may impact personnel readiness of members of the Coast Guard. (H) The regions particularly impacted by lack of access to care and recommendations to address those access issues. (b) Report Not later than 1 year after the date of the enactment of this Act, the Comptroller General shall submit to the Committee on Commerce, Science, and Transportation of the Senate and the Committee on Transportation and Infrastructure of the House of Representatives a report containing the findings, conclusions, and recommendations to improve access to quality, timely, and effective health care for members of the Coast Guard and dependents of those members from the study required under subsection (a). (c) Definitions In this section, the terms dependent and TRICARE program have the meanings given those terms in section 1072 of title 10, United States Code. 277. Comptroller General of the United States study and report on medical staffing standards and needs for the Coast Guard (a) Study (1) In general The Comptroller General of the United States shall conduct a study that examines the health care system of the Coast Guard. (2) Elements The study conducted under paragraph (1) shall analyze the following: (A) The billets in clinics of the Coast Guard, whether for personnel of the Coast Guard or otherwise, including the number of billets, vacancies, and length of vacancies. (B) The wait times for patients to attain an appointment for urgent care, routine physician care, and dental care. (C) The impact of billet vacancies on such wait times. (D) The ability of the Coast Guard to use other medical personnel of the Department of Defense, including physicians and physician assistants, to fill provider vacancies for the Coast Guard. (E) The barriers, if any, to improving coordination and access to physicians within the health care system of the Department of Defense. (F) The accessibility and availability of behavioral health medical personnel at clinics of the Coast Guard, including personnel available for family counseling, therapy, and