,i  #aafth ,,congress  #ast ,session    
,h4 ,r4 #befh  ,,in ,,the ,,house ,,of  
,,representatives  ,may #g1 #bjai,mr4   
,zeldin 7for himself1 ,mr4 ,fitzpatrick1
 ,mr4 ,suozzi1 ,mr4 ,thompson of        
,california1 ,mr4 ,king of ,new ,york1  
,miss ,rice of ,new ,york1 and ,ms4     
,lofgren7 introduced the following bill2
 which was referred to the ,committee on
 ,veterans' ,affairs  ,a ,,bill  ,to    
direct the ,secretary of ,veterans      
,affairs to study and report on the     
prevalence of cholangiocarcinoma in     
veterans of the ,vietnam era1 and for   
other purposes4  #a4 ,short title ,this 
,act may be cited as the ,vietnam       
,veterans ,liver ,fluke ,cancer ,study  
,act4  #b4 ,study on the prevalence of  
cholangiocarcinoma in veterans of the   
,vietnam era  7a7 ,epidemiological study
 ,not later than #abj days after the    
date of enactment of this ,act1 the     
,secretary of ,veterans ,affairs1 in    
consultation with the ,director of the  
,centers for ,disease ,control and      

,prevention of the ,department of       
,health and ,human ,services1 shall     
commence an epidemiological study on the
 prevalence of cholangiocarcinoma in    
veterans of the ,vietnam era1 using data
 from the ,veterans ,affairs ,central   
,cancer ,registry and the ,national     
,program of ,cancer ,registries4 ,the   
study shall--  7#a7 identify the rate of
 incidence of cholangiocarcinoma in     
veterans of the ,vietnam era and in     
residents of the ,united ,states1 from  
the beginning of the ,vietnam era to the
 date of enactment of this ,act2 and    
7#b7 for each of the groups specified in
 paragraph 7#a71 identify the percentage
 of individuals with cholangiocarcinoma 
by various demographic characteristics1 
including by age1 gender1 race1         
ethnicity1 and the geographic location  
of the patient at the time of diagnosis4
  7b7 ,report to ,congress ,not later   
than one year after the completion of   
the study under subsection 7a71 the     
,secretary shall submit to ,congress a  

report containing--  7#a7 the results of
 the study under subsection 7a72 and    
7#b7 recommendations for administrative 
or legislative actions required to      
address issues identified in the study  
under subsection 7a74  7c7 ,continued   
tracking of cholangiocarcinoma in       
veterans of the ,vietnam era ,the       
,secretary shall track the prevalence of
 cholangiocarcinoma in veterans of the  
,vietnam era using the ,veterans        
,affairs ,central ,cancer ,registry1 and
 provide such information to ,congress  
as required under subsection 7d74  7d7  
,follow-,up reports ,the ,secretary     
shall periodically submit to the        
,congress an updated report under       
subsection 7b71 as determined by the    
,secretary4  7e7 ,definitions ,in this  
section3 7#a7 ,the term ,secretary means
 the ,secretary of ,veterans ,affairs4  
7#b7 ,the term ,vietnam era has the     
meaning given such term in section #aja 
of title #ch1 ,united ,states ,code4    
7#c7 ,the term veterans of the ,vietnam 

era has the meaning given such term in  
section #dbaa of title #ch1 ,united     
,states ,code4