,i  #aafth ,,congress  #ast ,session    
,h4 ,r4 #bbjj  ,,in ,,the ,,house ,,of  
,,representatives  ,april #aj1 #bjai,mr4
 ,westerman 7for himself1 ,mr4          
,cunningham1 ,mr4 ,brendan ,f4 ,boyle of
 ,pennsylvania1 ,mr4 ,thompson of       
,california1 ,ms4 ,kuster of ,new       
,hampshire1 ,mr4 ,fitzpatrick1 ,mr4     
,tipton1 and ,ms4 ,stefanik7 introduced 
the following bill2 which was referred  
to the ,committee on ,veterans' ,affairs
  ,a ,,bill  ,to amend title #ch1       
,united ,states ,code1 to ensure that   
certain diseases are covered by the     
presumption of service connection       
relating to the exposure to herbicides  
by certain veterans who served in the   
,republic of ,vietnam1 and for other    
purposes4  #a4 ,short title ,this ,act  
may be cited as the ,keeping ,our       
,promises ,act4  #b4 ,addition of       
diseases to presumption of service      
connection for veterans exposed to      
certain herbicides while serving in the 
,republic of ,vietnam  7a7 ,specified   

diseases ,subsection 7a77#b7 of section 
#aaaf of title #ch1 ,united ,states     
,code1 is amended by adding at the end  
the following new subparagraphs3  7,k7  
,prostate cancer becoming manifest to a 
degree of disability of #aj percent or  
more4  7,l7 ,cancer of the urinary      
bladder becoming manifest to a degree of
 disability of #aj percent or more4     
7,m7 ,,al amyloidosis becoming manifest 
to a degree of disability of #aj percent
 or more4  7,n7 ,early-onset peripheral 
neuropathy becoming manifest to a degree
 of #aj percent or more within one year 
after the last date on which the veteran
 was exposed to an herbicide agent      
during active military1 naval1 or air   
service4  7,o7 ,parkinson's disease     
7including ,parkinsonism and            
,parkinson-like syndromes7 becoming     
manifest to a degree of disability of   
#aj percent or more4  7,p7 ,ischemic    
heart disease becoming manifest to a    
degree of disability of #aj percent or  
more4  7,q7 ,stroke becoming manifest to

 a degree of disability of #aj percent  
or more4  7,r7 ,hypothyroidism becoming 
manifest to a degree of disability of   
#aj percent or more4  7,s7 ,hypertension
 becoming manifest to a degree of       
disability of #aj percent or more4  4   
7b7 ,additional diseases  7#a7          
,extension of sunset ,subsection 7e7 of 
such section #aaaf is amended by        
striking #bjae and inserting #bjcj4     
7#b7 ,prohibition of cost as factor     
,subsection 7b7 of such section #aaaf is
 amended by adding at the end the       
following new paragraph3  7#d7 ,in      
making determinations for the purpose of
 this subsection1 the ,secretary may not
 take into account the costs to the     
,united ,states relating to paying      
compensation under this section pursuant
 to such determination4  4  7#c7 ,timing
 and submission of determinations       
,subsection 7c77#a7 of such section     
#aaaf is amended-- 7,a7 in subparagraph 
7,a71 by striking #fj days both places  
it appears and inserting #abj days2 and 

7,b7 in subparagraph 7,b7-- 7i7 by      
inserting and submit to the ,committees 
on ,veterans' ,affairs of the ,house of 
,representatives and the ,senate after  
publish in the ,federal ,register2 and  
7ii7 by inserting 1 and any other factor
 that contributed to1 after scientific  
basis for4