Title 10Armed ForcesRelease 119-73

§2350p Reciprocal patient movement agreements

Title 10 › Subtitle Subtitle A— - General Military Law › Part PART IV— - SERVICE, SUPPLY, AND PROPERTY › Chapter CHAPTER 138— - COOPERATIVE AGREEMENTS WITH NATO ALLIES AND OTHER COUNTRIES › Subchapter SUBCHAPTER II— - OTHER COOPERATIVE AGREEMENTS › § 2350p

Last updated Apr 6, 2026|Official source

Summary

The Secretary of Defense, with the Secretary of State’s agreement and if money is available, can make formal agreements with partner countries to let patient-movement crews and equipment from one country work on another country’s aircraft, ships, or vehicles without payment. The agreements can also mean the countries accept each other’s medical personnel licenses and equipment approvals, and agree on common standards and procedures for moving and caring for patients. Before making an agreement, the Secretary of Defense must write a certification that the partner country’s personnel credentials and equipment standards meet or beat U.S. standards and will give care as good as or better than the Department of Defense. That certification must be sent to the appropriate congressional committees within 15 days and must be reviewed and renewed at least once a year. If the Secretary cannot renew a certification, use of that partner’s people or equipment must stop until recertified. Definitions: “appropriate committees of Congress” = the congressional defense committees plus the Senate Foreign Relations Committee and the House Foreign Affairs Committee. “Partner country” = any NATO member, Australia, Japan, New Zealand, the Republic of Korea, or any other country the Secretary of Defense and Secretary of State agree to include. “Patient movement” = moving wounded, sick, injured, or exposed people to get medical, surgical, mental health, or dental care, including contaminated or contagious patients.

Full Legal Text

Title 10, §2350p

Armed Forces — Source: USLM XML via OLRC

(a)Subject to the availability of appropriations, the Secretary of Defense, with the concurrence of the Secretary of State, may enter into a bilateral or multilateral memorandum of understanding or other formal agreement with one or more governments of partner countries that provides for—
(1)the interchangeable, nonreimbursable use of patient movement personnel, either individually or as members of a patient movement crew or team, and equipment, belonging to one partner country to perform patient movement services aboard the aircraft, vessels, or vehicles of another partner country;
(2)the reciprocal recognition and acceptance of —
(A)national professional credentials, certifications, and licenses of patient movement personnel; and
(B)national certifications, approvals, and licenses of equipment used in the provision of patient movement services; and
(3)the acceptance of agreed-upon standards for the provision of patient movement services by aircraft, vessel, or vehicle, including, as determined to be beneficial and otherwise permitted by law, the harmonization of patient treatment standards and procedures.
(b)(1)Before entering into a memorandum of understanding or other formal agreement with the government of a partner country under this section, the Secretary of Defense shall certify in writing that the professional credentials, certifications, licenses, and approvals for patient movement personnel and patient movement equipment of the partner country—
(A)meet or exceed the equivalent standards of the United States for similar personnel and equipment; and
(B)will provide for a level of care comparable to, or better than, the level of care provided by the Department of Defense.
(2)A certification under paragraph (1) shall be—
(A)submitted to the appropriate committees of Congress not later than 15 days after the date on which the Secretary of Defense makes the certification; and
(B)reviewed and recertified by the Secretary of Defense not less frequently than annually.
(c)If the Secretary of Defense is unable to recertify a partner country as required by subsection (b)(2)(B), use of the personnel or equipment of the partner country by the Department of Defense under a memorandum of understanding or other formal agreement concluded pursuant to subsection (a) shall be suspended until the date on which the Secretary of Defense is able to recertify the partner country.
(d)In this section:
(1)The term “appropriate committees of Congress” means—
(A)the congressional defense committees; and
(B)the Committee on Foreign Relations of the Senate and the Committee on Foreign Affairs of the House of Representatives.
(2)The term “partner country” means any of the following:
(A)A member country of the North Atlantic Treaty Organization.
(B)Australia.
(C)Japan.
(D)New Zealand.
(E)The Republic of Korea.
(F)Any other country designated as a partner country by the Secretary of Defense, with the concurrence of the Secretary of State, for purposes of this section.
(3)The term “patient movement” means the act or process of moving wounded, ill, injured, or other persons (including contaminated, contagious, and potentially exposed patients) to obtain medical, surgical, mental health, or dental care or treatment.

Reference

Citations & Metadata

Citation

10 U.S.C. § 2350p

Title 10Armed Forces

Last Updated

Apr 6, 2026

Release point: 119-73