Transgender individuals receiving hormone therapy also must be stable on their medication for 18 months.
The requirements make it challenging for a transgender recruit to enlist, but they mirror concerns President Barack Obama’s administration laid out when the Pentagon initially lifted its ban on transgender service last year.
The Pentagon has similar restrictions for recruits with a variety of medical or mental conditions, such as bipolar disorder.
“Due to the complexity of this new medical standard, trained medical officers will perform a medical prescreen of transgender applicants for military service who otherwise meet all applicable applicant standards,” said Eastburn.
Last year, then-Defense Secretary Ash Carter ended the ban on transgender service members, allowing them to serve openly in the military. He said that within 12 months — or by July 2017 — transgender people also would be able to enlist.
Trump, however, tweeted in July that the federal government “will not accept or allow” transgender troops to serve “in any capacity” in the military. A month later, he issued a formal order telling the Pentagon to extend the ban. He gave the department six months to determine what to do about those currently serving.
Trump’s decision was quickly challenged in court, and two U.S. district court judges have already ruled against the ban. Part of one ruling required the government to allow transgender individuals to enlist beginning Jan. 1.
The government had asked that the Jan. 1 requirement be put on hold while the appeal proceeds. The Pentagon move, however, signals the growing sense within the government that authorities are likely to lose the legal fight.
“The controversy will not be about whether you allow transgender enlistees, it’s going to be on what terms,” said Brad Carson, who was deeply involved in the last administration’s decisions. “That’s really where the controversy will lie.”
Carson worried, however, that the Defense Department could opt to comply with a deadline on allowing transgender recruits, but “under such onerous terms that practically there will be none.” Carson, who worked for Carter as the acting undersecretary of defense for personnel, said requiring 18 months of stability in the preferred sex is a reasonable time.
“It doesn’t have any basis in science,” he said, noting that experts have suggested six months is enough. “But as a compromise among competing interests and perhaps to err on the side of caution, 18 months was what people came around to. And that’s a reasonable position and defensible.”