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H.R. 4527
U.S. House•In House Committee
Summary
H.R. 4527, the Health Records Enhancement Act, was introduced in the House on Jul 17, 2025 by Rep. Raul Ruiz (D) with 1 co-sponsor. It was referred to Subcommittee on Health, and last saw action on Dec 19, 2025: Referred to the Subcommittee on Health.
Record
Text
H.R. 4527 has 1 co-sponsor.
hb4527/introduced-in-house.txt119 HR 4527 IH: Health Records Enhancement ActU.S. House of Representatives2025-07-17text/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. 4527 IN THE HOUSE OF REPRESENTATIVES July 17, 2025 Mr. Ruiz (for himself and Mr. Bilirakis ) introduced the following bill; which was referred to the Committee on Armed Services , and in addition to the Committee on Veterans' Affairs , for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned A BILLTo require the Secretary of Defense and the Secretary of Veterans Affairs to permit supplementation of health records of deceased veterans, and for other purposes.1.Short titleThis Act may be cited as the Health Records Enhancement Act .2.Supplementation of health records of deceased veterans(a)In generalNot later than one year after the date of the enactment of this Act, the Secretary of Defense and the Secretary of Veterans Affairs shall jointly take actions necessary to ensure that the health records of the Department of Defense and the Department of Veterans Affairs may be updated with observed health conditions and other relevant health information of a deceased enrollee by—(1)an individual designated by such deceased enrollee; or(2)if no such individual is designated, an immediate family member of such deceased enrollee.(b)DesignationThe Secretary of Defense and the Secretary of Veterans Affairs shall jointly provide for a process by which an individual may make a designation for purposes of subsection (a)(1).(c)No modification of health informationAny update under subsection (a) shall supplement information contained in the health records of a deceased enrollee and shall not modify information contained in such records.(d)DefinitionsIn this section:(1)Immediate family memberThe term immediate family member , with respect to a deceased enrollee, means—(A)the spouse, parent, brother, sister, or adult child of the individual; or(B)an adult person to whom the individual stands in loco parentis.(2)Deceased enrolleeThe term deceased enrollee means any individual who, at the time of his or her death—(A)was enrolled in the patient enrollment system of the Department of Veterans Affairs established and operated under section 1705(a) of title 38, United States Code; or(B)was entitled to care under the TRICARE program, as defined in section 1072 of title 10, United States Code.
Tracker
The tracker indicates the progress of this legislation as it moves through the legislative process.
- Introduced2025-07-17
- Passed House
- Passed Senate
- Conference
- To President
- Became Law
To require the Secretary of Defense and the Secretary of Veterans Affairs to permit supplementation of health records of deceased veterans, and for other purposes.
Sponsors
Rep. Raul Ruiz (D) sponsors H.R. 4527, and 1 member has co-sponsored it from the day it was introduced.
Committees
H.R. 4527 went before 3 committees: Health Subcommittee, Veterans' Affairs and Armed Services.
Actions
H.R. 4527 has taken 3 actions since Jul 17, 2025, the latest on Dec 19, 2025.
| Chamber | Action | |||
|---|---|---|---|---|
Dec 19, 2025 | House | Referred to the Subcommittee on Health.Health Subcommittee | ||
Jul 17, 2025 | House | Introduced in House | ||
Jul 17, 2025 | House | Referred to the Committee on Armed Services, and in addition to the Committee on Veterans' Affairs, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.Armed Services Committee |
Votes
H.R. 4527 has not gone to a roll call.
Related bills
1 bill is related to H.R. 4527, as Identical bill.
Titles
H.R. 4527 goes by 3 titles, 1 of them short titles.
- Health Records Enhancement Act — Display Title
- Health Records Enhancement Act — Short Title(s) as Introduced
- To require the Secretary of Defense and the Secretary of Veterans Affairs to permit supplementation of health records of deceased veterans, and for other purposes. — Official Title as Introduced
Lobbying
2 clients hired 2 firms and 14 registered lobbyists who named H.R. 4527 in 9 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 Health Issues, Medicare/Medicaid, Veterans.
Clients
Who paid to be heard, by how many filings named the bill.
| Client | Business | State | Firms | Filings | Reported |
|---|---|---|---|---|---|
| COLLEGE OF AMERICAN PATHOLOGISTS | — | District of Columbia | 1 | 6 | — |
| DISABLED AMERICAN VETERANS | — | District of Columbia | 1 | 3 | — |
Firms
Registrants who filed on the bill, by filings.
| Registrant | Clients | Filings | Reported |
|---|---|---|---|
| COLLEGE OF AMERICAN PATHOLOGISTS | 1 | 6 | — |
| DISABLED AMERICAN VETERANS | 1 | 3 | — |
Lobbyists
Named on the filings that cite the bill.
| Lobbyist | Firms | Clients | Filings |
|---|---|---|---|
| DARREN FENWICK | 1 | 1 | 6 |
| KRISTIN MCDONALD | 1 | 1 | 6 |
| MICHAEL GIULIANI | 1 | 1 | 6 |
| MICHAEL HURLBUT | 1 | 1 | 6 |
| HANNAH BURRISS | 1 | 1 | 4 |
| JON RETZER | 1 | 1 | 3 |
| NAOMI MATHIS | 1 | 1 | 3 |
| PETER DICKINSON | 1 | 1 | 3 |
| SHAMALA CAPIZZI | 1 | 1 | 3 |
| JOSEPH LEMAY | 1 | 1 | 2 |
| JUSTIN FISHER | 1 | 1 | 2 |
| KEVIN MILLER | 1 | 1 | 2 |
| SHANE LIERMANN | 1 | 1 | 2 |
| JOY ILEM | 1 | 1 | 1 |
Filings
The documents themselves, on the Senate’s Lobbying Disclosure site, largest reported first.
| Client | Registrant | Period | Reported | Document |
|---|---|---|---|---|
| COLLEGE OF AMERICAN PATHOLOGISTS | COLLEGE OF AMERICAN PATHOLOGISTS | 2026 first_quarter | $305.9K | 1st Quarter - Report |
| COLLEGE OF AMERICAN PATHOLOGISTS | COLLEGE OF AMERICAN PATHOLOGISTS | 2025 first_quarter | $217.6K | 1st Quarter - Report |
| COLLEGE OF AMERICAN PATHOLOGISTS | COLLEGE OF AMERICAN PATHOLOGISTS | 2026 second_quarter | $180.1K | 2nd Quarter - Report |
| 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 |
| COLLEGE OF AMERICAN PATHOLOGISTS | COLLEGE OF AMERICAN PATHOLOGISTS | 2025 fourth_quarter | $154.4K | 4th Quarter - Report |
| COLLEGE OF AMERICAN PATHOLOGISTS | COLLEGE OF AMERICAN PATHOLOGISTS | 2025 second_quarter | $149.4K | 2nd Quarter - Report |
| DISABLED AMERICAN VETERANS | DISABLED AMERICAN VETERANS | 2026 second_quarter | $149.2K | 2nd Quarter - Report |
| COLLEGE OF AMERICAN PATHOLOGISTS | COLLEGE OF AMERICAN PATHOLOGISTS | 2025 third_quarter | $124.8K | 3rd Quarter - Report |
Classification
The Congressional Research Service files H.R. 4527 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. 4527’s is Armed Forces and National Security.
hr4527/policy-areas.txtSource: congress.gov · legiscan.com
