House lawmakers proposed blocking any Defense Department reduction in services or closure of military hospitals or clinics, according to draft legislation under review this week by the House Armed Services Committee.
The personnel subcommittee’s draft of the fiscal 2027 National Defense Authorization Act would bar the Defense Health Agency from carrying out planned changes at 41 military treatment facilities, require it to reverse any service changes, and restore staffing and clinical services to March 3, 2026, levels. It also would require quarterly updates to Congress on military health system changes.
The proposal responds to an overhaul launched under the fiscal 2017 defense policy law, which shifted management of military hospitals and clinics to the Defense Health Agency, reduced administrative overlap, and aimed to focus the system on combat readiness and active-duty care while moving other patients to private-sector care paid for by the Pentagon.
In 2020, the Defense Department said it would improve two military medical centers and consolidate or downsize 48 facilities, including 38 that would stop treating military families or retirees. Then-Assistant Secretary of Defense for Health Affairs Thomas McCaffery said at the time that the changes were intended to support readiness.
In late 2024, the department said it would reverse course on shifting patients to private care and return 7% of patients to military facilities by the end of 2026. It also announced partnerships with community health providers to give military physicians more trauma training and patient exposure.
Lawmakers said the Defense Department had not provided Congress enough information about the reforms, including possible changes at Keller Army Community Hospital at West Point, New York, and at Fort Leonard Wood, Missouri, where a new hospital was expected to open as a full-service facility but instead was planned as an ambulatory clinic.