About | HeinOnline Law Journal Library | HeinOnline Law Journal Library | HeinOnline
LOG IN
LOG IN

1 1 (April 29, 2022)

handle is hein.crs/govefqt0001 and id is 1 raw text is: Congressional Research Service April 29, 2022 FY2023 Budget Request for the Military Health System On March 28, 2022, President Biden submitted his Fiscal Year (FY) 2023 budget request to Congress. Discretionary funding in the Department of Defense (DOD) budget request totals $773.0 billion, including $55.8 billion (7.2%) to fund the Military Health System (MHS), which delivers certain health entitlements under Chapter 55 of Title 10, United States Code, to military personnel, retirees, and their families. The MHS provides health care to 9.6 million beneficiaries in DOD hospitals and clinics-known as military treatment facilities (MTFs)-and through civilian health care providers participating in TRICARE, a DOD- administered health insurance-like program. Congress traditionally appropriates discretionary funding for the MHS in several accounts within the annual defense appropriations bill. These accounts include Operation and Maintenance (O&M), Military Personnel (MILPERS), and Military Construction (MILCON). DOD refers to these portions of the budget as the unified medical budget (UMB). The request does not include a proposal to modify statutory TRICARE cost-sharing requirements for beneficiaries. FY2023 MHS Budget Request The FY2023 MHS budget request is 0.2% ($0.1 billion) more than the FY2022 appropriation. Table 1 shows the FY2023 request and previously enacted amounts for the MHS. Defense Health Program (DHP) The DHP, a sub-account under the O&M account, funds the following MHS functions: health care delivery in MTFs; TRICARE; certain medical readiness activities and expeditionary medical capabilities; education and training programs; research, development, test, and evaluation (RDT&E); management and headquarters activities; facilities sustainment; procurement; and civilian and contract personnel. The FY2023 request for the DHP account is $36.9 billion, which is 1.3% ($0.5 billion) below the appropriated amount for FY2022. Table 2 highlights selected programs that DOD intends to create, maintain, expand, reduce, or transfer to the military services. Military Personnel (MILPERS) Medical MILPERS funds military personnel operating the MHS. This funding includes various pay and allowances, such as basic, incentive, and special pays; subsistence for enlisted personnel; permanent change of station travel; and retirement contributions. Table I. Military Health System Funding, FY2018-FY2023 Request ($ in billions) FY2018 FY2019 FY2020 FY2021 FY2022 FY2023 Enacted Enacted Enacted Enacted Enacted Request O&M (DHP) $33.5 $34.4 $37.1 $34.1 $37.4 $36.9 DHP Operation & Maintenance $30.8 $31.3 $33.0 $31.1 $34.0 $35.3 Research, Development, Testing, and Evaluation $2.0 $2.2 $3.7 $2.4 $2.6 $0.9 Procurement $0.7 $0.9 $0.5 $0.5 $0.8 $0.6 Software & Digital Technology Pilot Program - - - - - $0.1 MILPERS $8.6 $8.4 $8.9 $8.3 $8.5 $8.7 MILCON $0.9 $0.4 $0.3 $0.5 $0.5 $0.4 MERHCF Contributions $8.1 $7.5 $7.8 $8.4 $9.3 $9.7 Grand Total $51.1 $50.7 $51.4 $51.3 $55.7 $55.8 Sources: Department of Defense (DOD), Defense Budget Overview, April 2022, p. 4-27; DOD Defense Health Program Fiscal Year (FY) 2023 Budget Estimates, April 2022, p. 1; DOD Defense Budget Overview, May 2021, p. 5-5; DOD, Defense Health Program Fiscal Year (FY) 2022 Budget Estimates, May 2021, p. 1; and CRS In Focus IF 11206, FY2020 Budget Request for the Military Health System, by Bryce H. P. Mendez. Notes: Numbers may not add up due to rounding. For FY2018 through FY2021, DHP sub-totals include MHS funding for overseas contingency operations (OCO) and direct war costs. The FY2023 request does not include funding that Congress has added to the DHP in the past, such as unrequested medical research funding. The FY2020 and FY2021 enacted amounts include supplemental funding appropriated from the CARES Act. O&M (DHP) refers to a DOD budget account, whereas DHP Operation & Maintenance refers to a subordinate budget activity. The Medicare-Eligible Retiree Health Care Fund (MERHCF) refers to the accrual contributions that pay for future health care expenses of Medicare-eligible TRICARE beneficiaries. ittps://crsreports.congress.gt S

What Is HeinOnline?

HeinOnline is a subscription-based resource containing thousands of academic and legal journals from inception; complete coverage of government documents such as U.S. Statutes at Large, U.S. Code, Federal Register, Code of Federal Regulations, U.S. Reports, and much more. Documents are image-based, fully searchable PDFs with the authority of print combined with the accessibility of a user-friendly and powerful database. For more information, request a quote or trial for your organization below.



Short-term subscription options include 24 hours, 48 hours, or 1 week to HeinOnline.

Purchase Access

Already a HeinOnline Subscriber?

Log In

profiles profiles most