SEC. 2. DEPARTMENT OF VETERANS AFFAIRS PROVISION 
OF HEALTH CARE FOR FAMILY MEMBERS 
AND OTHER INDIVIDUALS WHO RESIDED AT 
OR WORKED AT LOCATIONS WHERE THERE IS 
A PRESUMPTION OF SERVICE-CONNECTION 
FOR CERTAIN ILLNESSES AND CONDITIONS. 
(a) IN GENERAL.—Subchapter VIII of chapter 17 of 
title 38, United States Code, is amended by adding at the 
end the following new section: 
‘‘§ 1790. Health care for family members and other in-
dividuals who resided at or worked at lo-
cations where there is a presumption of 
service-connection for certain illnesses 
and conditions 
‘‘(a) IN GENERAL.—(1) An individual described in 
subsection (b) shall be eligible for hospital care and med-
ical services furnished by the Secretary for a covered ill-
ness or condition. 
‘‘(2) An individual described in this subsection is an 
individual who— 
‘‘(A) resided at, worked at, or was in utero 
while their mother resided at or worked at a location 
for which the Secretary has established a presump-
tion of service-connection for any illness or condition 
under or pursuant to chapter 11 of this title for the 
time period required for such presumption; and 
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‘‘(B) can demonstrate that the individual was 
exposed to the same condition or conditions that 
qualify veterans for such presumption, as deter-
mined by the Secretary. 
‘‘(b) LIMITATIONS.—(1) The Secretary may only fur-
nish hospital care and medical services under subsection 
(a) to the extent and in the amount provided in advance 
in appropriations Acts for such purpose. 
‘‘(2) Hospital care and medical services may not be 
furnished under subsection (a) for an illness or condition 
of an individual that is found, in accordance with guide-
lines issued by the Under Secretary for Health, to have 
resulted from a cause other than time spent at a location 
referred to in subsection (a)(2)(A). 
‘‘(3) The Secretary may furnish hospital care or med-
ical services provided to an individual described in sub-
section (a)(2) only after the individual or the provider of 
such care or services has exhausted without success all 
claims and remedies reasonably available to the individual 
or provider against a third party (as defined in section 
1725(f) of this title) for payment of such care or services, 
including with respect to health-plan contracts (as defined 
in such section). 
‘‘(c) COVERED ILLNESS OR CONDITION.—In this sec-
tion, the term ‘covered illness or condition’ means, with 
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respect to an individual who resided at, worked at, or was 
in utero while their mother resided at or worked at a loca-
tion, an illness or condition for which the Secretary has 
established a presumption of service-connection under or 
pursuant to chapter 11 of this title based on service in 
the Armed Forces at that location, notwithstanding that 
there is insufficient medical evidence to conclude that the 
illness or condition is attributable to such residence or 
work.’’. 
(b) CLERICAL AMENDMENT.—The table of sections 
at the beginning of such chapter is amended by inserting 
after the item relating to section 1789 the following new 
item: 
‘‘1790. Health care for family members and other individuals who resided at or 
worked at locations where there is a presumption of service- 
connection for certain illnesses and conditions.’’. 
(c) REPORTS.—Not later than December 31 of each 
of 2027, 2028, and 2029, the Secretary of Veterans Af-
fairs shall submit to the Committee on Veterans’ Affairs 
of the Senate and the Committee on Veterans’ Affairs of 
the House of Representatives a report on the hospital care 
and medical services provided under section 1790 of title 
38, United States Code, as added by subsection (a). Each 
such report shall include each of the following: 
(1) The number of individuals who were fur-
nished hospital care or medical services under such 
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section during the period beginning on January 1, 
2026, and ending on the date of such report. 
(2) The illnesses and conditions for which such 
care or services were provided and the location asso-
ciated with the presumption of service-connection for 
each such illness or condition. 
(3) The number of individuals who applied for 
care or services under such section during that pe-
riod but who were denied, including information on 
the reasons for such denials. 
(4) The number of individuals who applied for 
care or services under such section and are awaiting 
a decision from the Secretary on eligibility for such 
care or services. as of the date of such report. 
Æ 
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