News from MHCE
OCTOBER 2021 EDITION
Died of COVID
See page 13
become disqualified from some
Sailors may apply for an
exemption from the vaccine on
medical or religious grounds.
The Navy says 94 percent
of active-duty sailors and 89
percent of the total force are fully
vaccinated, while 99 percent of
active-duty sailors and 94 percent
of the total force have received
at least one COVID-19 shot,
according to figures released Oct.
Navy Unveils Discharge Plans for
Sailors Who Refuse COVID-19 Vaccine
The Navy has announced
the formation of a COVID
Authority to separate sailors
who refuse to comply with the
mandatory vaccination policy.
Active-duty sailors must receive
their final dose of the vaccine by
Nov. 14 — and those in the Navy
Reserve by Dec. 14 — in order
to meet the deadlines for fully
vaccinated status, which are Nov.
28 and Dec. 28, respectively.
The shot deadlines provide a
two-week buffer for sailors to
become fully immunized against
“In order to maximize readiness,
it is the policy goal of the U.S.
Navy to achieve a fully vaccinated
force against the persistent and
lethal threat of COVID-19,” a
naval administrative message
released Tuesday states.
For those who don’t comply,
the Navy is standing up the
COVID Consolidated Disposition
Authority to “ensure a fair and
consistent process” handling
and has tapped Chief of Naval
Personnel Vice Adm. John Nowell
Jr. and Chief of Naval Reserve
Vice Adm. John Mustin to head
Vice Chief of Naval Operations
Adm. William Lescher is in
charge of nonjudicial punishment
“Commands shall not allow those
refusing the vaccine to promote/
advance, reenlist, or execute
orders, with the exception of
separation orders, until the CCDA
has completed disposition of their
case,” the NAVADMIN said.
“Transfer orders may be cancelled
by Navy Personnel Command.”
Reporting seniors also must
submit a special evaluation or
fitness report no later than 30 days
after a sailor rejects the vaccine to
document circumstances of the
rejection and other misconduct
information related to the Uniform
Code of Military Justice Article
92, that is, failure to comply with
a regulation, the guidance said.
Administrative actions against
sailors who deny the COVID-19
vaccine or won’t be fully
vaccinated by the deadline may
commence immediately if the
sailor doesn’t already have a
pending or approved exemption
Sailors could receive as low
as a general discharge under
honorable conditions if they are
separated only for their vaccine
refusal. A Navy news release
on the guidance notes that this
potentially causes the sailor to
More than 65 service members
across all branches have died due
to complications from COVID-19,
according to Pentagon data, with
at least 14 of those from the Navy.
That number grows to nearly 165
when factoring in Navy civilians,
dependents and contractors.
“Tragically, there have been 164
deaths within the Navy family due
to COVID-19, far exceeding the
combined total of all other health
or mishap related injuries and
deaths over the same time period,”
the NAVADMIN said. “144 of
these were not immunized and 20
had an undisclosed immunization
Service leaders have voiced strong
support for the vaccine, noting
that the vaccine is imperative to
protect the force and paves the
way for normalcy.
“We would not send our folks into
combat without flak and Kevlar,”
Navy Surgeon General Rear
Adm. Bruce Gillingham said at
a panel at the the Sea Air Space
symposium in August. “The
enemy this time is a virus, and we
have a biological body armor for
them to take and use to protect
them … this is biologic body
armor. Put it on, be protected.”
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Focus on Oversight a Key for Success at
In the corrections industry, maintaining high standards of
operation is imperative to meeting the needs of the individuals
in our care. That's why CoreCivic adheres to a stringent set of
guidelines set forth by our own standards, as well as those of our
government partners and the American Correctional Association
Founded in 1870, the ACA is considered the national benchmark
for the effective operation of correctional systems throughout
the United States. To become accredited, a facility must achieve
compliance with ACA mandatory standards and a minimum of
90 percent non-mandatory standards. CoreCivic facilities adhere
to ACA standards, and in 2020, CoreCivic earned an average
ACA audit score of 99.6 percent across all facilities.
Key ACA audit areas include facility personnel, resident reentry
programs, resident safety, health care, and more.
holds our facilities and staff to a high standard. To be able to
represent our facility and receive reaccreditation in person is an
Adhering to ACA standards is only one part of CoreCivic's
commitment to robust oversight. When government partners
utilize CoreCivic's services, we are held not only to our own
high standards and those of the ACA, but we are often held to
the same or higher accountability of our public counterparts
through stringent government contracts, unfettered access to
our facilities for our partners, and hundreds of on-site quality
We provide access to our government partners, with most of
our facilities having government agency employees known as
contract monitors who are physically on-site to ensure we are
operating in line with partner guidelines.
Recently, the ACA held in Nashville, Tennessee, its 151st
Congress of Corrections, an annual convention that brings
together corrections professionals from across the country. In
addition to various workshops and events at the convention, the
ACA Commission on Accreditation also held panel hearings to
award accreditation to correctional facilities that meet the ACA's
rigorous requirements. Listed below are the seven CoreCivic
facilities that earned reaccreditation this year, with mandatory/
• Bent County Correctional Facility - 100/99.0
• Citrus County Detention Facility - 100/100
• Eloy Detention Center - 100/100
• Lake Erie Correctional Institution - 100/99.3
• Saguaro Correctional Center - 100/99.8
• Stewart Detention Center - 100/100
• Tallahatchie County Correctional Facility - 100/100
"The accreditation process is very important," said Warden
Fred Figueroa from Eloy Detention Center, one of the seven
CoreCivic facilities that was awarded reaccreditation. "ACA
To maintain our own high standards, annual on-site audits covering
all operational areas are administered to ensure compliance with
contractual and regulatory obligations and corporate-mandated
requirements. Each CoreCivic Safety facility is audited by our
internal quality assurance division, which is independent from
our operations division. Facilities are expected to be audit-ready
year-round, maintaining continuous compliance with numerous
CoreCivic employs 75 staff members dedicated to quality
assurance, including several subject matter experts with extensive
experience from all major disciplines within our institutional
"A lot of hard work goes into preparing for these audits,"
Figueroa said. "Once they're complete, the staff can see their
accomplishments and feel proud."
Having multiple levels of oversight helps CoreCivic maintain
a safe environment for those in our care. By holding ourselves
accountable to our own high standards, along with our
government partners' and ACA's standards, CoreCivic continues
to be a trusted partner working to better the public good.
6 | MHCE - News www.mhce.us OCTOBER 2021 EDITION
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WEBSITE AT MHCE.US
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“They are the burden of the heart and the mind that over
generations in America that have really gone on spoken of,”
Pence said. “But I’m proud to say now we’re recognizing as a
nation the unseen injuries of our heroes.”
About 30 horses and rides followed the full 20-mile route through
Fort Wayne — a distance referring to the estimated 20 veterans a
day who die from suicide.
Pence Joins Horse
Ride to Raise
Awareness of Veteran
FORT WAYNE, Ind. — Former Vice President Mike Pence
climbed on horseback during an Indiana ride by a veterans group
trying to reduce suicides among military veterans.
Pence joined members of the nonprofit organization BraveHearts
during a Saturday ride in Fort Wayne aimed at raising awareness
about the suicide issue. The national group uses the riding and
care of horses in therapy for veterans suffering with depression
or other emotional troubles.
Pence rode for part of the route, talked and posed for photos with
residents and riders and spoke during a ceremony at the ride’s
The former Indiana governor said he was inspired by the group’s
recognition that some veterans have wounds “that can’t be seen
with the human eye.”
12 | MHCE - News www.mhce.us OCTOBER 2021 EDITION
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Colin Powell Has Died of
WASHIINGTON — Colin Powell, who served Democratic and Republican
presidents in war and peace but whose sterling reputation suffered when he
went before the U.N. and made faulty claims to justify the U.S. war in Iraq,
has died of COVID-19 complications. He was 84.
In 1989 Powell became the first Black chairman of the Joint Chiefs of Staff. In
that role he oversaw the U.S. invasion of Panama and later the U.S. invasion
of Kuwait to oust the Iraqi army in 1991.
But his reputation suffered a painful setback when, in 2003, Powell went
before the U.N. Security Council and made the case for U.S. war against Iraq.
He cited faulty information claiming Saddam Hussein had secretly stashed
away weapons of mass destruction. Iraq’s claims that it had not represented
“a web of lies,” he told the world body.
In an announcement on social media, the family said Powell had been fully
“We have lost a remarkable and loving husband, father and grandfather and
a great American,” the family said.
Former President George W. Bush said he and former first lady Laura Bush
were “deeply saddened” by Powell's death.
“He was a great public servant” and “widely respected at home and abroad,”
Bush said. "And most important, Colin was a family man and a friend. Laura
and I send Alma and their children our sincere condolences as they remember
the life of a great man.”
14 | MHCE - News www.mhce.us OCTOBER 2021 EDITION
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The survey, "The Military Teen Experience: A
Snapshot of America's Military
Teenagers and Future Force," was conducted
by Bloom: Empowering the Military Teen
and the National Military Family Association
to understand the impact of the pandemic,
the military lifestyle and the high operational
tempo on the teenage children of service
Given that military children learn toward
serving themselves, knowing how they are
holding up mentally and physically should
be of paramount importance to the Defense
Department and advocacy groups, explained
Besa Pinchotti, executive director and CEO at
The survey found that 65% of respondents
said they planned to join the military.
"We always say military kids serve too, and
they do, but this is also the population that's
going to be serving and protecting our country
in the future, so it's an important point,"
Pinchotti said Thursday in an interview with
The poll asked questions about the respondents'
sense of mental well-being, including whether
they had adequate nutrition and felt supported
in their communities and safe in their homes
In many of those areas, the survey found that
teenage military dependents weren't faring
• More than one-third of the respondents
worried about whether their families had
enough food or the money to buy more.
• 45% said they'd endured at least one to
four parental deployments, and 62% had
With Mental Well-
Pandemic aside, military teens are stressed
That's a key takeaway from a new survey
that should concern the Defense Department.
A majority of those polled plan to join the
military as adults.
The survey of more than 2,000 teens aged 13
to 19 years old who are in military families
found that 42% reported low mental wellbeing
during the pandemic and 45% reported
being of moderate well-being. It was published
Thursday by the National Military Family
Association, or NMFA.
Just 13% said they were better than fine.
It's difficult to determine how the military
teen population is holding up compared with
the general high school population, since
the latest data published by the Centers for
Disease Control and Prevention is from prepandemic
2019 and showed that 37% reported
persistent sadness or hopelessness.
But the military survey still indicates that
military "kids are not okay," according to the
authors of the report.
"Military teens' well-being is low," wrote the
researchers. "We wanted to get an accurate
understanding of military teens' mental health.
The results weren't good."
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moved at least one to five times, leaving
them less connected to family and their
• 11% reported domestic abuse or violence
in their homes.
"This really tracks with everything that we
hear. We talk to military parents and families
really regularly, but not so much directly with
the teens," Pinchotti said.
The organization Bloom: Empowering the
Military Teen is an online site founded by
military teens Elena Ashburn and Matthew
Oh to give the military teen community a
platform to share their experiences, writing,
artwork, memes and more.
"We wanted to know straight from the source,"
They reported enduring frequent moves and
the loss of community every time they were
uprooted, as well as long-term separations
from their parents.
In terms of schools, one-third said they had
attended six to 11 schools in their lifetimes.
Nearly a third said they weren't able to
participate in an extracurricular activity
because they were in a military family or
expected to move, and 20% felt they had been
treated differently or teased for their military
Nearly half said they had experienced at least
one deployment, with about 14% saying they
had gone through five to 10 deployments.
Fifteen respondents reported 19 or more
deployments among one or both of their
Not surprisingly, the survey confirmed that
deployments can take a toll on mental health.
"Military teens who reported experiencing
more deployments or separations lasting three
months or longer generally reported lower
mental well-being," the researchers wrote.
While most children, or 57%, said they did
not experience or witness any domestic abuse
or violence in their homes, 11% said they had.
Roughly 5% reported having been abused by
a parent, and 5% said they experienced dating
The results also reflected food insecurity, an
issue that advocates say is a growing problem
among military families and veterans. Of
the respondents, 36% said they experienced
food insecurity during the pandemic year,
including nearly 40% of active-duty dependent
That may be much higher than the national
According to the report, the Department of
Agriculture said 10.5% of American families
were food insecure in 2020, while the
Washington, D.C.-based Brookings Institution
think tank found that 27.5% of families with
children experienced food insecurity during
Congress has taken notice, and this year the
House and Senate versions of the National
Defense Authorization Act contain provisions
for struggling families to receive extra pay to
cover food costs.
The bill has yet to be finalized or signed into
law, but it currently contains a "basic needs
allowance" that would provide the benefit
to troops if their household income does not
exceed 130% of the federal poverty level.
Pinchotti said abolishing food insecurity
among military families would "go a long
way toward helping our military teens' wellbeing."
This community warrants more research not
only for its own well-being but for the national
defense, since they are more likely to become
the soldiers, sailors, airmen, Guardians and
Marines of tomorrow, the authors noted.
A 2019 DoD poll showed that only 13% of
Americans aged 16 to 24 said they would
likely join the military in the next couple of
years. But two-thirds of the study respondents,
or 1,379 teens, said they planned to serve.
Given their willingness to join, Pinchotti said
the DoD and advocacy groups should do more
to support them, including expanded access to
mental health services and wellness initiatives,
and more programs tailored to their needs.
"We're asking the Department of Defense to
make the well-being of our military kids a
priority," Pinchotti said.
18 | MHCE - News www.mhce.us OCTOBER 2021 EDITION
to Your TSP
When You Leave
There's a lot of stuff happening when
you leave the military. (Is that not the
biggest understatement ever?) One
little tidbit that often gets missed is
that there is no contribution to the
Thrift Savings Plan during your last
month of active duty. If you're trying
to cram some more money into this
low-cost, tax-advantaged retirement
account before you leave the service,
you'll need to plan to do it before that
I'm not exactly sure why this works
out this way, but I have a hunch.
Deductions are made from your
military pay during each month, but
the contributions aren't sent to your
Thrift Savings Plan account until
the beginning of the next month. For
example, if you have money deducted
from your military pay in May, that
money will be contributed to your
TSP account in June. But you have
to be serving currently to contribute
to TSP. Because of the delay between
the deduction and its transfer to the
TSP, if money were deducted from
your last month's pay, the TSP would
be receiving the money after you no
longer were serving. I think this is the
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WWW.MHCE.US Monthly Newsletter | 19
reason that you can't contribute during your last
month of service. But whether I'm right or not,
the fact is that you can't contribute. The Defense
Finance and Accounting Service will suspend
your TSP contributions automatically after the
end-of-month paycheck for the month prior to
So what does this mean for you as you plan your
transition? Well, it means that you're going to
have a bigger paycheck during that last month.
That's a nice thing and can help increase your
transition fund right before you need it.
But it also means that you will miss that
opportunity to make a contribution for that
month. And, if you are in the Blended Retirement
System, you won't receive government matching
contributions for that last month. Depending
on your overall financial plan, you may want
to adjust your contributions for the months
prior to separation so that you reach the desired
contribution amount for the time you're serving.
If you are planning to pursue work after leaving
the military, you may want to consider how your
military TSP contributions may impact your
ability to contribute to your new employer's
retirement plan. The total annual limit for
contributions is combined between the military
TSP and a civilian TSP account, or a private
employer's 401(k) plan. This may be important
if your new employer offers an employee match.
While most of us don't know for sure what
sort of benefits will come with post-military
employment, it's a good idea at least to think
about how things might unfold so that you're
making informed decisions along the way. In the
most extreme example, if you contribute a ton
to TSP before separating, you may find yourself
unable to contribute to an employer plan and you
could miss out on their matching funds, which
may be a large part of their retirement package.
If that entire last paragraph is making your head
spin, consider meeting with a fee-only financial
adviser who understands military pay and
There's no single right way to handle the curtailing
of TSP contributions before leaving the military,
but understanding that it will happen is the first
step in making sure that you're using your money
in exactly the way that you want to use it. And
congratulations on your new phase of life!
20 | MHCE - News www.mhce.us OCTOBER 2021 EDITION
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Retirees to Pay More for
Tricare Enrollment While
Pharmacy Copays Rise for
All in 2022
Military families and retirees who
use retail pharmacies or the Tricare
mail-order delivery system for their
medications will see an increase in
copayments in 2022, according to
a notice to be published Tuesday in
the Federal Register.
Likewise, military retirees still
considered to be working age --
those under age 65 who are not old
enough for Medicare and Tricare
for Life -- can expect to pay more
in health care enrollment fees,
although the exact amount of the
bump has yet to be determined.
Prescriptions for all Tricare
beneficiaries at retail pharmacies
will cost $14 for a 30-day supply for
a generic drug, up from $11; $38 for
a brand-name medication, up from
$33; and $68 for a non-formulary
drug not listed in Tricare's list of
covered medications, up from $60.
Eligible patients can save money
by using military pharmacies,
which charge no copayments, or
they can trim costs of regularly
prescribed medications by using
Tricare's mail-order pharmacy,
managed by Express Scripts.
Copayments for the mail-order
pharmacy also will see an increase.
The cost of a generic prescription
will rise from $10 to $12 for a 90-
day supply, and from $29 to $34
for a brand-name drug for a 90-day
script. Non-formulary drugs will
Annual enrollment fees for Tricare
Prime and Select also are expected
to rise for career retired service
members and their families, but the
amount of the increase has yet to
be determined because it is based
on the calculated cost-of-living
adjustment for retired military pay,
which is usually published in mid-
by that percent as well, give or take
a few tenths.
Currently, military personnel who
retired before Jan. 1, 2018, known
as Group A retirees, pay $303 per
year for an individual and $606 per
year for a family.
Those designated as Group B
retirees entered service on or
after Jan. 1, 2018, and have left
military service, mainly medical
retirees and their family members.
This group currently pays annual
enrollment fees for Tricare Prime
of $366 per individual and $732
Retirees in Group A who use
Tricare Select began paying annual
enrollment fees this year, $150 for
an individual and $300 for a family,
while Group B retirees' enrollment
fees for Select are $471 for an
individual or $942 for a family.
Both groups are subject to the
COLA adjustment and will see
increases to their fees.
Surviving family members of
sponsors who died on active duty
or service members who medically
retired before Jan. 1, 2018, and
their families who are enrolled in
Tricare Prime are exempt from the
increases as long as they remain in
that health program.
Tricare for Life beneficiaries don't
pay anything for that program,
which acts as a secondary payer
to Medicare. But they are likely
to see increased cost in their
health care as well, since they are
required to have Medicare Part B,
which carries monthly premiums
based on income. Medicare Part B
premiums are expected to increase
based on the COLA.
In addition to pharmacy copay
increases and enrollment fee hikes,
some specialty populations within
the Tricare system also will pay
more, including reservists, young
adults and transitioning service
Open Season this year is scheduled
to begin Nov. 8 and end Dec.
13. During this period, eligible
beneficiaries can enroll in Tricare
Prime or Select if they have other
insurance or change plans. If they
are satisfied with their current
Tricare health plan, they can do
nothing and remain enrolled.
If they don't make a change
during Open Season, beneficiaries
must wait until a "qualifying
life event," such as losing health
insurance provided by another
insurer, retiring, getting married
or divorced, having a baby or
adopting, moving or aging out of
More than 4.7 million beneficiaries
are enrolled in Tricare Prime, and
nearly 1.7 million patients use
Tricare Select. An additional 2.1
million beneficiaries use Tricare
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The enrollment fee increase is
expected to be significant this year
as military retirees could see the
largest jump in their retirement pay
in nearly 40 years. As of June, the
projected cost-of-living, or COLA,
increase was 5.1%, meaning that
both retirement pay and Tricare
Prime enrollment fees could rise
Learn more at frontier.edu/military
22 | MHCE - News www.mhce.us OCTOBER 2021 EDITION
The Enemy Is Lurking in Our
Bodies' -- Women Veterans
Say Toxic Exposure Caused
As Kate Hendricks Thomas sat one night with her second-grade
son Matthew, he placed his hands on the table as if he were an
adult girding up for an important conversation.
"Mom," Kate remembers him saying, "I'm not going to cry when
I say this."
And then, she says, he started to cry, but just a little bit. Her heart
tightened in her chest as she waited.
"He said, ‘I just want you to know, when you die, I'm going to
cry so hard because I love you so much,'" she remembers.
Hendricks Thomas shines fiercely: A former Marine Corps
officer, she hit Fallujah, Iraq, in 2005, when the living was still
dirty and the second battle of Fallujah had just reached its end.
To stay healthy, she ran laps around the burn pit on base. After
she got out of the military, she earned her doctorate -- and a
reputation for helping others through the hard stuff.
WWW.MHCE.US Monthly Newsletter | 23
24 | MHCE - News www.mhce.us OCTOBER 2021 EDITION
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