NDAA

NDAA 2020 Limits Promotion Opportunity to Max of 95%

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The Medical Corps has historically had a 100% promotion opportunity for O4/LCDR, but the 2020 NDAA limits promotion opportunities to 95%:

NDAA FY20 Section 503

I have no insight into why this change was made, and would only be guessing, so I won’t bother. How would this have affected our most recent FY20 board?

The FY20 O4 board had 253 LTs in-zone and a 100% promotion opportunity for O4, therefore they were allowed to pick 253 LTs total from those in-zone, below-zone, and above-zone. Here’s how it broke down:

Screen Shot 2020-07-30 at 12.04.45 PM

As you can see, they picked 253 (6 + 223 + 18).

If you apply a 95% promotion opportunity, they would have only been able to pick 240 (253 x 95%), so 13 people would have lost out.

Whether this will lead to less below-zone picks or what other effects it will have we’ll just have to see.

 

MOAA – NDAA Update: Where We’ve Been, Where We Are, and What’s Next

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Here’s a link to the article:

NDAA Update: Where We’ve Been, Where We Are, and What’s Next

Here’s the portion about military medicine:

Military Health Care

Despite the success of MOAA’s Virtual Storming the Hill, efforts to include a halt to military medical end strength cuts and the realignment of military treatment facilities (MTFs) in the NDAA remain at risk. While the House version has language supporting these provisions, the Senate version does not.

MOAA is pivoting its focus to the Senate to ensure the House provisions make it through conference. Contact your senator today to express your support for the House provisions.

Even though the Defense Health Agency has announced a delay to all MTF restructuring and billet cuts, we believe legislation is needed to not only slow the process but also bolster reporting requirements and oversight mechanisms at every possible juncture to ensure DHA conducts qualified analysis and planning for any patient care moved out of MTFs.

Special Pays Update – Senate Proposal to Increase Pays and BUMED Pays Update

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FY21 NDAA – SASC Bill Released

Please note the good news below, including a PROPOSED increase in special pays, in the legislative summary from the BUMED Legislative Liaison. While it is just a proposal at this point, at least it is a sign that they read the GAO report that concluded that military physicians are grossly underpaid and that they appreciate the extra efforts everyone has been giving due to COVID:

The SASC has released their version of the FY21 NDAA. Please note the bill still needs to be voted on by the Senate, which will include amendments being proposed. I have attached two modified documents: One includes sections 602 and 612 (described below), the other includes all of Title VII – Health Care Provisions. The full bill can be found here.

Below is a brief summary of notable legislative provisions included in the Bill:

Sec. 602. Hazardous duty pay for members of the Armed Forces performing duty in response to the Coronavirus Disease 2019.

Sec. 612. Increase in special and incentive pays for officers in health professions. This provision increases the amounts of the accession bonus, retention bonus, incentive pay, and board certification pay.

Sec. 703. Waiver of fees charged to certain civilians for emergency medical treatment provided at military medical treatment facilities. A military MTF may waive a fee charged to a civilian who in not a covered beneficiary under certain conditions. Please note there is related report language (to be conducted by GAO) in Sec. 751 entitled Assessment of receipt by civilians of emergency medical treatment at military medical treatment facilities.

Sec. 721. Modifications to transfer of Army Medical Research and Development Command and public health commands to Defense Health Agency. While this section is largely focused on Army and preserving the infrastructure and personnel of MRMC/MRDC, it does include language very similar to the house language with respect to delaying the transition of R&D and PH to DHA. The HASC is delaying until 2025, SASC is 2024.

Sec. 748. Audit of medical conditions of tenants in privatized military housing. GAO audit of the medical conditions of eligible individuals and the association between adverse exposures of such individuals in unsafe or unhealthy housing units and the health of such individuals.

With both the HASC and SASC bills moving to the floor of their respective chambers, we will keep you updated if we find anything of significant interest to Navy Medicine from amendments that are adopted. Once the House and Senate pass their versions of the bill, we will produce a Navy Medicine Leadership Side-by-Side including both versions of the Bill.

One of my Army colleagues sent me this summary of the proposed changes to the maximum pay caps:

  1. HPO Accession Bonus (AB) from $30,000/yr. to $100,000/yr.
  2. Critically Short Wartime Specialty Accession Bonus (CSWSAB) from $100,000/yr. to $200,000/yr.
  3. Retention Bonus (RB) from $75,000/yr. to $150,000/yr.
  4. 4. Incentive Pay (IP) for physicians and dentists from $100,000/yr. to $200,000/yr. and ancillary specialties from $15,000/yr. to $50,000/yr.
  5. Board Certification Pay (BCP) from $6,000/yr. to $15,000/yr.

 

Special Pays Update from BUMED

Here is a cut/paste of a message e-mailed to the Special Pay POCs that spells out the various Incentive Pays (IPs). As usual, anyone with questions should address them with their command admin/HRD, or to the BUMED Special Pays email address:

usn.ncr.bumedfchva.mbx.specialpays-bumed@mail.mil

Subject: IMPORTANT-INCENTIVE PAY DATES UPCOMING THIS SUMMER (UNCLASSIFIED)

Ladies and Gentlemen, please make sure this email is disseminated as much as possible. As you can see by all the names and email addresses, there are a large number of contacts for the special pays office, and this is only the ones we are aware of, and we communicate with on a regular basis. There are even more than this we work with, but do not necessarily have up to date POCs identified, such as Fleet Support Teams etc.

This email is to remind everyone of the dates for submitting for Incentive Pay, which particularly for Medical Corps is vital in the summer months. This information is also in the Pay Guidance for each Corps, and the Special Pays Information Power Point under reference on the BUMED Special Pays webpage.

For those MC completing residency 30 June, the GMO IP should have already been submitted to BUMED Special Pays. If not then get it done ASAP. For all commands when a MC or DC officer completes a residency 30 June, they cannot submit for the specialty IP until 60 days out from the effective date, which means if they completed the residency at another command they cannot submit for the specialty IP until they are at your command. Make sure individuals checking in are advised on when, and how to submit, for the IP at your command. DO NOT assume they know, or someone else in the command will tell them. Send out emails, advisories, or anything that will get out to your command telling them they need to submit. We are continuing to receive too many retroactive requests, and many do not have justification to support why an officer has not been paid for over a year.

Medical Corps –

New interns reporting to AD from Medical school via USUHS or HPSP etc. Eligibility for IP is 3 months after completing medical school, and on AD, so if an officer completes Med School 3 May 2020, is eligible for Internship IP effective 3 August 2020, provided on AD on that date.

Residency IP – If completing Internship eligible for IP 3 months after completing internship, but must be licensed. If not licensed at 3 months, then not eligible for IP until become licensed, and eligibility date is date licensed. If entering residency after GMO/UMO/Flight Surgery tour, then eligibility date is residency start date, and must submit.

GMO IP – If completing internship, same as residency IP, 3 months after completing internship, and licensed. If completing residency, eligible for GMO IP day after completing residency if residency completed while on AD.

Specialty IP – 3 months after completing residency/fellowship.

Dental Corps –

General Dentist IP – 3 months after completing dental school, and must be licensed. If not licensed at 3 months, then eligibility date is date licensed.

Specialty IP – Same as MC specialty IP, 3 months after completing residency.

MSC/NC –

Specialty IP is same as MC specialty IP 3 months after completing qualifying training program.

COVID-Related Updates on PCSing/Travel, Promotion Boards, and Changes to Military Health System

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Here are two good documents that explain the recent PCS/travel updates:

Conditions-Based Movement Fact Sheet

PCS Restart Fact Sheet-QA

 

Here is a newsletter with an article on the restarting of promotion boards:

MyNavy Sailor to Sailor – JUNE 2020

In brief, it says:

  • Although the boards were postponed, those who are selected for promotion can expect to be assigned the original date of rank and receive any back pay and allowances they’re warranted.
  • Sailors’ Official Military Personnel Files will be reviewed as of the original board convening date and their eligibility will remain the same.
  • Deadlines for letters to the board remain the same as originally set, except for the Reserve E-7 Board, which had a deadline of May 18, 2020, to compensate for delays in their eligibility determination. The remaining deadlines remain the same to maintain a fair and impartial balance across the fleet, but Sailors are encouraged to submit a letter if they feel their eligibility is unclear.
  • Officer promotion boards require additional reviews and results are expected to be approved and announced 100 days after a board adjourns.

 

Here’s a link to Military.com and Federal News Network articles about MHS changes:

Big Changes to Military Health System Will Be Delayed, Top Health Official Says

DoD pressing ahead with plans to close, realign medical facilities despite GAO warnings