Improvements to administration of military medical treatment facilities

(a) Support provided by MTFs Subsection (a) of section 1073d of title 10, United States Code, is amended by striking and the readiness of medical personnel, and inserting, the readiness of medical personnel, and the health care services available for covered beneficiaries,. (b) Medical centers Subsection (b) of such section is amended— (1) in paragraph (2), by striking that support medical readiness; (2) in paragraph (4)(C)(ii), by striking improving and inserting ensuring; and (3) in paragraph (5)(C)(ii)— (A) by striking may and inserting shall; and (B) by inserting or contractors after civilian employees. (c) Hospitals Subsection (c) of such section is amended— (1) in paragraph (2)— (A) in subparagraph (A), by striking; and and inserting a semicolon; (B) by redesignating subparagraph (B) as subparagraph (C); and (C) by inserting after subparagraph (A) the following new subparagraph: (B) inpatient and outpatient health services with limited speciality care to provide medical care to all eligible beneficiaries; and; and (2) in paragraph (3)— (A) by redesignating subparagraphs (A) and (B) as subparagraphs (B) and (C), respectively; and (B) by inserting before subparagraph (B), as so redesignated, the following new subparagraph: (A) is necessary for medical readiness;. (d) Ambulatory care centers Subsection (d)(3) of such section is amended— (1) by redesignating subparagraphs (A) and (B) as subparagraphs (B) and (C), respectively; and (2) by inserting before subparagraph (B), as so redesignated, the following new subparagraph: (A) is necessary for medical readiness;. (e) Maintenance of inpatient capabilities at military medical treatment facilities located outside the United States Subsection (e)(2) of such section is amended— (1) in the matter preceding subparagraph (A), by striking 180 days and inserting one year; and (2) by redesignating subparagraph (C) as subparagraph (D); (3) by inserting after subparagraph (B) the following new subparagraph: (C) The Secretary has consulted with the relevant operational commander or installation commander, as appropriate, to ensure that the proposed elimination would have no impact on access by eligible beneficiaries to health care.; and (4) in subparagraph (D), as so redesignated, by striking Before and inserting At least one year before. (f) Notification required to modify scope of services provided at military medical treatment facilities Subsection (f) of such section is amended— (1) in paragraph (1)(B), by striking 180 days and inserting one year; and (2) in paragraph (2), by adding at the end the following new subparagraph: (D) An analysis of the capability of the local community to absorb patients and the anticipated cost to the managed care support contract..