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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Lt. Gen. Robert Miller, U.S. Air Force Surgeon General, presents Brig. Gen. (Dr.) Thomas Harrell, 59th Medical Wing commander, with the Distinguished Service Medal at Wilford Hall Ambulatory Surgical Center, Joint Base San Antonio-Lackland, Texas, Oct. 11, 2023. He was recognized for his outstanding leadership and accomplishments achieved when he served as the Air Force Medical Readiness Agency commander. Harrell also currently serves as the Defense Health Network Central director, the San Antonio Market director, and the Air Force Medical Agency Alpha lead. (U.S. Air Force photo by Senior Airman Melody Bordeaux)


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Lt. Gen. Robert Miller, U.S. Air Force Surgeon General, presents Brig. Gen. (Dr.) Thomas Harrell, 59th Medical Wing commander, with the Distinguished Service Medal at Wilford Hall Ambulatory Surgical Center, Joint Base San Antonio-Lackland, Texas, Oct. 11, 2023. He was recognized for his outstanding leadership and accomplishments achieved when he served as the Air Force Medical Readiness Agency commander. Harrell also currently serves as the Defense Health Network Central director, the San Antonio Market director, and the Air Force Medical Agency Alpha lead. (U.S. Air Force photo by Senior Airman Melody Bordeaux)

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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.
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
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.
Senior Airman Melody Bordeaux
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AFSG, medical, 59mdw, readiness, AFMRA



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