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1 1 (June 15, 2021)

handle is hein.crs/govedre0001 and id is 1 raw text is: Cogesoa Reeac Service June 15, 2021 FY2022 Budget Request for the Military Health System On May 28, 2021, President Biden submitted his Fiscal Year (FY) 2022 budget request to Congress. The Department of Defense (DOD) budget request totals $715.0 billion, including $54.0 billion (7.6%) to fund the Military Health System (MHS). The MHS 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 nearly 9.7 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 mandatory and 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). In previous years, DOD requested and Congress appropriated MHS funding in DOD's base and overseas contingency operations (OCO) budgets. For FY2022, DOD requests MHS funding (including those for direct war costs) in the base budget only. The request does not include a proposal to modify statutory cost-sharing requirements for beneficiaries. FY2022 M HS Budget Request The FY2022 MHS budget request is 5.2% ($2.7 billion) above the FY2021 appropriation (including supplemental appropriations from the Coronavirus Aid, Relief, and Economic Security (CARES) Act (P.L. 116-136). Table 1 shows the FY2022 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 FY2022 request for the DHP account is $35.6 billion, which is 4.4% ($1.5 billion) above the appropriated amount for FY2021. Table 2 highlights selected programs that DOD intends to create, maintain, expand, reduce, or transfer to the military services. Military Personnel (MILPERS) Medical MILPERS funds military personnel operating the MHS. This includes various pay and allowances, such as basic, incentive, and special pays; subsistence for enlisted personnel; permanent change of station travel; and retirement contributions. Table I. Military Health System Funding, FY2018-FY2022 Request ($ in billions) FY2018 FY2019 FY2020 FY2021 FY2022 Enacted Enacted Enacted Enacted Request O&M (DHP) $33.5 $34.4 $37.1 $34.1 $35.6 DHP Operation & Maintenance $30.8 $31.3 $33.0 $31.1 $34.2 Research, Development, Testing, and Evaluation $2.0 $2.2 $3.7 $2.4 $0.6 Procurement $0.7 $0.9 $0.5 $0.5 $0.8 MILPERS $8.6 $8.4 $8.9 $8.3 $8.5 MILCON $0.9 $0.4 $0.3 $0.5 $0.5 MERHCF Contributions $8.1 $7.5 $7.8 $8.4 $9.3 Grand Total $51.1 $50.7 $51.4 $51.3 $54.0 Sources: Department of Defense (DOD), Defense Budget Overview, May 2021, p. 5-5; DOD Defense Health Program Fiscal Year (FY) 2022 Budget Estimates, May 2021, p. 1; DOD Defense Budget Overview, February 2020, p. 24; and DOD, Defense Health Program Fiscal Year (FY) 2020 Budget Estimates, March 2019, p. DHP-13. Notes: Numbers may not add up due to rounding. DHP sub-totals include MHS funding for overseas contingency operations (OCO) and direct war costs. The FY2022 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 one of the overarching DOD budget accounts, 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://trsreports.congress.gt

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