To condition the closure of a military medical facility in the United States or a reduction in the level of care provided at a military medical facility in the United States upon a determination by the Secretary of Defense and the Secretary of the military department concerned that the closure or reduction is cost effective for the Federal Government.

Prohibits the Secretary of a military department from closing, or reducing the level of care provided at, a military medical facility in the United States until determining that the closure or reduction will be cost effective. Bases a determination of cost-effectiveness on whether the cost to the Federal Government of providing such care exceeds the cost of providing equivalent care at other health facilities as a consequence of closure or reduction.

Applies this Act to any closure or reduction, including pursuant to a base closure law.