PolicyBrief
S. 2333
119th CongressJul 17th 2025
Health Records Enhancement Act
IN COMMITTEE

This Act allows designated individuals or immediate family members to supplement the health records of deceased veterans with observed health information.

Peter Welch
D

Peter Welch

Senator

VT

LEGISLATION

New Act Grants Families One Year to Supplement Deceased Veterans' Health Records

The newly proposed Health Records Enhancement Act is straightforward: it mandates that the Department of Defense (DoD) and the Department of Veterans Affairs (VA) set up a system within one year to allow certain people to add information to the health records of deceased veterans. This means that if a veteran was enrolled in the VA system or eligible for TRICARE when they passed away, their designated representative or immediate family can provide supplemental details about health conditions they observed during the veteran’s life.

The Final Say on the Record

This section, SEC. 2, is all about giving veterans and their families a mechanism for ensuring the full picture of a veteran’s health journey is preserved. Think of it as adding crucial context that might have been missed in official appointments. The bill requires the VA and DoD to create a clear process for veterans to formally name the person who gets this access. If no one was designated before death, the responsibility falls to an “immediate family member,” which the bill defines broadly to include a spouse, parent, sibling, adult child, or even an adult who acted in loco parentis (like a guardian or step-parent).

Why This Matters for the Real World

For families, this provision is huge. Imagine a veteran who suffered from severe, chronic pain that wasn't always formally documented by a doctor, or perhaps struggled with mental health issues that they only discussed with a spouse or sibling. Under the current system, that vital information often disappears with the veteran. This Act changes that. It allows a designated person—say, the veteran’s adult child—to submit a supplemental record detailing the observed condition, like “Chronic back pain worsened significantly after 2015 deployment, requiring daily medication not always reflected in VA prescriptions.” This information doesn't erase the official medical record, but it attaches to it, providing a more complete narrative for historical purposes or for future family claims.

Implementation and Practicalities

Since the new information is strictly a supplement—it can’t change or delete existing official records—it acts as a crucial addendum. The challenge for the VA and DoD will be creating a user-friendly, secure portal that can handle these submissions and clearly integrate them into the existing health record systems within the one-year deadline. While the term “observed health conditions” is a little vague, which could lead to some subjective submissions, the overall goal is to capture factual context that only a close family member would know. This is a common-sense move that respects the knowledge and experience of those closest to the veteran, ensuring that the official record is as comprehensive as possible.