Security Assistance Management Manual E-Change 712 
Use of Supplemental Overseas Humanitarian, Disaster, and Civic Aid Funding

1. Update SAMM Chapter 12 by replacing Section C12.3.4.6. and subsections as follows:

   Existing SAMM text:

   C12.3.4.6. Assistance to PN Security Forces. OHDACA-funded activities shall not benefit foreign security forces (to include militaries or paramilitary groups) unless the ultimate beneficiary of the activity is the civilian populace and the security force has an official role in providing humanitarian services directly to the public, such as an emergency response, medical mission, or humanitarian demining mission. Restriction of HA to non-military organizations minimizes risk that the assistance might be diverted by the PN for a non-humanitarian purpose. DoD must be unable to accomplish the same humanitarian objective by assisting a non-security force; and the assisted security force will exclusively use the provided equipment or facility for humanitarian purposes (see Section C12.3.4.1.). Whenever possible, OHDACA-procured equipment, supplies, and facilities will be transferred to a PN civilian agency rather than a PN security force. CCMDs must identify the PN military unit or personnel to receive the training or equipment in the PSF. Also, the training should not be limited to only military participants. HRV of assisted security force individuals and units must be completed before the CCMD provides the proposed assistance (See Section C12.3.5.2.).

   C12.3.4.6.1. Medical Engagements with PN Security Forces. Project nominations which will involve PN military or security force personnel receiving medical training, equipment, or supplies will include written verification from the PN Ministry of Health (MoH) that the security force personnel are responsible for providing medical assistance to the civilian population. Equipping or support to military hospitals may be permissible if the facility is the primary medical treatment facility available to civilian populations and the facility provides medical services to the entire population without regard to the patient's military status or relationship to a military member (i.e., civilian patients must not be served on a space-available basis). Military hospital renovation or equipping project nominations should include a written statement from the PN MoH confirming that the military facility is responsible for providing care to the civilian population and is the most appropriate facility to receive the intended equipment or support.

    

   Revised SAMM text:

   C12.3.4.6. Assistance to Partner Security Forces. Whenever possible, legal title/ownership of OHDACA-procured equipment and supplies will be transferred to a partner civil government agency rather than a partner security force; and OHDACA-funded construction services will support a partner civil government agency facility rather than a partner security force facility. Provision of HA to non-military organizations minimizes risk that the assistance might be diverted by the partner away from a humanitarian purpose. OHDACA-funded activities shall not benefit foreign security forces (to include militaries or paramilitary groups) unless the ultimate beneficiary of the activity is the civilian populace and the security force has an official role in providing humanitarian services directly to the public, such as emergency response, medical and public health services, or humanitarian demining. DoD must be unable to accomplish the same humanitarian objective by assisting civil authorities; and the assisted security force must exclusively use the provided equipment or facility for humanitarian purposes (see Section C12.3.4.1.). CCMDs must identify the partner military unit or personnel to receive the proposed support in the PSF. Provision of OHDACA-funded training to military participants should also be open to civil agency participants. Human rights vetting (HRV) must be completed of assisted security force units or individuals before the CCMD provides the proposed assistance (See Section C12.3.5.2.).

   C12.3.4.6.1. Support to partner Security Force Healthcare Facilities. CCMDs shall prioritize building the capacity of partner Ministry of Health (MoH) and municipal/local civil government agencies to provide healthcare services over supporting security force or military healthcare facilities. A CCMD proposal to provide equipment, supplies, or facility renovation services to a partner security force healthcare facility is only permissible if (1) the security force facility provides equitable access to healthcare services to civilian populations without regard to the patient's military status or relationship to a military member and (2) DoD assistance to the specified security force or medical healthcare facility is the only feasible means to support the MoH's responsibility to provide health services to civilians in that geographic area. For example, DoD support to a military healthcare facility which provides equitable access to all persons may be the only feasible means for supporting the partner's ability to provide health services if there are no civilian government healthcare facilities in the area. Except for repair-by-replacement construction in which a replacement facility is to be constructed in the same location as the facility to be replaced, construction efforts in support of a security force or military healthcare facility will be limited to repair of existing facilities. A proposal to provide equipment, supplies, or construction services to a PN security force healthcare facility will include:

   C12.3.4.6.1.1. A factual validation by the SCO that the specified security force healthcare facility provides healthcare services equitably to all members of the population and without regard to a patient's military status or relationship to a military member (i.e., all civilians, including civilians unaffiliated with the military are provided the same access to treatment as the partner's military and their family members); and

   C12.3.4.6.1.2. A written statement from the partner MoH confirming that the proposed U.S. DoD support to the specified security force healthcare facility will enable the partner to provide essential healthcare to the civilian population in a geographic area which lacks civilian government healthcare agency facilities; and (if repair-by-replacement construction is proposed) that the MoH or civilian government healthcare agency is unable to accept ownership of a U.S. DoD-funded healthcare facility at any location for the benefit of that civilian population. Obtaining such a statement from the MoH may be challenging and pursuit of repair-by-replacement construction of a PN security force healthcare facility should be rare.