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Department of the Army Pamphlet DA PAM 600-25 U.S. Army Noncommissioned Officer (NCO) Professional Development Guide December 2018

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o Military and Family Support Centers also provide access to military or service relief organizations who may provide financial assistance and support in the form of no interest loans, grants, and other assistance programs. If a Soldier, dependent, or beneficiary accesses abortion services outside of the military health system and requires follow-up care, can they access care through DoD? The MOA provides specific procedures to the management of the supporting, extended content (also known as “smartbooks”) for these DA PAMs: 600-3; 600-25; 621-11; 601-280. If a Soldier was sexually assaulted, what is the process by which they could access abortion services for a pregnancy resulting from the sexual assault? What information does a patient need to provide, if seeking a covered abortion due to a pregnancy resulting from a sexual assault or incest?

Military and Family Life Counseling services support military members and families with licensed mental health providers who provide non-medical counseling and psychoeducational presentations on various topics to include parenting, communication, stress, and relationship issues. In all cases involving minors, DoD personnel should immediately consult with the servicing legal counsel. 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? Installation-based Military and Family Support Centers provide programs and services to increase resilience. These programs and services include non-medical counseling, personal and family life education, financial readiness, and information and referral services.The Soldier is in a position pre-identified by Army regulations as having mission responsibilities or being subject to occupational health hazards that would significantly risk mission accomplishment. Who is eligible to request travel and transportation allowances under the new policy? What information is required in the request? Yes, TRICARE will continue to pay for abortions for Soldiers, dependents, or other eligible DoD beneficiaries in cases where the life of the mother would be endangered should the fetus be carried to term or in the case in which the pregnancy is the result of an act of rape or incest (described as “covered abortions”). Private sector health care facilities are subject to the laws of the state where the care is provided. When state law restricts certain types of care, that care may no longer be available through private sector health care facilities in the local area. When a covered abortion is not available in the local area, does DoD provide travel and transportation allowances for a Soldier or other health care beneficiary to receive a covered abortion? What is the process for requesting these allowances?

performing or working on a contract, service, grant, cooperative agreement, or other assignment for When an MTF provider encounters a child the provider suspects has been sexually abused, the child will be given priority for care at an MTF. MTF providers will refer DoD minor- dependents who are victims of sexual assault for follow-on care, which may include referral to a Domestic Abuse Victim Advocate (DAVA) or Family Advocacy Program. A DAVA coordinates and manages care for a victim of sexual assault that occurs within a family or between intimate partners. FAP/DAVA personnel are covered professionals who are required to report suspected child abuse directly to local civilian child welfare services in accordance with law and DoD policy. National Discussion 2023: Leaders’ Role in Developing Healthy Climates and Prevention November 6, 2023 G-1 has established a Memorandum of Agreement (MOA) with APD on the disposition of DA PAMs 600-3, 600-25, 601-280, and 611-21. This MOA allows us to have base pamphlets posted for each of these PAMs (containing basic information) with Uniform Resource Locator (URL) links to the additional supporting, extended content that changes frequently.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). DoD performs or pays for abortions for Soldiers, dependents, or other eligible DoD beneficiaries in cases where the life of the mother would be endangered should the fetus be carried to term or where the pregnancy is the result of an act of rape or incest (described as “covered abortions”). An eligible beneficiary can request a covered abortion from a MTF provider. DoD’s Office of Military Community and Family Policy establishes policy for the provision of a range of support services to help military families with major life events, such as a pregnancy.

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? More information on this policy is available at: www.health.mil/EnsuringAccesstoReproductiveHealth.

Disclaimer

o TRICARE Prime: For non-Active Duty patients enrolled in TRICARE Prime, if the closest available care is more than 100 miles away from their primary care manager’s office, TRICARE may reimburse reasonable travel expenses for covered abortions in accordance with applicable rules and regulations. 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. remedying the risk of harm to individuals, the recipient agency or entity (including its information Patients may seek assistance from a Sexual Assault Response Coordinator (SARC), Sexual Assault Prevention and Response Victim Advocate (SAPR VA) or the Family Advocacy Program (FAP) who can connect them with the appropriate health care provider. They may also seek assistance through their primary care manager (PCM), a women’s health provider, or at an emergency room. MTFs either have providers who perform abortion services or have the ability to refer patients to an appropriate provider in the private sector or at another MTF.

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