,i  #aaf? ,,congress  #b;d ,session  ,h4
 ,r4 #eieg  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,febru>y #be1         
#bjbj,mr4 ,gre5 ( ,t5nessee 7= himself &
 ,mr4 ,lyn*7 introduc$ ! foll[+ bill2   
:i* 0 ref]r$ to ! ,committee on         
,vet]ans' ,affairs1 & 9 addition to !   
,committee on ,arm$ ,s]vices1 = a p]iod 
to be subsequ5tly det]m9$ by ! ,speak]1 
9 ea* case = consid]ation ( su*         
provisions z fall )9 ! jurisdiction ( ! 
committee conc]n$  ,a ,,bill  ,to direct
 ! ,secret>y ( ,def5se to conduct a /udy
 reg>d+ toxic exposure by memb]s ( !    
,arm$ ,=ces deploy$ to ,k>%i ,khanabad  
,air ,base1 ,uzbeki/an1 to direct !     
,secret>y ( ,vet]ans ,affairs to e/abli%
 a regi/ry reg>d+ su* exposure1 & = o!r 
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,k#b ,vet]ans ,toxic       
,exposure ,acc\ntability ,act ( #bjbj4  
#b4 ,/udy on toxic exposure at ,k>%i    
,khanabad ,air ,base1 ,uzbeki/an  7a7   
,/udy  7#a7 ,9 g5]al ,! ,secret>y (     
,def5se %all conduct a /udy on toxic    

exposure by memb]s ( ! ,arm$ ,=ces      
deploy$ to ,k>%i ,khanabad ,air ,base1  
,uzbeki/an1 at any "t dur+ ! p]iod      
beg9n+ ,octob] #a1 #bjja1 & end+        
,decemb] #ca1 #bjje4  7#b7 ,matt]s      
includ$ ,! /udy "u p>agraph 7#a7 %all   
include ! foll[+3 7,a7 ,an assessm5t    
reg>d+ ! conditions ( ,k>%i ,khanabad   
,air ,base1 ,uzbeki/an1 dur+ ! p]iod    
beg9n+ ,octob] #a1 #bjja1 & end+        
,decemb] #ca1 #bjje1 includ+ an         
id5tification ( toxic sub/ances         
contam9at+ ! ,air ,base dur+ su* p]iod4 
7,b7 ,an epidemiological /udy ( ! heal? 
consequ5ces ( a memb] ( ! ,arm$ ,=ces   
deploy$ to ! ,air ,base dur+ su* p]iod4 
7,c7 ,an assessm5t ( any association    
betwe5 exposure to toxic sub/ances      
id5tifi$ "u subp>agraph 7,a7 & ! heal?  
consequ5ces /udi$ "u subp>agraph 7,b74  
7b7 ,report ,n lat] ?an #ahj days aft] !
 date ( ! enactm5t ( ?is ,act1 !        
,secret>y ( ,def5se & ! ,secret>y (     
,vet]ans ,affairs %all jo9tly submit to 
! appropriate congressional committees a

 report conta9+-- 7#a7 ! /udy "u        
subsection 7a72 &  7#b7 a description   
(-- 7,a7 ! b5efits adm9i/]$ by !        
,secret>y ( ,vet]ans ,affairs t a vet]an
 may be eligible to receive by reason ( 
be+ expos$ to toxic sub/ances at ,k>%i  
,khanabad ,air ,base1 ,uzbeki/an1 :ile  
s]v+ 9 ! ,arm$ ,=ces2 &  7,b7 ! outrea* 
conduct$ by ! ,secret>y to in=m su*     
vet]ans ( su* b5efits4  #c4 ,e/abli%m5t 
( ,k#b toxic exposure regi/ry  7a7      
,e/abli%m5t ( regi/ry  7#a7 ,9 g5]al ,n 
lat] ?an "o ye> aft] ! date ( ! enactm5t
 ( ?is ,act1 ! ,secret>y ( ,vet]ans     
,affairs %all-- 7,a7 e/abli% & ma9ta9 a 
regi/ry = eligible individuals :o may h 
be5 expos$ to toxic sub/ances at ,k>%i  
,khanabad ,air ,base1 ,uzbeki/an1 at any
 "t dur+ ! p]iod beg9n+ ,octob] #a1     
#bjja1 & end+ ,decemb] #ca1 #bjje2  7,b7
 include any in=mation 9 su* regi/ry t !
 ,secret>y ( ,vet]ans ,affairs det]m9es 
necess>y to asc]ta9 & monitor ! heal?   
effects ( ! exposure ( memb]s to su*    
sub/ances2  7,c7 develop a public       

in=mation campaign to in=m eligible     
individuals ab\t ! regi/ry1 includ+ h[  
to regi/] & ! b5efits ( regi/]+2 &  7,d7
 p]iodically notify eligible individuals
 ( significant developm5ts 9 ! /udy &   
treatm5t ( conditions associat$ ) su*   
exposure4  7#b7 ,updates ,! ,secret>y   
%all take actions necess>y to ensure t !
 regi/ry may be updat$ ) ! cause ( dea? 
( a deceas$ regi/]$ individual by-- 7,a7
 an individual designat$ by su* deceas$ 
regi/]$ individual2 or  7,b7 if no su*  
individual is designat$1 an imm$iate    
family memb] ( su* deceas$ regi/]$      
individual4  7#c7 ,coord9ation ,!       
,secret>y ( ,vet]ans ,affairs %all      
coord9ate ) ! ,secret>y ( ,def5se 9     
c>ry+ out p>agraph 7#a74  7b7 ,report to
 ,congress  7#a7 ,reports by indep5d5t  
sci5tific organization ,! ,secret>y (   
,vet]ans ,affairs %all ent] into an     
agreem5t ) an indep5d5t sci5tific       
organization to prep>e reports z foll[s3
 7,a7 ,n lat] ?an two ye>s aft] ! date  
on :i* ! regi/ry "u subsection 7a7 is   

e/abli%$1 an initial report conta9+ !   
foll[+3 7i7 ,an assessm5t ( !           
effectiv5ess ( actions tak5 by !        
,secret>ies to collect & ma9ta9         
in=mation on ! heal? effects ( exposure 
to toxic sub/ances at ,k>%i ,khanabad   
,air ,base1 ,uzbeki/an4  7ii7           
,recomm5dations to improve ! collection 
& ma9t5ance ( su* in=mation4  7iii7 ,us+
 e/abli%$ & previ\sly publi%$           
epidemiological /udies1 recomm5dations  
reg>d+ ! mo/ effective & prud5t means ( 
address+ ! m$ical ne$s ( eligible       
individuals ) respect to conditions t   
are likely to result f su* exposure4    
7,b7 ,n lat] ?an five ye>s aft] complet+
 ! initial report describ$ 9 subp>agraph
 7,a71 a foll[-up report conta9+ !      
foll[+3 7i7 ,an update to ! initial     
report describ$ 9 subp>agraph 7,a74     
7ii7 ,an assessm5t ( :e!r & to :at      
degree ! cont5t ( ! regi/ry e/abli%$ "u 
subsection 7a7 is curr5t & sci5tifically
 up-to-date4  7#b7 ,submittal to        
,congress  7,a7 ,initial report ,n lat] 

?an two ye>s aft] ! date on :i* !       
regi/ry "u subsection 7a7 is e/abli%$1 !
 ,secret>y ( ,vet]ans ,affairs %all     
submit to ,congress ! initial report    
prep>$ "u p>agraph 7#a77;,a74  7,b7     
,foll[-up report ,n lat] ?an five ye>s  
aft] submitt+ ! report "u subp>agraph   
7,a71 ! ,secret>y ( ,vet]ans ,affairs   
%all submit to ,congress ! foll[-up     
report prep>$ "u p>agraph 7#a77;,b74    
7c7 ,def9itions ,9 ?is section3 7#a7 ,! 
t]m eligible individual means any       
individual :o 0 deploy$ z a memb] ( !   
,arm$ ,=ces to ,k>%i ,khanabad ,air     
,base1 ,uzbeki/an1 at any "t dur+ !     
p]iod beg9n+ ,octob] #a1 #bjja1 & end+  
,decemb] #ca1 #bjje4  7#b7 ,! t]m       
imm$iate family memb]1 ) respect to a   
deceas$ individual1 means-- 7,a7 !      
sp\se1 p>5t1 bro!r1 si/]1 or adult *ild 
( ! individual2  7,b7 an adult p]son to 
:om ! individual /&s 9 loco p>5tis2 or  
7,c7 any o!r adult p]son-- 7i7 liv+ 9 ! 
h\sehold ( ! individual at ! "t ( ! dea?
 ( ! individual2 &  7ii7 relat$ to !    

individual by blood or m>riage4  7#c7 ,!
 t]m regi/]$ individual means an        
individual regi/]$ ) ! regi/ry "u       
subsection 7a74  #d4 ,det]m9ation (     
presumptions ( s]vice connection =      
illnesses associat$ ) ,k#b exposure  7a7
 ,9 g5]al  7#a7 ,det]m9ation requir$ ,n 
lat] ?an #fj days aft] ! date on :i* !  
,secret>y ( ,vet]ans ,affairs receives !
 results ( a cov]$ /udy1 ! ,secret>y    
%all make a det]m9ation :e!r a positive 
association exi/s betwe5-- 7,a7 !       
exposure ( humans to toxic sub/ances at 
,k>%i ,khanabad ,air ,base1 ,uzbeki/an1 
at any "t dur+ ! p]iod beg9n+ ,octob]   
#a1 #bjja1 & end+ ,decemb] #ca1 #bjje2 &
  7,b7 ! occurr5ce ( a diagnos$ illness 
9 humans4  7#b7 ,bases ( det]m9ation ,9 
mak+ a det]m9ation "u p>agraph 7#a71 !  
,secret>y %all consid]-- 7,a7 :e!r !    
evid5ce is /ati/ically significant1     
capable ( replication1 & able to )/& pe]
 review demon/rat+ t !re is positive    
association betwe5 ! exposure & !       
occurr5ce ( a diagnos$ illness2  7,b7 ! 

results ( a cov]$ /udy2 &  7,c7 all o!r 
s\nd m$ical & sci5tific evid5ce         
available to ! ,secret>y4  7#c7         
,presumption ,if ! ,secret>y det]m9es t 
a positive association exi/s betwe5     
exposure & a diagnos$ illness pursuant  
to p>agraph 7#a71 ! ,secret>y %all      
prescribe regulations provid+ t-- 7,a7 a
 presumption ( s]vice connection is     
w>rant$ = ! illness cov]$ by t          
det]m9ation if ! illness fir/ becomes   
manife/ )9 ! p]iod1 if any1 prescrib$ 9 
su* regulations 9 a cov]$ vet]an2 &     
7,b7 su* cov]$ vet]an %all be presum$ to
 h be5 expos$ to toxic sub/ances at     
,k>%i ,khanabad ,air ,base1 ,uzbeki/an1 
at any "t dur+ ! p]iod beg9n+ ,octob]   
#a1 #bjja1 & end+ ,decemb] #ca1 #bjje1  
unless !re is conclusive evid5ce to     
e/abli% t-- 7i7 ! cov]$ vet]an 0 n      
expos$ to toxic sub/ances 9 ! c\rse (   
su* s]vice 9 ! ,arm$ ,=ces2 or  7ii7 !  
illness fir/ became manife/ prior to !  
cov]$ vet]an's exposure4  7#d7          
,submission ,^u ! date on :i* !         

,secret>y makes ! det]m9ation "u        
p>agraph 7#a71 ! ,secret>y %all submit  
to ! ,committees on ,vet]ans' ,affairs (
 ! ,h\se ( ,repres5tatives & ! ,s5ate an
 explanation ( su* det]m9ation4  7b7    
,regulations  7#a7 ,propos$ regulations 
7,a7 ,tim+ ,if ! ,secret>y det]m9es "u  
subsection 7a77#a7 t a presumption (    
s]vice connection is w>rant$ = an       
illness1 ! ,secret>y %all1 n lat] ?an   
#ahj days aft] mak+ su* det]m9ation--   
7i7 issue propos$ regulations sett+ =? !
 det]m9ation2 or  7ii7 submit ! initial 
report "u subp>agraph 7,b74  7,b7       
,reports ,if ! ,secret>y does n issue   
propos$ regulations by ! deadl9e        
e/abli%$ 9 subp>agraph 7,a71 ! ,secret>y
 %all submit to ! ,committees on        
,vet]ans' ,affairs ( ! ,h\se (          
,repres5tatives & ! ,s5ate a report on !
 /atus ( su* propos$ regulations4 ,on a 
qu>t]ly basis !reaft] until ! date on   
:i* ! ,secret>y issues su* propos$      
regulations1 ! ,secret>y %all submit to 
su* committees an update on su* /atus4  

7#b7 ,f9al regulations ,n lat] ?an #ahj 
days aft] ! date on :i* ! ,secret>y     
issues any propos$ regulations "u ?is   
subsection1 ! ,secret>y %all prescribe  
f9al regulations4 ,su* regulations %all 
be effective on ! date ( issuance4  7#c7
 ,presumption n w>rant$  7,a7           
,publication ,if ! ,secret>y det]m9es "u
 subsection 7a7 t a presumption ( s]vice
 connection is n w>rant$ = an illness1  
or proposes to remove a previ\sly       
e/abli%$ presumption1 ! ,secret>y %all  
publi% 9 ! ,f$]al ,regi/] a notice ( t  
det]m9ation n lat] ?an #ahj days aft]   
mak+ ! det]m9ation4 ,! notice %all      
include an explanation ( ! evid5ce &    
sci5tific basis = t det]m9ation4  7,b7  
,removal ( previ\s presumption ,if an   
illness already presum$ to be s]vice    
connect$ "u ?is section is subject to a 
notice publi%$ "u subp>agraph 7,a71 !   
,secret>y %all issue propos$ regulations
 remov+ ! presumption = ! illness n lat]
 ?an #ahj days aft] publication ( su*   
notice4  7#d7 ,effect ( removal ,:5ev] !

 presumption ( s]vice connection = an   
illness "u ?is section is remov$ "u ?is 
subsection-- 7,a7 a vet]an :o 0 aw>d$   
comp5sation = ! illness on ! basis ( !  
presumption be=e ! effective date ( !   
removal ( ! presumption %all cont9ue to 
be entitl$ to receive comp5sation on t  
basis2 &  7,b7 a survivor ( a vet]an :o 
0 aw>d$ dep5d5cy & indemnity comp5sation
 = ! dea? ( a vet]an result+ f ! illness
 on ! basis ( ! presumption be=e t date 
%all cont9ue to be entitl$ to receive   
dep5d5cy & indemnity comp5sation on t   
basis4  7c7 ,effective date ( b5efit    
aw>ds ,! effective date ( any b5efit    
aw>d$ by reason ( ?is section %all be   
det]m9$ 9 accordance ) section #eaaj (  
title #ch1 ,unit$ ,/ates ,code1 b %all 9
 no case be e>li] ?an ! effective date (
 ! f9al regulations prescrib$ pursuant  
to subsection 7b77#b74  7d7 ,def9itions 
,9 ?is section3 7#a7 ,! t]m cov]$ /udy  
includes-- 7,a7 ! /udy conduct$ "u      
section #b2 &  7,b7 any subsequ5t /udy  
or any /udy conduct$ by ! ,national     

,academies ( ,sci5ces1 ,eng9e]+1 &      
,m$ic9e reg>d+ ! effects ( exposure (   
humans to toxic sub/ances at ,k>%i      
,khanabad ,air ,base1 ,uzbeki/an1 at any
 "t dur+ ! p]iod beg9n+ ,octob] #a1     
#bjja1 & end+ ,decemb] #ca1 #bjje4  7#b7
 ,! t]m cov]$ vet]an means a vet]an :o 0
 deploy$ z a memb] ( ! ,arm$ ,=ces to   
,k>%i ,khanabad ,air ,base1 ,uzbeki/an1 
at any "t dur+ ! p]iod beg9n+ ,octob]   
#a1 #bjja1 & end+ ,decemb] #ca1 #bjje4  
#e4 ,access ( ! ,national ,academies (  
,sci5ces1 ,eng9e]+1 & ,m$ic9e to        
in=mation f ! ,dep>tm5t ( ,def5se ,^u   
reque/ by ! ,national ,academies (      
,sci5ces1 ,eng9e]+1 & ,m$ic9e 79 ?is    
section ref]r$ to z ! ,academies71 !    
,secret>y ( ,def5se %all provide to !   
,academies in=mation 9 ! possession ( ! 
,dep>tm5t ( ,def5se t ! ,academies      
det]m9e useful 9 p]=m+ a cov]$ /udy1 z t
 t]m is def9$ 9 section #d7;d74 ,su*    
in=mation includes1 at a m9imum1 all    
environm5tal sampl+ data relative to any
 location includ$ 9 ! /udy4