REQUIREMENTS RELATED TO PROVIDING WORLD CLASS MILITARY MEDICAL FACILITIES IN THE NATIONAL CAPITAL REGION.

SEC. 2714. REQUIREMENTS RELATED TO PROVIDING WORLD CLASS MILITARY MEDICAL FACILITIES IN THE NATIONAL CAPITAL REGION.(a) Master Plan Required.—Not later than March 31, 2010, the Secretary of Defense shall develop and implement a comprehensive master plan to provide sufficient world class military medical facilities and an integrated system of health care delivery for the National Capital Region that—(1) addresses—(A) the unique needs of members of the Armed Forces and retired members of the Armed Forces and their families;(B) the care, management, and transition of seriously ill and injured members of the Armed Forces and their families;(C) the missions of the branch or branches of the Armed Forces served; and(D) performance expectations for the future integrated health care delivery system, including—(i) information management and information technology support; and(ii) expansion of support services;(2) delineates the process for the development of budgets, prioritization of requirements, and the allocation of funds;(3) delineates budget and operational authority to provide and operate world class military medical facilities in the National Capital Region;(4) incorporates all ancillary and support facilities at the National Naval Medical Center, Bethesda, Maryland, including education and research facilities as well as centers of excellence, transportation, and parking structures required to provide a full range of adequate care and services for members of the Armed Forces and their families;(5) incorporates a facilities needs assessment, including an assessment of standards for patient rooms, and provides a program to meet the facility requirements;(6) specifies the personnel authorizations and personnel systems required to provide and operate a world class military medical facility;(7) can be used as a basis to develop similar master plans for other military medical facilities of the Department of Defense; and(8) includes a community development plan that incorporates multiple options to alleviate traffic congestion related 123 STAT. 2657 to the expansion of the National Naval Medical Center and Fort Belvoir Community Hospital, including a review of options—(A) to expand adjacent highways;(B) improvements to nearby intersections;(C) on-facility site queuing; and(D) multimodal expansion that could include expanded support for buses and subways.(b) Submission of Master Plan and Related Materials.—Not later than March 31, 2010, the Secretary of Defense shall submit to the congressional defense committees a report containing—(1) the master plan developed under subsection (a);(2) the certification of the Secretary that the requirements specified in paragraphs (1), (2), and (3) of section 1650(a) of the National Defense Authorization Act for Fiscal Year 2008 (Public Law 110–181; 122 Stat. 475) remain satisfied and accurate;(3) the certification of the Secretary that the master plan ensures that each facility covered by the plan meets or exceeds applicable Joint Commission hospital design standards; and(4) an assessment of the risks and benefits to patient care associated with completing the realignment of Walter Reed National Military Medical Center by the statutory deadline imposed for implementation of the recommendations contained in the report of the Defense Base Closure and Realignment Commission transmitted to Congress on September 15, 2005.(c) Submission of Milestone Schedule and Cost Estimates.—Not later than June 30, 2010, the Secretary of Defense shall submit to the congressional defense committees a report describing—(1) the schedule for completion of requirements identified in the master plan developed under subsection (a); and(2) updated cost estimates to provide world class military medical facilities for the National Capital Region.(d) Sense of Congress Regarding Traffic Mitigation in Vicinity of National Naval Medical Center.—Given the anticipated significant increases in local traffic in the vicinity of the National Naval Medical Center, and the unusual impact that such traffic increases will have on the surrounding community due to the planned expansion of the installation, it is the sense of Congress that—(1) multiple methods are available to the Department of Defense to implement the defense access roads program (section 210 of title 23, United States Code) to help alleviate traffic congestion, including expansion of adjacent highways, improvements to nearby intersections, on-base queuing options, and multi-modal expansion, including expanded support of buses and subways and other measures; and(2) all of the efforts to alleviate the significant traffic impact need to be pursued to ensure readily available access to health care at the installation.(e) Definitions.—In this section:(1) National capital region.—The term “National Capital Region” has the meaning given the term in section 2674(f) of title 10, United States Code.123 STAT. 2658(2) World class military medical facility.—The term “world class military medical facility” has the meaning given the term by the National Capital Region Base Realignment and Closure Health Systems Advisory Subcommittee of the Defense Health Board in appendix B of the report entitled “Achieving World Class – An Independent Review of the Design Plans for the Walter Reed National Military Medical Center and the Fort Belvoir Community Hospital”, published in May, 2009.