This type of evaluation is not coming from the government so much as it is coming from the Joint Commission, the hospital accreditation agency. There are a lot of new questions these days, the newest at Vandy is 'do you feel safe at home, is anyone abusing you'.
When I do (did) a psych eval, I always asked about sexual orientation and sexual activity. Those things are VERY pertinent to psychiatric treatment because people have so many issues over them. Also men who are middle aged can have problems due to low testosterone. If I don't ask them, they ask me about it. And I find it amazing that they would rather ask me than their primary care provider. The VA is now testing all their patients for HIV, and staff are also being encouraged to be tested as well.
If the goal is to have one consolidated comprehensive medical record, then these questions would be part of it. Likely everyone involved in your care would be asking the questions in order to complete your chart. I don't know how many people on here go to the VA, but it is likely you are already asked about HIV risk factors, whether you are being abused, your diet, your sexual activity, your mental status, etc. etc. etc. Once the information is all in the chart and complete it is just updated according to specialty provider needs. We were even asking about rabies exposure becaus e there had been some cases of it due to soldiers handling animals in the middle east.
I do not believe the psychiatric information should be part of a comprehensive chart, though. There is too much potential for civil rights violations, and most people who do not work in that specialty have a poor understanding of the terminology and this could be harmful to the best interest of the patient.