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MILITARY SERVICE BY TRANSGENDER PERSONS AND PERSONS WITH GENDER DYSPHORIA INTERIM GUIDANCE


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UNCLASSIFIED//
ROUTINE
R 182121Z MAR 19
FM SECNAV WASHINGTON DC
TO ALNAV
INFO SECNAV WASHINGTON DC
CNO WASHINGTON DC
CMC WASHINGTON DC
BT
UNCLAS

ALNAV 022/19

MSGID/GENADMIN/SECNAV WASHINGTON DC/-/MAR//

SUBJ/MILITARY SERVICE BY TRANSGENDER PERSONS AND PERSONS WITH GENDER 
DYSPHORIA INTERIM GUIDANCE//

REF/A/DOC/SECDEF/DTM 19-004/12MAR19//
REF/B/DOC/SECNAV/04NOV16//
NARR/REF A IS THE DIRECTIVE-TYPE MEMORANDUM (DTM) ON MILITARY SERVICE BY 
TRANSGENDER PERSONS AND PERSONS WITH GENDER DYSPHORIA.  THIS DTM IS POSTED AT 
HTTPS://WWW.ESD.WHS.MIL/DD/DOD-ISSUANCES/DTM/.  
REF B IS SECNAVINST 1000.11, SERVICE OF TRANSGENDER SAILORS AND MARINES.//

RMKS/1.  On 12 March 2019, the Secretary of Defense announced via reference 
(a), changes to standards for accession, retention, separation, in-service 
transition, and medical care for transgender personnel and personnel with 
gender dysphoria seeking entrance into or currently serving in the Military 
Services.  These changes take effect on 12 April 2019, and apply to all 
Department of the Navy (DON) military personnel, including those serving in 
the Reserve Components.  Until Department of Defense (DoD) and DON policies 
and procedures are updated, reference (a) and this All Navy (ALNAV) message 
take precedence.

2.  The DON remains committed to treating all persons with dignity and 
respect.  No person, solely on the basis of gender identity, will be denied 
accession, involuntarily separated or discharged, denied reenlistment or 
continuation of service, or subjected to adverse action or mistreatment.

3.  Consistent with policies and procedures set forth in reference (a), 
accession and retention standards for gender dysphoria and the treatment of 
gender dysphoria will be aligned with analogous conditions and treatments, 
including stability periods and surgical procedures.  However, as reflected 
in Attachment 3, Section I of reference (a), individuals who entered into 
contract for enlistment, or were selected for entrance into an officer 
commissioning program, before 12 April 2019; and either:  were medically 
qualified for military service or selected for entrance into an officer 
commissioning program in their preferred gender in accordance with DTM-16- 
005; or, as a Service Member, received a diagnosis of gender dysphoria from, 
or had such diagnosis confirmed by, a military medical provider (MMP) before
12 April 2019, are exempt individuals, for which reference (a) provides 
specific guidance.

4.  Waivers:
    a.  Currently serving Service Members who are deployed or otherwise 
unable to access an approved MMP to receive a diagnosis of gender dysphoria 
before 12 April 2019 may submit a request for an extension of time beyond 12 
April 2019 to receive a diagnosis from an approved MMP for the purpose of 
qualifying as an exempt individual pursuant to reference (a).  This request 
must be submitted by the Service Member no later than 12 April 2019 and must 
contain a presumptive diagnosis from a medical provider (including an 
Independent Duty Corpsman or licensed civilian medical provider), and an 
endorsement from the Service Members commanding officer verifying the members 
inability to access an approved MMP before 12 April 2019.  The request must 
be submitted through the first General or Flag Officer (GO/FO) in the chain 
of command and will be adjudicated by Deputy Chief of Naval Operations for 
Manpower, Personnel, Training, and Education/Chief of Naval Personnel 
(DCNO(N1)/CNP) for Navy personnel or the Deputy Commandant for Manpower and 
Reserve Affairs (DC(M&RA)) for Marine Corps personnel.
    b.  All other requests to waive the requirements in Attachment 3 of 
reference (a) must be submitted through the first GO/FO in the chain of 
command, via DCNO(N1)/CNP for Navy personnel or DC(M&RA) for Marine Corps 
personnel to the Assistant Secretary of the Navy (Manpower and Reserve
Affairs) (ASN(M&RA)) for adjudication.
    c.  Exempt Service Members seeking exceptions to policy regarding 
military standards must submit requests in accordance with reference (b).

5.  Policy and Procedure Updates:
    a.  ASN (M&RA) will ensure all DON issuances, as necessary, are reviewed 
and updated to be consistent with reference (a) and DoD-level issuance 
updates, once released.
    b.  Chief of Naval Operations (CNO) and Commandant of the Marine Corps
(CMC) will update all Service-level issuances, as necessary, to be consistent 
with reference (a), DoD-level issuance updates and DON-level issuance 
updates, once released.

6.  CNO and CMC will ensure all Navy and Marine Corps personnel, 
respectively, are informed of updated policy and procedures pertaining to 
military service by transgender persons and persons with gender dysphoria.

7.  Points of Contact.  Questions regarding this ALNAV should be directed to 
Navy or Marine Corps Service Central Coordination Cells (SCCC):
    a.  Navy SCCC: Comm: (703) 604-5084 or email: usn_navy_sccc@navy.mil.
    b.  Marine Corps SCCC: Comm: (703) 784-9386, DSN: 278-9386 or email:
usmc.sccc@usmc.mil.

8.  Released by the Honorable Richard V. Spencer, Secretary of the Navy.//

BT
#0001
NNNN
UNCLASSIFIED//
 

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