{"id":13081,"date":"2019-06-13T22:39:59","date_gmt":"2019-06-13T22:39:59","guid":{"rendered":"https:\/\/one.sightlinemg.com\/marinecorpstimes\/uncategorized\/2019\/06\/13\/dod-council-will-examine-how-wholesale-changes-in-military-health-care-affect-troops-families\/"},"modified":"2026-08-08T05:27:50","modified_gmt":"2026-08-08T05:27:50","slug":"dod-council-will-examine-how-wholesale-changes-in-military-health-care-affect-troops-families","status":"publish","type":"post","link":"https:\/\/one.sightlinemg.com\/marinecorpstimes\/pay-benefits\/2019\/06\/13\/dod-council-will-examine-how-wholesale-changes-in-military-health-care-affect-troops-families\/","title":{"rendered":"DoD council will examine how \u2018wholesale\u2019 changes in military health care affect troops\u2019 families"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Citing upcoming changes in the <a href=\"https:\/\/www.militarytimes.com\/pay-benefits\/2018\/10\/09\/i-can-be-a-bad-ass-top-health-official-says-when-it-comes-to-making-sure-tricare-patients-get-good-service\/\" target=\"_blank\">military health care system<\/a>, a high-level Defense Department advisory council will be focusing on how those changes affect military families.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The DoD Military Family Advisory Council voted to make that a primary area of focus in 2020.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cThis is an area where there\u2019s going to be a great amount of turbulence associated with the redoing of our health care system, so ultimately it\u2019s really important that we understand how it\u2019s impacting our families as we make these changes,\u201d said James Stewart, acting under secretary of defense for personnel and readiness and chairman of the <a href=\"https:\/\/www.militarytimes.com\/news\/your-military\/2018\/06\/06\/dod-family-council-wants-answers-on-dependent-medical-records\/\" target=_blank>council<\/a>. \u201cThese are wholesale, large changes to the way we provide care to our beneficiaries, not necessarily to the members, but certainly to our members\u2019 families.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cThat will have a huge impact. I\u2019d be very intrigued to see and monitor how it affects the families.\u201d<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The military health care system has been undergoing reforms, which began implementation in 2018, including fewer Tricare regions, with new contracts that took effect in 2018. Families in many areas have had <a href=\"https:\/\/www.militarytimes.com\/pay-benefits\/military-benefits\/health-care\/2018\/02\/23\/tricare-west-contractor-works-to-fix-referral-backlog-other-problems-facing-military-families\/\" target=\"_blank\">trouble finding health care providers<\/a> who accept Tricare, and many complained about their increased costs.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">But DoD is also in the process of changing the entire structure of the system, moving the management and administration of hospitals and clinics away from the Army, Navy and Air Force, to the umbrella of the Defense Health Agency. DoD has also been looking at \u201crightsizing\u201d the system, with an 18 percent cut in medical billets.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">This summer, DoD is expected to issue a report with details on which military medical facilities will be closed, which will be downsized, and which ones will be ramped up.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">And DoD is reportedly rethinking the entire structure of its contracts for health care in the civilian community, which could include smaller Tricare regions and possibly agreements with some high-performing civilian health care systems. Across the board, these changes are being referred to as Military Health System reform.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cIt\u2019s important for our feedback as representatives of military families to be considered as the process unfolds and decisions are being made, versus after it\u2019s already implemented and becomes much more difficult to change course,\u201d said council member Karen Ruedisueli and government relations deputy director for the National Military Family Association.<\/p>\n\n\n\t<aside class=\"smg-interstitial-link wp-block-smg-interstitial-link\">\n\t\t<a href=\"https:\/\/one.sightlinemg.com\/militarytimes\/management\/pay-benefits\/2018\/10\/09\/i-can-be-a-bad-ass-top-health-official-says-when-it-comes-to-making-sure-tricare-patients-get-good-service\/\" class=\"smg-interstitial-link__inner\">\n\t\t\t\t\t\t\t<div class=\"smg-interstitial-link__media\">\n\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"199\" src=\"https:\/\/one.sightlinemg.com\/wp-content\/uploads\/2026\/08\/635852787992182190-gettyimages-51847515jpg.jpg?w=300\" class=\"smg-interstitial-link__image wp-post-image\" alt=\"\" \/>\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"smg-interstitial-link__content\">\n\t\t\t\t<span class=\"smg-interstitial-link__kicker\">Related<\/span>\n\t\t\t\t<h3 class=\"smg-interstitial-link__title\">&#8216;I can be a bad ass,\u2019 top health official says, when it comes to making sure Tricare patients get good service<\/h3>\n\t\t\t\t\t\t\t\t\t<p class=\"smg-interstitial-link__excerpt\">Tricare contractors must provide accurate directories of medical providers.<\/p>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/a>\n\t<\/aside>\n\t\n\n\n<p class=\"wp-block-paragraph\">Based on their work in the previous year, the council also voted on recommendations they will provide to acting Secretary of Defense Patrick Shanahan \u2014 with the first priority being improving service members\u2019 access to military child care. They will also forward recommendations related to <a href=\"https:\/\/www.militarytimes.com\/pay-benefits\/2019\/05\/28\/marine-spouses-can-now-apply-for-500-professional-licensing-reimbursement-after-pcs-moves\/\" target=\"_blank\">spouse licensure portability<\/a>, <a href=\"https:\/\/www.militarytimes.com\/pay-benefits\/2019\/03\/20\/is-anybody-tracking-health-issues-from-mold-and-other-military-housing-hazards\/\" target=\"_blank\">military housing problems<\/a>, and policies related to gaining access to <a href=\"https:\/\/www.militarytimes.com\/pay-benefits\/military-benefits\/health-care-benefits\/2018\/03\/29\/they-sought-help-when-their-army-dad-deployed-now-theyre-barred-from-joining-the-military\/\" target=\"_blank\">dependents\u2019 medical records<\/a> when a former dependent enters the military.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Sergeant Major of the Army Dan Dailey, a member of the council, said that child care is the No. 1 issue he hears about as he travels around to meet with soldiers and families. \u201cWe provide, I believe, world class child care, but we still need more,\u201d he said.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Army Lt. Gen. Gwen Bingham, assistant chief of staff for installation management, said she briefs senior leadership monthly on the issue of child care accessibility. The issue \u201ctranscends more than just the Army,\u201d she said, adding that DoD and the services can continue working to find solutions to the growing need. The recommendation, brought forth by Bingham and Dailey, calls for adequate funding to meet the demand for child care, hiring child development center staff in a timely manner with background checks completed, and finding ways to expand the family child care programs in approved, licensed homes on installations.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">For decades, service members and spouses have been frustrated by the shortage of child care spaces on many installations. Service leaders and members of Congress have acknowledged the problem, and taken various steps, but it remains a top issue in many military communities.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Recommendations related to military spouse professional licensure portability and military housing were tied for the second priority in the council\u2019s voting.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The council approved a recommendation to support the DoD\u2019s state liaison office\u2019s work with states to:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>improve licensure portability<\/li><li>expand tuition assistance to be used by both service members and their spouses who want to pursue professional licensing and technical certification<\/li><li>continue to address mobility and portability areas of concern for service members and their spouses<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">In the wake of the current issues with mold, lead-based paint, vermin infestations and other problems with some military housing, and families\u2019 frustration in getting their health and safety issues addressed, the council recommends that DoD determine the current public health concerns about military housing, and the remediation efforts under way. They recommend establishing a DoD working group \u2014 to include nonprofit and public health professionals to review and make recommendations about the accountability systems \u2014 with access to resident satisfaction surveys. DoD would review corrective actions, including recourse for families.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The fourth priority is delving into the impact of the services\u2019 policies related to their access and evaluation of medical records of minor military dependents when they enter the military.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A number of military families have raised concerns about notations in children\u2019s medical records that have surfaced after the son or daughter joined the military, and they were forced out \u2014 even if the medical issues noted were long ago resolved or there were mistaken notations. Military officials are merging the minor dependent medical records with their new military medical record when they join the military. This is not the case with recruits from civilian families, because the military doesn\u2019t have access to those records due to privacy laws. Concerns have been raised by many that this could discourage parents from seeking behavioral health care for their children, for fears it could ruin their chances for a military career.<\/p>\n\n\n\t<aside class=\"smg-interstitial-link wp-block-smg-interstitial-link\">\n\t\t<a href=\"https:\/\/one.sightlinemg.com\/militarytimes\/news\/2019\/06\/13\/this-army-daughter-realizes-her-dream-of-military-service-despite-her-dependent-medical-record\/\" class=\"smg-interstitial-link__inner\">\n\t\t\t\t\t\t\t<div class=\"smg-interstitial-link__media\">\n\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"200\" src=\"https:\/\/one.sightlinemg.com\/wp-content\/uploads\/2026\/08\/Samantha-De-La-Rosa-and-father-May-10.-2019-003.JPG.jpg?w=300\" class=\"smg-interstitial-link__image wp-post-image\" alt=\"\" \/>\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"smg-interstitial-link__content\">\n\t\t\t\t<span class=\"smg-interstitial-link__kicker\">Related<\/span>\n\t\t\t\t<h3 class=\"smg-interstitial-link__title\">This Army daughter realizes her dream of military service  \u2014 despite her dependent medical record<\/h3>\n\t\t\t\t\t\t\t\t\t<p class=\"smg-interstitial-link__excerpt\">Military parents can take their kids for behavioral health counseling without fear of crushing their dream of joining the military, Army dad says.<\/p>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/a>\n\t<\/aside>\n\t\n\n\n<p class=\"wp-block-paragraph\">\u201cIt\u2019s affecting a lot of military families. When medical records are accessed directly for active duty dependents or retiree dependents, they are being asked to do a lot [to address] past history. It\u2019s not just mental health, it\u2019s other things that affected the dependent when they were younger,\u201d said Navy wife Evelyn Honea, also a council member.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cFor example, friends of mine had to spend a lot of money on tests now that they\u2019re retired to prove that the child was not affected by this any longer. They just gave up because the tests were very expensive. So the child didn\u2019t get accepted into the Navy, but is qualified to get accepted into the Army officer program.&#8221;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bingham said the issue is \u201calso tied to recruiting in a big way.\u201d<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Among the recommendations were to form a DoD team to conduct further research and analysis on the effects of the policies regarding access to dependents\u2019 medical records; the guidelines the services are using when evaluating information in a dependent\u2019s medical record, and how it\u2019s used in determining whether the dependent is \u201cfit for duty.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Military medical system changes are expected to have a &#8220;huge impact&#8221;<\/p>\n","protected":false},"author":7,"featured_media":29844,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_yoast_wpseo_meta-robots-noindex":"","_yoast_wpseo_meta-robots-nofollow":"","_yoast_wpseo_canonical":"","_acf":"","_yoast_wpseo_primary_category":15,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","_smg_distribution_targets":[]},"categories":[101,155,23,93,83,12,25,15,18,69],"tags":[],"coauthors":[3302],"class_list":["post-13081","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-daily-news-roundup","category-health-care-benefits","category-home","category-middle-column","category-military-benefits","category-news","category-newsletters","category-pay-benefits","category-spouse","category-your-marine-corps"],"acf":{"subheadline":"","legacy_arc_id":"Y6SD5DPHBFHLBPVUS32EDNAILA","arc_canonical_url":"\/pay-benefits\/2019\/06\/13\/dod-council-will-examine-how-wholesale-changes-in-military-health-care-affect-troops-families\/","remove_feature_photo":false,"is_sponsored":false,"subtype":"","redirect_url":"","disable_inline_ads":false,"native_logo_pretext":"Presented By:"},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v26.0 (Yoast SEO v28.1) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>DoD council will examine how \u2018wholesale\u2019 changes in military health care affect troops\u2019 families - Marine Corps Times<\/title>\n<meta name=\"description\" content=\"Military medical system changes are expected to have a &quot;huge impact&quot;\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"DoD council will examine how \u2018wholesale\u2019 changes in military health care affect troops\u2019 families\" \/>\n<meta property=\"og:description\" content=\"Military medical system changes are expected to have a &quot;huge impact&quot;\" \/>\n<meta property=\"og:url\" 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