Printed from https://fiscalreceipts.com/program/7500MN1000/ — built September 26, 2026. Every figure is citation-backed; see the page online for per-number provenance.
Combat Support Medical
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 | $86.8M |
| FY25 | $72.2M |
| FY26 | $99.6M |
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 | $132.1M | $100.8M | $86.8M | ||
| Enacted | – | $83.1M | $86.8M | $72.2M | |
| Request | – | – | $86.8M | $72.2M | $99.6M |
blank = series not published for this year; – = absent from that edition.
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 — Combat Support Medical
The Army's Combat Support Medical (CSM) program provides solutions to the Army's high-risk medical capability gap of Prolonged Care in support of Large Scale Combat Operations aligned by the Army Health System (AHS) and its ten medical functional areas. Note CSM does not have equities within two of the ten functional areas: Medical Command and Control and Combat and Operational Stress Control. In order to support Multi-Domain Operations (MDO), the Medical Enterprise must provide prolonged care, trauma care, enroute care, treatment and hospitalization solutions to support warfighting operations from the strategic support area to the deep maneuver area. CSM represents the highly diverse and complex equipping component of Army operational medical capabilities. In FY 2026, CSM supports 100 medical Line Item Number (LINs)--including equipment (Army Support Items of Equipment (ASIOE) and Medical Equipment Sets) for the Army. LINs are aligned to each medical functional area. CSM promotes, improves, conserves, and maximizes mental and physical performance of Warfighters operational force unit readiness within the spectrum of military operations by fielding to operational units throughout the Army's Roles of Care and Range of Military Operations (ROMO). CSM supports technologically advanced medical/surgical capabilities, medical materiel, and medical-related equipment (e.g., capabilities to make vehicles into ambulances) required in our Combat, Combat Support, and Combat Service Support force structure. The CSM program is divided into the AHS medical functional areas aligning with medical disciplines that are interdependent and continuously synchronized to reduce morbidity and mortality, improve operational force readiness and to maximize patient outcomes. The CSM program supports requirements within eight of the ten medical functional areas, as follows: * Medical Treatment - Supports return-to-duty for patients who can be treated on-site, in the operating environment, or stabilization and evacuation of patients requiring definitive, recovering, and rehabilitative care in stateside hospitals or other safe haven. Examples of devices used, but not limited to providing medical treatment include patient vital signs monitors, infusion pumps, fluid warming systems, tourniquets, ultrasounds, x-ray and medical equipment sets (MES) for Holistic Health and Fitness. * Medical Evacuation - Medical Evacuation supports medical equipment and medical sets to ground and air medical evacuation units to move casualties from point of injury, company aid posts, or casualty/patient collection points to medical treatment facilities often within hostile operational environments. * Hospitalization - Includes procurement of the field hospital, which may include augmentation detachment modules depending on specific configuration. The modules contain equipment and supplies for patient hospitalization such as surgical lights, anesthesia machines, oxygen generation systems, CT Scanners, C-arms, and devices for surgery or medical care. Hospitalization also includes infrastructure such as fresh water and waste water distribution sets and shelters. * Dental Services - Provides necessary dental care designed to eliminate potential dental emergencies in operational settings across the Army's multi-domain operations. * Preventive Medical Services - Designed to prevent casualties from disease and non-battle Injuries through medical and health assessments, hygiene and sanitation, and personal protective measures across the ROMO and in support of Large Scale Combat Operations * Veterinary services - Provides food safety and inspection, animal medicine, and preventive medical services. Animal medical care provides preventive care, sick call, combat casualty care, military and contract working dogs hospitalization and medical evacuation between veterinary roles of care. * Medical Laboratory Services - Provides laboratory and diagnostic testing at the hospital level or area support. The laboratory contains the necessary supplies, assays, and equipment to allow personnel to provide clinical laboratory testing in support of diagnosis and treatment of military and non-military patients in the field. The services provided include blood banking, hematology, immunohematology, clinical chemistry, serology, bacteriology, parasitology, and urinalysis. FY 2024 began the initial procurement of the Analyzer Traumatic Brain Injury (ATBI) Block 1. * Medical Logistics - Includes capabilities to provide supply chain operations in the operating force for the medical supply commodity; providing operational and maintenance support to the Army medical units; management of set assembly, fielding, and follow-on logistics support to ensure combat ready forces in peacetime and during times of conflict. This includes support to deployed Combat Medics and Expeditionary Forces, Ground Ambulances, Forward Surgical Teams and fully operational field hospitals, as well as non-medical units with medical requirements (Active, Reserve, and National Guard units).
Justification
Justification — Combat Support Medical
Combat Support Medical (MN1000) lines funds multiple systems with differing unit costs. The Unit Cost on the P40 will fluctuate year-to-year depending on the underlying mix of systems procured. Combat Support Medical (MN1000) focuses on building Army operational force readiness along with the modernization of all equipment and medical sets used in the operational environment supporting all types of contingencies. The procurement focus will be on total Army authorization growth, modernizing high priority units, and addressing current shortages. FY 2026 Base procurement dollars in the amount of $99.567M million supports the procurement of 3,995 pieces of medical equipment and sets for Army's Multi-Domain Operations. In accordance with section 1815 of the FY 2008 National Defense Authorization Act (P.L. 110 - 181), this item is necessary for use by the active and reserve components of the Armed Forces for homeland defense missions, domestic emergency responses, and providing military support to civil authorities.
Budget line items(workbook-cited)
P-1/R-1 workbook Total Obligation Authority basis (USD thousands) · PB2026.
Exhibit P-1
| Account | Org | Type | Amount |
|---|---|---|---|
| Other Procurement, Army | A | FY24 Actuals | $86.8M |
| Other Procurement, Army | A | FY25 Enacted | $72.2M |
| Other Procurement, Army | A | FY26 Disc. Request | $99.6M |
| Other Procurement, Army | A | FY26 Total | $99.6M |
Exhibit P-1R
| Account | Org | Type | Amount |
|---|---|---|---|
| Other Procurement, Army | A | FY24 Actuals | $16.7M |
| Other Procurement, Army | A | FY25 Enacted | $35.8M |
| Other Procurement, Army | A | FY 2026 request | $36.4M |
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 | $1.48B | $86.8M | $72.2M | $99.6M | $99.6M |
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 Combat Support Medical. 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 · O272
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 · O279
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 · O280
Complete workbook · unchanged saved copy. Saves as PB2025_DoD_P-1_Procurement.xlsx.
FY2026 Department of Defense Budget: Procurement Programs (P-1R) · comptroller.war.gov
Exhibit P-1R · N124,N125
Complete workbook · unchanged saved copy. Saves as PB2026_DoD_P-1R_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.
Other Procurement - BA 3, 4 & 6 - Other Support Equipment, Initial Spares and Agile Portfolio Management · www.asafm.army.mil
PDF page 221