The new medal, established by then-Secretary of the Air Force Heather Wilson, is part of a continuing effort to recognize U.S. Air Force military members in a non-deployed status who directly participated in a Department of Defense combat operation from a remote location.

https://www.af.mil/News/Article-Display/Article/2000789/air-force-releases-criteria-for-new-remote-combat-effects-campaign-medal/ DoD News