R 272345Z FEB 23
MSGID/GENADMIN/CMC WASHINGTON DC MRA MP//
SUBJ/NON-COVERED REPRODUCTIVE HEALTH CARE PERMISSIVE TEMPORARY ADDITIONAL DUTY AND TRAVEL ALLOWANCES//
REF/A/MSGID: MEMO/OSD WASHINGTON DC/16FEB2023//
REF/B/MSGID: DOC/JOINT TRAVEL REGULATIONS//
REF/C/MSGID: MSG/ASN WASHINGTON DC/27FEB2023//
REF/D/MSGID: DOC/CMC WASHINGTON DC MPO/13APR2020//
REF/E/MSGID: DOC/CMC WASHINGTON DC MPO/19MAY2020//
AMPN/ REF A IS UNDER SECRETARY OF DEFENSE FOR PERSONNEL AND READINESS DIRECTIVE-TYPE MEMORANDUM, ADMINISTRATIVE ABSENCE FOR NON-COVERED REPRODUCTIVE HEALTH CARE. REF B IS THE JOINT TRAVEL REGULATIONS. REF C IS SECRETARY OF THE NAVY ALNAV, ADMINISTRATIVE ABSENCE OR FUNDED TRAVEL FOR NON-COVERED REPRODUCTIVE HEALTH PROCEDURES. REF D IS MCO 5000.12F CH-1, MARINE CORPS POLICY CONCERNING PARENTHOOD AND PREGNANCY. REF E IS MCO 1050.3J, REGULATIONS FOR LEAVE, LIBERTY, AND ADMINISTRATIVE ABSENCE//
POC/MPO/EMAIL: MPO@USMC.MIL/TEL: (703)784-9360//
GENTEXT/REMARKS/1. As directed by the Secretary of Defense, this MARADMIN announces the establishment and implementation guidance for Non-covered Reproductive Health Care (NCRHC) Permissive Temporary Additional Duty (PTAD) and authorized travel allowances for NCRHC in accordance with references (a) though (c). NCRHC PTAD will be implemented into reference (d) and (e) during their next revision and travel allowances for NCRHC will be provided in reference (b).
2. Effective immediately, commanders will grant NCRHC PTAD or travel and transportation entitlements for NCRHC in accordance with the parameters of this MARADMIN.
3. Commanders are responsible to meet operational requirements and protect the health and safety of those in their care. Commanders will continue to display objectivity, compassion, and discretion when addressing health care matters and are responsible for enforcing existing policies regarding discrimination and retaliation in the context of reproductive health care choices.
4. Consistent with existing law and policy, commanders will protect the privacy of protected health information they receive under this MARADMIN. Such health information shall be restricted to personnel with a specific need to know for the conduct of official duties. Personnel shall also be accountable for safeguarding this health information.
a. Assisted Reproductive Technology (ART). Only the following components of ART are included:
(1) Ovarian stimulation and egg retrieval, including any needed medications and procedures required for retrieval, processing, and utilization for ART or cryopreservation.
(2) Sperm collection and processing for ART or cryopreservation.
(3) Intrauterine insemination (IUI).
(4) In vitro fertilization (IVF) inclusive of the following procedures for beneficiaries when clinically indicated:
(a) In vitro fertilization with fresh embryo transfer.
(b) Gamete intrafallopian transfer (GIFT).
(c) Zygote intrafallopian transfer (ZIFT).
(d) Pronuclear stage tubal transfer (PROST).
(e) Tubal embryo transfer (TET).
(f) Frozen embryo transfer (FET).
b. Covered abortion. An abortion, either medical or surgical, where the life of the mother would be endangered if the fetus were carried to term or in a case in which the pregnancy is the result of an act of rape or incest.
c. Non-covered abortion. An abortion, either medical or surgical, that is not a covered abortion.
d. NCRHC. Lawfully available ART and non-covered abortion, as defined above.
6. NCRHC PTAD
a. Eligibility. Active-duty Marines, including Reserve Marines when on active-duty orders for 30 or more consecutive days, to receive, or to accompany a dependent or dual-military spouse, who receives NCRHC.
b. Commander’s Authority and Guidance. Commanders should grant NCRHC PTAD to Marines when a NCRHC need is identified by the eligible Marine. Requests for NCRHC PTAD will be given all due consideration and will be granted to the greatest extent practicable, unless, in the commander’s judgment, the Marine’s absence would impair proper execution of the military mission. This PTAD should be granted whether or not such care is available in the local area of the eligible Marine’s duty location, or whether the dependent or dual-military spouse resides with, or is geographically separated from, the eligible Marine.
(1) The NCRHC PTAD may not exceed 21 days per request. The period of absence will be limited to the minimum number of days essential to receive the required care and travel needed to access the care by the most expeditious means of transportation practicable. Commanders will limit health information required to the minimum amount necessary to ensure eligibility and be reasonably sure the duration of the time authorized meets this criteria. This minimum health information may be, but is not limited to, a recommendation from the Unit Medical Officer (UMO) or a DoD Health Care Provider (HCP) verifying eligibility and duration of the medical service/procedure. NCRHC PTAD is intended to provide as much privacy protection as possible for a Marine receiving a NCRHC service/procedure.
(2) It is essential that commanders act promptly and with appropriate discretion when considering a Marine’s request for PTAD to obtain NCRHC, with due regard to the time-sensitive nature of many NCRHC services/procedures. To the greatest extent practicable, delay in granting PTAD should not result in an eligible Marine being unable to access the NCRHC that served as the basis for the PTAD request.
(3) In considering the mission impact of a Marine’s request for PTAD for NCRHC—for example, where recurring care may be necessary over a period of time—commanders should coordinate with the eligible Marine to balance operational requirements and the health care schedule. A Marine is expected to inform their command if they plan to have recurring requests.
(4) Commanders may grant a Marine convalescent leave, in accordance with reference (e), following receipt of a NCRHC service/procedure based upon a recommendation from either a DoD HCP or a non-DoD HCP from whom the Marine is receiving care.
(1) Commanders or leave approving authorities will not levy additional requirements on the eligible Marine (including, but not limited to, consultations with a chaplain, medical testing, or other forms of counseling) prior to processing the PTAD request.
(2) Eligible Marines shall not be granted NCRHC PTAD if their intention is to sell, to offer for sale, or to receive proceeds from a sale resulting from an ART procedure while on, or in connection with taking, such absence.
d. A Marine who is considering a NCRHC service/procedure is encouraged to meet with their UMO or DoD HCP to discuss any potential work limitations they may have following the NCRHC service/procedure. They are also encouraged to inform their commands of these potential limitations to ensure proper planning of the recovery of the Marine following the service/procedure. A commander will not deny a NCRHC PTAD request based solely on these limitations.
e. Should a Marine or dependent decide not to proceed with the NCRHC, the Marine will not have the time away charged as leave and should expeditiously return to the unit.
f. Admin Procedures. Until a separate PTAD type for NCHRC is available in the Leave and Liberty module of Marine Online, Marines will use “PTAD, Other” and write in the comments, “Non-covered Reproductive Health Care.”
7. For Marines requesting funded travel for NCRHC, the following guidance is provided:
a. Eligibility, allowances and procedures for travel allowances to obtain NCRHC services/procedures are provided in reference (b). Marines and eligible dependents may go to their medical facility of choice for a NCRHC service/procedure, however, they will only be reimbursed to the closest available, capable medical facility. When a Marine or eligible dependent uses a different location than the certified closest available, capable medical facility, a cost comparison is done to determine reimbursement.
b. Travel funding is the responsibility of the command authorizing the travel. Commands must adhere to fiscal regulations and may not authorize travel for which funding is not available. All levels of leadership are expected to support this policy and prioritize available resources in doing so. If funding is an issue, commands will work with their chain of command and budget submitting office to obtain required funds.
c. Should a Marine or dependent decide not to proceed with the NCRHC service/procedure, after travel requested in good faith has commenced, the Marine and/or dependent should expeditiously return and travel funds will not be recouped.
8. Tracking. The Marine Corps will be tasked to report cost and usage of the PTAD and funded travel policies authorized by references (a) through (c).
a. NCRHC PTAD. This policy will be automatically tracked via Marine Corps Total Force System upon the creation of a separate PTAD code.
b. Travel Allowances for NCRHC. Upon completion of the travel orders, the command will submit a report to Manpower Military Policy at email@example.com with the following information:
(1) Command Name.
(2) Branch of the Service Member (e.g. Marine Corps, Navy).
(3) Fiscal quarter in which the travel completed.
(4) Number of travel days used by the Service Member. Note that the days authorized or used by a dependent on the same trip may be more or less than this amount. Days of travel by non-Service Members are not required to be reported.
(5) Total cost. A single cost is to be provided for the entire trip and inclusive of all authorized travelers. Do not break down costs by traveler or by any other basis. Provide the actual cost of the trip after travel claims are completed.
9. Commanders and Marines are encouraged to visit the Navy and Marine Corps Public Health Center's, "Women's Health Toolbox," at https:(slash)(slash)www.med.navy.mil/Navy-Marine-Corps-Public-Health-Center/Womens-Health/ and www.health.mil/EnsuringAccesstoReproductiveHealth for additional information and resources on a myriad of important women's health issues.
10. Release authorized by Lieutenant General James F. Glynn, Deputy Commandant for Manpower and Reserve Affairs.//