[Code of Federal Regulations]
[Title 32, Volume 5]
[Revised as of July 1, 2005]
From the U.S. Government Printing Office via GPO Access
[CITE: 32CFR728.46]

[Page 328-329]
 
                       TITLE 32--NATIONAL DEFENSE
 
                   CHAPTER VI--DEPARTMENT OF THE NAVY
 
PART 728_MEDICAL AND DENTAL CARE FOR ELIGIBLE PERSONS AT NAVY MEDICAL 
DEPARTMENT FACILITIES--Table of Contents
 
   Subpart E_Members of Foreign Military Services and Their Dependents
 
Sec. 728.46  Charges and collection.

    (a) Policy. Pub. L. 99-591, section 9029, contains provisions 
prohibiting the expenditure of appropriated funds ``. . . to provide 
medical care in the United States on an inpatient basis to foreign 
military and diplomatic personnel or their dependents unless the 
Department of Defense is reimbursed for the costs of providing such 
care: Provided, That reimbursements . . . shall be credited to the 
appropriations against which charges have been made for providing such 
care, except that inpatient medical care may be provided in the United 
States without cost to military personnel and their dependents from a 
foreign country if comparable care is made available to a comparable 
number of United States military personnel in that foreign country.''
    (b) Canadian agreement. On 3 November 1986, the Department of 
National Defence of Canada and DOD concluded a comparable care agreement 
that covers certain military personnel. The agreement stipulates that:
    (1) DOD will, upon request, provide Canadian Forces members the same 
range of medical and dental services under the same conditions and to 
the same extent as such services are provided comparable United States 
military personnel. Inasmuch as the agreement covers only certain 
military personnel, the reimbursement provisions

[[Page 329]]

of Pub. L. 99-591 remain in effect for inpatient care provided to 
Canadian diplomatic personnel, Canadian dependents, and Canadian foreign 
military sales trainees who receive care in the United States. Further:
    (2) Permanently stationed Canadian units with established strengths 
of more than 150 personnel are expected to have integral health care 
capability. Any health care services which members of such units receive 
from the host nation will be provided on a full reimbursement basis. 
Groups of larger than 150 personnel, which conduct collective training 
in the United States, are expected to deploy with an organic unit 
medical capability. Naval MTFs may be requested to provide services, 
beyond the capability of the organic unit, at full reimbursement rates.
    (c) Procedures. (1) Until otherwise directed, naval MTFs in the 50 
United States will collect the full reimbursement rate (FRR) for 
inpatient care provided to all foreign military personnel (except 
Canadians covered by the comparable care agreement in Sec. 728.46(b), 
and military personnel connected with a Foreign Military Sales (FMS) 
case number), foreign diplomatic personnel, and to the dependents of 
both whether they are in the United States on official duty or for other 
reasons.
    (2) Subpart J contains procedures for the initiation of collection 
action when inpatient care is rendered to beneficiaries from NATO 
nations and when either inpatient or outpatient care is rendered to all 
others enumerated in this part. Chapter II, part 4 of NAVMED P-5020 is 
applicable to the collection of and accounting for such charges.