I 
119TH CONGRESS 
1ST SESSION H. R. 3639 
To amend title 38, United States Code, to furnish hospital care and medical 
services to veterans and dependents who were stationed at military instal-
lations at which the veterans and dependents were exposed to 
perfluorooctanoic acid or other per- and polyfluoroalkyl substances, to 
provide for a presumption of service connection for certain veterans 
who were stationed at military installations at which the veterans were 
exposed to such substances, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
MAY 29, 2025 
Mr. LAWLER (for himself, Mr. RILEY of New York, Mr. FITZPATRICK, Ms. 
TLAIB, Mr. MAGAZINER, Ms. DELBENE, Mr. KHANNA, Ms. CHU, Mr. 
CARSON, and Ms. PETTERSEN) introduced the following bill; which was 
referred to the Committee on Veterans’ Affairs 
A BILL 
To amend title 38, United States Code, to furnish hospital 
care and medical services to veterans and dependents 
who were stationed at military installations at which 
the 
veterans 
and 
dependents 
were 
exposed 
to 
perfluorooctanoic acid or other per- and polyfluoroalkyl 
substances, to provide for a presumption of service con-
nection for certain veterans who were stationed at mili-
tary installations at which the veterans were exposed 
to such substances, and for other purposes. 
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Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Veterans Exposed to 
Toxic PFAS Act’’ or the ‘‘VET PFAS Act’’. 
SEC. 2. HOSPITAL CARE AND MEDICAL SERVICES FOR VET-
ERANS 
AND 
DEPENDENTS 
EXPOSED 
TO 
PERFLUOROOCTANOIC 
ACID 
AND 
OTHER 
PER- AND POLYFLUOROALKYL SUBSTANCES. 
(a) HOSPITAL CARE AND MEDICAL SERVICES FOR 
VETERANS.— 
(1) IN
GENERAL.—Paragraph (1) of section 
1710(e) of title 38, United States Code, is amended 
by adding at the end the following new subpara-
graph: 
‘‘(J)(i) Beginning on the date that is 90 days after 
the date of the enactment of this subparagraph, subject 
to paragraph (2), a veteran who served on active duty in 
the Armed Forces at a covered military installation at 
which individuals were exposed to substances specified in 
clause (ii) is eligible for hospital care and medical services 
under subsection (a)(2)(F) for the diseases, illnesses, or 
conditions as specified in such clause, notwithstanding 
that there is insufficient medical evidence to conclude that 
such illness or condition is attributable to such service. 
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‘‘(ii) The substances and diseases, illnesses, or condi-
tions specified in this clause are the following: 
‘‘(I) 
With 
respect 
to 
exposure 
to 
perfluorooctanoic acid— 
‘‘(aa) diagnosed high cholesterol; 
‘‘(bb) ulcerative colitis; 
‘‘(cc) thyroid disease; 
‘‘(dd) testicular cancer; 
‘‘(ee) kidney cancer; and 
‘‘(ff) pregnancy-induced hypertension. 
‘‘(II) With respect to exposure to other per- and 
polyfluoroalkyl substances, any disease, illness, or 
condition that the Secretary of Veterans Affairs, in 
consultation with the Administrator of the Agency 
for Toxic Substances and Disease Registry of the 
Department of Health and Human Services, deter-
mines pursuant to the study conducted under section 
316 of the National Defense Authorization Act for 
Fiscal Year 2018 (Public Law 115–91) that a posi-
tive association exists between exposure to per- and 
polyfluoroalkyl substances and such disease, illness, 
or condition. 
‘‘(iii) For purposes of this subparagraph, any service 
by a member of the reserve components for a period speci-
fied by the Secretary at a covered military installation at 
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which individuals were exposed to substances specified in 
clause (ii) shall be treated as active duty service, notwith-
standing section 101(21) of this title. 
‘‘(iv) In this subparagraph, the term ‘covered military 
installation’ means a military installation at which individ-
uals were exposed to perfluorooctanoic acid or other per- 
and 
polyfluoroalkyl 
substances, 
including 
exposure 
through a well that provides water for human consumption 
that is contaminated with such substances.’’. 
(2) LIMITATION.—Paragraph (2)(B) of such 
section is amended by striking ‘‘or (I)’’ and inserting 
‘‘(I), or (J)’’. 
(b) FAMILY MEMBERS.— 
(1) IN GENERAL.—Subchapter VIII of chapter 
17 is amended by adding at the end the following 
new section: 
‘‘§ 1787A. Health care of family members of veterans 
stationed at certain military installations 
‘‘(a) IN GENERAL.—Beginning on the date that is 90 
days after the date of the enactment of this section, sub-
ject to subsection (b), a family member of a veteran de-
scribed in clause (i) of section 1710(e)(1)(J) of this title 
(or who would be so described but for the condition by 
which the individual was discharged or released from the 
Armed Forces) who resided at a military installation cov-
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