Page:United States Statutes at Large Volume 124.djvu/2936

124 STAT. 2910 PUBLIC LAW 111–281—OCT. 15, 2010 in the 48 contiguous States and the District of Columbia and that lacks public access roads to the mainland and is referred by a primary care physician to a specialty care provider (as defined in section 1074i(b) of title 10) on the mainland who provides services less than 100 miles from the location where the beneficiary resides, the Secretary shall reimburse the reasonable travel expenses of the covered beneficiary and, when accompaniment by an adult is necessary, for a parent or guardian of the covered beneficiary or another member of the covered beneficiary’s family who is at least 21 years of age.’’. (b) CLERICAL AMENDMENT.—The analysis for such chapter is amended by adding at the end the following: ‘‘518. Reimbursement for medical-related travel expenses for certain persons resid- ing on islands in the continental United States.’’. SEC. 204. COMMISSIONED OFFICERS. (a) ACTIVE DUTY PROMOTION LIST.—Section 42 of title 14, United States Code, is amended to read as follows: ‘‘§ 42. Number and distribution of commissioned officers on active duty promotion list ‘‘(a) MAXIMUM TOTAL NUMBER.—The total number of Coast Guard commissioned officers on the active duty promotion list, excluding warrant officers, shall not exceed 7,200; except that the Commandant may temporarily increase that number by up to 2 percent for no more than 60 days following the date of the commis- sioning of a Coast Guard Academy class. ‘‘(b) DISTRIBUTION PERCENTAGES BY GRADE.— ‘‘(1) REQUIRED.—The total number of commissioned officers authorized by this section shall be distributed in grade in the following percentages: 0.375 percent for rear admiral; 0.375 percent for rear admiral (lower half); 6.0 percent for captain; 15.0 percent for commander; and 22.0 percent for lieutenant commander. ‘‘(2) DISCRETIONARY.—The Secretary shall prescribe the percentages applicable to the grades of lieutenant, lieutenant (junior grade), and ensign. ‘‘(3) AUTHORITY OF SECRETARY TO REDUCE PERCENTAGE.— The Secretary— ‘‘(A) may reduce, as the needs of the Coast Guard require, any of the percentages set forth in paragraph (1); and ‘‘(B) shall apply that total percentage reduction to any other lower grade or combination of lower grades. ‘‘(c) COMPUTATIONS.— ‘‘(1) IN GENERAL.—The Secretary shall compute, at least once each year, the total number of commissioned officers authorized to serve in each grade by applying the grade dis- tribution percentages established by or under this section to the total number of commissioned officers listed on the current active duty promotion list. ‘‘(2) ROUNDING FRACTIONS.—Subject to subsection (a), in making the computations under paragraph (1), any fraction shall be rounded to the nearest whole number. ‘‘(3) TREATMENT OF OFFICERS SERVING OUTSIDE COAST GUARD.—The number of commissioned officers on the active duty promotion list below the rank of rear admiral (lower Applicability. 14 USC 461.