Office of General Counsel - Uniformed Services University

Helper

MHL Symposium- 2008

MHL Symposium- 2009

Joint Office of Technology Transfer

Legal Assistance

Local Laws of Interest

Legal Affairs Worksheet

Deployment Checklist for Spouses

Health Powers of Attorney (Maryland)

JAGCNET

General Counsel: Military Health Law Network

Military Health Law Research Helper

Abortion

10 U.S.C. 1093
AFI 44-102, para 1
BUMEDINST 6300.16

Abused Dependents

DoD Instruction 1342.24, "Transitional Compensation for Abused Dependents," 5/23/95
OPNAVINST 1750.3

Access Standards

HA Policy 07-022, "TRICARE Access Standards for Mental Health Care," 10/9/07
H.A. Policy 06-007, TRICARE Policy for Access to Care and Prime Service Area Standards," 2/21/06

Accession Standards

DoDI 6130.03, "Medical Standards for Appointment, Enlistment, of Induction," 4/28/10

Accreditation

BUMEDINST 6000.2D

Acquisition Regulations

Federal Acquisition Regulation, 48 CFR Chapter 1.
Defense Federal Acquisition Regulation Supplement, 48 CFR Chapter 2.

Acquired Immune Deficiency Syndrome (AIDS)

See HIV

Advance Medical Directives

Advisory Committees

DoD Instruction 5105.4, "Department of Defense Federal Advisory Committee Management Program," 8/6/07
Federal Advisory Committee Act, 5 U.S.C. Appendix

Aeromedical Evacuation

See Patient Movement

Alcohol & Drug Abuse Control Programs

See Substance Abuse

Ambulance Support

BUMEDINST 6700.42
BUMEDINST 11240.5

Ambulatory Procedures

DoD Instruction 6025.8, "Ambulatory Procedure Visit (APV)," 9/23/96.

Americans With Disabilities Act

Army MEDCOM, 1999 Medical-Legal Desk Book (Volume I): MTF Compliance With The Americans With Disabilities Act

Anthrax Vaccine Immunization Program

See DoD web site
10 U.S.C. 1110
SECNAVINST 6230.4

Anti-Deficiency Act

31 U.S.C. 1341 et seq.

Armed Forces Institute of Pathology

DoD Directive 5154.24, "Armed Forces Institute of Pathology (AFIP); 10/03/01
DoD Instruction 5154.30, "Armed Forces Institute of Pathology Operations," 3/18/03
AR 40-31, Armed Forces Institute of Pathology and Armed Forces Histopathology Centers, 6/4/93
BUMEDINST 6510.2F

Armed Forces Radiobiology Research Institute

DoD Instruction 5105.33, "Armed Forces Radiobiology Research Institute," 3/29/06.

Armed Forces Repository of Specimen Samples for the Identification of Remains

See Armed Forces Institute of Pathology
10 U.S.C. 1565a

Assisted Suicide

Assisted Suicide Funding Protection Act of 1997, 42 U.S.C. 14401 et seq.

Autopsies

10 U.S.C. 1471
BUMEDINST 5360.1
AR 40-2, Army MTFs General Administration, C-1, para. 4-4
AR 40-3, Medical, Dental and Veterinary Care, para. 15-10
AR 40-57, Armed Forces Medical Examiner System, 1/2/91
Army MEDCOM, 1999 Medical-Legal Desk Book (Volume I): Autopsies
See also Armed Forces Institute of Pathology
NAVMED P-5065

"Baby Doe" Regulations

HHS Regulations: 45 CFR 1340.15; 1340 Appendix

Base Realignment and Closure (BRAC)

BRAC 2005 website: http://www.defenselink.mil/brac

Beneficiary Counseling and Assistance Coordinators

DoD Instruction 6015.23, "Delivery of Healthcare at Military Treatment Facilities; Foreign Service Care; Third Party Collection' Beneficiary Counseling and Assistance Coordinators (BCACs)," 10/30/02

Bill of Rights

DoD Instruction 6000.14, "Patient Bill of Rights and Responsibilities in the Military Health System (MHS)," 9/05/07

Bioethics

BUMEDINST 5420.3
BUMEDINST 6320.2

Biological Select Agents

See Select Agents

Blood Program

DoD Instruction 6480.4, "Armed Services Blood Program (ASBP) Operational Procedures," 8/5/96
See Related Web Site: TRICARE/Military Health & Clinical Resources/Armed Services Blood Program
OPNAVINST 6530.4A
BUMEDINST 6530.15A (Donors)
AR 40-2, C1, Ch 12
AR 600-110, para. 2-3b

Bone Marrow Registry

42 U.S.C. 274k
DoD Registry Web Site

CHAMPUS

10 U.S.C. 1079, 1086
32 CFR Part 199
AR 40-400, Patient Administration, Ch 5.
See also TRICARE

CHAMPUS Maximum Allowable Charge (CMAC)

32 CFR 199.14(h)

Chaperones (Standbys)

AFI 44-102
BUMEDINST 6320.83

Child Abuse & Neglect

See Family Advocacy Program

Chiropractic Care

H.A. Policy 07-028, "Revision of Chiropractic Care for Active Duty Service Members of the Uniformed Services Policies 03-021, 03-005, and 03-001," 11/9/07
Section 712 of John Warner National Defense Authorization Act for Fiscal Year 2007, P.L. 109-364

Civilian Employees Health Care

DoDD 1404.10, "DoD Civilian Expeditionary Workforce," 1/23/09

Emergency-Essential Civilian Employees

10 U.S.C. 1558
DoD Directive 1404.10, "Emergency-Essential (E-E) DoD U.S. Citizen Civilian Employees," 4/10/92

Overseas
- 10 U.S.C. 1599b

Civilian Health Care Providers

10 U.S.C. 1599c
Section 728 of National Defense Authorization Act for Fiscal Year 2008, P.L. 10-181 (re military to civilian conversions)
HA Policy 08-005, "Policy for Mandatory Seasonal Influenza Immunizations for Civilian Health Care Personnel Who Provide Direct Patient Care in DoD MTFs," 4/4/08
DoD Appropriations Act, 2010, P.L. 110-116, sec. 8078
DoDI 1400.25, "DoD Civilian Personnel Management System"

Vol. 543, "Pay Plan for DoD Civilian Physicians and Dentists Covered by General Schedule"
Vol. 540, "Pay Pursuant to Title 38 - Additional Pay for Certain Healthcare Professionals," 4/6/09

Clinical Investigation Programs

DoD Instruction 6000.8, "Funding and Administration of Clinical Investigation Programs," 1/3/07
BUMEDINST 6000.12A
AR 40-38, Clinical Investigation Program
Army MEDCOM, 1999 Medical-Legal Desk Book (Volume I): Clinical Investigation - An Overview

Clinical Laboratory Improvement Act

DoD Instruction 6440.2, "Clinical Laboratory Improvement Program(CLIP)", 4/20/94

Competency for Duty Exams

BUMEDINST 6120.20B

Confidentiality

See Quality Assurance Program Regulation
Army MEDCOM, 1999 Medical-Legal Desk Book (Volume I): Confidentiality Of Medical Information
See also Health Insurance Portability and Accountability Act Privacy Regulations web site
See also Privacy Act
See also Privacy Regulations

Consent

BUMEDINST 6320.16
Dept of Veteran Affairs, VHA Handbook 1004.1
AFI 44-102

Constructive Service Credit for Health Professionals

See Personnel Policy for Health Professionals

Continuing Medical Education

10 U.S.C. 1094a
BUMEDINST 1520.34A

Continued Health Care Benefit Program

10 U.S.C. 1078a
32 CFR 199.20

Contractors

DoD Instruction 3020.41, "Contractor Personnel Authorized to Accompany the U.S. Armed Forces," October 3. 2005
USD(P&R)/USD(AT&L) Memo: "Military Conversions - Contracting for Services when Civilians Cannot be Hired," 2/13/08
National Defense Authorization Act for Fiscal Year 2008, § 1676: Moratorium on Conversion to Contractor Performance at MTFs
10 U.S.C. Chapter 146

Cosmetic Surgery

HA Policy 05-020, "Policy for Cosmetic Surgery Procedures in the Military Health System," October 25, 2005

Credentials Review and Privileging

BUMEDINST 6320.66E

Criminal History Checks

DoD Instruction 1402.5, "Criminal History Background Checks on Individuals in Child Care Services," 1/19/93
OPNAVINST 1700.9D

Data Quality Management

DoD Instruction 6040.40, "Military Health System Data Quality Management Control Procedures," 11/26/02

Death Imminent

SECNAVINST 1850.4D
BUMEDINST 6320.2
BUMEDINST 5360.24, "Determination of Brain Death"

Decedent Affairs

BUMEDINST 5360.1

DEERS

DoD Instruction 1341.2, "Defense Enrollment Eligibility Reporting System (DEERS) Procedures," 3/19/99

Defense Health Board

http://www.ha.osd.mil/dhb

Defense Health Program Appropriations Account

10 U.S.C. 1100

Defibrillators

HA Guidance 2003, "Guidelines for Public Access Defibrillation Programs in DoD Facilities," 8/15/03
"Guidelines for Public Access Defibrillation Programs in Federal Facilities," 66 Fed. Reg. 28495 - 28511 (5/23/01)

Definitions

DoD 6015.1-M, "DoD Glossary of Healthcare Terminology," 1/99
DoD Dictionary of Military and Associated Terms

Demonstration Projects

Clinical Cancer Trials
- See Related Web Site: TRICARE/Military Health & Clinical Resources/Clinical Cancer Trials
General

10 U.S.C. 1092
32 CFR 199.1(o)

Dental Care Programs

TRICARE Dental Plan
- 10 U.S.C. 1076a
- 32 CFR 199.13.
Retiree Dental Plan
- 10 U.S.C. 1076c.
H.A. Policy 07-011, "Policy on Space Available Dental Care," 7/25/07

Dental Licensure

BUMEDINST 6320.66E

Deployment Health

DoD Directive 6490.2, "Comprehensive Health Surveillance," 10/21/04
DoD Instruction 6490.3, "Deployment Health," 8/11/06
DoD Instruction 6490.07, "Deployment-Limiting Medical Conditions for Service Members and DoD Civilian Employees," 2/5/10

Detainee Health Care

DoD Instruction 2310.08E, "Medical Program Support for Detainee Operations," 6/6/06
DoDD 2310.01, "The Department of Defense Detainee Program," 9/5/06

Disability Evaluation System

10 U.S.C. Chapter 61
DoD Directive 1332.18, "Separation or Retirement for Physical Disability," 11/4/96
DoD Instruction 1332.38, "Physical Disability Evaluation," 11/14/96
SECNAVINST 1850.4E
AR 635-40, Physical Disability Evaluation
DES Reform Pilot

Disaster

Homeland Security Presidential Directive (HSPD)-21, "Public Health and Medical Preparedness," 10/18/07: www.whitehouse.gov
See National Disaster Medical System
DoD Instruction 4000.19, "Interservice and Intragovernmental Support", 8/9/95
DoD Directive 3025.1, "Military Support to Civil Authorities (MSCA)", 1/15/93
DoD 3025.1-M, "DoD Manual for Civil Emergencies," June 1994
DoD Directive 3020.36, "Assignment of National Security Emergency Preparedness (NSEP) Responsibilities to DoD Components", 11/2/88
SECNAVINST 5820.7C
OPNAVINST 3440.16C
BUMEDINST 3440.4

Domestic Abuse

DoD Instruction 6400.06, "Domestic Abuse Involving DoD Military and Certain Affiliated Personnel," 8/21/07

Drug Enforcement Administration Numbers

H.A. FY 2000 Guidance Memorandum, "Drug Enforcement Administration (DEA)Numbers for DoD Providers, 4/7/00
* See Working Papers re DEA Policy Letter

Economy Act

31 U.S.C. 1535.
DoD 7000.14-R, DoD Financial Management Regulations

Educational Related and Early Intervention Services

DoD Instruction 1342.12, "Provision of Early Intervention and Special Education Services to Eligible DoD Dependents," 4/11/05

Elective Surgery for Active Duty

AFI 44-102
AFI 36-3203
AFI 36-3212

Electronic Signatures

HA Policy 05-013, "Interim Policy Memorandum on Electronic Records and Electronic Signatures for Clinical Documentation," August 4, 2005

Eligibility for Benefits

BUMEDINST 6320.3B
>DoD Instruction 1000.13, "Identification (ID) Cards for Members of the Uniformed Services, Their Dependents, and Other Eligible Individuals," 12/5/97

Emergency Health Powers

DoD Instruction 6200.3, "Public Health Emergency Management Within the Department of Defense," 3/5/10

Emergency Medical Treatment & Active Labor Act (EMTALA)

42 U.S.C. 1395dd

Emergency Use Authorization

Section 564 of the Federal Food, Drug and Cosmetic Act
10 U.S.C. 1107a
DoD Instruction 6200.2, "Application of FDA Rules to DoD Force Health Protection Programs," 2/19/08

Ethics (Medical)

Ethics (Standards Of Conduct)

DoD Directive 5500.7, "Standards of Conduct," 8/30/93
DoD 5400.7-R, "Joint Ethics Regulation (JER)," 9/98.
Army MEDCOM, 1999 Medical-Legal Desk Book (Volume I): Standards Of Conduct
See Travel Expenses

Exceptional Family Member Program

BUMEDINST 1300.2A

Executive Skills

DoD Instruction 6000.15, "Joint Medical Executive Skills Development Program," 4/19/99

Family Advocacy Program

DoD Directive 6400.1, "Family Advocacy Program (FAP)," 8/23/04
DoD 6400.1-M, "Family Advocacy Program Standards and Self-Assessment Tool," 8/1992
BUMEDINST 6320.70
OPNAVINST 1752.2A
SECNAVINST 1752.3B
AR 608-18, Family Advocacy Program
AFI 40-301
AFI 44-102
Army MEDCOM, 1999 Medical-Legal Desk Book (Volume I): Child Abuse And Neglect

Federal Advisory Committee

See Advisory Committees
SECNAVINST 5420.60J

Feres Doctrine

MHL Working Papers

Financial Management

Financial Management Regulation
DoD 6010.13-M, "Medical Expense and Performance Reporting System for Fixed Medical and Dental Treatment Facilities," 11/00
DoD 6010.15-M, "Military Treatment Facility Uniform Business Office (UBO) Manual," November 2006
DoD 7000.14-R, "Department of Defense Financial Management Regulation (Reimbursable Operations, Policy and Procedure)," Volume 11A, Chapter 4, "User Charges," 5/01
AR 40-330, Rate Codes, Expense and Performance Reporting Systems, Centralized Billing, and Medical Service Accounts, 2/26/88
NAVSO P-1000, "Navy Financial Management Policy Manual"

Fisher Houses

10 U.S.C. 2493

Food and Drug Administration

Federal Food, Drug and Cosmetic Act: 21 U.S.C. 301 et seq.
FDA Regulations: Title 21 CFR

Foreign Personnel Medical Care

10 U.S.C. 2559
DoD Directive 2205.2, "Humanitarian and Civic Assistance Activities," 12/2/08
SECNAVINST 3006.2
Reciprocal Health Care Agreements (TRICARE Web Page)

Force Health Protection

DoD Directive 6200.4, "Force Health Protection," 10/9/04
DoD Instruction 6490.03, "Deployment Health," 8/11/06
DoD Instruction 6200.05, "Force Health Protection Quality Assurance Program," 2/16/07

Forms

DoD 7750.7-L, Listing of Approved Department of Defense (DD) Forms, 1/1997

Fraud and Abuse Prevention

DoDI 5505.12, "Anti-Fraud Program at Military Treatment Facilities (MTFs)," 10/19/06

Freedom of Information Act

5 U.S.C. 552
DoD 5400.7-R, "DoD Freedom of Information Act Program," 9/98

Genetic Discrimination

Genetic Information Nondiscrimination Act of 208, Pub. L. 110-233
Interim Final Rule: 74 FR 51664 (10/7/09)
Executive Order 13145, "To Prohibit Discrimination in Federal Employment Based on Genetic Information," February 8, 2000.

Gifts

10 U.S.C. 2601
5 U.S.C. 4111
AFI 51-601
BUMEDINST 4001.4A
SECNAVINST 4001.2G
OPNAVINST 4001.1D
AR 1-100, Gifts to the Army
Army MEDCOM, 1999 Medical-Legal Desk Book (Volume I): Gifts Of Travel Benefits From Non-Federal Sources

Graduate Medical Education

DoD Instruction 6015.24, "Sizing of Graduate Medical Education (GME) and Program Closure Procedures" 1/5/01.

Grants and Agreements

DoD Directive 3210.6, "Defense Grant and Agreement Regulatory System (DGARS)," 12/17/03
DoD 3210.6-R, "Department of Defense Grant and Agreement Regulations," 4/98

Gulf War Illnesses

See Related Web Site: Gulf Link

Health Affairs

DoD Directive 5136.1, "Assistant Secretary of Defense for Health Affairs (ASD(HA))," 6/4/08

Healthcare Integrity and Protection Data Bank

See Quality Assurance Program Regulation
45 CFR Part 61
See also HHS Division Of Quality Assurance web site (National Practitioner Data Bank; Healthcare Integrity and Protection Data Bank; and Federal Credentialing Program)

Health Professions Educational Programs

10 U.S.C. Chapter 105, Armed Forces Health Professions Financial Assistance Programs
H.A. Policy 99-012, "Revised Interim Policy for Health Professions Loan Repayment Program (HPLRP)," 3/1/99
BUMEDINST 1520.34A
BUMEDINST 1520.37A
BUMEDINST 1520.40A
BUMEDINST 1524.1A
BUMEDINST 1530.2A
BUMEDINST 7050.3
BUMEDINST 12308.1
Army MEDCOM, 1999 Medical-Legal Desk Book (Volume I): Affiliation Agreements
See also Personnel Policy for Health Professionals

Health Promotion

DoD Directive 1010.10, "Health Promotion and Disease/Injury Prevention," 8/2/03
BUMEDINST 6110.13
OPNAVINST 6100.2
OPNAVINST 6110.1H
Army MEDCOM, 1999 Medical-Legal Desk Book (Volume I): Health Fairs

Health Services

DoD Directive 6000.12, "Health Services Operations and Readiness," 4/29/96
OPNAVINST 6440.1C

HIPAA Privacy Regulation

See Privacy Regulations

HIV

DoD Instruction 6485.01, "Human Immunodeficiency Virus," 10/17/06
DoD Instruction 6485.02E, "Human Immunodeficiency Virus (HIV) / Acquired Immune Deficiency Syndrome (AIDS) Prevention: Support to Foreign Militaries," 11/7/06
BUMEDINST 6310.2
SECNAVINST 5300.30D
AR 600-110, Identification, Surveillance, and Administration of Personnel Infected with HIV
AFI 44-102, para 1.9 & 10
AFI 36-3206
Army MEDCOM, 1999 Medical-Legal Desk Book (Volume I): Aids In The Workplace

Identification Cards

DoD Instruction 1000.24, "Confiscation of Fraudulent Identification (ID) Cards at Military Treatment Facilities," 5/22/03

Immunizations

DoD Directive 6205.02E, "Policy and Program for Immunizations to Protect the Health of Service Members and Military Beneficiaries," 9/19/06
DoD Instruction 6205.4, "Immunization of Other than U.S. Forces for Biological Warfare Defense," 4/14/00
Joint Regulation (AFI 48-110, AR 40-562, BUMEDINST 6230.15, CG COMDTINST M6230.4E), "Immunizations and Chemoprophylaxis," 1 Nov 95
H.A. Policy 08-005, "Policy for Mandatory Seasonal Influenza Immunization for Civilian Health Care Personnel Who Provide Direct Patient Care in Department of Defense Military Treatment Facilities," 4/4/08
SECNAVINST 6230.4 (Anthrax)
AR 40-5, Preventive Medicine, para 4.4

Independent Duty Corpsman

OPNAVINST 6400.1B

Intellectual Property

SECNAVINST 5870.4A
Army MEDCOM, 1999 Medical-Legal Desk Book (Volume I): Patents

Intermediaries

10 U.S.C. 178 Henry M. Jackson Foundation

International Agreements

DoD Directive 5530.3, "International Agreements," 6/11/87
SECNAVINST 5710.25B
Reciprocal Health Care Agreements (TRICARE Web Page)

International Health Regulations

See World Health Organization Web Site

Investigational New Drugs

10 U.S.C. 1107
Executive Order 13139, "Improving Health Protection of Military Personnel Participating in Particular Military Operations," September 30, 1999.
DoD Instruction 6200.2, "Application of FDA Rules to DoD Force Health Protection Programs," 2/19/08
BUMEDINST 6000.12A
BUMEDINST 6710.69
AR 40-7, Use of Investigational Drugs and Devices in Humans and the Use of Schedule I Controlled Drug Substances, 1/4/91

Laboratory Animals

DoD Directive 3216.1, "Use of Laboratory Animals in DoD Programs," 4/17/95
BUMEDINST 3900.8
SECNAVINST 3900.38C

Laser Eye Surgery

H.A. Policy Memorandum 00-003, "H.A. Policy on Vision Correction Via Laser Surgery for Non-Active Duty Beneficiaries", 4/7/00
Refractive Surgery Physical Standards and Waiver Policy

Legislation

For current legislation and legislative history see related web site: TRICARE/Policy and Planning/Congressional Information
OPNAVINST 5730.4E
SECNAVINST 5730.5H

Licensure

See Quality Assurance Program Regulation
Licensure Fees: 10 U.S.C. 2015
USD(P&R) Memo, "Payment of Credentialing Expensed for Military Members," 2/12/07 (implements 10 USC § 2015
H.A. Policy 99-007, "DoD Policy on Physician Licensure,"1/29/99
BUMEDINST 6320.66E
SECNAVINST 1754.7A
See also HHS Division Of Quality Assurance web site (National Practitioner Data Bank; Healthcare Integrity and Protection Data Bank; and Federal Credentialing Program)
See also Quality Assurance Program

Litigation

Army MEDCOM, 1999 Medical-Legal Desk Book (Volume I): Witnesses - A Guide For Health Care Providers
SECNAVINST 5820.8A

Living Wills

10 U.S.C. 1044c
See also Advance Medical Directive

Malpractice

Federal Tort Claims Act, 28 U.S.C. 2671, et seq.
Military Claims Act, 10 U.S.C. 2731, et seq.
DoD Directive 5515.9, "Settlement of Tort Claims," 4/19/04
DoD Directive 6000.6, "Medical Malpractice Claims Against Military and Civilian Personnel of the Armed Forces," 7/2/04
SECNAVINST 5820.8A
SECNAVINST 6300.3A
SECNAVINST 5820.9A
AR 27-20, Claims, Ch 4.
Army MEDCOM, 1999 Medical-Legal Desk Book (Volume I): DoD Healthcare Provider's Personal Liability For Alleged Malpractice
See also: Feres Doctrine

Management of Certain Non-Federal Entities

10 U.S.C. 1033
See also: Ethics (Standards of Conduct)

Medal Of Honor Recipients

10 U.S.C. § 1074h

Medical Education

See also "Health Professions Educational Programs"
BUMEDINST 1524.1B

Medical Intelligence

DoD Instruction 6420.1, "National Center for Medical Intelligence (NCMI)," 3/20/09
SECNAVINST 3800.9

Medical Readiness

See Force Health Protection

Medical Records

DoD Instruction 6040.42, "Medical Encounter and Coding at Military Treatment Facilities," 6/10/04
DoD Instruction 6040.43, "Custody and Control of Outpatient Medical Records," 6/10/04
AFI 41-210
MANMED P-117, Chap 16
AR 40-66, Medical Record Administration, 7/20/92
See also Confidentiality

Medically Related Services

BUMEDINST 1755.1
BUMEDINST 1755.2

Medicare

See Social Security Administration web site
Social Security Act, title XVIII (42 U.S.C. 1395, et seq.)
HHS Regulations: 42 CFR Part 405, et seq.

Medicare-Eligible Retiree Health Care Account

Chapter 56 of title 10, United States Code
DoD Directive 6070.1, "Department of Defense Medicare Eligible Retiree Health Care Fund," July 17, 2002
DoD Instruction 6070.2, "Department of Defense Medicare Eligible Retiree Health Care Fund Operations," July 19, 2002

Memoranda of Understanding (MOUs)

DoD Instruction 4000.19, "Interservice and Intragovernmental Support," 8/9/95
OPNAVINST 4000.84B
BUMEDINST 7050.1A
BUMEDINST 7050.3A

Mental Health

DoD Directive 6490.1, "Mental Health Evaluations for Members of the Armed Forces," 10/1/97
DoD Instruction 6490.4, "Requirements for Mental Health Evaluations of Members of the Armed Forces," 8/28/97
DoD Instruction 6490.06, "Counseling Services for DoD Military, Guard and Reserve, Certain Affiliated Personnel, and Their Family Members," 4/21/2009 (e.g., Military OneSource)
AFI 44-109
SECNAVINST 6320.24A
Army MEDCOM, 1999 Medical-Legal Desk Book (Volume I): Military Mental Health Evaluations
HA Policy 07-022, "TRICARE Access Standards for Mental Health Care," 10/9/07
Comprehensive Plan of Prevention, Diagnosis, and Treatment of Substance Use Disorders and Disposition of Substance Abuse Offenders, NDAA-10, § 596
Administration Separations

Involving personality disorders: see DoDI 1332.14, "Enlisted Administrative Separations," 8/28/08, Encl. 3
Involving other than honorable conditions, see NDAA-10, § 512

Directive-Type Memorandum 09-006, "Revised Command Notification Requirements to Dispel Stigma in Providing Mental Health Care to Military Personnel," 7/2/09

Military Claims Act

10 U.S.C. 2731 - 2738
MHL Working Papers
Navy JAGINST 5890.1A

Military Health System Conference Presentations

10 U.S.C. 2731 - 2738
http://www.health.mil/MHS_Conference.aspx

Military Medical Construction

DoD Instruction 6015.17, "Planning and Acquisition of Military Health Facilities," 3/17/83
BUMEDINST 11110.7A
BUMEDINST 11110.8

Textbooks of Military Medicine (including Military Medical Ethics)

Military Treatment Facilities

DoD Instruction 6015.23, "Delivery of Healthcare at Military Treatment Facilities; Foreign Service Care; Third Party Collection' Beneficiary Counseling and Assistance Coordinators (BCACs)," 10/30/02
BUMEDINST 7000.7

National Disaster Medical System

DoD Directive 6010.22, "National Disaster Medical System," 1/21/03

National Practitioner Data Bank

See Quality Assurance Program Regulation
See Working Papers
HHS regulations: 45 CFR Part 60
BUMEDINST 6320.67A w/CH-1
BUMEDINST 6010.18A
AR 40-68, Quality Assurance Administration, para. 4-10
Army MEDCOM, 1999 Medical-Legal Desk Book (Volume I): National Practitioner Data Bank
See also HHS Division Of Quality Assurance web site (National Practitioner Data Bank; Healthcare Integrity and Protection Data Bank; and Federal Credentialing Program)

National Response Framework

Federal Emergency Management Agency (FEMA)

Non-Military HealthCare

BUMEDINST 6320.72
BUMEDINST 6320.85

Nurse Anesthetists

BUMEDINST 6550.7A

Nurse Midwives

BUMEDINST 6550.11

Occupational Safety and Health

DoD Directive 4715.1E, "Environment, Safety, and Occupational Health (ESOH)," March 19,2005
DoD Instruction 6055.1, "DoD Safety and Occupational Health (SOH) Program," 8/19/98
DoD Instruction 1438.5, "Civilian Employees' Occupational Health and Medical Services Program," 12/4/97
DoD 6055.5-M, Occupational Health Surveillance Manual, 5/98
BUMEDINST 5100.13C
OPNAVINST 6470.2A
OPNAVINST 5100.23G
OPNAVINST 5100.19D
AR 40-5, Preventive Medicine

Off-Duty Employment

H.A. Policy 96-050, "Policy for Off-Duty Employment by DoD Health Care Practitioners," 7/23/96
H.A. Policy 97-019, "Policy Memorandum: Off-Duty Employment by DoD Dental Care Providers," 12/10/96
See Working Papers
MANMED P-117, § 1-22
BUMED Notice 6000 dtd 8/22/98
AR 40-1, Composition, Missions and Functions of the Army Medical Department
Army MEDCOM, 1999 Medical-Legal Desk Book (Volume I): Off-Duty Employment

Organ Donation

10 U.S.C. 1109
AFI 44-102
DoD Directive 6465.3, "Organ and Tissue Donation," 5/4/04
BUMEDINST 6300.8
AR 40-3, Medical, Dental and Veterinary Care, Ch 9
Army MEDCOM, 1999 Medical-Legal Desk Book (Volume I): Organ Transplantation And Anatomical Gifts

Out of Wedlock Children

USD(P&R) memo, "Determination of Dependency for Health Care Benefits for Out-of-Wedlock Children," 1/28/08
State forms for voluntary acknowledgement of paternity: www.ocse.acf.hhs.gov

Pandemic Influenza

H.A. Policy Guidance, "Department of Defense Influenza Pandemic Preparation and Response Health Policy Guidance," January 25, 2006
See also HHS Web Site
DoD Pandemic Influenza planning/

Patient Movement

DoD Instruction 6000.11, "Patient Movement," 9/9/98
BUMEDINST 6320.1E

Patient Protection and Affordable Care Act

Pub. L. 111-148

Patient Safety Program

See Quality Assurance Program Regulation
BUMEDINST 6010.23

Peer Review Organization Program

32 CFR 199.15.

Personal Services Contracts for Health Care Providers

10 U.S.C. 1091
DoD Instruction 6025.5, "Personal Services Contracts (PSCs) for Health Care Providers (HCPs)," January 6, 1995

Personnel Policy for Health Professionals

DoD Instruction 6000.13, "Medical Manpower and Personnel," 6/30/97

Pharmacy Benefits Program

10 USC 1074g
32 CFR 199.21

Pharmacy Operations

MANMED-117 CH 21

Physical Standards

DoD Directive 1308.1, "DoD Physical Fitness and Body Fat Program," 6/30/04
DoD Instruction 6130.3, "Physical Standards for Appointment, Enlistment and Induction in the Military Services," 4/28/10
MANMED P-117, Chap 15, § III
AR 40-501, Standards of Medical Fitness
Army MEDCOM, 1999 Medical-Legal Desk Book (Volume I): Physical Disability Separation

Physician Assistants

HA Policy 04-002, "Waiver of Licensure Requirement for Qualified Military Physician Assistants," 1/15/04

Privacy Act

5 U.S.C. 552a
SECNAVINST 5211.5E
See also Navy Web Site
See also Confidentiality

Privacy Regulations

HA Policy 05-018, "Expediting Veterans Benefits to Members with Serious Injuries and Illnesses," September 27, 2005
DoD Instruction 6025.18, "Privacy of Individually Identifiable Health Information in DoD Health Care Programs," 12/2/09
DoD 6025.18-R, "DoD Health Information Privacy Regulation," January 2003
Notice: "DoD Health Information Privacy Program," 68 Fed. Reg. 17357 - 58 (4/6/03)
See TRICARE Web Site
See also Confidentiality

Psychological Autopsies

DoDI 5154.30, "Armed Force Institute of Pathology Operations," 3/18/03

Psychotherapist-patient privilege

Military Rule of Evidence 513

Quality Assurance Program

DoD Directive 6025.13, "Medical Quality Assurance (MQA) in the Military Health System (MHS)," 5/4/04
DoD 6025.13-R, "Military Health System (MHS) Clinical Quality Assurance (CQA) Program Regulation," 6/11/04
Executive Order 13410, "Promoting Quality and Efficient Health Care in Federal Government Administered or Sponsored Health Care Programs," 8/22/06
BUMEDINST 6010.13
AR 40-68, Quality Assurance Administration, 12/20/89

Quarantine

See Emergency Health Powers

Quality Assurance Records

10 U.S.C. 1102
AFI 44-119
Federal Register System Notice N06320-3

Red Cross

SECNAVINST 5760.1C
BUMEDINST 5760.5

Religious Practices

DoD Directive 1300.17, "Accommodation of Religious Practices Within the Military Services," 2/3/88
SECNAVINST 1730.8A
Army MEDCOM, 1999 Medical-Legal Desk Book (Volume I): Jehovah's Witnesses - The Blood Question

Research

DoD Directive 3216.2, "Protection of Human Subjects and Adherence to Ethical Standards in DoD Supported Research," 3/25/02
10 U.S.C. 980
SECNAVINST 3900.39B
32 CFR Part 219, Protection of Human Subjects
BUMEDINST 3900.8
BUMEDINST 3900.6B
DoD Instruction 3210.7, "Research Integrity and Misconduct," 5/14/04
H.A. Policy 08-003, "Policy for Conducting Surveys and Studies - Related Information Collection Requirements in the Military Health System," 4/1/08
Army MEDCOM, 1999 Medical-Legal Desk Book (Volume I): Biomedical Research Involving Volunteer Subjects
DoDD 6025.21E, "Medical Research for Prevention, Mitigation, and Treatment of Blast Injuries," 7/5/06
Army MEDCOM, 1999 Medical-Legal Desk Book (Volume I): Cooperative Research
MHL Working Papers
See also Office for Human Research Protections web site
See also Clinical Investigation Programs

Reserve Components Health Services

10 U.S.C. 1074a, 1076b, 1076d, 1095d, 12322, 12602
HA Policy 04-010, "Treatment of Reserve Component Members with Delayed Effective Date Active Duty Orders in Military Treatment Facilities," 6/3/04

Risk Management

BUMEDINST 6010.21

Secretarial Designees

Statutory Authority: 10 U.S.C. 1074(c)
Army: AR 40-3, "Medical Services"
Navy: 32 CFR 728.77
Air Force: AFI 41-115, Chapter 2

Select Agents

DoDI 5210.89, "Minimum Security Standards for Safeguarding Biological Select Agents and Toxins," 4/18/06
42 C.F.R. Part 73

Sentinel Events

See Quality Assurance Program Regulation
JCAHO policy at: www.jcaho.org/sentinel

Sexual Assault

Sexual Assault Prevention and Response
DoDD 6495.01, "Sexual Assault Prevention and Response (SAPR) Program," October 6, 2005
DoDI 6495.02, "Sexual Assault Prevention and Response (SAPR) Program Procedures," 6/23/06
10 USC 1079(a)(17)
BUMEDINST 6310.3
See Link to SAPR Website

Shipboard Hazard and Defense (SHAD) Program

SHAD Website: http://deploymentlink.osd.mil/current_issues/shad/shad_intro.shtml

Smallpox Vaccination Program

See DoD Web Site for Smallpox Vaccination Program

Smoking

DoD Instruction 1010.15, "Smoke-Free DoD Facilities," 1/2/01
AFI 40-102
BUMEDINST 6200.12

Special Pays

DoD Financial Management Regulation, Volume 7A, Chapters 5-7
37 U.S.C. Chapter 5
Directive Type Memorandum 09-009, "Implementation of Special Pay for Health Professional Officers," 7/23/09
See also Personnel Policy for Health Professionals

Specialized Treatment Services Program

H.A. Policy 02-017, "Specialized Treatment Services and Centers of Excellence Program," 7/17/02

Stability Operations

DoDD 3000.05, "Stability Operations," 9/16/09

Standbys

BUMEDINST 6320.83

Stem Cell Research

Deputy Secretary of Defense Memorandum, "Guidelines for Human Stem Cell Research Conducted or Supported by DoD," 12/17/09
National Institutes of Health Guidelines for Human Stem Cell Research, 7/7/09
Executive Order 13505

Stress

DoD Directive 6490.5, "Combat Stress Control (CSC) Programs," 2/23/99
SECNAVINST 3006.1

Subsistence Charges

Section 603, John Warner National Defense Authorization Act for Fiscal Year 2007, P.L. 109-364

Substance Abuse

DoD Directive 1010.1, "Military Personnel Drug Abuse Testing Program," 12/9/94
DoD Directive 1010.4, "Drug and Alcohol Abuse by DoD Personnel," 9/3/97
DoD Instruction 1010.6, "Rehabilitation and Referral Services for Alcohol and Drug Abusers," 3/13/85
DoD Directive 1010.9, "DoD Civilian Employees Drug Abuse Testing Program," 8/23/88
HHS Regulations: 42 CFR Part 2, Confidentiality of Alcohol and Drug Abuse Patient Records
SECNAVINST 5300.28D
AFI 36-810
OPNAVINST 5350.4C

Support for Outside Organizations

10 U.S.C. 2012
DoD Directive 1100.20, "Support and Services for Eligible Organizations and Activities Outside the Department of Defense," 4/12/04

Supplemental Care Program

H.A. Policy 98-006, "Implementation of Supplemental Care Program Policy Changes," 12/31/98
H.A. Policy 97-031, "Policy for Supplemental Care Payments for Active Duty Members," 2/27/97
H.A. Policy 96-005, "Policy on Use of Supplemental Care Funds by the Military Departments," 10/18/95
32 CFR 199.16
See also Health Services

Surrogate Mothers

TRICARE Policy Manual, Chap. 3, sec 13.2, para. III.D
TRICARE Reimbursement Manual, Chap. 4, sec. 1, para II.O

Technology Transfers

15 U.S.C. 3710 et. seq.
DoD Directive 5535.3, "DoD Domestic Technology Transfer (T2) Program", 5/21/99
DoD Instruction 5535.8, "DoD Technology Transfer (T2) Program", 5/14/99
See Intellectual Property
AR 70-57

Telemedicine

Sec 724 of the National Defense Authorization Act for Fiscal Year 2000, PL 106-65
Army MEDCOM, 1999 Medical-Legal Desk Book (Volume I): Telemedicine And The Law
BUMED Notice 6400

Third Party Collection Program

10 U.S.C. 1095, 1097b(b)
32 CFR Part 220
AR 27-20, Claims
H.A. Policy 08-002, "Policy for Billing for Care Furnished by Military Treatment Facilities to Federal Employees for On-the-Job Injuries and for Occupational Health," 3/28/08
BUMED Notice 7000.7
* See also Financial Management

Third Party Liability Program

Federal Medical Care Recovery Act, 42 U.S.C. 2651
10 U.S.C. 1095b
* See also Financial Management

Transitional Health Care Benefits

10 U.S.C. 1145
32 CFR 199.3(e)

Transportation

DoD Instruction 6000.11, "Patient Movement," 9/9/98
DoD 4515.13-R, "Air Transportation Eligibility," Chapter 5, "Aeromedical Evacuation," 11/94
OPNAVINST 4630.9C
AR 40-350, Patient Regulating to and Within the Continental United States, 3/30/90
BUMEDINST 4650.2
BUMEDINST 6320.19

Travel Expenses

41 C.F.R. 304-1
31 U.S.C. 1353
See Ethics

TRICARE Management Activity

DoD Directive 5136.12, "TRICARE Management Activity", 5/31/01
See related web site: TRICARE/TRICARE Administration

TRICARE Manuals

See related web site: TRICARE/Policy and Planning/TRICARE Manuals for the following TRICARE Manuals: Policy Manual, Operations Manual, Automated Data Processing and Reporting Manual, and the TRICARE/CHAMPUS Regulation (32 CFR Part 199)

TRICARE Program

General

10 U.S.C. 1073 note, 1095c, 1095d, 1095e, 1097b
32 CFR 199.17
See related web site: TRICARE

TRICARE Marketing Policy

DoD Instruction 6010.21, "TRICARE Marketing Policy", 12/18/01

TRICARE Plus Program

HA Policy memo 01-015, "Policy Memorandum to Refine Policy for access to care in Military Treatment Facilities and Establish the TRICARE Plus Program", 6/28/01

Preemption

10 U.S.C. 1103

Uniform HMO Benefit

32 CFR 199.18

TRICARE Supplemental Insurance Plans

10 U.S.C. § 1097c

Uniform Business Office

See Financial management

Uniformed Services Treatment Facilities (former Public Health Service Hospitals)

10 U.S.C. 1073 note

Uniformed Services Employment and Reemployment Rights Act (USERRA)

38 U.S.C. Chapter 43

Uniformed Services University of the Health Sciences

10 U.S.C. 2112 - 2116
DoD Instruction 5105.45, "Uniformed Services University of the Health Sciences," 1/22/07
DoD Directive 6010.7, "Admission Policies for the Uniformed Services University of the Health Sciences (USUHS)," 11/12/97
DoD Instruction 6010.20, "Admission Procedures for the Uniformed Services University for the Health Sciences (USUHS)," 6/17/97

Vaccine Injury Compensation

HHS Regulations: 42 CFR Part 100

Veterans Affairs Sharing Agreements

Policies governing sharing: http://www.tricare.mil/DVPCO
DoDI 6010.23, "Department of Defense and Department of Veterans Affairs Health Care Resource Sharing Program," September 12, 2005
10 U.S.C. 1104
38 U.S.C. 8111, 8111A, 8111 note
Federal Health Care Center, North Chicago: National Defense Authorization Act for Fiscal Year 2010, Title XVII
National Defense Authorization Act for Fiscal Year 2003, P.L. 107-314, sections 721-726.
Army MEDCOM, 1999 Medical-Legal Desk Book (Volume I): VA/DoD Healthcare Resources Sharing
H.A. Policy Memorandum 00-004, "Use Of Health Care Facilities of the Department of Veterans Affairs under TRICARE and the Supplemental Health Care Program", 5/16/00
BUMEDINST 6320.12
BUMEDINST 7050.1A
Web Site: http://www.tricare.mil/DVPCO/default.cfm

Veterans Health Administration

See VA web site for VHA Directives

Veterinary Health

DoD Directive 6400.4, "DoD Veterinary Services Program," 8/22/03
AR 40-905, Veterinary Health Services, 8/16/94
BUMEDINST 6401.1C

Volunteers

10 U.S.C. 1588
DoD Instruction 1100.21, "Voluntary Services in the Department of Defense" 3/11/02
Army MEDCOM, 1999 Medical-Legal Desk Book (Volume I): Voluntary Services
OPNAVINST 5380.1

Wounded Warriors

National Defense Authorization Act for Fiscal Year 2008, Pub. L. 110-181, Title XVI
DoDI 1300.24, Recovery Coordinator Program, 12/1/09
Web site: http://prhome.defense.gov/WWCTP/