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. Navy Cmdr. David C. Jannotta, Naval Hospital Bremerton radiologist, conducts real-time provider to provider consultation on X-rays sent from 92nd Medical Group at Fairchild Air Force Base, Washington, which is using MHS GENESIS. The electronic health record has enabled connectivity between the Navy and Air Force military treatment facilities with convenient, timely, and expert interpretation for radiology studies, improving on previous routines that would routinely take 24 to 48 hours. MHS GENESIS allows Naval Hospital Bremerton to ensure 92nd Medical Group providers have results under 30 minutes, allowing for spot disposition for their active duty and beneficiaries patients. (U.S. Navy photo by Douglas H. Stutz).


MHS GENESIS a force multiplier, one read at a time

U.S. Navy Cmdr. David C. Jannotta, Naval Hospital Bremerton radiologist, conducts real-time provider to provider consultation on X-rays sent from 92nd Medical Group at Fairchild Air Force Base, Washington, which is using MHS GENESIS. The electronic health record has enabled connectivity between the Navy and Air Force military treatment facilities with convenient, timely, and expert interpretation for radiology studies, improving on previous routines that would routinely take 24 to 48 hours. MHS GENESIS allows Naval Hospital Bremerton to ensure 92nd Medical Group providers have results under 30 minutes, allowing for spot disposition for their active duty and beneficiaries patients. (U.S. Navy photo by Douglas H. Stutz).

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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
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Douglas Stutz
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