Senate Minority Leader Calls TRICARE Concerns “Deeply Concerning” Amid Extended Government Shutdown

As the federal government shutdown continues into its second week, concerns are rising over its impact on health care providers serving military families. San Antonio, home to a large concentration of Department of Defense installations, is at the center of the issue. Many residents rely on TRICARE, the federal health insurance program for active-duty members, retirees, and their families.

TRICARE’s Role for Military Families

TRICARE provides comprehensive coverage, including access to civilian and military providers, prescription coverage, and specialized care for chronic conditions or disabilities. For families living near Joint Base San Antonio (JBSA) — which includes Lackland Air Force Base, Randolph Air Force Base, Fort Sam Houston, and Camp Bullis — TRICARE is critical to maintaining consistent access to care.

Delays in reimbursements caused by the shutdown have created uncertainty for providers and families alike. Clinics that serve children with developmental disorders, chronic medical conditions, or mental health needs report particular concern.

Financial Impact on Health Care Providers

Local providers have shared the strain caused by stalled TRICARE payments. Dr. Britt Sims, Executive Director of Integrated Behavior Solutions, which serves children with developmental disorders, told reporters that cash flow delays are threatening her clinic’s operations. Similarly, Dr. Gia Koehne, owner of the Blossom Center for Children, noted that interrupted funding limits her ability to provide consistent therapy to children with autism.

Clinic administrators emphasize that financial stability is essential not only for operations but also for the continuity of care. Delays could disrupt therapy schedules, mental health support, and ongoing medical treatments that families depend on.

Legislative Impasse and Federal Guidance

The shutdown results from a broader budget stalemate in Congress. While efforts to reopen the government continue, certain appropriations necessary for TRICARE reimbursements remain unresolved.

TRICARE has issued guidance stating that beneficiaries can continue to access care at military treatment facilities or through civilian providers, with standard out-of-pocket costs. However, claims submitted after October 1, 2025, may not be processed until funding is restored. The Defense Health Agency (DHA) is coordinating with providers to communicate anticipated delays.