HR4837-119

In Committee

Written Informed Consent Act

119th Congress Introduced Aug 1, 2025

Summary

What This Bill Does

The Written Informed Consent Act expands an existing Veterans Health Administration informed-consent directive beyond long-term opioid therapy for pain. The VA Secretary must update VHA Directive 1005, dated May 13, 2020, so its informed-consent framework also applies to antipsychotics, stimulants, antidepressants, anxiolytics, and narcotics. The bill does not ban those medications. It changes the process around prescribing them in the VA system by requiring more formal consent practices for several categories of psychiatric, controlled, or dependence-risk medications used by veterans.

Who Benefits and How

Veterans prescribed antipsychotics benefit because VA informed-consent procedures would apply before or during treatment. Veterans prescribed antidepressants or anxiolytics benefit from clearer disclosure of risks, alternatives, and treatment expectations. Veterans receiving narcotics or stimulants benefit because consent documentation would cover medications with misuse, dependency, or side-effect concerns. Veterans service organizations benefit from a concrete patient-rights requirement they can monitor in VA care.

Who Bears the Burden and How

VA clinicians must document informed consent for more medication categories. Veterans Health Administration pharmacy leaders must update Directive 1005 and implementation guidance. VA mental health clinics may need workflow changes for antipsychotic, stimulant, antidepressant, and anxiolytic prescribing. VA medical centers must train staff and monitor compliance with the expanded directive.

Key Provisions

  • Requires VA to update VHA Directive 1005.
  • Expands informed-consent procedures from long-term opioid therapy to antipsychotics, stimulants, antidepressants, anxiolytics, and narcotics.
  • Protects veteran patients through more formal medication-risk disclosure and documentation.
  • Leaves prescribing authority intact while changing the consent process.

Evidence Chain:

This summary is generated from the full bill text using AI analysis. Expand "Detailed Analysis" below for identified beneficiaries/burden bearers.

At a Glance

What This Bill Does

Requires the Veterans Affairs Secretary to update VHA Directive 1005 on informed consent for long-term opioid therapy so written informed-consent procedures also apply to antipsychotics, stimulants, antidepressants, anxiolytics, and narcotics.

Key Policy Areas

Veterans, Health Care, Mental Health

Primary Purpose

Requires the Veterans Affairs Secretary to update VHA Directive 1005 on informed consent for long-term opioid therapy so written informed-consent procedures also apply to antipsychotics, stimulants, antidepressants, anxiolytics, and narcotics.

Policy Domains

Veterans Health Care Mental Health

Resolution provisions

Identified Gains
Contextual inference, no direct clause citation
  • Veterans prescribed antipsychotics
  • Veterans prescribed antidepressants
  • Veterans receiving narcotics
  • Veterans service organizations
Model: codex-gpt-5 | Version: bill_summary_v2 | Source: ih

Contextual inference, no direct clause citation

Identified Costs
Contextual inference, no direct clause citation
  • VA clinicians
  • VHA pharmacy leaders
  • VA mental health clinics
  • VA medical centers
Model: codex-gpt-5 | Version: bill_summary_v2 | Source: ih

Contextual inference, no direct clause citation

Legislative Progress

In Committee
Introduced Committee Passed
Dec 19, 2025

Referred to the Subcommittee on Health.

Aug 1, 2025

Mr. Bilirakis (for himself, Mr. Bergman, and Mr. Self) introduced …

Aug 1, 2025

Referred to the House Committee on Veterans' Affairs.

Aug 1, 2025

Introduced in House

Bill Structure & Actor Mappings

Who is "The Secretary" in each section?

Domains
Veterans Health Care Mental Health

We use a combination of our own taxonomy and classification in addition to large language models to assess meaning and potential beneficiaries. High confidence means strong textual evidence. Always verify with the original bill text.

Learn more about our methodology