BOP Program Statement 6010.06 § 3

a. The Assistant Director, Health Services Division, is responsible for all policies and

activities related to the mission of the division. This includes:

 Managing human resources for the division.

 Directing budget planning and fiscal control.

 Regularly inspecting institution health care facilities and programs.

 Coordinating research activities related to health care.

The Office of the Assistant Director is staffed by the Assistant Director, Medical Director, Senior

Deputy Assistant Director, Executive Assistant, and Administrative Officer.

b. The Medical Director, as the final health care clinical authority for the Bureau, is

responsible for all health care delivered by Bureau health care practitioners and U.S. Public

Health Service (PHS) officers, as well as establishing health care programs. Under 18 U.S.C. §

4005, the Bureau is authorized to request assignment of PHS officers to assist with the direct

delivery of health care.

The Assistant Director and Medical Director provide consultation and guidance to the Regional

Directors and Wardens to deliver medically necessary health care to inmates effectively, in

accordance with proven standards of care, without compromising public safety concerns inherent

to the Bureau’s overall mission.

The Regional Medical Director privileges and provides clinical oversite to physicians selected as

Clinical Specialty Consultants, who are responsible for clinical guidance in their respective

regions.

c. The Senior Deputy Assistant Director has oversight authority for non-clinical medical

operations as well as the Food Service and Occupational Safety and Health branches.

d. HSD Planning and Goals. HSD will establish measurable goals and objectives for the

Bureau’s medical/mental health programs that are reviewed at least annually and updated as

needed. The Bureau’s strategic planning process will be used to review the goals and objectives.

e. Regional Office. As supervisory staff, Regional Health Systems Administrators (RHSAs)

serve as principal advisors to the Regional Director and Senior Deputy Regional Director in all

matters related to health care delivery. The primary responsibilities of the RHSAs include:

 Develop suggestions for policy revisions.

 Perform management assessments.

6010.06 9/3/2026 PROPERTY OF US GOVERNMENT 4

 Prepare responses to correspondence and BP-230, Regional Administrative Remedy

Appeal (BP-10) forms.

 Respond to health care problems at all institutions within their respective region.

 Provide advice to Regional Directors in all matters related to health care delivery.

RHSAs must be knowledgeable regarding:

 Equal Employment Opportunity (EEO) and recruitment.

 American Correctional Association (ACA) standards.

 Accreditation standards.

 Acceptable standards of medical practice to recommend changes and improvements.

f. Health Services Unit (HSU). The primary objective of institutional health services

personnel is the delivery of health care to inmates committed to the care and custody of the

Attorney General. The HSU’s organization will vary among institutions depending on their

security levels and missions.

The HSU at each local institution will have a CD and an HSA, who reports to the Warden or

Associate Warden. Specific functions of the CD and HSA are described in subsequent sections.

All HSUs will participate in the Bureau’s Program Review process to assess the achievement of

goals and objectives.

The CD and the HSA will review all HSU local policies and procedures annually and revise, if

necessary. The reviewers will sign and date each local policy/procedure revised.