The most recent appropriations for the Department of War expired at 11:59 p.m. EST on September 30, 2025. Military personnel will continue in a normal duty status without pay until such time as a continuing resolution or appropriations are passed by Congress and signed into law. Civilian personnel not engaged in excepted activities will be placed in a non-work, non-pay status.
If you have a scheduled appointment or other business at the MTF, please verify with your provider or applicable office within the MTF to ensure there are no changes in schedule. To learn how the lapse in appropriations affects your TRICARE benefit, visit tricare.mil/shutdown.

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The Extracorporeal Membrane Oxygenation team from the 59th Medical Wing and Brooke Army Medical Center, Joint Base San Antonio-Fort Sam Houston, Texas, came together to turn a critically ill patient with lung failure by using the functions on a specialty bed with staff at the University Medical Center of El Paso, Texas, Oct 23, 2023. The Department of Defense’s only ECMO team possesses the capability for global transports of all service members. Additionally, the team can transport civilian patients through the Secretarial Designee program or with the Secretary of the Air Force’s approval. (Courtesy photo by the medical team)

Feb. 6, 2024

DOD’s first dual-patient ECMO C-17 transport

JOINT BASE SAN ANTONIO-FORT SAM HOUSTON, Texas — The Department of Defense’s only Extracorporeal Membrane Oxygenation (ECMO) team travelled to El Paso, Texas, on Oct. 23, 2023, to support a civilian patient with acute respiratory distress syndrome. The ECMO team, located at Brooke Army Medical Center possesses the capability for global transports of all service members. Additionally, the team may also transport civilian patients through the Secretarial Designee program or with the Secretary of the Air Force’s approval. Once approval is granted, the medics use any means necessary to quickly reach the patient.

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