HR 3967

Honoring our Promise to Address Comprehensive Toxics Act of 2021 or the Honoring our PACT Act of 2021 This bill addresses health care, presumption of service-connection, research, resources, and other matters related to veterans who were exposed to toxic substances during military service. The bill provides eligibility for Department of Veterans Affairs (VA) medical care to veterans who (1) participated in a toxic exposure risk activity (a qualifying activity that requires a corresponding entry in the Individual Longitudinal Exposure Record), or (2) served in specified locations on specified dates. The bill establishes within the VA the Formal Advisory Committee on Toxic Exposure, the Science Review Board, and the Working Group to assist with the various procedures in establishing or removing presumptions of service-connection. The bill modifies or establishes the presumption of service-connection for certain conditions or purposes for various groups of veterans. Among other requirements, the VA must provide a veteran with a medical examination regarding the nexus between a disability and toxic exposure risk activity if a veteran submits a disability compensation claim for a service-connected disability with insufficient evidence, incorporate a clinical questionnaire to help determine potential toxic exposures as part of the initial screening conducted for veterans with a VA primary care provider, establish a registry for current or past members of the Armed Forces who may have been exposed to per- and polyfluoroalkyl substances due to the environmental release of aqueous film-forming foam at a Department of Defense location, and establish and maintain the Fort McClellan Health Registry.