72682 Federal Register / Vol. 75, No. 227 / Friday, November 26, 2010 / Rules and Regulations 

Dated: November 12, 2010. 

Wilma A. Lewis, 

Assistant Secretary for Land and Minerals 

Management. 

■ For the reasons stated in the preamble, 

the Bureau of Ocean Energy 

Management, Regulation and 

Enforcement (BOEMRE) amends 30 CFR 

part 285 as follows: 

PART 285—RENEWABLE ENERGY 

ALTERNATE USES OF EXISTING 

FACILITIES ON THE OUTER 

CONTINENTAL SHELF 

■ The authority citation for part 285 

continues to read as follows: 

Authority: 43 U.S.C. 1331 et seq., 43 U.S.C. 

1337. 

■ In § 285.231, revise the section 

heading and paragraph (d)(1) to read as 

follows: 

§ 285.231 How will BOEMRE process my 

unsolicited request for a noncompetitive 

lease? 

* * * * * 

(d) * * * 

(1) We will publish in the Federal 

Register a notice that there is no 

competitive interest; and 

* * * * * 

■ Amend § 285.232 by revising 

paragraph (c) to read as follows: 

§ 285.232 May I acquire a lease 

noncompetitively after responding to a 

Request for Interest or Call for Information 

and Nominations under § 285.213? 

* * * * * 

(c) After receiving the acquisition fee, 

BOEMRE will follow the process 

outlined in § 285.231(d) through (i). 

[FR Doc. 2010–29761 Filed 11–23–10; 4:15 pm] 

BILLING CODE 4310–MR–P 

DEPARTMENT OF DEFENSE 

Office of the Secretary 

32 CFR Part 108 

[Docket ID: DOD–2009–OS–0036] 

RIN 0790–AI52 

Health Care Eligibility Under the 

Secretarial Designee Program and 

Related Special Authorities 

AGENCY: Department of Defense (DoD). 

ACTION: Final rule. 

SUMMARY: This rule establishes policy 

and assigns responsibilities for health 

care eligibility under the Secretarial 

Designee Program. It also implements 

the requirement that the United States 

receive reimbursement for inpatient 

health care provided in the United 

States to foreign military or diplomatic 

personnel or their dependents, except in 

certain cases covered by Reciprocal 

Health Care Agreements (RHCAs) 

between the Department of Defense and 

a foreign country. 

DATES: Effective Date: This rule is 

effective December 27, 2010. 

FOR FURTHER INFORMATION CONTACT: Col 

Michael Skidmore, (703) 614–4157. 

SUPPLEMENTARY INFORMATION: This rule 

establishes policy and assigns 

responsibilities under 10 U.S.C. 1074(c) 

for health care eligibility under the 

Secretarial Designee Program. It also 

implements the requirement of 10 

U.S.C. 2559 that the United States 

receive reimbursement for inpatient 

health care provided in the United 

States to foreign military or diplomatic 

personnel or their dependents, except in 

certain cases covered by Reciprocal 

Health Care Agreements (RHCAs) 

between the Department of Defense and 

a foreign country. 

Comments 

The Department of Defense published 

a proposed rule on April 9, 2010 (75 FR 

18138–18142). One public comment 

was received that was in full support of 

the rule. 

Other changes have been incorporated 

into the rule text based on additional 

internal coordination within the 

Department to provide clarity. The 

responsibilities of the Assistant 

Secretary of Defense for Health Affairs 

under the proposed rule moved to the 

Under Secretary of Defense for 

Personnel and Readiness. 

Executive Order 12866, ‘‘Regulatory 

Planning and Review’’ 

It has been certified that 32 CFR part 

108 does not: 

(1) Have an annual effect on the 

economy of $100 million or more or 

adversely affect in a material way the 

economy; a section of the economy; 

productivity; competition; jobs; the 

environment; public health or safety; or 

State, local, or tribunal governments or 

communities; 

(2) Create a serious inconsistency or 

otherwise interfere with an action taken 

or planned by another Agency; 

(3) Materially alter the budgetary 

impact of entitlements, grants, user fees, 

or loan programs, or the rights and 

obligations of recipients thereof; or 

(4) Raise novel legal or policy issues 

arising out of legal mandates, the 

President’s priorities, or the principles 

set forth in this Executive Order. 

Sec. 202, Pub. L. 104–4, ‘‘Unfunded 

Mandates Reform Act’’ 

It has been certified that 32 CFR part 

108 does not contain a Federal mandate 

that may result in the expenditure by 

State, local and tribunal governments, in 

aggregate, or by the private sector, of 

$100 million or more in any one year. 

Public Law 96–354, ‘‘Regulatory 

Flexibility Act’’ (5 U.S.C. 601) 

It has been certified that 32 CFR part 

108 is not subject to the Regulatory 

Flexibility Act (5 U.S.C. 601) because it 

would not, if promulgated, have a 

significant economic impact on a 

substantial number of small entities. 

Public Law 96–511, ‘‘Paperwork 

Reduction Act’’ (44 U.S.C. Chapter 35) 

It has been certified that 32 CFR part 

108 does not impose reporting or 

recordkeeping requirements under the 

Paperwork Reduction Act of 1995. 

Executive Order 13132, ‘‘Federalism’’ 

It has been certified that 32 CFR part 

108 does not have federalism 

implications, as set forth in Executive 

Order 13132. This rule does not have 

substantial direct effects on: 

(1) The States; 

(2) The relationship between the 

National Government and the States; or 

(3) The distribution of power and 

responsibilities among the various 

levels of Government. 

List of Subjects in 32 CFR Part 108 

Diplomatic personnel, Health care, 

Military personnel. 

■ Accordingly, 32 CFR part 108 is 

added to read as follows. 

PART 108—HEALTH CARE 

ELIGIBILITY UNDER THE 

SECRETARIAL DESIGNEE PROGRAM 

AND RELATED SPECIAL 

AUTHORITIES 

Sec. 

108.1 Purpose. 

108.2 Applicability. 

108.3 Definition. 

108.4 Policy. 

108.5 Eligible senior officials of the U.S. 

Government. 

108.6 Responsibilities. 

Authority: 10 U.S.C. 1074(c); 10 U.S.C. 

2559. 

§ 108.1 Purpose. 

This part: 

(a) Establishes policy and assigns 

responsibilities under 10 U.S.C. 1074(c) 

for health care eligibility under the 

Secretarial Designee Program. 

(b) Implements the requirement of 10 

U.S.C. 2559 that the United States 

receive reimbursement for inpatient 


srobinson on DSKHWCL6B1PROD with RULES
Federal Register / Vol. 75, No. 227 / Friday, November 26, 2010 / Rules and Regulations 72683 

1Copies available on the Internet at http:// 

www.dtic.mil/whs/directives/corres/pdf/ 

300005p.pdf. 

2Copies available on the Internet at http:// 

www.dtic.mil/whs/directives/corres/pdf/ 

220502p.pdf. 

3Copies available on the Internet at http:// 

www.dtic.mil/whs/directives/corres/pdf/ 

231008p.pdf. 

4Copies available on the Internet at http:// 

www.dtic.mil/whs/directives/corres/pdf/ 

100013p.pdf. 

health care provided in the United 

States to foreign military or diplomatic 

personnel or their dependents, except in 

certain cases covered by Reciprocal 

Health Care Agreements (RHCAs) 

between the Department of Defense and 

a foreign country. 

§ 108.2 Applicability. 

This part: 

(a) Applies to the Office of the 

Secretary of Defense, the Military 

Departments, the Office of the Chairman 

of the Joint Chiefs of Staff and the Joint 

Staff, the Combatant Commands, the 

Office of the Inspector General of the 

Department of Defense, the Defense 

Agencies, the DoD Field Activities, and 

all other organizational entities in the 

Department of Defense (hereafter 

referred to collectively as the ‘‘DoD 

Components’’). 

(b) Does not apply to health care 

services provided to coalition forces in 

operational settings, or to allied forces 

in overseas training exercises and 

similar activities. Also, does not apply 

to health care services provided to 

foreign nationals overseas under DoD 

Instruction 3000.05,1 DoD Instruction 

2205.2,2 or DoD Instruction 2310.08E.3

§ 108.3 Definition. 

Secretarial Designee Program. The 

program established under section 

1074(c) to create by regulation an 

eligibility for health care services in 

military medical treatment facilities 

(MTFs) as well as dental treatment 

facilities for individuals who have no 

such eligibility under 10 U.S.C. chapter 

55. 

§ 108.4 Policy. 

It is DoD policy that: 

(a) General Policy. The use of 

regulatory authority to establish DoD 

health care eligibility for individuals 

without a specific statutory entitlement 

or eligibility shall be used very 

sparingly, and only when it serves a 

compelling DoD mission interest. When 

used, it shall be on a reimbursable basis, 

unless non-reimbursable care is 

authorized by this part or 

reimbursement is waived by the Under 

Secretary of Defense (Personnel & 

Readiness) (USD(P&R)) or the 

Secretaries of the Military Departments 

when they are the approving authority. 

(b) Foreign Military Personnel and 

Their Dependents. (1) MTF Care in the 

United States. Foreign military 

personnel in the United States under the 

sponsorship or invitation of the 

Department of Defense, and their 

dependents approved by the 

Department of Defense to accompany 

them, are eligible for space-available 

care as provided in DoD Instruction 

1000.13.4 Consistent with 10 U.S.C. 

2559, in cases in which reimbursement 

is required by DoD Instruction 1000.13, 

a RHCA may provide a waiver of 

reimbursement for inpatient and/or 

outpatient care in the United States in 

a military medical treatment facility for 

military personnel from a foreign 

country and their dependents, if 

comparable care is made available to at 

least a comparable number of U.S. 

military personnel and their dependents 

in that foreign country. A disparity of 25 

percent or less in the number of foreign 

personnel and dependents above U.S. 

personnel and dependents shall be 

considered within the range of 

comparable numbers. 

(2) Non-MTF Care in the United 

States. Foreign military personnel in the 

United States under the sponsorship or 

invitation of the Department of Defense, 

and their dependents approved by the 

Department of Defense to accompany 

them, are not eligible for DoD payment 

for outpatient or inpatient care received 

from non-DoD providers, except for 

such personnel covered by the North 

Atlantic Treaty Organization Status of 

Forces Agreement (SOFA) or the 

Partnership for Peace SOFA and 

authorized care under the TRICARE 

Standard program according to § 199.3 

of title 32, Code of Federal Regulations, 

outpatient care may be provided as 

specified therein. 

(c) Foreign Diplomatic or Other Senior 

Foreign Officials. Foreign diplomatic or 

other senior foreign officials and the 

dependents of such officials may be 

provided inpatient or outpatient 

services in MTFs only in compelling 

circumstances, including both medical 

circumstances and mission interests, 

and through case-by-case approval. 

(1) In the United States, the approval 

authority is the USD(P&R). The 

authority to waive reimbursement for 

care provided in the United States, to 

the extent allowed by law, is the 

USD(P&R) or the Secretaries of the 

Military Departments when they are the 

approving authority. 

(2) Requests from the State 

Department or other agency of the U.S. 

Government will be considered on a 

reimbursable basis. 

(3) Under 10 U.S.C. 2559, 

reimbursement to the United States for 

care provided in the United States on an 

inpatient basis to foreign diplomatic 

personnel or their dependents is 

required. 

(d) Other Foreign Nationals. Other 

foreign nationals (other than those 

described in paragraphs (b) and (c) of 

this section) may be designated as 

eligible for space-available care in MTFs 

only in extraordinary circumstances. 

(1) The authority to waive 

reimbursement for care provided in the 

United States, to the extent allowed by 

law, is the USD(P&R) or the Secretaries 

of the Military Departments when they 

are the approving authority. Waiver 

requests will only be considered based 

on a direct and compelling relationship 

to a priority DoD mission objective. 

(2) Requests from the State 

Department or other agency of the U.S. 

Government will be considered on a 

reimbursable basis. Such requests must 

be supported by the U.S. Ambassador to 

the country involved and the 

Geographical Combatant Commander 

for that area of responsibility and must 

be premised on critically important 

interests of the United States. 

(e) Invited Persons Accompanying the 

Overseas Force. The Secretaries of the 

Military Departments and the USD(P&R) 

may designate as eligible for spaceavailable care from the Military Health 

System outside the United States those 

persons invited by the Department of 

Defense to accompany or visit the 

military force in overseas locations or 

invited to participate in DoD-sponsored 

morale, welfare, and recreation 

activities. This authority is limited to 

health care needs arising in the course 

of the invited activities. Separate 

approval is needed to continue health 

care initiated under this paragraph in 

MTFs in the United States. 

(1) In the case of employees or 

affiliates of news organizations, all care 

provided under the authority of 

introductory paragraph (e) of this 

section is reimbursable. For other 

individuals designated as eligible under 

this paragraph (e), the designation may 

provide, to the extent allowed by law, 

for outpatient care on a nonreimbursable basis, and establish a caseby-case authority for waiver of 

reimbursement for inpatient care. 

(2) This paragraph (e) does not apply 

to employees of the Executive Branch of 

the United States or personnel affiliated 

with contractors of the United States. 

(f) U.S. Nationals Overseas. Health 

care for U.S. nationals overseas is not 


srobinson on DSKHWCL6B1PROD with RULES
72684 Federal Register / Vol. 75, No. 227 / Friday, November 26, 2010 / Rules and Regulations 

5Copies available on the Internet at http:// 

www.dtic.mil/whs/directives/corres/pdf/ 

605501p.pdf. 

6Copies available at OASD (Health Affairs/TMA 

FHP&RP), 1200 Defense Pentagon, Room 3E1073, 

Washington, DC 20301–1200. 

7Copies available on the Internet at http:// 

www.dtic.mil/whs/directives/corres/pdf/ 

302041p.pdf. 

8Copies available on the Internet at http:// 

www.dtic.mil/whs/directives/corres/pdf/ 

321602p.pdf. 

9Copies available on the Internet at http:// 

www.dtic.mil/whs/directives/corres/pdf/ 

600011p.pdf. 

authorized, except as otherwise 

provided in this part. 

(g) U.S. Government Civilian 

Employees and Contractor Personnel. 

(1) Civilian employees of the 

Department of Defense and other 

government agencies, and employees of 

DoD contractors, and the dependents of 

such personnel are eligible for MTF care 

to the extent provided in DoD 

Instruction 1000.13. 

(2) Occupational health care services 

provided to DoD employees under 5 

U.S.C. 7901, authorities cited in DoD 

Instruction 6055.1,5 or under other 

authorities except 10 U.S.C. 1074(c) are 

not affected by this Instruction. The 

Secretaries of the Military Departments 

and the USD(P&R) may designate DoD 

civilian employees, applicants for 

employment, and personnel performing 

services for the Department of Defense 

under Federal contracts as eligible for 

occupational health care services 

required by the Department of Defense 

as a condition of employment or 

involvement in any particular 

assignment, duty, or undertaking. 

(3) Any health care services provided 

by the Military Health System to 

employees of DoD non-appropriated 

fund instrumentalities shall be on a 

reimbursable basis. 

(4) In the case of DoD civilian 

employees forward deployed in support 

of U.S. military personnel engaged in 

hostilities, eligibility for MTF care (in 

addition to all eligibility for programs 

administered by the Department of 

Labor Office of Workers’ Compensation 

Programs (OWCP)) is as follows: 

(i) Consistent with Policy Guidance 

for Provision of Medical Care to DoD 

Civilian Employees Injured or Wounded 

While Forward Deployed in Support of 

Hostilities,6 DoD civilian employees 

who become ill, contract diseases, or are 

injured or wounded while so deployed 

are eligible for medical evacuation or 

health care treatment and services in 

MTFs at the same level and scope 

provided to military personnel, all on a 

non-reimbursable basis, until returned 

to the United States. 

(ii) DoD civilian employees who, 

subsequent to such deployment, and 

have been determined to have OWCPcompensable conditions are eligible for 

MTF care for such conditions, all on a 

non-reimbursable basis. 

(iii) USD(P&R) may, under compelling 

circumstances, approve additional 

eligibility for care in MTFs for other 

U.S. Government civilian employees 

who become ill or injured while so 

deployed, or other DoD civilian 

employees overseas. 

(5) Contractor Personnel Authorized 

to Accompany U.S. Armed Forces. In 

the case of contractor personnel 

authorized to accompany U.S. Armed 

Forces in deployed settings under DoD 

Instruction 3020.41,7 MTF care may be 

provided as stated in DoD Instruction 

3020.41. 

(h) Emergency Health Care. The 

Secretaries of the Military Departments 

and the USD(P&R) may designate 

emergency patients as eligible for 

emergency health care from MTFs in the 

United States pursuant to arrangements 

with local health authorities or in other 

appropriate circumstances. Such care 

shall be on a reimbursable basis, unless 

waived by the USD(P&R) or the 

Secretaries of the Military Departments 

when they are the approving authority. 

(i) Research Subject Volunteers. 

Research subjects are eligible for health 

care services from MTFs to the extent 

DoD Components are required by DoD 

Directive 3216.02 8 to establish 

procedures to protect subjects from 

medical expenses that are a direct result 

of participation in the research. Such 

care is on a non-reimbursable basis and 

limited to research injuries (unless the 

volunteer is otherwise an eligible health 

care beneficiary). Care is authorized 

during the pendency of the volunteer’s 

involvement in the research, and may be 

extended further upon the approval of 

the USD(P&R). 

(j) Continuity of Care Extensions of 

Eligibility. The Secretaries of the 

Military Departments and the USD(P&R) 

may establish temporary eligibility on a 

space-available basis for former 

members and former dependents of 

members of the seven Uniformed 

Services for a limited period of time, not 

to exceed 6 months, or in the case of 

pregnancy the completion of the 

pregnancy, after statutory eligibility 

expires when appropriate to allow 

completion or appropriate transition of 

a course of treatment begun prior to 

such expiration. In the case of a 

pregnancy covered by this paragraph, 

the designation of eligibility may 

include initial health care for the 

newborn infant. Care under this 

paragraph is authorized on a nonreimbursable basis for the former 

member or former dependent of 

member. Care under this paragraph for 

the newborn of those former members or 

former dependents is authorized but on 

a full reimbursable basis unless the 

Secretary of the Military Department 

elect to use Secretarial Designee status 

for the newborn. 

(k) Members of the Armed Forces. The 

Secretaries of the Military Departments 

and the USD(P&R) may establish 

eligibility not specifically provided by 

statute for critical mission-related health 

care services for designated members of 

the Armed Forces, such as Reserve 

Component members not in a present 

duty status. This authority includes 

payment for health care services in 

private facilities to the extent authorized 

by 10 U.S.C. 1074(c). Care under this 

paragraph is non-reimbursable. 

(l) Certain Senior Officials of the U.S. 

Government. The officials and others 

listed in § 108.5 of this part are 

designated as eligible for space-available 

inpatient and outpatient health care 

services from the Military Health 

System on a reimbursable basis. 

(m) Nonmedical Attendants. The 

Secretaries of the Military Departments 

and the USD(P&R) may designate as 

eligible for space available MTF care 

persons designated as nonmedical 

attendants as defined by 37 U.S.C. 

411k(b). Costs of medical care rendered 

are reimbursable unless reimbursement 

is waived by the Secretary of the 

Military Department concerned or 

USD(P&R). This authority is limited to 

health care needs arising while 

designated as a nonmedical attendant. 

(n) Patient Movement. Provisions of 

this Instruction concerning inpatient 

care shall also apply to requests for 

patient movement through the medical 

evacuation system under DoD 

Instruction 6000.11.9 Aeromedical 

evacuation transportation assets are 

reserved for those individuals 

designated as Secretarial Designees who 

need transportation to attain necessary 

health care. 

(o) Other Individuals Entitled to DoD 

Identification (ID) Card. Other 

individuals entitled to a DoD ID card 

under DoD Instruction 1000.13 are 

eligible for space-available MTF health 

care to the extent provided in DoD 

Instruction 1000.13. 

(p) Reciprocity Among Military 

Departments. Subject to the capabilities 

of the professional staff, the availability 

of space and facilities, and any other 

limitation imposed by the approving 

authority, all Services will provide 

medical treatment to individuals who 

have been granted Secretarial designee 


srobinson on DSKHWCL6B1PROD with RULES
Federal Register / Vol. 75, No. 227 / Friday, November 26, 2010 / Rules and Regulations 72685 

10Copies available on the Internet at http:// 

www.dtic.mil/whs/directives/corres/pdf/ 

512402p.pdf. 

11Copies available on the Internet at http:// 

www.dtic.mil/whs/directives/corres/pdf/ 

553003p.pdf. 

status by any of the Secretaries of the 

Military Departments. Each agreement 

must identify the specific MTF or 

geographical region in which medical 

care is requested, requiring close 

coordination among service program 

managers. 

§ 108.5 Eligible senior officials of the U.S. 

government. 

(a) The following individuals are 

Secretarial Designees for space-available 

care in MTFs on a reimbursable basis, 

unless specified otherwise by a Service 

Secretary: 

(1) The President and Vice President, 

and their spouses and minor children. 

(2) Members of Congress. 

(3) Members of the Cabinet. 

(4) Officials of the Department of 

Defense appointed by the President and 

confirmed by the Senate. 

(5) Article III Federal Judges. (Article 

III courts are: The Supreme Court of the 

United States, U.S. Courts of Appeal, 

U.S. District Courts, U.S. Court of 

International Trade, United States 

Foreign Intelligence Surveillance Court, 

United States Foreign Intelligence 

Surveillance Court of Review.) 

(6) Judges of the U.S. Court of Appeals 

for the Armed Forces. 

(7) Assistants to the President. 

(8) Director of the White House 

Military Office. 

(9) Former Presidents of the United 

States and their spouses, widows, and 

minor children. 

(b) [Reserved]. 

§ 108.6 Responsibilities. 

(a) The USD(P&R) shall: 

(1) Evaluate requests for and where 

appropriate, grant exceptions to policy 

established by this part and DoD 

Directive 5124.02,10 including waiver of 

reimbursement, to the extent allowed by 

law. 

(2) Following approval of the USD(P) 

and in coordination with USD(P) and 

the GC, DoD, and in accordance with 

DoD Directive 5530.3,11 begin 

negotiations, negotiate, and have the 

authority to sign RHCAs. 

(b) The USD(P) shall evaluate requests 

and determine DoD mission interest for 

Secretarial Designee Status and RHCAs 

to identify those agreements that would 

be in the best interest of the Department 

of Defense and approve negotiations of 

RHCAs by the USD(P&R). 

(c) The USD(C) shall in coordination 

with USD(P&R), establish appropriate 

reimbursement rates, including 

appropriate interagency rates and rates 

applicable to students in International 

Military Education and Training 

programs. 

(d) The Under Secretary of Defense for 

Acquisition, Technology, and Logistics 

shall evaluate requests for Exception to 

the Transportation Policy. The authority 

to grant such a exception is by 

USD(P&R) or the Secretary of the 

Military Department concerned. 

(e) The Secretaries of the Military 

Departments shall: 

(1) Issue, revise or modify as 

appropriate, regulations to comply with 

this part. 

(2) Appoint a Military Department 

representative who will administer the 

Secretarial Designee Program within the 

Military Department and coordinate 

with other DoD Components in its 

effective operation. 

(3) Where and when appropriate, the 

Military Department concerned shall 

coordinate with U.S. Transportation 

Command/Global Patient Movement 

Requirements Center. 

(4) Identify Secretarial Designees 

treated at MTFs. 

(5) Provide an annual consolidated 

list reflecting the number of Secretarial 

Designees within their departments, 

reasons for such designation, location 

where designee is receiving treatment, 

the costs and sources of funding, nature 

and duration of treatment and 

expiration date of designee status to 

USD(P&R) and USD(C). The annual 

report is due 30 days after the start of 

the fiscal year reflecting the prior fiscal 

year’s information. 

(i) In cases where the USD(P&R) 

designates an individual as a Secretarial 

Designee, the Military Department 

concerned shall include this individual 

on any lists provided to USD(P&R) and 

USD(C) for reporting purposes. 

(ii) Annually consolidate Secretarial 

Designee patient costs and forward 

those data to USD(P&R) and OSD(C), 

along with a report of collection for 

reimbursable costs. 

(f) The Commanders of the 

Geographic Combatant Commands 

(GCCs) shall: 

(1) Refer requests to waive 

reimbursement through the Chairman of 

the Joint Chiefs of Staff to the 

USD(P&R). 

(2) Refer requests for Secretarial 

Designee status for medical care in the 

United States through the Chairman of 

the Joint Chiefs of Staff to USD(P&R). 

(3) Through the Chairman of the Joint 

Chiefs of Staff, provide written annual 

reports to the USD(P&R) and USD(C) 

reflecting the number of individuals 

designated as Secretarial Designees 

within their geographic area of 

responsibility, the reasons for such 

designation, the expected duration of 

such designation, the costs and sources 

of funding authorizing the support of 

such designee status for each designee. 

(4) Identify Secretarial Designees 

treated at MTFs within their geographic 

area of responsibility. 

(5) Provide for an accounting and 

collection system for reimbursement of 

medical costs within their geographic 

area of responsibility. 

(g) The Commander, United States 

Transportation Command shall: 

(1) Coordinate patient movement with 

all concerned Military Departments. 

(2) Upon request of the Military 

Department concerned or Commanders 

of the GCCs, determine availability of 

DoD transportation assets, or when cost 

effective, coordinate with civilian 

ambulance authorities, to effect 

transportation of Secretarial Designee as 

appropriate. 

(3) Ensure the Global Patient 

Movement Requirements Center, as the 

regulating agency, will consistently 

serve as the single point of contact for 

patient movement for Secretarial 

Designee patients using DoD assets 

upon request. 

(4) Annually consolidate Secretarial 

Designee patient listing who utilized the 

DoD patient movement system and 

forward to USD(P&R) and USD(C). 

Dated: November 15, 2010. 

Patricia L. Toppings, 

OSD Federal Register, Liaison Officer, 

Department of Defense. 

[FR Doc. 2010–29763 Filed 11–24–10; 8:45 am] 

BILLING CODE 5001–06–P 

DEPARTMENT OF DEFENSE 

Department of the Navy 

32 CFR Part 706 

Certifications and Exemptions Under 

the International Regulations for 

Preventing Collisions at Sea, 1972 

AGENCY: Department of the Navy, DoD. 

ACTION: Final rule. 

SUMMARY: The Department of the Navy 

(DoN) is amending its certifications and 

exemptions under the International 

Regulations for Preventing Collisions at 

Sea, 1972 (72 COLREGS), to reflect that 

the Deputy Assistant Judge Advocate 

General (DAJAG) (Admiralty and 

Maritime Law) has determined that USS 

ANTIETAM (CG 54) is a vessel of the 

Navy which, due to its special 

construction and purpose, cannot fully 

comply with certain provisions of the 72 


srobinson on DSKHWCL6B1PROD with RULES