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              Congressional                                                       ____
           ~   Research Service






FY2024 NDAA: Military Mental Health

Workforce Provisions



October 25, 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, from 2016 through 2020, 456,293 active duty servicemembers were diagnosed
with at least one mental health disorder. 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, the majority (64%) of mental health diagnoses were attributed to adjustment
disorders, anxiety disorders, and depressive disorders.
DOD  has made numerous  efforts to address the wide range of mental health issues, and 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
workforce and resources available to servicemembers and their families through the Military Health
System (MHS), the military departments, and Military OneSource.
Table 1 lists the military mental health workforce-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
 Section 704 would amend 10 U.S.C. § 1781 to allow  Section 532 would amend 10 U.S.C. § 1781 to allow
 licensure portability for mental health professionals  licensure portability for mental health professionals
 providing nonmedical counseling under the Military and  providing nonmedical counseling under the MFLC program.
 Family Life Counseling program (MFLC).         The authority to allow licensure portability would terminate
                                                three years after the date of enactment.
                                                                 Congressional Research Service
                                                                   https://crsreports.congress.gov
                                                                                       IN12268

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