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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Two ophthalmologists perform a manual small incision cataract surgery in an operating room at a patient in Santiago de Veraguas, Panama.


Surgeons Restore Sight and Forge Connections in Panama

From the left, U.S. Navy Lt. Cdr. (Dr.) Gabriel Valerio, an ophthalmologist at the Naval Medical Readiness and Training Command San Diego, California, performs manual small incision cataract surgery as U.S. Army Maj. Matthew Cardinale, an ophthalmologist assigned to the 147th Field Hospital, Joint Base Lewis-McChord, Washington, stands at mayo cart at Regional Hospital Dr. Luis "Chicho" Fabrega in Santiago de Veraguas, Panama, July 18, 2023. The Ophthalmology Medical Readiness Training Exercise (MEDRETE)- Panamax Alpha 2023, an annual TriService mission led by U.S. Southern Command, aimed to enhance the skills and operational readiness of team members by immersing them in a range of prevalent chronic eye conditions in the region. (U.S. Air Force photo by Staff Sgt. Kelsey Martinez)

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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.
A display shows the virtual environment 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.
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.
The 59th Medical Wing transitions from Air Education and Training Command to Air Force Medical Command on Sept. 9, 2025
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.
Senior Airman Ebenezer Owusu Arthur, 59th Medical Wing, juggles a soccer ball during a portrait session highlighting his participation in a military-only soccer tournament hosted by Major League Soccer’s Real Salt Lake.
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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A student tries on a Biosafety Level 4 Positive Pressure Suit with assistance from 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, Aug. 7, 2025, at Mendez Elementary School in San Marcos, Texas, as Dr. Israel Guerrero, a virologist with Texas Biomedical Research Institute, describes laboratory safety levels.
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.
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