ery. The following procedure shall apply in the case of women members of the Navy and Marine Corps:

(1) Her commanding officer shall provide for her hospitalization at a naval medical facility if available within his command. If not available, the services of any other Federal hospital which may be available should be utilized. If a Federal hospital is not available, see Part 732 of this chapter regarding care in civilian facilities.

(2) She shall be returned to the United States as soon after delivery as her physical condition permits, except that she may remain as a patient in proximity to her infant if the latter is certified by a naval medical officer as unfit to travel. Until the mother is separated from the service the infant shall be treated as a dependent of military personnel. Return of an infant with its mother who is in the naval service is authorized. Orders and passenger lists shall indicate the name of the infant. If circumstances warrant, both individuals shall be classified as "patients" and ordered to a naval hospital in the United States which can be reached by the first suitable means of transportation. Separation of the woman from the naval service shall be effected as soon as possible thereafter. The infant may be admitted to the naval hospital pending the completion of the procedures for separation of its mother from the service.

[26 FR 12661, Dec. 29, 1961, as amended at 28 FR 7752, July 31, 1963]

§ 728.72 American Red Cross representatives.

(a) Authority. 10 U.S.C. 2602.

(b) Outpatient care. Accredited American Red Cross representatives assigned to naval activities may be furnished outpatient treatment at naval medical facilities for illnesses and injuries occurring while in performance of duties in the same manner as provided Federal civilian employees who are not beneficiaries of the Bureau of Employees' Compensation.

(c) Other care. Accredited American Red Cross representatives serving with the uniformed services in a locality where civilian medical facilities are not available or adequate, as aboard a naval vessel or outside the United

States, shall be afforded medical care at available naval medical facilities to the same extent as members of the naval service. Dental care shall be limited to relief of pain or emergency

measures.

(d) Charges and collections. No charge shall be made for outpatient care. Charges for hospitalization in the United States shall be at the general rate; outside the United States, charges shall be for value of hospital ration or subsistence only. Charges shall be collected locally.

(e) Disposal of records. Upon completion of treatment of an accredited representative of the American National Red Cross, the medical records including all clinical records and X-ray films shall be forwarded to the Medical Director, National Headquarters, American Red Cross, 18th and E Streets NW., Washington, D.C.

§ 728.73 Civilian employees.

(a) Authority. 5 U.S.C. 751-793; 24 U.S.C. 34; 5 U.S.C. 150; 10 U.S.C. 7205 and 7472; Executive Order 4071 of Sept. 4, 1924.

(b) Health program for civilian employees. Federal civilian employees of the Navy, including civilian marine seamen in the service of vessels operated by the Military Sea Transportation Service who are Federal civilian employees and paid from appropriated funds, shall be furnished authorized treatment for on-the-job illnesses and injuries, and physical examinations at naval medical facilities without charge under the Health Program for civilian employees, regardless of the day or time of day that treatment is given. Immunizations required by conditions of employment, such as for employment overseas and for dependents of employees, will also be given without charge. This program as prescribed in chapter 26, Manual of the Medical Department, applies worldwide. When a civilian employee of the Navy sustains a personal injury in performance of his duties, he will be provided medical care as prescribed by § 728.62.

(c) Physical examinations for disability retirement. Physical examinations in connection with disability retirement may be conducted at naval

medical facilities for Federal civilian employees upon request of authorized representatives of the U.S. Civil Service Commission. No charge shall be made for such examinations.

§ 728.74 Designees of the Secretary of the Navy.

The Secretary of the Navy may designate certain persons to be provided medical care. These designees may receive necessary care and treatment at naval medical facilities and shall be charged the general reimbursement or outpatient rate, as applicable, unless otherwise directed by the Secretary.

§ 728.75 Civilians under special circumstances.

(a) Civilian-humanitarian. Any member of the civilian population who suffers critical injury or accident in the presence of a Navy official or immediate vicinity of a naval medical facility may be admitted for humanitarian reasons to any naval activity having facilities for inpatient care at the discretion of the commanding officer if a naval medical officer determines that movement to a nongovernmental institution is likely to result in loss of life. The patient pays the general rate for hospitalization. Such a patient shall be classified as indigent only after reasonable attempts to collect charges for hospitalization have been unsuccessful in the opinion of the commanding officer. (5 U.S.C. 22; arts 0430, 0627, and 0970, U.S. Navy Regulations; 10 U.S.C. 6011; 24 U.S.C. 14 et seq.)

(b) Recording. First-aid treatment and emergency medical care rendered to members of the civilian population shall, in addition to such medical history as should be routinely recorded, be made the subject of an entry in the daily journal (Officer-of-the-Day Log). (c) Civilians attending National Police Academy. Persons in attendance at the National Police Academy, Marine Barracks, Quantico, Va., may be admitted to the U.S. Naval Hospital at Quantico for emergency hospitalization in the following cases:

(1) Employees of the Federal Bureau of Investigation who are injured in the performance of duty may be entitled to medical care at the expense of the

Bureau of Employees' Compensation and should be admitted and reported and beneficiaries of the Bureau of Employees' Compensation. Such employees also may be admitted for treatment of disease and in this case are admitted and reported as civilian humanitarian patients.

(2) Representatives of police organizations of various States, cities, and countries who are in attendance at the National Police Academy may be hospitalized as civilian humanitarian patients with the approval of the Commanding General.

(d) Charges and collections. No charges shall be collected locally from civilians hospitalized as beneficiaries of other Government agencies. When hospitalized and classed as Civilian, Humanitarian, Nonindigent, charges at the general rate shall be collected locally.

§ 728.76 U.S. Navy technicians.

(a) Authority. OPNAV Instruction 5720 series.1

(b) Authorized care. U.S. Navy technicians may be given medical care while serving with the Navy in a locality where civilian medical care is not obtainable, such as on board a naval vessel or outside the United States. This is not to be construed to include dental treatment except for the relief of pain or other emergency.

(c) Charges and collections. Charges shall be made for subsistence only and collected locally.

§ 728.77 Other persons outside the United States.

(a) Authority. 24 U.S.C. 34, 35; 42 U.S.C. 1701.

1 Paragraph 4a of OPNAV Instruction 5720.3A of Nov. 15, 1955, defines a U.S. Navy technician as follows:

a. Technician. A technician is a male civilian citizen of the United States (not an employee of the Naval Establishment) who is accredited to take passage in naval vessels or Government aircraft or to enter overseas areas under naval sponsorship for the purpose of observing the operation or installation of equipment and armament and/or assisting in the maintenance and repair of such equipment, and for scientific research. He is a manufacturer's technician or engineer or a contractor's representative.

90-111 0--82 - 22

(b) Eligibility. When not otherwise authorized, outpatient and inpatient care may be provided at naval medical facilities outside the United States and in Alaska and Hawaii to the following persons:

(1) Officers and employees of any department or agency of the Federal Government.

(2) Employees of a contractor with the United States or his subcontractors.

(3) Dependents of above persons.

(4) In emergencies, other persons designated by the Secretary of the Navy.

(5) Civilian marine seamen who are Federal civilian employees in service of vessels operated by the Military Sea Transportation Service; American

seamen aboard vessels chartered by the Military Sea Transportation Service; persons engaged by the United States under personal services contract; civilian employees paid from nonappropriated funds administered by the Army and Air Force Exchange Service, Army and Air Force Motion Picture Service, Navy exchanges, Marine Corps exchanges, officers' and noncommissioned officers' open messes, enlisted men's clubs, special service activities; persons or organizations of the United States under the jurisdiction of the Department of Defense and conducted for the mental, physical and morale improvement of personnel of the military service and their dependents; persons employed or engaged for personal services by an American employer providing welfare or similar services for the benefit of the Armed Forces authorized by the Secretary of Defense; employees of commercial airlines under contract to the Military Air Transport Service; officers and crews of U.S. airlines; shipwreck or enemy action refugees; humanitarian cases.

(c) Limitation. Medical care for the persons listed in paragraph (b) of this section shall be provided only where reasonably accessible and appropriate non-Federal medical facilities are not available. Hospitalization is authorized for acute medical and surgical conditions. Hospitalization is not authorized for nervous and mental disorders,

chronic diseases, or those requiring domiciliary care.

(d) Charges and collections. Charges for hospitalization and outpatient treatment shall be at the extracontinental rate and shall be collected locally.

§ 728.78 Prisoners of war and similar per

sons.

(a) Authority. 31 U.S.C. 649a.

(b) Persons authorized care. Medical care may be provided at naval medical facilities for:

(1) Prisoners of war and other persons in the Navy or Marine Corps custody whose status is determined to be similar to prisoners of war, and persons detained in such custody pursuant to Presidential proclamation.

(2) Prisoners of the Navy or Marine Corps whose punitive discharge has been executed and who are hospitalized beyond execution of sentence.

(c) Charges and collections. No charges shall be made for hospitalization furnished prisoners of war or similar persons.

Subpart I—Adjuncts to Medical Care § 728.81 Adjuncts to medical care.

(a) Definition. Adjuncts to medical care include prosthetic devices such as artificial limbs, artificial eyes, hearing aids, orthopedic footwear, spectacles, and similar medical supports or aids which are required for the proper care and treatment of the patient.

(b) Scope. This subpart covers the provision of adjuncts at naval medical facilities. Part 732 of this chapter deals with referrals to civilian sources. [26 FR 12661, Dec. 29, 1961, as amended at 28 FR 7752, July 31, 1963]

8 728.82 Policy.

(a) Assistance in overcoming physical handicap. Adjuncts to medical care shall be provided at naval medical facilities to eligible persons as inpatients or outpatients when, in the opinion of the medical officer, the device will offer substantial assistance in overcoming the physical handicap and thereby contributing to the well being of the patient.

(b) Period of service. Unless necessary for humanitarian reasons, orthopedic and prosthetic appliances are not to be furnished on an elective basis to members of the naval service with short periods of service when the defect requiring the appliance existed prior to entry into the service and when these members are to be separated from the service because of these defects. For active duty members, the initial allowance of orthopedic footwear and orthopedic alterations to standard footwear shall be in the same quantity as provided in the initial clothing allowance.

(c) Number. The number of orthopedic and prosthetic appliances issued or replaced for authorized recipients shall be based upon the individual's requirements as determined by the medical officer and shall be consistent with the highest standards of modern medicine.

(d) Costs. Costs of adjuncts to medical care are chargeable to the operation and maintenance funds of the medical facility furnishing the care and adjuncts.

(e) Referral to VA. Retired members of the uniformed services who served in either World War I, World War II,

Item

or Korean War, as well as persons otherwise eligible by law who have elected to receive disability compensation from the Veterans' Administration for service-connected disease or injury, should be advised that they may obtain orthopedic and prosthetic appliances for service-connected disabilities from a VA facility.

(f) Dependents. Dependents shall not be provided artificial limbs, artificial eyes, hearing aids and parts, orthopedic footwear, or spectacles.

Exception: Dependents may be provided such items if available from Government stocks at invoice cost under the following situations:

(1) Outside the United States.

(2) At a station within the United States where adequate civilian facilities are not available, and the station has been designated as remote by the Secretary of the Navy upon approval of the Secretary of Defense.

§ 728.83 Chart of adjuncts to medical care.

The chart and following footnotes provide information relative to adjuncts which may be furnished the several categories of patients eligible for medical care at naval medical facilities.

Beneficiary of other Federal agencies to

applies

Dependents

whom reimbursement

Subpart J-Charges, Collections, and Reports

§ 728.91 Charges and collections.

Charges for hospitalization and/or subsistence furnished pay patients shall be collected in the manner and at the rate indicated in the table under § 728.94. Detailed information concerning methods of collection, disposition of locally collected funds, and required reports for naval hospitals and medical centers are contained in the Financial Management Handbook (NAVMED P-5020), and NAVCOMPT Manual and Instructions for station hospitals and dispensaries.

§ 728.92 Rates.

Rates to be charged for hospitalization and hospital rations furnished pay patients are promulgated by BUMED Instruction 6320.4 series. The rates are defined as follows:

(a) Interagency. The per diem rate prescribed by the Bureau of the Budget for reimbursement between uniformed services when members or retired members of the uniformed services are hospitalized in a facility of a service other than their own. Also, for use in all cases of reimbursement between Federal agencies for patients authorized care completely at Government expense unless a different rate is established by or pursuant to a specific requirement of law.

(b) General. The per diem rate prescribed by the Bureau of the Budget for reimbursement between uniformed services when dependents of members or retired or deceased members are hospitalized in a facility of a service that is not that of the member. Also for use for patients authorized to receive care partially at Government expense or at no expense to the Government unless a different rate is established by or pursuant to a specific requirement of law.

(c) Dependents. The per diem rate prescribed by the Dependents' Medical Care Act to be collected locally from the patient or sponsor for hospitalization furnished dependents of members or retired or deceased members.

(a) General. Reports of hospitalization of pay patients at naval hospitals and medical centers shall be submitted to the Bureau as prescribed by the Financial Management Handbook. Station hospitals and dispensaries shall submit reports as required by NAV COMPT Manual and Instructions.

(b) Report of Treatment Furnished Pay Patients, Hospitalization Furnished (Part A), DD Form 7, Report Symbol MED-6322-1—(1) General. This report, accompanied by appropriate substantiation if necessary, shall be submitted in accordance with existing instructions.

(2) Preparation instructions. The numbered spaces on the report form shall be completed to show the following information:

(i) 1-Installation providing hospitalization. Enter name and location of the Navy and/or Marine Corps activity submitting the report. Comply with current security regulations, when applicable.

(ii) 2-Month and year covered by this report. Enter the calendar month and year of the report period.

(iii) 3-Category of patients. Enter category of patients reported. A separate report shall be utilized and sub