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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U.S. Air Force Maj. (Dr.) Dominick Vitale, Brooke Army Medical Center critical care/trauma surgeon, was recently awarded the Distinguished Flying Cross with “C” device for his actions during a Critical Care Air Transport Team mission, Aug. 26, 2021. Vitale and his team were on the first aircraft to land and evacuate the severely injured following a suicide bombing near Hamid Karzai International Airport, Kabul, Afghanistan. (DoD photo by Jason W. Edwards)


230118-D-HZ730-0098

U.S. Air Force Maj. (Dr.) Dominick Vitale, Brooke Army Medical Center critical care/trauma surgeon, was recently awarded the Distinguished Flying Cross with “C” device for his actions during a Critical Care Air Transport Team mission, Aug. 26, 2021. Vitale and his team were on the first aircraft to land and evacuate the severely injured following a suicide bombing near Hamid Karzai International Airport, Kabul, Afghanistan. (DoD photo by Jason W. Edwards)

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