41 C.F.R. Subpart 101–5.3—Federal Employee Health Services
Title 41 - Public Contracts and Property Management
Authority: Chapter 865, 60 Stat. 903; 5 U.S.C. 7901.
Source: 30 FR 12883, Oct. 9, 1965, unless otherwise noted.
This subpart 101–5.3 states the objective, guiding principles, criteria, and general procedures in connection with the establishment and operation of Federal employee health services in buildings managed by GSA. This subpart 101–5.3 is applicable to all Federal agencies which occupy space in or are prospective occupying agencies of a building or group of adjoining buildings managed by GSA. It is the objective of GSA to provide or arrange for appropriate health service programs in all Government-owned and leased buildings, or groups of adjoining buildings, which it manages where the building population warrants, where other Federal medical facilities are not available, and, where the number of the occupying agencies indicating a willingness to participate in such a program on a reimbursable basis makes it financially feasible. The following principles will control the scope of the health services to be provided in keeping with the objective: (a) Employees who work in groups of 300 or more, counting employees of all departments or agencies who are scheduled to be on duty at one time in the same building or group of buildings in the same locality will constitute the minimum number of employees required to warrant the establishment of a health service of a scope specified in §101–5.304. (b) As an exception to paragraph (a) of this section, health services of the scope specified in §101–5.304 may be provided for employees who work in groups of less than 300 where the employing department or agency determines that working conditions involving unusual health risks warrant such provision. (c) Treatment and medical care in performance-of-duty cases will be provided to employees as set forth in the Federal Employees' Compensation Act (5 U.S.C. 751 et seq.). (d) Reimbursable costs for providing health services will be based on an operating budget which is a summary of all costs required to operate the health service. The reimbursement cost is prorated to participating agencies by means of a per capital formula computed by dividing the operating budget of the health service by the total number of employees sponsored for service. The size of the Federal population served, the compensation of the employees of the health unit, and other factors of medical economics prevalent in the area are factors which affect the local reimbursement cost. Further, in appropriate cases where more than one health unit is servicing employees housed in the same general locality, costs may be equalized by combining the operating budgets of all such units and dividing the total of the operating budgets by the number of employees sponsored. Special industrial conditions or other abnormal health or accident risk environments may increase the per capita cost. [30 FR 12883, Oct. 9, 1965, as amended at 35 FR 6651, Apr. 25, 1970] The type of occupational health services made available to occupying agencies will be as follows: (a) Emergency diagnosis and first treatment of injury or illness that become necessary during working hours and that are within the competence of the professional staff and facilities of the health service unit, whether or not such injury was sustained by the employee while in the performance of duty or whether or not such illness was caused by his employment. In cases where the necessary first treatment is outside the competence of the health service staff and facilities, conveyance of the employee to a nearby physician or suitable community medical facility may be provided at Government expense at the request of, or on behalf of, the employee. (b) Preemployment examinations of persons selected for appointment. (c) Such inservice examinations of employees as the participating agency determines to be necessary, such as voluntary employee health maintenance examinations which agencies may request for selected employees. Such examinations may be offered on a limited formula plan to all participating agencies when the resources of the health service staff and facilities will permit. Alternatively, when agencies are required to limit the cost of an occupational health services program, the provision of inservice examinations may be provided to selected employees of individual agencies and reimbursed on an individual basis. (d) Administration, in the discretion of the responsible health service unit physician, of treatments and medications (1) Furnished by the employee and prescribed in writing by his personal physician as reasonably necessary to maintain the employee at work, and (2) Prescribed by a physician providing medical care in performance-of-duty injury or illness cases under the Federal Employees' Compensation Act. (e) Preventive services within the competence of the professional staff (1) To appraise and report work environment health hazards as an aid in preventing and controlling health risks; (2) To provide health education to encourage employees to maintain personal health; and (3) To provide specific disease screening examinations and immunizations. (f) In addition, employees may be referred, upon their request, to private physicians, dentists, and other community health resources. [30 FR 12883, Oct. 9, 1965, as amended at 35 FR 6651, Apr. 25, 1970] At the time the space requirements for a building or a group of adjoining buildings are developed by GSA, the prospective occupying agencies will be canvassed by GSA to determine if they wish to participate in the occupational health services program. Each agency desiring to participate in the program will be requested to furnish GSA with a written commitment, signed by an authorized official, that it is prepared to reimburse GSA, or such other agency as is designated pursuant to §101–5.105(b), on a yearly per capita basis for each of its employees housed in the building or buildings covered by the program. (a) The studies by GSA which lead to the development of space requirements and the determinations made as the result thereof will constitute the feasibility studies and the Administrator's determination contemplated by §101–5.104. (b) Each determination to provide health services will be governed by the principles stated in §101–5.303 and will be in consonance with the general standards and guidelines furnished Federal agencies by the Public Health Service of the Department of Health, Education, and Welfare. (a) The only authorized contact point for assistance of and consultation with the Public Health Service is the Federal Employee Health Programs, Division of Hospitals, Public Health Service, Washington, DC 20201. Other Federal agencies may be designated by the GSA Regional Administrator, pursuant to §101–5.105(b) to operate occupational health services. Designated agencies should contact the Public Health Service directly on all matters dealing with the establishment and operation of these services. (b) Public Health Service should be consulted by the designated agency on such matters as types, amounts, and approximate cost of necessary equipment; the scope of the services to be provided if it is affected by the amount of space and number of building occupants; types and amounts of supplies, materials, medicines, etc., which should be stocked; and the approximate cost of personnel staffing in cases where this method of operation is chosen, etc. PHS should also be asked to develop and monitor standards under which each health unit would be operated.
Title 41: Public Contracts and Property Management
PART 101–5—CENTRALIZED SERVICES IN FEDERAL BUILDINGS AND COMPLEXES
Subpart 101–5.3—Federal Employee Health Services
§ 101-5.300 Scope of subpart.
§ 101-5.301 Applicability.
§ 101-5.302 Objective.
§ 101-5.303 Guiding principles.
§ 101-5.304 Type of occupational health services.
§ 101-5.305 Agency participation.
§ 101-5.306 Economic feasibility.
§ 101-5.307 Public Health Service.
