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The short of it - $15-25k / year as bonus!!:D

 

 

 

UNDER SECRETARY OF DEFENSE 4000 DEFENSE PENTAGON WASHINGTON, D.C. 20301-4000 July 23, 2009 PERSONNEL AND READINESS

MEMORANDUM FOR SECRETARIES OF THE MILITARY DEPARTMENTS

CHAIRMAN OF THE JOINT CHIEFS OF STAFF

UNDER SECRETARIES OF DEFENSE

DEPUTY CHIEF MANAGEMENT OFFICER

ASSISTANT SECRETARIES OF DEFENSE

GENERAL COUNSEL OF THE DEPARTMENT OF DEFENSE

DIRECTOR, OPERATIONAL TEST AND EVALUATION

INSPECTOR GENERAL OF THE DEPARTMENT OF DEFENSE

ASSISTANTS TO THE SECRETARY OF DEFENSE

DIRECTOR, ADMINISTRATION AND MANAGEMENT

DIRECTOR, COST ASSESSMENT AND PROGRAM EVALUATION

DIRECTOR, NET ASSESSMENT

DIRECTORS OF THE DEFENSE AGENCIES

DIRECTORS OF THE DoD FIELD ACTIVITIES

SUBJECT: Directive-Type Memorandum (DTM) 09-009, Implementation of Special Pay for Health Professions Officers (HPOs)

References: (a) Sections 204, 206, 301d, 335, and 373 and subchapter I of chapter 5 of Title 37, United States Code as enacted by Section 661 of Public Law 110-181, “The National Defense Authorization Act for Fiscal Year 2008,” January 28, 2008

(b) DoD Instruction 6000.13, “Medical Manpower and Personnel,” June 30, 1997

© Chapter 2 of Volume 7A of DoD 7000.14-R, “Department of Defense Financial Management Regulations (FMRs),” as amended

Purpose. This DTM:

Establishes DoD policy, assigns responsibilities, and implements Reference (a) for the implementation of special pay for licensed clinical psychologists, licensed clinical social workers, physician assistants, licensed veterinary officers, and public health officers (Air Force only), hereafter referred to as HPOs.

DTM 09-009, July 23, 2009

Prescribes procedures by which the Military Departments may pay special bonuses and incentive pay (IP) to HPOs.

Is effective immediately; it shall be incorporated into DoD Instruction 6000.13 (Reference (b)) within 180 days.

Applicability. This DTM applies to OSD, the Military Departments, the Office of the Chairman of the Joint Chiefs of Staff and the Joint Staff, the Combatant Commands, the Office of the Inspector General of the Department of Defense, the Defense Agencies, the DoD Field Activities, and all other organizational entities within the Department of Defense (hereafter referred to collectively as the “DoD Components”).

Definitions. See Glossary.

Policy. It is DoD policy that a compensation program be established and managed to provide the DoD Components with sufficient military medical personnel to meet all mission requirements. No agreement may be entered into pursuant to section 335 of Reference (a) and this DTM after December 11, 2009, unless the date is extended by Congress.

Responsibilities

Assistant Secretary of Defense for Health Affairs (ASD(HA)). The ASD(HA), under the authority, direction, and control of the Under Secretary of Defense for Personnel and Readiness, shall provide guidance to the Secretaries of the Military Departments as necessary and monitor their compliance with the provisions of this DTM.

Secretaries of the Military Departments. The Secretaries of the Military Departments shall:

o Administer the procedures to implement section 335 of Reference (a) in Attachment 1 and incorporate the additional specialty pay in Tables 1 through 3 of Attachment 2. Board certification pay (BCP) shall be awarded to only those designated HPOs who are certified in their particular specialty by an approved board listed in Table 4 at Attachment 3.

o Provide a written implementation plan to the ASD(HA) within 30 calendar days of the date of this DTM.

2 DTM 09-009, July 23, 2009 3

Releasability. UNLIMITED. This DTM is approved for public release and is available on the Internet from the DoD Issuances Web Site at http://www.dtic.mil/ whs/directives.

Attachments:

As statedDTM 09-009, July 23, 2009

ATTACHMENT 1

PROCEDURES FOR IMPLEMENTATION OF SPECIAL PAY FOR HPOs

1. ACCESSION BONUS (AB)

a. Eligibility. To be eligible for AB, an individual must:

(1) Be a graduate of an accredited school(s) in his or her clinical specialty.

(2) Be fully qualified to hold a commission or appointment as a commissioned officer in an Active or Reserve Component.

(3) Execute a written agreement to accept a commission or appointment as an HPO of the Army, the Navy, or the Air Force to serve on Active Duty or in Active Duty status for a period of not less than 2 consecutive years. An individual who currently holds an appointment as an HPO in either the Active or Reserve Component is not eligible for AB. A former HPO who no longer holds an appointment or commission and is otherwise qualified and eligible must have been discharged from any uniformed service at least 24 months prior to execution of the written agreement to receive AB.

(4) Have completed all mandatory service obligations if financial assistance was received from the Department of Defense in order to pursue a course of study as an HPO. This includes but is not limited to participants and former participants of the Reserve Officers Training Corps, Armed Forces Health Professions Scholarship Program, Financial Assistance Program, and Uniformed Services University of the Health Sciences.

b. Health Care Providers (HCPs). In addition to the requirements in subparagraphs 1.a.(1) through 1.a.(4) of this attachment, HPOs who are HCPs must possess an unrestricted license (or an approved waiver) and be qualified in their respective specialties.

c. AB Amounts. HPOs who meet the conditions in subparagraphs 1.a.(1) through 1.a.(4) of this attachment, and of paragraph 1.b. of this attachment if applicable, and who are listed in Table 1 of Attachment 2, are eligible for AB payable for written agreements entered into during Fiscal Year (FY) 2009 in the amounts in Table 1.

d. Service Obligations. During the discharge of the service obligation associated with AB, individuals are eligible for IP and BCP. Any additional obligation incurred by these pays shall be served concurrently.

Attachment 1 4 DTM 09-009, July 23, 2009

e. Bonus Authorized. The Secretary of the Military Department concerned may, upon acceptance of the written agreement described in paragraph 5 of this attachment, pay AB to an eligible individual in the amount in Table 1 for a 2-, 3-, or 4-year obligation. Eligible individuals who signed a written agreement on or after November 1, 2008, to serve on Active Duty or in an Active status in exchange for receiving AB are authorized to receive AB. Based on Service-unique requirements, the Secretary of the Military Department concerned may decline to offer AB to any specialty that is otherwise eligible or may restrict the length of an AB contract for a specialty to less than 4 years.

2. INCENTIVE PAY (IP)

a. Eligibility. To be eligible for IP, an HPO must:

(1) Have completed specialty qualification before October 1, 2008.

(2) Sign a written agreement to remain on Active Duty or in an Active status in the Selected Reserve (SELRES) of the Ready Reserve in a designated health profession specialty for a period of not less than 1 year beginning on the date the contract is signed.

(3) Also be an HCP, possess an unrestricted license (or approved waiver), and be qualified in his or her specialty. Subject to acceptance by the Secretary of the Military Department concerned, an HCP must be currently credentialed and privileged at a military treatment facility in the specialty for which the IP is to be paid. The Secretary of the Military Department concerned may also approve recommendations for IP payments to fully qualified HCPs assigned to positions requiring a substantial portion of time performing military-unique duties under adverse conditions or in remote locations outside the United States, or that preclude the ability to spend appropriate time in a clinical setting.

b. Annual Payments. Annual IP payments for contracts beginning on or after the date this DTM is signed shall be in the amounts in Table 2 of Attachment 2, as further explained in paragraph 5 of this attachment. Unless otherwise listed, subspecialties of the primary specialty are included with the primary specialty.

c. Monthly Payments. Monthly IP rates to SELRES HPOs for contracts beginning on or after the effective date of this DTM shall be in the amounts in Table 2, as further explained in paragraph 5 of this attachment. Unless otherwise listed, subspecialties of the primary specialty are included with the primary specialty. A SELRES member is entitled to IP at the daily rate of one-thirtieth of the monthly IP rate prescribed in Table 2 for any period in which the member is not entitled to basic pay pursuant to section 204 of Reference (a).

Attachment 1 5 DTM 09-009, July 23, 2009

d. Not Under Retention Bonus (RB) Agreement. Subject to acceptance by the Secretary of the Military Department concerned, an HPO who is eligible for but not obligated under an existing RB agreement and who is no longer obligated under a previous IP agreement, may enter into a new 1-year IP agreement at the rate in Table 2. IP agreements must be for at least 1 year and cannot be prorated. Termination of a current IP contract prior to its expiration can only be done in conjunction with execution of a new RB contract.

e. Under RB Agreement. HPOs who enter an RB contract may also enter an IP contract for the same specialty at the amount in Table 2. HPOs who elect this option shall continue IP eligibility at that rate for each active year of the RB contract. Any renegotiation of either the RB or IP shall require signing a new RB contract at the annual rate in effect at the time the new contract is signed with an equal or longer obligation.

f. Completion of Qualifying Training. IP shall not be paid during the same FY in which the qualifying training is completed. However, if the qualifying training is completed out of cycle (at a time prior to the end of June) and it is not the fault of the HPO, the Secretary of the Military Department concerned may authorize its Surgeon General to approve IP during the same FY in which the qualifying training is completed. The effective date of IP shall be calculated from the completion of the qualifying training plus 3 months.

3. RB

a. Eligibility. To be eligible for RB, an HPO must:

(1) Be below the grade of O-7.

(2) Have at least 8 years of creditable service as an officer in the respective specialty or have completed any Active Duty service commitment incurred for medical education and training or have completed all Active Duty service obligations for AB.

(3) Have completed initial training before October 1, 2008.

(4) Have signed a written agreement to remain on Active Duty as an HPO for 2, 3, or 4 years and that is accepted by the Secretary of the Military Department concerned.

(5) If also an HCP, have a current valid unrestricted license or approved waiver and be credentialed and privileged.

Attachment 1 6 DTM 09-009, July 23, 2009

b. Service-Unique Requirements. Based on Service-unique requirements, the Secretary of the Military Department concerned may decline to offer RB to any specialty that is otherwise eligible or may restrict the length of an RB contract for a specialty to less than 4 years.

c. Prior Multiyear Pay (MP) (as enacted by section 301d of Reference (a)) or RB (as enacted by Reference (a)). Subject to acceptance by the Secretary of the Military Department concerned, an HPO with an existing MP pursuant to subchapter I of chapter 5 of Reference (a) or with an RB contract as authorized in this DTM, may request termination of that contract to enter into a new RB contract with an equal or longer obligation at the RB annual rate in effect at the time of execution of the new RB contract. The new obligation period shall not retroactively cover any portion or period that was executed under the old contract.

d. Active Duty Service Obligations (ADSOs). ADSOs for RB shall be established in accordance with paragraphs 3.d.(1) through 3.d.(3) of this attachment.

(1) ADSOs for education and training and previous MP agreements shall be served before serving the RB ADSO.

(2) When no education and training ADSO exists at the time of an RB contract execution, the RB ADSO shall be served concurrently with the RB contract period and all noneducation and training ADSOs. If the RB contract is executed before the start date of fellowship training and no other education and training ADSO exists, the RB ADSO shall be served concurrently with the RB contract period. However, if the RB contract is executed on or after the start date of fellowship training, the HPO is obligated for the full fellowship period and the RB ADSO shall begin 1 day after the fellowship ADSO is completed. Once an HPO has begun to serve an RB ADSO, he or she shall serve it concurrently with any existing ADSO, including obligations for other special pay agreements or medical education and training obligations incurred after the execution date for that particular RB contract.

(3) Obligations for RB may be served concurrently with any other service obligation, to include IP, BCP, promotion, doctorate degree, master’s degree, nonclinical doctorate or master’s degree, and nonmedical military schooling. All RBs run consecutively with Health Professional Loan Repayment Program obligations.

e. Annual Pay Amounts for Multiyear RB. Annual payment amounts for multiyear RB contracts shall be in the amounts in Table 3. Officers may be paid at the rate for any specialty for which they are currently credentialed, but the RB and IP specialty must be the same. The RB may be paid in a lump sum or periodic installments.

Attachment 1 7 DTM 09-009, July 23, 2009

4. BCP. HPOs meeting the conditions in paragraph 4.a. of this attachment are eligible to receive BCP at the annual rate of $6,000 paid in equal monthly amounts.

a. Eligibility. To be eligible for BCP, an officer must:

(1) Have a post-baccalaureate degree in his or her clinical specialty.

(2) Be certified by a professional board in his or her clinical specialty. (See Table 4 at Attachment 3 for a list of clinical specialty professional boards.)

(3) If also an HCP, have a current valid unrestricted license or approved waiver.

(4) Sign a written agreement to remain on Active Duty or in an Active status in the SELRES of the Ready Reserve in a designated health profession specialty for a period of not less than 1 year beginning on the date the contract is signed.

b. Certification Interrupted by Contingency Operations

(1) An HPO whose attainment of board certification is interrupted by contingency operations is eligible for retroactive BCP when:

(a) The HPO meets the eligibility requirements in paragraph 4.a. of this attachment.

(b) The HPO completes the board certification or recertification requirements before the end of the 180-day period following deployment (or any time adjustment directed by the Secretary of Defense).

(2) The retroactive BCP shall begin on the date on which the member was deployed in support of a contingency operation and end on the date of obtaining the certification or recertification or 180 days post-deployment, whichever is shorter.

5. WRITTEN AGREEMENT FOR BONUS OR PAY. To receive a bonus or pay as authorized by this DTM, an HPO determined to be eligible for the bonus or pay shall enter into a written agreement with the Secretary of the Military Department concerned that specifies:

a. The amount of the bonus or pay.

b. The method of payment of the bonus or pay.

Attachment 1 8 DTM 09-009, July 23, 2009 Attachment 1 9

c. The period of obligated service for the bonus or pay.

d. The type or conditions of the service.

e. The circumstances that may result in termination of the agreement and repayment of any unearned portion of the bonus or pay if the officer fails to fulfill the conditions for the bonus or pay, to include an unfulfilled service obligation or eligibility requirement (Reference (a) and chapter 2 of Volume 7A of DoD 7000.14-R (Reference ©)).

6. PAYMENT. A health profession’s bonus or pay pursuant to this DTM may be paid in a lump sum, monthly payments, or in periodic installments as determined by the Secretary of the Military Department concerned. IP and BCP may only be paid in monthly installments. Upon acceptance by the Secretary of the Military Department concerned, the total amount of the health professions bonus to be paid pursuant to the agreement shall be fixed during the length of the agreement. The amount of each bonus or pay in FY 2009, by specialty, is listed in Attachment 2.

7. TERMINATION AND REPAYMENT OF ELIGIBILITY TO BONUS OR PAY

a. A member who enters into a written agreement with the Secretary of the Military Department concerned that specifies conditions for receipt of a bonus or pay described in this DTM is eligible to receive the full amount of the bonus or pay earned for fulfilling the conditions for such bonus or pay. Specified conditions may include a service obligation and the eligibility requirements in paragraphs 1.a, 2.a, 3.a, and 4.a. of this attachment.

b. Any failure to fulfill the conditions specified in an agreement may result in termination of the agreement and the member’s repayment of any unearned portion of a bonus or pay (References (a) and ©). If a bonus or pay is terminated, the officer may be paid, on a pro rata basis, the portion actually earned. The Secretaries of the Military Departments shall establish regulations that specify the conditions and procedures under which termination and repayment may take place consistent with References (a) and ©. Any written agreement shall be consistent with such regulations. DTM 09-009, July 23, 2009

ATTACHMENT 2

PAY CALCULATION TABLES

BCP shall be paid at the annual rate of $6,000 in equal monthly amounts.

Table 1. AB Pay by Specialty HPO

DollarAmountper Year for a:

2-Year Obligation

3-Year Obligation

4-Year Obligation

Physician Assistant

$0

$12,500

$15,000

Licensed Clinical Psychologist

$0

$12,500

$15,000

Licensed Clinical Social Worker

$0

$6,250

$7,500

Public Health Officer (Air Force)

$0

$7,500

$10,000

Licensed Veterinary Officer

$0

$0

$5,000

Table 2. IP Pay by Specialty HPO

Entry Level Pay

Dollar Amount in Training

or While Discharging a Training ADSO

Board Eligible

Total IP, Fully Qualified

Physician Assistant

$0

$0

$5,000

$5,000

Table 3. RB Pay by Specialty HPO

Discharging an Initial ADSO (1 Year)

2 Years

3 Years

4 Years

Physician Assistant

$0

$10,000

$15,000

$20,000

ATTACHMENT 3

CLINICAL SPECIALTY PROFESSIONAL BOARDS

Table 4. Boards Approved to Certify Clinical Specialties SPECIALITY

SPONSOR

RESPONSIBILITY

BOARD

PHYSICIAN ASSISTANT (Board Certified)

National Commission on Certification of Physician Assistants

National Commission on Certification of Physician Assistants

National Commission on Certification of Physician Assistants

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The defs are in the language of the bill, written as only DOD can write them:

 

HPO ((healthcare professional officer))

 

RB= re-enlistment bonus, etc

 

what this means is that, IF the PA meets criterion (not under school loan payback, been a PA and officer for the proper amount of time, etc, AND is sheduled to seperate in a certain time, THEN, should he/she be willing to extend his enlistment (commisson) for 2, 3 or 4 years, DOD will give them a Bonus for doing so.

 

The bonus amounts and the yearly sums are spelled out, and depend on several factors, also spelled out.

 

capice??

 

v/r

 

davis

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capice??

 

v/r

 

davis

 

Si.

 

More fair for military P.A.'s now especially since the M.D.'s were getting multiple special pays including $15K/annually for being a doctor, board-certification speciality pay, etc.

 

This is definitely a HUGE step up for military PA's compared to what we had before which was a mere $166 extra a month for having a Master's Degree.

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RB - Retention Bonus

 

For those who are wanting to join, just know you will qualify for the AB (Accession Bonus) + IP (Incentive Pay) + BCP (Board Certification Pay) if you have your Masters.

 

Also, if you have your Masters, you will come in as a O-2. Go to DFAS.mil to see the pay charts.

You will also get BAS ($225/month) and BAH (based on zip). Pay is pretty comparable now a days from what I have seen.

 

Ventana

I see you found the Memo.

 

Yes, it is a great thing for military PA's. This is specific to USAF PA's but the Army is doing a similar program from what I hear. Not knowing what the Navy is offering.

 

Students

There still is the HPSP as well which is not a bad deal.

 

ALL

Know that you WILL be deployed AT LEAST every 18 months. I just returned from deployment. Typically you will not be out ground pounding it but some will. I was for the past 7.5 - 8 months. Overall it was a good experience but it had its "exciting" moments.

 

Lastly, for those who are in, isn't it about time they did this?! I think it is a huge step for USAF PA's!

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I spoke with the HM1 that does special pays at my command and was informed that there is no NAVINST for this new BCP. Is anyone out there actually receiving this new pay?

 

Please PM if you have any instruction for this from any of the services. Just because it is approved high up doesn't mean we'll see it anytime soon...:rolleyes:

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The guys in the program graduating now don't meet the (certified before) before 1 Oct 2008 deal. Additionally, they don't pro-rate specialty pay to Docs during their obligated time because they want them to have a good taste in their mouth when the ADSO is over.. I still don't get the feeling like the military is trying to retain or take care of their PAs. They lumped our bonuses in with Social Workers! That's a slap in the face. How many social workers and public health officers are rolling on convoys in Iraq/Afghanistan? If I were on the fence, this would convince me to leave. However, I actually love being a Soldier so I'm just b*tching.

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The guys in the program graduating now don't meet the (certified before) before 1 Oct 2008 deal. Additionally, they don't pro-rate specialty pay to Docs during their obligated time because they want them to have a good taste in their mouth when the ADSO is over.. I still don't get the feeling like the military is trying to retain or take care of their PAs. They lumped our bonuses in with Social Workers! That's a slap in the face. How many social workers and public health officers are rolling on convoys in Iraq/Afghanistan? If I were on the fence, this would convince me to leave. However, I actually love being a Soldier so I'm just b*tching.

 

 

lol nate....maybe the "FOBit" ribbon will be approved one of these days.....I never knew what FOBIT was until a friend of mine passed away in Afghanistan. He was always tagging hats of those inside the wire..

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  • 2 weeks later...

All three services are doing this. They had to, to be equitable. The rationale for it was NOT "Hey - we've really been underpaying the PAs for a long time, let's make it up to them," although that would have been nice. It was the fact that PAs are/were leaving the Army, AF & Navy in droves. According to the current Navy Specialty Advisor, this fall Navy PAs (I was just at our Navy PA meeting at AAPA in San Diego) are CRITICALLY UNDERMANNED. Lots of reasons - not the least of which is being tired of deploying again and again and again.....

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  • 2 weeks later...
  • 2 months later...

natetaylor? where is my suture board / training aid LOL.....hhahaha

 

FWIW....I am an active duty army PA, and I recieve 166 a month still (as of 1 Feb 2010)...

 

keep hearing the same thing for the past 6 months now, "its not IF its approved, its WHEN it will be implimented to be paid out"

 

I don't know, perhaps Im a skeptic, but the money isn't coming. (that is.....till it does)

What i mean is that it would not surprise me, if it never came.

 

So If its been approved, what is there to decide? cash, check, direct deposit, pink check, purple, blue? lol....... hell send me the money!

 

dont get me wrong i LOVE my job, love it, and I think i make a ton of money already (02E w/ 9yrs), and I honestly feel very well compensated, but that get's back to the army and the enjoyment of the job too.

 

Just wanted to let ya know, from an active duty army pa, the LES still says 166.00/mo

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Erik, Check your outlook! As soon as I get that POC for it you'll have it. I heard from someone (i.e. this is terrible information that will probably never come true) who talked to Ed Gage that they are supposed to shell out 11k (one pro pay and another board cert pay) every fiscal year PA's and of course those battle hardened Social Workers. From what I understand the $$$ has already been approved. Where are you PCS'ing next year?

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We heard it again/over in OBLC at the PA track. "its been approved" 6,000 in board cert (500/mo) and 5,000 bonus annual. yea yea, got it.

Ed Gage sends emails, or maybe it was someone else, like 2 months ago saying the same...again, All i know is my LES and the other recent grads say 166.00/mo.

(not bit**ing, not one bit at all. Just want to clarify signal is not "flipped" downrage on this side of the routing number, that's all)

 

I just mentally would "hope" that people CEASE to talk about it. There, "if" it actually does happen it will be a pleasant surprise and not a "finally they gave it to us"

Expecting it, is the wrong way to look at it. Heck I thought I made pretty good money even as an E6....now i feel RICH! lol And im in Korea too (cola, hdp, fam sep....)

 

I dont know where i'm headed after Korea yet. Have asked branch when is the best time to ask about it, they said mid tour (6 months) . I do love my job here alot. Not in a mega hardcore unit, ie a BSTB in Area 1. However, I work in a CTAS and don't have to worry about the "I-PASS-THE-BATTON" 43 safety check the block badges + the 543 hippa online classes + DHMRIS crap, and if I want to have my medics im the CTAS taking out toenails or even see one/do one for shoulder SAI's, then that's MY perogative, training, and decision. So things are so mugh brighter on the -C side of the -S.

Heck I am 45 miles from Level 3 care (121 CSH)....so it's good to be AWAY from Meddac medicine in many ways.

 

Keep the cmd happy w/ +90% FMR numbers, and hell....I haven't been to one meeting, staff call or briefing yet. I'm lucky, Great command, who understands Treating pt's is 1000x more important than "briefing numbers". I have a good NCOIC too (no bn medo)

 

Take home point: after OBLC.......the light is even brighter than I even pictured it would be. I feel blessed w/ the responsibilities/role.

 

I digress......

 

Follow on assignment??? I have Have to talk w/ the wife. (married in OBLC). But i am not too picky, I just want south/east USA, that's all that matters to me.

Family is in NC. Wife+House is in TX. (we gonna try and pay the whole thing off this year between me and her, then rent it out when we move to ______ my next assignment, post Korea).

I will take Bragg, Stewart, Knox, Benning, Cambell. So I don't think it's gonna be a problem to get that request.

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  • 2 weeks later...

From Navy SL (CDR Holder) Update Dec 09:

 

All,

 

BONUS: No news as of today but am told it is "eminent", waiting to be released

by CNP. That being the case, be prepared to execute some administrative

paperwork in a hurry when the NAVADMIN hits the streets. Since I will be TAD

next week and Murphy's Law being in full force please check the BUPERS Home

Page daily for updated NAVADMINs as well as give a heads up to your Director

for Administration office. When this is released your primary point of contact

will be the Special Pays Section at BUMED: www.med.navy.mil They are the

resident experts and will be able to address individual concerns. Again, be

ready to execute...

SL Update Dec 09.doc

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