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


59 MDW: Life-saving program hits milestone

U.S. Air Force Capt. Travis Burchfield, 59th Medical Wing critical care nurse, and U.S. Army Capt. Matthew Wood, Brooke Army Medical Center staff nurse, discuss transporting a patient on extracorporeal membrane oxygenation at Sentara Heart Hospital, Norfolk, Va., Feb. 7, 2022. ECMO requires a heart-lung machine that removes carbon dioxide and oxygenates the blood before pumping it back through the body allowing the heart and lungs to heal. (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
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