Supporting Military Families Exposed to Toxic Substances Act

This bill expands VA healthcare access to military family members (including those in utero) who lived or worked at military locations where veterans have a presumption of service-connected illness due to toxic exposure (e.g., Camp Lejeune). It requires the VA to provide hospital care and medical services for covered illnesses if families demonstrate exposure to the same toxins qualifying veterans for benefits. Key limitations include requiring exhausted third-party payment claims (like insurance) before VA coverage, and restricting care to illnesses with VA-established presumptions. The VA must report annually on utilization, denials, and pending applications starting in 2027. This directly affects military families residing at contaminated bases, not veterans themselves.