The Navy Aeromedical Waiver Guide is updated after voting by AAC on a RAM presentation. The AAC presentation proposes a change to the aeromedical waiver guide to the committee. Usually, you will champion a change that a current specialty staff member of NAMI desires. This is an opportunity to put your mark on the aeromedical waiver guide. The AAC requirements include (1) an AAC presentation, (2) a proposed change to the Aeromedical Waiver Guide, and (3) a voting ballot for AAC members.