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             Congressional                                                   ____
           'aResearch Service






FY2024 NDAA: Military Mental Health

Strategy Development and Program

Assessment Provisions



October   11, 2023


Background

Congress authorizes, through the annual National Defense Authorization Act (NDAA), Department of
Defense (DOD) mental health programs and services that support servicemembers, military retirees, and
their families. DOD administers mental health programs that offer education; awareness; crisis prevention
resources; clinical treatment; nonclinical support and counseling services; and research and development.
DOD  has estimated that 456,293 active duty servicemembers were diagnosed with at least one mental
health disorder from 2016 through 2020. Mental health disorders also accounted for the highest number of
hospital bed days and were the second-most common reason for outpatient visits among servicemembers.
During the same time period, adjustment disorders, anxiety disorders, and depressive disorders composed
the majority (64%) of mental health diagnoses.
DOD  has made numerous efforts to address mental health issues. The Government Accountability Office
(GAO), DOD  Inspector General (DODIG), and other observers of military health have highlighted
potential opportunities for improvement. During ongoing deliberations on an FY2024 NDAA, Congress
has expressed interest in understanding the current state of DOD's mental health programs available to
servicemembers and their families through the Military Health System (MHS) and other resources.
Table 1 lists the military mental health strategy development and program assessment-related provisions
included in the House-passed (H.R. 2670) and Senate-passed (S. 2226) versions of an FY2024 NDAA.

                  Table I. FY2024 NDAA   Selected Legislative Proposals
             House-passed H.R. 2670                      Senate-passed S. 2226
                             Mental Health Strategy Development Provisions



                                                             Congressional Research Service
                                                             https://crsreports.congress.gov
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