Printed from https://fiscalreceipts.com/program/6522/ — built September 26, 2026. Every figure is citation-backed; see the page online for per-number provenance.
Field Medical Equipment
Budget figures
FY2026 award data is a partial year — USAspending reports awards on a rolling basis, and this corpus runs through 2026-09-04. why partial FY2026 data? →
Budget trajectory
| Fiscal year | Amount |
|---|---|
| FY24 | $14.3M |
| FY25 | $12.7M |
| FY26 | $58.8M |
All series figures: P-1 TOA · PB2026
Decade view
P-1/R-1 workbook TOA basis, shown compact in $B/$M (the workbook records USD thousands); each figure cites its own President's Budget edition
The vertical scale does not start at zero: the baseline sits just below this program’s smallest year, so a low point on this line is not a small amount. Read the shape for direction and the grid below for the figures.
● actuals (line) · ○ enacted · ◇ request — gaps are editions the program is absent from, never interpolated.
| Series | FY22 | FY23 | FY24 | FY25 | FY26 |
|---|---|---|---|---|---|
| Actuals | $8.11M | $21.8M | $14.3M | ||
| Enacted | – | $21.8M | $5.46M | $12.7M | |
| Request | – | – | $5.46M | $23.7M | $58.8M |
blank = series not published for this year; – = absent from that edition.
Asked vs spent: the PB2024 book requested $5.46M for FY2024; the PB2026 book reported $14.3M as actual total obligation authority — $8.84M above the request. 14.3 − 5.5 = 8.8 USD millions — the compact figures above are rounded for reading.
Program lineage
No predecessor/successor lineage was recorded for this program element — no FY-to-FY transfer into or out of this line was stated in the ingested J-books, and none was inferred from the program structure.
Description
Description — Field Medical Equipment
Family of Field Medical Equipment (FFME) is the sole organic medical capability for the Marine Corps, and is comprised of multiple and modular capabilities that provide the full spectrum of healthcare and life saving equipment on the battlefield. FFME provides medical equipment and supplies to the Fleet Marine Force. This program's objective is to plan for lifecycle replacements and upgrades while also modernizing equipment to provide the most effective medical care for Marine and Sailors in any mission. Some items will replace current ones within the Authorized Medical Allowance Lists (AMAL) and provide increases in performance characteristics. Other items represent new, emerging technology not currently included in fielded capabilities which will provide improved clinical outcomes. Family of Field Medical Equipment (FFME) is comprised of items such as: The Authorized Medical Allowance List (AMAL) modernization and bi-annual Inventory Stocking Level (ISL) increases are comprised of numerous assemblages and Medical Kits required to support current standards of care and treatment protocols while enhancing capabilities for battlefield casualties. Due to Force Design 2030 initiatives and operational requirements throughout the USMC enterprise, there is a requirement for AMAL modernization for various critical medical assemblages. Proposed modernization increases to medical assemblages across the Marine Expeditionary Forces represent an effort to align Class VIIIA material with USMC Operation Plan (OPLAN) and Training, Exercise and Employment (TEEP) requirements while balancing the need for efficiency and executing steady-state operations. Additional technologies that will require increased modernization funding include but are not limited to: The Expeditionary Medical Refrigeration Unit (EMRU), Portable Ruggedized Energy Efficient Medical Sterilizer (PREEMS), Intranasal Cooling for Encephalopathy Prevention, Expeditionary Portable Oxygen Generation System (EPOGS), Chemical Biological Incident Response Force (CBIRF), Geological Mission Hot and Cold Weather (GEO MISSION), Individual First Aid Kits (IFAKs), Corpsman Assault Systems (CAS), and Combat Lifesaver System (CLS). As part of these efforts there is required support as it pertains to Information Assurance, Cybersecurity, modeling, configuration, logistics, warehousing, and distribution. The Forward Resuscitative Surgery System (FRSS) provides Level I and II Health Service Support (HSS). The FRSS is a highly mobile, rapidly deployable, trauma surgical unit that provides emergency surgical interventions to stabilize casualties that might otherwise die or lose limbs before reaching treatment. The FRSS is the lightest and most mobile of the Marine Corps HSS elements capable of providing trauma surgical care. The FRSS is modular, rapidly transportable, and deployable by air or surface means. Included in the FRSS are medical materials and ancillary equipment supported by shelters and mobile electric power from the host unit. The Battalion Aid Station (BAS) AMAL provides the equipment necessary to support a BAS manned by a Medical Officer, a Physician Assistant, and the Hospital Corpsman assigned to a Battalion or Squadron. One BAS AMAL provides initial resuscitative and stabilizing care for 50 surgical patients with major wounds. The BAS AMAL is scalable, expeditionary, and employed to provide immediate pre-surgical resuscitation and stabilization of patients with battle injuries prior to transport to higher echelons of care. The BAS AMAL is rugged enough to survive rough handling and austere environments. Equipment and material contained in the BAS AMAL is similar to that used in garrison medical clinics and in FFME kits organic to supported units. The Sick Call AMAL provides medical personnel with 30 days of equipment to treat 300 deployed Marines and Sailors for Disease and Non-Battle Injuries (DNBI). The Sick Call AMAL can be deployed independently or used to augment the BAS. The Sick Call AMAL is light, mobile, and capable of providing Level One Health Service Support (HSS), and it is ruggedized to survive rough handling and austere environments. Equipment and material contained in the Sick Call AMAL is similar to that used in garrison medical clinics and in FFME kits organic to supported units. The Shock Trauma Platoon (STP) AMAL provides equipment to perform initial resuscitative care for 50 non-surgical combat casualties for 30 days and establish 10 post trauma care patient holding litters for up to 48 hours. When co-located with the Forward Resuscitative Surgery System AMAL 645, the STP becomes a triage center and pre/postoperative care ward. STPs provide patient medical support for Surgical Companies deployed in its Area of Responsibility (AOR) or can be deployed independently to provide trauma resuscitation capabilities beyond that of the BAS. The AMALs are staffed by a mix of Emergency Medicine, Family Practice, and support staff, and the capabilities are scalable, rugged, easily transported, and operate reliably in expeditionary environments. The En Route Care System (ERCS) provides equipment for the care of too critically injured/ill, but stabilized casualties in a theater operations for up to a two hour medical evacuation (MEDEVAC) flight from a field treatment facility to the next higher echelon of medical care. The ERCS is a modular system that includes medical equipment, medical treatment protocols, and supplies. The Acute Care Ward AMAL provides the equipment necessary to support six cots and four critical care beds for up to 72 hours for each patient or 50-bed days total. The AMAL is scalable, rugged, and operates reliably in expeditionary environments and provides medical equipment and supplies to perform clinical procedures for patient conditions for the Acute Care Ward for the first 30 days of deployment. The Acute Care Ward AMAL is employed within the Surgical Company and represents the primary patient holding capacity within the USMC medical capability portfolio. It is expected that the demand for this capability may increase in AORs that require distributed operations, have long evacuation distances, and have denied air space. Preventive Medicine (PrevMed) AMALs contain the equipment necessary to provide technical preventive medicine advice, inspect food service operations, waste disposal, water potability vector control and surveillance, field sanitation, heat/cold injury prevention, and disease surveillance and control measures for communicable diseases for 30 days. This AMAL is deployed with the Preventive Medicine Technician, Environmental Officer, or Industrial Hygiene Officer and is critical to the combat effectiveness in austere environments where personnel can be exceptionally susceptible to diseases and illnesses endemic to areas US forces are not frequently located. Digital Radiography Equipment (Digital X-Ray) program (AMAL 627) provides radiological capability to surgical trauma platoons to diagnose injuries and medical abnormalities. AMAL 627 contains equipment to support one x-ray machine and develop x-rays. The x-ray unit is a compact, mobile, and lightweight system that enables all imaging functions to be performed at the point of patient care. The unit is comprised of a low capacity x-ray and a digitally computed radiographic (CR) reader, which scans the x-ray plates and displays the images on a laptop computer. The unit can be broken down into components for transportation and storage. It is operable and maintainable under all conditions of altitude, climate, and terrain. The Laboratory AMAL provides the equipment to perform hematology, blood chemistry, urinalysis, blood banking, microbiology, and other miscellaneous laboratory tests essential to support a field medical facility treating casualties requiring surgery and trauma resuscitation. Laboratory AMALs are also used for the identification of non-battle related diseases which historically have claimed as many or more lives than combat itself and also has the potential to render troops non-combat effective due to illness. Further, it provides the capability to establish a blood bank for immediate supply of blood products to treat combat casualties during mass-casualty events. The Short Range Casualty Evacuation (CASEVAC) AMAL provides the Marine Corps with the capability to provide medical treatment during the air or ground evacuation of injured/ill personnel from the point of injury to a Surgical Company. The system provides the equipment and supplies necessary to provide care for up to eight patients, one critically injured/ill casualty, five other litter patients, and two ambulatory patients for up to two hours flight time. The Field Dental Operatory Authorized Dental Allowance List (ADAL) provides dental services to the Marine Expeditionary Force (MEF). In an operational environment, the Dental Battalion's primary mission is to provide dental health maintenance with a focus on emergency care. ADALs contain equipment required by dentists and their technicians to perform dental procedures on Marines in an expeditionary environment and can be broken down into component sets or scaled down to fit the size and mission of the deploying unit. The ADAL is primarily designed for standalone dental treatment, but can be used in conjunction with other AMALs. The Damage Control Resuscitation/Damage Control Surgery provides equipment sets that will modernize Role 2 casualty care to be more agile and scalable to thereby better support Expeditionary Advanced Base Operations (EABO). DCR/DCS equipment sets will support a team of up to 5 DCR and 5 DCS personnel. These light and scalable DCR/DCS equipment sets will support Marine Corps EABO and other operations by providing emergency medicine capabilities and surgical capabilities far forward in austere combat settings. These agile DCR/DCS sets can augment Battalion Aid Stations (BAS), Combat Logistic Battalions (CLB), the Medical Battalions (MED BN), or function independently if provided basic operating capabilities by the supported unit. The Role 1 Enhanced (R1E) capability provides support to the anticipated casualty flow in Expeditionary Advanced Base Operations (EABO), Corpsmen far forward in austere locations will require more specialized equipment to treat and hold casualties longer in order to improve survivability. These sets are designed to be abundant and affordable. These Role 1 Enhanced equipment sets are designed to be light and medically capable of; providing lifesaving interventions with improved outcomes, holding patients longer while awaiting evacuation, and increasing the ability of fewer Corpsmen to treat more Marines and Sailors. These capabilities will decrease risk to force and mission by giving Corpsmen equipment that supports their full range of clinical skills. To improve survivability, each Corpsmen will be able to treat more Marines and Sailors forward and hold them for longer periods of time. The Role 2 Enhanced (R2E) capability provides support to the anticipated casualty flow in EABOs, Advanced Naval Bases (ANB) that will require Field Hospitals. These R2E capabilities will provide casualties with secondary surgeries, surgeries beyond Damage Control Surgery, intensive care/post op care, and general wards. Field Hospitals will be located within Aerial Ports of Debarkation (APODs) and Sea Ports of Debarkation (SPODs), to decrease the time required to transfer patients from/to aircraft and surface vessels. Placement of the Field Hospital at the APODS and SPODS will decrease risk to force and mission by minimizing the distance and time it takes move casualties to waiting aircraft or surface vessels. Risk to force is also decreased because in an EABO in the Indo-Pacific Command (INDOPACOM) Area of AOR will most likely not have sufficient Role 3 available. The Field Hospitals will provide the stabilization normally received at Role 3 that will allow casualties to be evacuated to Continental United States (CONUS). The Patient Staging/Holding capability will support the anticipated casualty flow in EABOs, ANBs and will require locations to stage patients in anticipation of on-ward movement to the next level of care. Patient Staging Systems will be located within APODs and SPODs, to decrease the time required to transfer patients to aircraft and surface vessels. The capability also gives Field Hospitals the ability to clear their beds once patients are stable enough for transport. In addition, as a minimal care capability, surgical platoons could also use this capability for prolonged casualty care. Placement of the Patient Staging System at the APODS and SPODS will decrease risk to force and mission by minimizing the distance and time it takes move casualties to waiting aircraft or surface vessels.
Justification
Justification — Field Medical Equipment
FY 2026 Base Appropriation $58.768M procures improved and modernized medical and surgical equipment and supplies for Authorized Medical Allowance Lists (AMAL) assemblages and medical kits such as the Chemical Biological Incident Response Force (CBIRF), Forward Resuscitative Surgery System, Shock Trauma, and Geo Mission Hot/Cold weather blocks and AMAL Modernization medical/surgical kits that require replacement due to unforeseen medical equipment/supply manufactures recall and obsolescent related issues. Medical and surgical materiel (equipment and consumables) procurements for these AMAL assemblages and medical kits will increase performance (reliability, survivability transportability, and reduce weight and size), reduce power requirements, and promote new supporting technologies and joint interoperability of operational medical equipment in support of Marine Corps Force Design, Littoral Operation in a Contested Environment, and Expeditionary Advanced Base Operations (EABO). Funding also procures three new medical capabilities: Role 1 Enhanced (R1E), Role 2 Enhanced (R2E) and Patient Staging and Holding. R1E will support the anticipated casualty flow in EABO, Corpsmen far forward in austere locations will require more specialized equipment to treat and hold casualties longer in order to improve survivability. R2E capabilities will provide casualties with secondary surgeries, surgeries beyond Damage Control Surgery, intensive care/post op care, and general wards. Patient Staging and Holding will require locations to stage patients in anticipation of on-ward movement to the next level of care. Patient Staging Systems will be located within APODs and SPODs, to decrease the time required to transfer patients to aircraft and surface vessels. The capability also gives Field Hospitals the ability to clear their beds once patients are stable enough for transport. The three new capabilities will be an augmentation to the already existing capabilities that exist for the Marine Expeditionary Forces (MEFs) that require modernization to include the Shock Surgical Platoon (STP), Battalion Aid Station (BAS), Preventative Medicine Block (PrevMed) and Forward Resuscitative Surgical System (FRSS), and Short Range Casualty Evacuation (CASEVAC). AMAL and medical kit equipment provides USMC Health Service Support Forces with medical/surgical equipment materiel required to support OPLAN requirements, treat patients in a contested field environment, and support operations across the competition continuum. The increase of $46.117M from FY 2025 to FY 2026 reflects Force Design-driven modernization efforts to replace obsolete items with those that fulfill the requirements and USMC Class VIII enterprise modernization efforts and will support the Joint/USMC operations across the competition continuum. AMAL assemblages must consistently be reviewed and modernized to ensure that the contents of the assemblages meet the current standard of medical care. The increase also aligns with the procurement of the three new medical capabilities, R1E, R2E and Patient Staging/holding that provides a medical footprint that will align with EABO initiatives for new medical capabilities for Force Design that provides lighter and more agile equipment for medical personnel within the EABO. The FY 2026 request was reduced by $2.615 million for Advisory and Assistance Services to promote efficiencies and advance the policies of the Administration in alignment with Executive Order 14222, "Implementing the President's Department of Government Efficiency Cost Efficiency Initiative."
Budget line items(workbook-cited)
P-1/R-1 workbook Total Obligation Authority basis (USD thousands) · PB2026.
Exhibit P-1
| Account | Org | Type | Amount |
|---|---|---|---|
| Procurement, Marine Corps | N | FY24 Actuals | $14.3M |
| Procurement, Marine Corps | N | FY25 Enacted | $12.7M |
| Procurement, Marine Corps | N | FY26 Disc. Request | $58.8M |
| Procurement, Marine Corps | N | FY26 Total | $58.8M |
Budget Details(R-2/P-40 facts)
J-book detail basis (R-2/P-40, USD millions) · PB2026 — a different accounting basis from the P-1/R-1 workbook TOA above; where the two disagree, the reconciliation strip under Budget figures shows both.
Wider than this screen — swipe the table sideways for the remaining fiscal-year columns.
| Project | All Prior Years | FY24 Actuals | FY25 Total | FY26 Base | FY26 Request |
|---|---|---|---|---|---|
| Program Element | $70.7M | $14.3M | $12.7M | $58.8M | $58.8M |
Follow the dollar
No follow-the-dollar view — this program's awards haven't been crosswalked at high confidence (flows cover 312 of 1,938 programs). why coverage is partial? →
Awards
No awards are linked to this program element at high or medium confidence — the budget→award crosswalk only asserts links it can defend, and this line has none yet.
Lobbying mentions
No Senate LDA lobbying filing in the tracked data mentions this program element by code or alias.
Oversight
Department-level designation (not specific to this program)
GAO lists 5 high-risk areas for DOD as a whole. That designation covers the department, not Field Medical Equipment. No program-specific GAO finding for this line is in the ingested data. See the DOD oversight record.
Program dossier
No research dossier for this program — dossiers cover 50 of 1,938 programs, the largest fully J-book-detailed lines by FY2026 requested dollars. why no dossier here? →
Primary sources
Open any budget figure for its exact receipt. Verified line items lead with the highlighted government PDF; original spreadsheets download with their budget edition and exhibit in the filename.
Budget totals · TOA sources
FY2026 Department of Defense Budget: Procurement Programs (P-1) · comptroller.war.gov
Exhibit P-1 · O827
Complete workbook · unchanged saved copy. Saves as PB2026_DoD_P-1_Procurement.xlsx.
FY2024 Department of Defense Budget: Procurement Programs (P-1) · comptroller.war.gov
Exhibit P-1 · O801
Complete workbook · unchanged saved copy. Saves as PB2024_DoD_P-1_Procurement.xlsx.
FY2025 Department of Defense Budget: Procurement Programs (P-1) · comptroller.war.gov
Exhibit P-1 · O844
Complete workbook · unchanged saved copy. Saves as PB2025_DoD_P-1_Procurement.xlsx.
Detailed budget justification
The related TOA spreadsheets above use a different accounting basis from R-2/P-40 detail. Their amounts are not assumed to match these detailed sources.