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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A team of military ophthalmologists discuss surgical approach of manual small incision cataract surgery during a training mission to Regional Hospital Dr. Luis "Chicho" Fabrega in Santiago de Veraguas, Panama, as part of a three-week mission that occurred on July 17, 2023.


Global Health Engagement Panamax Alpha 2023

A team of worldwide military ophthalmologists and medical personnel observe a Manual Small Incision Cataract Surgery taking place at Regional Hospital Dr. Luis "Chicho" Fabrega in Santiago de Veraguas, Panama, as part of a three-week mission that occurred on July 17, 2023. This mission, known as Panamax Alpha 2023, represents an annual joint service Ophthalmology Medical Readiness Training Exercise (MEDRETE) led by the U.S. Army Southern Command. Its primary goal is to restore sight to individuals within the community who are affected by cataracts and pterygiums, thereby enhancing their overall quality of life. (U.S. Air Force photo by Staff Sgt. Kelsey Martinez)

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