,i  #aac? ,,congress  #a/ ,session  ,h4 
,r4 #cagb  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,septemb] #be1        
#bjac,mr4 ,johnson ( ,georgia 7=        
himself1 ,mr4 ,fitzpatrick1 ,mr4 ,c>son 
( ,indiana1 ,ms4 ,spei]1 & ,mr4 ,&rews7 
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,arm$ ,s]vices  ,a     
,,bill  ,to am5d title #aj1 ,unit$      
,/ates ,code1 to require ! ,secret>y (  
,def5se to use only human-bas$ me?ods = 
tra9+ memb]s ( ! ,arm$ ,=ces 9 !        
treatm5t ( sev]e combat injuries4  #a4  
,%ort title ,?is ,act may be cit$ z !   
,battlefield ,excell5ce ?r\gh ,sup]ior  
,tra9+ ,practices ,act or ,,be/         
,practices ,act4  #b4 ,f9d+s ,congress  
f9ds ! foll[+3 7#a7 ,! ,dep>tm5t (      
,def5se has made impressive /rides 9 !  
developm5t & use ( me?ods ( m$ical tra9+
 & troop protection1 su* z ! use (      
t\rniquets & improvem5ts 9 body armor1 t
 h l$ to decreas$ battlefield           
fatalities4  7#b7 ,! ,dep>tm5t ( ,def5se
 uses m ?an #f1jjj live animals ea* ye> 

to tra9 physicians1 m$ics1 corpsm51 &   
o!r p]sonnel me?ods ( respond+ to sev]e 
battlefield injuries4  7#c7 ,! civilian 
sector has almo/ exclusively phas$ 9 !  
use ( sup]ior human-bas$ tra9+ me?ods = 
num]\s m$ical proc$ures curr5tly taught 
9 milit>y c\rses us+ animals4  7#d7     
,human-bas$ m$ical tra9+ me?ods su* z   
simulators replicate human anatomy & c  
all[ = repetitive practice & data       
collection4  7#e7 ,accord+ to sci5tific1
 pe]-review$ lit]ature1 m$ical          
simulation increases pati5t safety &    
decreases errors by heal?c>e provid]s4  
7#f7 ,! ,army ,rese>*1 ,developm5t &    
,eng9e]+ ,comm& & o!r entities ( !      
,dep>tm5t ( ,def5se h made impressive   
/rides 9 ! developm5t ( me?ods = !      
replacem5t ( live animal-bas$ tra9+4    
7#g7 ,accord+ to ! report by ! ,dep>tm5t
 ( ,def5se titl$ ,f9al ,report on ! use 
( ,live ,animals 9 ,m$ical ,education & 
,tra9+ ,jo9t ,analysis ,team publi%$ on 
,july #ab1 #bjji-- 7,a7 validat$1       
high-fidelity simulators w be available 

= ne>ly e high-volume or high-value     
battlefield m$ical proc$ure by ! end (  
#bjaa1 & _m 7 available z ( #bjji2 &    
7,b7 validat$1 high-fidelity simulators 
w be available to tea* all o!r proc$ures
 to respond to common battlefield       
injuries by #bjad4  #c4 ,requirem5t to  
use human-bas$ me?ods = c]ta9 m$ical    
tra9+  7a7 ,9 g5]al ,*apt] #aja ( title 
#aj1 ,unit$ ,/ates ,code1 is am5d$ by   
add+ at ! end ! foll[+ new section3     
#bjag4 ,requirem5t to use human-bas$    
me?ods = c]ta9 m$ical tra9+  7a7 ,combat
 trauma injuries  7#a7 ,n lat] ?an      
,octob] #a1 #bjaf1 ! ,secret>y ( ,def5se
 %all develop1 te/1 & validate          
human-bas$ tra9+ me?ods = ! purpose (   
tra9+ memb]s ( ! arm$ =ces 9 ! treatm5t 
( combat trauma injuries ) ! goal (     
replac+ live animal-bas$ tra9+ me?ods4  
7#b7 ,n lat] ?an ,octob] #a1 #bjah1 !   
,secret>y-- 7,a7 %all only use          
human-bas$ tra9+ me?ods = ! purpose (   
tra9+ memb]s ( ! arm$ =ces 9 ! treatm5t 
( combat trauma injuries2 &  7,b7 may n 

use animals = su* purpose4  7b7 ,annual 
reports ,n lat] ?an ,octob] #a1 #bjad1 &
 ea* ye> !reaft]1 ! ,secret>y %all      
submit to ! congressional def5se        
committees a report on ! developm5t &   
implem5tation ( human-bas$ tra9+ me?ods 
= ! purpose ( tra9+ memb]s ( ! arm$ =ces
 9 ! treatm5t ( combat trauma injuries  
"u ?is section4  7c7 ,def9itions ,9 ?is 
section3 7#a7 ,! t]m combat trauma      
injuries means sev]e injuries likely to 
occur dur+ combat1 includ+-- 7,a7       
hemorrhage2  7,b7 t5sion pneumo?orax2   
7,c7 amputation result+ f bla/ injury2  
7,d7 compromises to ! airway2 &  7,e7   
o!r injuries4  7#b7 ,! t]m human-bas$   
tra9+ me?ods means1 ) respect to tra9+  
individuals 9 m$ical treatm5t1 ! use (  
sy/ems & devices t d n use animals1     
includ+-- 7,a7 simulators2  7,b7 p>tial 
task tra9]s2  7,c7 m\lage2  7,d7        
simulat$ combat environm5ts2  7,e7 human
 cadav]s2 &  7,f7 rotations 9 civilian &
 milit>y trauma c5t]s4  7#c7 ,! t]m     
p>tial task tra9]s means tra9+ aids t   

all[ individuals to le>n or practice    
specific m$ical proc$ures4  4  7b7      
,cl]ical am5dm5t ,! table ( sections at 
! beg9n+ ( *apt] #aja ( title #aj1      
,unit$ ,/ates ,code1 is am5d$ by add+ at
 ! end ! foll[+ new item3  #bjag4       
,requirem5t to use human-bas$ me?ods =  
c]ta9 m$ical tra9+4  4