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FY2025 NDAA: Medical Standards to Join the

Military



Updated January 29, 2025


Background

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 proposed and enacted provisions related to accession medical standards included in the
House-passed (H.R. 8070, 118th Congress), Senate Armed Services Committee (SASC)-reported (S. 4638,
118th Congress), and enacted (P.L. 118-159) versions of the FY2025 NDAA.








                                                                 Congressional Research Service
                                                                   https://crsreports.congress.gov
                                                                                       IN12428

CRS INSIGHT
Prepared for Members and
Committees of Congress

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