Seven years after the VA established the Airborne Hazards and Open Burn Pit Registry (AHOBPR) in June 2014, both the National Academies of Sciences, Engineering and Medicine (NASEM) and the VA Office of Inspector General reported problems with the registry’s design and implementation. NASEM concluded that the stated purposes of the AHOBPR (research and population health surveillance) were unattainable and recommended that it be “ended in its current form.” The OIG also found that approximately 85% (106,730/125,360) of Veterans who expressed interest in having an exam had not received one. Both agencies found that the AHOBPR was not functioning as originally intended. In response to the 2022 NASEM and OIG reports, the VA and U.S. Department of Defense (DoD) redesigned the AHOBPR by transitioning from an opt-in to an opt-out process. Instead of completing a lengthy and confusing online questionnaire as a prerequisite for AHOBPR participation, all eligible Veterans and service members are identified based on their DoD records and automatically included in the AHOBPR unless they choose to opt out. Concurrent with the registry redesign, VA developed a clinical dashboard tool to ensure that all Veterans requesting an AHOBPR exam were offered one. In 2024, VA further expanded the care available to Veterans with military environmental exposures by offering Military Environmental Exposure Assessments (MEEAs) to any Veteran enrolled in VA health care and launching the Veterans Exposure Team- Health Outcomes Military Exposures (VET-HOME) program, VA’s new national hub performing toxic exposure screening, environmental health registry evaluations, and Military Environmental Exposure Assessments (MEEAs) via telehealth for Veterans anywhere in the United States or U.S. territories. All of these efforts resulted in substantial improvements for Veterans with military environmental exposures. When the original AHOBPR closed in September 2024, it had approximately 0.5 million participants; the redesigned AHOBPR now includes more than 4.7 million Veterans and service members, a growth of approximately 840%. The official closure of the original AHOBPR in the fall of 2024 also marked the transition from registry exams to MEEAs, which allow any Veteran enrolled in VA health care to obtain a clinical consultation from a subject matter expert in military environmental exposures. Facility environmental health and VET-HOME staff also successfully addressed the backlog of over 130,000 AHOBPR exams noted in the OIG report, with resolution of all exam requests completed by April 2025. Both local and national resources were essential to this effort because facility environmental health staff focused on Veterans in their catchment areas while VET-HOME assisted Veterans in rural areas and those with mobility impairments. VA’s commitment to exposure-informed care continues with educating Veterans and their VA care teams about the availability of MEEAs. VA is continuously striving to improve programs, care, and benefits for Veterans. By redesigning the AHOBPR, launching VET-HOME, and offering MEEAs, VA expands the clinical services and benefits available to Veterans with military environmental exposures. Veterans, their families, and their care teams are encouraged to take advantage of these additional resources and services.