Book excerpt: The 1998 Committee on Space Biology and Medicine (CSBM) report A Strategy for Research in Space Biology and Medicine in the New Century assessed the known and potential effects of spaceflight on biological systems in general and on human physiology, behavior, and performance in particular, and recommended directions for research sponsored over the next decade by the National Aeronautics and Space Administration (NASA). The present follow-up report reviews specifically the overall content of the biomedical research programs supported by NASA in order to assess the extent to which current programs are consistent with recommendations of the Strategy report for biomedical research activities. In general, NASA programs concerned with fundamental gravitational biology are not considered here. The committee also notes that this report does not include an evaluation of NASA's response to the Strategy report, which had only recently been released at the initiation of this study. Review of NASA's Biomedical Research Program summarizes the committee's findings from its review of (1) NASA's biomedical research and (2) programmatic issues described in the Strategy report that are relevant to NASA's ability to implement research recommendations.