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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Doctor photographs patient's facial mask


59 MDW: Art, medicine merge in patient care

U.S. Army Major (Dr.) Steven Handel (right), maxillofacial prosthodontist, photographs Sergeant 1st Class Randolph Adams’ compression mask and facial prosthetic, Sept. 2, 2021 at the Air Force Postgraduate Dental School on Joint Base San Antonio-Lackland, Texas. Compression masks are used to reduce swelling. In this case, Handel and a team of medical staff added facial contours and other touches to create a mask that was more representative of Adams’ pre-surgical anatomy. (U.S. Air Force photo by Tech. Sgt. Tory Patterson)

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Capt. Jesus Silvas, a microbiologist with the U.S. Army Reserve Medical Command assigned to the 59th Medical Wing’s Office of Research and Technology Applications, and Dr. Israel Guerrero, a virologist with Texas Biomedical Research Institute, speak to students Aug. 7, 2025, at Mendez Elementary School in San Marcos, Texas
Capt. Jesus Silvas, a microbiologist with the U.S. Army Reserve Medical Command assigned to the 59th Medical Wing’s Office of Research and Technology Applications, shows students a Biosafety Level 4 Positive Pressure Suit Aug. 7, 2025, at Mendez Elementary School in San Marcos, Texas, as Dr. Israel Guerrero, a virologist with Texas Biomedical Research Institute, explains its use.
Tech. Sgt. Tory Patterson
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