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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Image of a group of medical professionals posing for a photo.


Air Force SMART program sustains readiness and currency through tailored training

The cadre of Air Force medical instructors who are embedded within University Medical Center of Southern Nevada in Las Vegas, Nevada, pose for a photo on Oct. 24, 2022. These medical instructors are part of the Air Force’s Sustained Medical and Readiness Trained, or SMART, program, which is one of U.S. Air Force School of Aerospace Medicine’s five geographically separated units. These instructors include operating room technicians, anesthesiologists, emergency room nurse, and administrative specialist to name a few. The SMART program ensures Air Force medics receive the appropriate clinical currency to retain their readiness. (Courtesy photo)

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University Medical Center of Southern Nevada Public Affairs
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