,,ii #aad? ,,congress #a/ ,session ,s4 #ija ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,april #ac1 #bjae,mr4 ,moran 7= himself & ,mr4 ,blum5?al7 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,vet]ans' ,affairs ,a ,,bill ,to e/abli% 9 ! ,dep>tm5t ( ,vet]ans ,affairs a national c5t] = rese>* on ! diagnosis & treatm5t ( heal? conditions ( ! desc5dants ( vet]ans expos$ to toxic sub/ances dur+ s]vice 9 ! ,arm$ ,=ces t are relat$ to t exposure1 to e/abli% an advisory bo>d on su* heal? conditions1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,toxic ,exposure ,rese>* ,act ( #bjae4 #b4 ,def9itions ,9 ?is ,act3 7#a7 ,arm$ ,=ce ,! t]m ,arm$ ,=ce means ! ,unit$ ,/ates ,army1 ,navy1 ,m>9e ,corps1 ,air ,=ce1 or ,coa/ ,gu>d1 includ+ ! res]ve compon5ts !re(4 7#b7 ,desc5dant ,! t]m desc5dant means1 ) respect to an individual1 ! biological *ild1 gr&*ild1 or great-gr&*ild ( t individual4 7#c7 ,expos$ ,! t]m expos$ means1 ) respect to a toxic sub/ance1 t an individual came into contact ) t toxic sub/ance 9 a mann] t c\ld be haz>d\s to ! heal? ( t individual1 t may include if t toxic sub/ance 0 inhal$1 +e/$1 or t\*$ ! sk9 or eyes4 7#d7 ,exposure ,! t]m exposure means1 ) respect to a toxic sub/ance1 an ev5t dur+ :i* an individual 0 expos$ to t toxic sub/ance4 7#e7 ,toxic sub/ance ,! t]m toxic sub/ance means any sub/ance det]m9$ by ! ,adm9i/rator ( ! ,environm5tal ,protection ,ag5cy to be h>mful to ! environm5t or haz>d\s to ! heal? ( an individual if inhal$ or +e/$ by or absorb$ ?r\gh ! sk9 ( t individual4 7#f7 ,vet]an ,! t]m vet]an has ! mean+ giv5 t t]m 9 section #aja ( title #ch1 ,unit$ ,/ates ,code4 #c4 ,national c5t] = rese>* on ! diagnosis & treatm5t ( heal? conditions ( ! desc5dants ( individuals expos$ to toxic sub/ances dur+ s]vice 9 ! ,arm$ ,=ces t are relat$ to su* s]vice 7a7 ,national c5t] 7#a7 ,9 g5]al ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,vet]ans ,affairs %all1 9 consultation ) ! ,advisory ,bo>d e/abli%$ "u section #d1 select a m$ical c5t] ( ! ,dep>tm5t ( ,vet]ans ,affairs to s]ve z ! national c5t] = rese>* on ! diagnosis & treatm5t ( heal? conditions ( desc5dants ( individuals expos$ to toxic sub/ances :ile s]v+ z memb]s ( ! ,arm$ ,=ces t are relat$ to su* exposure 79 ?is ,act ref]r$ to z ! ,national ,c5t]74 7#b7 ,crit]ia = selection 7,a7 ,9 g5]al ,! ,national ,c5t] %all be select$ "u p>agraph 7#a7 f among m$ical c5t]s ( ! ,dep>tm5t ) exp]tise describ$ 9 subp>agraph 7,b71 or t are affiliat$ ) rese>* m$ical c5t]s or tea*+ hospitals ) su* exp]tise1 t seek to be select$ "u ?is section4 7,b7 ,exp]tise describ$ ,! exp]tise describ$ 9 ?is subp>agraph is-- 7i7 exp]tise 9 diagnos+ & treat+ functional & /ructural bir? defects2 or 7ii7 exp]tise 9 c>+ = individuals expos$ to toxic sub/ances & diagnos+ & treat+ any heal? conditions result+ f su* exposure4 7,c7 ,pref]5ce ,pref]5ce = selection "u p>agraph 7#a7 %all be giv5 to m$ical c5t]s ( ! ,dep>tm5t ) exp]tise describ$ 9 clauses 7i7 & 7ii7 ( subp>agraph 7,b71 or t are affiliat$ ) rese>* m$ical c5t]s or tea*+ hospitals ) su* exp]tise4 7b7 ,rese>* 7#a7 ,9 g5]al ,! ,national ,c5t] %all conduct rese>* on ! diagnosis & treatm5t ( heal? conditions ( desc5dants ( individuals expos$ to toxic sub/ances :ile s]v+ z memb]s ( ! ,arm$ ,=ces t are relat$ to t exposure4 7#b7 ,/udies ,9 conduct+ rese>* "u p>agraph 7#a71 ! ,national ,c5t] %all /udy individuals1 at ! election ( ! individual1 = :om ! ,secret>y has made "o ( ! foll[+ det]m9ations3 7,a7 7i7 ,! individual is a desc5dant ( an individual :o s]v$ z a memb] ( ! ,arm$ ,=ces2 7ii7 su* memb] 0 expos$ to a toxic sub/ance :ile s]v+ z a memb] ( ! ,arm$ ,=ces2 & 7iii7 su* desc5dant is afflict$ ) a heal? condition t is relat$ to ! exposure ( su* memb] to su* toxic sub/ance4 7,b7 7i7 ,! individual 0 expos$ to a toxic sub/ance :ile s]v+ z a memb] ( ! ,arm$ ,=ces2 & 7ii7 su* individual is afflict$ ) a heal? condition t is relat$ to ! exposure ( su* individual to su* toxic sub/ance4 7#c7 ,use ( records 7,a7 ,9 g5]al ,! ,secret>y ( ,def5se or ! head ( a ,f$]al ag5cy %all make available to ! ,secret>y ( ,vet]ans ,affairs = review records held by ! ,dep>tm5t ( ,def5se1 an ,arm$ ,=ce1 or t ,f$]al ag5cy1 z appropriate1 t might assi/ ! ,secret>y ( ,vet]ans ,affairs 9 mak+ ! det]m9ations requir$ by p>agraph 7#b74 7,b7 ,me*anism ,! ,secret>y ( ,vet]ans ,affairs & ! ,secret>y ( ,def5se or ! head ( ! appropriate ,f$]al ag5cy %all jo9tly e/abli% a me*anism = ! availability & review ( records by ! ,secret>y ( ,vet]ans ,affairs "u subp>agraph 7,a74 7c7 ,social work]s ,! ,national ,c5t] %all employ n less ?an "o lic5s$ cl9ical social work] to coord9ate access ( individuals to appropriate ,f$]al1 ,/ate1 & local social & heal?c>e programs & to h&le case managem5t4 7d7 ,reimbursem5t = necess>y travel & room & bo>d ,! ,national ,c5t] %all reimburse any individual p>ticipat+ 9 a /udy pursuant to subsection 7b71 & any p>5t1 gu>dian1 sp\se1 or sibl+ :o accompanies su* individual1 = ! reasonable co/ (-- 7#a7 travel to ! ,national ,c5t] = p>ticipation 9 su* /udy2 & 7#b7 room & bo>d dur+ ! p]iod 9 :i* su* individual is p>ticipat+ 9 su* /udy at ! ,national ,c5t]4 7e7 ,reports 7#a7 ,annual report 7,a7 ,9 g5]al ,n less frequ5tly ?an annually1 ! ,national ,c5t] %all submit to ,congress & ! ,advisory ,bo>d e/abli%$ "u section #d a report on ! functions ( ! ,national ,c5t] dur+ ! ye> prec$+ ! submittal ( ! report t includes a summ>y ( ! rese>* ef=ts ( ! ,national ,c5t] t h be5 complet$ dur+ su* ye> & t are ongo+ z ( ! date ( ! submittal ( ! report4 7,b7 ,^u reque/ ,^u ! reque/ ( any organization exempt f taxation "u section #eja7;c77#ai7 ( ! ,int]nal ,rev5ue ,code ( #aihf1 ! ,national ,c5t] %all submit a copy ( a report submitt$ "u subp>agraph 7,a7 to su* organization4 7#b7 ,qu>t]ly report to ,advisory ,bo>d ,n less frequ5tly ?an qu>t]ly1 ! ,national ,c5t] %all submit to ! ,advisory ,bo>d a report on ! functions ( ! ,national ,c5t] dur+ ! qu>t] prec$+ ! submittal ( ! report t includes ! foll[+3 7,a7 ,a summ>y ( ! rese>* ef=ts ( ! ,national ,c5t] dur+ su* qu>t]4 7,b7 ,a description ( any det]m9ations made by ! ,national ,c5t] pursuant to su* rese>* ef=ts reg>d+ :e!r heal? conditions ( desc5dants ( individuals expos$ to toxic sub/ances :ile s]v+ z memb]s ( ! ,arm$ ,=ces are relat$ to t exposure4 #d4 ,advisory bo>d 7a7 ,e/abli%m5t ,n lat] ?an #ahj days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,vet]ans ,affairs %all e/abli% an advisory bo>d 79 ?is section ref]r$ to z ! ,advisory ,bo>d7 to ov]see & assess ! ,national ,c5t] e/abli%$ "u section #c & to advise ! ,secret>y ( ,vet]ans ,affairs ) respect to ! "w ( ! ,national ,c5t]4 7b7 ,memb]%ip 7#a7 ,composition ,n lat] ?an #abj days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,vet]ans ,affairs1 9 consultation ) ! ,secret>y ( ,heal? & ,human ,s]vices1 ! ,director ( ! ,national ,in/itute ( ,environm5tal ,heal? ,sci5ces1 & o!r heads ( ,f$]al ag5cies z ! ,secret>y ( ,vet]ans ,affairs det]m9es appropriate-- 7,a7 %all select n less ?an #ac vot+ memb]s ( ! ,advisory ,bo>d1 ( :om-- 7i7 n less ?an ?ree %all be memb]s ( organizations exempt f taxation "u section #eja7;c77#ai7 ( ! ,int]nal ,rev5ue ,code ( #aihf2 7ii7 n less ?an "o %all be-- 7,i7 a desc5dant ( an individual :o 0 expos$ to toxic sub/ances :ile s]v+ z a memb] ( ! ,arm$ ,=ces & ! desc5dant has manife/$ a /ructural or functional bir? defect or a heal? condition t is relat$ to ! exposure ( su* individual to su* toxic sub/ance2 or 7,,ii7 a p>5t1 *ild1 or gr&*ild ( t desc5dant2 7iii7 n less ?an six %all be heal? pr(essionals1 sci5ti/s1 or academics :o are n employees ( ! ,f$]al ,gov]nm5t & h exp]tise 9-- 7,i7 bir? defects2 7,,ii7 developm5tal disabilities2 7,,iii7 epig5etics2 7,,iv7 public heal?2 7,v7 ! sci5ce ( environm5tal exposure or environm5tal exposure assessm5t2 7,,vi7 ! sci5ce ( toxic sub/ances2 or 7,,vii7 m$ical & rese>* e?ics2 & 7iv7 additional memb]s may be select$ f among social work]s & advocates = vet]ans or memb]s ( ! ,arm$ ,=ces :o are n employees ( ! ,f$]al ,gov]nm5t2 & 7,b7 may select nonvot+ memb]s f among individuals describ$ 9 clause 7iii7 or 7iv7 ( subp>agraph 7,a7 :o are employees ( ! ,f$]al ,gov]nm5t4 7#b7 ,*airp]son ,! ,secret>y %all select a ,*airp]son f among ! memb]s ( ! ,advisory ,bo>d4 7#c7 ,t]ms 7,a7 ,9 g5]al ,ea* memb] ( ! ,advisory ,bo>d %all s]ve a t]m ( two or ?ree ye>s z det]m9$ by ! ,secret>y4 7,b7 ,reappo9tm5t ,at ! end ( ! t]m ( a memb] ( ! ,advisory ,bo>d1 ! ,secret>y may reselect ! memb] = ano!r t]m1 except t no memb] may s]ve m ?an f\r consecutive t]ms4 7c7 ,duties ,! ,advisory ,bo>d %all-- 7#a7 ov]see & assess ! "w ( ! ,national ,c5t]2 7#b7 n less frequ5tly ?an qu>t]ly1 meet ) ! director or ano!r repres5tative ( ! ,national ,c5t] on ! "w conduct$ at ! ,national ,c5t]1 includ+ ! rese>* ef=ts ( ! ,national ,c5t]2 7#c7 review ! annual report submitt$ by ! ,national ,c5t] to ,congress & ! ,advisory ,bo>d "u section #c7;e77#a72 & 7#d7 advise ! ,secret>y ( ,vet]ans ,affairs on-- 7,a7 issues relat$ to ! rese>* conduct$ at ! ,national ,c5t]2 7,b7 heal? conditions ( desc5dants ( individuals expos$ to toxic sub/ances :ile s]v+ z memb]s ( ! ,arm$ ,=ces t are relat$ to ! exposure ( su* individual to su* toxic sub/ance2 7,c7 heal? c>e s]vices t are ne$$ by ! desc5dants ( individuals expos$ to toxic sub/ances :ile s]v+ z memb]s ( ! ,arm$ ,=ces = heal? conditions t are relat$ to ! exposure ( su* individual to su* toxic sub/ance2 & 7,d7 any det]m9ations or recomm5dations t ! ,advisory ,bo>d may h ) respect to ! feasibility & advisability ( ! ,dep>tm5t provid+ heal? c>e s]vices describ$ 9 subp>agraph 7,c7 to desc5dants describ$ 9 su* subp>agraph1 includ+ a description ( *anges to exi/+ policy4 7d7 ,report 7#a7 ,9 g5]al ,n lat] ?an "o ye> aft] ! e/abli%m5t ( ! ,advisory ,bo>d "u subsection 7a71 & n less frequ5tly ?an once ea* ye> !reaft]1 ! ,advisory ,bo>d %all submit to ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate1 ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives1 & ! ,secret>y ( ,vet]ans ,affairs a report on ! recomm5dations ( ! ,advisory ,bo>d4 7#b7 ,elem5ts ,ea* report submitt$ "u p>agraph 7#a7 %all include recomm5dations = adm9i/rative or legislative action1 includ+ recomm5dations = fur!r rese>* by ! ,national ,c5t]1 ) respect to ea* heal? condition ( a desc5dant ( an individual expos$ to a toxic sub/ance :ile s]v+ z a memb] ( ! ,arm$ ,=ces = :i* ! ,national ,c5t] has made "o ( ! foll[+ det]m9ations 9 conduct+ rese>* "u section #c7;b73 7,a7 ,! heal? condition is relat$ to ! exposure ( su* individual to su* toxic sub/ance4 7,b7 ,x is uncle> :e!r ! heal? condition is relat$ to ! exposure ( su* individual to su* toxic sub/ance4 7,c7 ,! heal? condition is n relat$ to ! exposure ( su* individual to su* toxic sub/ance4 7e7 ,meet+s ,! ,advisory ,bo>d %all meet at ! call ( ! ,*air1 b n less frequ5tly ?an qu>t]ly4 7f7 ,comp5sation ,! memb]s ( ! ,advisory ,bo>d %all s]ve )\t comp5sation4 7g7 ,exp5ses ,! ,secret>y ( ,vet]ans ,affairs %all det]m9e ! appropriate exp5ses ( ! ,advisory ,bo>d4 7h7 ,p]sonnel 7#a7 ,9 g5]al ,! ,*airp]son may1 )\t reg>d to ! civil s]vice laws & regulations1 appo9t an executive director ( ! ,advisory ,bo>d1 :o %all be a civilian employee ( ! ,dep>tm5t ( ,vet]ans ,affairs1 & su* o!r p]sonnel z may be necess>y to enable ! ,advisory ,bo>d to p]=m its duties4 7#b7 ,approval ,! appo9tm5t ( an executive director "u p>agraph 7#a7 %all be subject to approval by ! ,advisory ,bo>d4 7#c7 ,comp5sation ,! ,*airp]son may fix ! comp5sation ( ! executive director & o!r p]sonnel )\t reg>d to ! provisions ( *apt] #ea & sub*apt] ,,iii ( *apt] #ec ( title #e1 ,unit$ ,/ates ,code1 except t ! rate ( pay = ! executive director & o!r p]sonnel may n exce$ ! rate payable = level ,v ( ! ,executive ,s*$ule "u section #ecaf ( su* title4 #e4 ,declassification by ,dep>tm5t ( ,def5se ( c]ta9 incid5ts ( exposure ( memb]s ( ! ,arm$ ,=ces to toxic sub/ances 7a7 ,9 g5]al ,! ,secret>y ( ,def5se %all declassify docum5ts relat$ to any kn[n incid5t 9 :i* n less ?an #ajj memb]s ( ! ,arm$ ,=ces 7 expos$ to a toxic sub/ance t result$ 9 at lea/ "o case ( a disability t a memb] ( ! m$ical pr(ession has det]m9$ to be associat$ ) t toxic sub/ance4 7b7 ,limitation ,! declassification requir$ by subsection 7a7 %all be limit$ to in=mation necess>y = an individual :o 0 pot5tially expos$ to a toxic sub/ance to det]m9e ! foll[+3 7#a7 ,:e!r t individual 0 expos$ to t toxic sub/ance4 7#b7 ,! pot5tial sev]ity ( ! exposure ( t individual to t toxic sub/ance4 7#c7 ,any pot5tial heal? conditions t may h result$ f exposure to t toxic sub/ance4 7c7 ,exception ,! ,secret>y ( ,def5se is n requir$ to declassify docum5ts if ! ,secret>y det]m9es t declassification ( ^? docum5ts w\ld mat]ially & imm$iately ?reat5 ! security ( ! ,unit$ ,/ates4 #f4 ,national outrea* campaign on pot5tial long-t]m heal? effects ( exposure to toxic sub/ances by memb]s ( ! ,arm$ ,=ces & _! desc5dants 7a7 ,9 g5]al ,! ,secret>y ( ,vet]ans ,affairs %all1 9 consultation ) ! ,secret>y ( ,heal? & ,human ,s]vices & ! ,secret>y ( ,def5se1 conduct a national outrea* & education campaign direct$ t[>d memb]s ( ! ,arm$ ,=ces1 vet]ans1 & _! family memb]s to communicate ! foll[+ in=mation3 7#a7 ,in=mation on-- 7,a7 incid5ts ( exposure ( memb]s ( ! ,arm$ ,=ces to toxic sub/ances2 7,b7 heal? conditions result+ f su* exposure2 & 7,c7 ! pot5tial long-t]m effects ( su* exposure on ! individuals expos$ to ^? sub/ances & ! desc5dants ( ^? individuals4 7#b7 ,in=mation on ! ,national ,c5t] e/abli%$ "u section #c = individuals eligible to p>ticipate 9 /udies conduct$ at ! ,national ,c5t]4 7b7 ,dep>tm5t ( ,vet]ans ,affairs ,9 c>ry+ out ?is section1 ! ,secret>y ( ,vet]ans ,affairs %all design & implem5t ! national outrea* & education campaign conduct$ "u subsection 7a71 includ+-- 7#a7 by di/ribut+ pr9t$ mat]ials conta9+ ! in=mation describ$ 9 subsection 7a7 to vet]ans2 7#b7 by publi%+ su* in=mation on an ,int]net website ( ! ,dep>tm5t ( ,vet]ans ,affairs t is available to ! public2 7#c7 by pres5t+ su* in=mation 9 p]son at facilities t s]ve a l>ge numb] ( vet]ans or memb]s ( ! ,arm$ ,=ces2 & 7#d7 by educat+ employees ( all m$ical facilities ( ! ,dep>tm5t ) respect to su* in=mation & provid+ su* employees ) pr9t$ mat]ials conta9+ su* in=mation4 7c7 ,dep>tm5t ( ,def5se ,! ,secret>y ( ,def5se %all assi/ ! ,secret>y ( ,vet]ans ,affairs 9 implem5t+ ! national outrea* & education campaign conduct$ "u subsection 7a7-- 7#a7 by mak+ ! in=mation describ$ 9 subsection 7a7 available to all memb]s ( ! ,arm$ ,=ces & _! families2 7#b7 by notify+ all memb]s ( ! ,arm$ ,=ces ( su* in=mation2 & 7#c7 by publi%+ su* in=mation on an ,int]net website ( ! ,dep>tm5t ( ,def5se t is available to ! public4 7d7 ,dep>tm5t ( ,heal? & ,human ,s]vices ,! ,secret>y ( ,heal? & ,human ,s]vices %all assi/ ! ,secret>y ( ,vet]ans ,affairs 9 implem5t+ ! national outrea* & education campaign conduct$ "u subsection 7a7-- 7#a7 by mak+ ! in=mation describ$ 9 subsection 7a7 available to memb]s ( ! heal? c>e pr(ession2 7#b7 by notify+ su* memb]s ( su* in=mation2 & 7#c7 by publi%+ su* in=mation on an ,int]net website ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices t is available to ! public4 #g4 ,prohibition on new appropriations ,no additional funds are au?oriz$ to be appropriat$ to c>ry out ?is ,act & ?is ,act %all be c>ri$ out us+ am\nts o!rwise made available = ! purposes ( ?is ,act4