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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Lt. Col. Valerie Sams, 59th Medical Wing trauma surgeon, performs an ultrasound to monitor a patient during a 20-hour direct flight from Bagram Airfield, Afghanistan to San Antonio, Texas, Aug. 18, 2019. This unique aerial mission providing around-the-clock patient care was refueled twice in-air, supported by multiple pilots, aircrew and joint service teams of medics working in shifts to maintain the highest level of care possible. (U.S. Air Force photo by Airman 1st Class Ryan Mancuso)


No effort spared to bring home seriously wounded Soldier

Lt. Col. Valerie Sams, 59th Medical Wing trauma surgeon, performs an ultrasound to monitor a patient during a 20-hour direct flight from Bagram Airfield, Afghanistan to San Antonio, Texas, Aug. 18, 2019. This unique aerial mission providing around-the-clock patient care was refueled twice in-air, supported by multiple pilots, aircrew and joint service teams of medics working in shifts to maintain the highest level of care possible. (U.S. Air Force photo by Airman 1st Class Ryan Mancuso)

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Senior Airman Ebenezer Owusu Arthur, 59th Medical Wing, displays a Commanders Cup medal and Most Valuable Player award following his performance in a military soccer tournament in Utah.
Senior Airman Ebenezer Owusu Arthur, 59th Medical Wing central sterile processing technician, poses for a portrait at Wilford Hall Ambulatory Surgical Center.
Senior Airman Ebenezer Owusu Arthur, 59th Medical Wing, takes a penalty kick during a photo shoot recognizing his achievements at a military-only soccer tournament in Utah.
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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 Ryan Mancuso
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