S. 3373: Sergeant First Class Heath Robinson Honoring our Promise to Address Comprehensive Toxics Act of 2022

Bill · 117th Congress (2021–2022). Became law, 10 Aug 2022 · Public Law 117-168. Introduced 9 Dec 2021.

Official title: A bill to improve the Iraq and Afghanistan Service Grant and the Children of Fallen Heroes Grant.

Vote results

House, 13 Jul 2022: Passed, 342 Yea, 88 Nay, 0 Present, 1 Not voting. The House’s roll call
Senate, 2 Aug 2022: Motion Agreed to, 86 Yea, 11 Nay, 0 Present, 3 Not voting. The Senate’s roll call
President: Signed 10 Aug 2022 · Public Law 117-168

How each member voted

White House

Signed (1): Joseph Biden (D, President).

Not in office (2): Donald Trump (R, President); Mike Pence (R, Vice President).

Senate

Yea (86): Chuck Grassley (R-IA); Edward J. Markey (D-MA); Charles E. Schumer (D-NY); Ron Wyden (D-OR); Richard J. Durbin (D-IL); Mitch McConnell (R-KY); Benjamin L. Cardin (D-MD); James M. Inhofe (R-OK); Thomas R. Carper (D-DE); Jack Reed (D-RI); Bernard Sanders (I-VT); Dianne Feinstein (D-CA); Sherrod Brown (D-OH); Patty Murray (D-WA); Robert Menendez (D-NJ); Richard Burr (R-NC); Lindsey Graham (R-SC); Roger F. Wicker (R-MS); Roy Blunt (R-MO); Susan M. Collins (R-ME); Jerry Moran (R-KS); Debbie Stabenow (D-MI); Tammy Baldwin (D-WI); Maria Cantwell (D-WA); John Thune (R-SD); Rob Portman (R-OH); Shelley Moore Capito (R-WV); John Boozman (R-AR); Lisa Murkowski (R-AK); Marsha Blackburn (R-TN); Chris Van Hollen (D-MD); Robert P. Casey, Jr. (D-PA); Kirsten E. Gillibrand (D-NY); Mazie K. Hirono (D-HI); Amy Klobuchar (D-MN); Christopher Murphy (D-CT); Jon Tester (D-MT); Sheldon Whitehouse (D-RI); John Barrasso (R-WY); Bill Cassidy (R-LA); Martin Heinrich (D-NM); Ben Ray Luján (D-NM); Gary C. Peters (D-MI); Jeanne Shaheen (D-NH); Mark R. Warner (D-VA); Michael F. Bennet (D-CO); Christopher A. Coons (D-DE); Joe Manchin, III (D-WV); Richard Blumenthal (D-CT); John Hoeven (R-ND); Ron Johnson (R-WI); Marco Rubio (R-FL); Tim Scott (R-SC); Todd Young (R-IN); Brian Schatz (D-HI); Tom Cotton (R-AR); Kevin Cramer (R-ND); Ted Cruz (R-TX); Steve Daines (R-MT); Tammy Duckworth (D-IL); Deb Fischer (R-NE); Tim Kaine (D-VA); Angus S. King, Jr. (I-ME); Kyrsten Sinema (I-AZ); Elizabeth Warren (D-MA); Cory A. Booker (D-NJ); Joni Ernst (R-IA); Mike Rounds (R-SD); Ben Sasse (R-NE); Dan Sullivan (R-AK); Catherine Cortez Masto (D-NV); Margaret Wood Hassan (D-NH); John Kennedy (R-LA); Roger Marshall (R-KS); Jacky Rosen (D-NV); Tina Smith (D-MN); Cindy Hyde-Smith (R-MS); Mike Braun (R-IN); Josh Hawley (R-MO); Rick Scott (R-FL); Mark Kelly (D-AZ); Bill Hagerty (R-TN); John W. Hickenlooper (D-CO); Jon Ossoff (D-GA); Alex Padilla (D-CA); Raphael G. Warnock (D-GA).

Nay (11): Richard C. Shelby (R-AL); Mike Crapo (R-ID); Patrick J. Toomey (R-PA); James E. Risch (R-ID); James Lankford (R-OK); Mike Lee (R-UT); Rand Paul (R-KY); Cynthia M. Lummis (R-WY); Thom Tillis (R-NC); Mitt Romney (R-UT); Tommy Tuberville (R-AL).

Not voting (3): Patrick J. Leahy (D-VT); John Cornyn (R-TX); Jeff Merkley (D-OR).

Not in office (2): Kamala D. Harris (D-CA); Kelly Loeffler (R-GA).

House

Yea (342): Harold Rogers (R-KY-5); Christopher H. Smith (R-NJ-4); Steny H. Hoyer (D-MD-5); Marcy Kaptur (D-OH-9); Peter A. DeFazio (D-OR-4); Fred Upton (R-MI-6); Nancy Pelosi (D-CA-12); Frank Pallone, Jr. (D-NJ-6); Richard E. Neal (D-MA-1); David E. Price (D-NC-4); Jim Cooper (D-TN-5); Rosa L. DeLauro (D-CT-3); Maxine Waters (D-CA-43); Jerrold Nadler (D-NY-10); Sanford D. Bishop, Jr. (D-GA-2); Ken Calvert (R-CA-42); James E. Clyburn (D-SC-6); Anna G. Eshoo (D-CA-18); Eddie Bernice Johnson (D-TX-30); Carolyn B. Maloney (D-NY-12); Lucille Roybal-Allard (D-CA-40); Bobby L. Rush (D-IL-1); Robert C. "Bobby" Scott (D-VA-3); Nydia M. Velázquez (D-NY-7); Bennie G. Thompson (D-MS-2); Frank D. Lucas (R-OK-3); Lloyd Doggett (D-TX-35); Sheila Jackson Lee (D-TX-18); Zoe Lofgren (D-CA-19); Earl Blumenauer (D-OR-3); Steve Chabot (R-OH-1); Robert B. Aderholt (R-AL-4); Kevin Brady (R-TX-8); Danny K. Davis (D-IL-7); Diana DeGette (D-CO-1); Ron Kind (D-WI-3); James P. McGovern (D-MA-2); Bill Pascrell, Jr. (D-NJ-9); Brad Sherman (D-CA-30); Adam Smith (D-WA-9); Gregory W. Meeks (D-NY-5); Barbara Lee (D-CA-13); John B. Larson (D-CT-1); Grace F. Napolitano (D-CA-32); Janice D. Schakowsky (D-IL-9); Mike Thompson (D-CA-5); James R. Langevin (D-RI-2); Rick Larsen (D-WA-2); Betty McCollum (D-MN-4); Adam B. Schiff (D-CA-28); Stephen F. Lynch (D-MA-8); Michael C. Burgess (R-TX-26); Tom Cole (R-OK-4); Mario Diaz-Balart (R-FL-25); Raúl M. Grijalva (D-AZ-3); C. A. Dutch Ruppersberger (D-MD-2); Tim Ryan (D-OH-13); David Scott (D-GA-13); Linda T. Sánchez (D-CA-38); Michael R. Turner (R-OH-10); Darrell Issa (R-CA-50); Emanuel Cleaver (D-MO-5); Jim Costa (D-CA-16); Henry Cuellar (D-TX-28); Louie Gohmert (R-TX-1); Al Green (D-TX-9); Brian Higgins (D-NY-26); Michael T. McCaul (R-TX-10); Patrick T. McHenry (R-NC-10); Gwen Moore (D-WI-4); Debbie Wasserman Schultz (D-FL-23); Doris O. Matsui (D-CA-6); Albio Sires (D-NJ-8); Gus M. Bilirakis (R-FL-12); Kathy Castor (D-FL-14); Yvette D. Clarke (D-NY-9); Steve Cohen (D-TN-9); Joe Courtney (D-CT-2); Henry C. "Hank" Johnson, Jr. (D-GA-4); Jerry McNerney (D-CA-9); Ed Perlmutter (D-CO-7); John P. Sarbanes (D-MD-3); Peter Welch (D-VT-AL); John A. Yarmuth (D-KY-3); Robert E. Latta (R-OH-5); Robert J. Wittman (R-VA-1); André Carson (D-IN-7); Jackie Speier (D-CA-14); Tim Walberg (R-MI-7); Gerald E. Connolly (D-VA-11); Brett Guthrie (R-KY-2); James A. Himes (D-CT-4); Blaine Luetkemeyer (R-MO-3); Chellie Pingree (D-ME-1); Bill Posey (R-FL-8); Glenn Thompson (R-PA-15); Paul Tonko (D-NY-20); Kurt Schrader (D-OR-5); Mike Quigley (D-IL-5); Judy Chu (D-CA-27); John Garamendi (D-CA-3); Bill Foster (D-IL-11); Karen Bass (D-CA-37); Larry Bucshon (R-IN-8); David N. Cicilline (D-RI-1); Scott DesJarlais (R-TN-4); Charles J. "Chuck" Fleischmann (R-TN-3); Bob Gibbs (R-OH-7); Paul A. Gosar (R-AZ-4); Vicky Hartzler (R-MO-4); Jaime Herrera Beutler (R-WA-3); Bill Johnson (R-OH-6); William R. Keating (D-MA-9); Mike Kelly (R-PA-16); Adam Kinzinger (R-IL-16); David B. McKinley (R-WV-1); Steven M. Palazzo (R-MS-4); Terri A. Sewell (D-AL-7); Frederica S. Wilson (D-FL-24); Steve Womack (R-AR-3); Dina Titus (D-NV-1); Kweisi Mfume (D-MD-7); Mark E. Amodei (R-NV-2); Suzanne Bonamici (D-OR-1); Suzan K. DelBene (D-WA-1); Thomas Massie (R-KY-4); Donald M. Payne, Jr. (D-NJ-10); Andy Barr (R-KY-6); Joyce Beatty (D-OH-3); Ami Bera (D-CA-7); Julia Brownley (D-CA-26); Cheri Bustos (D-IL-17); Matt Cartwright (D-PA-8); Joaquin Castro (D-TX-20); Tony Cárdenas (D-CA-29); Rodney Davis (R-IL-13); Lois Frankel (D-FL-21); Richard Hudson (R-NC-8); Jared Huffman (D-CA-2); Hakeem S. Jeffries (D-NY-8); David P. Joyce (R-OH-14); Daniel T. Kildee (D-MI-5); Derek Kilmer (D-WA-6); Ann Kirkpatrick (D-AZ-2); Ann M. Kuster (D-NH-2); Doug LaMalfa (R-CA-1); Alan S. Lowenthal (D-CA-47); Sean Patrick Maloney (D-NY-18); Grace Meng (D-NY-6); Markwayne Mullin (R-OK-2); Scott H. Peters (D-CA-52); Mark Pocan (D-WI-2); Tom Rice (R-SC-7); Raul Ruiz (D-CA-36); Eric Swalwell (D-CA-15); Mark Takano (D-CA-41); Juan Vargas (D-CA-51); Marc A. Veasey (D-TX-33); Ann Wagner (R-MO-2); Brad R. Wenstrup (R-OH-2); Robin L. Kelly (D-IL-2); Katherine M. Clark (D-MA-5); Alma S. Adams (D-NC-12); Donald Norcross (D-NJ-1); Pete Aguilar (D-CA-31); Brian Babin (R-TX-36); Donald S. Beyer, Jr. (D-VA-8); Mike Bost (R-IL-12); Brendan F. Boyle (D-PA-2); Earl L. "Buddy" Carter (R-GA-1); Ed Case (D-HI-1); Mark DeSaulnier (D-CA-11); Debbie Dingell (D-MI-12); Ruben Gallego (D-AZ-7); Garret Graves (R-LA-6); Glenn Grothman (R-WI-6); J. French Hill (R-AR-2); John Katko (R-NY-24); Brenda L. Lawrence (D-MI-14); Ted Lieu (D-CA-33); John R. Moolenaar (R-MI-4); Seth Moulton (D-MA-6); Dan Newhouse (R-WA-4); Kathleen M. Rice (D-NY-4); Elise M. Stefanik (R-NY-21); Norma J. Torres (D-CA-35); Bonnie Watson Coleman (D-NJ-12); Lee M. Zeldin (R-NY-1); Bradley Scott Schneider (D-IL-10); David G. Valadao (R-CA-21); Warren Davidson (R-OH-8); Dwight Evans (D-PA-3); Don Bacon (R-NE-2); Jim Banks (R-IN-3); Nanette Diaz Barragán (D-CA-44); Jack Bergman (R-MI-1); Lisa Blunt Rochester (D-DE-AL); Anthony G. Brown (D-MD-4); Ted Budd (R-NC-13); Salud O. Carbajal (D-CA-24); Liz Cheney (R-WY-AL); J. Luis Correa (D-CA-46); Val Butler Demings (D-FL-10); Adriano Espaillat (D-NY-13); Brian K. Fitzpatrick (R-PA-1); Matt Gaetz (R-FL-1); Mike Gallagher (R-WI-8); Vicente Gonzalez (D-TX-15); Josh Gottheimer (D-NJ-5); Steven Horsford (D-NV-4); Pramila Jayapal (D-WA-7); Ro Khanna (D-CA-17); Raja Krishnamoorthi (D-IL-8); Al Lawson, Jr. (D-FL-5); Brian J. Mast (R-FL-18); Stephanie N. Murphy (D-FL-7); Tom O’Halleran (D-AZ-1); Jimmy Panetta (D-CA-20); Jamie Raskin (D-MD-8); John H. Rutherford (R-FL-4); Darren Soto (D-FL-9); Thomas R. Suozzi (D-NY-3); Jimmy Gomez (D-CA-34); Conor Lamb (D-PA-17); Michael Cloud (R-TX-27); Troy Balderson (R-OH-12); Joseph D. Morelle (D-NY-25); Mary Gay Scanlon (D-PA-5); Susan Wild (D-PA-7); Colin Z. Allred (D-TX-32); Kelly Armstrong (R-ND-AL); Cynthia Axne (D-IA-3); James R. Baird (R-IN-4); Sean Casten (D-IL-6); Ben Cline (R-VA-6); Angie Craig (D-MN-2); Dan Crenshaw (R-TX-2); Jason Crow (D-CO-6); Sharice Davids (D-KS-3); Madeleine Dean (D-PA-4); Veronica Escobar (D-TX-16); Lizzie Fletcher (D-TX-7); Sylvia R. Garcia (D-TX-29); Jesús G. "Chuy" García (D-IL-4); Jared F. Golden (D-ME-2); Anthony Gonzalez (R-OH-16); Josh Harder (D-CA-10); Jahana Hayes (D-CT-5); Chrissy Houlahan (D-PA-6); John Joyce (R-PA-13); Andy Kim (D-NJ-3); Susie Lee (D-NV-3); Andy Levin (D-MI-9); Mike Levin (D-CA-49); Elaine G. Luria (D-VA-2); Tom Malinowski (D-NJ-7); Lucy McBath (D-GA-6); Daniel Meuser (R-PA-9); Carol D. Miller (R-WV-3); Joe Neguse (D-CO-2); Alexandria Ocasio-Cortez (D-NY-14); Ilhan Omar (D-MN-5); Chris Pappas (D-NH-1); Dean Phillips (D-MN-3); Katie Porter (D-CA-45); Ayanna Pressley (D-MA-7); Guy Reschenthaler (R-PA-14); Kim Schrier (D-WA-8); Mikie Sherrill (D-NJ-11); Elissa Slotkin (D-MI-8); Abigail Davis Spanberger (D-VA-7); Greg Stanton (D-AZ-9); Pete Stauber (R-MN-8); Bryan Steil (R-WI-1); Haley M. Stevens (D-MI-11); Rashida Tlaib (D-MI-13); Lori Trahan (D-MA-3); David J. Trone (D-MD-6); Lauren Underwood (D-IL-14); Jefferson Van Drew (R-NJ-2); Michael Waltz (R-FL-6); Jennifer Wexton (D-VA-10); Fred Keller (R-PA-12); Gregory F. Murphy (R-NC-3); Mike Garcia (R-CA-25); Chris Jacobs (R-NY-27); Jake Auchincloss (D-MA-4); Stephanie I. Bice (R-OK-5); Carolyn Bourdeaux (D-GA-7); Jamaal Bowman (D-NY-16); Cori Bush (D-MO-1); Kat Cammack (R-FL-3); Jerry L. Carl (R-AL-1); Madison Cawthorn (R-NC-11); Byron Donalds (R-FL-19); Pat Fallon (R-TX-4); Randy Feenstra (R-IA-4); Michelle Fischbach (R-MN-7); Scott Fitzgerald (R-WI-5); Andrew R. Garbarino (R-NY-2); Carlos A. Gimenez (R-FL-26); Tony Gonzales (R-TX-23); Diana Harshbarger (R-TN-1); Ashley Hinson (R-IA-1); Sara Jacobs (D-CA-53); Mondaire Jones (D-NY-17); Kaiali’i Kahele (D-HI-2); Young Kim (R-CA-39); Jake LaTurner (R-KS-2); Teresa Leger Fernandez (D-NM-3); Nancy Mace (R-SC-1); Nicole Malliotakis (R-NY-11); Kathy E. Manning (D-NC-6); Peter Meijer (R-MI-3); Mariannette Miller-Meeks (R-IA-2); Barry Moore (R-AL-2); Frank J. Mrvan (D-IN-1); Marie Newman (D-IL-3); Jay Obernolte (R-CA-8); Matthew M. Rosendale, Sr. (R-MT-AL); Deborah K. Ross (D-NC-2); Maria Elvira Salazar (R-FL-27); Victoria Spartz (R-IN-5); Michelle Steel (R-CA-48); Marilyn Strickland (D-WA-10); Ritchie Torres (D-NY-15); Beth Van Duyne (R-TX-24); Nikema Williams (D-GA-5); Julia Letlow (R-LA-5); Troy A. Carter (D-LA-2); Melanie A. Stansbury (D-NM-1); Jake Ellzey (R-TX-6); Shontel M. Brown (D-OH-11); Mike Carey (R-OH-15); Sheila Cherfilus-McCormick (D-FL-20); Mayra Flores (R-TX-34); Mike Flood (R-NE-1); Michael F. Doyle (D-PA-18); G. K. Butterfield (D-NC-1); Jackie Walorski (R-IN-2); A. Donald McEachin (D-VA-4); Charlie Crist (D-FL-13).

Nay (88): Kay Granger (R-TX-12); Michael K. Simpson (R-ID-2); Pete Sessions (R-TX-17); Sam Graves (R-MO-6); Joe Wilson (R-SC-2); John R. Carter (R-TX-31); Mike Rogers (R-AL-3); Virginia Foxx (R-NC-5); Cathy McMorris Rodgers (R-WA-5); Vern Buchanan (R-FL-16); Jim Jordan (R-OH-4); Doug Lamborn (R-CO-5); Kevin McCarthy (R-CA-23); Adrian Smith (R-NE-3); Steve Scalise (R-LA-1); Tom McClintock (R-CA-4); Mo Brooks (R-AL-5); Eric A. "Rick" Crawford (R-AR-1); Jeff Duncan (R-SC-3); H. Morgan Griffith (R-VA-9); Andy Harris (R-MD-1); Bill Huizenga (R-MI-2); Billy Long (R-MO-7); David Schweikert (R-AZ-6); Austin Scott (R-GA-8); Daniel Webster (R-FL-11); Scott Perry (R-PA-10); Chris Stewart (R-UT-2); Randy K. Weber, Sr. (R-TX-14); Roger Williams (R-TX-25); Jason Smith (R-MO-8); Rick W. Allen (R-GA-12); Ken Buck (R-CO-4); Tom Emmer (R-MN-6); Jody B. Hice (R-GA-10); Barry Loudermilk (R-GA-11); Alexander X. Mooney (R-WV-2); Gary J. Palmer (R-AL-6); David Rouzer (R-NC-7); Bruce Westerman (R-AR-4); Trent Kelly (R-MS-1); Darin LaHood (R-IL-18); James Comer (R-KY-1); Jodey C. Arrington (R-TX-19); Andy Biggs (R-AZ-5); Neal P. Dunn (R-FL-2); A. Drew Ferguson IV (R-GA-3); Clay Higgins (R-LA-3); Trey Hollingsworth (R-IN-9); Mike Johnson (R-LA-4); David Kustoff (R-TN-8); Lloyd Smucker (R-PA-11); Ron Estes (R-KS-4); Ralph Norman (R-SC-5); John R. Curtis (R-UT-3); Debbie Lesko (R-AZ-8); Kevin Hern (R-OK-1); Tim Burchett (R-TN-2); Russ Fulcher (R-ID-1); Lance Gooden (R-TX-5); Mark E. Green (R-TN-7); Michael Guest (R-MS-3); Dusty Johnson (R-SD-AL); Greg Pence (R-IN-6); John W. Rose (R-TN-6); Chip Roy (R-TX-21); W. Gregory Steube (R-FL-17); Van Taylor (R-TX-3); William R. Timmons IV (R-SC-4); Claudia Tenney (R-NY-22); Dan Bishop (R-NC-9); Thomas P. Tiffany (R-WI-7); Cliff Bentz (R-OR-2); Lauren Boebert (R-CO-3); Andrew S. Clyde (R-GA-9); Scott Franklin (R-FL-15); Bob Good (R-VA-5); Marjorie Taylor Greene (R-GA-14); Yvette Herrell (R-NM-2); Ronny Jackson (R-TX-13); Tracey Mann (R-KS-1); Lisa C. McClain (R-MI-10); Mary E. Miller (R-IL-15); Blake D. Moore (R-UT-1); Troy E. Nehls (R-TX-22); Burgess Owens (R-UT-4); August Pfluger (R-TX-11); Connie Conway (R-CA-22).

Not voting (1): Theodore E. Deutch (D-FL-22).

Not in office (18): Brad Finstad (R-MN-1); Mary Sattler Peltola (D-AK-AL); Patrick Ryan (D-NY-19); Joseph Sempolinski (R-NY-23); Rudy Yakym III (R-IN-2); Don Young (R-AK-AL); Alcee L. Hastings (D-FL-20); Devin Nunes (R-CA-22); Jeff Fortenberry (R-NE-1); Marcia L. Fudge (D-OH-11); Tom Reed (R-NY-23); Steve Stivers (R-OH-15); Cedric L. Richmond (D-LA-2); Filemon Vela (D-TX-34); Antonio Delgado (D-NY-19); Jim Hagedorn (R-MN-1); Debra A. Haaland (D-NM-1); Ron Wright (R-TX-6).

Summary

Main subject: Changes laws on Department of Veterans Affairs health care eligibility, disability presumptions, research, resources and operations for veterans with toxic exposures during military service. Sec. 103, Sec. 202, Sec. 406

Its core areas: VA health care eligibility for toxic-exposed veterans; Process for setting presumptions of service connection based on toxic exposure; Presumed exposure and presumed service connection for burn pit, herbicide and radiation exposure; Toxic exposure research and studies; VA major medical facility leases and enhanced-use leases; Cost of War Toxic Exposures Fund; VA workforce recruitment, retention and pay; Camp Lejeune water exposure lawsuits.

Unexpected Items: 14 provisions

These provisions fall outside the bill’s main subject or apply narrowly. This describes the text; it is not a judgment.

Not related to the bill’s main subject (3)

Sec. 508: Study on veterans in Territories of the United States: Directs the Comptroller General to study access to and barriers to VA benefits and services for veterans in Territories and Freely Associated States, and to brief Congress within one year.
Sec. 807: Authorization of electronic notice in claims under laws administered by the Secretary of Veterans Affairs: Lets the Department of Veterans Affairs send claim decision notices electronically when a claimant elects it, and changes wording from mailed to issued in several title 38 sections on claims and appeals.
Sec. 111: Expansion of period of eligibility for health care for certain veterans of combat service: Changes the enrollment window for health care for veterans of combat service from five years to 10 years, and sets a one-year window starting October 1, 2022 for certain veterans discharged after September 11, 2001 and before October 1, 2013.

Applies only to a specific place or group (1)

Sec. 801: Epidemiological study on Fort McClellan veterans: Requires the Secretary of Veterans Affairs to conduct an epidemiological study on the health trends of veterans who served at Fort McClellan between January 1, 1935 and May 20, 1999.

Funds a specific named project or event (1)

Sec. 702: Authorization of major medical facility leases of Department of Veterans Affairs for fiscal year 2023: Authorizes 31 specific major medical facility leases in fiscal year 2023 at named locations, each with its own estimated amount, and authorizes $998,137,000 in total for them.

Exception or delay for a subset (8)

Sec. 103: Expansion of health care for specific categories of toxic-exposed veterans and veterans supporting certain overseas contingency operations: Starts VA health care eligibility for certain toxic-exposed veterans on different dates, from October 1, 2024 to October 1, 2032, depending on the veteran's discharge period or deployment.
Sec. 403: Presumptions of service connection for diseases associated with exposures to certain herbicide agents for veterans who served in certain locations: Extends the herbicide-exposure presumption to service in listed locations and dates. It takes effect on enactment for dependency and indemnity compensation claimants and for veterans who are terminally ill, homeless, in extreme financial hardship or over 85, and on October 1, 2022 for everyone else.
Sec. 404: Addition of additional diseases associated with exposure to certain herbicide agents for which there is a presumption of service connection for veterans who served in certain locations: Adds monoclonal gammopathy of undetermined significance and hypertension to the herbicide presumptions with different start dates by group, and limits retroactive awards to dependency and indemnity compensation claimants.
Sec. 406: Presumption of service connection for certain diseases associated with exposure to burn pits and other toxins: Creates the burn pit presumption of service connection with start dates that vary by disease, from the date of enactment to October 1, 2025 for most veterans.
Sec. 704: Authority to enter into agreements with academic affiliates and other entities to acquire space for the purpose of providing health-care resources to veterans: Lets the Secretary lease space from an academic affiliate or covered entity without competitive procedures when the Secretary finds it to be in the best interest of the Department.
Sec. 905: Expansion of opportunities for housekeeping aides: Amends title 5 section 3310 so that its competitive service rule does not apply to housekeeping aide positions in the Department of Veterans Affairs.
Sec. 907: Waiver of pay limitation for certain employees of Department of Veterans Affairs: Lets the Secretary waive annual premium or aggregate pay limits for certain Veterans Health Administration employees whose duty station is closed or whose office is realigned, and for employees providing expanded care to veterans exposed to open burn pits, through September 30, 2027.
Sec. 804: Federal cause of action relating to water at Camp Lejeune, North Carolina: Creates a federal cause of action for Camp Lejeune water exposure, and excludes any claim or action arising out of the combatant activities of the Armed Forces.

Program name includes a political figure’s name (1)

Sec. 401: Treatment of veterans who participated in cleanup of Enewetak Atoll as radiation-exposed veterans for purposes of presumption of service connection of certain disabilities by Department of Veterans Affairs: Gives this section a short title that uses a person's name, and adds cleanup of Enewetak Atoll from January 1, 1977 to December 31, 1980 to the activities that count as radiation-exposed service for the presumption of service connection.

What it does

Sec. 103: Makes veterans who took part in a toxic exposure risk activity, covered veterans, and veterans deployed in support of listed contingency operations eligible for VA hospital care, medical services and nursing home care, with start dates phased from October 1, 2024 to October 1, 2032.
Sec. 202: Directs the Secretary to run annual public notice and comment, a working group, formal evaluations and regulations to decide whether to establish or remove presumptions of service connection based on toxic exposure.
Sec. 302: Requires VA to presume that covered veterans who served in listed countries on or after August 2, 1990, or September 11, 2001, were exposed to substances on a VA-maintained list, unless affirmative evidence shows otherwise.
Sec. 406: Presumes service connection for listed diseases in covered veterans, including asthma, several cancers, chronic bronchitis and chronic obstructive pulmonary disease, with effective dates phased from enactment to October 1, 2025.
Sec. 403: Extends the herbicide-exposure presumption beyond Vietnam to service at listed locations in Thailand, Laos, Cambodia, Guam, American Samoa and Johnston Atoll during specified periods.
Sec. 404: Adds monoclonal gammopathy of undetermined significance and hypertension to the diseases presumed service-connected for herbicide exposure, with general effective dates of October 1, 2022 and October 1, 2026.
Sec. 804: Lets individuals exposed for at least 30 days between August 1, 1953, and December 31, 1987, to water at Camp Lejeune, North Carolina, bring an action in the U.S. District Court for the Eastern District of North Carolina.
Sec. 806: Appropriates $500,000,000 for fiscal year 2022 to the Cost of War Toxic Exposures Fund, available until September 30, 2024, and requires a spend plan before funds are obligated.
Sec. 707: Appropriates $1,880,000,000 for fiscal year 2023 to the Medical Facilities account for the major medical facility leases authorized by section 702.
Sec. 705: Changes VA enhanced-use lease authority by extending the maximum lease term from 75 years to 99 years, repealing the sunset, and appropriating $922,000,000 for fiscal year 2022 to enter into such leases.

Written automatically from the official text by Claude Sonnet 5.5, an AI model. Written 15 Oct 2026 and published after the automatic checks, without a person reading it first. Every line names the section it came from.

Changed after Senate passage

Compares the bill as passed by the Senate, 17 Feb 2022, with the final text passed by both chambers. About 1% of the wording the Senate passed stands in the final text.

Less than a tenth of the final text’s wording was in the text the Senate passed: 58 of its sections were not in it.

Removed before the final vote (1)

Sec. 2: Improving Iraq and Afghanistan Service Grant and Children of Fallen Heroes Grant: