; and (2) by inserting after paragraph (1) the following new paragraph (2): (2) In addition to the responsibilities set forth in paragraph (1), the Director of the Defense Health Agency shall have the authority— (A) to direct, control, and serve as the primary rater of the performance of commanders or directors of military medical treatment facilities; (B) to direct and control any intermediary organizations between the Defense Health Agency and military medical treatment facilities; (C) to determine the scope of medical care provided at each military medical treatment facility to meet the military personnel readiness requirements of the senior military operational commander of the military installation; (D) to determine total workforce requirements at each military medical treatment facility; (E) to direct joint manning at military medical treatment facilities and intermediary organizations; (F) to establish training and skills sustainment venues for military medical personnel; (G) to address personnel staffing shortages at military medical treatment facilities