,,ii  #aac? ,,congress  #a/ ,session    
,s4 #afjb  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,octob] #bi1 #bjac,mr4 
,blum5?al introduc$ ! foll[+ bill2 :i* 0
 read twice & ref]r$ to ! ,committee on 
,vet]ans' ,affairs  ,a ,,bill  ,to      
e/abli% 9 ! ,dep>tm5t ( ,vet]ans        
,affairs a national c5t] = ! diagnosis1 
treatm5t1 & rese>* ( heal? conditions ( 
! desc5dants ( vet]ans expos$ to toxic  
sub/ances dur+ s]vice 9 ! ,arm$ ,=ces1  
to provide c]ta9 s]vices to ^?          
desc5dants1 to e/abli% an advisory bo>d 
on exposure to toxic sub/ances1 & = o!r 
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,toxic ,exposure ,rese>* & 
,milit>y ,family ,support ,act ( #bjac4 
#b4 ,def9itions ,9 ?is ,act3 7#a7 ,arm$ 
,=ce ,! t]m ,arm$ ,=ce means ! ,unit$   
,/ates ,army1 ,navy1 ,m>9e ,corps1 ,air 
,=ce1 or ,coa/ ,gu>d1 includ+ ! res]ve  
compon5ts !re(4  7#b7 ,desc5dant ,! t]m 
desc5dant means1 ) respect to an        
individual1 ! biological *ild1 gr&*ild1 
or great-gr&*ild ( t individual4  7#c7  

,toxic sub/ance ,! t]m toxic sub/ance   
%all h ! mean+ giv5 t t]m by ! ,secret>y
 ( ,vet]ans ,affairs & %all include all 
sub/ances t h be5 prov5 by pe] review$  
sci5tific rese>* or a prepond]ance (    
op9ion 9 ! m$ical community to lead to  
disabilities relat$ to ! exposure ( an  
individual to ^? sub/ances :ile s]v+ z a
 memb] ( ! ,arm$ ,=ces4  7#d7 ,vet]an ,!
 t]m vet]an has ! mean+ giv5 t t]m 9    
section #aja ( title #ch1 ,unit$ ,/ates 
,code4  #c4 ,national c5t] = !          
diagnosis1 treatm5t1 & rese>* ( heal?   
conditions ( ! desc5dants ( individuals 
expos$ to toxic sub/ances dur+ s]vice 9 
! ,arm$ ,=ces  7a7 ,national c5t]  7#a7 
,9 g5]al ,n lat] ?an "o ye> aft] ! date 
( ! enactm5t ( ?is ,act1 ! ,secret>y (  
,vet]ans ,affairs %all select a m$ical  
c5t] ( ! ,dep>tm5t ( ,vet]ans ,affairs  
to s]ve z ! national c5t] = ! diagnosis1
 treatm5t1 & rese>* ( heal? conditions (
 desc5dants ( individuals expos$ to     
toxic sub/ances :ile s]v+ z memb]s ( !  
,arm$ ,=ces t are relat$ to t exposure  

79 ?is section ref]r$ to z ! ,c5t]74    
7#b7 ,crit]ia = selection ,! ,c5t] %all 
be select$ "u p>agraph 7#a7 f among     
m$ical c5t]s ( ! ,dep>tm5t ) exp]tise 9 
diagnos+ & treat+ functional & /ructural
 bir? defects & c>+ = individuals expos$
 to toxic sub/ances1 or t are affiliat$ 
) rese>* m$ical c5t]s or tea*+ hospitals
 ) su* exp]tise1 t seek to be select$ "u
 ?is section4  7b7 ,functions  7#a7     
,diagnosis & treatm5t  7,a7 ,9 g5]al ,! 
,c5t] may diagnose & treat1 )\t *>ge1   
ea* pati5t = :om ! ,secret>y ( ,vet]ans 
,affairs has made ! foll[+ det]m9ations3
 7i7 ,! pati5t is a desc5dant ( an      
individual :o s]v$ z a memb] ( ! ,arm$  
,=ces4  7ii7 ,! individual 0 expos$ to a
 toxic sub/ance :ile s]v+ z a memb] ( ! 
,arm$ ,=ces4  7iii7 ,! pati5t is        
afflict$ ) a heal? condition t is       
det]m9$ by ! advisory bo>d e/abli%$ 9   
section #d to be a heal? condition t    
results f ! exposure ( t individual to t
 toxic sub/ance4  7,b7 ,treatm5t        
,treatm5t "u ?is section is limit$ to   

treatm5t ( heal? conditions = :i* !     
advisory bo>d e/abli%$ 9 section #d has 
made a det]m9ation describ$ 9           
subp>agraph 7,a77iii74  7,c7 ,additional
 diagnosis & treatm5t ,no?+ 9 ?is       
section %all preclude a pati5t f receiv+
 additional diagnosis or treatm5t at !  
,c5t] or ano!r facility ( ! ,dep>tm5t 9 
connection ) o!r heal? conditions or    
b5efits to :i* ! individual is entitl$  
"u laws adm9i/]$ by ! ,secret>y4  7,d7  
,recomm5dations = future treatm5t       
,recomm5dations = future treatm5t ( a   
pati5t %all be transmitt$ to a prim>y   
c>e provid] = t pati5t1 ) foll[-up      
consultations ) ! ,c5t] s*$ul$ z        
appropriate4  7,e7 ,use ( records  7i7  
,9 g5]al ,! ,secret>y ( ,def5se or !    
head ( a ,f$]al ag5cy may make available
 to ! ,secret>y ( ,vet]ans ,affairs =   
review records held by ! ,dep>tm5t (    
,def5se1 an ,arm$ ,=ce1 or t ,f$]al     
ag5cy1 z appropriate1 t might assi/ !   
,secret>y ( ,vet]ans ,affairs 9 mak+ !  
det]m9ations requir$ by subp>agraph     

7,a74  7ii7 ,me*anism ,! ,secret>y (    
,vet]ans ,affairs & ! ,secret>y (       
,def5se or ! head ( ! appropriate ,f$]al
 ag5cy may jo9tly e/abli% a me*anism = !
 availability & review ( records by !   
,secret>y ( ,vet]ans ,affairs "u clause 
7i74  7#b7 ,rese>* ,! ,c5t] may conduct 
rese>* on ! diagnosis & treatm5t ( heal?
 conditions ( desc5dants ( individuals  
expos$ to toxic sub/ances :ile s]v+ z   
memb]s ( ! ,arm$ ,=ces t are relat$ to t
 exposure4  7c7 ,social work]s ,! ,c5t] 
%all employ n less ?an "o lic5s$ cl9ical
 social work] to coord9ate access (     
pati5ts to appropriate ,f$]al1 ,/ate1 & 
local social & heal?c>e programs & to   
h&le case managem5t4  7d7 ,reimbursem5t 
= necess>y travel & room & bo>d ,! ,c5t]
 may reimburse any p>5t1 gu>dian1 sp\se1
 or sibl+ :o accompanies a pati5t       
diagnos$ or treat$ pursuant to ?is      
section = ! reasonable co/ (-- 7#a7     
travel to ! ,c5t] = diagnosis or        
treatm5t ( ! pati5t pursuant to ?is     
section2 &  7#b7 room & bo>d dur+ !     

p]iod 9 :i* ! pati5t is und]go+         
diagnosis or treatm5t at ! ,c5t]        
pursuant to ?is section4  7e7 ,report ,n
 less frequ5tly ?an annually1 ! ,c5t]   
%all submit a report to ,congress t     
includes ! foll[+3 7#a7 ,a summ>y ( !   
ext5t & nature ( c>e provid$ pursuant to
 ?is section4  7#b7 ,a summ>y ( ! rese>*
 ef=ts ( ! ,c5t] "u ?is section t h be5 
complet$ )9 ! previ\s ye> & t are ongo+ 
z ( ! date ( ! submission ( ! report "u 
?is subsection4  #d4 ,advisory bo>d  7a7
 ,e/abli%m5t ,n lat] ?an "o ye> aft] !  
date ( ! enactm5t ( ?is ,act1 !         
,secret>y ( ,vet]ans ,affairs %all      
e/abli% an advisory bo>d 79 ?is section 
ref]r$ to z ! ,advisory ,bo>d7 to advise
 ! ,c5t] e/abli%$ "u section #c1 to     
det]m9e :i* heal? conditions result f   
exposure to toxic sub/ances1 & to /udy &
 evaluate cases ( exposure ( curr5t &   
=m] memb]s ( ! ,arm$ ,=ces to toxic     
sub/ances if su* exposure is relat$ !   
s]vice ( ! memb] 9 ! ,arm$ ,=ces4  7b7  
,memb]%ip  7#a7 ,composition ,n lat] ?an

 #aej days aft] ! date ( ! enactm5t (   
?is ,act1 ! ,secret>y ( ,vet]ans        
,affairs %all1 9 consultation ) !       
,secret>y ( ,heal? & ,human ,s]vices &  
o!r heads ( ,f$]al ag5cies z ! ,secret>y
 ( ,vet]ans ,affairs det]m9es           
appropriate1 select n less ?an #ac      
memb]s ( ! ,advisory ,bo>d1 ( :om-- 7,a7
 n less ?an ?ree %all be memb]s (       
organizations exempt f taxation "u      
section #eja7;c77#ai7 ( ! ,int]nal      
,rev5ue ,code ( #aihf2  7,b7 n less ?an 
"o %all be-- 7i7 a desc5dant ( an       
individual :o 0 expos$ to toxic         
sub/ances :ile s]v+ z a memb] ( ! ,arm$ 
,=ces & ! desc5dant has manife/$ a bir? 
defect or functional disability z a     
result ( ! exposure ( t individual2 or  
7ii7 a p>5t1 *ild1 or gr&*ild ( t       
desc5dant2 &  7,c7 additional memb]s may
 be select$ f among-- 7i7 heal?         
pr(essionals1 sci5ti/s1 & academics )   
exp]tise 9-- 7,i7 bir? defects2  7,,ii7 
developm5tal disabilities2  7,,iii7     
epig5etics2  7,,iv7 public heal?2  7,v7 

! sci5ce ( environm5tal exposure or     
environm5tal exposure assessm5t2 or     
7,,vi7 ! sci5ce ( toxic sub/ances2  7ii7
 social work]s2 &  7iii7 advocates =    
vet]ans or memb]s ( ! ,arm$ ,=ces4  7#b7
 ,*airp]son ,! ,secret>y %all select a  
,*airp]son f among ! memb]s ( !         
,advisory ,bo>d4  7#c7 ,t]ms ,ea* memb] 
( ! ,advisory ,bo>d %all s]ve a t]m (   
two or ?ree ye>s z det]m9$ by !         
,secret>y4  7c7 ,duties  7#a7 ,advisory 
role ) respect to ! ,c5t] ,) respect to 
! ,c5t] e/abli%$ "u section #c1 !       
,advisory ,bo>d %all-- 7,a7 ov]see &    
assess ! "w ( ! ,c5t]2 &  7,b7 advise ! 
,secret>y ( ,vet]ans ,affairs on-- 7i7  
issues relat$ to ! provision ( treatm5t 
& c>e at ! ,c5t]2  7ii7 issues relat$ to
 ! rese>* conduct$ at ! ,c5t]2 &  7iii7 
! p>ticul> b5efits & s]vices requir$ by 
! desc5dants ( individuals expos$ to    
toxic sub/ances :ile s]v+ z memb]s ( !  
,arm$ ,=ces4  7#b7 ,det]m9ation t heal? 
conditions result$ f toxic exposure ,!  
,advisory ,bo>d %all det]m9e :i* heal?  

conditions 9 desc5dants ( individuals   
expos$ to toxic sub/ances :ile s]v+ z   
memb]s ( ! ,arm$ ,=ces are heal?        
conditions t result$ f ! exposure ( t   
individual to t toxic sub/ance =        
purposes ( eligibility = ! foll[+3 7,a7 
,treatm5t ( t desc5dant at ! ,c5t]      
e/abli%$ "u section #c4  7,b7 ,m$ical   
c>e = t desc5dant "u section #agha (    
title #ch1 ,unit$ ,/ates ,code4  7,c7   
,support = ! family c>egiv] ( t         
desc5dant "u section #agbj;,g7a7 ( su*  
title4  7,d7 ,support = ! c>egiv] ( t   
desc5dant "u section #agbj;,g7b7 ( su*  
title4  7#c7 ,/udy & consid]ation (     
toxic sub/ance exposure claims  7,a7 ,9 
g5]al ,! ,advisory ,bo>d %all /udy &    
evaluate claims ( exposure to toxic     
sub/ances by curr5t & =m] memb]s ( !    
,arm$ ,=ces t is relat$ to ! s]vice ( ! 
memb] 9 ! ,arm$ ,=ces4  7,b7 ,submission
 ( claims ,claims ( exposure describ$ 9 
subp>agraph 7,a7 may be submitt$ to !   
,advisory ,bo>d 9 su* =m & 9 su* mann] z
 ! ,secret>y ( ,vet]ans ,affairs may    

require by any ( ! foll[+ individuals or
 entities3 7i7 ,a memb] ( ! ,arm$ ,=ces4
  7ii7 ,a vet]an4  7iii7 ,a desc5dant ( 
a memb] ( ! ,arm$ ,=ces4  7iv7 ,a       
desc5dant ( a vet]an4  7v7 ,a vet]ans   
advocacy gr\p4  7vi7 ,an (ficial ( !    
,dep>tm5t ( ,vet]ans ,affairs )         
responsibility or exp]i5ce monitor+ !   
heal? ( curr5t & =m] memb]s ( ! ,arm$   
,=ces4  7vii7 ,an (ficial ( ! ,dep>tm5t 
( ,def5se ) responsibility or exp]i5ce  
monitor+ ! heal? ( curr5t & =m] memb]s (
 ! ,arm$ ,=ces4  7,c7 ,consid]ation (   
claims ,n lat] ?an #ahj days aft]       
receiv+ a claim submitt$ pursuant to    
subp>agraph 7,b71 ! ,advisory ,bo>d %all
 consid] ! claim & take "o ( ! foll[+   
actions3 7i7 ,if ! ,advisory ,bo>d      
det]m9es t exposure to a toxic sub/ance 
occurr$ to a degree t an individual     
expos$ to t sub/ance may h or develop a 
m$ical condition t w\ld qualify t       
individual = heal? c>e or comp5sation f 
! ,dep>tm5t ( ,vet]ans ,affairs or !    
,dep>tm5t ( ,def5se1 ! ,advisory ,bo>d  

%all submit to ! ,secret>y ( ,vet]ans   
,affairs a report describ$ 9 subp>agraph
 7,d74  7ii7 ,if ! ,advisory ,bo>d      
det]m9es t fur!r consid]ation ( ! claim 
is necess>y to adequately assess ! ext5t
 ( exposure1 ! ,advisory ,bo>d %all ref]
 ! claim to ! ,(fice ( ,extramural      
,rese>* e/abli%$ "u section #e to       
conduct fur!r rese>* & report its f9d+s 
to ! ,advisory ,bo>d4  7iii7 ,if !      
,advisory ,bo>d det]m9es t exposure to a
 toxic sub/ance did n occur or occurr$  
to a negligible ext5t1 ! ,advisory ,bo>d
 %all report su* det]m9ation to !       
,secret>y ( ,vet]ans ,affairs4  7,d7    
,report ,if ! ,advisory ,bo>d makes a   
det]m9ation "u subp>agraph 7,c77i71 !   
,advisory ,bo>d %all submit to !        
,secret>y ( ,vet]ans ,affairs a report t
 conta9s ! foll[+3 7i7 ,evid5ce us$ by !
 ,advisory ,bo>d 9 mak+ ! det]m9ation "u
 subp>agraph 7,c77i71 includ+1 if       
appropriate1 ! foll[+3 7,i7 ,sci5tific  
rese>*1 includ+ any rese>* conduct$ by !
 ,(fice ( ,extramural ,rese>* e/abli%$  

"u section #e4  7,,ii7 ,pe]-review$     
articles f sci5tific j\rnals relat+ to  
exposure to toxic sub/ances4  7,,iii7   
,m$ical rese>* conduct$ by ! ,dep>tm5t (
 ,vet]ans ,affairs1 ! ,dep>tm5t (       
,def5se1 or ! m$ical community4  7ii7   
,recomm5dations on ! ext5t to :i* !     
,dep>tm5t ( ,vet]ans ,affairs or !      
,dep>tm5t ( ,def5se %\ld provide heal?  
c>e1 b5efits1 or o!r comp5sation )      
respect to exposure to a toxic sub/ance 
to ! foll[+ individuals3 7,i7 ,an       
individual expos$ to a toxic sub/ance z 
det]m9$ "u subp>agraph 7,c77i74  7,,ii7 
,a desc5dant ( t individual4  7iii7     
,in=mation on co/ & attributable        
exposure1 z def9$ 9 regulations         
prescrib$ pursuant to ?is ,act4  7,e7   
,publication ( evid5ce  7i7 ,9 g5]al    
,except z provid$ 9 clause 7ii71 !      
,secret>y %all publi% 9 ! ,f$]al ,regi/]
 ! evid5ce describ$ 9 clause 7i7 (      
subp>agraph 7,d7 t is submitt$ ) !      
report requir$ by t subp>agraph4  7ii7  
,exception ,su* evid5ce may n be publi%$

 if ! ,secret>y det]m9es t prev5t+ su*  
publication-- 7,i7 is 9 ! national      
security int]e/ ( ! ,unit$ ,/ates2 or   
7,,ii7 protects ! privacy int]e/s (     
individuals expos$ to toxic sub/ances4  
7,f7 ,subpo5a au?ority ,! ,advisory     
,bo>d may require by subpo5a ! att5dance
 & te/imony ( witnesses necess>y to     
consid] claims ( exposure to toxic      
sub/ances "u ?is p>agraph4  7,g7        
,coop]ation ( ,f$]al ,ag5cies ,! head ( 
ea* relevant ,f$]al ag5cy1 includ+ !    
,adm9i/rator ( ! ,environm5tal          
,protection ,ag5cy1 %all coop]ate fully 
) ! ,advisory ,bo>d = purposes (        
consid]+ claims ( exposure to toxic     
sub/ances "u ?is p>agraph4  7d7 ,meet+s 
,! ,advisory ,bo>d %all meet at ! call (
 ! ,*air1 b n less frequ5tly ?an        
semiannually4  7e7 ,comp5sation  7#a7 ,9
 g5]al ,! memb]s ( ! ,advisory ,bo>d    
%all s]ve )\t comp5sation4  7#b7 ,travel
 exp5ses ,! memb]s ( ! ,advisory ,bo>d  
%all be all[$ travel exp5ses1 includ+ p]
 diem 9 lieu ( subsi/5ce1 at rates      

au?oriz$ = employees ( ag5cies "u       
sub*apt] ,i ( *apt] #eg ( title #e1     
,unit$ ,/ates ,code1 :ile away f _!     
homes or regul> places ( bus9ess 9 !    
p]=mance ( s]vices = ! ,advisory ,bo>d4 
7f7 ,p]sonnel  7#a7 ,9 g5]al ,!         
,*airp]son may1 )\t reg>d to ! civil    
s]vice laws & regulations1 appo9t an    
executive director ( ! ,advisory ,bo>d1 
:o %all be a civilian employee ( !      
,dep>tm5t ( ,vet]ans ,affairs1 & su* o!r
 p]sonnel z may be necess>y to enable ! 
,advisory ,bo>d to p]=m its duties4     
7#b7 ,approval ,! appo9tm5t ( an        
executive director "u p>agraph 7#a7 %all
 be subject to approval by ! ,advisory  
,bo>d4  7#c7 ,comp5sation ,! ,*airp]son 
may fix ! comp5sation ( ! executive     
director & o!r p]sonnel )\t reg>d to !  
provisions ( *apt] #ea & sub*apt] ,,iii 
( *apt] #ec ( title #e1 ,unit$ ,/ates   
,code1 except t ! rate ( pay = !        
executive director & o!r p]sonnel may n 
exce$ ! rate payable = level ,v ( !     
,executive ,s*$ule "u section #ecaf (   

su* title4  #e4 ,(fice ( extramural     
rese>*  7a7 ,(fice ,n lat] ?an #ahj days
 aft] ! date ( ! enactm5t ( ?is ,act1 ! 
,secret>y ( ,vet]ans ,affairs %all      
e/abli% an ,(fice ( ,extramural ,rese>* 
79 ?is section ref]r$ to z ! ,(fice7--  
7#a7 to conduct rese>* on w\nds1        
illnesses1 injuries1 & o!r conditions   
suff]$ by individuals z a result (      
exposure to toxic sub/ances :ile s]v+ z 
memb]s ( ! ,arm$ ,=ces2 &  7#b7 to assi/
 ! ,advisory ,bo>d e/abli%$ "u section  
#d 9 ! consid]ation ( claims ( exposure 
to toxic sub/ances4  7b7 ,director ,!   
,secret>y ( ,vet]ans ,affairs %all      
select a ,director ( ! ,(fice4  7c7     
,grants  7#a7 ,9 g5]al ,subject to      
approval by ! advisory c\ncil e/abli%$  
"u subsection 7e71 ! ,director may aw>d 
grants to reputable sci5ti/s &          
epidemiologi/s to c>ry out ?is section4 
7#b7 ,exception ,! ,director may n aw>d 
grants to individuals or organizations  
associat$ ) or hav+ an int]e/ 9 a       
*emical company or any o!r organization 

t ! ,secret>y det]m9es may h an int]e/ 9
 ! increas$ use ( toxic sub/ances4  7d7 
,support to ,advisory ,bo>d ,n lat] ?an 
#ahj days aft] receiv+ a reque/ f !     
,advisory ,bo>d e/abli%$ "u section #d  
to review a claim ( exposure pursuant to
 subsection 7c77#c77;,c77ii7 ( t        
section1 ! ,(fice %all submit a report  
to ! ,advisory ,bo>d ) "o ( ! foll[+    
det]m9ations3 7#a7 ,a det]m9ation t     
exposure to a toxic sub/ance occurr$ to 
a degree t an individual expos$ to t    
sub/ance may h or develop a m$ical      
condition t w\ld qualify t individual = 
heal? c>e or comp5sation f ! ,dep>tm5t (
 ,vet]ans ,affairs or ! ,dep>tm5t (     
,def5se4  7#b7 ,a det]m9ation t fur!r   
/udy ( ! claim is necess>y1 to be c>ri$ 
out by1 or "u ! direction (1 ! ,(fice 9 
coord9ation ) ! ,advisory ,bo>d4  7#c7  
,a det]m9ation t exposure to a toxic    
sub/ance did n occur or occurr$ to a    
negligible ext5t4  7e7 ,advisory c\ncil 
7#a7 ,e/abli%m5t ,n lat] ?an #ahj days  
aft] ! date ( ! enactm5t ( ?is ,act1 !  

,secret>y ( ,vet]ans ,affairs %all      
e/abli% an advisory c\ncil 79 ?is       
section ref]r$ to z ! ,c\ncil7 = !      
,(fice e/abli%$ "u ?is section4  7#b7   
,memb]%ip  7,a7 ,composition  7i7 ,9    
g5]al ,! ,secret>y ( ,vet]ans ,affairs  
%all1 9 consultation ) ! ,secret>y (    
,heal? & ,human ,s]vices & any o!r heads
 ( ,f$]al ag5cies z ! ,secret>y (       
,vet]ans ,affairs det]m9es appropriate1 
select #aa memb]s ( ! ,c\ncil1 ( :om--  
7,i7 n less ?an ?ree %all be memb]s (   
organizations exempt f taxation "u      
section #eja7;c77#ai7 ( ! ,int]nal      
,rev5ue ,code ( #aihf2 &  7,,ii7        
additional memb]s may be select$ f      
among-- 7aa7 environm5tal               
epidemiologi/s2  7bb7 academics2 &  7cc7
 vet]ans or ! desc5dants ( vet]ans4     
7ii7 ,requirem5ts = sci5ti/s ,:5        
consid]+ individuals :o are memb]s ( !  
sci5tific community = selection to !    
,c\ncil1 ! ,secret>y ( ,vet]ans ,affairs
 may select only ^? individuals-- 7,i7  
:o h evid5c$ exp]tise 9 & demon/rate a  

commitm5t to rese>* t leads to          
pe]-review$ sci5tific evaluation ( !    
w\nds1 illnesses1 injuries1 & o!r       
conditions t may arise f exposure to    
toxic sub/ances2 &  7,,ii7 :o are n     
associat$ ) & d n h an int]e/ 9 a       
*emical company or any o!r organization 
t ! ,secret>y det]m9es may h an int]e/ 9
 ! increas$ use ( toxic sub/ances4  7,b7
 ,*airp]son ,! ,secret>y ( ,vet]ans     
,affairs %all select a ,*airp]son f     
among ! memb]s ( ! ,c\ncil4  7,c7 ,t]ms 
,ea* memb] ( ! ,c\ncil %all s]ve a t]m (
 two or ?ree ye>s z det]m9$ by !        
,secret>y ( ,vet]ans ,affairs4  7#c7    
,duties ,! ,c\ncil %all-- 7,a7 approve  
or disapprove ( grants propos$ to be    
aw>d$ by ! ,director pursuant to        
subsection 7c72 &  7,b7 advise !        
,secret>y ( ,vet]ans ,affairs & !       
,director on-- 7i7 e/abli%+ guidel9es = 
grant proposals & rese>* proposals "u   
?is section2 &  7ii7 assi/+ ! ,advisory 
,bo>d e/abli%$ "u section #d 9 !        
consid]ation ( claims ( exposure to     

toxic sub/ances4  7#d7 ,meet+s ,!       
,c\ncil %all meet at ! call ( !         
,*airp]son1 b n less frequ5tly ?an      
semiannually4  7#e7 ,comp5sation  7,a7  
,9 g5]al ,! memb]s ( ! ,c\ncil %all s]ve
 )\t comp5sation4  7,b7 ,travel exp5ses 
,! memb]s ( ! ,c\ncil %all be all[$     
travel exp5ses1 includ+ p] diem 9 lieu (
 subsi/5ce1 at rates au?oriz$ =         
employees ( ag5cies "u sub*apt] ,i (    
*apt] #eg ( title #e1 ,unit$ ,/ates     
,code1 :ile away f _! homes or regul>   
places ( bus9ess 9 ! p]=mance ( s]vices 
= ! ,c\ncil4  7f7 ,report ,n lat] ?an   
two ye>s aft] ! e/abli%m5t ( ! ,(fice "u
 ?is section1 ! ,director & ! ,*airman (
 ! ,c\ncil %all jo9tly submit to !      
,secret>y ( ,vet]ans ,affairs &         
,congress a report t conta9s ! foll[+3  
7#a7 ,a summ>y ( ! rese>* ef=ts conduct$
 & ! grants aw>d$ "u ?is section4  7#b7 
,a summ>y ( ! effects ( exposure to     
toxic sub/ances /udi$ pursuant to ?is   
section4  7#c7 ,recomm5dations = /eps to
 be tak5 to c>e = & s]ve-- 7,a7         

individuals expos$ to toxic sub/ances   
:ile s]v+ z a memb] ( ! ,arm$ ,=ces2 &  
7,b7 ! prog5y ( ^? individuals4  #f4    
,provision ( dep5d5t c>e & c>egiv]      
assi/ance to desc5dants ( vet]ans expos$
 to c]ta9 toxic sub/ances dur+ s]vice 9 
! ,arm$ ,=ces  7a7 ,dep5d5t c>e ,section
 #agha7;a7 ( title #ch1 ,unit$ ,/ates   
,code1 is am5d$-- 7#a7 9 p>agraph 7#c71 
by /rik+ 1 & & ins]t+ a comma2  7#b7 9  
p>agraph 7#d71 by /rik+ ! semicolon at !
 end & ins]t+ 1 &2 &  7#c7 by ins]t+    
aft] p>agraph 7#d7 ! foll[+ new         
p>agraph3  7#e7 an individual :o is !   
biological *ild1 gr&*ild1 or            
great-gr&*ild ( a vet]an :o ! ,secret>y 
has det]m9$ 0 expos$ to a toxic sub/ance
 :ile s]v+ z a memb] ( ! ,arm$ ,=ces1   
if-- 7,a7 ! individual has a heal?      
condition t is det]m9$ by ! ,advisory   
,bo>d e/abli%$ by section #d ( ! ,toxic 
,exposure ,rese>* & ,milit>y ,family    
,support ,act ( #bjac to be a heal?     
condition t results f exposure to t     
toxic sub/ance1  7,b7 ! individual is   

homeb\nd z a result ( t heal? condition1
 &  7,c7 ! ,secret>y det]m9es t ! vet]an
 has or _h ! same heal? condition1  4   
7b7 ,c>egiv] assi/ance  7#a7            
,compreh5sive assi/ance ,subsection 7a7 
( section #agbj;,g ( title #ch1 ,unit$  
,/ates ,code1 is am5d$-- 7,a7 by /rik+  
vet]an ea* place x appe>s 7except =     
p>agraph 7#b77;,a77 & ins]t+ individual2
  7,b7 by /rik+ vet]ans ea* place x     
appe>s & ins]t+ individuals2  7,c7 9    
p>agraph 7#b7-- 7i7 by /rik+            
subp>agraphs 7,a7 & 7,b7 & ins]t+ !     
foll[+3  7,a7 7i7 is a vet]an or memb] (
 ! ,arm$ ,=ces und]go+ m$ical dis*>ge f 
! ,arm$ ,=ces & has a s]i\s injury      
7includ+ traumatic bra9 injury1         
psy*ological trauma1 or o!r m5tal       
disord]7 incurr$ or aggravat$ 9 ! l9e ( 
duty 9 ! active milit>y1 naval1 or air  
s]vice on or aft] ,septemb] #aa1 #bjja2 
or  7ii7 is ! biological *ild1 gr&*ild1 
or great-gr&*ild ( a vet]an :o !        
,secret>y has det]m9$ 0 expos$ to a     
toxic sub/ance :ile s]v+ z a memb] ( !  

,arm$ ,=ces1 if-- 7,i7 ! individual has 
a heal? condition t is det]m9$ by !     
,advisory ,bo>d e/abli%$ by section #d (
 ! ,toxic ,exposure ,rese>* & ,milit>y  
,family ,support ,act ( #bjac to be a   
heal? condition t results f exposure to 
t toxic sub/ance2  7,,ii7 ! individual  
is homeb\nd z a result ( t heal?        
condition2 &  7,,iii7 ! ,secret>y       
det]m9es t ! vet]an has or _h ! same    
heal? condition2 &  2 &  7ii7 by        
r$esignat+ subp>agraph 7,c7 z           
subp>agraph 7,b72 &  7,d7 9 p>agraph    
7#i77;,c77i71 by /rik+ vet]an's & ins]t+
 individual's4  7#b7 ,g5]al c>egiv]     
support ,subsection 7b7 ( su* section is
 am5d$-- 7,a7 by /rik+ vet]an ea* place 
x appe>s & ins]t+ individual2  7,b7 by  
/rik+ vet]ans ea* place x appe>s &      
ins]t+ individuals2  7,c7 9 p>agraph    
7#a71 by /rik+ :o are & all t foll[s    
?r\gh ( ?is title2 &  7,d7 9 p>agraph   
7#b7-- 7i7 by r$esignat+ subp>agraphs   
7,a71 7,b71 & 7,c7 z clauses 7i71 7ii71 
& 7iii71 respectively2 &  7ii7 9 ! matt]

 prec$+ clause 7i71 z r$esignat$ by     
clause 7i71 by /rik+ any individual :o  
ne$s & ins]t+ 8any individual :o--  7,a7
 7i7 is enroll$ 9 ! heal? c>e sy/em     
e/abli%$ "u section #agje7;a7 ( ?is     
title2 or  7ii7 is ! biological *ild1   
gr&*ild1 or great-gr&*ild ( a vet]an :o 
! ,secret>y has det]m9$ 0 expos$ to a   
toxic sub/ance :ile s]v+ z a memb] ( !  
,arm$ ,=ces1 if-- 7,i7 ! individual has 
a heal? condition t is det]m9$ by !     
,advisory ,bo>d e/abli%$ by section #d (
 ! ,toxic ,exposure ,rese>* & ,milit>y  
,family ,support ,act ( #bjac to be a   
heal? condition t results f exposure to 
t toxic sub/ance2  7,,ii7 ! individual  
is homeb\nd z a result ( t heal?        
condition2 &  7,,iii7 ! ,secret>y       
det]m9es t ! vet]an has or _h ! same    
heal? condition2 &  7,b7 ne$s  4  7#c7  
,def9itions ,subsection 7d7 ( su*       
section is am5d$-- 7,a7 by /rik+        
eligible vet]an ea* place x appe>s &    
ins]t+ eligible individual2  7,b7 by    
/rik+ cov]$ vet]an ea* place x appe>s & 

ins]t+ cov]$ individual2  7,c7 9        
p>agraph 7#a71 by /rik+ ! vet]an &      
ins]t+ ! eligible individual or cov]$   
individual2  7,d7 9 p>agraph 7#b71 by   
/rik+ ! vet]an & ins]t+ ! eligible      
individual2  7,e7 9 p>agraph 7#c71 by   
/rik+ ! vet]an ea* place x appe>s &     
ins]t+ ! eligible individual2  7,f7 9   
p>agraph 7#d71 by /rik+ ! vet]an &      
ins]t+ ! eligible individual or cov]$   
individual2 &  7,g7 by add+ at ! end !  
foll[+3  7#e7 ,! t]m toxic sub/ance has 
! mean+ giv5 t t]m 9 section #b ( !     
,toxic ,exposure ,rese>* & ,milit>y     
,family ,support ,act ( #bjac4  4  7c7  
,con=m+ am5dm5ts  7#a7 ,b5efici>y travel
 ,section #aaa ( title #ch1 ,unit$      
,/ates ,code1 is am5d$-- 7,a7 9         
subsection 7b77#a71 by add+ at ! end !  
foll[+ new subp>agraph3  7,g7 ,an       
individual describ$ 9 section           
#agbj;,g7a77#b77;,a77ii7 ( ?is title4  2
 &  7,b7 9 subsection 7e7-- 7i7 by /rik+
 vet]an ea* place x appe>s 7except =    
p>agraph 7#b77;,b77 & ins]t+ individual2

 &  7ii7 9 p>agraph 7#b77;,b7-- 7,i7 by 
/rik+ a vet]an & ins]t+ an individual2 &
  7,,ii7 by /rik+ su* vet]an & ins]t+   
su* individual4  7#b7 ,c\nsel+1 tra9+1 &
 m5tal heal? s]vices ,section           
#aghb7;c77#b7 ( su* title is am5d$ by   
/rik+ an eligible vet]an or a c>egiv] ( 
a cov]$ vet]an & ins]t+ a vet]an :o is  
an eligible individual or a c>egiv] ( a 
vet]an :o is a cov]$ individual4  #g4   
,declassification by ,dep>tm5t ( ,def5se
 ( c]ta9 incid5ts ( exposure ( memb]s ( 
! ,arm$ ,=ces to toxic sub/ances  7a7 ,9
 g5]al ,! ,secret>y ( ,def5se may       
declassify docum5ts relat$ to any kn[n  
incid5t 9 :i* n less ?an #ajj memb]s ( !
 ,arm$ ,=ces 7 expos$ to a toxic        
sub/ance t result$ 9 at lea/ "o case ( a
 disability t a memb] ( ! m$ical        
pr(ession has det]m9$ to be associat$ ) 
t toxic sub/ance4  7b7 ,limitation ,!   
declassification au?oriz$ by subsection 
7a7 %all be limit$ to in=mation necess>y
 = an individual :o 0 pot5tially expos$ 
to a toxic sub/ance to det]m9e ! foll[+3

 7#a7 ,:e!r t individual 0 expos$ to t  
toxic sub/ance4  7#b7 ,! pot5tial       
sev]ity ( ! exposure ( t individual to t
 toxic sub/ance4  7#c7 ,any pot5tial    
heal? conditions t may h result$ f      
exposure to t toxic sub/ance4  7c7      
,exception ,! ,secret>y ( ,def5se is n  
requir$ to declassify docum5ts if !     
,secret>y det]m9es t declassification ( 
^? docum5ts w\ld mat]ially & imm$iately 
?reat5 ! security ( ! ,unit$ ,/ates4    
#h4 ,national outrea* campaign on       
pot5tial long-t]m heal? effects (       
exposure to toxic sub/ances by memb]s ( 
! ,arm$ ,=ces & _! desc5dants ,!        
,secret>y ( ,vet]ans ,affairs1 !        
,secret>y ( ,heal? & ,human ,s]vices1 & 
! ,secret>y ( ,def5se %all jo9tly       
conduct a national outrea* & education  
campaign direct$ t[>ds memb]s ( ! ,arm$ 
,=ces1 vet]ans1 & _! family memb]s to   
communicate ! foll[+ in=mation3 7#a7    
,in=mation on-- 7,a7 incid5ts ( exposure
 ( memb]s ( ! ,arm$ ,=ces to toxic      
sub/ances2  7,b7 heal? conditions       

result+ f su* exposure2 &  7,c7 !       
pot5tial long-t]m effects ( su* exposure
 on ! individuals expos$ to ^? sub/ances
 & ! desc5dants ( ^? individuals4  7#b7 
,in=mation on ! national c5t] e/abli%$  
"u section #c ( ?is ,act = individuals  
eligible = treatm5t at ! c5t]4