,,ii #aac? ,,congress #a/ ,session ,s4 #ej ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,janu>y #bb 7legislative day1 ,janu>y #c71 #bjac ,mrs4 ,box] 7= h]self & ,mr4 ,crapo7 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,environm5t & ,public ,works ,a ,,bill ,to direct ! ,adm9i/rator ( ! ,environm5tal ,protection ,ag5cy to inve/igate & address canc] & disease clu/]s1 includ+ 9 infants & *ildr54 #a4 ,%ort title ,?is ,act may be cit$ z ! ,/r5g!n+ ,protections = ,*ildr5 & ,communities ,f ,disease ,clu/]s ,act4 #b4 ,f9d+s ,congress f9ds t-- 7#a7 *ildr5 are p>ticul>ly at risk f environm5tal pollutants or toxic sub/ances = v>i\s reasons1 includ+ because-- 7,a7 ! n]v\s1 immune1 dige/ive1 & o!r sy/ems ( *ildr5 are /ill develop+ z ! *ildr5 move ?\gh sev]al /ages ( rapid gr[? & developm5t2 7,b7 exposure to environm5tal pollutants or toxic sub/ances c affect pr5atal1 infant1 & *ildhood gr[? & developm5t2 7,c7 *ildr5 may be less able to detoxify & excrete tox9s ?an adults2 7,d7 *ildr5 eat proportionately m food1 dr9k m fluids1 brea! m air1 & play outside m1 :i* means *ildr5 are m expos$ to environm5tal pollutants & toxic sub/ances ?an adults2 7,e7 *ildr5 are less able to protect !mselves f exposures to environm5tal pollutants or toxic sub/ances2 7,f7 ! behavior ( *ildr5 exposes *ildr5 to diff]5t environm5tal pollutants & toxic sub/ances ?an adults2 7,g7 ! natural curiosity & t5d5cy ( *ildr5 to explore leaves *ildr5 op5 to heal? risks t adults c m easily avoid2 & 7,h7 ! develop+ bra9s1 reproductive sy/ems1 & o!r organs ( *ildr5 are m susceptible to p]man5t disruption t c result 9 heal? problems dur+ ! lives ( ! *ildr52 7#b7 accord+ to ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 bir? defects are ! lead+ cause ( infant dea? 9 ! fir/ ye> ( life1 acc\nt+ = ab\t #bj p]c5t ( infant dea?s 9 #bjjf2 7#c7 accord+ to ! ,am]ican ,canc] ,society1 canc] is ! second lead+ cause ( dea? 9 *ildr51 exce$$ only by accid5ts2 7#d7 accord+ to ! ,c5t]s = ,disease ,control & ,prev5tion1 an e/imat$ #a 9 #aaj *ildr5 9 ! ,unit$ ,/ates h an autism spectrum disord]2 7#e7 sci5tific rese>* on environm5tal1 g5etic1 & o!r influ5ces t may affect environm5tal heal? is a national priority2 7#f7 ,f$]al ag5cies %\ld "w to address s]i\s environm5tal heal? problems to bett] protect *ildr5 & o!r individuals 9 communities1 bo? l>ge & small1 across ! ,unit$ ,/ates2 & 7#g7 accord+ to ! ,national ,academy ( ,sci5ces-- 7,a7 x is 9 ! national int]e/ to place a high] priority on ! heal? ( *ildr52 7,b7 9 ! %ort t]m1 t priority w result 9 *ildr5 ^: heal? & quality ( life is improv$ & :o are m ready & able to le>n2 7,c7 *ildr5 h important value 9 _! own "r & are wor?y ( t type ( societal commitm5t2 7,d7 x is also 9 ! national int]e/ to optimize ! heal? ( *ildr5 because1 9 ! long t]m-- 7i7 ! cont9u+ viability ( society dep5ds on a citiz5ry & a work=ce t are prop]ly equipp$ to be productive & committ$ to s]v+ ! c\ntry2 & 7ii7 failure to improve ! heal? ( *ildr5 w h a sub/antial long-t]m consequ5ce = ! heal? ( ! adult population2 & 7,e7 inve/+ 9 ! heal? ( *ildr5 is necess>y = all ( ! reasons describ$ 9 subp>agraphs 7,a7 ?r\gh 7,d7 & is ! "r ?+ to d4 #c4 ,purposes ,! purposes ( ?is ,act are-- 7#a7 to provide to ! ,adm9i/rator ! au?ority to help conduct inve/igations into ! pot5tial = environm5tal pollutants or toxic sub/ances to cause disease clu/]s2 7#b7 to ensure t ! ,adm9i/rator has ! au?ority to und]take actions to help address exi/+ & pot5tial environm5tal pollution & toxic sub/ances t may contribute to ! creation ( disease clu/]s2 & 7#c7 to enable ! ,adm9i/rator to integrate & "w 9 conjunction ) o!r ,f$]al1 ,/ate1 & local ag5cies1 in/itutions ( high] education1 & ! public 9 inve/igat+ & help+ to address ! possible causes ( disease clu/]s4 #d4 ,goals ,! goals ( ?is ,act are-- 7#a7 to protect & assi/ pregnant wom51 infants1 *ildr51 & o!r individuals :o h be51 are1 or c\ld be h>m$ by1 & become "p (1 a disease clu/]2 7#b7 to enhance ,f$]al res\rces1 exp]tise1 outrea*1 transp>5cy1 & acc\ntability 9 respond+ to public & ,/ate & local gov]nm5t inquiries ab\t ! pot5tial causes ( a disease clu/]2 7#c7 to /r5g!n ,f$]al analytical capacity & coord9ation1 includ+ ) ,/ate & local au?orities1 9 ! inve/igation ( ! pot5tial causes ( disease clu/]s2 7#d7 to develop multidiscipl9>y teams t und]take a sy/ematic1 integrat$ approa* to inve/igate & help address ! pot5tial causes ( disease clu/]s t ,/ate & local (ficials _c address or ne$ assi/ance 9 address+2 & 7#e7 to help facilitate ! rapid inve/igation ( pot5tial disease clu/]s & actions to address ! pot5tial causes ( disease clu/]s4 #e4 ,def9itions ,9 ?is ,act3 7#a7 ,adm9i/rator ,! t]m ,adm9i/rator means ! ,adm9i/rator ( ! ,environm5tal ,protection ,ag5cy4 7#b7 ,ag5cy ,! t]m ,ag5cy means ! ,environm5tal ,protection ,ag5cy4 7#c7 ,director ,! t]m ,director means ! ,director ( ! ,national ,in/itute ( ,environm5tal ,heal? ,sci5ces4 7#d7 ,disease clu/] ,! t]m disease clu/] means-- 7,a7 ! occurr5ce ( a great]-?an-expect$ numb] ( cases ( a p>ticul> disease )9 a gr\p ( individuals1 a geographical area1 or a p]iod ( "t2 or 7,b7 ! occurr5ce ( a p>ticul> disease 9 su* numb] ( cases1 or meet+ su* o!r crit]ia1 z ! ,adm9i/rator1 9 consultation ) ! ,adm9i/rator ( ! ,ag5cy = ,toxic ,sub/ances & ,disease ,regi/ry & ! ,director1 may det]m9e4 7#e7 ,environm5tal pollutants or toxic sub/ances ,! t]m environm5tal pollutants or toxic sub/ances includes ! sub/ances describ$ 9 p>agraph 7#g74 7#f7 ,f$]al ag5cy ,! t]m ,f$]al ag5cy means-- 7,a7 any dep>tm5t1 ag5cy1 or o!r in/rum5tality ( ! ,f$]al ,gov]nm5t2 7,b7 any indep5d5t ag5cy or e/abli%m5t ( ! ,f$]al ,gov]nm5t 7includ+ any ,gov]nm5t corporation72 & 7,c7 ! ,gov]nm5t ,pr9t+ ,(fice4 7#g7 ,pot5tial causes ( a disease clu/] ,! t]m pot5tial causes ( a disease clu/] includes environm5tal & public heal? factors t c\ld increase ! possibility ( disease clu/]s1 includ+ environm5tal pollutants or toxic sub/ances & s\rces ( ^? pollutants & sub/ances1 includ+-- 7,a7 emissions ( air pollutants t are regulat$ "u ! ,clean ,air ,act 7#db ,u4,s4,c4 #gdja et seq472 7,b7 wat] pollutants t are regulat$ "u ! ,f$]al ,wat] ,pollution ,control ,act 7#cc ,u4,s4,c4 #abea et seq472 7,c7 a contam9ant1 z t t]m is def9$ 9 section #adja ( ! ,safe ,dr9k+ ,wat] ,act 7#db ,u4,s4,c4 #cjj;f72 7,d7 a haz>d\s sub/ance1 z t t]m is def9$ 9 section #aja ( ! ,compreh5sive ,environm5tal ,response1 ,comp5sation1 & ,liability ,act 7#db ,u4,s4,c4 #ifja72 7,e7 solid wa/e & haz>d\s wa/e1 z ^? t]ms are def9$ 9 section #ajjd ( ! ,solid ,wa/e ,disposal ,act 7#db ,u4,s4,c4 #fijc72 7,f7 a *emical sub/ance1 z t t]m is def9$ 9 section #c ( ! ,toxic ,sub/ances ,control ,act 7#ae ,u4,s4,c4 #bfjb72 7,g7 a sub/ance t is regulat$ "u ! ,em]g5cy ,plann+ & ,community ,"r-,to-,"k ,act ( #aihf 7#db ,u4,s4,c4 #aajja et seq472 & 7,h7 any o!r =m ( environm5tal pollution or toxic sub/ance t is a kn[n or pot5tial cause ( an adv]se heal? effect1 includ+ a developm5tal1 reproductive1 neurotoxic1 or c>c9og5ic effect4 7#h7 ,regional ,response ,c5t] ,! t]m ,regional ,response ,c5t] means a ,regional ,disease ,clu/] ,in=mation & ,response ,c5t] e/abli%$ "u section #g4 7#i7 ,response ,team ,! t]m ,response ,team means a ,regional ,disease ,clu/] ,in=mation & ,response ,team e/abli%$ "u section #g4 7#aj7 ,secret>y ,! t]m ,secret>y means ! ,secret>y ( ,heal? & ,human ,s]vices4 #f4 ,guidel9es = environm5tal inve/igations ( disease clu/]s 7a7 ,e/abli%m5t 7#a7 ,9 g5]al ,! ,adm9i/rator1 9 consultation ) ! ,adm9i/rator ( ! ,ag5cy = ,toxic ,sub/ances & ,disease ,regi/ry1 ! ,secret>y1 & ! ,director1 %all develop1 publi%1 & p]iodically update guidel9es t describe a sy/ematic1 integrat$ approa* t uses ! be/ available sci5ce to inve/igate-- 7,a7 #a or m suspect$ or pot5tial disease clu/]s2 7,b7 environm5tal pollutants or toxic sub/ances associat$ ) #a or m suspect$ or pot5tial disease clu/]s2 or 7,c7 pot5tial causes ( #a or m disease clu/]s4 7#b7 ,coord9ation ,! ,adm9i/rator %all ensure t ! ,(fice ( ,*ildr5's ,heal? ,protection1 9 consultation ) appropriate advisory committees1 su* z ! ,*ildr5's ,heal? ,protection ,advisory ,committee1 has a prom95t role on behalf ( ! ,ag5cy 9 develop+ & updat+ guidel9es "u p>agraph 7#a74 7b7 ,requirem5ts ,guidel9es develop$ "u ?is section %all include-- 7#a7 def9itions ( key concepts & actions2 7#b7 disease clu/] id5tification & report+ protocols2 7#c7 /&>diz$ me?ods ( review+ & categoriz+ data1 includ+ f heal? surveillance sy/ems & disease clu/] reports2 7#d7 guidance = us+1 9 a heal?-protective way1 an appropriate epidemiological1 /ati/ical1 or o!r approa* = ! circum/ances ( an inve/igation2 7#e7 proc$ures = pe] review ( key docum5ts by individuals :o h no direct or indirect conflict ( int]e/2 & 7#f7 a description ( roles & responsibilities ( ! ,adm9i/rator & ! ,adm9i/rator ( ! ,ag5cy = ,toxic ,sub/ances & ,disease ,regi/ry 9 conduct+ inve/igations describ$ 9 ^? guidel9es1 9 accordance ) ?is ,act4 7c7 ,tim+ 7#a7 ,9 g5]al ,draft guidel9es develop$ "u ?is section %all be available = public review & comm5t = a p]iod ( n less ?an #fj days4 7#b7 ,f9al guidel9es ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,adm9i/rator1 9 consultation ) ! ,adm9i/rator ( ! ,ag5cy = ,toxic ,sub/ances & ,disease ,regi/ry1 ! ,secret>y1 & ! ,director1 %all publi% 9 ! ,f$]al ,regi/] f9al guidel9es "u ?is section4 #g4 ,enhanc$ support = environm5tal inve/igations ( disease clu/]s 7a7 ,e/abli%m5t ( ,regional ,disease ,clu/] ,in=mation & ,response ,c5t]s & ,teams 7#a7 ,e/abli%m5t 7,a7 ,9 g5]al ,! ,adm9i/rator1 9 consultation ) ! ,adm9i/rator ( ! ,ag5cy = ,toxic ,sub/ances & ,disease ,regi/ry1 ! ,secret>y1 & ! ,director1 & o!r appropriate ,f$]al ag5cies1 %all e/abli% & op]ate ,regional ,disease ,clu/] ,in=mation & ,response ,c5t]s & ,regional ,disease ,clu/] ,in=mation & ,response ,teams4 7,b7 ,pr9cipal responsibility ,! ,adm9i/rator %all be pr9cipally responsible = direct+1 coord9at+1 & approv+ ,f$]al ef=ts & assi/ance au?oriz$ "u ?is section4 7#b7 ,coord9ation 7,a7 ,9 g5]al ,! ,adm9i/rator %all ensure t ! ,(fice ( ,*ildr5's ,heal? ,protection1 9 consultation ) appropriate advisory committees1 su* z ! ,*ildr5's ,heal? ,protection ,advisory ,committee1 has a prom95t role on behalf ( ! ,ag5cy 9 e/abli%+ & op]at+ ! ,regional ,response ,c5t]s & ! ,response ,teams4 7,b7 ,grants & coop]ative agreem5ts 7i7 ,9 g5]al ,! ,adm9i/rator %all provide support 7includ+ rese>*1 program implem5tation1 & op]ational support activities7 to individuals on ,response ,teams describ$ 9 subsection 7b7 & ,community ,disease ,clu/] ,advisory ,committees describ$ 9 subsection 7c7 ?r\gh grants & coop]ative agreem5ts ) in/itutions ( high] education t h programs or individuals ) demon/rat$ exp]tise 9 rese>*1 tra9+1 /udies1 & te*nical assi/ance4 7ii7 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$ to c>ry out ?is subp>agraph su* sums z are necess>y4 7#c7 ,tim+ ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,adm9i/rator %all e/abli% at lea/-- 7,a7 #b ,regional ,response ,c5t]s2 & 7,b7 #b ,response ,teams4 7b7 ,response ,teams 7#a7 ,memb]%ip ,ea* ,response ,team %all include individuals :o-- 7,a7 h exp]tise 9 epidemiology1 toxicog5omics1 molecul> biology1 toxicology1 pollution control requirem5ts1 data analysis1 environm5tal heal? & disease surveillance1 exposure assessm5t1 p$iatric heal?1 community outrea* & involvem5t1 & o!r relevant fields2 & 7,b7 h no direct or indirect conflict ( int]e/4 7#b7 ,lead]%ip ,ea* ,response ,team %all h-- 7,a7 an individual :o is ! lead] ( ! ,response ,team & :o reports to ! ,adm9i/rator1 ! ,adm9i/rator ( ! ,ag5cy = ,toxic ,sub/ances & ,disease ,regi/ry1 & ! ,director2 & 7,b7 an individual :o has ! skills or exp]i5ce necess>y to c>ry out community outrea* & involvem5t activities1 includ+-- 7i7 ! e/abli%m5t ( ,community ,disease ,clu/] ,advisory ,committees "u subsection 7c72 & 7ii7 ! facilitation ( activities ( ^? ,committees4 7#c7 ,activities 7,a7 ,9 g5]al ,! ,adm9i/rator1 9 consultation ) ! ,adm9i/rator ( ! ,ag5cy = ,toxic ,sub/ances & ,disease ,regi/ry & ! ,director1 %all e/abli% ! scope ( activities = ,response ,teams to ensure t ! activities are consi/5t ) a*iev+ ! goals ( ?is ,act4 7,b7 ,requirem5ts ,! activities ( ! ,response ,teams %all include-- 7i7 mak+ guidel9es1 protocols1 data1 & o!r relevant in=mation & exp]tise available to ,/ate & local (ficials & ! public to assi/ 9 ef=ts-- 7,i7 to inve/igate suspect$ or pot5tial disease clu/]s1 environm5tal pollutants or toxic sub/ances associat$ ) ^? disease clu/]s1 & pot5tial causes ( disease clu/]s2 & 7,,ii7 to address pot5tial causes ( disease clu/]s2 7ii7 respond+ rapidly to a petition describ$ 9 subp>agraph 7,c7 f any p]son1 includ+ a ,/ate or local (ficial1 reg>d+ ! ne$-- 7,i7 to inve/igate suspect$ or pot5tial disease clu/]s1 environm5tal pollutants or toxic sub/ances associat$ ) ^? disease clu/]s1 & pot5tial causes ( disease clu/]s2 & 7,,ii7 to address ! pot5tial causes ( disease clu/]s2 7iii7 provid+ ! be/ available environm5tal sampl+ & laboratory equipm5t to collect1 analyze1 & int]pret monitor+1 heal? surveillance1 & o!r relevant in=mation at scales & timel9es appropriate to an action2 7iv7 involv+ community memb]s1 9 accordance ) e/abli%$ sci5tific me?ods & norms 7includ+ ! pres]vation ( ! confid5tiality ( individuals71 9-- 7,i7 inve/igations ( suspect$ or pot5tial disease clu/]s1 environm5tal pollutants or toxic sub/ances associat$ ) ^? disease clu/]s1 or pot5tial causes ( disease clu/]s1 includ+ ?r\gh-- 7aa7 environm5tal exposure assessm5ts2 7bb7 biomonitor+ activities2 & 7cc7 community-bas$ p>ticipatory rese>* initiatives2 & 7,,ii7 o!r ef=ts to address ! pot5tial causes ( disease clu/]s2 7v7 work+ ) ,/ate & local ag5cies-- 7,i7 to help make ! use & managem5t ( integrat$ environm5tal heal? data consi/5t & timely2 & 7,,ii7 to fill data gaps2 & 7vi7 inve/igat+ suspect$ or pot5tial disease clu/]s1 environm5tal pollutants or toxic sub/ances associat$ ) ^? disease clu/]s1 & pot5tial causes ( disease clu/]s1 & address+ ! pot5tial causes ( disease clu/]s t ! ,adm9i/rator det]m9es ,/ate & local (ficials ne$ assi/ance 9 inve/igat+ or address+1 or t ! ,adm9i/rator det]m9es %\ld be inve/igat$ or address$4 7,c7 ,petition 7i7 ,9 g5]al ,any p]son1 includ+ a ,/ate or local (ficial1 may submit a petition ref]r$ to 9 subp>agraph 7,b77ii7 to ! ,adm9i/rator1 ! ,adm9i/rator ( ! ,ag5cy = ,toxic ,sub/ances & ,disease ,regi/ry1 & ! ,director t reque/s t a ,response ,team conduct an inve/igation or take o!r action to address ! pot5tial causes ( disease clu/]s 9 accordance ) ?is ,act4 7ii7 ,requirem5ts ,ea* petition submitt$ "u clause 7i7 %all cle>ly describe ! basis = ! reque/$ inve/igation or action1 includ+ any data support+ ! reque/4 7iii7 ,consid]ation ,! ,adm9i/rator1 9 consultation ) ! ,adm9i/rator ( ! ,ag5cy = ,toxic ,sub/ances & ,disease ,regi/ry & ! ,director1 %all e/abli% crit]ia = ! consid]ation ( petitions submitt$ "u ?is section us+ heal?-protective factors1 includ+-- 7,i7 evid5ce ( ! release ( environm5tal pollutants or toxic sub/ances2 7,,ii7 ! locations 9 :i* !re appe> to be pot5tially significant heal? ?reats f ! pot5tial causes ( disease clu/]s2 7,,iii7 cases 9 :i* exi/+ data appe> to be inadequate to fully assess ! pot5tial risks to public heal?2 & 7,,iv7 su* o!r factors z ! ,adm9i/rator det]m9es are necess>y4 7iv7 ,response ,n lat] ?an #fj days aft] ! date ( receipt ( a petition "u clause 7iii71 ! ,adm9i/rator1 9 consultation ) ! ,adm9i/rator ( ! ,ag5cy = ,toxic ,sub/ances & ,disease ,regi/ry & ! ,director1 %all provide a writt5 response t describes-- 7,i7 ! inve/igation or actions t w be und]tak5 9 response to ! petition1 includ+ ! timel9e & basis = ! inve/igation or actions2 & 7,,ii7 ! reasons = any d5ial or def]ral 9 provid+ su* a response4 7v7 ,tim+ ( issuance ( crit]ia 7,i7 ,9 g5]al ,! ,adm9i/rator1 9 consultation ) ! ,adm9i/rator ( ! ,ag5cy = ,toxic ,sub/ances & ,disease ,regi/ry & ! ,director1 %all provide = public notice ( draft crit]ia e/abli%$ "u ?is subp>agraph = a p]iod ( n less ?an #fj days4 7,,ii7 ,f9al crit]ia ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,adm9i/rator1 9 consultation ) ! ,adm9i/rator ( ! ,ag5cy = ,toxic ,sub/ances & ,disease ,regi/ry & ! ,director1 %all publi% 9 ! ,f$]al ,regi/] f9al crit]ia requir$ "u ?is subp>agraph4 7#d7 ,use ( publicly available reports ,response ,team inve/igations & actions %all-- 7,a7 include publicly available reports prep>$ by ! ,response ,team t conta9 /atem5ts ( facts1 f9d+s1 & recomm5dations = actions1 to ! ext5t appropriate2 & 7,b7 be prep>$ 9 a mann] t pres]ves ! confid5tiality ( individuals4 7#e7 ,transp>5cy & acc\ntability ,response ,team activities %all include measures to ensure-- 7,a7 transp>5cy & acc\ntability to pot5tially affect$ individuals1 ,/ate & local (ficials1 ! public1 & o!r p]sons & ag5cies1 :ile pres]v+ ! confid5tiality ( individuals2 7,b7 t consi/5t1 accurate1 & mean+ful in=mation is provid$ to pot5tially affect$ individuals1 ,/ate & local (ficials1 ! public1 & o!r p]sons & ag5cies ?r\gh ! use ( compreh5sive1 community-bas$ communications plans2 & 7,c7 acc\ntability to meet+ goals & timetables4 7#f7 ,database 7,a7 ,9 g5]al ,! ,adm9i/rator1 9 consultation ) ! ,adm9i/rator ( ! ,ag5cy = ,toxic ,sub/ances & ,disease ,regi/ry1 ! ,secret>y1 & ! ,director1 %all compile & regul>ly update in=mation 9 a compreh5sive electronic database t-- 7i7 is publicly accessible ?r\gh ! ,int]net2 7ii7 provides a c5traliz$ location = in=mation relat+ to-- 7,i7 disease clu/] reports & inve/igations2 7,,ii7 environm5tal pollutants or toxic sub/ances t are associat$ ) suspect$ or pot5tial disease clu/]s2 7,,iii7 illnesses associat$ ) suspect$ or pot5tial disease clu/]s1 includ+ locally g5]at$ in=mation2 7,,iv7 sy/ematic track+ ( environm5tal pollutants or toxic sub/ances & illnesses associat$ ) suspect$ or pot5tial disease clu/]s2 7,v7 actions to help address ! pot5tial causes ( disease clu/]s2 & 7,,vi7 any o!r in=mation t ! ,adm9i/rator det]m9es to be necess>y2 & 7iii7 facilitates ! rapid report+ & analysis ( in=mation describ$ 9 clause 7ii74 7,b7 ,confid5tiality ,a database describ$ 9 subp>agraph 7,a7 %all be ma9ta9$ 9 a mann] t pres]ves ! confid5tiality ( individuals4 7c7 ,community ,disease ,clu/] ,advisory ,committees 7#a7 ,9 g5]al ,! ,adm9i/rator %all e/abli% ,community ,disease ,clu/] ,advisory ,committees to provide ov]sight1 guidance1 & advice relat+ to-- 7,a7 ! inve/igation ( suspect$ & pot5tial disease clu/]s2 7,b7 ! inve/igation ( environm5tal pollutants or toxic sub/ances associat$ ) suspect$ or pot5tial disease clu/]s2 7,c7 ! inve/igation ( pot5tial causes ( disease clu/]s2 7,d7 ef=ts to address ! pot5tial causes ( disease clu/]s2 & 7,e7 ! mo/ effective means ( ensur+ outrea* to & involvem5t ( community memb]s4 7#b7 ,memb]%ip ,memb]%ip on ,community ,disease ,clu/] ,advisory ,committees %all be compris$ ( repres5tatives t include-- 7,a7 individuals :o are or may be impact$ by a suspect$ or pot5tial disease clu/]1 & ! designee ( su* an individual :o may p>ticipate ) or 9 ! place ( su* an individual2 7,b7 ,/ate or local gov]nm5t heal? or environm5tal ag5cies2 7,c7 at lea/ #b individuals1 appo9t$ by ! ,adm9i/rator 9 consultation ) ! ,adm9i/rator ( ! ,ag5cy = ,toxic ,sub/ances & ,disease ,regi/ry & ! ,director1 ) demon/rat$ k ( ! activities describ$ 9 p>agraph 7#a72 & 7,d7 o!r appropriate individuals1 z det]m9$ by ! ,adm9i/rator1 9 consultation ) ! ,adm9i/rator ( ! ,ag5cy = ,toxic ,sub/ances & ,disease ,regi/ry & ! ,director4 7#c7 ,prohibition ,no memb] ( a ,committee may h any direct or indirect conflict ( int]e/4 7#d7 ,te*nical ,assi/ance 7,a7 ,9 g5]al ,! ,adm9i/rator1 9 consultation ) ! ,adm9i/rator ( ! ,ag5cy = ,toxic ,sub/ances & ,disease ,regi/ry & ! ,director1 may make grants available to any gr\p ( individuals t may be affect$ by a suspect$ or pot5tial disease clu/]4 7,b7 ,use ( funds ,grants made available "u subp>agraph 7,a7 may be us$ to facilitate active involvem5t 9 all aspects ( ,committee activities & to assi/ ,committee memb]s 9 obta9+ te*nical assi/ance 9 int]pret+ in=mation ) reg>d to-- 7i7 ! inve/igation (-- 7,i7 suspect$ or pot5tial disease clu/]s2 7,,ii7 environm5tal pollutants or toxic sub/ances t are associat$ ) suspect$ or pot5tial disease clu/]s2 & 7,,iii7 ! pot5tial causes ( disease clu/]s2 7ii7 address+ ! pot5tial causes ( disease clu/]s2 7iii7 und]/&+ ! heal? conc]ns associat$ ) suspect$ or pot5tial disease clu/]s2 & 7iv7 und]/&+ o!r sci5tific & te*nical issues relat+ to ! activities ( a ,regional ,response ,team & ,community ,disease ,clu/] ,advisory ,committee1 includ+ ! pot5tial ne$ = & int]pretation ( any biomonitor+ ( individuals 9 ! area4 7d7 ,environm5tal rese>* & analysis ,! ,adm9i/rator1 9 consultation ) ! ,adm9i/rator ( ! ,ag5cy = ,toxic ,sub/ances & ,disease ,regi/ry1 ! ,secret>y1 & ! ,director1 %all use available au?orities & programs to compile1 rese>*1 & analyze in=mation g5]at$ by actions au?oriz$ "u ?is section1 includ+ by-- 7#a7 us+ ^? au?orities to te/ environm5tal pollutants or toxic sub/ances id5tifi$ "u subsection 7b77#f72 & 7#b7 incorporat+ environm5tal pollutants or toxic sub/ances id5tifi$ "u subsection 7b77#f7 9 appropriate national biomonitor+ initiatives4 #h4 ,f$]al reports to ,congress 7a7 ,9 g5]al ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act & annually !reaft]1 ! ,adm9i/rator1 9 consultation ) ! ,adm9i/rator ( ! ,ag5cy = ,toxic ,sub/ances & ,disease ,regi/ry1 ! ,secret>y1 & ! ,director1 %all prep>e a report t describes-- 7#a7 ! /atus ( activities "u ?is ,act to inve/igate & address ! suspect$ & pot5tial causes ( disease clu/]s2 7#b7 environm5tal pollutants or toxic sub/ances t are associat$ ) suspect$ or pot5tial disease clu/]s2 7#c7 ! pot5tial causes ( disease clu/]s2 & 7#d7 ways to address ! pot5tial causes ( ^? disease clu/]s4 7b7 ,requirem5ts ,! report %all include a description (-- 7#a7 outrea* activities to ,/ate & local (ficials & communities2 7#b7 actions t ! ,adm9i/rator has tak5 to prioritize ! te/+ ( environm5tal pollutants or toxic sub/ances2 7#c7 actions t ! ,adm9i/rator has tak5 to include environm5tal pollutants or toxic sub/ances id5tifi$ "u section #g7;b77#g7 9 appropriate national biomonitor+ initiatives2 7#d7 actions t ! ,adm9i/rator is tak+ or plans to take to address problems 9 implem5t+ ?is ,act2 7#e7 actions t ! ,secret>y is tak+ or plans to take to address problems 9 implem5t+ ?is ,act2 7#f7 actions t ! ,adm9i/rator ( ! ,ag5cy = ,toxic ,sub/ances & ,disease ,regi/ry has und]tak5 or is consid]+ tak+ ) respect to any disease clu/]s "u subp>agraphs 7,d7 & 7,e7 ( section #ajd7;i77#a7 ( ,compreh5sive ,environm5tal ,response1 ,comp5sation1 & ,liability ,act 7#db ,u4,s4,c4 #ifjd7;i77#a77 & o!r provisions ( t section2 7#g7 actions t ! ,director is tak+ or plans to take to address problems 9 implem5t+ ?is ,act2 & 7#h7 o!r relevant in=mation4 7c7 ,submission & availability ,! ,adm9i/rator %all-- 7#a7 submit ! report "u ?is subsection to-- 7,a7 ! ,committees on ,environm5t & ,public ,works & ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate2 & 7,b7 ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives2 & 7#b7 make ! report available to ! public4 #i4 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$ su* sums z are necess>y to c>ry out ?is ,act4 #aj4 ,effect on o!r law ,no?+ 9 ?is ,act modifies1 limits1 or o!rwise affects ! application (1 or obligation to comply )1 any law1 includ+ any environm5tal or public heal? 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