The K2 Veterans Total Coverage Act of 2025 establishes a presumption of service connection for numerous diseases in veterans who served at Karshi Khanabad Air Base, Uzbekistan.
Mark Green
Representative
TN-7
The K2 Veterans Total Coverage Act of 2025 establishes a presumption of service connection for a broad range of diseases in veterans who served at Karshi Khanabad Air Base, Uzbekistan. This means the VA will automatically assume these specific illnesses are related to military service, significantly easing the burden of proof for veterans seeking disability benefits. The covered conditions include various cancers, cardiovascular, respiratory, neurological, and chronic multisymptom illnesses.
The “K2 Veterans Total Coverage Act of 2025” is a major win for veterans who served at Karshi Khanabad Air Base (K2) in Uzbekistan. Simply put, this legislation cuts through the red tape for disability claims by creating a legal presumption of service connection for a massive list of diseases, effectively saying, “If you served there and you have this condition, the VA assumes your service caused it.”
For years, veterans returning from K2 have faced a tough battle proving that their serious health issues—often linked to environmental toxins reported at the base—were directly caused by their military service. This bill changes the game by amending Section 1120(b) of title 38, U.S. Code, to list specific conditions that are automatically considered service-connected for this group. This means the veteran no longer has to spend years gathering evidence and fighting the VA to prove the link, which is a huge relief for anyone dealing with a serious illness.
The list of presumed diseases is extensive and covers almost every major system in the body. If you served at K2 and develop any of these conditions, the VA must now assume it’s service-connected: any type of cancer, any thyroid disease, any bone disease, any cardiovascular disease (heart and blood vessel issues), any skin disease, any neurological disease (affecting the nervous system), any reproductive disease, any respiratory disease (lung issues), any endocrine disease (hormone issues), any liver disease, any kidney disease, any blood disorder, primary immune regulatory disorders, medically unexplained chronic multisymptom illness, and cataracts.
Think about a veteran who served at K2 a decade ago and is now diagnosed with a rare form of liver disease. Under the old system, they would have had to hire lawyers and medical experts to build a case proving their liver disease was specifically caused by their time at the base—a process that could take years and drain their savings. Under the K2 Veterans Total Coverage Act, that veteran can file a claim, and because liver disease is on the list, the VA automatically grants the service connection. This speeds up access to necessary disability compensation and healthcare, allowing them to focus on treatment rather than bureaucracy.
While this is overwhelmingly positive for veterans, it’s important to note the practical challenge on the other side: the Department of Veterans Affairs. This legislation creates a mandate for the VA to process a potentially large influx of new disability claims for a very wide range of serious, expensive-to-treat conditions. The VA will need to ensure its claims processing and medical facilities are adequately staffed and funded to handle this increased load efficiently. The goal is to get these veterans the benefits they deserve quickly, and that requires the VA system to keep up with the new presumption of coverage.