[Federal Register Volume 68, Number 177 (Friday, September 12, 2003)]
[Notices]
[Pages 53784-53789]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 03-23259]


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DEPARTMENT OF VETERANS AFFAIRS


Privacy Act of 1974; System of Records

AGENCY: Department of Veterans Affairs (VA).

ACTION: Notice of amendment to system of records notice.

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SUMMARY: As required by the Privacy Act of 1974, 5 U.S.C. 552a(e) 
notice is hereby given that the Department of Veterans Affairs (VA) is 
amending the system of records currently known as ``Health 
Administration Center Civilian

[[Page 53785]]

Health and Medical Care Records--VA (54VA17)'' as set forth in 65 FR 
81572-81575, Dec. 26, 2000. VA is amending the system by renumbering 
the system of records to 54VA16 and revising the paragraphs for 
Categories of Individuals Covered by the System; Authority for 
Maintenance of the System; Purpose; Routine Uses or Records Maintained 
in the System, including Categories of Users and the Purposes of Such 
Uses; System Manager(s) and Address; and Record Source Categories. VA 
is republishing the system notice in its entirety at this time.

DATES: Comments on the amendment of this system of records must be 
received no later than October 14, 2003. If no public comment is 
received, the amended system will become effective October 14, 2003.

ADDRESSES: You may mail or hand-deliver written comments concerning the 
amended system of records to the Office of Regulations Management 
(02D), Department of Veterans Affairs, 810 Vermont Avenue, NW., 
Washington, DC 20240; or fax comments to (202) 273-9289; or email 
comments to ``[email protected]''. All relevant material 
received before October 14, 2003 will be considered. Comments will be 
available for public inspection at the above address in the Office of 
Regulations Management, Room 1158, between the hours of 8 a.m. and 4:30 
p.m., Monday through Friday (except holidays).

FOR FURTHER INFORMATION CONTACT: Veterans Health Administration (VHA) 
Privacy Act Officer, Department of Veterans Affairs, 810 Vermont 
Avenue, NW., Washington, DC 20420; telephone (727) 320-1839.

SUPPLEMENTARY INFORMATION:
    VA is renumbering the system of records from 54VA17 to 54VA16 to 
reflect organizational changes in the Department.
    The Categories of Individuals Covered by the System has been 
amended to include eligible veterans and their dependents in the 
following programs administered by the Health Administration Center 
(HAC):
    [sbull] Public Law 103-446, Title I: Persian Gulf War Veterans, 
Sec.  107, mandates that the Secretary conduct a program to evaluate 
the health status of spouses and children of Persian Gulf War veterans.
    [sbull] Title 38 U.S.C. 1803 requires VA to provide health care 
benefits to any birth child of a veteran who served in Vietnam during 
the Vietnam War and that child was born with the medical condition of 
spina bifida.
    [sbull] Title 38 U.S.C. 1724 requires VA to manage health care 
benefits to veterans outside the United States if such care and 
services are needed for the treatment of a service-connected disability 
or as part of an approved VA vocational rehabilitation program.
    [sbull] Title 38 U.S.C. 1813 requires VA to provide health care 
benefits to a birth child born with certain covered birth defects to a 
female Vietnam veteran.
    [sbull] Title 38 U.S.C. Sections 1703, 1725 and 1728 govern VA 
payment for hospital care and medical services to veterans' authorized 
Non-VA health care.
    The Authority for Maintenance of the System has been amended to 
provide updated regulatory and public law references. Public Law 107-
135, Department of Veterans Affairs Health Care Programs Enhancement 
Act of 2001, re-designated the Civilian Health and Medical Program of 
the Department of Veterans Affairs (CHAMPVA) program from 38 U.S.C. 
1713 to 38 U.S.C. 1781.
    The Purpose of this system of records is amended to include 
evaluation of health status of dependents of Persian Gulf War veterans, 
dependents of veterans eligible for Spina Bifida and Children of Women 
Vietnam Veterans health care, and veterans eligible to receive foreign 
medical benefits and Non-VA health care under VA auspices.
    Routine Uses of Records Maintained in the System, Including 
Categories of Users and the Purposes of Such Uses is amended as 
follows:
    [sbull] The word ``CHAMPVA'' in routine use number 1 is deleted. 
The routine use applies to all programs (categories of individuals 
covered by the system and categories of records in the system) 
administered by the Health Administration Center. CHAMPVA is only one 
of the programs in this system of records. The other programs are 
Foreign Medical Program, Spina Bifida Healthcare, Children of Women 
Vietnam Veterans Healthcare, Fee claims and Persian Gulf examination 
claims. Because the routine use disclosure authority will be applicable 
to all programs, unless otherwise designated, reference to the 
particular program has been deleted.
    [sbull] In routine use number 1, a description of the means of 
disclosure has been added to reflect that the eligibility and claim 
information may be disclosed via call service center, general 
correspondence and interactive web-page. An additional phrase has also 
been inserted for the disclosure of information in response to 
inquiries that are made by a claimant's next of kin or person with whom 
the claimant has a meaningful relationship. This addition is being made 
to make the routine use authority compatible with the Health Insurance 
Portability and Accountability Act (HIPAA) provisions.
    [sbull] Routine use number 3 has been amended in its entirety. On 
its own initiative, VA may disclose information, except for the names 
and home addresses of veterans and their dependents, to a Federal, 
state, local, tribal or foreign agency charged with the responsibility 
of investigating or prosecuting civil, criminal or regulatory 
violations of law, or charged with enforcing or implementing the 
statute, regulation, rule or order issued pursuant thereto. On its own 
initiative, VA may also disclose the names and addresses of veterans 
and their dependents to a Federal agency charged with the 
responsibility of investigating or prosecuting civil, criminal or 
regulatory violations of law, or charged with enforcing or implementing 
the statute, regulation, rule or order issued pursuant thereto. VA must 
be able to comply with the requirements of agencies charged with 
enforcing the law and conducting investigations. VA must also be able 
to provide information to state or local agencies charged with 
protecting the public's health as set forth in state law.
    [sbull] Routine use number 4 has been amended to add the wording 
``upon its request for use'' for VA to disclose records from this 
system of records to a Federal agency in the issuance of a security 
clearance, the investigation of an employee, the letting of a contract, 
or the issuance of a license, grant or other benefit by the requesting 
Agency, to the extent that the information is relevant and necessary to 
the requesting Agency's decision on the matter.
    [sbull] Former routine uses numbers 5 and 6 have been deleted from 
this system of record. Upon review, it has been determined that these 
routine uses are no longer applicable to this system and, as such, are 
no longer required.
    [sbull] Routine uses numbers 7 through 24 have been renumbered from 
5 through 22.
    [sbull] In routine use number 8 (formerly routine use number 10), 
the wording ``in order for the foregoing activities to prosecute or 
defend litigation involving or pertaining to the United States'' has 
been replaced with ``in order to prosecute or defend litigation 
involving or pertaining to the United States, or in which the United 
States has an interest'' to make the routine use more concise with its 
application.
    [sbull] In routine use number 9 (formerly routine use number 11), 
the wording ``Any information in this system of records may be 
disclosed to a Federal

[[Page 53786]]

grand jury, a Federal court or a party in litigation, or a Federal 
agency or party to an administrative proceeding being conducted by a 
Federal agency'' has been replaced with ``Any information in this 
system of records may be disclosed to a Federal agency or party to an 
administrative proceeding being conducted by a Federal agency.'' The 
wording ``in order for VA to respond to and comply with the issuance of 
a Federal court order'' has been replaced with ``in order for VA to 
respond to and comply with the issuance of an order by that Federal 
agency requiring production of the information.'' The changes have been 
made to make the routine use more concise in the application of its 
function.
    [sbull] The word ``CHAMPVA'' in routine use number 22 (formerly 
routine use number 24) is deleted and replaced with the wording 
``veteran and beneficiary.'' The intention of this word change is to 
provide access information to veterans and beneficiaries who request 
assistance in locating medical providers who accept VA payment for 
health care services.
    [sbull] Routine use number 23 is added to permit disclosure of 
relevant information from this system to other entities with which VA 
has a contract or agreement to perform such services, as VA may deem 
practicable for the purposes of laws administered by VA, in order for 
the contractor or subcontractor to perform the services of the contract 
or agreement.
    [sbull] Routine use number 24 is added to permit disclosure of 
relevant information from this system to Claims Processing Quality 
Review Organizations or Accreditation Organizations in connection with 
their review of claims, or in connection with studies or other review 
activities conducted pursuant to VA requests to the organization for 
certification or accreditation to national standards.
    The Privacy Act permits VA to disclose information about 
individuals without their consent for a routine use when the 
information will be used for a purpose that is compatible with the 
purpose for which VA collected the information. In all of the routine 
use disclosures described above, the recipient of the information will 
use the information in connection with a matter relating to one of VA's 
programs, will use the information to provide a benefit to VA, or 
disclosure is required by law.
    Under section 264, Subtitle F of Title II of the Health Insurance 
Portability and Accountability Act of 1996 (HIPAA) Public Law 104-191, 
100 Stat. 1936, 2033-34 (1996), the United States Department of Health 
and Human Services (HHS) published a final rule, as amended, 
establishing Standards for Privacy of Individually-Identifiable Health 
Information, 45 CFR Parts 160 and 164. The Veterans Health 
Administration (VHA) may not disclose individually-identifiable health 
information (as defined in HIPAA and the Privacy Rule, 42 U.S.C. 
1320(d)(6) and 45 CFR 164.501) pursuant to a routine use unless either: 
(a) The disclosure is required by law, or (b) the disclosure is also 
permitted or required by the HHS Privacy Rule. The disclosures of 
individually-identifiable health information contemplated in the 
routine uses published in this amended system of records notice are 
permitted under the Privacy Rule or required by law. However, to also 
have authority to make such disclosures under the Privacy Act, VA must 
publish these routine uses. Consequently, VA is publishing these 
routine uses and is adding a preliminary paragraph to the routine uses 
portion of the system of records notice stating that any disclosure 
pursuant to the routine uses in this system of records notice must be 
either required by law or permitted by the Privacy Rule before VHA may 
disclose the covered information.
    The System Manager(s) and Address is amended to account for recent 
organizational changes. The Record Source Categories is updated to 
include VA Medical Centers.
    The Report of Intent to Publish an Amended System of Records Notice 
and an advance copy of the system notice have been sent to the 
appropriate Congressional committees and to the Director of the Office 
of Management and Budget (OMB) as required by 5 U.S.C. 552a(r) (Privacy 
Act) and guidelines issued by OMB (65 FR 77677), December 12, 2000.

    Approved: August 28, 2003.
Anthony J. Principi,
Secretary of Veterans Affairs.
54VA16

SYSTEM NAME:
    Health Administration Center Civilian Health and Medical Program 
Records-VA.

SYSTEM LOCATION:
    Records are maintained at the Health Administration Center (HAC), 
300 South Jackson Street, Denver, Colorado 80209.

CATEGORIES OF INDIVIDUALS COVERED BY THE SYSTEM:
    Categories of individuals covered by the system include the 
following:
    1. Dependents of veterans who seek health care under 38, U.S.C. 
1781, 1802 and 1803, 1813 and Pub. L. 103-446, section 107.
    2. Veterans seeking health care services in a foreign country, 
excluding services provided in Canada and the Philippines, under 38 
U.S.C. 1724.
    3. Veterans receiving community fee for service benefits at VA 
expense under Title 38, U.S.C 1703, 1725 and 1728.
    4. Health care providers treating individuals who receive care 
under 38 U.S.C. 1724, 1781, 1803, 1813, and Pub.L. 103-446 section 107.

CATEGORIES OF RECORDS IN THE SYSTEM:
    Records maintained in the system include medical benefit 
application and eligibility information concerning the veteran and, 
when applicable, their spouse and/or dependent(s), other health 
insurance information, correspondence concerning individuals and 
documents pertaining to claims for medical services, information 
related to claims processing and third party liability recovery actions 
taken by VA and/or TRICARE. The record may include the name, address 
and other identifying information concerning health care providers, 
services provided, amounts claimed and paid for health care services, 
medical records, and treatment and payment dates. Additional 
information may include veteran, spouse and/or dependent identifying 
information (e.g., name, address, social security number, VA claims 
file number, date of birth), and military service information 
concerning the veteran sponsor (e.g., dates, branch and character of 
service, medical information).

AUTHORITY FOR MAINTENANCE OF THE SYSTEM:
    Title 38, United States Code, sections 501(a) and 501(b), 1703, 
1724, 1725, 1728 1781, 1802 and 1803, 1813, and Pub. L. 103-446 section 
107.

PURPOSE(S):
    Records may be used for purposes of establishing and monitoring 
eligibility to receive VA benefits and processing medical claims for 
payment for eligible beneficiaries and veterans.

ROUTINE USES OF RECORDS MAINTAINED IN THE SYSTEM, INCLUDING CATEGORIES 
OF USERS AND THE PURPOSES OF SUCH USES:
    VA may disclose protected health information pursuant to the 
following routine uses where required by law, or required or permitted 
by 45 CFR parts 160 and 164.
    1. Eligibility and claim information from this system of records 
may be disclosed verbally and in writing. For example, disclosure may 
be made via correspondence, call service center or by interactive web 
page, in response to

[[Page 53787]]

an inquiry made by the claimant, claimant's guardian, claimant's next 
of kin or person with whom the claimant has a meaningful relationship, 
health care provider, trading partner or contractor. Purposes of these 
disclosures are to assist the provider or claimant in obtaining 
reimbursement for claimed medical services, to facilitate billing 
processes, to verify beneficiary eligibility for requested services, 
and to provide payment information regarding claimed services. 
Eligibility or entitlement information disclosed may include the name, 
authorization number (social security number), effective dates of 
eligibility, reasons for any period of ineligibility, and other health 
insurance information of the named individual. Claim information 
disclosed may include payment information such as payment 
identification number, date of payment, date of service, amount billed, 
amount paid, name of payee, or reasons for non-payment.
    2. Statistical and other data may be disclosed to Federal, state, 
and local government agencies and national health organizations to 
assist in the development of programs that will be beneficial to health 
care recipients, to protect their rights under the law, and to ensure 
that they are receiving all health benefits to which they are entitled.
    3. VA may disclose on its own initiative any information in this 
system, except the names and home addresses of veterans and their 
dependents, which is relevant to a suspected or reasonably imminent 
violation of law, whether civil, criminal or regulatory in nature and 
whether arising by general or program statute or by regulation, rule or 
order issued pursuant thereto, to a Federal, state, local, tribal, or 
foreign agency charged with the responsibility of investigating or 
prosecuting such violation, or charged with enforcing or implementing 
the statute, regulation, rule or order. On its own initiative, VA may 
also disclose the names and addresses of veterans and their dependents 
to a Federal agency charged with the responsibility of investigating or 
prosecuting civil, criminal or regulatory violations of law, or charged 
with enforcing or implementing the statute, regulation, rule or order 
issued pursuant thereto.
    4. A record from this system of records may be disclosed to a 
Federal agency upon its request for use in the issuance of a security 
clearance, the investigation of an employee, the letting of a contract, 
or the issuance of a license, grant or other benefit by the requesting 
agency, to the extent that the information is relevant and necessary to 
the requesting Agency's decision on the matter.
    5. Disclosure may be made to a congressional office from the record 
of an individual in response to an inquiry from the congressional 
office made at the request of that individual.
    6. Disclosure may be made to National Archives and Records 
Administration (NARA), and the General Services Administration (GSA) in 
records management inspections conducted under authority of title 44 
United States Code.
    7. Any relevant information in this system of records may be 
disclosed to attorneys, insurance companies, employers, and to courts, 
boards, or commissions; such disclosures may be made only to the extent 
necessary to aid VA in preparation, presentation, and prosecution of 
claims authorized under Federal, state, or local laws, and regulations 
promulgated hereunder.
    8. Any information in this system of records may be disclosed to 
the United States Department of Justice or United States Attorneys in 
order to prosecute or defend litigation involving or pertaining to the 
United States, or in which the United States has an interest.
    9. Any information in this system of records may be disclosed to a 
Federal agency or party to an administrative proceeding being conducted 
by a Federal agency, in order for VA to respond to and comply with the 
issuance of an order by that Federal agency requiring production of the 
information.
    10. Any information in this system of records may be disclosed to a 
state or municipal grand jury, a state or municipal court or a party in 
litigation, or to a state or municipal administrative agency 
functioning in a quasi-judicial capacity or a party to a proceeding 
being conducted by such agency, provided that any disclosure of 
claimant information made under this routine use must comply with the 
provisions of 38 CFR 1.511.
    11. Any information concerning the claimant's indebtedness to the 
United States by virtue of a person's participation in a benefits 
program administered by VA, including personal information obtained 
from other Federal agencies through computer matching programs, may be 
disclosed to any third party, except consumer reporting agencies, in 
connection with any proceeding for the collection of any amount owed to 
the United States. Purposes of these disclosures may be to assist VA in 
collection of costs of services provided individuals not entitled to 
such services and to initiate legal actions for prosecuting individuals 
who willfully or fraudulently obtain Title 38 benefits without 
entitlement. This disclosure is consistent with 38 U.S.C. 5701(b)(6).
    12. Any relevant information from this system of records may be 
disclosed to TRICARE, the Department of Defense (DoD) and the Defense 
Eligibility Enrollment Reporting System (DEERS) to the extent necessary 
to determine eligibility for the Civilian Health and Medical Program of 
the Department of Veterans Affairs (CHAMPVA) or TRICARE benefits, to 
develop and process CHAMPVA or TRICARE claims, and to develop cost-
recovery actions for claims involving individuals not eligible for the 
services or claims involving potential third-party liability.
    13. The name and address of a veteran or dependent, and other 
information as is reasonably necessary to identify such individual, may 
be disclosed to a consumer reporting agency for the purpose of locating 
the individual or obtaining a consumer report to determine the ability 
of the individual to repay an indebtedness to the United States by 
virtue of the individual's participation in a benefits program 
administered by VA, provided that the requirements of 38 U.S.C. 
5701(g)(2) have been met.
    14. The name and address of a veteran or dependent, and other 
information as is reasonably necessary to identify such individual, 
including personal information obtained from other Federal agencies 
through computer matching programs, and any information concerning the 
individual's indebtedness to the United States by virtue of the 
individual's participation in a benefits program administered by VA, 
may be disclosed to a consumer reporting agency for purposes of 
assisting in the collection of such indebtedness, provided that the 
requirements of 38 U.S.C. 5701(g)(4) have been met.
    15. In response to an inquiry about a named individual from a 
member of the general public, disclosure of information may be made 
from this system of records to report the amount of VA monetary 
benefits being received by the individual. This disclosure is 
consistent with 38 U.S.C. 5701(c)(1).
    16. The name and address of a veteran or dependent may be disclosed 
to another Federal agency or to a contractor of that agency, at the 
written request of the head of that agency or designee of the head of 
that agency, for the purpose of conducting government research 
necessary to accomplish a statutory purpose of that agency.
    17. Any information in this system of records relevant to a claim 
of a veteran

[[Page 53788]]

or dependent, such as the name, address, the basis and nature of a 
claim, amount of benefit payment information, medical information and 
military service and active duty separation information may be 
disclosed at the request of the claimant to accredited service 
organizations, VA approved claim agents and attorneys acting under a 
declaration of representation, so that these individuals can aid 
claimants in the preparation, presentation and prosecution of claims 
under the laws in the development and presentation of claims for 
benefits administered by VA. The name and address of a claimant will 
not, however, be disclosed to these individuals under this routine use 
if the claimant has not requested the assistance of the accredited 
service organization, claims agent or an attorney.
    18. Any information in this system, including medical information, 
the basis and nature of claim, the amount of benefits and personal 
information may be disclosed to a VA Federal fiduciary or a guardian ad 
litem in relation to his or her representation of a claimant only to 
the extent necessary to fulfill the duties of the VA Federal fiduciary 
or the guardian ad litem.
    19. The individual's name, address, social security number and the 
amount (excluding interest) of any indebtedness which is waived under 
38 U.S.C. 3102, compromised under 4 CFR Part 103, otherwise forgiven, 
or for which the applicable statute of limitations for enforcing 
collection has expired, may be disclosed to the Treasury Department, 
Internal Revenue Service, as a report of income under 26 U.S.C. 
61(a)(12).
    20. The name of a veteran or dependent, other information as is 
reasonably necessary to identify such individual, and any other 
information concerning the individual's indebtedness by virtue of a 
person's participation in a benefits program administered by VA, may be 
disclosed to the Treasury Department, Internal Revenue Service, for the 
collection of Title 38, U.S.C. benefit overpayments, overdue 
indebtedness, and/or costs of services provided to an individual not 
entitled to such services, by the withholding of all or a portion of 
the person's Federal income tax refund.
    21. The name, date of birth and social security number of a 
veteran, spouse or dependent, and other identifying information as is 
reasonably necessary may be disclosed to Social Security Administration 
and Centers for Medicare & Medicaid Services, Department of Health and 
Human Services, for the purpose of validating social security numbers 
and Medicare information.
    22. The name and address of any health care provider in this system 
of records who has received payment for claimed services in behalf of a 
veteran and beneficiary may be disclosed in response to an inquiry from 
a member of the general public.
    23. Relevant information from this system of records may be 
disclosed to individuals, organizations, private or public agencies, 
etc., with whom VA has a contract or agreement to perform such services 
as VA may deem practicable for the purposes of laws administered by VA 
in order for the contractor or subcontractor to perform the services of 
the contract or agreement.
    24. Relevant information from this system of records may be 
disclosed to an accrediting Quality Review and Peer Review Organization 
in connection with the review of claims or other review activities 
associated with VA Health Administration Center accreditation to 
professionally accepted claims processing standards.

POLICIES AND PRACTICES FOR STORING, RETRIEVING, ACCESSING, RETAINING 
AND DISPOSING OF RECORDS IN THE SYSTEMSTORAGE:
    Records are stored electronically, in paper folders, magnetic 
discs, and magnetic tape. Paper documents may be scanned/digitized and 
stored for viewing electronically.

RETRIEVABILITY:
    Paper records are retrieved by name or VA claims file number or 
social security number of the veteran sponsor. Computer records are 
retrieved by name or social security number of the veteran sponsor, 
spouse, and/or dependent, or VA claims file number of the veteran 
sponsor.

SAFEGUARDS:
    Working spaces and record storage areas at the HAC are secured 
during all business and non-business hours. All entrance doors require 
an electronic pass card for entry. The HAC Security Officer issues 
electronic pass cards. HAC staff control visitor entry by door release 
and escort. The building is equipped with an intrusion alarm system 
monitored by HAC security staff during business hours and by a security 
service vendor during non-business hours. Records are stored in an 
electronic controlled storage filing area. Records in work areas are 
stored in locked file cabinets or locked rooms. Access to record 
storage areas is restricted to VA employees on a ``need-to-know'' 
basis. Access to the computer room is generally limited by appropriate 
locking devices and restricted to authorized VA employees and vendor 
personnel. Automated Data Processing (ADP) peripheral devices are 
generally placed in secure areas or are otherwise protected. Authorized 
VA employees may access information in the computer system by a series 
of individually unique passwords/codes.

RETENTION AND DISPOSAL:
    Records are maintained and disposed of in accordance with record 
disposition authority approved by the Archivist of the United States. 
Paper records that are scanned and digitized for viewing electronically 
are destroyed after they have been scanned onto optical disks, and the 
electronic copy determined to be an accurate and complete copy of the 
paper record scanned.

SYSTEM MANAGER(S) AND ADDRESS:
    Director, Business Office (16), Department of Veterans Affairs, 
Veterans Health Administration, VA Central Office, 810 Vermont Avenue, 
NW., Washington, DC 20420. Official Maintaining the System: Director, 
Health Administration Center, Department of Veterans Affairs, PO Box 
65020, Denver, CO 80206-9020.

NOTIFICATION PROCEDURE:
    Any individual who wishes to determine whether a record is being 
maintained in this system under his or her name or other personal 
identifier, or wants to determine the contents of such record, should 
submit a written request to Director, VA Health Administration Center, 
PO Box 65020, Denver, Colorado 80206-9020, or apply in person to the 
Director, VA Health Administration Center, 300 South Jackson Street, 
Denver, Colorado 80209. Inquiries should include the veteran sponsor's 
full name and social security and VA claims file numbers, and the 
spouse or dependent's name, social security number and return address.

RECORD ACCESS PROCEDURES:
    An individual who seeks access to records maintained under his or 
her name in this system may write or visit the Director, VA Health 
Administration Center.

CONTESTING RECORD PROCEDURES:
    (See Record Access Procedures above.)

RECORD SOURCE CATEGORIES:
    The veteran sponsor, spouse and/or dependent, military service 
departments, private medical facilities and health care professionals, 
electronic trading partners, contractors, DoD,

[[Page 53789]]

TRICARE, DEERS, other Federal agencies, VA Regional Offices, Veterans 
Benefits Administration (VBA) automated record systems, and VA Medical 
Centers.

[FR Doc. 03-23259 Filed 9-11-03; 8:45 am]
BILLING CODE 8320-01-P