Ok, here is what I have.
DoD was looking to get all optics on the same plane with iron sights.
Right now the EOTech mounted directly to the flat top is at the right height with the top of the center dot equal to the top of the front sight. The Aimpoints had been slightly higher with the dot resting on top of the front sight. With the new medium spacer, the top of the Aimpoint dot will be the same height as the top of the EOTech dot and therefore the same height as the front sight. FYI, the new Elcan is also set up to be on the same plane.
ARMS has just come out with the MED spacer to meet the new spec. My guess is that the full spacers that are in the supply chain will continue to be issued and will be replaced as the new spacer will be phased in. Right now there is no cantilever spacer for the new spec, but I am sure there is one on the way.
This new spec answers some old questions.
All of the speculation that DoD would go with a mount with lower 1/3 co witness is proven to be false. They have decided that a true co-witness is best way to operate all weapon systems regardless of optics. As we all know, even the most durable optic system is not 100% indestructible. With any optic, if your reticle goes down, you can continue to fire and you do not need to adjust yourself behind the sights to stay in the fight. Also, any weapon system you use will work exactly the same. Uniformity in weapon sighting systems makes it much easier to transition between them. You won't have to learn the nuances of each reticle.