The medal was established in 1999, but is retroactively available to veterans of prior military service.

U.S. military active duty regulations allow their members to accept but not wear state awards.

In addition, activated National Guard members may not wear their state awards while serving in Title 10 (federal) status.

The alternating red and yellow at the center of the ribbon loosely parallels the design and colors of the National Defense Service Medal, which is presented to military members with service during a time of conflict.

Field of azure blue encompasses the red and yellow, symbolizing the honor of military service.