Sending Office: Honorable Marcy Kaptur
Sent By:

Deadline: Today COB

Sign Bipartisan Letter Urging NDAA Conferees to Include Language to Help Wounded Ukrainian Soldiers

Current signer: DeLauro, Kaptur, Fitzpatrick, Harris, Levin, Doggett, Pascrell

Dear Colleague,

Please consider a bipartisan letter to NDAA conferees, regarding language on non-medical expenses for wounded Ukrainian soldiers in the United States
who cannot receive care in their own country.

There is bill text and report language secured in the Senate NDAA for 2018, and this issue arose after the House version had passed. This letter would urge the conferees to include the corresponding bill text and report language in the final NDAA bill.

DoD has historically covered these expenses until recently when it made an internal shift under President Obama.

If your boss would like to sign on to this letter, please contact Elizabeth Albertine ( with Rep. DeLauro or Nick Kazvini-Gore (
in Rep. Kaptur’s office. The deadline is today COB. 

Letter for Conferees:

September X, 2017

Members of the Conference Committee of the Senate and House of Representatives for the National Defense Authorization Act of 2018

Dear Conferees,

As you begin conference negotiations with your Senate counterparts on the National Defense Authorization Act (NDAA) for 2018, we urge you to ensure the conference agreement supports robust funding for the Ukraine Security Assistance Initiative and directs
the Department to cover non-medical expenses of wounded Ukrainian soldiers in the United States who are unable to seek specialized medical treatment in Ukraine as it has previously done.

Ukraine continues to be subjected to military aggression and hostility by Russia. It has been reported that nearly 3,000 Ukrainian fighters have been killed and more than 10,000 have been wounded. Some wounded soldiers have required specialized treatment
at medical facilities in the United States since they were unable to receive in their own country. In June 2015, the Secretary of Defense approved the use of the Secretarial Designee program and Emergency and Extraordinary Expense funding to cover inpatient
care and non-medical costs for Ukrainian soldiers treated in the United States who could not receive such treatment in Ukraine. To date, eight wounded Ukrainian soldiers benefited.

However, only inpatient care is currently covered under the Secretarial Designee program. Due to the ongoing crisis in that country, the Ukraine government is unable to provide funding for non-medical expenses related to providing this care. Without access
to services such as transportation, lodging, meals, and other expenses related to the movement and medical treatment, it is more challenging for wounded Ukrainian soldiers to access treatment in the United States.

As such, we urge you to support section 1250(b) of the Senate National Defense Authorization Act of 2018 that would allow for the treatment of Ukrainian soldiers through the Secretarial Designee program and non-medical expenses related to such treatment.
In addition, we encourage you to ensure the conference agreement includes the funding level authorized in the 2018 Senate authorization to help in support of Ukraine’s territorial sovereignty and regional stability.

It is critical the Department of Defense continue its support to assist Ukraine and its soldiers as the ongoing conflict with Russia persists, including associated medical and non-medical costs associated with that treatment as it previously covered. Thank
you for your continued support and consideration of this request.



ROSA L. DELAURO                                                MARCY KAPTUR

Member of Congress                                                  Member of Congress

Bill text in the Senate bill:


Section 1250(b) of National Defense Authorization Act for Fiscal Year 2016 (Public Law 114–92; 126 Stat. 1068), as amended
by section 1237(b) of the National Defense Authorization Act for Fiscal Year 2017 (Public Law 114–328; 130 Stat. 2495), is
further amended by adding at the end the following new paragraph:

“(12) Treatment of wounded Ukraine soldiers in the United States in medical treatment facilities through the Secretarial Designee Program, and transportation, lodging, meals, and other appropriate non-medical support in connection with such treatment (including
incidental expenses in connection with such support).”.


Report Language in the Senate bill:

Ukrainian wounded warriors

The committee understands that in June 2015, the Secretary

of Defense approved the use of the Secretarial Designee program

and Emergency and Extraordinary Expense funding to pay costs

arising from the medical and rehabilitative treatment at

military medical treatment facilities of wounded Ukrainian

soldiers who could not receive the necessary specialized

medical treatment in Ukraine. Costs covered included inpatient

care, transportation, lodging, meals, and incidental expenses

relating to the movement and medical treatment of the wounded

Ukrainian soldiers. The committee understands that eight

wounded Ukrainian soldiers were successfully assisted through

this program. The committee recognizes that providing this

specialized care enhances military operational medical force

readiness through the performance of combat-related medical

procedures that help ensure physicians and other providers

maintain critical readiness skillsets.


The committee is concerned that the expenses of medical

coverage for additional wounded Ukrainian soldiers approved

under the Secretarial Designee program only extends to

inpatient care, and the Ukrainian government is required to

fund all remaining costs. In light of the ongoing conflict in

Ukraine, the Ukrainian government is unable to reimburse these

costs, creating difficulty in bringing any additional wounded

soldiers to the United States for the care they desperately



Russia’s persistent military aggression in Ukraine

continues to inflict grievous injuries on Ukrainian soldiers,

who require medical treatment that cannot be performed in

country. The committee supports the Department of Defense’s

efforts through the Secretarial Designee program to provide

medical and rehabilitative assistance in military medical

treatment facilities in the United States to Ukrainian soldiers

wounded in defense of their country and strongly encourages the

Department to fund to the extent practicable both the medical

and non-medical costs it previously covered for future cases.

Related Legislative Issues
Selected legislative information: Appropriations, Armed Services, Foreign Affairs
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