As part of an ongoing effort to build high-end readiness for the future, the Air Force Medical Service has three primary focus areas. These are Force Presentation to support the Air Task Force, Homeland/Home station response, and support for the Integrated Continental United States Medical Operations Plan (ICMOP). First, we have been working to evolve our current Force Presentation model from the Expeditionary Air Base (XAB) to the new Air Task Force (ATF) model. The ATF model allows the Air & Space Force to more effectively present deployable, sustainable, integrated units through the Air Force’s Force Generation (AFFORGEN) cycle. The first ATFs will enter the AFFORGEN cycle in Summer 2024 and will deploy starting FY 2026. Medical Airmen assigned to an ATF will integrate within multi-functional Force Elements to team, train, and deploy together through the 24-month AFFORGEN cycle. The ATF model represents the next step in adopting a more modular organization of teams, which generate through the AFFORGEN cycle together and then deploy as a unit to maximize effectiveness. No additional manpower is available in the near-term for this effort. Meanwhile, the 2022 National Defense Strategy (NDS) warns us that the Homeland is no longer a sanctuary. We have been charged to defend the Homeland, paced with the growing multi-national threat posed by Great Power Competition. This leads us to our second focus area. While ATFs are deployed, it is up to in-garrison or DAF installations to continue the fight from the base. For this reason, the Air Force Medical Readiness Agency’s (AFMRA) Medical Readiness Division (SGX), developed baseline manning-laydown models for home station support that includes Command & Control; First Response, Medical Surveillance, Detection, Identification & Risk Assessment; Emergency Management; Return to Duty/Force Generation; and Patient Staging. A third focus area for the AFMS as we work to meet the challenges posed by Great Power Competition is the Integrated Continental United States Medical Operations Plan (ICMOP). This will allow us and our Joint partners to be prepared to receive, stage and move casualties across the continuum of care. As we work through our focus areas, it is imperative that we ensure we have our forces positioned where it makes sense both to support operations as well as to ensure our medical personnel can maintain currency.