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Service leaders tell lawmakers waiver use has increased as committee presses on medical disqualifications and mental‑health records

3162305 · May 1, 2025

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Summary

Members raised multiple cases of recruits and service‑academy nominees denied on the basis of old medical or mental‑health records. Panel witnesses said waiver volume has risen substantially and acknowledged inconsistency across services, and they agreed a Department of Defense–level review and streamlining is needed.

Congress members pressed service leaders over instances where recruits and service‑academy nominees were medically disqualified on the basis of remote or sparsely documented childhood records and histories of short‑term mental‑health treatment. Lawmakers described specific cases in which applicants who sought help as children were later told they could not enter service academies or receive ROTC commissions.

“You need them,” one congresswoman said of applicants who sought mental‑health treatment as youth and later want to serve. She described a case in which a nominee who had nonpersistent childhood treatment was found ineligible and urged reform of the medical review process.

Vice Admiral Cheeseman and other service leaders told the committee the waiver process has expanded to allow many applicants through: “I think we have increased our waivers, jeez, tenfold probably to allow people in like you're suggesting,” one witness said. Witnesses across services said waiver decisions remain time consuming and can be inconsistent across the service academies and ROTC programs, in part because any recorded condition—no matter how remote—can trigger a waiver requirement.

“There's been a large number of conditions where it's been something clinical in the last year or 3 years depending on the issue,” a service leader said. Another witness noted that the presence of a childhood entry in a medical record can require a waiver even when the current clinical picture poses no risk, citing the example of a childhood broken arm still being in the record.

Panelists described approaches to reduce unnecessary disqualifications: medical officers recommending waivers when clinical risk is low, commanders authorizing waivers for sailors and recruits when appropriate, and increasing waiver processing at recruiting commands. Witnesses supported a DOD‑level effort to standardize criteria across services and service academies and promised follow‑up with the committee on specific cases.

The subcommittee did not adopt legislation in the hearing but several members asked for a written follow‑up and recommended Congress consider reporting requirements in the National Defense Authorization Act to track waiver outcomes and demographic effects if needed.