"DoD Instruction 1300.28 - In-Service Transition for Transgender Service Members"

DoD Instruction 1300.28 - In-Service Transition for Transgender Service Members is a 18-page military document used by and within the U.S. Army, that was released by the U.S. Department of Defense (DoD) on October 1, 2016. As of today, no separate instructions for the form are provided by the DoD.

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1300.28
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NSTRUCTION
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SERVICE TRANSITION FOR TRANSGENDER SERVICE MEMBERS
Originating Component:
Office of the Under Secretary of Defense for Personnel and Readiness
Effective:
October 1, 2016
Releasability:
Cleared for public release. Available on the DoD Issuances Website at
http://www.dtic.mil/whs/directives.
Secretary of Defense Memorandum, “Transgender Service Members,”
Cancels:
July 28, 2015
Approved by:
Ashton Carter, Secretary of Defense
Purpose: This issuance:
 Establishes a construct by which transgender Service members may transition gender while serving.
 Enumerates prerequisites and prescribes procedures for changing a Service member’s gender marker
in the Defense Enrollment Eligibility Reporting System (DEERS).
 Specifies medical treatment provisions for Active Component (AC) and Reserve Component (RC)
transgender Service members.
 Implements the policies and procedures in Directive-type Memorandum 16-005.
D
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1300.28
O
NSTRUCTION
-
IN
SERVICE TRANSITION FOR TRANSGENDER SERVICE MEMBERS
Originating Component:
Office of the Under Secretary of Defense for Personnel and Readiness
Effective:
October 1, 2016
Releasability:
Cleared for public release. Available on the DoD Issuances Website at
http://www.dtic.mil/whs/directives.
Secretary of Defense Memorandum, “Transgender Service Members,”
Cancels:
July 28, 2015
Approved by:
Ashton Carter, Secretary of Defense
Purpose: This issuance:
 Establishes a construct by which transgender Service members may transition gender while serving.
 Enumerates prerequisites and prescribes procedures for changing a Service member’s gender marker
in the Defense Enrollment Eligibility Reporting System (DEERS).
 Specifies medical treatment provisions for Active Component (AC) and Reserve Component (RC)
transgender Service members.
 Implements the policies and procedures in Directive-type Memorandum 16-005.
DoDI 1300.28, June 30, 2016
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1.1. Applicability. .................................................................................................................... 3
1.2. Policy. ............................................................................................................................... 3
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2.1. Under Secretary of Defense for Personnel and Readiness (USD(P&R)). ........................ 5
2.2. Secretaries of The Military Departments and Commandant, United States Coast Guard
(USCG). .............................................................................................................................. 5
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3.1. Special Military Considerations. ....................................................................................... 7
a. Medical. .......................................................................................................................... 7
b. Gender Transition in the Military. ................................................................................. 7
c. Continuity of Medical Care. ........................................................................................... 7
d. Living in Preferred Gender. ........................................................................................... 8
e. DEERS. .......................................................................................................................... 8
f. Military Readiness. ......................................................................................................... 8
3.2. Roles and Responsibilities. ............................................................................................... 8
a. Service Member’s Role. ................................................................................................. 8
b. Military Medical Provider’s Role. ................................................................................. 8
c. Commander’s Role......................................................................................................... 9
d. Role of the Military Department and the USCG. .......................................................... 9
3.3. Gender Transition Approval Process. ............................................................................. 11
3.4. Additional RC Considerations. ....................................................................................... 12
a. General. ........................................................................................................................ 12
b. Gender transition approach. ......................................................................................... 12
c. Medical treatment plans. .............................................................................................. 12
d. Selected Reserve Drilling Member Participation. ....................................................... 12
e. Delayed Training Program. .......................................................................................... 13
f. Split Option Training. ................................................................................................... 13
3.5. Initial Entry Training and considerations associated with the first term of service. ....... 13
3.6. Protection Of PII And Protected Health Information. .................................................... 14
3.7. PERSONAL PRIVACY CONSIDERATIONS. ............................................................. 14
3.8. Assessment And Oversight Of Compliance. .................................................................. 14
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LOSSARY
G.1. Acronyms. ...................................................................................................................... 15
G.2. Definitions. ..................................................................................................................... 15
Unless otherwise noted, these terms and their definitions are for the purpose of this issuance.
........................................................................................................................................... 15
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EFERENCES
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DoDI 1300.28, June 30, 2016
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1.1. APPLICABILITY.
This issuance applies to OSD, the Military Departments (including the
Coast Guard at all times, including when it is a Service in the Department of Homeland Security,
by agreement with that Department, and in all regards, except as to the requirement to submit
issuances implementing this issuance to the Office of the Under Secretary of Defense for
Personnel and Readiness 30 days in advance of publication in accordance with Paragraphs 2.1c
and 2.2e), 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 DoD.
1.2. POLICY.
a. DoD and the Military Departments will institute policies to provide Service members a
process by which, while serving, they may transition gender. These policies are premised on the
conclusion that open service by transgender persons who are subject to the same standards and
procedures as other members with regard to their medical fitness for duty, physical fitness,
uniform and grooming standards, deployability, and retention, is consistent with military service
and readiness.
b. The Military Departments and Services recognize a Service member’s gender by the
member’s gender marker in the DEERS. Coincident with that gender marker, the Services
apply, and the member is responsible to meet, all standards for uniforms and grooming; body
composition assessment (BCA); physical readiness testing (PRT); Military Personnel Drug
Abuse Testing Program (MPDATP) participation; and other military standards applied with
consideration of the member’s gender. As to facilities subject to regulation by the military, the
Service member will use those berthing, bathroom, and shower facilities associated with the
member’s gender marker in DEERS.
c. Service members with a diagnosis from a military medical provider indicating that gender
transition is medically necessary, will be provided medical care and treatment for the diagnosed
medical condition. Recommendations of a military medical provider will address the severity of
the Service member’s medical condition and the urgency of any proposed medical treatment.
Medical advice to commanders will be provided in a manner consistent with processes used for
other medical conditions that may limit the Service member’s performance of official duties.
d. Any medical care and treatment provided to an individual Service member in the process
of gender transition will be provided in the same manner as other medical care and treatment.
Nothing in this issuance will be construed to authorize a commander to deny medically necessary
treatment to a Service member.
e. Any determination that a transgender Service member is non-deployable at any time will
be consistent with established Military Department and Service standards, as applied to other
Service members whose deployability is similarly affected in comparable circumstances
unrelated to gender transition.
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DoDI 1300.28, June 30, 2016
f. Commanders will assess expected impacts on mission and readiness after consideration of
the advice of military medical providers and will address such impacts in accordance with this
issuance. In applying the tools described in this issuance, a commander will not accommodate
biases against transgender individuals. If a Service member is unable to meet standards or
requires an exception to policy (ETP) during a period of gender transition, all applicable tools,
including the tools described in this issuance, will be available to commanders to minimize
impacts to the mission and unit readiness.
g. When the military medical provider determines that a Service member’s gender transition
is complete, and at a time approved by the commander in consultation with the transgender
Service member, the member’s gender marker will be changed in DEERS and the Service
member will be recognized in the preferred gender.
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DoDI 1300.28, June 30, 2016
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2.1. UNDER SECRETARY OF DEFENSE FOR PERSONNEL AND READINESS
(USD(P&R)).
The USD(P&R):
a. Updates existing DoD issuances, or promulgate new issuances, as appropriate, in
accordance with the provisions of this issuance.
b. Expeditiously develops and promulgates education and training materials to provide
relevant, useful information for transgender Service members, commanders, military medical
providers, and the force.
c. Ensures that the text of proposed revisions to existing Military Department and Service
regulations, policies, and guidance, and of any proposed new Military Department and Service
issuance, is consistent with this issuance.
d. Issues guidance to the Military Departments, establishing the prerequisites and procedures
for changing a Service member’s gender marker in DEERS.
2.2. SECRETARIES OF THE MILITARY DEPARTMENTS AND COMMANDANT,
UNITED STATES COAST GUARD (USCG).
The Secretaries of the Military Departments
and the Commandant, USCG:
a. Adhere to all provisions of this issuance.
b. Administer their respective programs, and update existing Military Department
regulations, policies, and guidance, or promulgate new issuances, as appropriate, in accordance
with the provisions of this issuance.
c. Establish a Service Central Coordination Cell (SCCC) to provide multi-disciplinary (e.g.,
medical, legal, military personnel management) expert advice and assistance to commanders
with regard to service by transgender Service members and gender transition in the military and
to assist commanders in the execution of DoD, Military Department, and Service policies and
procedures.
d. Educate their AC and RC forces to ensure appropriate understanding of the policies and
procedures pertaining to gender transition in the military.
e. Submit to the USD(P&R) the text of any proposed revision to existing Military
Department and Service regulations, policies, and guidance, and of any proposed new issuance,
not later than 30 days in advance of the proposed publication date.
f. Ensure the protection of personally identifiable information (PII) and personal privacy
considerations in the implementation of this issuance and Military Department and Service
regulations, policies, and guidance.
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