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US. GOVERNMENT
INFORMATION
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                  DEPARTMENT OF DEFENSE APPROPRIATIONS
                                FOR FISCAL YEAR 2017


                                WEDNESDAY, MARCH 9, 2016

                                                        U.S. SENATE,
                      SUBCOMMITTEE  OF THE COMMITTEE ON APPROPRIATIONS,
                                                            Washington, DC.
                   The  subcommittee met at 10:33 a.m., in room SD-192, Dirksen
                   Senate Office Building, Hon. Thad Cochran (chairman) presiding.
                   Present: Senators Cochran, Murkowski, Blunt, Daines, Durbin,
                   Mikulski, and Schatz.
                                  DEPARTMENT OF DEFENSE
                                  DEFENSE  HEALTH  PROGRAM

                  STATEMENT OF LIEUTENANT  GENERAL  NADJA WEST, SURGEON GEN-
                      ERAL, DEPARTMENT  OF THE ARMY
                          OPENING STATEMENT OF SENATOR THAD COCHRAN
                    Senator COCHRAN. Good morning. The Subcommittee will come
                  to order. Today we are reviewing the fiscal year 2017 budget re-
                  quest for the Defense Health Program with a distinguished panel
                  of witnesses.
                  Lieutenant  General Nadja West, Surgeon General of the Army.
                  Vice  Admiral Forrest Faison, Surgeon General of the Navy.
                  Lieutenant  General Mark  Ediger, Surgeon General of the Air
                  Force.
                  Mr.  Christopher Miller, Program Executive Officer of the Defense
                  Health Care Management Systems.
                    Our military has made great strides in many areas ranging from
                  disease research and treatment to expedited treatment and medical
                  evacuations off the battlefield, all to provide better training and
                  education techniques for advanced learning.
                  We're  particularly proud of the work performed in our State at
                  Keesler Air Force Base. The 81st Medical Group flies out of there.
                    In July 2015 the Department was awarded a $4.3 billion contract
                  for its new electronic health records system. As procurement and
                  deployment of the new records system continues in fiscal year
                  2017, we sincerely hope that the Department of Defense will not
                  lose sight of the goal of being fully interoperable with the Depart-
                  ment of Veterans Affairs.
                  While  budget constraints remain in place, healthcare costs con-
                  tinue to grow. The budget request proposes a consolidation of
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