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1 1 (May 8, 2024)

handle is hein.crs/govepbm0001 and id is 1 raw text is: Congressionol Research Service Inlorming the IegisI9tive debate since 914 May 8, 2024 FY2025 Budget Request for the Military Health System On March 11, 2024, President Joseph R. Biden submitted his Fiscal Year (FY) 2025 budget request to Congress. Discretionary funding in the Department of Defense (DOD) budget request totals $849.8 billion, including $61.4 billion (7.2%) to fund the Military Health System (MHS), which delivers certain health entitlements under Title 10, Chapter 55, of the U.S. Code, to servicemembers, military retirees, and their families. The MHS provides health care to 9.6 million beneficiaries in DOD hospitals and clinics-known as military treatmentfacilities (MTFs)-and through civilian health care providers participating in TRICARE, DOD's health-insurance-like program. Congress traditionally appropriates discretionary funding for the MHS in several types of accounts within the annual defense appropriations bill. These types of 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). The request does not include a proposal to modify statutory TRICARE cost-sharing requirements for beneficiaries. FY2025 MHS ud get Request The FY2025 MHS budget request is 1.8% ($1.1 billion) more than the FY2024 appropriation. Table 1 shows the FY2025 request and previously enacted amounts for the MHS. Defense Health Program (DHP) The DHP, resourced by O&M funds, performs 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 FY2025 request for the DHP account is $40.3 billion, which is 1.0% ($0.4 billion) more than the appropriated amount for FY2024. Table 2 highlights selected programs that DOD intends to create, maintain, expand, reduce, or transfer to other accounts. MItary Personne (M LPERS) The medical MILPERS account funds military personnel operating the MHS. This funding includes various pay and allowances, such as basic, incentive, and special pays; subsistence allowance; permanent change of station travel; and retirement contributions. DOD requested $9.5 billion for medical MILPERS for FY2025 but does not identify personnel costs related to the MHS at more detailed levels (e.g., budget activity group, program element, or line item). This request is nearly the same as the FY2024 request, reflecting a 0.02% increase in military medical end strength (+17 positions). Table I. Military Health System Funding, FY2020-FY2025 Request ($ in billions) FY2020 FY2021 FY2022 FY2023 FY2024 FY2025 Account Enacted Enacted Enacted Enacted Enacted Request O&M (DHP) $37.1 $34.1 $37.4 $39.2 $39.9 $40.3 DHP Operation & Maintenance $33.0 $31.1 $34.0 $35.6 $36.6 $38.9 Research, Development, Test, and Evaluation $3.7 $2.4 $2.6 $3.0 $2.9 $1.0 Procurement $0.5 $0.5 $0.8 $0.6 $0.4 $0.4 MILPERS $8.9 $8.3 $8.5 $8.9 $9.2 $9.5 MILCON (DHA) $0.3 $0.5 $0.5 $0.6 $0.5 $0.5 MERHCF Contributions $7.8 $8.4 $9.3 $9.7 $10.6 $11.0 Grand Total $51.4 $51.3 $55.7 $58.4 $60.2 $61.3 Sources: Department of Defense (DOD), Defense Budget Overview, March 2024, p. 4-1I; DOD, Defense Health Program Fiscal Year (FY) 2025 Budget Estimates, March 2024, p. I; explanatory statement accompanying Division A of P.L. 118-47; explanatory statement accompanying Division A of P.L. 118-42; CRS In Focus IF 12377, FY2024 Budget Request for the Military Health System, by Bryce H. P. Mendez; and correspondence with DOD officials. Notes: Numbers may not add up due to rounding. The FY2025 request does not include funding that Congress historically adds to the DHP (e.g., unrequested medical research funding). The FY2020 and FY2021 enacted amounts include supplemental funding appropriated from the CARES Act (P.L. 116-136). O&M (DHP) refers to a DOD budget account, whereas DHP Operation & Maintenance refers to a subordinate budget

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