,i  #aad? ,,congress  #b;d ,session  ,h4
 ,r4 #fjgf  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,septemb] #bj1        
#bjaf,mr4 ,bab9 7= himself1 ,ms4        
,edw>ds1 ,mr4 ,smi? ( ,texas1 ,ms4      
,eddie ,b]nice ,johnson ( ,texas1 ,mr4  
,posey1 ,mr4 ,brid5/9e1 & ,mr4 ,abraham7
 introduc$ ! foll[+ bill2 :i* 0 ref]r$  
to ! ,committee on ,sci5ce1 ,space1 &   
,te*nology  ,a ,,bill  ,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           
,def9itions ,9 ?is ,act3  7#a7          
,adm9i/rator ,! t]m ,adm9i/rator means !
 ,adm9i/rator ( ,,nasa4  7#b7 ,crewmemb]
 ,! t]m crewmemb] means an individual   
c]tifi$ by ! ,adm9i/rator to be--  7,a7 
a =m] ,,nasa a/ronaut or payload        
speciali/ :o has fl[n on at lea/ "o     

orbital space mission2 or  7,b7 a       
managem5t ,,nasa a/ronaut :o has fl[n on
 at lea/ "o orbital space mission & is  
curr5tly employ$ by ! ,f$]al ,gov]nm5t4 
7#c7 ,,nasa ,! t]m ,,nasa means !       
,national ,a]onautics & ,space          
,adm9i/ration4  7#d7 ,program ,! t]m    
,program means ! m$ical monitor+1       
diagnosis1 & treatm5t program e/abli%$  
"u section #c4  7#e7 ,space             
flight-associat$ m$ical condition ,! t]m
 space flight-associat$ m$ical condition
 means-- 7,a7 = purposes ( m$ical       
monitor+ or diagnosis "u ! ,program1 a  
psy*ological or m$ical condition t !    
,adm9i/rator det]m9es is pot5tially     
associat$ ) human space flight2 &  7,b7 
= purposes ( m$ical treatm5t "u !       
,program1 a psy*ological or m$ical      
condition t ! ,adm9i/rator det]m9es is  
associat$ ) human space flight4  #c4    
,program = ! m$ical monitor+1 diagnosis1
 & treatm5t ( a/ronauts  7a7 ,e/abli%m5t
 ( program ,! ,adm9i/rator %all1 subject
 to section #f & subsections 7a77#b7 &  

7b77#c7 ( section #d1 e/abli% a program 
t satisfies ! requirem5ts describ$ 9    
subsection 7b7 to provide = ! m$ical    
monitor+1 diagnosis1 & treatm5t (       
crewmemb]s = space flight-associat$     
m$ical conditions4  7b7 ,program        
requirem5ts ,! requirem5ts describ$ 9   
?is subsection are ! foll[+3 7#a7 ,no   
co/ %>+ ,m$ical monitor+1 diagnosis1 &  
treatm5t %all be provid$ "u ! ,program  
)\t any d$uctibles1 copaym5ts1 or o!r   
co/ %>+ obligation = crewmemb]s         
p>ticipat+ 9 ! ,program4  7#b7 ,access  
to local s]vices ,! ,adm9i/rator %all   
design ! ,program to facilitate         
reasonable access ( a crewmemb] to      
m$ical monitor+1 diagnosis1 & treatm5t  
"u ! ,program1 includ+1 at ! option ( ! 
crewmemb]--  7,a7 directly ?r\gh ,,nasa2
 or  7,b7 f a heal? c>e provid] :o !    
crewmemb] selects & :o ent]s into an    
agreem5t ) ! ,adm9i/rator1 ) respect to 
! provision by ! provid] ( m$ical       
monitor+1 diagnosis1 & treatm5t s]vices1
 z applicable1 to su* crewmemb] "u !    

,program1 "u :i*--  7i7 ! provid] agrees
 to comply ) ! protocols issu$ "u       
subsection 7c7 ) respect to su*         
provision ( su* s]vices to su*          
crewmemb]2  7ii7 ! provid] agrees to    
submit data ) respect to su* provision (
 su* s]vices to su* crewmemb]1 z requir$
 by ! ,adm9i/rator = purposes (         
subsection 7d72  7iii7 ! provid] agrees 
to receive su* tra9+ z ! ,adm9i/rator   
may require ) respect to su* m$ical     
monitor+1 treatm5t1 & diagnosis2 &  7iv7
 ! ,adm9i/rator agrees to provide paym5t
 to su* provid] = ! provision ( su*     
s]vices to su* crewmemb] 9 accordance ) 
paym5t rates e/abli%$ by ! ,adm9i/rator 
"u ! ,program1 :i* %all be n less ?an ! 
reasonable co/s ( su* s]vices4  7#c7    
,second>y pay]  7,a7 ,9 g5]al ,subject  
to subp>agraph 7,b71 paym5t or          
reimbursem5t = 7or ! provision (7 m$ical
 monitor+1 diagnosis1 or treatm5t "u !  
,program %all be second>y to any        
obligation ( ! ,unit$ ,/ates or any ?ird
 p>ty 7includ+ any ,/ate or local       

gov]nm5tal entity1 private insurance    
c>ri]1 or employ]7 "u any o!r provision 
( law or contractual agreem5t to pay =  
or provide su* m$ical monitor+1         
diagnosis1 or treatm5t4 ,any co/s =     
items & s]vices cov]$ "u ! ,program t   
are n paid = or provid$ "u su* o!r      
provision ( law or contractual agreem5t1
 due to ! application ( d$uctibles1     
copaym5ts1 co9surance1 o!r co/ %>+1 or  
o!rwise1 are reimbursable "u ! ,program 
to ! ext5t t !y are cov]$ "u ! ,program4
  7,b7 ,conditional paym5t ,!           
,adm9i/rator may1 "u ! ,program1 provide
 = conditional paym5ts = 7or provide7   
m$ical monitor+1 diagnosis1 or treatm5t 
s]vices t is oblig$ to be paid = or     
provid$ by ! ,unit$ ,/ates or any ?ird  
p>ty describ$ 9 subp>agraph 7,a7 "u any 
o!r provision ( law or contractual      
agreem5t if--  7i7 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 &  7ii7 su* paym5t 7or su*
 provision ( s]vices7 by ! ,adm9i/rator 
"u ! ,program is condition$ on          
reimbursem5t by ! ,unit$ ,/ates or su*  
?ird p>ty1 respectively1 = su* m$ical   
monitor+1 diagnosis1 or treatm5t4  7,c7 
,consultation ,9 c>ry+ out ?is p>agraph1
 ! ,adm9i/rator may consult ) o!r ,f$]al
 (ficials ) exp]i5ce coord9at+ heal? c>e
 paym5ts ) ?ird-p>ty pay]s4  7#d7       
,volunt>y p>ticipation 9 program  7,a7  
,9 g5]al ,p>ticipation by a crewmemb] "u
 ! ,program1 includ+ ) respect to !     
provision ( m$ical monitor+1 diagnosis1 
& treatm5t to su* crewmemb]1 %all be    
volunt>y & pursuant to ! writt5 cons5t (
 su* crewmemb]4 ,su* cons5t provid$ by a
 crewmemb] %all con/itute cons5t ( !    
crewmemb] = ! ,adm9i/rator to use or    
disclose data acquir$ 9 ! c\rse ( m$ical
 monitor+1 diagnosis1 & treatm5t ( su*  
crewmemb] "u ! ,program 9 accordance )  
subsection 7d74  7,b7 ,cons5t n a       
condition = employm5t or b5efits        

,provid+ any cons5t "u subp>agraph 7,a7 
%all n be a condition =-- 7i7 employm5t 
) ,,nasa2 or  7ii7 receiv+ any sal>y or 
b5efits1 ei!r = curr5t or =m]           
crewmemb]s4  ,= purposes ( clause 7ii71 
m$ical monitor+1 diagnosis1 & treatm5t  
"u ! ,program %all n be consid]$ a      
b5efit4  7c7 ,protocols ,! ,adm9i/rator 
%all issue su* uni=m protocols = !      
provision ( m$ical monitor+1 diagnosis1 
& treatm5t furni%$ "u ! ,program4  7d7  
,data collection1 usage1 & disclosures2 
,privacy protections  7#a7 ,uni=m data  
collection ,"u ! ,program1 subject to   
p>agraph 7#c71 ! ,adm9i/rator %all      
provide-- 7,a7 = ! uni=m collection (   
data1 includ+ data on space             
flight-associat$ m$ical conditions & !  
id5tification ( new space               
flight-associat$ conditions2  7,b7 t su*
 data %all be collect$ ) respect to all 
crewmemb]s provid$ m$ical monitor+1     
diagnosis1 or treatm5t "u ! ,program =  
su* conditions2  7,c7 = ! integration ( 
su* data into ! m$ical monitor+1        

diagnosis1 & treatm5t activities "u !   
,program2  7,d7 = ! analysis (1 & regul>
 reports to ! ,adm9i/rator on1 su* data2
 &  7,e7 not)/&+ section #g7;a71 t !    
,adm9i/rator may reta9 access to su*    
data4  7#b7 ,uses & disclosures (       
in=mation ,! ,adm9i/rator may1 subject  
to p>agraph 7#c71 use or disclose data  
acquir$ 9 ! c\rse ( m$ical monitor+1    
diagnosis1 & treatm5t ( any crewmemb] "u
 ! ,program = ! foll[+ purposes3  7,a7  
,! m$ical monitor+1 diagnosis1 &        
treatm5t ( su* crewmemb] "u ! ,program4 
7,b7 ,o!r m$ical monitor+1 diagnosis1 or
 treatm5t "u ! ,program4  7,c7 ,o!r     
sci5tific & rese>* purposes4  7,d7 ,=   
purposes ( analysis & reports "u section
 #d4  7,e7 ,any o!r purpose deem$       
appropriate by ! ,adm9i/rator4  7#c7    
,privacy protections ,! data collection1
 analysis1 integration1 use1 disclosure1
 & ret5tion "u ?is subsection %all be   
conduct$ 7& su* data ma9ta9$7 9 a mann] 
t protects ! confid5tiality (           
individually id5tifiable heal? in=mation

 consi/5t ) applicable ,f$]al law1      
includ+ regulations4  #d4 ,reports & co/
 e/imate  7a7 ,annual reports  7#a7     
,requirem5t ,consi/5t ) applicable      
privacy protections "u ,f$]al law1      
includ+ regulations1 = ea* fiscal ye> ( 
! ,program1 ! ,adm9i/rator %all prep>e &
 publi% a report on activities conduct$ 
"u ! ,program1 z well z plans =         
activities to be conduct$ "u ! ,program 
dur+ ! subsequ5t fiscal ye>4 ,ea* su*   
report %all include detail$ co/ acc\nt+ 
( su* activities & five-ye> budget      
e/imates4 ,ea* report = a fiscal ye>    
%all be submitt$1 n lat] ?an ! date (   
submission ( ! ,presid5t's annual budget
 reque/ = su* fiscal ye>1 to !          
,committee on ,sci5ce1 ,space1 &        
,te*nology ( ! ,h\se ( ,repres5tatives &
 ! ,committee on ,comm]ce1 ,sci5ce1 &   
,transportation ( ! ,s5ate4  7#b7       
,failure to submit report  7,a7 ,9 g5]al
 ,subject to subp>agraph 7,b71 no funds 
are au?oriz$ to be appropriat$ = a      
fiscal ye> to c>ry out ! ,program unless

 ! ,adm9i/rator has submitt$ ! report   
requir$ "u p>agraph 7#a7 = t fiscal ye> 
by ! deadl9e e/abli%$ "u su* p>agraph4  
7,b7 ,treatm5t ( ongo+ proc$ures ,9 !   
case ( a fiscal ye> 7aft] ! fir/ fiscal 
ye> = :i* ! ,program has be5 implem5t$7 
) respect to :i* no funds w\ld be       
au?oriz$ to c>ry out ! ,program pursuant
 to subp>agraph 7,a71 not)/&+           
subp>agraph 7,a71 !re are au?oriz$ to be
 appropriat$1 subject to section #f1 =  
su* fiscal ye> su* sums z may be        
necess>y to provide t any crewmemb]     
receiv+ "u ! ,program diagnosis s]vices 
or a c\rse ( treatm5t t began on a date 
prior to ! fir/ day ( su* fiscal ye>    
%all cont9ue to be provid$ su* diagnosis
 s]vices or c\rse ( treatm5t1           
respectively 7& paym5t "u ! ,program =  
su* diagnosis s]vices or c\rse (        
treatm5t1 respectively1 %all cont9ue7   
aft] su* date until completion ( su*    
diagnosis s]vices or c\rse ( treatm5t1  
respectively4  7b7 ,co/ e/imate  7#a7   
,requirem5t ,n lat] ?an #ij days aft] ! 

date ( enactm5t ( ?is ,act1 !           
,adm9i/rator %all ent] into an          
arrangem5t ) an indep5d5t ext]nal       
organization to und]take an indep5d5t   
co/ e/imate ( ! co/ to ,,nasa & ! ,f$]al
 ,gov]nm5t to implem5t & adm9i/] !      
,program4 ,! indep5d5t ext]nal          
organization may n be a ,,nasa entity1  
su* z ! ,(fice ( ,safety & ,mission     
,assurance4  7#b7 ,submittal to         
,congress ,n lat] ?an "o 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  7#c7       
,provision ( s]vices ,! ,adm9i/rator may
 n implem5t ! ,program until ! date t is
 #ij days aft] ! date ( submission ( !  
indep5d5t co/ e/imate "u p>agraph 7#b74 
#e4 ,inspector ,g5]al audit ,!          
,inspector ,g5]al ( ,,nasa %all conduct1
 z appropriate1 p]iodic audits or       

reviews ( ! ,program z is necess>y to   
prev5t wa/e1 fraud1 & abuse4  #f4 ,fund+
 ,! ,program %all be c>ri$ out1 to !    
ext5t & 9 su* am\nts z are provid$ 9    
advance by appropriation ,acts1 us+     
exi/+ fund+ available = ,ag5cy          
,managem5t & ,op]ations 9 ! ,safety1    
,security & ,mission ,s]vices acc\nt ( !
 ,national ,a]onautics & ,space         
,adm9i/ration4  #g4 ,sunset  7a7 ,9     
g5]al ,subject to subsection 7b71 !     
,program %all t]m9ate on ! date t is #aj
 ye>s aft] ! date ( implem5tation ( !   
,program4  7b7 ,gr&fa!r ,9 ! case ( a   
crewmemb] receiv+ "u ! ,program         
diagnosis s]vices or treatm5t s]vices t 
began on a date prior to ! date (       
t]m9ation describ$ 9 subsection 7a71 !  
,adm9i/rator %all provide t su*         
diagnosis s]vices or c\rse ( treatm5t1  
respectively1 = su* crewmemb] 7& paym5t 
= su* diagnosis s]vices or c\rse (      
treatm5t1 respectively7 may1 subject to 
section #f1 cont9ue aft] su* date until 
completion ( su* diagnosis s]vices or   

c\rse ( treatm5t1 respectively4