Summary of Updates

Section	Date	Summary of Change
Chp. 12	Jun. 08	Updated Other Funding Documents and the Financial Structure for Funded Reimbursables.
Chp. 11	Jun. 08	Updated Purchase Card Policy and Delegation Document.
Welcome Page, Preface	Mar. 08	Supplemental guidance on RMDG update process and addition of Preface to show process flow for updates.
Chp. 7	Jan. 08	Updated to reflect Budget Activity Group (BAG) Funds Control guidance.
Appendices	Jan. 08	Appendix J has been updated to provide the most current information.
Chp. 7	Dec. 07	Updated to reflect changes to the conference travel and approval guidance.
Chp. 10	Sep. 07	Updated to reflect recent changes by DoD and to provide more detailed procedures for managing and executing the Missing, Lost, Stolen, Recovered (MLSR) program at all levels of command.
Chp. 9	Sep. 07	Updated to provide new guidance in compliance with changes in FMR on safekeeping of funds and valuables and the appointment and responsibilities of Custodians.
Appendices	Apr. 07	Appendices A through N have been updated to provide the most current information.
Chp. 9	Jan. 07	Represents a complete rewrite to address new processes and procedures. Contents should be reviewed in its entirety. Incorporated changes from the revised DoD 6010.15-Military Treatment Facilities Uniform Business Office (UBO) Manual (Released in NOV 2006) Expanded collection agent audit protocol to include additional exhibits and examples. Expanded “compliance” section to include updated checklists and performance metrics. Added guidance on the management of reimbursables. Updated organizational codes throughout. Updated chapter to depict Navy Medicine Regional Commands’ involvement in the chain-of-command. Updated term “HSO” to Regional Commands. Updated terms “Claimant & Claimancy” to Budget Submitting Office (BSO 18).
Chp. 10	Dec. 06	Updated to reflect current regulations and procedures.
Chp. 8	Dec. 06	Represents a complete rewrite to address new processes and procedures. Contents should be reviewed in its entirety. Updated organizational codes throughout Updated chapter to depict Navy Medicine Support Command (NMSC) involvement in the chain of command Updated term “HSO” to Regional Commands Changed references to Maintenance and Repair Program (MRP) to Facility Sustainment, Modernization, and Restoration. (SRM) Updated Appendix A, list of R&D related Definitions Added Appendix B, list of R&D related Budget Activities Added section pertaining to “Severability” Updated section on RDT&E Budget Exhibits Deleted Benchmark exhibit and reworded section Insertion of Financial Planning System (FPS) as the one R&D financial system
Chp. 7	Dec. 06	Addition of new sections on: Payment of Fees for Guest Lecturers Continuing Education (CE) Professional Update Training (PUT) Optimal Use of Funds Source of Funds Claimancy 18-Funded Activities. Nonclaimancy 18-Funded Activities Attendance at Personal Expense All or None Funding Reductions in Per Diem Registration Fees Shared or Split Funding Religious Offering Fund (ROF) Evacuation and Adverse Conditions
Chp. 6	Dec. 06	Expanded guidance on Document standardization and Standard document numbers. Expanded guidance on Unauthorized Commitments. Made changes to reflect current DFAS organization. (Operating Locations (OPLOCs) are now referred to as “Field Sites”). Table 1 was updated to reflect the command title change from “Naval Medical Education & Training Command” (NMETC) to Navy Medicine Manpower, Personnel Training Education (NMMPTE). All references to BUMED codes throughout chapter 6 have been changed to coincide with current BUMED organizational codes. (Includes charts, tables, exhibits, and text) General ledger account codes and definitions have been updated to reflect the United States Government General Ledger account numbers and definitions. Appointment letters were edited to reflect current references. Revisions were made to the “Financial Reporting and Review Requirements” table to reflect current requirements and their associated time intervals. Updated chapter to depict Navy Medicine Regional Commands in the chain of command Changed references to Maintenance and Repair Program (MRP) to Facility Sustainment, Modernization/ Restoration. (SRM)
Chp. 12	Dec. 06	A complete rewrite to address new processes and procedures. Contents should be reviewed in its entirety.
Chp. 5	Dec. 06	Changed “Claimant” to “Budget Submitting Office” (BSO). Changed “HSO” to “Regional Commander” throughout. Updated tables and exhibits. Replaced Tri Annual Review Confirmation form and checklists. Replaced IMPAC Card with Government Purchase Card.
Chp. 11	Dec. 06	Replaced “Purchase Card desk guide” with Purchase Card Instruction (NAVSUPINST 4200.99)” Replaced “Claimancy/Claimant” with “Budget Submitting Office” (BSO). Replaced “desk guide” with “instruction”. Replaced “EBUSOFF” with “Consolidated Card Program Management Division (CCPMD). Replaced “PMAAP” with “PMAP” in acronyms section. Rewrote section to address use of government funds to purchase basic kitchen appliances and refreshments to reflect current regulations.
Chp. 4	Dec. 06	Represents a complete rewrite to address new processes and procedures. Contents should be reviewed in its entirety. Replaced “General Accounting Office” with “Government Accountability Office”. Replaced “Naval Medicine” with “Navy Medicine” Replaced “Claimancy/Claimant” with “Budget Submitting Office” (BSO). Replaced “Healthcare Support Office (HSO)” with “Navy Medicine Regional Command” Replaced “Planning, Programming, Budgeting System” (PPBS) with “Planning, Programming, Budgeting, and Execution” (PPBE). Changed “Resource Sponsor N931” to “N4”. Revised chart 1 to reflect title change from “CINCs” to “COCOMs”. Revised chart 4 to reflect title change from “CINCs” to “COCOMs”. Revised chart 5 to reflect current BUMED organization. Made changes to reflect current DFAS organization, (Operating Locations (OPLOCs) are now referred to as “Field Sites”). Added new sections on: Program Assessment Rating Tool (PART). National Security Personnel System (NSPS). OMB budget process. BUMED Business Planning Tool (BBPT). Deployment Operational Medical Support. “Naval School of Health Sciences” (NSHS) changed to “Navy Medicine Manpower , Personnel, Training and Education” (NMMPTE). Replaced “MRP” with “Facilities Sustainment, Restoration/Modernization” (SRM). Updated information in Table 3 to reflect the most current Inflation Category Codes and rates. Added Defense Emergency Response Fund (DERF) to list of “appropriations managed”. All references to BUMED organizational codes have been updated to reflect recent organizational changes. (Charts, tables, exhibits, and text) General ledger account codes and definitions have been updated to reflect the United States Government General Ledger account numbers and definitions. Appointment letters were updated to reflect current references. Processes addressed in the chapter were validated. Revisions were made to the “Financial Reporting and Review Requirements” table to reflect current requirements and their associated time intervals. Incorporated information relative to civilian personnel issues to be considered during budget preparation and execution.
Chp. 3	Dec. 06	Incorporated definitive guidance and explanation of the elements contained in a Line Of Accounting (LOA). Updated organizational codes at BUMED and changes in the FY-07 supplemental financial guidance to reflect current Navy Medicine organization.
Chp. 2	Dec. 06	Expanded sections 2.3. “Public Law” to include explanation of appropriation Law classifications relative to Purpose, Time, and Amount. Included discussion on “bona fide need’ and how to determine what year’s appropriation to use when funding scope changes and amending contracts. Changed threshold for maintenance and repair projects from $100,000 to $200,000. Removed all references to Navy Stock Fund. Replaced references to HSO with Navy Medicine Regional Command. Replaced “MRP” with Facilities Sustainment and Restoration/Modernization (SRM). Added additional Tables. Updated organizational structure to comply with SECNAVINST 7000.27A. Replaced “General Accounting Office” with “Government Accountability Office”. Replaced “Planning, Programming, Budgeting System” (PPBS) with “Planning, Programming, Budgeting, and Execution” (PPBE).
Chp. 1	Dec. 06	Expanded Organizational Stucture section to comply with SECNAVINST 7000.27A. Replaced “General Accounting Office” with “Government Accountability Office”. Replaced “Planning, Programming, Budgeting System” (PPBS) with “Planning, Programming, Budgeting, and Execution” (PPBE). Replaced “MRP” with “Facilities Sustainment, Restoration/Modernization” (SRM).
Chp. 5	Sep. 04	Changes reflect current DFAS organization. Revised chapter to reflect activity name changes implemented by DFAS; Operating Locations (OPLOCs) are now referred to as “Field Sites”. Table 1 was updated to reflect the command title change from “ Naval School of Health Sciences” (NSHS) to “Naval Medical Education & Training Command” (NMETC). Added Defense Emergency Response Fund (DERF) to list of “appropriations managed”. All references to BUMED codes throughout chapter 5 have been changed to coincide with current BUMED organizational codes. (Includes charts, tables, exhibits, and text) General ledger account codes and definitions have been updated to reflect the United States Government General Ledger account numbers and definitions. Appointment letters were edited to reflect current references. Revisions were made to the “Financial Reporting and Review Requirements” table to reflect current requirements and their associated time intervals.
Chp. 10	Mar. 04	BUMED organizational codes and Investment Equipment threshold were updated.
Chp. 2	Mar. 04	Investment Equipment threshold was updated.
Chp. 12	Nov. 03	Reimbursable Work Order Guide for BUMED Activities was added.
Chp. 11	Nov. 03	Purchase Card Guidance was added.
1.2.1.	Oct. 03	Reference was updated to reflect the issuance of a recent change to SECNAVINST 7000.27. Side-by-Side Comparison...
2.5.1.1.	Oct. 03	Table 5 chronicles expense/investment rules. Side-by-Side Comparison...
Chp. 7	Oct. 03	Changes include the addition of guidance on Non-Medical Attendance Travel, the Clinical Investigation Program (CIP), and updates to the Morale, Welfare, and Recreation (MWR) program.
Chp. 6	Oct. 03	Changes include the addition of a Standard Document Number (SDN) Policy that provides comprehensive guidance for constructing SDNs for all types of documents.
Appendix J	Feb. 03	Appendix J, NAV COMPT Manuals, has been deleted. Manuals are no longer in effect. Side-by-Side Comparison...
Appendix II, chp. 9	Dec. 02	The PATCAT table has been updated to provide the most current information.
1.2.1.	Oct. 02	Establishment of Comptroller Organization. Side-by-Side Comparison...
1.2.1.	Aug. 02	SECNAVINST 7000.27 is the controlling regulation for establishment of comptroller organization. Side-by-Side Comparison...
2.5.1.1.	Aug. 02	Table 4.1 chronicles expense/investment rules. Side-by-Side Comparison...
5.1.	Aug. 02	General Fund Management — Overview now identifies the number of appropriations. Side-by-Side Comparison...
7.29.10.	Aug. 02	The Use of Non-Public Information section has been updated to incorporate additional program information and guidance on collecting and depositing fees. Side-by-Side Comparison...

Summary of Recent Updates