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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ECMO mission


220207-F-DO548-1001

U.S. Army Maj. Daniel Wingo, Brooke Army Medical Center intensivist, and U.S. Air Force Capt. Douglas Mulliner, 775th Expeditionary Aeromedical Evacuation Flight critical care air transport team lead, discuss a patient’s vitals on-board a C-17 Globemaster III en-route to Joint Base San Antonio-Lackland, Texas, Feb. 7, 2022. ECMO is performed to maximize the survival of patients who are at an increased risk of dying from heart or lung failure. (U.S. Air Force photo by Airman 1st Class Joshua Rosario)

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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.
Airman 1st Class Joshua Rosario
220207-F-DO548-1003.JPG

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