https://armypubs.army.mil/epubs/DR_pubs/DR_a/ARN45295-ALARACT_0982025-000-WEB-1.pdf
ALARACT 098/2025
DTG: R 231210ZSEP 25
FROM: ALARACT RELEASE AUTHORITY WASHINGTON DC
TO: ALARACT
UNCLAS CUI
SUBJ/ALARACT 098/2025 – EMERGENT REQUEST FOR 12301(H) ORDERS
THIS ALARACT MESSAGE HAS BEEN TRANSMITTED BY JSP ON BEHALF OF DCS
G–1//DAPE-MPI-MP//
1. (U) REFERENCES:
1.A. (U) 10 USC 12301, RESERVE COMPONENTS GENERALLY, (AVAILABLE AT
HTTPS://USCODE.HOUSE.GOV/)
1.B. (U) DODI 1241.01, RESERVE COMPONENT (RC) LINE OF DUTY (LOD)
DETERMINATION FOR MEDICAL AND DENTAL TREATMENTS AND
INCAPACITATION PAY ENTITLEMENTS
1.C. (U) AR 600–77, ADMINISTRATIVE MANAGEMENT OF WOUNDED, ILL, OR
INJURED SOLDIERS
1.D. (U) AR 40–58, ARMY RECOVERY CARE PROGRAM
1.E. (U) AR 600–8–4, LINE OF DUTY POLICY, PROCEDURES, AND
INVESTIGATIONS
2. THIS MESSAGE APPLIES TO NON-ACTIVE GUARD RESERVE (AGR) OF THE
ARMY NATIONAL GUARD (ARNG), THE ARMY NATIONAL GUARD OF THE UNITED
STATES (ARNGUS) AND UNITED STATES ARMY RESERVE (USAR) SERVICE
MEMBERS (SM).
3. (U) PURPOSE. THE PURPOSE OF THIS MESSAGE IS TO CLARIFY WHO MEETS
EMERGENT CRITERIA IAW REFERENCE 1.C. AND 1.D. AND IS ELIGIBLE FOR
12301(H) ORDERS FOR MEDICAL CARE.
4. (U) GUIDANCE.
4.A. (U) REFERENCE 1.C. IS CURRENTLY UNDER MAJOR REVISION AND WILL
UPDATE NOMENCLATURE THROUGHOUT TO REFLECT CHANGES PUBLISHED IN
REFERENCE 1.D.
4.B. (U) A RESERVE COMPONENT (RC) SM IN AN INACTIVE DUTY TRAINING
STATUS AND BECOMES ILL OR INJURED, IS HOSPITALIZED, AND IT IS
ANTICIPATED THAT THE TREATMENT AND RECOVERY WILL TAKE LONGER THAN
30 DAYS MAY REQUEST 12301(H) ORDERS IAW REFERENCE 1.D.
4.B.1 (U) HOSPITALIZED CRITERIA IS CONSIDERED MET WHEN A RC SM IS
ADMITTED AT AN INPATIENT FACILITY, INCLUDING BUT NOT LIMITED TO ACUTE
INPATIENT REHABILITATION, LONG-TERM ACUTE CARE, OR ACUTE CARE
HOSPITALS FOR A MINIMUM OF 24 HOURS.
4.B.2. (U) THE RC SM DOES NOT HAVE TO REMAIN HOSPITALIZED AS LONG AS
THEY MEET THE CRITERIA IN 4.B.1.
5. (U) PROCEDURES.
5.A. (U) IAW REFERENCE 1.B. A RC SM REQUIRING TREATMENT FOR AN
EMERGENCY MEDICAL OR DENTAL TREATMENT CONDITION WHILE IN A
QUALIFIED DUTY STATUS WILL BE AUTHORIZED AN INTERIM IN-LINE OF DUTY
(ILD) DETERMINATION IN ORDER TO AUTHORIZE EMERGENT CARE, UNLESS
CLEAR AND UNMISTAKABLE EVIDENCE SHOWS THE CONDITION WAS THE
RESULT OF THE SM’S GROSS NEGLIGENCE OR MISCONDUCT.
5.B. (U) THE INTERIM ILD DETERMINATION WILL BE ADJUDICATED WITHIN 30
DAYS OF COMPLETION OF THE QUALIFIED DUTY STATUS.
5.C. (U) SHOULD THE APPROVAL AUTHORITY, AT ANY TIME, FIND THAT THE
INJURY, ILLNESS, OR DISEASE WAS NOT INCURRED OR AGGRAVATED IN A
QUALIFIED DUTY STATUS OR WAS THE RESULT OF GROSS NEGLIGENCE OR
MISCONDUCT BY THE RC SM, THEN THE COMMAND WILL:
5.C.1.(U) TAKE ACTION TO IMMEDIATELY TERMINATE ALL AUTHORIZATION FOR
MEDICAL AND DENTAL TREATMENT, INCAPACITATION PAY, AND TRAVEL AND
TRANSPORTATION ALLOWANCES PROVIDED TO THE RC SM.
5.C.2.(U) THE RC SM WILL BE FINANCIALLY RESPONSIBLE FOR ALL MEDICAL
AND DENTAL TREATMENT, TO INCLUDE ANY EMERGENT MEDICAL AND DENTAL
TREATMENT, SUBJECT TO THE AVAILABILITY OF THE RC SM’S MEDICAL AND
DENTAL TREATMENT INSURANCE COVERAGE OR OTHER THIRD-PARTY PAYER.
6. (U) POINT OF CONTACT FOR THIS ACTION IS DCS, G–1, DMPM, POLICY
INTEGRATION OFFICER, MEDICAL POLICY BRANCH (DAPE-MPI-MP),
(COMMERCIAL 703–571–7292).
7. (U) THIS ALARACT MESSAGE EXPIRES ON 22 SEPTEMBER 2026.