1538-1538.11
                                        Page 1 of 3



                      FOREST SERVICE MANUAL
                           WASHINGTON

                 TITLE 1500 - EXTERNAL RELATIONS

                    Amendment No.  1500-91-2

                   Effective February 14, 1991


POSTING NOTICE.  Amendments are numbered consecutively by title 
and calendar year.  Post by document name.  Remove entire 
document and replace with this amendment.  Retain this 
transmittal as the first page of this document.  The last 
amendment to this Title was Amendment 1500-91-1 to FSM 1530.

                                            Superseded    New
    Document Name                           (Number of Pages)

    1538-1538.11                              -              3


Digest:

1538.1 - Establishes a code and caption for Office of Medical 
Services under FSM 1538, Department of State, and adds the 
Memorandum of Understanding in FSM 1538.11.  This Memorandum of 
Understanding covers all U.S. Department of Agriculture employees 
on official international travel under the State Department 
Medical Program.




F. DALE ROBERTSON
Chief
                  FSM 1500 - EXTERNAL RELATIONS 
                     WO AMENDMENT 1500-91-2
                        EFFECTIVE 2/14/91


1538 - DEPARTMENT OF STATE.

1538.1 - Office of Medical Services.

1538.11 - Memorandum of Understanding.



               MEMORANDUM OF UNDERSTANDING BETWEEN
                    U.S. DEPARTMENT OF STATE
                               AND
                 U.S. DEPARTMENT OF AGRICULTURE


This Memorandum of Understanding (MOU) sets the terms of an 
agreement between the U.S. Department of State, Office of Medial 
Services (M/MED), and the U.S. Department of Agriculture (USDA) 
for participation of USDA in the Department of State medical 
program for Civil Service employees serving abroad on temporary 
duty.  The USDA agency responsible for the administration of this 
agreement is the Foreign Agricultural Service (FAS) and the 
responsible Department of State office is M/MED.

It is agreed by this Memorandum of Understanding that:

1.  USDA employees on travel or temporary duty abroad may utilize 
    the facilities of Department of State, M/MED, and be eligible 
    for medical benefits as set forth in section 904 of the 
    Foreign Service Act of 1980 and the Foreign Affairs Manual 
    (3-FAM-680).

2.  M/MED will make available their services for in-service 
    physical examinations, medical clearance actions, and medical 
    records maintenance for employees who will be abroad for 
    sixty (60) consecutive days or more.

3.  M/MED will provide medical treatment and hospitalization, 
    coordination of medical evacuations, and services of overseas 
    health units, nurses, and regional medical officers for all 
    overseas `ravelers.

4.  M/MED billing for services will include the USDA employee's 
    name, social security number, permanent duty station, and 
    individual amount for services rendered.  Also included will 
    be the employee's agency and the date on which services were 
    provided.

5.  USDA agrees to furnish to M/MED a listing of each agency's 
    appropriation and accounting classification to be charged 
    directly for costs incurred at overseas posts for payments 
    made to vendors who render medical services.  For costs 
    incurred by M/MED in the U.S. (physical examinations and 
    other in-house services), M/MED will forward the billing to 
    FAS for review and payment on a monthly or quarterly basis.

6.  FAS, will on a fiscal year basis, provide to M/MED the 
    estimate of the number of employees who will be on temporary 
    duty, (TDY) overseas during the fiscal year, the number of 
    TDY employees who will be overseas for sixty consecutive days 
    or more, and the name of the FAS liaison person representing 
    USDA/FAS.

7.  This agreement is in effect until rescinded by either party 
    by sixty day written notice.



/s/ Elmer R. Sleiggs               /s/ R. E. Anderson, Jr.          
Office of Medical Services  Administrator, FAS
Department of State         U.S. Department of Agriculture
 Acting, Executive Director
 Office of Medical Services


        JUN 12, 1990                                              
3/28/90          
             Date                                                      
Date