CLASSIFICATION: UNCLASSIFIED// ROUTINE R 282114Z FEB 23 MID200080760127U FM CNO WASHINGTON DC TO NAVADMIN INFO CNO WASHINGTON DC BT UNCLAS NAVADMIN 058/23 PASS TO OFFICE CODES: FM CNO WASHINGTON DC//N1// INFO CNO WASHINGTON DC//N1// MSGID/GENADMIN/CNO WASHINGTON DC/N1/FEB// SUBJ/NAVY SUPPLEMENTAL GUIDANCE TO COMMAND NOTIFICATION OF PREGNANCY POLICY, ADMINISTRATIVE ABSENCE AND TRAVEL FOR NON-COVERED REPRODUCTIVE HEALTH CARE// REF/A/MSG/SECNAV/271542ZFEB23// REF/B/MSG/SECNAV/271617ZFEB23// REF/C/DOC/OPNAV/12MAR18// NARR/REF A IS ALNAV 017/23, COMMAND NOTIFICATION OF PREGNANCY POLICY. REF B IS ALNAV 018/23, ADMINISTRATIVE ABSENCE OR TRAVEL FOR NON-COVERED REPRODUCTIVE HEALTH CARE. REF C IS OPNAVINST 6000.1D, NAVY GUIDELINES CONCERNING PREGNANCY AND PARENTHOOD.// RMKS/1. This NAVADMIN provides interim supplemental guidance to references (a) and (b) to ensure our Sailors and their families have access to reproductive health care, regardless of where they are stationed in service to our Nation. In doing so, this guidance ensures the privacy of protected health information. All hands shall be made immediately aware of this guidance. 2. Approval Timeline and Appeals. References (a) and (b) provide the methodology that must be applied for command notification of pregnancy and approval of administrative absence or funded travel for non-covered reproductive health care. a. Approval Timeline. Commanding officers (CO) or approval authorities must act promptly and with appropriate discretion when considering a request for administrative absence or funded temporary duty (TDY) travel. If a command structure does not have a designated CO, the approval authority is defined as the head of the unit, activity, or organization who holds command and control authority. Due to the time-sensitive nature of many reproductive health care, approval decisions should be made no later than (NLT) 5 days after the request is submitted. b. Appeal Process. If the CO or approval authority denies the administrative absence or funded travel for non-covered reproductive health care, the CO or approval authority must notify the first O6/GS15 or higher immediate superior in command (ISIC). The Service Member may appeal the request to the same O6/GS15 or higher ISIC. Appeal decisions should be made promptly, NLT than 5 days after the request is denied. 3. Administrative Procedures: a. Requesting administrative absence. The Navy Standard Integrated Personnel System (NSIPS) will be used for non-covered reproductive healthcare requests. NSIPS (to include NSIPS Web Afloat) will be updated to reflect administrative absence for non- covered reproductive health care. Until this update is completed, the following procedures will be used: (1) Select *Convalescent* in block 12a of the leave request. Input comment *Administrative Absence for Non-Covered Reproductive Health Care* in block 24. Do not input any Health Insurance Portability and Accountability Act (HIPAA) information into NSIPS. (2) Administrative absence requests will be limited to the lesser of 21 days, or the minimum number of days essential to receive the required care and travel needed to access the care by the most expeditious means of transportation practicable. (3) Requests for convalescent leave following receipt of non-covered reproductive health care must be submitted as a separate convalescent leave period and may be approved based on a recommendation from a Department of Defense (DoD) health care provider or a non-DoD health care provider from whom the Service Member is receiving care. (4) Leave approvers are responsible for ensuring the duration of the administrative absence is the minimum amount required to receive the required care and requisite travel within the limits outlined in this NAVADMIN. b. Requesting funded TDY travel. If requesting funded TDY travel, the request shall be submitted in Defense Travel System (DTS) as a routine TDY. No HIPAA information will be uploaded into DTS as part of substantiating documentation for funded travel. 4. Command Tracking Requirement. Reference (b) guidance requires the Navy to track administrative absences and travel costs executed by all authorized travelers for non-covered reproductive health care. Until a permanent solution is implemented at a later date, the following is required: a. Commands shall send monthly reports to ALTN_pregnancyandparenthood(at)navy.mil. b. Reports shall use the template located at https://www.mynavyhr.navy.mil/Support-Services/Culture-Resilience/Parenthood- Pregnancy/ which includes the required data in paragraphs 7.c.4(a) through paragraph 7.c.4(e) of reference (b). 5. Reference (c) will be updated to reflect new guidance and policies. 6. Additional resources. Additional fact sheets and frequently asked questions are located at the below addresses: a. https://www.health.mil/News/In-the-Spotlight/Ensuring-Access-to- Reproductive-Health-Care b. https://www.mynavyhr.navy.mil/References/Messages/ALNAV-2023/ c. https://www.mynavyhr.navy.mil/References/Messages/NAVADMIN-2023/ d. https://www.med.navy.mil/Navy-Marine-Corps-Public-Health-Center/Womens- Health/ e. https://www.mynavyhr.navy.mil/Support-Services/Culture- Resilience/Parenthood-Pregnancy/ f. The Navy Fact Sheet will be available on the Navy Messages page at www.mynavyhr.navy.mil/References/Messages/NAVADMIN-2023/. 7. Point of contact for this matter is People and Culture (OPNAV N174) via e-mail at ALTN_pregnancyandparenthood(at)navy.mil. 8. This NAVADMIN will remain in effect until superseded or canceled. 9. Released by Vice Admiral Richard J. Cheeseman, Jr., N1.// BT #0001 NNNN CLASSIFICATION: UNCLASSIFIED//