,,ii #aad? ,congress #a/ ,session ,s4 #ehg ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,febru>y #bf1 #bjae,mr4 ,wyd5 7= himself & ,mr4 ,pet]s7 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,arm$ ,s]vices ,a ,,bill ,to am5d title #aj1 ,unit$ ,/ates ,code1 to require ! ,secret>y ( ,def5se to use only human-bas$ me?ods = tra9+ memb]s ( ! ,arm$ ,=ces 9 ! treatm5t ( sev]e combat injuries1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,battlefield ,excell5ce ?r\gh ,sup]ior ,tra9+ ,practices ,act or ,,be/ ,practices ,act4 #b4 ,f9d+s ,congress makes ! foll[+ f9d+s3 7#a7 ,! ,dep>tm5t ( ,def5se has made impressive /rides 9 ! developm5t & use ( me?ods ( m$ical tra9+ & troop protection1 su* z ! use ( t\rniquets & improvem5ts 9 body armor1 t h l$ to decreas$ battlefield fatalities4 7#b7 ,! ,dep>tm5t ( ,def5se uses m ?an #h1ejj live animals ea* ye> to tra9 physicians1 m$ics1 corpsm51 & o!r p]sonnel me?ods ( respond+ to sev]e battlefield injuries4 7#c7 ,! civilian sector has almo/ exclusively phas$ 9 ! use ( sup]ior human-bas$ tra9+ me?ods = num]\s m$ical proc$ures curr5tly taught 9 milit>y c\rses us+ animals4 7#d7 ,human-bas$ m$ical tra9+ me?ods su* z simulators replicate human anatomy & c all[ = repetitive practice & data collection4 7#e7 ,accord+ to sci5tific1 pe]-review$ lit]ature1 m$ical simulation increases pati5t safety & decreases errors by heal?c>e provid]s4 7#f7 ,! ,army ,rese>*1 ,developm5t & ,eng9e]+ ,comm& & o!r entities ( ! ,dep>tm5t ( ,def5se h tak5 significant /eps to develop me?ods to replace live animal-bas$ tra9+4 7#g7 ,accord+ to ! report by ! ,dep>tm5t ( ,def5se titl$ ,f9al ,report on ! use ( ,live ,animals 9 ,m$ical ,education & ,tra9+ ,jo9t ,analysis ,team1 publi%$ on ,july #ab1 #bjji-- 7,a7 validat$1 high-fidelity simulators 7 to h be5 available = ne>ly e high-volume or high-value battlefield m$ical proc$ure by ! end ( #bjaa1 & _m 7 available z ( #bjji2 & 7,b7 validat$1 high-fidelity simulators 7 to h be5 available to tea* all o!r proc$ures to respond to common battlefield injuries by #bjad4 7#h7 ,! ,c5t] = ,su/a9m5t ( ,trauma & ,read9ess ,skills ( ! ,air ,=ce exclusively uses human-bas$ tra9+ me?ods 9 its c\rses & does n use animals4 7#i7 ,9 #bjac1 ! ,army in/itut$ a policy =bidd+ non-m$ical p]sonnel f p>ticipat+ 9 tra9+ c\rses involv+ ! use ( animals4 7#aj7 ,9 #bjac1 ! m$ical s*ool ( ! ,dep>tm5t ( ,def5se1 "p ( ! ,uni=m$ ,s]vices ,univ]sity ( ! ,heal? ,sci5ces1 replac$ animal use )9 its m$ical /ud5t curriculum4 7#aa7 ,! ,coa/ ,gu>d ann\nc$ 9 #bjad t x w\ld r$uce by half ! numb] ( animals x uses = combat trauma tra9+ c\rses b /at$ t animals w\ld cont9ue to be us$ 9 c\rses design$ = ,dep>tm5t ( ,def5se p]sonnel4 7#ab7 ,effective ,janu>y #a1 #bjae1 ! ,dep>tm5t ( ,def5se replac$ animal use 9 six areas ( m$ical tra9+1 includ+ ,advanc$ ,trauma ,life ,support c\rses & ! developm5t & ma9t5ance ( surgical & critical c>e skills = field op]ational surg]y & field assessm5t & skills te/s = int]national /ud5ts (f]$ at ! ,def5se ,in/itute ( ,m$ical ,op]ations4 #c4 ,requirem5t to use human-bas$ me?ods = c]ta9 m$ical tra9+ 7a7 ,9 g5]al ,*apt] #aja ( title #aj1 ,unit$ ,/ates ,code1 is am5d$ by add+ at ! end ! foll[+ new section3 #bjag4 ,use ( human-bas$ me?ods = c]ta9 m$ical tra9+ 7a7 ,combat trauma injuries 7#a7 ,n lat] ?an ,octob] #a1 #bjah1 ! ,secret>y ( ,def5se %all develop1 te/1 & validate human-bas$ tra9+ me?ods = ! purpose ( tra9+ memb]s ( ! ,arm$ ,=ces 9 ! treatm5t ( combat trauma injuries ) ! goal ( replac+ live animal-bas$ tra9+ me?ods4 7#b7 ,n lat] ?an ,octob] #a1 #bjbj1 ! ,secret>y-- 7,a7 %all only use human-bas$ tra9+ me?ods = ! purpose ( tra9+ memb]s ( ! ,arm$ ,=ces 9 ! treatm5t ( combat trauma injuries2 & 7,b7 may n use animals = su* purpose4 7b7 ,exception = p>ticul> comm&s & tra9+ me?ods 7#a7 ,! ,secret>y may exempt a p>ticul> comm&1 p>ticul> tra9+ me?od1 or bo?1 f ! requirem5t = human-bas$ tra9+ me?ods "u subsection 7a77#b7 if ! ,secret>y det]m9es t human-bas$ tra9+ me?ods w n provide an educationally equival5t or sup]ior sub/itute = live animal-bas$ tra9+ me?ods = su* comm& or tra9+ me?od1 z ! case may be4 7#b7 ,any exemption "u ?is subsection %all be = su* p]iod1 n m ?an "o ye>1 z ! ,secret>y %all specify 9 grant+ ! exemption4 ,any exemption may be r5ew$ 7subject to ! prec$+ s5t5ce74 7c7 ,annual reports 7#a7 ,n lat] ?an ,octob] #a1 #bjaf1 & ea* ye> !reaft]1 ! ,secret>y %all submit to ! congressional def5se committees a report on ! developm5t & implem5tation ( human-bas$ tra9+ me?ods = ! purpose ( tra9+ memb]s ( ! ,arm$ ,=ces 9 ! treatm5t ( combat trauma injuries "u ?is section4 7#b7 ,ea* report "u ?is subsection on or aft] ,octob] #a1 #bjbj1 %all include a description ( any exemption "u subsection 7b7 t is 9 =ce z ! "t ( su* report1 & a curr5t ju/ification = su* exemption4 7d7 ,def9itions ,9 ?is section3 7#a7 ,! t]m combat trauma injuries means sev]e injuries likely to occur dur+ combat1 includ+-- 7,a7 hemorrhage2 7,b7 t5sion pneumo?orax2 7,c7 amputation result+ f bla/ injury2 7,d7 compromises to ! airway2 & 7,e7 o!r injuries4 7#b7 ,! t]m human-bas$ tra9+ me?ods means1 ) respect to tra9+ individuals 9 m$ical treatm5t1 ! use ( sy/ems & devices t d n use animals1 includ+-- 7,a7 simulators2 7,b7 p>tial task tra9]s2 7,c7 m\lage2 7,d7 simulat$ combat environm5ts2 7,e7 human cadav]s2 & 7,f7 rotations 9 civilian & milit>y trauma c5t]s4 7#c7 ,! t]m p>tial task tra9]s means tra9+ aids t all[ individuals to le>n or practice specific m$ical proc$ures4 4 7b7 ,cl]ical am5dm5t ,! table ( sections at ! beg9n+ ( *apt] #aja ( su* title is am5d$ by add+ at ! end ! foll[+ new item3 #bjag4 ,use ( human-bas$ me?ods = c]ta9 m$ical tra9+4 4