Downloaded from https://www.everyspec.com 3–2. Application These standards apply to the following individuals (see chaps 4 and 5 for other standards that apply to specific specialties): a. All commissioned and warrant officers of the Active Army, ARNG/ARNGUS, and USAR. b. All enlisted Soldiers of the Active Army, ARNG/ARNGUS, and USAR. c. Students already enrolled in the HPSP and USUHS programs. d. Enlisted Soldiers of the ARNG/ARNGUS or USAR who apply for enlistment in the Active Army. e. Commissioned and warrant officers of the ARNG/ARNGUS or USAR who apply for appointment in the Active Army. f.
Soldiers of the ARNG/ARNGUS or USAR who re-enter active duty under the “split-training option.” (However, the weight standards of tables 2–1 and 2–2 apply to split option trainees.) g. Retired Soldiers recalled to active duty. 3–3. Disposition Soldiers with conditions listed in this chapter who do not meet the required medical standards will be evaluated by an MEB as defined in AR 40–400 and will be referred to a PEB as defined in AR 635–40 with the following caveats: a. USAR or ARNG/ARNGUS Soldiers not on active duty, whose medical condition was not incurred or aggravated during an active duty period, will be processed in accordance with chapter 9 and chapter 10 of this regulation. b.
Soldiers pending separation in accordance with provisions of AR 635–200 or AR 600–8–24 authorizing separa- tion under other than honorable conditions who do not meet medical retention standards will be referred to an MEB. In the case of enlisted Soldiers, the physical disability processing and the administrative separation processing will be conducted in accordance with the provisions of AR 635–200 and AR 635–40. In the case of commissioned or warrant officers, the physical disability processing and the administrative separation processing will be conducted in accordance with the provisions of AR 600–8–24 and AR 635–40. c.
A Soldier will not be referred to an MEB or a PEB because of impairments that were known to exist at the time of acceptance in the Army and that have remained essentially the same in degree of severity and have not interfered with successful performance of duty. d. Physicians who identify Soldiers with medical conditions listed in this chapter should initiate an MEB at the time of identification. Physicians should not defer initiating the MEB until the Soldier is being processed for nondisability retirement.
Many of the conditions listed in this chapter (for example, arthritis in para 3–14 b ) fall below retention standards only if the condition has precluded or prevented successful performance of duty. In those cases when it is clear the condition is long standing and has not prevented the Soldier from reaching retirement, then the Soldier meets the standard and an MEB is not required. e. Soldiers who have previously been found unfit for duty by a PEB, but were continued on active duty (COAD) under the provisions of AR 635–40, chapter 6, will be referred to a PEB prior to retirement or separation processing. f.
If the Secretary of Defense prescribes less stringent standards during partial or full mobilization, individuals who meet the less stringent standards but do not meet the standards of this chapter will not be referred for an MEB or a PEB, until the termination of the mobilization or as directed by the Secretary of the Army. 3–4. General policy Possession of one or more of the conditions listed in this chapter does not mean automatic retirement or separation from the Service. Physicians are responsible for referring Soldiers with conditions listed below to an MEB. It is critical that MEBs are complete and reflect all of the Soldier’s medical problems and physical limitations.
The PEB will make the determination of fitness or unfitness. The PEB, under the authority of the U.S. Army Physical Disability Agency, will consider the results of the MEB, as well as the requirements of the Soldier’s MOS, in determining fitness. (See chapter 9 and chapter 10 of this regulation for processing of RC Soldiers.) 3–5. Abdominal and gastrointestinal defects and diseases The causes for referral to an MEB are as follows: a. Achalasia (cardiospasm) with dysphagia not controlled by dilatation or surgery, continuous discomfort, or inability to maintain weight. b.
Amoebic abscess with persistent abnormal liver function tests and failure to maintain weight and vigor after appropriate treatment. c. Biliary dyskinesia with frequent abdominal pain not relieved by simple medication, or with periodic jaundice. d. Cirrhosis of the liver with recurrent jaundice, ascites, or demonstrable esophageal varices or history of bleeding therefrom. e. Gastritis, if severe, chronic hypertrophic gastritis with repeated symptomatology and hospitalization, confirmed by gastroscopic examination. f. Hepatitis, B or C, chronic, when following the acute stage, symptoms persist, and there is objective evidence of impairment of liver function.
Chronic hepatitis B as documented by positive hepatitis B surface or e antigen or 21 AR 40–501 • 14 December 2007