W. J. Stanley, Director/PASO -7- f. Serve as one point of interface with Marshall Islands Government personnel. , g. Monitor all claims under DOE/TTPI medical referral subsistence agreement, and insure prompt resolution of claims problems. A DOE representative may not be needed on every trip to Rongelap and Utirik especially if there is no shift in policy or the department has nothing new to convey to the people. This should be decided on a case by case basis before each trip. Exceptions should not be made by DOE/BNL regarding treatment of peoplewho are not on the BNL roster. This, or course, is not meant to apply to these persons treated on island by BNL or to the referral function of anyone sick enough to warrant being sent to Majuro or Ebeye facilities. The recommendation is made because for every exception the question can legitimately be raised by anyone that if exceptions are made for several people why shouldn't they be made for any sick person who needs to be treated outside the Marshalls. The Secretary of Health Services in the Marshalls expressed his displeasure that BNL referral had made arrangements at Children's Hospital in Honolulu for a boy with an orthopedic problem in his elbow. His point was that the Marshalls Government was forced into paying the transportation and medical costs for a patient not cleared through his medical referral committee in Majuro. Limited referral funds are used on a selective basis by this committee, at least in theory. Crigkan Juncd oy HU. BLOVIN H. U. Brown OP-607 Program Liaison Officer HUB: jhf cc: Roger Ray, DPO, NV Dr. Bruce Wachholz, EV/HQ N. Greenhouse, BNL R. Miltenberger, BNL C. E. Otterman, U.S. Oceanography Dr. Hugh Pratt, BNL Dr. Walter Weyzen, OHER/HQ