Page:United States Statutes at Large Volume 119.djvu/3379

 PUBLIC LAW 109–163—JAN. 6, 2006

119 STAT. 3361

(2) REPORT WITH CERTIFICATION.—A Secretary submitting such a certification shall include with the certification a written report that includes— (A) the methodology used by the Secretary in making the determinations necessary for the certification, including the extent to which the Secretary took into consideration the findings of the Comptroller General in the report under subsection (b)(3); (B) the results of a market survey in each affected area of the availability of civilian medical and dental care providers in such area in order to determine whether the civilian medical and dental care providers available in such area are adequate to fill the civilian positions created by the conversion of military medical and dental positions to civilian positions in such area; and (C) any action taken by the Secretary in response to recommendations in the Comptroller General report under subsection (b)(3). (b) REQUIREMENT FOR STUDY.— (1) IN GENERAL.—The Comptroller General shall conduct a study on the effect of conversions of military medical and dental positions to civilian medical or dental positions on the defense health program. (2) MATTERS COVERED.—The study shall include the following: (A) The number of military medical and dental positions, by grade and specialty, planned for conversion to civilian medical or dental positions. (B) The number of military medical and dental positions, by grade and specialty, converted to civilian medical or dental positions since October 1, 2004. (C) The ability of the military health care system to fill the civilian medical and dental positions required, by specialty. (D) The degree to which access to health care is affected in both the direct and purchased care system, including an assessment of the effects of any increased shifts in patient load from the direct care to the purchased care system, or any delays in receipt of care in either the direct or purchased care system because of lack of direct care providers. (E) The degree to which changes in military manpower requirements affect recruiting and retention of uniformed medical and dental personnel. (F) The degree to which conversion of the military positions meets the joint medical and dental readiness requirements of the uniformed services, as determined jointly by all the uniformed services. (G) The effect of the conversions of military medical positions to civilian medical and dental positions on the defense health program, including costs associated with the conversions, with a comparison of the estimated costs versus the actual costs incurred by the number of conversions since October 1, 2004. (H) The effectiveness of the conversions in enhancing medical and dental readiness, health care efficiency, productivity, quality, and customer satisfaction.

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