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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Retired U.S. Army Capt. Katie Blanchard squeezes the arm of Col. (Dr.) Chad Hivnor, 59th Medical Specialty Squadron laser medicine chief, as he applies a salve on her burned skin after surgery


'We're your family here'

Retired U.S. Army Capt. Katie Blanchard squeezes the arm of Col. (Dr.) Chad Hivnor, 59th Medical Specialty Squadron laser medicine chief, as he applies a salve on her burned skin after surgery Sept. 6, 2019 at Wilford Hall Ambulatory Surgical Center, Joint Base San Antonio-Lackland, Texas. The surgery's benefits have been evidentially proven in hundreds of seriously burned war veterans, and improve patient's range of motion, pain and the skin's appearance. (U.S. Air Force photo by Tech. Sgt. Katherine Spessa)

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A SimX virtual reality headset rests on a table during a demonstration at Wilford Hall Ambulatory Surgical Center, Joint Base San Antonio-Lackland, Texas, Sept. 5, 2025.
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Col. Tracy Bozung, 59th Medical Wing deputy commander works with Retired Col. Cheryl Lockhart, senior military advisor for SimX, during a demonstration of SimX’s Virtual Reality Operational Medical Training at Wilford Hall Ambulatory Surgical Center, Joint Base San Antonio-Lackland, Texas, Sept. 5, 2025.
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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.
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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.
Tech. Sgt. Katherine Spessa
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