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The USPHS Commissioned Corps is committed to our mission to protect, promote, and advance the health and safety of the nation. Public Health Service officers are trained and equipped to provide crucial public health leadership, assist with policy development, advance innovation and science, provide essential care services and respond to national and global public health emergencies. Through our Active Duty Regular Corps, our Public Health Response Strike Team (PHERST) and our Ready Reserve Corps, we remain responsive and available to rapidly deploy in the service of health.
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Frequently Asked Questions
Policy Highlights and FAQ for CCI 222.01, “Transgender Public Health Service Officers”
Policy Highlights
- Transgender identity is not a relevant factor in determining an individual’s appointment to or continued eligibility for service in the USPHS Commissioned Corps.
- The USPHS Commissioned Corps will treat information related to an individual’s transgender identity with the appropriate sensitivity and keep it confidential.
- Officers seeking to transition must obtain a diagnosis from a medical provider stating that a gender transition is medically necessary. After receiving a diagnosis, officers must collaborate with their medical provider to develop a medical treatment plan.
- Officers do not need a court‑ordered name or gender change in order to change the name the officer uses at work due to transgender or gender identity.
- If, as a result of their medical treatment during the period of transition, officers cannot meet Annual Physical Fitness Test (APFT) standards or uniform and grooming standards, they can request a medical waiver.
- It is impermissible discrimination to limit the access of an officer who is transgender to a single-user restroom in places where a common-access restroom is available. Officers who are transgender must be permitted to use restrooms that align with their gender identity.
- Officers who practice gender identity discrimination within their workplaces and/or within the scope of their employment are subject to disciplinary action in accordance with CCD 111.02, “Disciplinary Action.”
- In a deployment setting with gender segregated sleeping/housing arrangements, officers may choose the sleeping/housing arrangements that align with their chosen gender identity.
Yes. Transgender identity is not a relevant factor in determining an individual’s appointment to or continued eligibility for service in the USPHS Commissioned Corps.
PHS officers seeking to transition must first obtain a diagnosis from a medical provider stating that a gender transition is medically necessary. After receiving a diagnosis, officers must collaborate with their medical provider to develop a medical treatment plan. Officers then must inform Medical Affairs Branch (MAB) of their medical diagnosis and treatment plan (as well as any changes to the treatment plan) and provide MAB with the appropriate supporting documentation. After an officer completes the gender transition, they are still required to complete all necessary medical evaluations needed to meet medical readiness requirements.
Once an officer and their medical provider determine it is appropriate to change the officer’s gender marker in DEERS (as documented by their medical provider) the officer must obtain and produce documentation (e.g., passport, birth certificate, or court order, that reflect the officer’s new gender identity). Once the DEERS gender marker is changed, the officer must adhere to all USPHS Commissioned Corps standards and requirements (including readiness, uniform, and grooming) associated with the new gender marker. Additional information may be obtained directly from DEERS.
Officers can change the name and pronoun usage they use at work due to transgender or gender identity without needing a court order or gender change. Official records (e.g., those pertaining to payroll, retirement accounts, official personnel records, or official government identification tags) require legal documentation (such as a name change order) before the name can be changed in the records. If, as a result of their medical treatment during the period of transition, officers cannot meet Annual Physical Fitness Test (APFT) standards or uniform and grooming standards, they can request a medical waiver.
Officers who are transgender and are seeking changes in the workplace associated with a transition that require supervisory assistance (such as for name, pronoun usage, or records changes) must notify their supervisor and their USPHS Commissioned Corps liaison.
The USPHS Commissioned Corps does not tolerate discrimination of any type. Officers who practice gender identity discrimination will be subject to disciplinary action in accordance with CCD 111.02, “Disciplinary Action.” The USPHS Commissioned Corps will treat information related to an individual’s transgender identity with the appropriate sensitivity and keep it confidential to the extent required by all applicable federal laws, regulations, and policies.
Officers who experience gender identity or transgender discrimination should file a complaint in accordance with CCI 211.03, “Equal Opportunity: Discrimination Complaints Processing.”
Last Updated: 2/24/22
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USER ASSISTANCE
Please check our Frequently Asked Questions (FAQs) . FAQs are located at the top of the page next to the search function.
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COMMISSIONED CORPS NEWS
Officer Spotlight December 2024
Officer Spotlight
Practice Hours Opportunities
Practice Hours Opportunities
2023 Temporary Grade Promotions
CC News Announcement 2023 Temporary Grade Promotions
Changes in Tattoo Policy in CCI 412.01, Uniforms and Appearance
Changes in Tattoo Policy in CCI 412.01, Uniforms and Appearance
Surgeon General Priorities
Surgeon General Priorities
January 2021: United States Public Health Commissioned Corps Doctrine
The link above will take you to the Noncompetitive Promotion Roster for Promotion Year 2020.
FAQs Practice Hours and Special Pay Changes
This is first in a series of FAQs, more FAQs will be forthcoming on Practice Hours and Special Pays.
Coronavirus Disease 2019 (COVID-19) Mission - Deployments Readiness Updates
As we position ourselves to assist with controlling the spread of the Coronavirus Disease 2019 (COVID-19), please note that we’re in an “all-hands on deck” status. Messaging has gone out from the Assistant Secretary for Health reminding Commissioned Corps officers of their deployment responsibilities...
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