UNCLASSIFIED// ROUTINE R 192009Z MAR 19 FM CNO WASHINGTON DC TO NAVADMIN INFO CNO WASHINGTON DC BT UNCLAS NAVADMIN 070/19 PASS TO OFFICE CODES: FM CNO WASHINGTON DC//N1// INFO CNO WASHINGTON DC//N1// MSGID/GENADMIN/CNO WASHINGTON DC/N1/MAR// SUBJ/INTERIM GUIDANCE FOR SERVICE IN THE NAVY BY TRANSGENDER PERSONS AND PERSONS WITH GENDER DYSPHORIA// REF/A/DOC/SECDEF/12MAR19// REF/B/MSG/SECNAV WASHINGTON DC/182121ZMAR19// REF/C/DOC/SECDEF/22FEB18// REF/D/DOC/SECDEF/30JUN16// REF/E/DOC/DOD/1JUL16// REF/F/MSG/SECNAV WASHINGTON DC/051937ZAUG16// REF/G/DOC/SECNAV/4NOV16// REF/H/DOC/COMNAVPERSCOM/7NOV16// REF/I/DOC/COMNAVRESFOR/25JAN17// REF/J/DOC/BUPERS/3MAY13// REF/K/DOC/DOD/24SEP15// REF/L/DOC/DOD/30JUL18// NARR/REF A IS SECDEF DTM 19-004, DIRECTIVE-TYPE MEMORANDUM (DTM) 19- 004, MILITARY SERVICE BY TRANSGENDER SERVICE MEMBERS. REF B IS ALNAV 022/19, SERVICE OF TRANSGENDER SAILORS AND MARINES INTERIM GUIDANCE. REF C IS SECDEF MEMORANDUM FOR THE PRESIDENT 22 FEB 2018, MILITARY SERVICE BY TRANSGENDER INDIVIDUALS. REF D IS SECDEF DTM 16-005, DIRECTIVE-TYPE MEMORANDUM (DTM) 16- 005, MILITARY SERVICE OF TRANSGENDER SERVICE MEMBERS. REF E IS DOD INSTRUCTION 1300.28, IN- SERVICE TRANSITION FOR TRANSGENDER SERVICE MEMBERS. REF F IS ALNAV 053/16, SERVICE OF TRANSGENDER SAILORS AND MARINES INTERIM GUIDANCE. REF G IS SECNAVINST 1000.11, SERVICE OF TRANSGENDER SAILORS AND MARINES. REF H IS MILPERSMAN 1000-131, MEMBER GENDER CHANGE MARKER. REF I IS RESPERSMAN 6000-010, RESERVE MEDICAL. REF J IS BUPERSINST 1001.39F CH-1, ADMINISTRATIVE PROCEDURES FOR NAVY RESERVISTS. REF K IS DOD INSTRUCTION 1322.22, SERVICE ACADEMIES. REF L IS DOD INSTRUCTION 1332.45, DOD RETENTION DETERMINATIONS FOR NON-DEPLOYABLE SERVICE MEMBERS.// RMKS/1. The Secretary of Defense announced in reference (a) the implementation of updated policy guidance for military service by transgender persons and persons with gender dysphoria. This NAVADMIN provides interim guidance for policy, regulations and procedures related to the service of transgender Navy personnel. 2. Exempt Individuals a. As outlined in references (a) through (c), individuals who entered into a 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 reference (d) 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 from reference (a) and are subject to reference (d) and may continue to receive all necessary medical treatment to protect the health of the individual, obtain a gender marker change in the Defense Enrollment Eligibility Reporting System (DEERS) and serve in their preferred gender in line with references (e) through (l). b. As outlined in references (a) through (c), Service Members who received a diagnosis of gender dysphoria and are currently undergoing gender transition before the effective date of reference (a), 12 April 2019, are also considered exempt. Those Service Members who are exempt may continue to receive all medically necessary treatment, obtain a gender marker change in DEERS and serve in their preferred gender in line with references (e) through (l). 3. Policy Description a. A description of the new policy for military service by transgender persons and persons with gender dysphoria, referred to as the 2018 Policy, follows below. A comparison is made with the 2016 Policy to highlight the changes and an explanation of the exemption policy is provided. The 2018 Policy will supersede the 2016 Policy on 12 April 2019. b. Accession of individuals diagnosed with gender dysphoria. (1) 2016 Policy. An individual with a history of gender dysphoria who completed gender transition could enter the Navy in their preferred gender, provided they could demonstrate 18 months of stability as confirmed by a licensed medical provider. (2) 2018 Policy. An individual with a history or diagnosis of gender dysphoria may enter the Navy, provided they can demonstrate 36 consecutive months of stability in their biological sex immediately preceding their application as certified by a licensed mental health provider, a licensed medical provider confirms they have not transitioned to their preferred gender and transition is not necessary to protect their health, and they are willing and able to adhere to all standards associated with their biological sex. No otherwise qualified individual shall be denied accession solely on the basis of gender identity. c. Retention of Service Members diagnosed with gender dysphoria. (1) 2016 Policy. Service Members who were diagnosed with gender dysphoria after entering military service could receive medical treatment, complete gender transition with gender marker change in DEERS and serve in their preferred gender as long as all deployability standards were met. (2) 2018 Policy. Service Members who are diagnosed with gender dysphoria on or after the effective date of reference (a), 12 April 2019, may be retained without waiver if a military medical provider has determined that gender transition is not medically necessary to protect the health of the individual, and they are willing and able to adhere to all standards associated with their biological sex and meet all deployability standards. No otherwise qualified Service Member shall be involuntarily separated, discharged or denied reenlistment or continuation of service solely on the basis of gender identity. d. Exceptions to Policy (ETP) (1) 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 to be considered exempt beyond the effective date of reference (a). This request must be routed to the commanding officer (CO) by the Service Member no later than 12 April 2019 and must contain a presumptive diagnosis from a provider (e.g., independent duty corpsman or civilian provider). The request must be forwarded with an endorsement from the CO of the Service Member verifying the inability of the member to access an approved MMP by the effective date of reference (a). The ETP request shall be submitted through the first flag or general officer in the chain of command to be adjudicated by Deputy Chief of Naval Operations (Manpower, Personnel, Training and Education) (DCNO(N1)). (2) All other ETP requests shall be submitted through the first flag or general officer in the chain of command, via DCNO(N1), to the Assistant Secretary of the Navy (Manpower and Reserve Affairs) for adjudication. 4. Additional Guidance a. All Service Members are expected to continue to treat each other with dignity and respect. There is zero tolerance for harassment, hazing or bullying of any Service Member in any form. b. Civilian Attire. Service Members may live socially in their preferred gender while off-duty. There is no policy that prohibits the ability of a Service Member to express themselves off-duty in their preferred gender. Appropriate civilian attire, as outlined in the uniform regulations, will not be determined based on gender. Regional commanders and the senior officers present may suspend or restrict the privilege of wearing preferred gender civilian attire to meet local conditions and host-nation agreements with foreign countries. c. Facilities. Service Members will use gender-specific berthing, head and shower facilities according to the gender reflected in Navy personnel administrative systems/DEERS. d. Security Clearances. Any change in the status of a Service Member (e.g., marriage, divorce, addition of dependents) is reportable to the command security manager in order to maintain a national security clearance. This includes changes to name and gender of a Service Member. A Standard Form 86 Certification (SF 86C) allows reporting of changes in previously reported information on the Questionnaire for National Security Positions (SF 86). 5. Reserve Component (RC). All Department of Defense and Navy policies regarding accessing and retaining transgender personnel are applicable to both Active Component and RC Service Members. Full- Time Support personnel will follow the policy and procedures as described in the preceding paragraphs. 6. Resources a. COs with questions or concerns may contact the Navy Service Central Coordination Cell (SCCC) at (703) 604-5084/DSN 664 or via e- mail at usn_navy_sccc(at)navy.mil. b. Service Members diagnosed with gender dysphoria or who identify as transgender should work with their medical provider and chain of command before contacting the SCCC. c. The COs Toolkit and additional resources may be found on the Navy Personnel Command web site at http://www.public.navy.mil/bupers- npc/support/21st_Century_Sailor/lgbt/Pages/default.aspx. 7. This NAVADMIN remains in effect until superseded or canceled. 8. Released by Vice Admiral R. P. Burke, N1.// BT #0001 NNNN UNCLASSIFIED//