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H.R. 4469
U.S. House•In House Committee
Summary
H.R. 4469, the PRESUME Act, was introduced in the House on Jul 16, 2025 by Rep. Dina Titus (D) with 12 co-sponsors. It was referred to Subcommittee on Disability Assistance and Memorial Affairs, and last saw action on Feb 3, 2026: Subcommittee Hearings Held.
Record
Text
H.R. 4469 has 12 co-sponsors.
hb4469/introduced-in-house.txt119 HR 4469 IH: Providing Radiation Exposed Servicemembers Undisputed Medical Eligibility ActU.S. House of Representatives2025-07-16text/xmlENPursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.I 119th CONGRESS 1st Session H. R. 4469 IN THE HOUSE OF REPRESENTATIVES July 16, 2025 Ms. Titus introduced the following bill; which was referred to the Committee on Veterans' Affairs A BILLTo amend title 38, United States Code, to prohibit the Secretary of Veterans Affairs from requiring evidence of a certain dose of radiation to determine that a veteran is a radiation-exposed veteran, and for other purposes.1.Short titleThis Act may be cited as the Providing Radiation Exposed Servicemembers Undisputed Medical Eligibility Act or the PRESUME Act .2.Prohibition of requirement of evidence of a certain dose of radiation to determine that a veteran is a radiation-exposed veteranSection 1112(c) of title 38, United States Code, is amended by adding at the end the following new paragraph:(5)The Secretary may not require evidence of a certain dose of radiation to determine that a veteran is a radiation-exposed veteran..
Tracker
The tracker indicates the progress of this legislation as it moves through the legislative process.
- Introduced2025-07-16
- Passed House
- Passed Senate
- Conference
- To President
- Became Law
To amend title 38, United States Code, to prohibit the Secretary of Veterans Affairs from requiring evidence of a certain dose of radiation to determine that a veteran is a radiation-exposed veteran, and for other purposes.
Sponsors
Rep. Dina Titus (D) sponsors H.R. 4469, and 12 members have co-sponsored it.

Rep. · D–NV-1 · Sponsor
Introduced Jul 16, 2025

Rep. · D–DC-0 · Co-sponsor
Joined Jul 17, 2025

Rep. · D–CA-4 · Co-sponsor
Joined Jul 17, 2025

Rep. · D–MA-2 · Co-sponsor
Joined Jul 21, 2025

Rep. · D–TN-9 · Co-sponsor
Joined Jul 25, 2025

Rep. · D–AL-7 · Co-sponsor
Joined Jul 25, 2025

Rep. · D–CO-2 · Co-sponsor
Joined Aug 1, 2025

Rep. · D–DE-0 · Co-sponsor
Joined Aug 8, 2025

Rep. · D–MO-1 · Co-sponsor
Joined Aug 26, 2025

Rep. · D–MI-13 · Co-sponsor
Joined Aug 29, 2025
Committees
H.R. 4469 went before 2 committees: Disability Assistance and Memorial Affairs Subcommittee and Veterans' Affairs.

Actions
H.R. 4469 has taken 4 actions since Jul 16, 2025, the latest on Feb 3, 2026.
| Chamber | Action | |||
|---|---|---|---|---|
Feb 3, 2026 | House | Subcommittee Hearings HeldDisability Assistance and Memorial Affairs Subcommittee | ||
Jul 16, 2025 | House | Introduced in House | ||
Jul 16, 2025 | House | Referred to the House Committee on Veterans' Affairs.Veterans' Affairs Committee | ||
Jul 16, 2025 | House | Referred to the Subcommittee on Disability Assistance and Memorial Affairs.Disability Assistance and Memorial Affairs Subcommittee |
Votes
H.R. 4469 has not gone to a roll call.
Titles
H.R. 4469 goes by 4 titles, 2 of them short titles.
- PRESUME Act — Display Title
- PRESUME Act — Short Title(s) as Introduced
- Providing Radiation Exposed Servicemembers Undisputed Medical Eligibility Act — Short Title(s) as Introduced
- To amend title 38, United States Code, to prohibit the Secretary of Veterans Affairs from requiring evidence of a certain dose of radiation to determine that a veteran is a radiation-exposed veteran, and for other purposes. — Official Title as Introduced
Lobbying
2 clients hired 2 firms and 17 registered lobbyists who named H.R. 4469 in 8 quarterly filings, 2025 to 2026. Reported under the Lobbying Disclosure Act; a filing’s income covers everything its registrant worked that quarter, so the amounts below are the filings’, not this bill’s.
Filed under Veterans, Budget/Appropriations, Civil Rights/Civil Liberties, Defense, Government Issues, Health Issues, Housing, Medical/Disease Research/Clinical Labs.
Clients
Who paid to be heard, by how many filings named the bill.
| Client | Business | State | Firms | Filings | Reported |
|---|---|---|---|---|---|
| DISABLED AMERICAN VETERANS | — | District of Columbia | 1 | 4 | — |
| PARALYZED VETERANS OF AMERICA | — | District of Columbia | 1 | 4 | — |
Firms
Registrants who filed on the bill, by filings.
| Registrant | Clients | Filings | Reported |
|---|---|---|---|
| DISABLED AMERICAN VETERANS | 1 | 4 | — |
| PARALYZED VETERANS OF AMERICA | 1 | 4 | — |
Lobbyists
Named on the filings that cite the bill.
| Lobbyist | Firms | Clients | Filings |
|---|---|---|---|
| HEATHER ANSLEY | 1 | 1 | 4 |
| JEREMY VILLANUEVA | 1 | 1 | 4 |
| JON RETZER | 1 | 1 | 4 |
| JULIE HOWELL | 1 | 1 | 4 |
| MORGAN BROWN | 1 | 1 | 4 |
| NAOMI MATHIS | 1 | 1 | 4 |
| PETER DICKINSON | 1 | 1 | 4 |
| SHAMALA CAPIZZI | 1 | 1 | 4 |
| JOSEPH LEMAY | 1 | 1 | 3 |
| SHANE LIERMANN | 1 | 1 | 3 |
| ANTHONYA HOLLINS | 1 | 1 | 2 |
| ANTHONYA JAMES | 1 | 1 | 2 |
| DANICA GONZALVES | 1 | 1 | 2 |
| JENNIFER HUNT | 1 | 1 | 2 |
| JOY ILEM | 1 | 1 | 2 |
| KEVIN MILLER | 1 | 1 | 2 |
| LISA ELIJAH | 1 | 1 | 2 |
Filings
The documents themselves, on the Senate’s Lobbying Disclosure site, largest reported first.
| Client | Registrant | Period | Reported | Document |
|---|---|---|---|---|
| DISABLED AMERICAN VETERANS | DISABLED AMERICAN VETERANS | 2026 first_quarter | $175.9K | 1st Quarter - Report |
| DISABLED AMERICAN VETERANS | DISABLED AMERICAN VETERANS | 2025 fourth_quarter | $161.3K | 4th Quarter - Report |
| DISABLED AMERICAN VETERANS | DISABLED AMERICAN VETERANS | 2026 second_quarter | $149.2K | 2nd Quarter - Report |
| DISABLED AMERICAN VETERANS | DISABLED AMERICAN VETERANS | 2025 third_quarter | $141.4K | 3rd Quarter - Report |
| PARALYZED VETERANS OF AMERICA | PARALYZED VETERANS OF AMERICA | 2026 second_quarter | $112.1K | 2nd Quarter - Report |
| PARALYZED VETERANS OF AMERICA | PARALYZED VETERANS OF AMERICA | 2026 first_quarter | $108.2K | 1st Quarter - Report |
| PARALYZED VETERANS OF AMERICA | PARALYZED VETERANS OF AMERICA | 2025 fourth_quarter | $87.2K | 4th Quarter - Report |
| PARALYZED VETERANS OF AMERICA | PARALYZED VETERANS OF AMERICA | 2025 third_quarter | $87.2K | 3rd Quarter - Report |
Classification
The Congressional Research Service files H.R. 4469 under Armed Forces and National Security, one of its 31 policy areas.
CRS Subjects
CRS assigns every bill one policy area from its 31; H.R. 4469’s is Armed Forces and National Security.
hr4469/policy-areas.txtSource: congress.gov · legiscan.com