Glossary and Definitions for Military Transgenderism

Note the definition for RLE. That means the male or female in their original sex as born, as created by God, may be sleeping, bathing, toileting with members of the other sex before taking hormones or surgery. The example I was reading was what the commanding officer does when HE becomes pregnant if he hasn't completed, or begun, the transition. This apparently is why we have birthing persons.

DoDI 1300.28, April 30, 2021 Change 1, December 20, 2022

GLOSSARY

G.1. ACRONYMS. ACRONYM MEANING

AC Active Component

BCA body composition assessment

DEERS Defense Enrollment Eligibility Reporting System

DHA Defense Health Agency

DoDI DoD instruction

DSM-5 American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders: Fifth Edition

DTP Delayed Training Program

ETP exception to policy

HIPAA Health Insurance Portability and Accountability Act

MPDATP Military Personnel Drug Abuse Testing Program

MTF military medical treatment facility

PHI protected health information PII personally identifiable information

PRT physical readiness testing

RC Reserve Component

RLE real life experience

ROTC Reserve Officer Training Corps

SCCC Service Central Coordination Cell

TRICARE Military Health Care

USCG United States Coast Guard

USD(P&R) Under Secretary of Defense for Personnel and Readiness



G.2. DEFINITIONS.


These terms and their definitions are for the purpose of this issuance.


TERM                                              DEFINITION
cross-sex hormone therapy The use of feminizing hormones in an individual assigned male at birth based on traditional biological indicators or the use of masculinizing hormones in an individual assigned female at birth. A common medical treatment associated with gender transition.
DTP A program established by the Secretary of the Army to provide a personnel accounting category for members of the Army Selected Reserve to be used for categorizing members of the Selected Reserve who have not completed the minimum training required for deployment or who are otherwise not available for deployment.
gender dysphoria A marked incongruence between one’s experienced or expressed gender and assigned gender of at least 6 months’ duration, as manifested by conditions specified in the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders: Fifth Edition (DSM-5), page 452, which is associated with clinically significant distress or impairment in social, occupational, or other important areas of functioning.
gender identity An individual’s internal or personal sense of gender, which may or may not match the individual’s biological sex.
gender marker Data element in DEERS that identifies a Service member’s gender. Service members are expected to adhere to all military standards associated with their gender marker in DEERS and use military berthing, bathroom, and shower facilities in accordance with the DEERS gender marker.
gender transition is complete A Service member has completed the medical care identified or approved by a military medical provider in a documented medical treatment plan as necessary to achieve stability in the self-identified gender.
gender transition process Gender transition in the military begins when a Service member receives a diagnosis from a military medical provider indicating the Service member’s gender transition is medically necessary, and concludes when the Service member’s gender marker in DEERS is changed and the Service member is recognized in the self-identified gender.
human and functional support network Support network for a Service member that may be informal (e.g., friends, family, co-workers, social media.) or formal (e.g., medical professionals, counselors, clergy).
medically necessary Health-care services or supplies necessary to prevent, diagnose, or treat an illness, injury, condition, disease, or its symptoms, and that meet accepted standards of medicine.
mental health provider A medical provider who is licensed, credentialed, and experienced in the diagnosis and treatment of mental health conditions and is privileged at a Military MTF (in the direct care system). Private care sector civilian TRICARE authorized mental health providers may be involved in a specific Active Duty Service member’s care. These providers are credentialed through the managed care support contractors.
military medical provider Any military, government service, or contract civilian health care professional who, in accordance with regulations of a Military Department or DHA, is credentialed and granted clinical practice privileges to provide health care services within the provider’s scope of practice in a Military MTF.
non-urgent medical treatment The care required to diagnose and treat problems that are not life or limb threatening or that do not require immediate attention.
PHI Individually identifiable health information (as defined in the HIPAA Privacy Rule) that, except as provided in this issuance, is transmitted or maintained by electronic or any other form or medium. PHI excludes individually identifiable health information in employment records held by a DoD covered entity in its role as employer. Information that has been de-identified in accordance with the HIPAA Privacy Rule is not PHI.
PII Information that can be used to distinguish or trace an individual’s identity, either alone or when combined with other information that is linked or linkable to a specific individual. Defined in OMB Circular No. A-130.
RLE The phase in the gender transition process during which the individual begins living socially in the gender role consistent with their self-identified gender. RLE may or may not be preceded by the commencement of cross-sex hormone therapy, depending on the medical treatment associated with the individual Service member, cadet, or midshipman’s gender transition. The RLE phase is also a necessary precursor to certain medical procedures, including gender transition surgery. RLE generally encompasses dressing in the new gender, as well as using self-identified gender berthing, bathroom, and shower facilities.
SCCC Service-level cell of experts created to provide multi-disciplinary (e.g., medical, legal) advice and assistance to commanders regarding service by transgender Service members, cadets, or midshipmen and gender transition in the military.
self-identified gender The gender with which an individual identifies.
stable in the self-identified gender The absence of clinically significant distress or impairment in social, occupational, or other important areas of functioning associated with a marked incongruence between an individual’s experienced or expressed gender and the individual’s biological sex. Continuing medical care including, but not limited to, cross-sex hormone therapy may be required to maintain a state of stability.
transgender Service member Service member who has received a medical diagnosis indicating that gender transition is medically necessary, including any Service member who intends to begin transition, is undergoing transition, or has completed transition and is stable in the self-identified gender.
transition Period of time when individuals change from the gender role associated with their sex assigned at birth to a different gender role. For many people, this involves learning how to live socially in another gender role. For others, this means finding a gender role and expression that are most comfortable for them. Transition may or may not include feminization or masculinization of the body through cross-sex hormone therapy or other medical procedures. The nature and duration of transition are variable and individualized.