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More information on this policy is available at: www.health.mil/EnsuringAccesstoReproductiveHealth.What is the new policy on travel and transportation allowances for non-covered reproductive health care? What is non-covered reproductive health care? performing or working on a contract, service, grant, cooperative agreement, or other assignment for
What other type of support services, such as financial support, might be available to help families with pregnancies? Does the DoD provide abortion services for Soldiers or beneficiaries who have been sexually assaulted even if they have not reported the assault, there is no ongoing investigation, or if an investigation has not been completed? There are military duties, occupational health hazards, and medical conditions where the proper execution of the military mission outweighs the interests served by delaying commander notification of a pregnancy. If the DoD health care provider makes the notification to a commander, the Soldier will be notified prior to the command notification except in exigent circumstances. A commander will be notified of a pregnancy prior to the 20th week if: If a Soldier is a victim of sexual assault and seeking an abortion for a pregnancy resulting from the sexual assault, with whom would they need to disclose their rape or sexual assault?FORSCOM Lead Sexual Assault Response Coordinators come together to discuss program changes November 17, 2023 Commanders or approval authorities must act promptly when considering a Soldier’s request for an administrative absence to access non-covered reproductive health care, with due regard to the time-sensitive nature of many non-covered reproductive health care services. Requests for administrative absence should be given all due consideration and should be granted to the greatest extent practicable unless, in the commanding officer’s judgment, the Soldier’s absence would impair proper execution of the Army mission. However, providers must not attempt to gain information from other sources in making their good faith determination (other than a consultation with SMEs as noted above) or compromise an adult patient’s reporting options by notifying the chain of command, or law enforcement, unless otherwise indicated in DoD Instruction 6310.09 “Health Care Management for Patients Associated With a Sexual Assault,” May 7, 2019, or advised by MTF legal counsel. Yes. Eligible DoD beneficiaries are encouraged to follow-up with their Primary Care Manager or Women’s Health Provider following a pregnancy termination to obtain necessary follow-up care, to include convalescent leave (as indicated) or provision of contraception. This follow-up care is available regardless of whether the abortion service was a covered or non-covered procedure. Additionally, if a patient comes to a MTF with acute complications following a pregnancy termination, it is the duty of the receiving provider to care for these acute issues. By regulation, Active Duty Service members who experience complications resulting from a non- covered treatment also may be authorized for treatment in the private sector if necessary, consistent with applicable law.
In all cases involving minors, DoD personnel should immediately consult with the servicing legal counsel. National Discussion 2023: Leaders’ Role in Developing Healthy Climates and Prevention November 6, 2023 or adjudicative body or official, when the DoD or other Agency representing the DoD determines that
o TRICARE Select: For non-Active Duty patients enrolled in TRICARE Select, a referral will be made but there is no associated reimbursement for travel costs.
Who can provide Soldiers, dependents, or other beneficiaries with women’s health care such as long acting reversible contraceptives (LARCs)? Do they have to be OB/GYNs or can they get it from a primary care physician? Where can they access this healthcare? remedying the risk of harm to individuals, the recipient agency or entity (including its information YOU ARE ACCESSING A U.S. GOVERNMENT (USG) INFORMATION SYSTEM (IS) THAT IS PROVIDED FOR USG-AUTHORIZED Federal law restricts the Department from performing abortions or paying to have them performed unless the life of the mother would be endangered if the fetus were carried to term, or unless the pregnancy is the result of rape or incest. In the case of a Soldier who seeks an abortion related to a sexual assault, the Soldier would seek these services through their medical provider and does not need to obtain permission or other forms of documentation from their Command. The treating provider must document their good faith belief that the pregnancy is a result of rape, and would then either perform the procedure at the MTF or refer to another provider within the same MTF to provide the abortion. If the abortion cannot be performed at the MTF, the provider would refer the patient to the private sector or transfer the patient to another MTF with the capability to perform the abortion. If the Soldier reported a sexual assault to a Sexual Assault Response Coordinator (SARC), a Sexual Assault Prevention and Response Victim Advocate (SAPR VA), or the Family Advocacy Program (FAP), the Soldier would be asked if they want referrals for services, to include for medical and mental health services. The member could receive a referral from the SARC, SAPR VA, or FAP to an appropriate health care provider wherein their request for an abortion could be made. SARCs, SAPR VAs, and FAP would not discuss the details of health care with victims, since they are not qualified or authorized to discuss health-related matters or to provide personal opinions on health care issues. In addition to providing help with accessing military resources, Sexual Assault Response Coordinators can provide information about a range of off-installation services, some of which may be able to provide or assist with obtaining crime victim compensation or limited financial assistance. The availability of off-installation services varies by location and by state. Information about off- installation (no DoD affiliation) services can also be obtained from DoD Safe Helpline, the sole secure, confidential, and anonymous crisis support service specially designed for members of the Department of Defense community affected by sexual assault. (www.safehelpline.org or 877- 995-5247).
There is no requirement for a patient to formally report or participate in a formal investigation of a sexual assault for the patient to access abortion services at an MTF. The treating provider is required to notify the Sexual Assault Response Coordinator or Family Advocacy Program that they are treating a patient who indicates they are a victim of sexual assault and the pregnancy was the result of a sexual assault, so that information on available resources and reporting options can be provided; however, a beneficiary is not required to utilize any of the services or make a formal restricted or unrestricted report of a sexual assault to be eligible for the abortion. In addition, the provider does not provide the name of the patient to the SARC when the patient declines to make a report of sexual assault or speak with the SARC. The health care provider will document that they, in good faith, believe the pregnancy is a result of rape or incest, based on the patient’s report.
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