[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: 32CFR728.57]

[Page 335-337]
 
                       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 F_Beneficiaries of Other Federal Agencies
 
Sec. 728.57  Department of State and associated agencies.

    Eligibility for care under the provisions of this section will be 
determined by the Department of State, Office of Medical Services.
    (a) Beneficiaries. Officers and employees of the following agencies, 
their dependents, and applicants for appointment to such agencies are 
authorized inpatient and outpatient medical care as set forth below in 
addition to that care that may be authorized elsewhere within this part 
(i.e., Sec. 728.53, Sec. 728.55, Sec. 728.56, and Sec. 728.58). 
Limit dental care to that delineated in paragraph (b)(6) of this 
section.

[[Page 336]]

    (1) Department of State-U.S.Arms Control and Disarmament Agency and 
the Office of International Conferences.
    (2) U.S. Agency for International Development.
    (3) International Communications Agency.
    (4) ACTION--Peace Corps Staff.
    (5) Department of Agriculture--Foreign Agriculture Service.
    (6) Department of Commerce--Bureau of Public Roads.
    (7) Department of Interior--Bureau of Reclamation and the U.S. 
Geological Survey.
    (8) Department of Transportation--Federal Aviation Administration 
and the Federal Highway Administration.
    (9) Department of Justice--Drug Enforcement Agency.
    (10) Department of Treasury--U.S. Customs, U.S. Secret Service, 
Office of International Affairs (OIA), U.S.--Saudi Arabian Joint 
Commission for Economic Cooperation (JECOR), and the Internal Revenue 
Service.
    (11) National Aeronautics and Space Administration.
    (12) Library of Congress.
    (13) Beneficiaries of such other agencies as may be included in the 
Department of State Medical Program.
    (b) Care authorized--(1) General. The Foreign Service Act of 1946, 
as amended, authorizes care delineated in this section. Subject to the 
restrictions and priorities of Sec. 728.3 and the restrictions of this 
section, care may be rendered at the expense of the Department of State 
or one of the agencies listed in paragraph (a) of this section. The law 
allows for payment when care is furnished for an illness or injury which 
results in hospitalization or equal treatment. Outpatient care is only 
authorized as an adjunct to hospitalization.
    (2) Overseas. (i) When, in the opinion of the principal or 
administrative officer of an overseas post of the Department of State, 
an individual meets the conditions of eligibility, the post will furnish 
authorization to the naval MTF for care at the expense of the Department 
of State or one of the agencies listed in paragraph (a) of this section.
    (ii) Should the Department of State official determine that the 
illness or injury does not meet the conditions of eligibility for care 
at the expense of one of the agencies, all care provided will be at the 
expense of the patient or patient's sponsor and charged at the full 
reimbursement rate.
    (3) In the United States. (i) Care is not authorized for an injury 
or illness incurred in the United States. Authorizations and other 
arrangements for care in the United States for individuals incurring 
injury or illness outside the United States will be provided by the 
Deputy Assistant Secretary for Medical Services, Department of State, 
using appropriate authorization form(s). When personnel are admitted in 
an emergency without prior authorization, the commanding officer of the 
admitting naval MTF will immediately request authorization from the 
Deputy Assistant Secretary for Medical Services.
    (ii) The extent of care furnished in the United States, to 
individuals in paragraph (a) of this section who are evacuated to the 
United States for medical reasons, will be comparable in all respects to 
that which is authorized or prescribed for these individuals outside the 
United States. When determined appropriate by the Deputy Assistant 
Secretary for Medical Services, officers and employees and their 
accompanying dependents who have returned to the United States for 
nonmedical reasons may be furnished medical care at the expense of one 
of the above agencies for treatment of an illness or injury incurred 
while outside the United States.
    (4) Physical examinations. The Secretary of State is authorized to 
provide for comprehensive physical examinations, including dental 
examinations and other specific testing, of applicants for employment 
and for officers and employees of the Foreign Service who are U.S. 
citizens and for their dependents, including examinations necessary to 
establish disability or incapacity for retirement purposes. An 
authorization will be executed by an appropriate Department of State 
official and furnished in duplicate to the naval MTF, listing the type 
of examination required and stating that the individual is entitled to 
services at the expense of the Department of State. Furnish reports per 
the letter of authorization.

[[Page 337]]

    (5) Immunizations. Inoculations and vaccinations are authorized for 
officers, employees, and their dependents upon written authorization 
from an appropriate Department of State official. This authorization, in 
duplicate, will include the type of inoculation or vaccination required 
and will state that the individual is entitled to services at the 
expense of the Department of State. Furnish reports per the letter of 
authorization.
    (6) Dental care. Limit dental care to emergencies for the relief of 
pain or acute conditions, or dental conditions as an adjunct to 
inpatient care. Do not provide prosthetic dental appliances.
    (c) Evacuation to the United States. Should a beneficiary in an 
overseas naval MTF require prolonged hospitalization, the commanding 
officer of the overseas facility will report the requirement to the 
nearest Department of State principal or administrative officer and 
request authority to return the patient to the United States. Release 
dependents who decline evacuation to the custody of their sponsor. 
Aeromedical evacuation may be used per OPNAVINST 4630.25B. Travel of an 
attendant or attendants is authorized at Department of State expense 
when the patient is too ill or too young to travel unattended.
    (d) Report. Complete and submit, per subpart J, a DD 7 (Report of 
Treatment Furnished Pay Patients, Hospitalization Furnished, part A) or 
DD 7A (Report of Treatment Furnished Pay Patients, Outpatient Treatment, 
part B) when outpatient or inpatient care is rendered.