§ 4084. — Health care program.
[Laws in effect as of January 24, 2002]
[Document not affected by Public Laws enacted between
January 24, 2002 and December 19, 2002]
[CITE: 22USC4084]
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.
(Pub. L. 96-465, title I, Sec. 904, Oct. 17, 1980, 94 Stat. 2127; Pub.
L. 99-93, title I, Sec. 122, Aug. 16, 1985, 99 Stat. 413; Pub. L. 100-
238, title II, Sec. 243, Jan. 8, 1988, 101 Stat. 1776; Pub. L. 107-228,
div. A, title III, Sec. 316, Sept. 30, 2002, 116 Stat. 1379.)
Amendments
2002--Subsec. (b). Pub. L. 107-228 substituted ``families, (3)
health education and disease prevention programs for all employees, and
(4)'' for ``families, and (3)''.
1988--Subsec. (b). Pub. L. 100-238 inserted ``or Foreign Service
Pension System'' after ``System''.
1985--Subsec. (a). Pub. L. 99-93, Sec. 122(1), substituted ``shall''
for ``may''.
Subsec. (b). Pub. L. 99-93, Sec. 122(2), inserted ``, and other
preventive and remedial care and services as necessary,''.
Subsec. (d). Pub. L. 99-93, Sec. 122(3), amended subsec. (d)
generally. Prior to amendment, subsec. (d) read as follows: ``If an
individual eligible for health care under this section incurs an
illness, injury, or medical condition while abroad which requires
hospitalization or similar treatment, the Secretary may pay all or part
of the cost of such treatment. Limitations on such payments established
by regulation may be waived whenever the Secretary determines that the
illness, injury, or medical condition clearly was caused or materially
aggravated by the fact that the individual concerned is or has been
located abroad.''
Effective Date of 1988 Amendment
Amendment by Pub. L. 100-238 effective 90 days after Jan. 8, 1988,
see section 261(a) of Pub. L. 100-238, set out as a note under section
4054 of this title.
Section Referred to in Other Sections
This section is referred to in title 2 section 143a; title 10
section 1599b; title 28 section 530A; title 38 section 707.
