PolicyBrief
H.R. 5132
119th CongressSep 4th 2025
Healthy Servicemembers Act
IN COMMITTEE

This Act establishes a mandatory screening process and a health registry for service members and their families affected by health conditions resulting from unsafe military housing.

Wesley Bell
D

Wesley Bell

Representative

MO-1

LEGISLATION

Military Housing Health Check: New Act Mandates Screening and Registry for Service Members Affected by Unsafe Units

The “Healthy Servicemembers Act” tackles a major, persistent problem: the health fallout when military personnel and their families live in substandard housing. This bill doesn’t just ask nicely; it mandates that the Department of Defense (DoD) set up a formal system to track and screen people who got sick because of where they lived.

The Health Registry: Finally Tracking the Problem

At its core, the bill requires the Secretary of Defense to establish a comprehensive health registry for “eligible individuals” who have a “covered condition.” Think of this as the military finally creating a structured database to connect the dots between moldy walls and medical charts. An “eligible individual” is any service member or family member who has lived in an “unsafe housing unit.” The military medical facilities must screen these individuals for health issues scientifically linked to poor housing, and if a condition is found, they can be added to the registry (SEC. 2).

This is a big deal because, right now, tracking these issues often relies on anecdotal evidence and individual complaints. This registry creates an official, centralized record. For a military spouse whose child has been dealing with chronic respiratory issues after living in a mildew-ridden base house, this registry offers a formal way to document that health outcome and link it back to the housing unit. The DoD is also required to run a public information campaign to make sure those affected actually know about the registry and how to sign up, which is crucial for maximizing participation.

Defining 'Unsafe' and the Catch

The bill is specific about what counts as “unsafe housing.” It’s defined as any unit that either fails to meet established quality standards under existing housing law (Section 8(o)(8)(B) of the U.S. Housing Act of 1937) or has dangerous levels of air pollution from mold (SEC. 2). This clarity is helpful because it anchors the definition to measurable standards, not just vague complaints.

However, there’s a key piece left up to interpretation: the definition of a “covered condition.” The bill states this is any medical issue the Secretary of Defense officially determines was caused by living in that unsafe housing. This is where the rubber meets the road. The Secretary, working with scientific groups, gets to decide which specific illnesses make the cut. If the definition is too narrow, it could exclude service members with legitimate, housing-related ailments. For example, if they focus only on respiratory problems and exclude certain neurological issues linked to toxin exposure, many affected families might be left out of the formal tracking system.

Real-World Impact and Administrative Lift

For service members, this bill offers a pathway to official recognition and potentially better long-term care tracking. The immediate impact is that military medical facilities will now have a mandate to look for these specific housing-related illnesses during screenings. If you’re a service member moving off base after a year in a unit with chronic plumbing leaks and mold, the military health system is now legally required to screen you for related health conditions.

On the flip side, the Department of Defense is now tasked with a significant administrative lift. They have to design the registry, determine the qualifying conditions, implement the screening protocols across all facilities, and run the public campaign. This means significant data collection and management costs for the DoD, but it’s a necessary step toward accountability and ensuring the health of military families isn't sacrificed for poor housing management.