#aad? ,,congress  #b;d ,session  ,h4 ,r4
 #fjgf  ,,an ,,act  ,to require !       
,adm9i/rator ( ! ,national ,a]onautics &
 ,space ,adm9i/ration to e/abli% a      
program = ! m$ical monitor+1 diagnosis1 
& treatm5t ( a/ronauts1 & = o!r         
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,to ,rese>*1 ,evaluate1    
,assess1 & ,treat ,a/ronauts ,act or !  
,,treat ,a/ronauts ,act4  #b4 ,f9d+s2   
s5se ( congress  7a7 ,f9d+s ,congress   
makes ! foll[+ f9d+s3  7#a7 ,human space
 exploration c pose significant *all5ges
 & is full ( sub/antial risk1 :i* has   
ultimately claim$ ! lives ( #bd         
,national ,a]onautics & ,space          
,adm9i/ration a/ronauts s]v+ 9 ! l9e (  
duty4  7#b7 ,z ,unit$ ,/ates gov]nm5t   
a/ronauts p>ticipate 9 long-duration &  
exploration spaceflight missions !y may 
exp]i5ce increas$ heal? risks1 su* z    
vision impairm5t1 bone dem9]alization1 &
 behavioral heal? & p]=mance risks1 &   
may be expos$ to galactic cosmic        
radiation4 ,exposure to high levels (   

radiation & microgravity c result 9     
acute & long-t]m heal? consequ5ces t c  
increase ! risk ( canc] & tissue        
deg5]ation & h pot5tial effects on !    
musculoskeletal sy/em1 c5tral n]v\s     
sy/em1 c>diovascul> sy/em1 immune       
function1 & vision4  7#c7 ,to advance ! 
goal ( long-duration & exploration      
spaceflight missions1 ,unit$ ,/ates     
gov]nm5t a/ronaut ,scott ,kelly         
p>ticipat$ 9 a #a-ye> tw9s /udy 9 space 
:ile 8 id5tical tw9 bro!r1 =m] ,unit$   
,/ates gov]nm5t a/ronaut ,m>k ,kelly1   
act$ z a human control specim5 on ,e>?1 
provid+ an und]/&+ ( ! physical1        
behavioral1 microbiological1 & molecul> 
reaction ( ! human body to an ext5d$    
p]iod ( "t 9 space4  7#d7 ,s9ce !       
,adm9i/ration curr5tly provides m$ical  
monitor+1 diagnosis1 & treatm5t = ,unit$
 ,/ates gov]nm5t a/ronauts dur+ _!      
active employm5t1 giv5 ! unkn[n long-t]m
 heal? consequ5ces ( long-duration space
 exploration1 ! ,adm9i/ration has       
reque/$ /atutory au?ority f ,congress to

 provide m$ical monitor+1 diagnosis1 &  
treatm5t to =m] ,unit$ ,/ates gov]nm5t  
a/ronauts = psy*ological & m$ical       
conditions associat$ ) human space      
flight4  7b7 ,s5se ( ,congress ,x is !  
s5se ( ,congress t-- 7#a7 ! ,unit$      
,/ates %\ld cont9ue to seek ! unkn[n &  
lead ! _w 9 space exploration &         
sci5tific discov]y z ! ,adm9i/ration    
prep>es = long-duration & exploration   
spaceflight 9 deep space & an ev5tual   
mission to ,m>s2  7#b7 data relat+ to ! 
heal? ( a/ronauts w become increas+ly   
valuable to improv+ our und]/&+ ( _m    
diseases humans face on ,e>?2  7#c7 !   
,adm9i/ration %\ld provide ! type (     
monitor+1 diagnosis1 & treatm5t describ$
 9 subsection 7a7 only = conditions !   
,adm9i/ration consid]s unique to ! tra9+
 or exposure to ! spaceflight environm5t
 ( ,unit$ ,/ates gov]nm5t a/ronauts &   
%\ld n require any =m] ,unit$ ,/ates    
gov]nm5t a/ronauts to p>ticipate 9 !    
,adm9i/ration's monitor+2  7#d7 su*     
monitor+1 diagnosis1 & treatm5t %\ld n  

replace a =m] ,unit$ ,/ates gov]nm5t    
a/ronaut's private heal? insurance2     
7#e7 exp&$ data acquir$ f su* monitor+1 
diagnosis1 & treatm5t %\ld be us$ to    
tailor treatm5t1 in=m ! requirem5ts =   
new spaceflight m$ical h>dw>e1 & develop
 controls 9 ord] to prev5t disease      
occurr5ce 9 ! a/ronaut corps2 &  7#f7 ! 
#cdj-;day space mission ( ,scott ,kelly 
abo>d ! ,,iss-- 7,a7 0 pivotal = ! goal 
( ! ,unit$ ,/ates = humans to explore   
deep space & ,m>s z ! mission g5]at$ new
 insight into h[ ! human body adju/s to 
weightlessness1 isolation1 radiation1 & 
! /ress ( long-duration space flight2 & 
7,b7 w help support ! physical & m5tal  
well-be+ ( a/ronauts dur+ long] space   
exploration missions 9 ! future4  #c4   
,m$ical monitor+ & rese>* relat+ to     
human space flight  7a7 ,9 g5]al        
,sub*apt] ,,iii ( *apt] #bja ( title    
#ea1 ,unit$ ,/ates ,code1 is am5d$ by   
add+ at ! end ! foll[+3  #bjadh4 ,m$ical
 monitor+ & rese>* relat+ to human space
 flight  7a7 ,9 g5]al ,not)/&+ any o!r  

provision ( law1 ! ,adm9i/rator may     
provide = ! m$ical monitor+ & diagnosis 
( a =m] ,unit$ ,/ates gov]nm5t a/ronaut 
or a =m] payload speciali/ = conditions 
t ! ,adm9i/rator consid]s pot5tially    
associat$ ) human space flight1 & may   
provide = ! treatm5t ( a =m] ,unit$     
,/ates gov]nm5t a/ronaut or a =m]       
payload speciali/ = conditions t !      
,adm9i/rator consid]s associat$ ) human 
space flight1 includ+ sci5tific & m$ical
 te/s = psy*ological & m$ical           
conditions4  7b7 ,requirem5ts  7#a7 ,no 
co/ %>+ ,! m$ical monitor+1 diagnosis1  
or treatm5t describ$ 9 subsection 7a7   
%all be provid$ )\t any d$uctible1      
copaym5t1 or o!r co/ %>+ obligation4    
7#b7 ,access to local s]vices ,! m$ical 
monitor+1 diagnosis1 & treatm5t describ$
 9 subsection 7a7 may be provid$ by a   
local heal? c>e provid] if x is         
unadvisable due to ! heal? ( !          
applicable =m] ,unit$ ,/ates gov]nm5t   
a/ronaut or =m] payload speciali/ = t   
=m] ,unit$ ,/ates gov]nm5t a/ronaut or  

=m] payload speciali/ to travel to !    
,lyndon ,b4 ,johnson ,space ,c5t]1 z    
det]m9$ by ! ,adm9i/rator4  7#c7        
,second>y paym5t ,paym5t or reimbursem5t
 = ! m$ical monitor+1 diagnosis1 or     
treatm5t describ$ 9 subsection 7a7 %all 
be second>y to any obligation ( ! ,unit$
 ,/ates gov]nm5t or any ?ird p>ty "u any
 o!r provision ( law or contractual     
agreem5t to pay = or provide su* m$ical 
monitor+1 diagnosis1 or treatm5t4 ,any  
co/s = items & s]vices t may be provid$ 
by ! ,adm9i/rator = m$ical monitor+1    
diagnosis1 or treatm5t "u subsection 7a7
 t are n paid = or provid$ "u su* o!r   
provision ( law or contractual agreem5t1
 due to ! application ( d$uctibles1     
copaym5ts1 co9surance1 o!r co/ %>+1 or  
o!rwise1 are reimbursable by !          
,adm9i/rator on behalf ( ! =m] ,unit$   
,/ates gov]nm5t a/ronaut or =m] payload 
speciali/ involv$ to ! ext5t su* items  
or s]vices are au?oriz$ to be provid$ by
 ! ,adm9i/rator = su* m$ical monitor+1  
diagnosis1 or treatm5t "u subsection    

7a74  7#d7 ,conditional paym5t ,!       
,adm9i/rator may provide = conditional  
paym5ts = or provide m$ical monitor+1   
diagnosis1 or treatm5t describ$ 9       
subsection 7a7 t is obligat$ to be paid 
= or provid$ by ! ,unit$ ,/ates or any  
?ird p>ty "u any o!r provision ( law or 
contractual agreem5t to pay = or provide
 su* m$ical monitor+1 diagnosis1 or     
treatm5t if-- 7,a7 paym5t = 7or !       
provision (7 su* m$ical monitor+1       
diagnosis1 or treatm5t s]vices has n be5
 made 7or provid$7 or _c reasonably be  
expect$ to be made 7or provid$7 promptly
 by ! ,unit$ ,/ates or su* ?ird p>ty1   
respectively2 &  7,b7 su* paym5t 7or su*
 provision ( s]vices7 by ! ,adm9i/rator 
is condition$ on reimbursem5t by !      
,unit$ ,/ates or su* ?ird p>ty1         
respectively1 = su* m$ical monitor+1    
diagnosis1 or treatm5t4  7c7 ,exclusions
 ,! ,adm9i/rator may n--  7#a7 provide =
 m$ical monitor+ or diagnosis ( a =m]   
,unit$ ,/ates gov]nm5t a/ronaut or =m]  
payload speciali/ "u subsection 7a7 =   

any psy*ological or m$ical condition t  
is n pot5tially associat$ ) human space 
flight2  7#b7 provide = treatm5t ( a =m]
 ,unit$ ,/ates gov]nm5t a/ronaut or =m] 
payload speciali/ "u subsection 7a7 =   
any psy*ological or m$ical condition t  
is n associat$ ) human space flight2 or 
7#c7 require a =m] ,unit$ ,/ates        
gov]nm5t a/ronaut or =m] payload        
speciali/ to p>ticipate 9 ! m$ical      
monitor+1 diagnosis1 or treatm5t        
au?oriz$ "u subsection 7a74  7d7        
,privacy ,consi/5t ) applicable         
provisions ( ,f$]al law relat+ to       
privacy1 ! ,adm9i/rator %all protect !  
privacy ( all m$ical records g5]at$ "u  
subsection 7a7 & accessible to !        
,adm9i/ration4  7e7 ,regulations ,!     
,adm9i/rator %all promulgate su*        
regulations z are necess>y to c>ry out  
?is section4  7f7 ,def9ition ( ,unit$   
,/ates gov]nm5t a/ronaut ,9 ?is section1
 ! t]m ,unit$ ,/ates gov]nm5t a/ronaut  
has ! mean+ giv5 ! t]m gov]nm5t a/ronaut
 9 section #ejijb1 except x does n      

include an individual :o is an          
int]national p>tn] a/ronaut4  7g7 ,data 
use & disclosure ,! ,adm9i/rator may use
 or disclose data acquir$ 9 ! c\rse (   
m$ical monitor+1 diagnosis1 or treatm5t 
( a =m] ,unit$ ,/ates gov]nm5t a/ronaut 
or a =m] payload speciali/ "u subsection
 7a71 9 accordance ) subsection 7d74    
,=m] ,unit$ ,/ates gov]nm5t a/ronaut or 
=m] payload speciali/ p>ticipation 9    
m$ical monitor+1 diagnosis1 or treatm5t 
"u subsection 7a7 %all con/itute cons5t 
= ! ,adm9i/rator to use or disclose su* 
data4  4  7b7 ,cl]ical am5dm5t ,! table 
( cont5ts = *apt] #bja ( title #ea1     
,unit$ ,/ates ,code is am5d$ by ins]t+  
aft] ! item relat+ to section #bjadg !  
foll[+3  #bjadh4 ,m$ical monitor+ &     
rese>* relat+ to human space flight  4  
7c7 ,annual reports  7#a7 ,9 g5]al ,ea* 
fiscal ye>1 n lat] ?an ! date (         
submission ( ! ,presid5t's annual budget
 reque/ = t fiscal ye> "u section #aaje 
( title #ca1 ,unit$ ,/ates ,code1 !     
,adm9i/rator ( ! ,national ,a]onautics &

 ,space ,adm9i/ration %all publi% a     
report1 9 accordance ) applicable ,f$]al
 privacy laws1 on ! activities ( !      
,national ,a]onautics & ,space          
,adm9i/ration "u section #bjadh ( title 
#ea1 ,unit$ ,/ates ,code1 z add$ by     
subsection 7a74  7#b7 ,cont5ts ,ea*     
report "u p>agraph 7#a7 %all include a  
detail$ co/ acc\nt+ ( ! ,adm9i/ration's 
activities "u su* section #bjadh ( title
 #ea1 ,unit$ ,/ates ,code1 & a #e-ye>   
budget e/imate4  7#c7 ,submission to    
,congress ,! ,adm9i/rator %all submit to
 ! appropriate committees ( ,congress   
ea* report "u p>agraph 7#a7 n lat] ?an !
 date ( submission ( ! ,presid5t's      
annual budget reque/ = t fiscal ye> "u  
section #aaje ( title #ca1 ,unit$ ,/ates
 ,code4  7d7 ,co/ e/imate  7#a7         
,requirem5t ,n lat] ?an #ij days aft] ! 
date ( enactm5t ( ?is ,act1 !           
,adm9i/rator ( ! ,national ,a]onautics &
 ,space ,adm9i/ration %all ent] into an 
arrangem5t ) an indep5d5t ext]nal       
organization to und]take an indep5d5t   

co/ e/imate ( ! co/ to ! ,national      
,a]onautics & ,space ,adm9i/ration & !  
,f$]al ,gov]nm5t to implem5t & adm9i/] !
 activities ( ! ,national ,a]onautics & 
,space ,adm9i/ration "u section #bjadh (
 title #ea1 ,unit$ ,/ates ,code1 z add$ 
by subsection 7a74 ,! indep5d5t ext]nal 
organization may n be an entity ( !     
,national ,a]onautics & ,space          
,adm9i/ration1 su* z ! ,(fice ( ,safety 
& ,mission ,assurance4  7#b7 ,submittal 
to ,congress ,n lat] ?an #a ye> aft] !  
date ( ! enactm5t ( ?is ,act1 !         
,adm9i/rator %all submit ! indep5d5t co/
 e/imate und]tak5 pursuant to p>agraph  
7#a7 to ! ,committee on ,sci5ce1 ,space1
 & ,te*nology ( ! ,h\se (               
,repres5tatives & ! ,committee on       
,comm]ce1 ,sci5ce1 & ,transportation ( !
 ,s5ate4  7e7 ,privacy /udy  7#a7 ,/udy 
,! ,adm9i/rator ( ! ,national           
,a]onautics & ,space ,adm9i/ration %all 
c>ry out a /udy on any pot5tial privacy 
or legal issues relat$ to ! possible %>+
 beyond ! ,f$]al ,gov]nm5t ( data       

acquir$ "u ! activities ( ! ,national   
,a]onautics & ,space ,adm9i/ration "u   
section #bjadh ( title #ea1 ,unit$      
,/ates ,code1 z add$ by subsection 7a74 
7#b7 ,report ,n lat] ?an #bgj days aft] 
! date ( ! enactm5t ( ?is ,act1 !       
,adm9i/rator %all submit to ! ,committee
 on ,sci5ce1 ,space1 & ,te*nology ( !   
,h\se ( ,repres5tatives & ! ,committee  
on ,comm]ce1 ,sci5ce1 & ,transportation 
( ! ,s5ate a report conta9+ ! results ( 
! /udy c>ri$ out "u p>agraph 7#a74  7f7 
,inspector ,g5]al audit ,! ,inspector   
,g5]al ( ! ,national ,a]onautics &      
,space ,adm9i/ration %all p]iodically   
audit or review1 z ! ,inspector ,g5]al  
consid]s necess>y to prev5t wa/e1 fraud1
 & abuse1 ! activities ( ! ,national    
,a]onautics & ,space ,adm9i/ration "u   
section #bjadh ( title #ea1 ,unit$      
,/ates ,code1 z add$ by subsection 7a74 
,pass$ ! ,h\se ( ,repres5tatives        
,decemb] #g1 #bjaf4;,cl]k4