voluntary and involuntary separations, which are largely

similar to the DOD reasons, but they are distinguishable in some instances.52

Coast Guard Enlisted Personnel Voluntary and Involuntary Separation Reasons

Enlistment expires

Security

Service obligation fulfilled

Misconduct

Convenience of the Government

Court-martial sentence

Dependency or hardship

Entry-level separation

Minority (age)

For the good of the Service

Disability

Care of Newborn Children

Unsuitability

Temporary separation

Service Characterization – Enlisted Personnel. The administrative characterization of service

that occurs after an administrative separation from a Military Service may affect eligibility for

veterans’ benefits, employment opportunities, and some government programs.53 A voluntary or

an involuntary separation process results in a service characterization, which includes:

Honorable. This service characterization is made after a voluntary or an

involuntary separation when the quality of service has met acceptable conduct

and performance standards. The decision is based on a pattern of behavior, not

isolated incidents.

General (Under Honorable Conditions). This service characterization is made

after an involuntary separation when the quality of service is satisfactory, but

lacking in merit. A Military Service is required to inform an individual in writing

that this service characterization may result in ineligibility for veterans’ education

benefits and civil service retirement credit for time spent on active duty, and that

51 DOD, Instruction 1332.14, Enlisted Administrative Separations, April 12, 2019, pp. 9-24.

52 Coast Guard Commandant, Instruction M1000.4, Military Separations, August 2018, p. 1-59.

53 Ibid, Enlisted Administrative Separations, pp. 26-29. Basic eligibility for VA benefits depends upon, among other

matters, the character of service. Service characterized as honorable satisfies basic eligibility (38 C.F.R. §3.12).

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it may result in substantial prejudice in civilian life. Additionally, some states

may not pay unemployment compensation based on this service characterization.

Under Other Than Honorable (OTH) Conditions. This service characterization is

made after an involuntary separation when the quality of service establishes a

pattern of behavior that is a significant departure from the conduct required. A

Military Service is required to inform an individual in writing that this service

characterization may result in ineligibility for many or all veterans’ benefits

under both Federal and State laws, and that it may result in substantial prejudice

in civilian life. Since 2017, there is also a requirement to inform the individual

that he or she may however petition the Department of Veterans Affairs (VA) to

receive specific benefits.54

Uncharacterized Service. A period of service can also be designated as

uncharacterized, which typically occurs following a separation for a void

enlistment or unsatisfactory entry-level conduct or performance (first 180 days).

A servicemember who is absent without leave for more than 30 days, dropped

from the rolls of a unit, and declared a deserter will also have such a designation

after separation and upon discharge.55

Administrative Separation – Commissioned Officers. The reasons for voluntary and involuntary

separations of officer personnel in DOD and the Coast Guard are generally the same.56 The

specific authorities to separate commissioned officers from a Military Service are authorized by

statute.57 The reasons for involuntary separation of an officer include:

substandard performance of duty;

misconduct or moral or professional dereliction;

retention not clearly consistent with national security interests;

sentence by court-martial; and

dropping from the rolls (DFR).58

Service Characterization – Commissioned Officers. When an officer is administratively

separated for misconduct, moral or professional dereliction, or in the interest of national security,

the administrative characterization of service will be honorable, general (under honorable

conditions), or under other than honorable conditions.59 The characterization of service is based

on a pattern of behavior and an officer’s entire duty performance rather than an isolated incident.

However, there are limited circumstances in which conduct reflected by a single incident may

54 P.L. 115-91, §528.

55 Dropping from the unit rolls is an administrative procedure used to remove a servicemember from the unit of

assignment, but it does not end the servicemember’s military status. Whereas, a dropping from the rolls separation does

end such status.

56 DOD, Instruction 1332.30, Commissioned Officer Administrative Separations, May 22, 2020, pp. 7-8; Coast Guard

Commandant, Instruction M1000.4, Military Separations, August 2018, pp. 1-1; 1-19-1-23.

57 10 U.S.C. §§1181-1186; 14 U.S.C. §§2158-2163.

58 Ibid, Commissioned Officer Administrative Separations, p. 25. A DFR separation for an officer is an administrative

action that is taken in limited circumstances and it terminates a commissioned officer’s military status along with any

rights, benefits, and pay to which he or she may have otherwise been entitled because of that status.

59 Ibid, p. 18.

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provide the basis for the characterization of service. The service of an officer who is dropped

from the rolls of the military service will be uncharacterized.60

Punitive Separation. A court-martial conviction can result in a punitive service characterization if

the sentence imposed by the court includes a Dismissal, Dishonorable Discharge, or Bad

Conduct Discharge.61 A Dismissal applies only to commissioned officers, commissioned warrant

officers, cadets, and midshipmen and may be adjudged only by a general court-martial.62 A

Dishonorable Discharge applies only to enlisted personnel and warrant officers who are not

commissioned and may be adjudged only by a general court-martial. A Bad-Conduct Discharge

applies only to enlisted personnel and may be adjudged by a general court-martial and by a

special court-martial. A Dismissal or Dishonorable Discharge bars VA benefits.63

Discharge. A discharge is a specific administrative procedure that completes the separation

process. It represents the expiration or termination of a service obligation and manifests severance

from military service. The two main elements of a discharge are the reason for separation and the

service characterization. In addition to a discharge order issued to the servicemember, a discharge

from active military service authorized under title 10 of the U.S. Code is commonly memorialized

in all Military Services, including the Coast Guard, with a Defense Department Form (DD) 214

(Certificate of Release or Discharge from Active Duty). Uncharacterized service is documented

only by the discharge order.64

Discharge Review. The administrative remedy available to an individual for evaluating the

separation reason, separation procedures, and service characterization regarding former service is

a discharge review by the relevant Service’s DRB.65 However, a 2020 Harvard Law School study

suggests that such changes are infrequent and it reported that the upgrade rates in fiscal year 2018

were 13 percent in the Army, 11 percent in the Navy (includes Marine Corps), and 8 percent in

the Air Force.66

Objective of Discharge Review. The objective of a discharge review is to examine the propriety

and equity of the applicant's discharge.67 It is supposed to evaluate whether the Military Service

that separated and discharged the servicemember complied with its relevant policies, standards,

and procedures in relation to the:

separation reason;

separation procedures; and

service characterization.

60 Ibid.

61 10 USC §856 (Art. 56, Uniform Code of Military Justice (UCMJ));

62 Manual for Courts-Martial United States (MCM), 2019; Rules for Courts-Martial (RCM) 1003(b)(8).

63 38 U.S.C. §5303(a).

64 DOD, Directive 1336.01, Certificate of Release or Discharge from Active Duty (DD Form 214/5 Series), January 23,

2019. A discharge from military service in the National Guard that is authorized under title 32 of the U.S. Code is

commonly memorialized with a National Guard Bureau (NGB) Form 22 (National Guard Report of Separation and

Record of Service) (National Guard, Regulation 600-200, Enlisted Personnel Management, July 31, 2009, §6-17).

65 DOD, Directive 1332.41, Boards for Correction of Military Records (BCMRs) and Discharge Review Boards

(DRBs), April 23, 2007, pp. 2-3.

66 Legal Services Center of Harvard Law School, Turned Away, How VA Unlawfully Denies Health Care to Veterans

with Bad Paper Discharges, 2020, p. 8.

67 DOD, Instruction 1332.28, Discharge Review Board (DRB) Procedures and Standards, April 4, 2004, §E4.1.

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A board’s prior discharge review decisions have no precedential effect and do not bind the review

of subsequent cases.

Scope of Discharge Review. Under the DOD standard of review, the scope of a discharge review

is limited largely to confirming a presumption of administrative regularity, unless there is

substantial evidence that shows the decision for the separation reason or the service

characterization was arbitrary or clearly wrong.68 The Coast Guard standard of review is generally

the same as the DOD standard, but it is distinguishable in one instance.69 Among other matters, an

applicant for a discharge review related to traumatic brain injury (TBI) or post-traumatic stress

disorder (PTSD) may present medical evidence provided by VA, DOD, and civilian health care

providers.

Propriety Standard of Discharge Review. A discharge shall be deemed proper unless, based on

substantial evidence, in the course of the discharge review, it is determined that:

An error of fact, law, procedure, or discretion exists associated with the discharge

at the time of issuance; and that the rights of the applicant were prejudiced

thereby (such error shall constitute prejudicial error if there is substantial doubt

that the discharge would have remained the same if the error had not been made);

or

A change in policy by the Military Service of which the applicant was a member,

made expressly retroactive to the type of discharge under consideration, requires

a change in the discharge.70

Equity Standard of Discharge Review. A discharge shall be deemed to be equitable unless,

based on substantial evidence:

In a discharge review, it is determined that the policies and procedures under

which the applicant was discharged differ in material respects from those

currently applicable on a Service-wide basis to discharges of the type under

consideration provided that:

 Current policies or procedures represent a substantial enhancement of the

rights afforded a respondent in such proceedings; and

 There is substantial doubt that the applicant would have received the same

discharge if relevant current policies and procedures had been available to

the applicant at the time of the discharge proceedings under consideration.

At the time of issuance, the discharge was inconsistent with standards of

discipline in the Military Service of which the applicant was a member.

68 Ibid, §E3.2.12.6. The substantial evidence standard of review applied to a discharge review by a DRB in DOD to

rebut the administrative regularity presumption is distinguishable from the preponderance of evidence standard of

review applied to a record correction by a BCMR in the Military Services to rebut such a presumption, except the

Navy, which uses the substantial evidence standard of review for naval record corrections, which includes the Marnie

Corps (See 32 C.F.R. §§581.3(e), 865.4, 723.3(e), and 33 C.F.R. §52.24(b)).

69 The standard of review for propriety in the Coast Guard differs from the standard in DOD because the Coast Guard

standard does not include the language: “such error shall constitute prejudicial error if there is substantial doubt that the

discharge would have remained the same if the error had not been made” (33 C.F.R. §51.6). This omission suggests

that the Coast Guard applies a DRB standard of review other than substantial evidence to rebut the administrative

regularity presumption, possibly a preponderance of evidence. The DOD and Coast Guard standards of review for

equity are the same.

70 Ibid, Discharge Review Board (DRB) Procedures and Standards, §E4.2.

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In the course of a discharge review, it is determined that relief is warranted based

upon consideration of the applicant's service record and other evidence presented

to the DRB viewed in conjunction with the factors listed in this paragraph and the

regulations under which the applicant was discharged, even though the discharge

was determined to have been otherwise equitable and proper at the time of

issuance.71

Special Procedures for Discharge Review. A DRB must expedite any discharge review related to

TBI or PTSD and ensure that such review is accorded sufficient priority.72 This review must also

consider any medical information from a VA or civilian health care provider presented by the

servicemember as evidence. Additionally, expedited discharge reviews must be conducted with a

liberal consideration for how the TBI or PTSD may have contributed to the reason for the

separation or the service characterization.73

House-Passed H.R. 2500

Senate-Passed S. 1790

Enacted Bill P.L. 116-92

Oversight, Process, Procedure, and Training

No similar provision.

Sec. 547. Reduction in Required

Number of Members of Discharge

Review Boards. Amends 10 U.S.C.

§1553 to reduce the minimum

number of members comprising a

DRB from five to three.

Sec. 522. Reduction in required

number of members of discharge

review boards. Amends 10 U.S.C.

§1553 to reduce the minimum

number of members comprising a

DRB from five to three.

Sec. 522. Prohibition on reduction in

the number of personnel assigned to

duty with a service review agency.

Amends 10 U.S.C. §1559(a) to

extend the prohibition on reducing

the number of military and civilian

personnel assigned to duty with the

service review agency until

December 31, 2025.

No similar provision

Sec 524 Prohibition on reduction in

the number of personnel assigned to

duty with a service review agency.

Amends 10 U.S.C. §1559(a) to

extend the prohibition on reducing

the number of military and civilian

personnel assigned to duty with the

service review agency until

December 31, 2025.

Sec. 530E. Training of members of

boards for correction of military

records and discharge review boards

on sexual trauma, intimate partner

violence, spousal abuse, and related

matters. Requires the curriculum of

training for BCMR and DRB

members include training on sexual

trauma, intimate partner violence,

spousal abuse, and the various

responses of individuals to trauma.

Sec. 551. Training of members of

boards for correction of military

records and discharge review boards

on sexual trauma, intimate partner

violence, spousal abuse, and related

matters. Requires the curriculum of

training for BCMR and DRB

members include training on sexual

trauma, intimate partner violence,

spousal abuse, and the various

responses of individuals to trauma.

Sec. 525. Training of members of

boards for correction of military

records and discharge review boards

on sexual trauma, intimate partner

violence, spousal abuse, and related

matters. Requires the curriculum of

training for BCMR and DRB

members include training on sexual

trauma, intimate partner violence,

spousal abuse, and the various

responses of individuals to trauma.

No similar provision.

Sec. 546. Repeal of 15-year statute

of limitations on motions or requests

for review of discharge or dismissal

from the Armed Forces. Would

eliminate the 15-year statute of

limitations on requests for review

by a DRB.

Not adopted.

71 Ibid, §E4.3.

72 10 U.S.C. §1553(d).

73 Ibid.

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House-Passed H.R. 2500

Senate-Passed S. 1790

Enacted Bill P.L. 116-92

No similar provision.

Sec. 548. Enhancement of personnel

on boards for the correction of military

records and discharge review boards.

Would expand the types of health

care professionals who can provide

medical evidence or diagnosis of

PTSD, TBI, or another mental

health disorder and to be

considered by a BCMR or DRB.

Not adopted.

No similar provision.

Sec. 549. Inclusion of intimate

partner violence and spousal abuse

among supporting rationales for

certain claims for corrections of

military records and discharge review.

Would expand the types of cases in

which a BCMR or DRB must

accord liberal consideration to

evidence for PTSD or TBI related

to sexual trauma, intimate partner

violence, spousal abuse, or combat.

Not adopted.

No similar provision.

Sec. 552. Limitations and

requirements in connection with

separations for members of the Armed

Forces who suffer from mental health

conditions in connection with a sexrelated, intimate partner violencerelated, or spousal-abuse offense.

Would require that a mental health

care professional corroborate a

mental health condition not

amounting to a disability that is

based on being a victim of a sexrelated, intimate partner violencerelated, or spousal abuse-related.

Not adopted.

No similar provision.

Sec. 553. Liberal consideration of

evidence in certain claims by boards

for the correction of military records

and discharge review boards. Would

require all claims based on certain

conditions relating to a claimant’s

discharge or dismissal to be

reviewed with liberal consideration.

Not adopted.

Sec. 523. Advisory committee on

record and service review boards.

Would establish a Defense

Advisory Committee on Record

and Upgrade Review Boards to

advise the Secretary of Defense on

the best structure, practice, and

procedures.

No similar provision.

Not adopted.

Secretary of Defense Review

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House-Passed H.R. 2500

Sec. 521. Establishment of board of

appeals regarding denied requests for

upgraded discharges and dismissals.

Would require the Secretary of

Defense to establish a board of

discharge appeals to hear appeals of

requests for upgraded discharges

and dismissals that had been denied

by the service review agencies.

Senate-Passed S. 1790

Enacted Bill P.L. 116-92

No similar provision.

Sec. 523. Establishment of process to

review a request for upgrade of

discharge or dismissal. Requires a

process for Secretary of Defense

final review of a Military

Department DRB decision that uses

existing resources and personnel

(new process, but not a new

entity).

Sec. 550. Advice and counsel of

trauma experts in review by boards for

correction of military records and

discharge review boards of certain

claims. Requires a DRB or BCMR

review based in whole or in part on

TBI or PTSD related to combat or

sexual trauma to seek advice from

designated specialists.

Sec. 521. Advice and counsel of

trauma experts in review by boards for

correction of military records and

discharge review boards of certain

claims. Requires a DRB or BCMR

review based in whole or in part on

TBI or PTSD related to combat or

sexual trauma to seek advice from

designated specialists.

DRB and BCMR Special Advisors

Sec. 530D. Advice and counsel of

trauma experts in review by boards for

correction of military records and

discharge review boards of certain

claims. Requires a DRB or BCMR

review based in whole or in part on

TBI or PTSD related to combat or

sexual trauma to seek advice from

designated specialists.

Sexual Orientation Discharge Review

Sec. 530H. Review of discharge

characterization. If requested by a

former servicemember, would

require a discharge review of a

separation based on sexual

orientation without applying the

presumption of administrative

regularity that requires substantial

evidence to show that a separation

or characterization decision was

not proper and correct.

No similar provision.

Sec. 527. Correction of certain

discharge characterizations. Allows

servicemembers whose reason for

separation was based on sexual

orientation to seek a discharge

review without the presumption of

administrative regularity that a

reason for separation or service

characterization decision was

proper and correct.

Discussion: The enacted bill includes six out of fourteen proposed discharge review or military

record correction provisions: three addressing oversight, process, procedure, or training; one

addressing a DOD process to review Military Department discharge review decisions; one

addressing DRB special advisors; and one addressing separations based on sexual orientation.74

Oversight, Process, Procedure, and Training. Section 522 of the enacted bill reduces the number

of required DRB members from five to three, which was already the typical minimum number of

required BCMR members. If overall service review agency personnel requirements remain

unchanged, reducing the number of DRB members and reallocating the previously required

fourth and fifth members to new DRBs could presumably increase the number of DRBs available.

Section 524 of the enacted bill amends 10 U.S.C. §1559 to extend previously authorized

restrictions on reducing personnel levels at service review agencies until December 31, 2025. The

provision also requires each Service Secretary to provide Congress a service review agency plan

for reducing application backlogs and maintaining personnel resources therein. Section 525 of the

enacted bill amends currently mandated training for DRB and BCMR members to include

74 Section 5546 of S. 1790 would have nullified the bill’s DRB and BCMR related provisions (“Part III of subtitle D of

title V, and the amendments made by that part, shall have no force or effect.”), but it was not adopted.

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curricula on sexual trauma, spousal abuse, intimate partner violence, and the various responses to

these events.75

Secretary of Defense Review. Section 523 of the enacted bill requires a process for Secretary of

Defense final review of a Military Department discharge review decision if requested by a former

servicemember who has exhausted all other administrative remedies for discharge review. If

determined to be appropriate, the Secretary of Defense may recommend that the Secretary of the

relevant Military Department change a servicemember’s reason for separation or service

characterization. This review process is to be established with existing resources not later than

January 1, 2021. Section 523 did not contain a concomitant process for the Secretary of

Homeland Security to conduct such a review of a Coast Guard discharge review decision.

DRB and BCMR Special Advisors. Section 521 of the enacted bill requires a DRB or BCMR to

seek advice and counsel from a psychiatrist, psychologist, or social worker with specialized

training for cases involving TBI or PTSD as a result of combat, sexual trauma, intimate partner

violence, or spousal abuse.

Sexual Orientation Discharge Review. Under Section 527 of the enacted bill, the presumption of

administrative regularity that a previous reason for separation or a service characterization was

correct and proper no longer applies to a discharge based on sexual orientation. This change

relieves the former servicemember of the burden to show by substantial evidence that a discharge

was not proper or correct.

CRS Point of Contact: Alan Ott.

*Defense Commissary System

Background: Over the past several decades, Congress has been concerned with improving the

Defense Commissary Agency (DeCA) system, mandating 12 reports or studies between 1989 and

2015 that considered the idea of consolidating the three military exchanges and the commissary

agency.76 Recent reform proposals have sought to reduce DeCA's reliance on appropriated funds

without compromising patrons' commissary benefits or reducing the revenue generated by DOD's

military exchanges, which are nonappropriated fund (NAF) entities that fund morale, welfare, and

recreation (MWR) facilities on military installations. However, 10 U.S.C. §2482 prohibits the

Defense Department from undertaking consolidation without new legislation. Section 627 of the

FY2019 NDAA (P.L. 115-232) required the Secretary of Defense to conduct a study to determine

the feasibility of consolidating commissaries and military exchange entities into a single defense

resale system.

The study, The Department of Defense Report on the Development of a Single Defense Resale

System, April 29, 2019, concluded that the benefits of consolidating DeCA and the military

exchanges into one defense resale entity far outweighed the costs. This DOD study “projected net

savings of approximately $700M–$1.3B of combined appropriated and nonappropriated funding

over a five-year span, and recurring annual savings between $400M-$700M thereafter.”77

Opponents of consolidation maintain that DOD is moving forward without considering the risk

75 10 U.S.C. §1552 note.

76 The three military exchanges are the Army and Air Force Exchange (AAFES), Marine Corps Exchange (MCX), and

Navy Exchange (NEX). DOD, The Department of Defense Report on the Development of a Single Defense Resale

System, April 29, 2019, p. 2, https://go.usa.gov/xpreX.

77 Ibid., p. 3.

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that consolidation could cost more than anticipated and fail to result in projected savings in

operational costs.78 This could result in higher prices for patrons and curtail support for MWR

programs. In the FY2019 NDAA, Congress authorized $1.3 billion for DeCA to operate 236

commissary stores on military installations worldwide, employing a workforce of over 12,500

civilian full-time equivalents (FTE).79

House-Passed H.R. 2500

Senate-Passed S. 1790

Enacted Bill P.L. 116-92

Sec. 631 would require a

Government Accountability Office

(GAO) review of the defense resale

optimization study.

No similar provision.

Sec. 633 adopts House Sec. 631

requiring GAO review of the

defense resale optimization study

and submit to Congress by April 1,

2020.

Sec. 632 would require the

Secretary of Defense to submit a

report to Congress on the

management of commissaries and

exchanges.

No similar provision.

Not adopted.

Sec. 634 would require an

extension of certain morale,

welfare, and recreation privileges to

Foreign Service officers on

mandatory home leave.

No similar provision.

Sec. 641 adopts House Sec. 634

extending certain MWR privileges

to Foreign Service Officers on

mandatory home leave.

No similar provision.

Sec. 641 would authorize a single

Defense Resale System and would

require the Under Secretary of

Defense for Personnel and

Readiness to coordinate with the

DOD Chief Management Officer to

maintain oversight of business

transformation efforts and other

matters.

Sec. 631 adopts Senate Sec. 641.

No similar provision.

Sec. 642 would require treatment

of fees on services provided as

supplemental funds for commissary

operations.

Not adopted.

No similar provision.

Sec. 643 would require

procurement by commissary stores

of certain locally sourced products.

Sec. 632 adopts Senate Sec. 643

requiring that the dairy products

and fruits and vegetables to be

procured locally, to the extent

practicable, for commissary stores

while maintaining mandated patron

savings.

Discussion: Section 633 of the enacted bill adopts House Section 631. The enacted provision

requires the Government Accountability Office (GAO) to review DOD’s business case analysis

(pricing, sales, measuring customer savings, timetable for consolidation, etc.) before merging the

various resale entities into a single entity. Elements of the GAO report is to include data on the

78 Karen Jowers, “Is DoD Moving Too Quickly to Merge Commissaries and Exchanges?” Military Times, August 22,

2019, at https://www.militarytimes.com/pay-benefits/2019/08/22/is-dod-moving-too-quickly-to-merge-commissariesand-exchanges/.

79 DOD Office of the Under Secretary of Defense (Comptroller) Chief Financial Officer, Defense Budget Overview

Fiscal Year 2020 Budget Request, March 2019, p. 2-7 (PDF p.28) and Figure 2.2 Military Family Support Programs

p. 2-8 (PDF p. 29) at https://comptroller.defense.gov/Budget-Materials/Budget2020/.

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financial viability of a single defense resale entity and the ability of commissaries and exchanges

to support MWR programs after consolidation. The enacted provision directs that GAO provide

an interim report no later than March 1, 2020, and a final report no later than June 1, 2020. The

Senate-passed bill had no similar provision.

Section 632 of the House-passed bill would have required a report to Congress by the Defense

Secretary regarding the management practices of military commissaries and exchanges no later

than 180 days after enactment. This report would have included “a cost-benefit analysis with the

goals of reducing the costs of operating military commissaries and exchanges by $2,000,000,000

during fiscal years 2020 through 2024” while not raising costs for patrons. The Senate-passed bill

had no similar provision. Section 632 was not adopted in the enacted bill.

Section 641 of the enacted bill adopts House Section 634. The enacted provision amends section

1065 of Title 10, U.S. Code, to extend MWR privileges to Foreign Service Officers on mandatory

home leave by permitting the use of military lodging effective January 1, 2020. The Senatepassed bill had no similar provision.

Section 631 of the enacted bill adopts Senate Section 641. The enacted provision requires the

Under Secretary of Defense for Personnel and Readiness (USD[P&R]) to coordinate with the

DOD Chief Management Officer to maintain oversight of the business transformation efforts.

This provision also requires a DOD executive resale board to advise the USD(P&R) on the

implementation of sustainable, complementary operations of the defense commissary system and

the exchange stores system. The enacted provision also requires DOD to “field new technologies

and best business practices for information technology for the defense resale system” and

“implement cutting-edge marketing and advertising opportunities.” This provision also amends

Section 2483(b) of Title 10, U.S. Code, to allow DOD to include advertising commissary sales on

materials available within commissary stores and at other on-base locations in the operating

expenses of defense commissaries.

Section 642 of the Senate-passed bill would have amended section 2483(c) of Title 10, U.S.

Code, to authorize fees collected by DeCA on services provided to secondary patron groups (like

DOD contactors) to offset commissary operating costs. The enacted bill did not adopt this

provision.

Section 632 of the enacted bill adopts Senate Section 643. The enacted provision requires

commissary stores to procure locally sourced products such as dairy products, fruits, and

vegetables as available while maintaining mandated patron savings. The House-passed bill had no

similar provision.

References: CRS Report R45343, FY2019 National Defense Authorization Act: Selected Military

Personnel Issues, section on "Defense Commissary System" and similar reports from earlier

years; and CRS In Focus IF11089, Defense Primer: Military Commissaries and Exchanges, by

Kristy N. Kamarck and Barbara Salazar Torreon.

CRS Point of Contact: Barbara Salazar Torreon.

Diversity and Inclusion

Background: Throughout the history of the Armed Forces, Congress has used its constitutional

authority to establish criteria and standards for individuals to be recruited, advance through

promotion, and be separated or retired from military service. DOD and Congress have established

some of these criteria through policy and law based on demographic characteristics such as race,

sex, and sexual orientation. In the past few decades there have been rapid changes to certain laws

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and policies regarding diversity, inclusion, and equal opportunity – in particular authorizing

women to serve in combat arms occupational specialties and the inclusion of lesbian, gay,

bisexual, and transgender (LGBT) individuals. Some of these changes remain contentious and

face continuing legal challenges.

House-Passed H.R. 2500

Senate-Passed S. 1790

Enacted Bill P.L. 116-92

Sec. 526 would require the

Secretary of Defense to update and

implement the DOD Diversity and

Inclusion Strategic Plan.

No similar provision.

Sec. 529 adopts House Sec. 526 with

an amendment requiring the plan to be

implemented within one year of

enactment.

Sec. 594 would require certain

surveys to ask respondents about

whether they have ever

experienced supremacist activity,

extremist activity, or racism.

No similar provision.

Sec. 593 adopts House Sec. 594 with

amendment requiring questions about

whether a survey respondent

witnessed, experienced, or reported

extremist activity.

Sec. 597 would require DOD to

submit a report on the number of

waivers denied on the basis of a

transgender-related condition.

No similar provision.

Sec. 596 adopts House Sec. 597 with

an amendment clarifying required data

elements and protecting personally

identifiable and protected health

information.

Sec. 530B would direct that

eligibility requirements for entering

military service account only for the

ability of an individual to meet

gender-neutral occupational

standards without regard race,

color, national origin, religion, and

sex (including gender identity and

sexual orientation).

No similar provision.

Not adopted.

Sec. 561 would prohibit gendersegregated Marine Corps recruit

training.

No similar provision.

Sec. 565 adopts House Sec. 561.

Sec. 1099I would require each

component to share lessons learned

and best practices on progress of

gender integration implementation.

No similar provision.

Not adopted.

Sec. 1099J would require the

military departments to examine

strategies to recruit and retain

women.

No similar provision.

Not adopted.

Discussion: In the FY2009 NDAA (P.L. 110-417), Congress authorized the creation of the

Military Leadership Diversity Commission (MLDC).80 Following that effort, in 2012, DOD

developed and issued a five-year Diversity and Inclusion Strategic Plan.81 In 2013, as part of the

FY2013 NDAA (P.L. 112-239), Congress required DOD to develop and implement a plan

regarding diversity in military leadership.82 The House bill includes several provisions that would

80 P.L. 110-417 §596.

81 DOD, Diversity and Inclusion Strategic Plan, 2012-2017, https://diversity.defense.gov/Portals/51/Documents/

DoD_Diversity_Strategic_Plan_%20final_as%20of%2019%20Apr%2012%5B1%5D.pdf.

82 P.L. 112-239 §519 was codified in 10 U.S.C. §656.

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address diversity and inclusion, while the Senate bill has none. Section 526 of the House bill

would require DOD to design and implement a five-year strategic plan that is consistent with the

2018 National Military Strategy beginning on January 1, 2020.83 Section 529 of the enacted bill

adopts the House provision and requires DOD to implement the new strategic plan within one

year of enactment.

Existing law requires DOD to conduct surveys on racial and gender issues.84 Section 594 of the

House bill would require that workplace and equal opportunity, command climate, and workplace

and gender relations (WGR) surveys ask respondents whether they have ever experienced

supremacist activity, extremist activity, racism, or anti-Semitism. A modified provision was

adopted in the enacted bill, which requires questions be included in appropriate surveys on

whether respondents experienced, witnessed, or reported extremist activity.85 The enacted

provision does not define extremist activity or specify the frequency for such survey questions.

DOD has recently initiated a number of shifts in policy with regard to individuals who identify as

transgender. Current policy, which went into effect on April 12, 2019, disqualifies any individual

from appointment, enlistment, or induction into the service if they have a history of cross-sex

hormone therapy or sex reassignment or genital reconstruction surgery.86 The policy also

disqualifies individuals with a history of gender dysphoria unless they were stable in their

biological sex for 36 consecutive months prior to applying for admission into the Armed Forces.87

However, the policy allows for transgender persons to “seek waivers or exceptions to these or any

other standards, requirements, or policies on the same terms as any other person.”88 Those

individuals in the service who initially seek military medical care after the effective date of the

policy may receive counseling for gender dysphoria and may be retained without a waiver if (1) a

military medical provider has determined that gender transition is not medically necessary to

protect the health of the individual; and (2) the member is willing and able to adhere to all

applicable standards associated with his or her biological sex. Section 597 of the House bill

would have required DOD to submit an annual report on the number of servicemembers who

sought a waiver prior to accession or while in service on the basis of a transgender-related

condition. Section 596 of the enacted bill adopts the House provision and includes clarifying

language as to how data elements should be reported. It also requires DOD to protect personally

identifiable and health information of members. This reporting requirement expires in 2023. In

addition, the conference report accompanying the enacted bill states

83 For more on the 2018 National Military Strategy, see https://www.jcs.mil/Portals/36/Documents/Publications/

UNCLASS_2018_National_Military_Strategy_Description.pdfand https://dod.defense.gov/Portals/1/Documents/pubs/

2018-National-Defense-Strategy-Summary.pdf.

84 These surveys are required by 10 U.S.C. §481 and 10 U.S.C. §1561 note.

85 DOD policy prohibits members from individually advocating for, or participating in, organizations that advocate for

“supremacist, extremist, or criminal gang doctrine, ideology, or causes, including those that advance, encourage, or

advocate illegal discrimination based on race, creed, color, sex, religion, ethnicity, or national origin or those that

advance, encourage, or advocate the use of force, violence, or criminal activity or otherwise advance efforts to deprive

individuals of their civil rights.” DOD Instruction 1325.06, Handling Dissident and Protest Activities Among Members

of the Armed Forces, February 22, 2012, https://www.esd.whs.mil/Portals/54/Documents/DD/issuances/dodi/

132506p.pdf.

86 DOD Defense-type Memorandum 19-004, Military Service by Transgender Persons and Persons with Gender

Dysphoria, March 12, 2019, https://www.esd.whs.mil/Portals/54/Documents/DD/issuances/dtm/DTM-19-004.pdf?ver=

2019-03-13-103259-670.

87 DOD defines biological sex as, “a person’s biological status as male or female based on chromosomes, gonads,

hormones, and genitals.” Ibid., p. 14.

88 Ibid., p. 2.

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In determining whether an applicant with a disqualifying diagnosis of gender dysphoria or

history of gender transition treatment or surgery merits a waiver to permit his or her service

in the military, the conferees encourage Service-designated waiver authorities to consider

such a waiver under the same circumstances as they would for an applicant who is not

transgender, but has been diagnosed with analogous conditions or received analogous

treatments, presuming the individual meets all other standards for accession. 89

Entry into the Armed Forces by enlistment or appointment (officers) requires applicants to meet

certain physical, medical, mental, and moral standards. While some of these standards are

specified in law (e.g., 10 U.S.C. §504), DOD and the Services generally establish these standards

through policy and regulation. The Services may require additional qualification standards for

entry into certain military occupational specialties (e.g., pilots, special operations forces). By law,

qualification standards for military career designators are required to be gender-neutral.90 Section

530B would require that service entry standards account only for the ability of an individual to

meet gender-neutral occupational standards and could not include any criteria relating to the

“race, color, national origin, religion, or sex (including gender identity or sexual orientation) of an

individual.”91 This provision was not adopted.

Women were historically prohibited from serving in certain combat roles by law and policy until

December 3, 2015, when the Secretary of Defense opened all combat roles to women who can

meet gender-neutral standards.92 Entry level and occupational-specific training has been gender

integrated across the military services, with the exception of Marine Corps basic training (boot

camp). In 2019, the Marines graduated the first gender-integrated boot camp class at Marine

Recruit Depot Parris Island in South Carolina. In a statement to Congress, Lieutenant General

David Berger noted that there were no significant variations in the performance of genderintegrated units relative to gender-segregated units.93 Section 561 of the House bill would prohibit

gender segregated Marine Corps recruit training at Marine Corps Recruit Depot Parris Island no

later than five years after the date of enactment, and at Marine Corps Recruit Depot San Diego no

later than eight years after the date of enactment. Section 565 of the enacted bill adopts this

provision.

In addition, section 1099I would require the Armed Forces components to share lessons learned

and best practices on the progress of their gender integration implementation plans as

recommended by the Defense Advisory Committee on Women in the Services (DACOWITS).94

Finally, section 1099J would require the military departments to examine successful strategies for

recruitment and retention of women in foreign militaries, as recommended by DACOWITS. The

final bill did not adopt either of these provisions (sections 1099I and 1099J).

References: CRS Report R44321, Diversity, Inclusion, and Equal Opportunity in the Armed

Services: Background and Issues for Congress, by Kristy N. Kamarck, and CRS Insight IN11086,

89 H.Rept. 116-333, p. 1247.

90 P.L. 103-160 §543, as amended by P.L. 113-66 §523; 10 U.S.C. 113 note.

91 Gender identity as defined in this provision is the “gender-related identity, appearance, mannerisms, or other gender-

related characteristics of an individual, regardless of the individual’s designated sex at birth.”

92 DOD, "Carter Opens All Military Occupations, Positions to Women," press release, December 3, 2015,

https://www.defense.gov/Newsroom/News/Article/Article/632536/carter-opens-all-military-occupations-positions-towomen/.

93 U.S. Congress, Senate Committee on Armed Services, Hearing to Consider the Nomination of Lieutenant General

David H. Berger to be Commandant of the Marine Corps, 116th Cong., 1st sess., April 30, 2019.

94 DACOWITS reports, meeting notes, and recommendations can be found here: https://dacowits.defense.gov/ReportsMeetings/.

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Military Personnel and Extremism: Law, Policy, and Considerations for Congress, by Kristy N.

Kamarck. CRS In Focus IF11147, Defense Primer: Active Duty Enlisted Recruiting, by Lawrence

Kapp.

CRS Points of Contact: Kristy N. Kamarck.

*Domestic Violence and Child Abuse

Background: The Family Advocacy Program (FAP) is the congressionally-mandated program

within DOD devoted to “clinical assessment, supportive services, and treatment in response to

domestic abuse and child abuse and neglect in military families.”95 As required by law, the FAP

provides an annual report to Congress on child abuse and neglect and domestic abuse in military

families.96 Approximately half of military servicemembers are married and there are

approximately 1.6 million dependent children across the active and reserve components.97

According to DOD statistics, in FY2018, the rate of reported child abuse or neglect in military

homes was 13.9 per 1,000 children, an increase from the previous year’s rate of 13.7 per 1,000

children.98 There were 26 child abuse-related fatalities, relative to 17 fatalities in FY2017. The

rate of reported spousal abuse in FY2018 was 24.3 per 1,000 military couples, a decrease from

the FY2017 rate of 24.5 per 1,000 couples – with 13 spouse abuse fatalities recorded.99 Since

FY2006, DOD has been collecting data on unmarried intimate partner abuse. In FY2018, there

were 1,024 incidents of intimate partner abuse that met criteria involving 822 victims and 2

fatalities.100

House-Passed H.R. 2500

Senate-Passed S. 1790

Enacted Bill P.L. 116-92

Sec. 542 would expand Special

Victim Counsel (SVC) services for

victims of domestic violence,

establish minimum SVC staffing

levels, would create a position for

SVC paralegals, and would require a

report to Congress on SVC staffing.

Sec. 541 would allow the service

secretaries to extend SVC services

to certain military and militaryaffiliated civilian personnel who are

alleged victims of domestic violence

or a sex-related offense.

Sec. 548 adopts Senate Sec. 541 and

requires a report to Congress (within

120 days of enactment) on planned

implementation and resource needs

and changes to legislation required to

carry out this program.

Sec. 621 would remove delays in

the commencement of transitional

compensation for certain eligible

military dependents.

H.Rept. 116-120 Directs DOD to

provide a comprehensive review

and assessment of the transitional

compensation program (p. 153).

Sec. 601 is a similar provision to

House Sec. 621.

Sec. 621 adopts this provision.

No similar provision.

Sec. 581 would require a briefing

to the House and Senate armed

Not adopted. However, the

conference report directs a DOD

95 DOD, Fiscal Year 2017 Annual Report on Sexual Assault in the Military, Appendix G: Domestic Abuse Related

Sexual Assault, May 2018.

96 P.L. 114-328 §574.

97 DOD, 2017 Demographics: Profile of the Military Community, 2017, p. 123,

https://download.militaryonesource.mil/12038/MOS/Reports/2017-demographics-report.pdf.

98 DOD, Report on Child Abuse and Neglect and Domestic Abuse in the Military for Fiscal Year 2018, April 2019, p. 7,

https://download.militaryonesource.mil/12038/MOS/Reports/fap-fy18-dod-report.pdf.

99 Ibid., p. 8.

100 Ibid., p. 9. A rate per thousand of intimate partner abuse incidents and/or victims cannot be established, as DOD

does not have data on the number of unmarried individuals involved in intimate partner relationships.

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House-Passed H.R. 2500

Senate-Passed S. 1790

Enacted Bill P.L. 116-92

services committees on ways the

Family Advocacy Program (FAP)

could be used/enhanced to prevent

and respond to domestic violence.

briefing to House and Senate armed

services committees within 180 days of

enactment.

Sec. 543 would require notification

of civilian authorities, and receiving

units (in the case of a personnel

transfer) when a member with a

military protective order (MPO)

against them is transferred to that

unit, and would require annual

reports to Congress on the number

of MPOs reported to civilian

authorities.

No similar provision.

Sec. 543 adopts House Sec. 543 with

an amendment that requires annual

reports to begin on March 1, 2021

through 2025.

Sec. 544 would require Secretary

of Defense to enact policies and

procedures to register civilian

protection orders on military bases.

Sec. 556 is an identical provision

to House section 544.

Sec. 550A adopts this provision.

Sec. 550F would require reports

to the National Instant Criminal

Background Check System (NICS)

for servicemembers who are

prohibited from purchasing firearms

and would require a study on the

feasibility of creating a database for

tracking domestic violence MPOs

and reporting to NICS.

No similar provision.

Sec. 550E adopts House Sec. 550F

with an amendment that expands the

matters to be explored in the

feasibility report; however does not

amend the NICS Improvement

Amendments Act of 2007 to require

DOD reports.

Discussion: A special victim counsel (SVC) is a judge advocate or civilian attorney who satisfies

special training requirements and provides legal assistance to victims of sexual assault throughout

the military justice process.101 Section 542 of the House bill and Section 541 of the Senate bill

would expand SVC staffing and authorize SVC services for military-connected victims of

domestic violence. The Administration has opposed this measure, stating that it would “decrease

access for sexual assault victims to Special Victims’ Counsels (SVCs)/Victims’ Legal Counsels

(VLCs), exacerbate already high caseloads for SVC/VLCs, and impose an unfunded mandate.”102

The enacted bill adopts the Senate provision with an amendment that would require counsel to

receive specialized domestic violence legal training, serve for a minimum of two years, and be

supported by sufficiently trained paralegals. DOD is required to provide a report on planned

implementation no later than 120 days after enactment.

Transitional compensation is a monetary benefit authorized under 10 U.S.C. §1059 for dependent

family members of servicemembers or of former servicemembers who are separated from the

military due to dependent-abuse offenses. One of the motivating arguments for establishing the

transitional compensation benefit is that it provides a measure of financial security to spouses or

former spouses. Eligible recipients receive monthly payments for no less than 12 months and no

101 10 U.S.C. §§1044, 1044e, and 1565b.

102 Executive Office of the President (EOP), Office of Management and Budget (OMB), Statement of Administrative

Policy, H.R. 2500, National Defense Authorization Act for Fiscal Year 2020, July 9, 2019, p. 9,

https://www.whitehouse.gov/wp-content/uploads/2019/07/SAP_HR-2500.pdf.

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more than 36 months at the same rate as dependency and indemnity compensation (DIC). 103

While in receipt of transitional compensation, dependents are also entitled to military commissary

and exchange benefits, and may receive dental and medical care, including mental health

services, through military facilities as TRICARE beneficiaries.104 Section 621 of the House bill

and Section 601 of the Senate bill are similar provisions that would expand the authority of the

Secretary concerned to grant exceptional transitional compensation in an expedited fashion. This

would allow dependents who are victims of abuse to start receiving compensation while the

offending servicemember is still on active duty and as early as the date that an administrative

separation is initiated by a commander. In addition, the House Report directs DOD to provide a

comprehensive review and assessment of the transitional compensation program.105 Section 621

of the enacted bill adopts this provision.

When a servicemember has allegedly committed an act of domestic violence, a commander can

issue a military protective order (MPO)106 to a servicemember that prohibits contact between the

alleged offender and the domestic violence victim.107 A servicemember must obey an MPO at all

times, whether inside or outside a military installation, or may be subject to court martial or other

punitive measures. By law, a military installation commander is required to notify civilian

authorities when an MPO is issued, changed, and terminated with respect to individuals who live

outside of the installation.108 House Section 543 would amend 10 U.S.C. §1567a to require

notification of civilian authorities no later than seven days after issuing an order, regardless of

whether the member resides on the installation. The provision would also require commanders to

notify the receiving command in the case of a transfer of an individual who has been issued an

MPO. DOD would also be required to track and report the number of orders reported to civilian

authorities annually. Section 543 of the enacted bill adopts the House provision and requires

annual reports through 2025.

While MPOs are typically not enforceable by civilian authorities, a civil protection order (CPO),

by law, has full force and effect on military installations.109 House Section 544 and Senate Section

103 Dependency and indemnity compensation (DIC) rates are specified in 38 U.S.C. 1311(a). For more information on

DIC, see CRS Report R40757, Veterans’ Benefits: Dependency and Indemnity Compensation (DIC) for Survivors, by

Scott D. Szymendera.

104 Medical and dental care furnished to a dependent of a former member of the uniformed services in facilities of the

uniformed services will be limited to the health care prescribed by 10 U.S.C. §1077, and subject to the availability of

space, facilities, and the capabilities of the medical and dental staff.

105 See p. 153 of H.Rept. 116-120.

106 10 U.S.C. §1567 provides military commanders authority to issue a military protective order (MPO). An MPO is a

written lawful order that remain in effect until terminated by a military commander, or by a replacement order. For

more on MPOs, see 32 C.F.R. §635.19(a);DOD Instruction 6400.06, Domestic Abuse Involving DoD Military and

Certain Affiliated Personnel, updated May 26, 2017, https://www.esd.whs.mil/Portals/54/Documents/DD/issuances/

dodi/640006p.pdf; and DD Form 2873, Military Protective Order, https://www.esd.whs.mil/Portals/54/Documents/DD/

forms/dd/dd2873.pdf.

107 10 U.S.C. §1567 provides military commanders authority to issue a military protective order (MPO). An MPO is a

written lawful order that remain in effect until terminated by a military commander, or by a replacement order. For

more on MPOs, see 32 C.F.R. §635.19(a); DOD Instruction 6400.06, Domestic Abuse Involving DoD Military and

Certain Affiliated Personnel, updated May 26, 2017, https://www.esd.whs.mil/Portals/54/Documents/DD/issuances/

dodi/640006p.pdf; and DD Form 2873, Military Protective Order, https://www.esd.whs.mil/Portals/54/Documents/DD/

forms/dd/dd2873.pdf. 32 C.F.R. §635.19(c). Before an MPO is issued, a commander can immediately issue as a first

step a No Contact Order, which is analogous to a temporary restraining order (see Army Regulation 608-18, Family

Advocacy Program, September 13, 2011).

108 10 U.S.C. §1567a.

109 10 U.S.C. §1561a.

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556 would require DOD to establish policies and procedures for registering CPOs with military

installation authorities. Section 550A of the enacted bill adopts this provision.

House Section 550F would codify an existing DOD policy to report to the National Instant

Criminal Background Check System (NICS) servicemembers who are prohibited from purchasing

firearms due to a domestic violence conviction in a military court.110 This section would also

require DOD to study the feasibility of creating a database of military protective orders issued in

response to domestic violence and the feasibility for reporting such MPOs to NICS. Section 550E

of the enacted bill adopts the House provision, but removes the section that would amend the

National Instant Criminal Background Check System Improvement Amendments Act of 2007 (34

U.S.C. §40911(b)) with respect to DOD reporting. It also expands the matters to be explored in

the feasibility report.

References: For information on Special Victims’ Counsel and Military Protective Orders, see

CRS Report R44944, Military Sexual Assault: A Framework for Congressional Oversight, by

Kristy N. Kamarck and Barbara Salazar Torreon.111

CRS Point of Contact: Kristy N. Kamarck and Alan Ott.

*Medal of Honor

Background: The Medal of Honor (MoH) is the highest award for valor "above and beyond the

call of duty" that may be bestowed on a U.S. servicemember.112 In recent years, the MoH review

process has been criticized by some as being lengthy and bureaucratic, which may have led to

some records being lost and conclusions drawn based on competing eyewitness and forensic

evidence.113 Reluctance on the part of reviewing officials to award the MoH retroactively or to

upgrade other awards is generally based on concern for maintaining the integrity of the award and

the awards process. This reluctance has led many observers to believe that the system of awarding

the MoH is overly restrictive and that certain individuals are denied earned medals. As a result,

DOD periodically reviews inquiries by Members of Congress and reevaluates its historical

records. Systematic reviews began in the 1990s for World War II records when African-American

units remained segregated and whose valorous unit and individuals’ actions, along with others,

may have been overlooked. That effort resulted in more than 100 soldiers receiving the MoH, the

majority of which were posthumously awarded. On January 6, 2016, DOD announced the results

of its year-long review of military awards and decorations.114 This included review of the

110 DOD Instruction 5505.11, Fingerprint Card and Final Disposition Report Submission Requirements, updated

March 29, 2017, https://www.esd.whs.mil/Portals/54/Documents/DD/issuances/dodi/550511p.pdf. 18 U.S.C. §922

prohibits firearm or ammunition transfer to or receipt by a person convicted of a misdemeanor crime of domestic

violence or subject to a domestic violence protection order. A misdemeanor crime of domestic violence as an offense

that is a misdemeanor under federal, state, or tribal law with a domestic violence element (18 U.S.C. §921). Punishment

by special court-martial in the military is considered a misdemeanor because the court cannot impose confinement that

exceeds one year (10 U.S.C. §819).

111 For background on military reporting to federal databases, see Inspector General of the U.S. Department of Defense,

Report of Investigation into the United States Air Force’s Failure to Submit Devin Kelley’s Criminal History

Information to the Federal Bureau of Investigation, December 6, 2018, https://media.defense.gov/2018/Dec/07/

2002070069/-1/-1/1/DODIG-2019-030_REDACTED.PDF.

112 10 U.S.C. §§7271, 8291, and 9271.

113 See “Medal of Honor (MoH) Process,” in CRS Report R43647, FY2015 National Defense Authorization Act:

Selected Military Personnel Issues, coordinated by Barbara Salazar Torreon.

114 DOD, “Defense Department Announces Results of Military Decorations and Awards Review,” press release,

January 7, 2016, https://www.defense.gov/Newsroom/Releases/Release/Article/641775/defense-department-

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timeliness of the MoH process and review by all the military departments of the Distinguished

Service Cross, Navy Cross, Air Force Cross, and Silver Star Medal recommendations since

September 11, 2001, for actions in Iraq and Afghanistan. Subsequently, the MoH was awarded to

the first living recipient from the Iraq War, Army Staff Sgt. David Bellavia, on June 25, 2019.115

House-Passed H.R. 2500

Senate-Passed S. 1790

Enacted Bill P.L. 116-92

Sec. 583 would require a review of

World War I valor medals.

No similar provision.

Sec. 584 adopts House Sec. 583.

Sec. 584 would authorize the

President of the United States to

award the Medal of Honor (MoH)

to Alwyn Cashe for acts of valor

during Operation Iraqi Freedom.

No similar provision

Not adopted.

Sec. 1099L would authorize the

last surviving MoH recipient of

Second World War, upon their

death, to lay in state in the U.S.

Capitol rotunda.

No similar provision.

Not adopted.

No similar provision.

Sec. 585 would authorize the

President of the United States to

award the MoH to John J. Duffy for

acts of valor in Vietnam.

Sec. 583 adopts Senate Sec. 585.

Discussion: Section 583 of the House-passed bill would require DOD to review the service

records of certain servicemembers who fought in World War I (WWI) to determine whether they

should be posthumously awarded the MoH. Specifically, the provision would require record

reviews of certain African-American, Asian-American, Hispanic-American, Jewish-American,

and Native-American veterans who were recommended for the MoH or who were the recipients

of the Distinguished Service Cross, Navy Cross, or French Croix de Guerre with Palm. Four

soldiers, one Hispanic-American (Private David Barkley Cantu) and three Jewish-American

veterans (First Sergeant Sydney Gumpertz, First Sergeant Benjamin Kaufman, and Sergeant

William Sawelson), were awarded Medals of Honor at the conclusion of WWI.

In 1991, President George H.W. Bush awarded the MoH posthumously to Corporal Freddie

Stowers, who became the first African-American recipient from WWI after the Army’s review of

his military records. Later, the FY2015 NDAA (P.L. 113-291) authorized posthumous award of

the MoH to Private Henry Johnson, an African-American veteran, and Sgt. William Shemin, a

Jewish-American veteran, for valor during WWI.116 Proponents of the Pentagon review in Section

583 point to similar reviews for minority groups who served in other conflicts from World War II

to the present. Some were later awarded the MoH, the majority of which were posthumously

awarded. According to the Congressional Budget Office (CBO), “a remote possibility exists” that

one of the veterans honored under Section 583 could have a surviving widow who could

potentially receive expanded health benefits or increased survivor benefits.117 Section 584 of the

enacted bill adopts this section. If a Secretary concerned determines, based upon the review under

announces-results-of-military-decorations-and-awards-review/.

115 Meghan Myers, “President Donald Trump bestows Medal of Honor on David Bellavia, the first living Iraq War

recipient,” Army Times, June 25, 2019, at https://www.armytimes.com/news/your-army/2019/06/25/president-donaldtrump-bestows-medal-of-honor-on-david-bellavia-the-first-living-iraq-war-recipient/.

116 P.L. 113-291 §572.

117 CBO, Cost Estimates for H.R. 2500, National Defense Authorization Act for Fiscal Year 2020, June 19, 2019, p. 14,

https://www.cbo.gov/system/files/2019-06/H.R. 2500.pdf.

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that the award of the MoH to a certain World War I veteran is warranted, such Secretary shall

submit to the President a recommendation that the President award the MoH to that veteran. This

review shall terminate not later than five years after the date of the enactment of this Act.

Section 584 of the House-passed bill would have waived the time limitation and authorize the

posthumous award of the MoH to Army Sergeant First Class (SFC) Alwyn Cashe for acts of valor

in Samarra, Iraq, during Operation Iraqi Freedom. SFC Cashe led recovery efforts and refused

medical treatment until his men were evacuated to safety after an improvised explosive device

struck their vehicle and caught fire. Cashe’s actions saved the lives of six of his soldiers. He later

succumbed to his wounds. This provision was not adopted in the enacted bill.

Section 1099L of the House-passed bill would have allowed the nation to honor the last surviving

MoH recipient of WWII by permitting the individual to lie in honor in the Capitol rotunda upon

death. This provision was not adopted in the enacted bill.

Section 585 of the Senate-passed bill would have waived the time limitation in section 7274 of

title 10, United States Code, and authorize the award of the MoH to Army Major John J. Duffy

for acts of valor in Vietnam on April 14 and 15, 1972, for which he was previously awarded the

Distinguished Service Cross. Section 583 in the enacted bill adopts this section waiving the time

limitation so that the President may award the Medal of Honor under section 7271 of title 10 U.S.

Code to John J. Duffy for the acts of valor in Vietnam.

References: Previously discussed in the “Medal of Honor” section of CRS Report R44577,

FY2017 National Defense Authorization Act: Selected Military Personnel Issues, by Kristy N.

Kamarck et al. and similar reports from earlier years; CRS Report 95-519, Medal of Honor:

History and Issues, by Barbara Salazar Torreon; and the Congressional Budget Office, Cost

Estimates for H.R. 2500, National Defense Authorization Act for Fiscal Year 2020, June 19, 2019.

CRS Point of Contact: Barbara Salazar Torreon.

Military Family Issues

Background: Approximately 2.1 million members of the Armed Forces across the active and

reserve components have an additional 2.7 million “dependent” family members (spouses and/or

children).118 Slightly over 40% of servicemembers have children and approximately 50% are

married.119 The military provides a number of quality of life programs and services for military

families as part of a servicemember’s total compensation and benefit package. These include

family life, career, and financial counseling, childcare services and support, and other MWR

activities. The general motivation for providing these benefits is to improve the recruitment,

retention, and readiness of military servicemembers.

House-Passed H.R. 2500

Senate-Passed S. 1790

Enacted Bill P.L. 116-92

Spouse Employment and

Education

Sec. 628 would increase the

maximum reimbursement to

spouses for relicensing costs

associated with a relocation.

Spouse Employment and

Education

Sec. 576 would extend the

authority to reimburse some

relicensing costs associated with a

military relocation.

Spouse Employment and Education

Sec. 577 adopts House Sec. 628.

118 Department of Defense, Demographics: Profile of the Military Community, 2016, pp. 120, 123, & 145,

http://download.militaryonesource.mil/12038/MOS/Reports/2016-Demographics-Report.pdf.

119 Ibid. These figures have not changed substantially over the past two decades.

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House-Passed H.R. 2500

Senate-Passed S. 1790

Enacted Bill P.L. 116-92

Sec. 624 would seek to improve

portability of licenses for military

spouses by allowing DOD to

provide support for development of

interstate compacts.

Sec. 577 would require the

Secretary of Defense to enter into

a cooperative agreement with the

Council of State Governments to

assist with the funding and

development of interstate compacts

on licensed occupations.

Sec. 575 adopts House Sec. 624 and

includes the Senate requirements for

the Secretary of Defense with respect

to cooperative agreements with the

Council of State Governments.

Sec. 623 would allow continued

eligibility for the My Career

Advancement Account Scholarship

Program (MyCAA) program

following the promotion of the

sponsor.

No similar provision.

Sec. 576 adopts House Sec. 623 and

includes report language encouraging

DOD to improve the data collection

for military spouse education and

employment programs, to establish a

better understanding of utilization and

completion of the programs.

Sec. 580B would expand the types

of associate degrees and

certifications covered by MyCAA.

No similar provision.

Sec. 580F adopts House Sec. 580B

and allows eligible spouses to receive

financial assistance for the pursuit of a

license, certification, or associate's

degree in any career field or

occupation.

Sec. 580C would expand MyCAA

eligibility to Coast Guard spouses

and spouses of enlisted

servicemembers of all grades.

No similar provision.

Sec. 580G adopts House Sec. 580C

and requires the Coast Guard to

reimburse DOD.

Parents and Children

Sec. 625 would amend 10 U.S.C.

§1798 to authorize fee assistance

for civilian childcare providers for

survivors of members of the Armed

Forces who die on active duty.

Parents and Children

No similar provision.

Parents and Children

Sec. 624 adopts House Sec. 625 with

an amendment to authorize the benefit

for members of the Armed Forces

who die in combat-related incidents in

the line of duty.

Sec. 629 would require an

assessment of childcare costs,

capacity, and website accessibility,

enhance portability of provider

background investigations, and

expand direct hiring authority for

childcare providers.

Sec. 579 would clarify direct hiring Sec. 580 adopts House Sec. 629 with

authority for DOD child

clarifying language with respect to the

development centers.

direct hire authority for DOD

childcare development centers.

Discussion: Spouse Employment and Education. Section 1784 of Title 10, U.S. Code, requires

the President to order such measures as necessary to increase employment opportunities for

military spouses. Active duty servicemembers conduct frequent moves to military installations

across the globe. For working spouses, this sometimes requires them to establish employment in a

new state that has different occupational licensing requirements than their previous state. The

FY2018 NDAA (P.L. 115-91 §556) authorized the reimbursement of certain relicensing costs up

to $500 for military spouses following a permanent change of station from one state to another

with an end date of December 31, 2022.120 Section 628 of the House bill would have raised the

maximum reimbursement to $1,000 and would require the Secretary of Defense to perform an

analysis of whether that amount is sufficient to cover average costs. Section 576 of the Senate bill

would not have raised the maximum reimbursement amount; however, it would extend the

120 37 U.S.C. §476.

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authority to December 31, 2024. Section 577 of the enacted bill adopts the House provision and

extends the authorization for this benefit to December 31, 2024.

Both bills also had similar provisions (House Section 524 and Senate Section 577) that sought to

improve interstate license portability through DOD funding support for the development of

interstate compacts. Both bills would have capped funding support for each compact at $1

million, while the Senate bill would have capped the total program funding at $4 million. Section

575 of the enacted bill adopts the House provision with an amendment that would require the

Secretary of Defense to enter into a cooperative agreement with the Council of State

Governments to assist with the funding and development.121

DOD’s My Career Advancement Account Scholarship Program (MyCAA), launched in 2007,

currently provides eligible military spouses up to $4,000 in financial assistance to pursue a

license, certification, or associate’s degree in a portable career field.122 Eligible spouses are those

married to military servicemembers on active duty in pay grades E-1 to E-5, W-1 to W-2 and O-1

to O-2. During the pilot phase of the program, the benefit was offered to all spouses and funds

were also available for a broader range of degrees and certifications, including bachelor’s and

advanced degrees. However, due to concerns about rising costs and enrollment requests, DOD

has since reduced the maximum benefit amount (from $6,000 to $4000), limited eligibility to

spouses of junior servicemembers, and restricted the types of degrees and career fields that were

eligible for funding.

Section 623 of the House bill would have allowed continued eligibility for spouses when the

member is promoted above those pay grades after the spouse has begun a course of instruction.

Section 580B of the House bill would have expanded the qualifying degrees and certifications to

include non-portable career fields and occupations. Finally, Section 580C would have expanded

the eligible population to all enlisted spouses and would also have provided eligibility for Coast

Guard spouses to participate in the DOD program.123 The enacted bill adopts all three of these

House provisions, expanding eligibility for more military spouses and a broader range of

certifications.

Parents and Children. DOD operates the largest employer-sponsored childcare program in the

United States, serving approximately 200,000 children of uniformed servicemembers and DOD

civilians, and employing over 23,000 childcare workers.124 DOD offers subsidized programs on

and off military installations for children from birth through 12 years, including care on a fullday, part-day, short-term, or intermittent basis. Title 10 U.S.C. §1798 authorizes fee assistance for

civilian childcare services. Section 625 of the House bill would have specifically authorized fee

assistance for survivors of members of the Armed Forces who die “in line of duty while on active

duty, active duty for training, or inactive duty for training.’’ DOD policy currently authorizes

childcare for “surviving spouses of military members who died from a combat related

121 The Council of State Governments was formed in 1933 as a forum for states to exchange policy ideas and practice.

See https://www.csg.org/.

122 See for on the My Career Advancement Account Scholarship Program (MyCAA), see

https://mycaa.militaryonesource.mil/mycaa. DOD relies on the Department of Labor’s database of in-demand

occupations to identify portable careers eligible for MyCAA tuition assistance.

123 U.S. Government Accountability Office (GAO), Military Spouse Employment Programs; DOD can Improve

Guidance and Performance Monitoring, GAO-13-60, December 2012, pp. 7-8,

https://www.gao.gov/assets/660/650867.pdf.

124 CRS Report R45288, Military Child Development Program: Background and Issues, by Kristy N. Kamarck.

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incident.”125 Section 624 of the enacted bill amends the House provision to only authorize fee

assistance for survivors of those who die “in combat-related incidents in the line of duty.”

Section 629 of the House bill and Section 578 of the Senate bill would have expanded and

attempted to clarify hiring authorities for military childcare workers. The House provision would

also have required an assessment and report from DOD on the adequacy of the maximum fee

assistance subsidy, the accessibility of childcare and spouse employment websites, and the

capacity needs of installation-based childcare facilities. Finally, the same section sought to

improve portability of background checks for childcare workers. It is common for military

spouses to be employed as childcare workers, and frequent moves may require them to reapply

and resubmit background check material at a new facility. Section 580 of the enacted bill adopts

the House provision and includes language clarifying the direct hire authority for DOD childcare

development centers to include family childcare coordinator services and school age childcare

coordinator services.

References: CRS Report R45288, Military Child Development Program: Background and Issues,

by Kristy N. Kamarck.

CRS Points of Contact: Kristy N. Kamarck.

Military Medical Malpractice

Background: DOD employs physicians and other medical personnel to deliver health care

services to servicemembers in military treatment facilities (MTFs). Occasionally, however,

patient safety events do occur and providers commit medical malpractice by rendering health care

in a negligent fashion, resulting in the servicemember’s injury or death.126 In the civilian health

care market, a victim of medical malpractice may potentially obtain recourse by pursuing

litigation against the negligent provider and/or his employer. A servicemember injured as a result

of malpractice committed by an MTF health care provider, however, may encounter significant

obstacles if attempting to sue the United States.

In general, the Federal Tort Claims Act (FTCA) permits private parties to pursue certain tort

claims (e.g., medical malpractice) against the United States.127 However, in 1950, the U.S.

Supreme Court in the case of Feres v. United States recognized an implicit exception to the

FTCA–that the federal government is immunized from liability “for injuries to servicemen where

the injuries arise out of or are in the course of activity incident to service.”128 This exception to

tort liability is known as the Feres doctrine. Many lower federal courts have concluded that Feres

generally prohibits military servicemembers from asserting malpractice claims against the United

States based on the negligent actions of health care providers employed by the military.

Over the past decade, Congress has held multiple hearings to assess whether to modify the Feres

doctrine to allow servicemembers to pursue medical malpractice litigation against the United

125 DOD Instruction 6060.02, Child Development Programs (CDPs), August 5, 2014,

https://www.esd.whs.mil/Portals/54/Documents/DD/issuances/dodi/606002p.pdf.

126 A patient safety event is “an event, incident, or condition that could have resulted or did result in harm to a patient.”

The Joint Commission, Comprehensive Accreditation Manual for Health, updated January 2, 2016, p. SE-4,

https://www.jointcommission.org/assets/1/6/CAMH_24_SE_all_CURRENT.pdf.

127 28 U.S.C. §§1346(b)(1), 2401(b), and 2671-2680. For more on the Federal Tort Claims Act, see CRS Report

R45732, The Federal Tort Claims Act (FTCA): A Legal Overview, by Kevin M. Lewis.

128 Feres v. United States, 340 U.S. 146 (1950). For more information, see CRS In Focus IF11102, Military Medical

Malpractice and the Feres Doctrine, by Bryce H. P. Mendez and Kevin M. Lewis.

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States.129 Congress has also considered several proposals to amend the FTCA to allow these tort

claims.130

House-Passed H.R. 2500

Senate-Passed S. 1790

Enacted Bill P.L. 116-92

Sec. 729 would amend the Federal

Tort Claims Act (28 U.S.C. §2681)

to allow certain claims against the

United States for negligent,

wrongful, or omitted health care

services at a military treatment

facility (MTF) that resulted in

personal injury or death of a

servicemember.

No similar provision.

Sec. 731 adopts House Sec. 729

with an amendment that establishes

a statutory authority for the

Secretary of Defense to consider,

settle, and pay claims against the

United States for negligent,

wrongful, or omitted health care

services at an MTF that resulted in

personal injury or death of a

servicemember. The provision does

not amend the Federal Tort Claims

Act, nor allow servicemembers to

pursue medical malpractice

litigation against the United States.

Sec. 744 would require the

Secretary of Defense to report to

Congress the number of medical

providers who “lost medical

malpractice insurance coverage”

prior to their employment with

DOD.

No similar provision.

Sec. 747 adopts House Sec. 744

with an amendment that directs

GAO to: (1) assess the

effectiveness of DOD’s quality

assurance program and monitoring

of the National Practitioner Data

Bank, and (2) analyze clinical and

compensation outcomes of patients

who may be eligible or ineligible to

file claims against the United States

for “negligence or malpractice.”

The provision also requires GAO

to provide its findings in a report to

the House and Senate armed

services committees by January 1,

2021.

Discussion: The enacted bill does not abrogate the Feres doctrine, nor does it amend the FTCA to

provide servicemembers the ability to litigate certain medical malpractice claims against the

United States. Instead, enacted provisions focus on establishing an administrative claims process

to compensate injured servicemembers and on conducting oversight of the Defense Department’s

clinical quality assurance program.

Section 731 of the enacted bill authorizes the Secretary of Defense to “allow, settle, and pay a

claim against the United States for personal injury or death incident to the service of a member of

the uniformed services that was caused by the medical malpractice of the Department of Defense

health care provider.”131 Under the provision, the Defense Secretary may establish an

129 See U.S. Congress, House Committee on the Judiciary, Subcommittee on Commercial and Administrative Law,

Carmelo Rodriguez Military Medical Accountability Act of 2009, hearing on H.R. 1478, 111th Cong., 1st sess., March

24, 2009 (Washington: GPO, 2009); and U.S. Congress, House Committee on Armed Services, Subcommittee on

Military Personnel, Feres Doctrine - A Policy in Need of Reform?, 116th Cong., 1st sess., April 30, 2019.

130 See the Carmelo Rodriguez Military Medical Accountability Act as introduced in the 110th and 111th Congress (H.R.

6093, H.R. 1478, S. 1347) or the SFC Richard Stayskal Military Medical Accountability Act of 2019 as introduced in

the 116th Congress (H.R. 2422 and S. 2451).

131 P.L. 116-92 §731 is codified in 10 U.S.C. §2733a.

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administrative claims process for servicemembers who have been injured or died as a result of

medical malpractice committed by an MTF provider.

Only an injured servicemember, or an authorized representative of a deceased or incapacitated

servicemember, may file a claim within two years after a malpractice incident (three years if filed

in calendar year 2020). For a substantiated claim, DOD may issue financial compensation, up to

$100,000. If referred by the Defense Secretary, the Secretary of the Treasury may issue additional

compensation in excess of $100,000. Within 180 days after enactment, the Defense Secretary is

required to brief the House and Senate armed services committees on the status of developing and

implementing the regulations for this authority.

Typically, DOD conducts prospective, ongoing, and retrospective monitoring and assessment of

its health care services through its Medical Quality Assurance (MQA) programs and clinical

quality management activities. The Defense Health Agency and the Service medical departments

administer these programs and activities, which are intended to “ensure quality in healthcare

throughout the MHS.”132 Section 747 of the enacted bill directs GAO to assess the effectiveness

of DOD’s quality assurance program, including the use and monitoring of the National

Practitioner Data Bank when hiring, retaining, and documenting adverse actions taken against

DOD health care providers.133 GAO is to report their findings to the House and Senate armed

services committees no later than January 1, 2021.

References: CRS In Focus IF11102, Military Medical Malpractice and the Feres Doctrine, by

Bryce H. P. Mendez and Kevin M. Lewis; and CRS Legal Sidebar LSB10305, The Feres

Doctrine: Congress, the Courts, and Military Servicemember Lawsuits Against the United States,

by Kevin M. Lewis.

CRS Point of Contact: Bryce H.P. Mendez.

*Military Pay Raise

Background: Congress has a long-standing congressional interest in military pay raises, as they

relate to the overall cost of military personnel and to recruitment and retention of high-quality

personnel to serve in the all-volunteer military. Section 1009 of Title 37, U.S. Code, codifies the

formula for an automatic annual increase in basic pay that is indexed to the annual increase in the

Employment Cost Index (ECI). The statutory formula stipulates that the increase in basic pay for

2020 will be 3.1% unless either (1) Congress passes a law to provide otherwise; or (2) the

President specifies an alternative pay adjustment under subsection (e) of 37 U.S.C. §1009.

Increases in basic pay are typically effective at the start of the calendar year, rather than the fiscal

year.

The FY2020 President’s Budget requested a 3.1% military pay raise, equal to the statutory

formula.

132 DOD Instruction 3025.13, Medical Quality Assurance (MQA) and Clinical Quality Management in the Military

Health System (MHS), updated October 2, 2013, p. 2,

https://www.esd.whs.mil/Portals/54/Documents/DD/issuances/dodi/602513p.pdf. For more on DOD’s quality

assurance programs and clinical quality management activities, see https://www.health.mil/Military-HealthTopics/Access-Cost-Quality-and-Safety/Quality-And-Safety-of-Healthcare/Clinical-Quality-Management.

133 The National Practitioner Data Bank (NPDB) is a web-based “repository of reports containing information on

medical malpractice payments and certain adverse actions related to health care practitioners, providers, and supplies.”

For more on the NPDB, see https://www.npdb.hrsa.gov/topNavigation/aboutUs.jsp.

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House-Passed H.R. 2500

Senate-Passed S. 1790

Enacted Bill P.L. 116-92

Sec. 606 specifies that basic pay

will increase by 3.1% on January 1,

2020.

No similar provision (leaving in

place the automatic adjustment).

Sec. 609 adopts House Sec. 606.

Sec. 607 specifies that the

automatic increase in basic pay

under the statutory formula of 37

U.S.C. §1009 shall take effect,

"notwithstanding any determination

made by the President under

subsection (e) of such section with

respect to an alternative pay

adjustment ... "

No similar provision (leaving in

place the automatic adjustment).

Not adopted.

Discussion: The House bill would have included two provisions that would address the military

pay raise. Section 606 would have directed a 3.1% increase in basic pay. Section 607 would have

directed that the statutory formula of 37 U.S.C. §1009 go into effect, also resulting in a 3.1%

increase in basic pay, even if the President were to specify an alternate adjustment. The Senate

bill did not contain a provision specifying an increase in basic pay; it would have left the 3.1%

automatic adjustment provided by 37 U.S.C. §1009 in place. Section 609 of P.L. 116-92 specified

a 3.1% increase in basic pay.

References: For an explanation of the pay raise process and historical increases, see CRS In

Focus IF10260, Defense Primer: Military Pay Raise, by Lawrence Kapp. Previously discussed in

CRS Report R45343, FY2019 National Defense Authorization Act: Selected Military Personnel

Issues, by Bryce H. P. Mendez et al. and similar reports from earlier years.

CRS Point of Contact: Lawrence Kapp.

Military Retirement and Survivor Benefits

Background: The military retirement system is a funded, noncontributory system that provides a

monthly annuity after 20 qualifying years of service, or upon qualifying for a disability

retirement. As of January 1, 2018, those joining the military and those who opted into the

Blended Retirement System also receive a defined contribution from the federal government into

the Thrift Savings Plan (TSP).134 Military retirees and their dependents are also eligible for other

DOD benefits, including commissary and exchange shopping privileges, medical benefits, and

space-available travel on military aircraft. Surviving spouses and other eligible beneficiaries may

be eligible to receive a portion of the servicemember’s retired pay after the member’s death in

retirement (if enrolled) or while on active duty (automatic eligibility). This benefit is called the

Survivor Benefit Plan (SBP). In addition, military retirees and their dependents may be eligible

for benefits from the VA, including Dependency and Indemnity Compensation (DIC), a monthly

payment to beneficiaries whose spouse’s death was related to a service-connected injury or

condition.

134 For more on the Thrift Savings Plan, see CRS Report RL30387, Federal Employees’ Retirement System: The Role

of the Thrift Savings Plan, by Katelin P. Isaacs.

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House-Passed H.R. 2500

Senate-Passed S. 1790

Enacted Bill P.L. 116-92

No similar provision.

Sec. 631 would modify how

Sec. 655 does not adopt the change,

payments to the military retirement but instead requires DOD to report

fund are calculated.

how the Senate provision would be

implemented.

Sec. 630A would repeal the

Survivor Benefit Plan–Dependency

Indemnity Compensation offset.

No similar provision.

Sec. 622 adopts House Sec. 630A

with an amendment requiring a 3-year

phase-out of the offset.

Discussion: Military retirees are paid from the Military Retirement Fund (MRF). Under the

accrual accounting system, the DOD budget for each fiscal year includes a contribution to the

MRF as a percentage of basic pay in the amount needed to cover future retirement costs.135 This

percentage–called the normal cost percentage (NCP)–is determined by an independent,

presidentially appointed, DOD Retirement Board of Actuaries. Estimated future retirement costs

are modeled based on the past rates at which active duty military personnel stayed in the service

until retirement and on assumptions regarding the overall U.S. economy, including interest rates,

inflation rates, and military pay levels.

Currently, the DOD Actuary calculates separate NCPs for the active and reserve components;

however, by law the Actuary applies a single NCP across all of the military services.136 The

conference report (H.Rept. 115-404) accompanying FY2018 NDAA (P.L. 115-91) contained a

provision asking the GAO to evaluate whether the current method used to calculate DOD

retirement contributions reflects estimated service retirement costs, and what effects, if any may

result from calculating a separate NCP for each of the Services. The GAO’s December 2018

report found that, due to differing continuation rates among the Services, “the mandated single,

aggregate contribution rate does not reflect service specific retirement costs.”137 In particular, the

analysis found that the probability of reaching 20 years of service was more than 3 times higher

for the Air Force than the Marine Corps.

Section 631 of the Senate bill would have changed how military retirement contributions are

calculated, by requiring separate NCPs for each of the Services and components.138 Some analysts

who have studied the issue have argued that this change would improve resource allocation

efficiency, manpower decision-making, and accuracy in budget estimates at the service level.139

On the other hand, the GAO report notes that military service officials stated that their

“workforce decision making processes would not change.”140 Section 655 of the enacted bill does

not change the funding process, but requires the Secretary of Defense to deliver an

implementation plan to the House and Senate armed services committees by April 1, 2020.

DOD’s plan would assume that the change in funding process would commence in FY2025.

135 Other sources of fund income are U.S. Treasury payments, to make up for the unfunded liability when the

accounting system was changed in 1984, and interest income.

136 10 U.S.C. §1465.

137 GAO, Military Retirement: Service Contributions Do Not Reflect Service Specific Estimated, GAO-19-195R, 2018,

p. 6, https://www.gao.gov/assets/700/695789.pdf.

138 A similar provision was included in the Senate-passed version of the FY2018 NDAA (S. 1519 §1002); however the

provision was not adopted.

139 DOD’s Office of Cost Assessment and Program Evaluation (CAPE) led an assessment of the current retirement

contribution method as part of a larger effort. See also, Hosek, James, Beth J. Asch, and Michael Mattock, Toward

Efficient Military Retirement Accrual Charges, RAND Corporation, Santa Monica, CA, 2017.

140 Ibid., p. 9.

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Following the death of a servicemember, certain beneficiaries may be eligible for survivor

benefits from both DOD (SBP) and the VA (DIC). However, by law, surviving spouses who

receive both annuities must have their SBP payments reduced by the amount of DIC they

receive.141 This offset has sometimes been referred to as a widows' tax. The FY2018 NDAA (P.L.

115-91) permanently authorized a payment called the called the Special Survivor Indemnity

Allowance (SSIA) to such surviving spouses, to offset that reduction. The SSIA payment is

adjusted annually to account for cost-of-living increases. In the past, to avoid the offset, some

survivors have used the authority under 10 U.S.C. §1448(d)(2) to transfer the SBP benefit to

dependent children. Section 630A of the House bill would have repealed the offset as well as the

authority to provide the annuity to dependent children. Surviving spouses who had transferred the

benefit would not have been able to have their eligibility for the benefit restored. Retroactive

payments would not be authorized under this provision. SBP is also paid from the MRF. CBO

estimates that the repeal would increase federal spending by $5.7 billion over a period of 10

years.142 Approximately 65,000 surviving beneficiaries are eligible to receive both SBP and

DIC.143 Section 622 of the enacted bill phases out the requirement for an SBP-DIC offset over a

period of three years, and repeals the optional SBP annuity for dependent children.

References: CRS Report RL34751, Military Retirement: Background and Recent Developments,

by Kristy N. Kamarck. CRS Report R45325, Military Survivor Benefit Plan: Background and

Issues for Congress, by Kristy N. Kamarck and Barbara Salazar Torreon, CRS Insight IN11112,

The Kiddie Tax and Military Survivors’ Benefits, by Sean Lowry and Kristy N. Kamarck, CRS

Report R40757, Veterans’ Benefits: Dependency and Indemnity Compensation (DIC) for

Survivors, by Scott D. Szymendera. CRS Legal Sidebar LSB10316, FY2020 NDAA Analysis:

Elimination of Benefits Offset for Surviving Spouses and Related Legal Issues, by Mainon A.

Schwartz.

CRS Point of Contact: Kristy N. Kamarck.

*Military Sexual Assault and Sexual Harassment

Background: Over the past decade, the issues of sexual assault and sexual harassment in the

military have generated sustained congressional and media attention. Congress has required

additional study, data collection, and reporting to determine the scope of the issue, expand

protections and support services for victims, make substantial changes to the military justice

system, and take other actions to enhance sexual assault prevention and response. Sexual assault

and related sex offenses are crimes under the Uniform Code of Military Justice (UCMJ) and are

prosecutable by court-martial.144 DOD’s Sexual Assault Prevention and Response Office

(SAPRO) oversees sexual assault policy and produces an annual report on sexual assault

estimated prevalence rates and actual reporting. In FY2018, estimated sexual assault prevalence

rates across DOD’s active duty population were 6.2% for women and 0.7% for men.145 These

141 10 U.S.C. §1450(c).

142 CBO, Cost Estimate for H.R. 553, Military Surviving Spouses Equity Act, As introduced in the House of

Representatives on January 15, 2019, June 25, 2019, https://www.cbo.gov/system/files/2019-06/hr553.pdf.

143 DOD Office of the Actuary, Military Retirees and Survivors by Congressional District, December 31, 2018,

https://actuary.defense.gov/Portals/15/Documents/CONGDIST%202018.pdf?ver=2019-02-22-003419-477.

144 The Uniform Code of Military Justice (UCMJ; Chapter 47 of Title 10, U.S. Code) is the code of military criminal

laws applicable to all U.S. military members worldwide.

145 DOD SAPRO, Department of Defense Annual Report on Sexual Assault in the Military, Fiscal Year 2018, April 26,

2019, p. 3, https://www.sapr.mil/sites/default/files/DoD_Annual_Report_on_Sexual_Assault_in_the_Military.pdf.

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estimated prevalence rates were higher for active duty women than the FY2016 of 4.3% while the

rate for men remained close to the FY2016 rate of 0.6%.146

House-Passed H.R. 2500

Senate-Passed S. 1790

Enacted Bill P.L. 116-92

Reporting and Accountability

Sec. 548 would expand the scope

of study and extend the authority of

the Defense Advisory Committee

on Investigation, Prosecution, and

Defense of Sexual Assault in the

Armed Forces (DAC-IPAD) for 5

years.

Reporting and Accountability

Reporting and Accountability

Sec. 533 would extend the term of Sec. 535 adopts Senate Sec. 533,

the DAC-IPAD.

extending the term of DAC-IPAD for

5 years and requests an expanded

scope of review.

Sec. 540A would require DOD to

review racial, ethnic, and gender

disparities in the military justice

system.

Sec. 535 would require a DACIPAD review and assessment of the

relationship between race and

ethnicity and the investigation,

prosecution, and defense of sexual

assault.

Sec. 540I adopts House Sec. 540A.

Sec. 549 would require the

Secretary of Defense to establish a

“Defense Advisory Committee for

the Prevention of Sexual

Misconduct.”

Sec. 534 is a similar provision to

House Sec. 549.

Sec. 550B adopts House Sec. 549.

Sec. 592 would modify

requirements for gender relations

surveys.

No similar provision.

Sec. 591 adopts the House Sec. 592

with an amendment clarifying that the

term “assault” should include

“unwanted sexual contact.”

No similar provision.

Sec. 537 would require a GAO

report on implementation of

statutory requirements for sexual

assault for FY2004–FY2019.

Sec. 540M adopts Senate Sec. 537.

Prevention and Response

No similar provision.

Prevention and Response

Sec. 521 would require enhanced

policies and programs to prevent

sexual assault.

Prevention and Response

Sec. 540D adopts the Senate

provision.

Sec. 550O would ensure that

Catch a Serial Offender program

information is not subject to

Freedom of Information Act (FOIA)

requests.

Sec. 530 is a similar provision to

House Sec. 550O.

Sec. 530 adopts Senate Sec. 530.

Victim Services and Support

Sec. 542 would expand special

victim counsel (SVC) services for

victims of domestic violence,

establish minimum SVC staffing

levels, create a position for SVC

paralegals, and require a report to

Congress on SVC staffing.

Victim Services and Support

Sec. 541 would allow the service

secretaries to extend SVC services

to certain military and militaryaffiliated civilian personnel who are

alleged victims of domestic violence

or a sex-related offense.

Victim Services and Support

Sec. 548 adopts Senate Sec. 541and

includes an amendment requiring

specialized training in domestic

violence for specified legal counsel and

a report to Congress on resources

needed to carry out the program.

146 These estimates are based on biennial survey data for respondents who experienced behaviors consistent with the

definition of sexual assault in the previous year. For additional data, see DOD SAPRO annual reports at

https://www.sapr.mil/reports.

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FY2020 National Defense Authorization Act: Selected Military Personnel Issues

House-Passed H.R. 2500

Senate-Passed S. 1790

Enacted Bill P.L. 116-92

Sec. 542 includes similar language

to Senate Sec. 542.

Sec. 542 would expand SVC

services to include assistance with

retaliation claims, codify duty to

determine victim preference for

prosecution venue, and require a

report on the expansion of

eligibility for SVC services.

Sec. 541 adopts Senate Sec. 542 with

an amendment that removes the

responsibility for the SVC to solicit

victim preference for prosecution

venue and removes reporting

requirements. (These requirements

are adopted in other provisions.)

No similar provision.

Sec. 536 would require a report

on the integration and

synchronization of activities of

Special Victim Investigation and

Prosecution personnel with

activities of military criminal

investigation organizations.

Not adopted; however the conference

report directs a briefing from DOD on

proposals to enhance the integration

and synchronization of Special Victim

Investigation and Prosecution

personnel with the activities of military

criminal investigative organizations in

investigations.

Sec. 550A would ensure an SVC

or Special Victim Prosecutor is

available within 48 hours of request

by victim and a report on

establishing new civilian positions to

support SVCs.

Sec. 543 would require availability Sec. 542 adopts Senate Sec. 543.

of an SVC within 72 hours of

request by victim, and a report on

establishing new civilian positions to

support SVCs.

Sec. 550C would require statespecific training for SVCs on civilian

criminal justice matters.

Sec. 544 would require stateSec. 550C adopts House Sec. 550C

specific training for SVCs on civilian and adds “protective orders” to the

criminal justice matters.

list of topics for training.

Sec. 535 would increase

investigative personnel and Victim

Witness Assistance Program

liaisons.

No similar provision.

Sec. 550 would require DOD to

develop a safe to report policy for

minor collateral misconduct

uncovered in the course of a sexual

assault investigation.

Sec. 527 would require a safe to

Not adopted.

report policy for minor collateral

misconduct associated uncovered in

the course of a sexual assault

investigation.

No similar provision.

Sec. 528 would require a report to Sec. 540H adopts Senate Sec. 528.

Congress on expansion of the Air

Force’s safe to report initiative.

Sec. 558 would require

consideration for transfer of a

military service academy student

who is the victim of a sex-related

offense to another service academy.

No similar provision.

Sec. 555 adopts House Sec. 558 and

includes an amendment expanding

options available to include enrolment

in a Senior Reserve Officer Training

Corps (SROTC) program.

Sec. 550P would preserve a

victim’s recourse to a restricted

report in the event a sexual assault

allegation was inadvertently

disclosed or reported.

Sec. 531 would require a report

on whether sexual assault reports

to certain third parties can remain

restricted.

Sec. 540K adopts Senate Sec. 531.

Military Justice and

Investigations

Sec. 540 would require training on

the withholding of sexual assault

disposition authorities.

Military Justice and

Investigations

Sec. 523 is a similar provision to

House Sec. 540

Military Justice and Investigations

Sec. 540A adopts House Sec. 540.

Congressional Research Service

Sec. 540 adopts House Sec. 535 and

establishes a goal of 6 months for

completion of sex assault

investigations.

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FY2020 National Defense Authorization Act: Selected Military Personnel Issues

House-Passed H.R. 2500

Senate-Passed S. 1790

Enacted Bill P.L. 116-92

Sec. 540C would require

enhanced training for commanders

on their roles in the military justice

process.

Sec. 525 would require enhanced Sec. 540B adopts Senate Sec. 525.

training for commanders on their

roles in the military justice process.

Sec. 539 would require timely

disposition of non-prosecutable

sex-related offenses.

No similar provision.

Sec. 540C adopts House Sec. 539

with an amendment.

No similar provision.

Sec. 529 would require a report

on recommended actions with

respect to adding a punitive

Uniform Code of Military Justice

(UCMJ) article for sexual

harassment.

Sec. 540E adopts Senate Sec. 529.

Sec. 538 would require a pilot

program on prosecution of sexrelated offenses committed against

cadets or midshipmen at the service

academies.

Sec. 522 would require the

disposition authority for certain

covered offenses to be withheld to

an officer in the grade of O-6 or

above; review of decision by a Staff

Judge Advocate and advice to next

senior commander, and training on

the exercise of this authority.

Not adopted.

Sec. 550B would require

commanders to notify victims on a

monthly basis on any further

actions taken with respect to a case

that is not referred to court-martial.

Sec. 526 is an identical provision

to House Sec. 550B.

Sec. 549 adopts this provision.

Sec. 534 would require

commanders to provide notification

to victims regarding key military

justice events and documentation of

victim preference for prosecution

venue (civilian or military court).

Sec. 524 is a similar provision to

House Sec. 534 and 547.

Sec. 538 adopts House Sec. 534 and

Sec. 547 requiring implementation no

later than 180 days after enactment.

Sec. 547 would require

documentation of consultation with

a victim on preference for

prosecution venue (civilian or

military court).

Discussion: The following discussion is split into four topic areas:

Reporting and Accountability;

Prevention and Response;

Victim Services and Support; and

Military Justice and Investigations.147

147 Included in this discussion are selected military justice provisions that have the most direct relationship with

military sexual assault. As such, some military justice provisions under Subtitle D in the House bill and Senate bills are

excluded from this report.

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In March 2019, following a Senate Armed Services Committee hearing, the Acting Secretary of

Defense established the Sexual Assault Accountability and Investigation Task Force (SAAITF).148

This task force made several recommendations for legislative action, some of which are reflected

in sections of the House and Senate bills.

Reporting and Accountability. Several provisions in the House and Senate bills would have

offered support to congressional oversight. In the FY2015 NDAA, Congress called for the

establishment of a 20-member Defense Advisory Committee on Investigation, Prosecution, and

Defense of Sexual Assault in the Armed Forces (DAC-IPAD).149 The committee was established

in 2016 and has since produced several studies.150 Section 548 of the House bill and Section 533

of the Senate bill would have extended the term of the DAC-IPAD for an additional five years.

The House provision would have also expanded the scope of the committee’s research to include

exploring the feasibility of incorporating restorative justice models into the UCMJ.151 Section 535

of the enacted bill adopts the Senate provision and expands the scope of research as proposed in

the House bill.

Section 535 of the Senate bill would have required the committee to review and assess the

relationship between race and ethnicity and the investigation, prosecution, and defense of sexual

assault. In May 2019, the GAO reported that “Blacks, Hispanics, and male servicemembers were

more likely than Whites and female servicemembers to be the subjects of recorded investigations

in all of the military services, and were more likely to be tried in general and special courtsmartial.”152 GAO also reported that differences in how the Services record information on race

and ethnicity make it difficult to identify disparities.153 Section 540A of the House bill would

have required DOD to conduct a review of racial, ethnic, and gender disparities across the entire

military justice system (see also the “Diversity and Inclusion” section of this report). Section 540I

of the enacted bill adopts the House provision and requires the DAC-IPAD to conduct the review

for each fiscal year in which the committee assesses completed court-martial cases.

Both bills (House Section 549 and Senate Section 534) would have required the Secretary of

Defense to establish a 20-member “Defense Advisory Committee for the Prevention of Sexual

Misconduct” with expertise in areas such as organizational culture, suicide prevention,

implementation science,

This text is long and has been trimmed here. Open the source document for the complete record.

This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.

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