Disability for military service in a new way: what you need to know about it

Currently, no topic in modern Ukrainian society is discussed as actively as mobilization to the ranks of the Armed Forces of Ukraine. There are many reasons for this, but one of them is the changes that were adopted in April 2024 to the current legislation on this issue.
The most relevant question in such a case is who is subject to mobilization and who is not in the medical area of the issue. We asked the bar association to comment on this situation “Repeshko and partners”.
On August 14, 2008, the Minister of Defense of Ukraine approved order No. 420 “Regulations on military medical examination in the Armed Forces of Ukraine”, however, by order No. 262 dated April 27, 2024, changes were made to this order, which entered into force on May 4, and currently the medical aspects of mobilization look as follows.
This provision applies to servicemen of the Armed Forces of Ukraine, the State Special Transport Service, their family members, conscripts, conscripts and reservists. The categories into which these persons can be divided depending on their state of health are as follows:
- suitable for service;
- suitable for service in military support units, TCC and SP, universities, educational centers, institutions, medical units, units of logistics, communication, operational support, security;
- unfit for military service with exclusion from military registration;
- temporarily unfit – require treatment, leave, release from duties, temporarily unfit.
To conduct a military medical examination, military medical commissions (hereinafter referred to as the Military Medical Commission), full-time and part-time (permanent and temporary) are created, they adopt resolutions that are formalized by a certificate of illness, a certificate of a military medical commission, a protocol of a meeting of a full-time military medical commission . VLKs adopt resolutions, including at external meetings. Resolutions of full-time and part-time VLK are mandatory. Resolutions of the VLK may be revoked or annulled by the regular VLK. If the medical report has any defects (for example, it will be declared invalid), then the citizen will undergo the control VLC in another institution in order to exclude the corruption component of the issue.
The medical examination includes the study and assessment of the state of health and physical development of citizens at the time of the examination in order to determine the degree of suitability for military service, training in military accounting specialties, solving other issues provided for in this Regulation, with the issuance of a written conclusion (resolution) . Fitness for military service in Regulation No. 420 means such a state of health and physical development of citizens that allows them to perform official duties provided for by statutes and instructions in a specific military specialty in the form of the Armed Forces of Ukraine and other military formations formed in accordance with the law , in peacetime and during a special period.
It should be noted that the Resolution of the VLK of the TCC and SP on the degree of suitability of a conscript for military service, adopted for accounting purposes in peacetime, is valid for five years from the date of the end of the medical examination. The resolution of the VLK of district, city TCCs and SPs on the degree of suitability of a conscript for military service during mobilization, for a special period, is valid for one year from the date of the end of the medical examination.
In wartime and during mobilization, for a special period of deferment from the draft due to the state of health, conscripts are granted for a period of 1 to 6 months, depending on the disease (injuries, wounds, contusions, mutilations) and the expected duration of treatment. After the end of the deferment, conscripts are examined to resolve the issue of suitability for military service.
Medical examinations should currently last no more than 14 days.
In the event that a person is recognized as unfit with exclusion from military registration, the relevant decision must be approved by another VLK higher in status.
As for diseases, conditions and physical disabilities that determine the degree of suitability for military service, service in the military reserve, the following diseases will be considered unfit for military service with exclusion from military registration in accordance with Appendix 1, for example:
- active tuberculosis of the lungs with the release of mycobacteria and (or) in the presence of decay of lung tissue; active, progressive tuberculosis of other organs of extrapulmonary localization;
- severe forms of chronic viral hepatitis B15-B19, which are difficult to treat and significantly disrupt the functions of organs and systems
- disease caused by HIV (progressive), with immune decompensation;
- malignant neoplasms of all localizations: lips, oral cavity, pharynx C00-C14; digestive organs C15-C26; respiratory organs and chest C30-C39; musculoskeletal; and connective tissue, melanoma C40-C49; urogenital organs C50-C68; eye, brain and other parts of the central nervous system C69-C72; thyroid gland and other endocrine glands C73-C80, metastases from unspecified locations – primary (secondary) in the presence of distant metastases and the impossibility of radical surgical treatment
- all diseases of the thyroid gland (excluding neoplasms) E00-E07; all types of diabetes and other disorders of glucose regulation E10-E16; disorders of other endocrine glands E20-E35; insufficient and excessive nutrition, metabolic disorders (all types of obesity, functional hyperbilirubinemia, lipomatosis) and other E40-E90 with significant functional disorders
- schizophrenia, schizotypal and delusional disorders, affective disorders with frequently recurring phases;
- behavioral syndromes, disorders of personality and emotions F50-F69; F80-F99 (related to eating disorders, non-addictive substance abuse); behavioral and emotional disorders in adolescence (hyperkinetic, social, emotional, unspecified mental); disorders of personality and behavior in adulthood (paranoid, schizoid, dissocial, emotionally unstable, hysterical and others) disorders of habits and impulses, sexual identification, sexual disorders, specific disorders of speech and language, learning abilities, disorders of motor function, disorders, associated with psychological development, etc., as sharply expressed, with a tendency to repeated long-term decompensations or pathological reactions;
- pronounced anatomical changes or defects in the position of the eyelids, orbit, conjunctiva with significant visual or motor function impairments in both eyes;
- detachment and rupture of the retina H33, with the exception of H33.3 of any etiology in one or both eyes with progressive (or) significantly reduced visual functions and (or) after unsuccessful surgical treatment;
- all forms of H40-H42 glaucoma in advanced and later stages in both eyes
- violation of refraction and accommodation H52 (hypermetropia, myopia, astigmatism, anisometropia, presbyopia, etc.) myopia or farsightedness of any eye in one of the meridians more than 12.0 dptr;
- blindness in one or both eyes; absence of one or both eyeballs;
- stage III hypertensive disease with irreversible structural damage to target organs
- heart failure IIB-III stage;
- severe persistent bronchial asthma;
- hernia K40-K46 (inguinal, femoral, umbilical hernia, abdominal wall hernia, diaphragmatic hernia, other and unspecified hernias of the abdominal cavity) – with significant functional disorders;
- arthrosis and other lesions of joints M15-M19, M22-M25 (polyarthrosis, coxarthrosis, gonarthrosis, other arthrosis, lesions of the patella, intra-articular lesions of the knee and other joints); diseases of soft tissues M60-M79 (diseases and lesions of muscles, synovial membrane and tendons, bursopathy, enthesopathy, shoulder lesions); osteopathies and chondropathies M80-M94 (osteoporosis of bones with or without pathological fracture, osteomalacia in adults, delayed fracture union, stress fractures, fibrous dysplasia of bones, osteomyelitis, osteonecrosis, Paget’s disease, juvenile osteochondrosis of bones (except spine), other osteochondropathies and lesions cartilage) – with significant and moderate dysfunctions;
- diseases of the spine (dorsopathies) and their consequences M40-M54 (kyphosis and lordosis, scoliosis, osteochondrosis of the spine, spondylolysis, spondylolisthesis, lesions of the intervertebral discs, other dorsopathies) – with significant functional disorders;
- injuries of the spine, spinal cord, blood vessels, nerve plexuses and peripheral nerves S22, S24, S25, S32 (fracture of the spine at any level, fracture of the vertebra, vertebral arch, spinous, transverse process, dislocation, subluxation of the vertebra, rupture of the intervertebral disc; rupture, compression, shock, swelling and hemorrhage of the spinal cord) injuries of the spine, spinal cord, blood vessels, nerve plexuses and peripheral nerves S22, S24, S25, S32 (fracture of the spine at any level, fracture of a vertebra, vertebral arch, spinous, transverse process, dislocation, subluxation of the vertebra, rupture of the intervertebral disc, rupture, compression, concussion, swelling and hemorrhage of the spinal cord) – with significant functional disorders.
This is far from a complete list of diseases, but the most relevant for the general public. In any case, the diagnosis of a specific disease is established exclusively by a doctor.
How to independently determine whether your disease falls under which category according to the updated list and how to deal with it in general?
In practice, the application of this Regulation will look as follows:
- See Appendix 1 to the Resolution – Schedule of diseases, conditions and physical disabilities that determine the degree of suitability for military service, service in the military reserve;
- Next, we look for our diagnosis in Appendix 1;
- Next, we open Appendix 2 – Explanation of the application of the articles of the Schedule… and find the article to which your diagnosis refers, and see which item of this article it is assigned to;
- Next, open Appendix 1 again and see the conclusion;
- We open Appendix 3 – Table of additional health requirements and determine whether there are additional signs of unfitness for a certain type of service.
It is clear that these changes have just entered into force and many more questions will arise during the specific work and application of the norms. The main thing in any matter is not to be afraid to defend your rights and interests.