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1 1 (May 10, 2019)

handle is hein.crs/govzqz0001 and id is 1 raw text is: Congressional ____ a esearch Service nformrng the Ieg~Ieative debate since 1914. DOD's Proposal to Reduce Military Medical End Strength May 10, 2019 In accordance with 10 U.S.C. §115, Congress annually authorizes the end strength for active duty and reserve component personnel. End strength is the maximum number of personnel permitted in each military service (e.g., Army, Marine Corps, Navy, Air Force) as of September 30, the last day of the fiscal year. For fiscal year (FY) 2019, Congress authorized a total end strength of 1,338,100 active duty personnel and 824,700 reserve component personnel, including subtotals by force. Each military service then decides how to organize, train, and equip the people who compose its authorized end strength in order to meet combatant commander or service-specific requirements. This decision includes determining the number of military medical personnel required in each service. The size of each service's medical force is often dependent on total end strength levels authorized by Congress, demands for medical capabilities in military operations, and the priority of those demands compared to other non-medical capabilities. As major combat operations decreased over the past decade, DOD gradually reduced the active duty military medical end strength at an average annual rate of 1% (815 personnel). However, for FY2020, DOD proposes to reduce its active duty medical force by 13% (14,707 personnel). Military Medical Force DOD's total medical force includes military (active duty and reserve component), civil service, and contract personnel. Currently, the active duty medical force is comprised of 116,154 personnel from the Army, Navy, and Air Force-approximately 65% of the total medical force. This includes uniformed physicians, nurses, medics, and other health care professionals. Most of the active duty medical force (71 %) is assigned to the Military Health System (MHS). The MHS provides health care worldwide to approximately 9.6 million beneficiaries (i.e., service members, retirees, family members) in military hospitals and clinics and through civilian health care providers participating in TRICARE. The remaining active duty medical force (29%) is generally assigned to health service support positions in deployable or warfighting units, military service headquarters, or combatant commands. Congressional Research Service https://crsreports.congress.gov IN11115 CRS INSIGHT Prepared for Members and Committees of Congress

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