,i  #aac? ,,congress  #a/ ,session  ,h4 
,r4 #cfi  ,,9 ,,! ,,h\se ,,(            
,,repres5tatives  ,janu>y #bc1 #bjac    
,mr4 ,b5i%ek introduc$ ! foll[+ bill2   
:i* 0 ref]r$ to ! ,committee on         
,vet]ans' ,affairs  ,a ,,bill  ,to am5d 
title #ch1 ,unit$ ,/ates ,code1 to      
e/abli% a presumption ( s]vice          
connection = c]ta9 vet]ans ) t9nitus or 
he>+ loss4  #a4 ,%ort title ,?is ,act   
may be cit$ z ! ,r$uc+ ,b>ri]s to       
,vet]ans' ,b5efits ,act4  #b4 ,f9d+s    
,congress f9ds ! foll[+3  7#a7 ,t9nitus 
is ! mo/ common s]vice-connect$         
disability = vet]ans f all p]iods (     
s]vice1 acc\nt+ = almo/ #hda1jjj        
individuals4  7#b7 ,he>+ loss is !      
second lead+ s]vice-connect$ disability 
= vet]ans f all p]iods ( s]vice1 acc\nt+
 = almo/ #gjb1jjj individuals4  7#c7    
,s9ce fiscal ye> #aiii1 ! numb] (       
vet]ans ) s]vice-connect$ disability =  
t9nitus has increas$ by an av]age rate (
 #ag p]c5t ea* ye>4  7#d7 ,! numb] (    
t9nitus disabilities has gr[n f #abh1fjj

 9 fiscal ye> #aiii to #hdj1ijj 9 fiscal
 ye> #bjaa1 an increase ( m ?an #ejj    
p]c5t4  #c4 ,presumption (              
s]vice-connection = he>+ loss & t9nitus 
7a7 ,presumption  7#a7 ,9 g5]al         
,sub*apt] ,,ii ( *apt] #aa ( title #ch1 
,unit$ ,/ates ,code1 is am5d$ by add+ at
 ! end ! foll[+ new section3  #aaai4    
,presumption ( s]vice connection = he>+ 
loss associat$ ) p>ticul> milit>y       
occupational specialties or combat      
s]vice  7a7 ,9 g5]al  7#a7 ,= purposes (
 section #aaaj ( ?is title1 & subject to
 section #aaac ( ?is title1 diagnos$    
he>+ loss1 t9nitus1 or bo? ( a vet]an   
describ$ 9 p>agraph 7#b7 %all be        
consid]$ to h be5 incurr$ 9 or aggravat$
 by ! s]vice ( ! vet]an1 not)/&+ t !re  
is no record ( evid5ce ( su* he>+ loss  
or t9nitus1 z ! case may be1 dur+ !     
p]iod ( su* s]vice4  7#b7 ,a vet]an     
describ$ 9 ?is p>agraph is a vet]an :o  
:ile on active milit>y1 naval1 or air   
s]vice--  7,a7 0 assign$ to a milit>y   
occupational specialty or equival5t     

describ$ 9 subsection 7b72 or  7,b7 s]v$
 9 combat aga9/ a ho/ile =ce dur+ a     
p]iod ( ho/ilities 7z def9$ 9 section   
#agab;,a7a77#b77;,b7 ( ?is title74  7b7 
,milit>y occupational specialty ,a      
milit>y occupational specialty or       
equival5t ref]r$ to 9 subsection        
7a77#b77;,a7 is a milit>y occupational  
specialty or equival5t1 if any1 t !     
,secret>y det]m9es 9 regulations        
prescrib$ "u ?is section 9 :i*          
individuals assign$ to su* milit>y      
occupational specialty or equival5t 9 ! 
active milit>y1 naval1 or air s]vice are
 or 7 likely to be expos$ to a          
suffici5tly high level ( ac\/ic trauma z
 to result 9 p]man5t he>+ loss1 t9nitus1
 or bo?4  7c7 ,det]m9ation  7#a7 ,if !  
,secret>y det]m9es "u subsection 7b7 t a
 presumption ( s]vice connection is     
w>rant$ = a milit>y occupational        
specialty or equival5t1 ! ,secret>y1 n  
lat] ?an #fj days aft] ! date ( !       
det]m9ation1 %all issue propos$         
regulations sett+ =? ! ,secret>y's      

det]m9ation4  7#b7 ,if ! ,secret>y      
det]m9es "u subsection 7b7 t a          
presumption ( s]vice connection is n    
w>rant$ = a milit>y occupational        
specialty or equival5t1 ! ,secret>y1 n  
lat] ?an #fj days aft] ! date ( !       
det]m9ation1 %all--  7,a7 publi% !      
det]m9ation 9 ! ,f$]al ,regi/]2 &  7,b7 
submit to ! ,committees on ,vet]ans'    
,affairs ( ! ,s5ate & ! ,h\se (         
,repres5tatives a report on !           
det]m9ation1 includ+ a ju/ification = ! 
det]m9ation4  4  7#b7 ,cl]ical am5dm5t  
,! table ( sections at ! beg9n+ ( *apt] 
#aa ( su* title is am5d$ by ins]t+ aft] 
! item relat+ to section #aaah ! foll[+ 
new item3  #aaai4 ,presumption ( s]vice 
connection = he>+ loss associat$ )      
p>ticul> milit>y occupational           
specialties or combat s]vice4  4  7b7   
,presumption rebuttable ,section #aaac (
 title #ch1 ,unit$ ,/ates ,code1 is     
am5d$ by /rik+ or #aaah ea* place x     
appe>s & ins]t+ #aaah1 or #aaai4  7c7   
,presumption dur+ peacetime s]vice      

,section #aacg ( title #ch1 ,unit$      
,/ates ,code1 is am5d$ by /rik+ & #aaac 
& ins]t+ #aaac1 & #aaai4  7d7 ,effective
 date ,section #aaai ( title #ch1 ,unit$
 ,/ates ,code1 z add$ by subsection     
7a77#a71 %all apply ) respect to a claim
 = comp5sation made on or aft] ! date t 
is #fj days aft] ! date on :i* !        
,secret>y prescribes regulations        
pursuant to subsection 7c77#a7 ( su*    
section4