Military Personnel: Guidance Needed for Any Future Conversions of Military Medical Positions to Civilian Positions Page: 3 of 42
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may not convert any military medical or dental positions to civilian positions until the
Secretary submits a certification to the congressional defense committees that
conversions will not increase cost or decrease quality of care or access to care.
Furthermore, the act required that each certification include a written report that
addressed, among other things:
* the methodology used by the Secretary in making the determinations
necessary for the certification;
* the number of positions, by grade or band and specialty, planned for
conversion;
* an analysis showing the extent to which access to care and cost of care will be
affected;
* a comparison of the full costs for the military medical and dental positions
planned for conversion with the estimated full costs for the civilian medical
and dental positions that will replace them, including expenses such as
recruiting, salary, benefits, training, and any other costs the department
identifies; and
* an assessment showing that the military medical or dental positions planned
for conversion are in excess of those needed to meet medical and dental
readiness requirements
In addition, the act required the military departments to submit their certification for
fiscal year 20089 at the time the President's Budget was submitted to Congress (Feb.
5, 2007), resubmit their certifications and reports for fiscal year 2006 conversions,
and follow certain special requirements for fiscal year 2007 certifications. Enclosure
I has the detailed reporting requirements for the certification reports, along with the
specific special requirements for the fiscal year 2007 certifications.
All of the military departments submitted their certification packages to Congress at
various times-in some cases several months after the President's Budget had been
submitted to Congress on February 5, 2007. For example, the Air Force's packages
for fiscal years 2007 and 2008 were submitted April 17 and 12, 2007, respectively;
while the Navy's fiscal years 2007 and 2008 certification packages were submitted
July 10, 2007. The Army's fiscal year 2007 certification was submitted June 4, 2007;
while the fiscal year 2008 certification was submitted October 9, 2007. In addition, the
military departments' certification packages varied in terms of format and content.
Specifically, each department created its own format for its certification; two
included the certification as a stand-alone document, while one provided a separate
certification document and a report with several pages to address each of the
requirements under the law. For example, the Navy's packages included a 1-page
certification letter along with a separate 11-page report with sections corresponding
to the 8 reporting requirements of the law. The Army, on the other hand, submitted a
1-page certification letter with 1 paragraph to address all of the 8 reporting
requirements.
In addition to the mandate for the military departments, the act also required that we
review any certifications and reports that the military departments had submitted to
9The military departments' submissions for fiscal year 2008 also contained information related to
planned conversions for fiscal year 2009.GAO-08-370R DOD Medical Conversions
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United States. Government Accountability Office. Military Personnel: Guidance Needed for Any Future Conversions of Military Medical Positions to Civilian Positions, text, February 8, 2008; Washington D.C.. (https://digital.library.unt.edu/ark:/67531/metadc297532/m1/3/: accessed July 16, 2024), University of North Texas Libraries, UNT Digital Library, https://digital.library.unt.edu; crediting UNT Libraries Government Documents Department.