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U.S. GOVERNMENT
INFORMATION
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                  DEPARTMENT OF DEFENSE APPROPRIATIONS
                                FOR FISCAL YEAR 2015


                                  WEDNESDAY, APRIL 9, 2014

                                                       U.S. SENATE,
                      SUBCOMMITTEE OF THE COMMITTEE ON APPROPRIATIONS,
                                                           Washington, DC.
                   The subcommittee met at 9:58 a.m., in room SD-106, Dirksen
                 Senate Office Building, Hon. Richard J. Durbin (chairman) pre-
                 siding.
                   Present: Senators Durbin, Mikulski, Cochran, Murkowski, and
                 Blunt.
                                 DEPARTMENT OF DEFENSE
                                 MEDICAL HEALTH PROGRAMS
                 STATEMENT OF LIEUTENANT GENERAL PATRICIA D. HOROHO, SUR-
                      GEON GENERAL, DEPARTMENT OF THE ARMY
                        OPENING STATEMENT OF SENATOR RICHARD J. DURBIN
                   Senator DURBIN. Good morning and welcome to the sub-
                 committee. We are going to start a minute or two early, because
                 Senator Mikulski has to get down to the floor on an important
                 issue that is pending before us, and we will be called for a vote at
                 11 o'clock, so we want to have her participation and as much time
                 as possible.
                   Before we begin this hearing this morning, I am going to ask all
                 who are gathered here today to join me in standing for a moment
                 of silence for those who died at last week's tragic shooting at Fort
                 Hood, including Sergeant First Class Daniel M. Ferguson, Staff
                 Sergeant Carlos Lazaney Rodriguez, and Illinois native Sergeant
                 Tim Owens.
                   Would you all please rise?
                   Thank you very much.
                   I would like to welcome our witnesses, Lieutenant General Patri-
                 cia Horoho, Surgeon General of the Army; Vice Admiral Matthew
                 Nathan, Surgeon General of the Navy; Lieutenant General Thomas
                 Travis, Surgeon General of the Air Force; and Mr. Christopher Mil-
                 ler, program executive officer for Defense Healthcare Management
                 Systems.
                   Our hearing today focuses on the well-being of our
                 servicemembers, and it is paramount on our minds. One of the re-
                 sponses to the tragic shooting at Fort Hood on April 2 has been to
                 ask questions about how we support our troops as they deal with
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