diff --git a/src/components/settings/__tests__/settings-shell.test.tsx b/src/components/settings/__tests__/settings-shell.test.tsx
index 275a4ec9f..24caa863b 100644
--- a/src/components/settings/__tests__/settings-shell.test.tsx
+++ b/src/components/settings/__tests__/settings-shell.test.tsx
@@ -239,17 +239,23 @@ describe("<SettingsShell>", () => {
     expect(disabled).not.toContain('href="/settings/coach"');
   });
 
-  it("module-gates the Health-record entry off `user.modules.doctorReport` (B3)", () => {
-    // Fail-open default: doctorReport undefined → entry shown.
+  it("always surfaces the Health-record entry, regardless of `doctorReport` (v1.18.6.1)", () => {
+    // The health-record (PDF / FHIR) entry is a flagship export capability
+    // and is no longer nav-gated: a default/unset modules map shows it, and
+    // even an explicit `doctorReport: false` keeps the Settings entry-point
+    // reachable. The server-side `/api/export/health-record` route remains
+    // the hard enforcement of the opt-out.
     expect(renderShell({ active: "account" })).toContain(
       'href="/settings/gesundheitsakte"',
     );
-    // Explicitly disabled → entry hidden.
-    const disabled = renderShell({
+    expect(renderShell({ active: "account", modules: {} })).toContain(
+      'href="/settings/gesundheitsakte"',
+    );
+    const optedOut = renderShell({
       active: "account",
       modules: { doctorReport: false },
     });
-    expect(disabled).not.toContain('href="/settings/gesundheitsakte"');
+    expect(optedOut).toContain('href="/settings/gesundheitsakte"');
   });
 
   it("falls back to `account` when the pathname doesn't match a known slug", () => {
diff --git a/src/components/settings/gesundheitsakte-section.tsx b/src/components/settings/gesundheitsakte-section.tsx
index 72ee9adac..df924a4b5 100644
--- a/src/components/settings/gesundheitsakte-section.tsx
+++ b/src/components/settings/gesundheitsakte-section.tsx
@@ -10,10 +10,12 @@
  * the generic CSV / JSON data-out paths. Export & Import now keeps only
  * the generic data export/import surfaces.
  *
- * Module-gated on `doctorReport` (v1.18.0 B3): the nav entry hides when the
- * module is off (see `SETTINGS_SECTIONS` in `settings-shell.tsx`), and the
- * server-side `/api/export/health-record` route refuses with a 403
- * `module.disabled` envelope — so a disabled doctor-report surface cannot be
+ * The `doctorReport` module governs the data layer, not the Settings
+ * entry-point: as of v1.18.6.1 the nav entry always shows (the health record
+ * is a flagship export capability and should never silently vanish from
+ * Settings). The server-side `/api/export/health-record` route is the hard
+ * enforcement — it refuses with a 403 `module.disabled` envelope when the
+ * account has opted out, so a disabled doctor-report surface cannot be
  * reached over a Bearer token either.
  */
 
diff --git a/src/components/settings/settings-shell.tsx b/src/components/settings/settings-shell.tsx
index 5b4ee1a18..6575b2834 100644
--- a/src/components/settings/settings-shell.tsx
+++ b/src/components/settings/settings-shell.tsx
@@ -177,15 +177,21 @@ export const SETTINGS_SECTIONS: readonly SettingsSection[] = [
   },
   { slug: "api", titleKey: "settings.sections.api.title", icon: KeyRound },
   // v1.18.0 (S5) — the full health record (PDF + FHIR R4 + zip package)
-  // earns its own home, lifted out of Export & Import. Gated on the
-  // `doctorReport` module: when the user turns the doctor-report surface off,
-  // the entry hides (the server-side `/api/export/health-record` gate is the
-  // hard enforcement; this hides the entry-point to match).
+  // earns its own home, lifted out of Export & Import.
+  //
+  // v1.18.6.1 — the nav entry is NOT module-gated. The health record is a
+  // flagship export capability; gating its only entry-point on the
+  // `doctorReport` opt-out meant a stray toggle in the Modules hub made the
+  // whole section vanish with no in-context way back. The entry now always
+  // shows. The `doctorReport` module still governs the data layer: the
+  // server-side `/api/export/health-record` route remains the hard
+  // enforcement (403 `module.disabled` over Bearer when the account opts
+  // out), and the Modules hub keeps the toggle for anyone who wants the
+  // surface gone elsewhere — but the Settings entry-point stays reachable.
   {
     slug: "gesundheitsakte",
     titleKey: "settings.sections.gesundheitsakte.title",
     icon: FileHeart,
-    moduleGate: "doctorReport",
   },
   {
     slug: "export",