OFFICE OF THE UNDER SECRETARY OF DEFENSE 4000 DEFENSE PENTAGON WASHINGTON, D.C

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1 OFFICE OF THE UNDER SECRETARY OF DEFENSE 4000 DEFENSE PENTAGON WASHINGTON, D.C PERSONNEL AND READINESS The Honorable John Boozman Chairman NO\/ 2 0?018 Subcommittee on Military Construction Veterans Affairs, and Related Agencies Committee on Appropriations United States Senate Washington, DC Dear Mr. Chairman: The enclosed report is in response to House Report , page 28, which accompanies H.R. 2998, the Military Construction, Veterans Affairs, and Related Agencies Appropriations Bill, 2018, requesting the status, construction timeline, and the current working estimate of 45 active construction projects. The military construction of medical facilities is progressing. As of September 12, 2018, the number of active construction projects is 32. The Defense Health Agency and construction agents, including the United States Army Corps of Engineers and Naval Facilities Engineering Command, have provided increased oversight and project management in order to mitigate impacts to both cost and schedule. Thank you for your interest in the health and well-being of our Service members, veterans, and their families. A similar letter is being sent to the other congressional defense committees. Sincerely, Enclosure: As stated cc: The Honorable Brian Schatz Ranking Member es N. Stew J\.ssistant Seer tary of Defense for Manpower and Reserve Affairs, Performing the Duties of the Under Secretary of Defense for Personnel and Readiness

2 OFFICE OF THE UNDER SECRETARY OF DEFENSE 4000 DEFENSE PENTAGON WASHINGTON, D.C PERSONNEL AND READINESS The Honorable James M. Inhofe Chairman Committee on Armed Services United States Senate Washington, DC NOV 2 0 1")018 Dear Mr. Chairman: The enclosed report is in response to House Report , page 28, which accompanies H.R. 2998, the Military Construction, Veterans Affairs, and Related Agencies Appropriations Bill, 2018, requesting the status, construction timeline, and the current working estimate of 45 active construction projects. The military construction of medical facilities is progressing. As of September 12, 2018 the number of active construction projects is 32. The Defense Health Agency and construction agents, including the United States Army Corps of Engineers and Naval Facilities Engineering Command, have provided increased oversight and project management in order to mitigate impacts to both cost and schedule. Thank you for your interest in the health and well-being ofour Service members, veterans, and their families. A similar letter is being sent to the other congressional defense committees. Sincerely, Enclosure: As stated cc: The Honorable Jack Reed Ranking Member

3 OFFICE OF THE UNDER SECRETARY OF DEFENSE 4000 DEFENSE PENTAGON WASHINGTON, D.C PERSONNEL AND READINESS The Honorable William M. "Mac" Thornberry Chairman Committee on Armed Services U.S. House of Representatives Washington, DC NOV Dear Mr. Chairman: The enclosed report is in response to House Report page 28, which accompanies H.R. 2998, the Military Construction, Veterans Affairs, and Related Agencies Appropriations Bill, 2018, requesting the status, construction timeline, and the current working estimate of45 active construction projects. The military construction of medical facilities is progressing. As of September , the number ofactive construction projects is 32. The Defense Health Agency and construction agents, including the United States Army Corps of Engineers and Naval Facilities Engineering Command, have provided increased oversight and project management in order to mitigate impacts to both cost and schedule. Thank you for your interest in the health and well-being ofour Service members, veterans, and their families. A similar letter is being sent to the other congressional defense committees. Sincerely, Enclosure: As stated cc: The Honorable Adam Smith Ranking Member 't\.ssistant S retary of Defense for Manpower and Reserve Affairs, Performing the Duties of the nder Secretary of Defense for Personnel and Readiness

4 OFFICE OF THE UNDER SECRETARY OF DEFENSE 4000 DEFENSE PENTAGON WASHINGTON, D.C PERSONNEL AND READINESS The Honorable John R. Carter Chairman Subcommittee on Military Construction NOV 2 0?018 Veterans Affairs, and Related Agencies Committee on Appropriations U.S. House of Representatives Washington, DC Dear Mr. Chairman: The enclosed report is in response to House Report , page 28, which accompanies H.R. 2998, the Military Construction Veterans Affairs, and Related Agencies Appropriations Bill, 2018, requesting the status, construction timeline, and the current working estimate of 45 active construction projects. The military construction ofmedical facilities is progressing. As of September 12, 2018, the number of active construction projects is 32. The Defense Health Agency and construction agents, including the United States Army Corps of Engineers and Naval Facilities Engineering Command, have provided increased oversight and project management in order to mitigate impacts to both cost and schedule. Thank you for your interest in the health and well-being ofour Service members, veterans, and their families. A similar letter is being sent to the other congressional defense committees. Sincerely, ames N. St Assistant S retary of Defense for Manpower and Reserve Affairs, Performing the Duties of the Under Secretary of Defense for Personnel and Readiness Enclosure: As stated cc: The Honorable Debbie Wasserman Schultz Ranking Member

5 Report to Congressional Armed Services Committee The Department of Defense Comprehensive Medical Military Construction Report In Response To: House Report , Page 28, Accompanying H.R. 2998, the Military Construction, Veterans Affairs, and Related Agencies Appropriations Bill, 2018 The estimated cost of this report or study for the Department of Defense is approximately 9,300 for the 2018 Fiscal Year. This includes 1,000 in expenses and 8,300 in DoD labor. Generated on 2018Sep12 RefID: 4-4BAE375 1

6 DEFENSE HEALTH AGENCY S HOSPITAL CONSTRUCTION PROGRAM STATUS OF ACTIVE CONSTRUCTION PROJECTS EXECUTIVE SUMMARY This report is in response to House Report , Page 28, accompanying H.R. 2998, the Military Construction, Veterans Affairs, and Related Agencies Appropriations Bill, 2018, which requests the Department provide a report on the status of the active medical military construction projects. Specifically, the committee requests the Defense Health Agency (DHA) to report to the congressional defense committees not later than 120 days after enactment of this act on the status, construction timeline, and the current working estimate of the 45 active construction projects. The data presented below, as reported by the design and construction agents, reflects data submitted with the 10 U.S.C report in July As of September 2018, there are currently 32 active medical military construction projects. In addition, there are currently 22 projects in the design phase as of September BACKGROUND The DHA is responsible for the facility life-cycle management of U.S. military medical facilities worldwide, to preserve ready and resilient facilities that sustain military medicine s mission assurance of world-class health care for America s warfighters and their families. These military medical facilities include medical centers, hospitals, ambulatory care centers, medical training facilities, medical research facilities and veterinary facilities in the Military Health System. In accordance with 10 U.S.C and Department of Defense Directive , military construction of such facilities is to be carried out under the direction and supervision of U.S. Army Corps of Engineers and Naval Facilities Engineering Command, with exceptions, as the Construction Agent for the current active projects identified in this report. Therefore, data herein corresponds with that provided by the Construction Agents. Title 10, U.S. Code 2851 further requires reporting of specific project data at a frequency no less than once a month, the data from which provides the foundation for information contained in this report. RESULTS Current Status of Active Construction Projects The current active medical military construction projects identified in this report include projects that have been awarded through projects that reached substantial completion and are in transition. The current status, including construction timeline, and the current working estimate of the 32 active medical military construction projects is included in Table 1. The other projects reported in the 10 U.S.C report are projects that are completed and are waiting for financial closeout by the Construction Agents. 2

7 Project Number MED Table 1: Status of Active Construction Projects Project Cannon AFB, NM Clinic Seymour Johnson AFB, NC Clinic Peterson AFB, CO Dental Clinic JBSA, Lackland AFB, TX Reid Clinic Ft Irwin, CA Hospital Holloman AFB, NM Clinic Osan AB, Korea Hospital Addition/Alteration JBSA, Lackland AFB, TX Ambulatory Care Center, Phase IV Camp Humphreys, Korea Hospital Spangdahlem AB, Germany Medical/Dental Clinic Addition Bahrain NSA, Bahrain Medical/Dental Clinic Ft Knox, KY Medical Clinic Ft Bliss, TX Hospital Sheppard AFB, TX Medical Dental Clinic Schofield Barracks, HI Behavioral Health/Dental Clinic Addition Ph 1 Rhine Ordnance Barracks, Germany Medical Center NCBC Gulfport, MS Medical/Dental Clinic NSA Bethesda, MD Temporary Medical Facilities 3 CWE (000) 51,967 55,524 16,686 38, ,705 51,132 25,564 60, ,858 35,559 28,114 63,371 1,253,324 87, ,838 1,013,000 24,470 39,813 % comp NTP 97% 12 Aug 14 92% 24 Oct 13 97% 3 Nov 15 93% 28 Sep 15 98% 30 May 12 99% 28 Oct 14 93% 26 Sep 13 4% 23 Mar 17 92% 1 Aug 12 20% 14 Dec 16 24% 20 Apr 16 19% 13 Apr 17 81% 23 Aug 11 2% 26 Oct 17 14% 16 Jun 16 5% 13 Jan % 1 Sep 12 97% 15 Oct 13 BOD 9 Mar 18 8 Jun Apr Jun Jul Sep Dec 18 1 Oct 20 1 Oct Jun Aug Nov 19 1 Feb Jun Jun Dec 23 7 Aug Sep 18

8 MCAS Iwakuni, Japan MC200-T Naval Family Branch Clinic 153,000 99% 1 Apr JB Andrews, MD Dental Clinic 22,472 70% 1 Mar JB Andrews, MD Ambulatory Care Center 229,684 94% 1 Mar 13 MCB Kaneohe Bay, HI Medical/Dental Clinic 93,000 37% 14 Nov 16 JB Langley-Eustis, VA Hospital Addition/CUP 57,300 1% 1 Jun 19 NSA Bethesda, MD Medical Center Addition and 510,000 10% 22 Dec 17 Alteration Great Lakes NS, IL 8143 Drug Laboratory 19, % 8 Nov 13 38H Demo Aberdeen Proving Ground, MD 316,612 99% 19 Aug 09 USAMRICD Aberdeen Proving Ground, MD PHC Laboratory 248,400 59% 8 Sep 15 Camp Pendleton, CA NICoE Satellite, 2, % 21 Aug 16 Infrastructure Support VMF120 Camp Humphreys, KO Medical Warehouse 5,000 99% 25 Aug 14 NSA Bethesda, MD Base Accessibility & 5,900 98% 1 Apr 14 Appearance Plan 1 May Sep Jun May Jun Nov May Jun Oct 19 4 Apr Aug Aug Wright Patterson AFB, OH Satellite Pharmacy 7,088 49% 14 Oct 16 Kadena, Japan TLAMM-P Logistics 17,288 1% 26 Oct 17 Facility CWE Current Working Estimate NTP Notice to Proceed BOD Beneficial Occupancy Date 4 Apr 19 1 Feb 20 4

9 CONCLUSION As of September 2018, there are 32 active projects. In addition to active medical military construction projects, there are currently 22 projects in the design phase. The data presented above delineates status, construction timeline, the current working estimate of the active medical military construction projects and reflects data provided by the Design and Construction Agents for each project, and for the U.S.C report. 5

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