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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medical surgical technician prepares equipment in military treatment facility


One-year anniversary of Urology ‘first’ at Wilford Hall Ambulatory Surgical Center

Brandee Hernandez, 59th Surgical Operations Squadron Certified Surgical Technologist (CST) urology specialist, prepares medical instruments Sept. 2022 for the first endoscopic stone removal surgery performed at Wilford Hall, Joint Base San Antonio-Lackland, since its designation as an ambulatory surgical center in 2011. Prior to this procedure, Brooke Army Medical Center was the sole military treatment facility in San Antonio equipped to offer this non-invasive, yet effective, procedure. (U.S. Air Force photo by Tech. Sgt. Tory Patterson).

Related Imagery
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.
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
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.
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.
U.S. Air Force Maj. Nicole Bermudez-Beck, a physician assistant with the 559th Trainee Health Squadron, and her father, Lt. Col. Luis Bermudez, a dentist with the 59th Dental Squadron, pose for a photo.
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