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FY2025 NDAA: Medical Standards to Join the Military (CRS Report for Congress)

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Release Date Sept. 26, 2024
Report Number IN12428
Report Type Insight
Authors Bryce H. P. Mendez
Source Agency Congressional Research Service
Summary:

Congress has established broad qualifications that individuals must meet in order to join the military (i.e., military accession). By statute, a secretary of a military department may enlist “qualified, effective, and able-bodied persons” (10 U.S.C. §505(a)), or appoint individuals seeking a commission in the military who are “physically qualified for active service” (10 U.S.C. §532(a)). Department of Defense (DOD) Instruction 6130.03, Volume 1, implements these authorities through the establishment of “common medical standards for appointment, enlistment, or induction of personnel” into the military. The policy generally requires individuals considered for entry in the military to be “free of contagious diseases” and free of certain “medical conditions or physical defects,” “medically capable” to perform military trainings and duty without “aggravating existing physical defects or medical conditions,” and “medically adaptable to the military environment without geographical area limitations.” DOD policy also lists over 400 medical conditions that otherwise disqualify individuals from military service. Some of these conditions may be waived under certain circumstances. During ongoing deliberations on a National Defense Authorization Act for Fiscal Year 2025 (FY2025 NDAA), some Members of Congress have expressed interest in DOD’s medical standards and processes used to evaluate an applicant’s fitness for military service. Table 1 lists the proposed provisions related to accession medical standards included in the House-passed (H.R. 8070) and Senate Armed Services Committee (SASC)-reported (S. 4638) versions of an FY2025 NDAA.