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1 1 (May 8, 2019)

handle is hein.crs/govzpr0001 and id is 1 raw text is: SCongressional Researh Service Jnlfotrmhrg the Iegvshtive debate sance 1914 S May 8, 2019 FY2020 Budget Request for the Military Health System On March 11, 2019, President Donald Trump submitted his Fiscal Year (FY) 2020 budget request to Congress. The Department of Defense (DOD) budget request totals $761.8 billion, including $49.5 billion (6.5%) to fund the Military Health System (MHS). DOD refers to this latter portion of the DOD budget request as the unified medical budget (UMB). The MHS delivers certain health entitlements under Chapter 55 of Title 10, U.S. Code, to military personnel, retirees, and their families. The MHS provides health care to approximately 9.6 million beneficiaries in DOD hospitals and clinics-known as military treatment facilities (MTFs)-and through civilian health care providers participating in TRICARE. Congress traditionally appropriates mandatory and discretionary funding for the MHS in several accounts within the annual defense appropriations bill. These include the Defense Health Program (DHP), Military Personnel (MILPERS), and Military Construction (MILCON). Funding is typically appropriated to both DOD's base and overseas contingency operations (OCO) budgets. FY2020 MHS Budget Request The FY2020 MHS budget request is 2.3% ($1.2 billion) below the FY2019 appropriation. The request, as shown in Table 1, includes: * $33.3 billion for DHP; * $8.1 billion for medical MILPERS; * $0.3 billion for medical MILCON; and * $7.8 billion for health care accrual contributions to the Medicare Eligible Retiree Health Care Fund (MERHCF). Defense Health Program (DHP) The DHP account funds numerous MHS functions, such as health care delivery in MTFs, TRICARE, certain medical readiness activities and expeditionary medical capabilities, education and training programs, medical research, management and headquarters activities, facilities sustainment, and procurement. The FY2020 request for the DHP account is $33.3 billion, which is 2.9% below the appropriated amount for FY2019. Selected highlights from this request are listed in Table 2, which includes programs that DOD intends to create, expand, or reduce. Military Personnel (MILPERS) Medical MILPERS funds military and civilian personnel within the MHS. This includes various pay and allowances, such as basic, incentive, and special pays; subsistence for enlisted personnel; permanent change of station travel; and retirement contributions. Table I. Military Health System Funding, FY2017-FY2020 Request ($ in billions) FY2017 FY2018 FY2019 FY2020 Enacted Enacted Enacted Request Defense Health Program $33.5 $33.5 $34.4 $33.3 Operations and Maintenance $30.7 $30.4 $31.0 $31.8 Research, Development, Testing, and Evaluation $2.1 $2.0 $2.2 $0.7 Procurement $0.4 $0.7 $0.9 $0.5 Overseas Contingency Operations $0.3 $0.4 $0.4 $0.3 MILPERS $8.5 $8.6 $8.4 $8.1 MILCON $0.3 $0.9 $0.4 $0.3 MERHCF Contributions $7.0 $8.1 $7.5 $7.8 Grand Total $49.3 $51.1 $50.7 $49.5 Source: Department of Defense, Defense Budget Overview, March 2019, p. 2-4, https://go.usa.gov/xmQ7X. Department of Defense, Defense Health Program Fiscal Year (FY) 2020 Budget Estimates, March 2019, p. DHP-l 3, https://go.usa.gov/xmNWJ; Department of Defense, Defense Health Program Fiscal Year (FY) 2019 Budget Estimates, February 2018, p. DHP- I5, https://go.usa.gov/xmQ7E; Department of Defense, Operation and Maintenance Programs (0-I), March 2017, pp. 31-31 B, https://go.usa.gov/xmQ7p; Email communication with DOD officials, March 2019. Notes: Numbers may not add up due to rounding. Enacted RDT&E figures include unrequested funds for the Congressionally Directed Medical Research Program. Congress appropriates discretionary funding for the DHP, MILPERS, and MILCON accounts and mandatory funding for MERHCF contributions. https:!crsreports cong --sc

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