2. MARCO REFERENCIAL
2.1 MARCO TEORICO
3-72. The OTSG is responsible for the centralized funding, management, and distribution of medical P&D materiel for early deploying medical units at EAB deploying in the first 31 days of an operation. The OTSG is the release authority for its contingency programs. In 1997, the OTSG designated the USAMMA to execute these programs, which include the—
z Centrally Managed Medical Potency and Dated Materiel Program.
z Medical Chemical, Biological, Radiological, and Nuclear Defense Materiel. z Reserve Component Hospital Decrement (RCHD).
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ENTRALLYM
ANAGEDM
EDICALP
OTENCY ANDD
ATEDM
ATERIELP
ROGRAM3-73. The USAMMA developed the Centrally Managed Medical P&D Materiel Program that provides UDPs for early deploying EAB medical units deploying from CONUS home stations. Unit deployment package is a term coined within the Centrally Managed Medical P&D Materiel Program that represents a unit’s basic load of medical P&D materiel. In the event of a deployment, this program gives USAMMA the ability to push UDPs (minus support kit items) to early deploying EAB medical units at home station or another location. The UDP quantities are based on the same unit days of supply schedule as the unit assemblages (UAs) the unit is authorized. The USAMMA AWRS stocks, in conjunction with theater SIMLM operations, support and maintain the medical requirements of deployed units after initial issue of a UDP.
3-74. A UDP consists of medical and nonmedical P&D materiel with medical unit assemblage group codes 1 and 4 through 9 and a shelf-life code (SLC) of less than 60 months (SLC A through H, J through N, P through S for Type I NSNs, and 1 through 9 for Type II NSNs). Regular Army, Reserve Component, and National Guard early deploying EAB units will receive Type I and II medical, as well as nonmedical UDP items (medical unit assemblage group 1) with a shelf life of less than 60 months.
3-75. Strategies for providing this materiel include the positioning of supplies at various CONUS and OCONUS locations and contracting for specific NSN items. Based on the time phased force and deployment list and projected funding, the USAMMA develops UDP requirements by P&D NSNs in UAs for generic early deploying EAB medical unit through deployment plus 31. The OTSG is the release authority for this materiel and the UDPs are released at no cost for validated EAB units that deploy on or before deployment plus 31 of a declared contingency operation or conflict. The UDPs may also be released to support humanitarian relief efforts.
3-76. While the Centrally Managed Medical P&D Materiel Program will provide materiel to those units deploying on or before deployment plus 31, units must keep in mind that the time phased force and deployment list is a flexible and fluctuating schedule. Should a unit with an initial deployment date sooner than deployment plus 31 suddenly find itself deploying beyond deployment plus 31, that unit will be deleted from USAMMA’s list of units scheduled to receive a UDP. Therefore, units must plan appropriately.
3-77. The Centrally Managed P&D Materiel Program does not include support kits for authorized UA equipment. Medical P&D support items are now recognized components of the UA and as such are
components of the UDP. Refer to SB 8-75 S7 for definitive information pertaining UDPs and the Centrally Managed P&D Materiel Program.
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EDICALC
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IOLOGICAL,R
ADIOLOGICAL ANDN
UCLEARD
EFENSEM
ATERIEL3-78. The OTSG sustains the initial issue inventory of consumable medical CBRN materiel countermeasures for all Army Forces that deploy in support of GCC theater-strategic and operational requirements. These countermeasures provide the individual Soldier with the capability to administer self- aid or buddy aid or combat lifesaver care to treat injuries resulting from CBRN warfare agents. The OTSG also sustains the initial issue of P&D CBRN items for the MES, Chemical Agent Patient Treatment, which provides deploying medical units with the capability to treat and protect chemical casualties.
3-79. The USAMMA was designated by the OTSG to execute the program and act as the Army Program Manager for the initial issue MCDM for Soldiers and the MES, Chemical Agent Patient Treatment. The USAMMA is responsible for the acquisition, storage, release, and overall accountability of Army-owned initial issue MCDM stock. The USAMMA tracks materiel stockpiled by lot number and expiration date and provides this information to the OTSG for budgeting, replacement of the materiel, and readiness. 3-80. The initial issue P&D MCDM assets are strategically stored at select SSA/MTFs throughout the world, based on the Army Campaign Plan. The OTSG and USAMMA determine the MCDM inventory at each SSA/MTF based on requirements needed to support deploying units and forward deployed forces. 3-81. The MCDM points of contact at the SSAs/MTFs are the accountable item managers for the initial issue MCDM stock. They are responsible for the physical accountability and management of materiel placed in their care. The SSA/MTF MCDM point of contact is responsible for identifying MCDM stock levels at their locations according to their deployment forecast and will release initial issue MCDM to deploying and forward deployed forces as required, at no cost, and when authorized by OTSG. Refer to SB 8-75 S7 for definitive information concerning this program. See Appendix F for information related to MEDLOG considerations in a CBRN environment.
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ESERVEC
OMPONENTH
OSPITALD
ECREMENT3-82. In April 1993, the USAMMA was tasked with the mission of managing the RCHD program. General responsibilities for this program include the modernization, sustainment, care of supplies in storage, preparation of decrement feeder data reports, and the coordination of materiel movement.
3-83. The RCHD stocks consist of Deployable Medical Systems (DEPMEDS) MMSs and medical and nonmedical associated support items of equipment. The RCHD Program does not include other support equipment such as trucks and communications equipment. The RCHD stocks are used to bring the Army Reserve Component units from their peacetime authorized levels to their full required level for MMSs and medical and nonmedical associated support items of equipment. These RCHD stocks serve as a decrement to a unit’s minimum essential equipment for training sets. The RCHD is the difference between the required and authorized materiel on the modified TOE for MMSs and associated support items of equipment.
3-84. The OTSG directs the release of RCHD materiel in coordination with Forces Command and the US Army Reserve Command to meet contingency, emergency, and peacetime requirements. Forces Command develops deployment plans for RCHD units and provides guidance to the US Army Reserve Command. Refer to SB 8-75 S7 for additional information pertaining to the RCHD Program.
SECTION X — HOST-NATION SUPPORT
3-85. Host-nation support is the civil and military assistance provided by host nations to multinational forces and organizations. This support may occur in any operational environment. The US continues to rely on allies to supplement the organic support capabilities of its forces. Host-nation support in an MCO may be used in such areas as transportation, maintenance, construction, civilian labor, communications, facilities, utilities, air/seaport operations, sustainment area security, and the movement of US forces and materiel between the ports of debarkation and operational areas. The location of forces on the battlefield
generally determines whether you can use host-nation support. Secure areas are ideal for this support. In an austere theater, host-nation support may be used wherever needed. Army Regulation 570-9 outlines DA policies and responsibilities for host-nation support. In the past, US forces relied on organic support. Today, logisticians must keep abreast of agreements on how host-nations can help support the operation logistically.