,,ii  #aad? ,,congress  #b;d ,session   
,s4 #bhhh  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,april #bh1 #bjaf ,mr4 
,burr 7= himself1 ,mr4 ,tillis1 & ,mr4  
,nelson7 introduc$ ! foll[+ bill2 :i* 0 
read twice & ref]r$ to ! ,committee on  
,vet]ans' ,affairs  ,a ,,bill  ,to am5d 
! ,public ,heal? ,s]vice ,act ) respect 
to ! ,ag5cy = ,toxic ,sub/ances &       
,disease ,regi/ry's review & publication
 ( illness & conditions relat+ to       
vet]ans /ation$ at ,camp ,lejeune1 ,nor?
 ,c>ol9a1 & _! family memb]s4  #a4 ,%ort
 title  ,?is ,act may be cit$ z ! ,janey
 ,ensm+] ,act ( #bjaf4  #b4 ,review (   
illnesses & conditions relat+ to vet]ans
 /ation$ at ,camp ,lejeune1 ,nor?       
,c>ol9a1 & _! family memb]s  7a7 ,review
 & publication ( illness or condition   
,"p ,p ( title ,,iii ( ! ,public ,heal? 
,s]vice ,act 7#db ,u4,s4,c4 #bhj;g et   
seq47 is am5d$ by add+ at ! end !       
foll[+3  #cii,v-#f4 ,review &           
publication ( illnesses & conditions    
7a7 ,9 g5]al ,consi/5t ) section        

#ajd7;i7 ( ! ,compreh5sive ,environm5tal
 ,response1 ,comp5sation1 & ,liability  
,act ( #aihj1 n lat] ?an #a ye> aft] !  
date ( enactm5t ( ?is section1 & n less 
frequ5tly ?an once e #c ye>s !reaft]1 ! 
,secret>y1 act+ ?r\gh ! ,adm9i/rator ( !
 ,ag5cy = ,toxic ,sub/ances & ,disease  
,regi/ry1 %all--  7#a7 7,a7 review !    
sci5tific lit]ature relevant to !       
relation%ip betwe5 ! employm5t or       
resid5ce ( individuals at ,camp         
,lejeune1 ,nor? ,c>ol9a1 = n few] ?an   
#cj days dur+ ! p]iod beg9n+ on ,augu/  
#a1 #aiec1 & end+ on ,decemb] #ba1      
#aihg1 & specific illnesses or          
conditions incurr$ by ^? individuals2   
7,b7 det]m9e ea* illness or condition = 
:i* !re is evid5ce t exposure to a toxic
 sub/ance at ,camp ,lejeune1 ,nor?      
,c>ol9a1 dur+ ! p]iod specifi$ 9        
subp>agraph 7,a7 may be a cause ( !     
illness or condition2 &  7,c7 ) respect 
to ea* illness or condition = :i* a     
det]m9ation has be5 made "u subp>agraph 
7,b71 categorize ! evid5ce ( !          

connection ( ! illness or condition to  
exposure describ$ 9 t subp>agraph z--   
7i7 suffici5t to conclude ) reasonable  
confid5ce t ! exposure is a cause ( !   
illness or condition2  7ii7 mode/       
support+ causation1 b n suffici5t to    
conclude ) reasonable confid5ce t       
exposure is a cause ( ! illness or      
condition2 or  7iii7 no m ?an limit$    
support+ causation2  7#b7 publi% 9 !    
,f$]al ,regi/] & on ! ,int]net website (
 ! ,dep>tm5t ( ,heal? & ,human          
,s]vices--  7,a7 a li/ ( ea* illness or 
condition = :i* a det]m9ation has be5   
made "u p>agraph 7#a77;,b71 includ+ !   
categorization ( ! evid5ce ( causal     
connection relat+ to ! illness or       
condition "u p>agraph 7#a77;,c72 &  7,b7
 ! bibliographic citations = all        
lit]ature review$ "u p>agraph 7#a7 = ea*
 illness or condition li/$ "u su*       
p>agraph2 &  7#c7 update ! li/ "u       
p>agraph 7#b71 z applicable1 to add an  
illness or condition = :i* a det]m9ation
 has be5 made "u p>agraph 7#a77;,b71    

includ+ ! categorization ( ! evid5ce (  
causal connection relat+ to ! illness or
 condition "u p>agraph 7#a77;,c71 s9ce  
su* li/ 0 la/ updat$ consi/5t ) !       
requirem5ts ( ?is subsection4  4  7b7   
,eligibility = heal? c>e f ,dep>tm5t (  
,vet]ans ,affairs  7#a7 ,9 g5]al        
,section #agaj7;e77#a77;,f7 ( title #ch1
 ,unit$ ,/ates ,code1 is am5d$-- 7,a7 by
 r$esignat+ clauses 7i7 ?r\gh 7xv7 z    
subclauses 7,i7 ?r\gh 7,,xv71           
respectively2  7,b7 by /rik+ 7,f7       
,subject to & ins]t+ 7,f77i7 ,subject   
to2  7,c7 by /rik+ any ( ! foll[+ &     
ins]t+ any ( ! illnesses or conditions =
 :i* ! evid5ce ( connection ( ! illness 
or condition to exposure to a toxic     
sub/ance at ,camp ,lejeune1 ,nor?       
,c>ol9a1 dur+ su* p]iod is categoriz$ z 
suffici5t or mode/ 9 ! mo/ rec5t li/    
publi%$ "u section #cii,v-#f7;a77#b7 ( !
 ,public ,heal? ,s]vice ,act1 :i* may   
include any ( ! foll[+2 &  7,d7 by add+ 
at ! end ! foll[+ new clause3  7ii7 ,= !
 purposes ( ensur+ cont9uation ( c>e1   

any vet]an :o has be5 furni%$ hospital  
c>e or m$ical s]vices "u ?is subp>agraph
 = an illness or condition %all rema9   
eligible = hospital c>e or m$ical       
s]vices = su* illness or condition      
not)/&+ t ! evid5ce ( connection ( su*  
illness or condition to exposure to a   
toxic sub/ance at ,camp ,lejeune1 ,nor? 
,c>ol9a1 dur+ ! p]iod describ$ 9 clause 
7i7 is n categoriz$ z suffici5t or mode/
 9 ! mo/ rec5t li/ publi%$ "u section   
#cii,v-#f7;a77#b7 ( ! ,public ,heal?    
,s]vice ,act4  4  7#b7 ,family memb]s   
,section #aghg ( su* title is am5d$ by  
add+ at ! end ! foll[+ new subsection3  
7c7 ,cont9uation ( c>e ,= ! purposes (  
ensur+ cont9uation ( c>e1 any individual
 :o has be5 furni%$ hospital c>e or     
m$ical s]vices "u ?is section = an      
illness or condition %all rema9 eligible
 = hospital c>e or m$ical s]vices = su* 
illness or condition not)/&+ t ! illness
 or condition is no long] describ$ 9    
section #agaj7;e77#a77;,f7 ( ?is title4 
4  7#c7 ,transf] ( am\nts = program     

,not)/&+ any o!r provision ( law1 = ea* 
( fiscal ye>s #bjag & #bjah1 ! ,secret>y
 ( ,vet]ans ,affairs %all transf]       
#b1jjj1jjj f am\nts made available to ! 
,dep>tm5t ( ,vet]ans ,affairs = m$ical  
support & compliance to ! ,*ief ,bus9ess
 ,(fice & ,f9ancial ,s]vices ,c5t] ( !  
,dep>tm5t to be us$ to cont9ue build+ & 
enhanc+ ! claims process+ sy/em1        
eligibility sy/em1 & web portal = !     
,camp ,lejeune ,family ,memb] ,program (
 ! ,dep>tm5t4