Attachment 3

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Legal Authorities


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TITLE 22--FOREIGN RELATIONS AND INTERCOURSE
 
                       CHAPTER 52--FOREIGN SERVICE
 
            SUBCHAPTER IX--TRAVEL, LEAVE, AND OTHER BENEFITS

 
Sec. 4084. Health care program


(a) Establishment

    The Secretary of State shall establish a health care program to 
promote and maintain the physical and mental health of members of the 
Service, and (when incident to service abroad) other designated eligible 
Government employees, and members of the families of such members and 
employees.

(b) Services provided

    Any such health care program may include (1) medical examinations 
for applicants for employment, (2) medical examinations and inoculations 
or vaccinations, and other preventive and remedial care and services as 
necessary, for members of the Service and employees of the Department 
who are citizens of the United States and for members of their families, 
(3) health education and disease prevention programs for all employees, 
and (4) examinations necessary in order to establish disability or 
incapacity of participants in the Foreign Service Retirement and 
Disability System or Foreign Service Pension System or to provide 
survivor benefits under subchapter VIII of this chapter.

(c) Facilities; employment of personnel

    The Secretary of State may establish health care facilities and 
provide for the services of physicians, nurses, or other health care 
personnel at Foreign Service posts abroad at which, in the opinion of 
the Secretary of State, a sufficient number of Government employees are 
assigned to warrant such facilities or services.

(d) Costs of treatment

    If an individual eligible for health care under this section incurs 
an illness, injury, or medical condition which requires treatment while 
assigned to a post abroad or located overseas pursuant to Government 
authorization, the Secretary may pay the cost of such treatment.

(e) Death or separation of member

    Health care may be provided under this section to a member of the 
Service or other designated eligible Government employee after the 
separation of such member or employee from Government service. Health 
care may be provided under this section to a member of the family of a 
member of the Service or of a designated eligible Government employee 
after the separation from Government service or the death of such member 
of the Service or employee or after dissolution of the marriage.

(f) Review; medical care contracts

    The Secretary of State shall review on a continuing basis the health 
care program provided for in this section. Whenever the Secretary of 
State determines that all or any part of such program can be provided 
for as well and as cheaply in other ways, the Secretary may, for such 
individuals, locations, and conditions as the Secretary of State deems 
appropriate, contract for health care pursuant to such arrangements as 
the Secretary deems appropriate.

(g) Retention of medical reimbursements

    Reimbursements paid to the Department of State for funding the costs 
of medical care abroad for employees and eligible family members shall 
be credited to the currently available applicable appropriation account. 
Such reimbursements shall be available for obligation and expenditure 
during the fiscal year in which they are received or for such longer 
period of time as may be provided in law.