,,ii  #aaf? ,,congress  #a/ ,session    
,s4 #ajbd  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,april #c1 #bjai,ms4   
,/ab5[ 7= h]self & ,mr4 ,pet]s7         
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,vet]ans' ,affairs  ,a ,,bill  ,to am5d 
title #ch1 ,unit$ ,/ates ,code1 to      
furni% hospital c>e & m$ical s]vices to 
vet]ans1 memb]s ( ! res]ve compon5ts ( !
 ,arm$ ,=ces1 & dep5d5ts :o 7 /ation$ at
 ,wurtsmi? ,air ,=ce ,base 9 ,oscoda1   
,mi*igan1 & 7 expos$ to volatile organic
 comp\nds1 to provide = a presumption ( 
s]vice connection = ^? vet]ans & memb]s 
( ! res]ve compon5ts1 & = o!r purposes4 
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,c>e = ,vet]ans ,act ( #bjai4  #b4    
,hospital c>e & m$ical s]vices =        
vet]ans1 memb]s ( ! res]ve compon5ts1 & 
dep5d5ts /ation$ at ,wurtsmi? ,air ,=ce 
,base 9 ,oscoda1 ,mi*igan1 :o 7 expos$  
to volatile organic comp\nds  7a7       
,hospital c>e & m$ical s]vices = vet]ans
 & memb]s ( ! res]ve compon5ts  7#a7 ,9 

g5]al ,p>agraph 7#a7 ( section #agaj7;e7
 ( title #ch1 ,unit$ ,/ates ,code1 is   
am5d$ by add+ at ! end ! foll[+ new     
subp>agraph3  7,g7 7i7 ,beg9n+ on ! date
 t is #ij days aft] ! date ( ! enactm5t 
( ?is subp>agraph1 subject to p>agraph  
7#b71 a vet]an :o s]v$ on active duty 9 
! ,arm$ ,=ces1 or an individual :o s]v$ 
z a memb] ( ! res]ve compon5ts ( ! ,arm$
 ,=ces1 at ,wurtsmi? ,air ,=ce ,base 9  
,oscoda1 ,mi*igan1 dur+ a p]iod det]m9$ 
by ! ,secret>y1 9 consultation ) !      
,ag5cy = ,toxic ,sub/ances & ,disease   
,regi/ry ( ! ,dep>tm5t ( ,heal? & ,human
 ,s]vices1 & 0 expos$ to a sub/ance     
specifi$ 9 clause 7ii7 is eligible =    
hospital c>e & m$ical s]vices "u        
subsection 7a77#b77;,f7 = ! diseases1   
illnesses1 or conditions specifi$ 9     
clause 7iii71 not)/&+ t !re is          
insuffici5t m$ical evid5ce to conclude t
 su* disease1 illness1 or condition is  
attributable to su* s]vice4  7ii7 ,!    
sub/ances specifi$ 9 ?is clause are     
volatile organic comp\nds1 includ+      

tri*loroe?yl5e & b5z5e4  7iii7 ,!       
diseases1 illnesses1 & conditions       
specifi$ 9 ?is clause are ! diseases1   
illnesses1 & conditions det]m9$ by !    
,secret>y1 9 consultation ) ! ,ag5cy =  
,toxic ,sub/ances & ,disease ,regi/ry1  
to h result$ f exposure to volatile     
organic comp\nds pursuant to ! heal?    
consultation conduct$ by ! ,ag5cy =     
,toxic ,sub/ances & ,disease ,regi/ry   
dat$ ,july #bg1 #bjah1 or any o!r rese>*
 conduct$ by a ,f$]al ag5cy4  4  7#b7   
,limitation ,p>agraph 7#b77;,b7 ( su*   
section is am5d$ by /rik+ or 7,f7 &     
ins]t+ 7,f71 or 7,g74  7b7 ,family      
memb]s  7#a7 ,9 g5]al ,sub*apt] ,,viii (
 *apt] #ag ( title #ch1 ,unit$ ,/ates   
,code1 is am5d$ by ins]t+ aft] section  
#aghg ! foll[+ new section3  #aghg;,a4  
,heal? c>e ( family memb]s ( individuals
 /ation$ at ,wurtsmi? ,air ,=ce ,base 9 
,oscoda1 ,mi*igan1 :o 7 expos$ to       
volatile organic comp\nds  7a7 ,9 g5]al 
,beg9n+ on ! date t is #ij days aft] !  
date ( ! enactm5t ( ?is section1 subject

 to subsection 7b71 a family memb] ( a  
vet]an describ$ 9 clause 7i7 ( section  
#agaj7;e77#a77;,g7 ( ?is title 7or :o   
w\ld be s describ$ b = ! condition by   
:i* ! individual 0 dis*>g$ or releas$ f 
! ,arm$ ,=ces71 or a family memb] ( a   
memb] ( ! res]ve compon5ts ( ! ,arm$    
,=ces describ$ 9 su* clause1 :o resid$  
at ,wurtsmi? ,air ,=ce ,base 9 ,oscoda1 
,mi*igan1 dur+ ! p]iod det]m9$ "u su*   
clause & 0 expos$ to a sub/ance specifi$
 9 clause 7ii7 ( su* section or :o 0 9  
ut]o :ile ! "m ( su* family memb] resid$
 at su* location dur+ su* p]iod & 0     
expos$ to su* a sub/ance %all be        
eligible = hospital c>e & m$ical s]vices
 furni%$ by ! ,secret>y = any disease1  
illness1 or condition = :i* an          
individual may receive hospital c>e &   
m$ical s]vices "u clause 7iii7 ( su*    
section1 not)/&+ t !re is insuffici5t   
m$ical evid5ce to conclude t su*        
disease1 illness1 or condition is       
attributable to su* resid5ce4  7b7      
,limitations  7#a7 ,! ,secret>y may only

 furni% hospital c>e & m$ical s]vices "u
 subsection 7a7 to ! ext5t & 9 ! am\nt  
provid$ 9 advance 9 appropriations ,acts
 = su* purpose4  7#b7 ,hospital c>e &   
m$ical s]vices may n be furni%$ "u      
subsection 7a7 = a disease1 illness1 or 
condition ( a family memb] t is f\nd1 9 
accordance ) guidel9es issu$ by ! ,"u   
,secret>y = ,heal?1 to h result$ f a    
cause o!r ?an ! resid5ce ( ! family     
memb] describ$ 9 t subsection4  7#c7 ,! 
,secret>y may provide reimbursem5t =    
hospital c>e or m$ical s]vices provid$  
to a family memb] "u ?is section only   
aft] ! family memb] or ! provid] ( su*  
c>e or s]vices has exhau/$ )\t success  
all claims & rem$ies reasonably         
available to ! family memb] or provid]  
aga9/ a ?ird p>ty 7z def9$ 9 section    
#agbe7;f7 ( ?is title7 = paym5t ( su*   
c>e or s]vices1 includ+ ) respect to    
heal?-plan contracts 7z def9$ 9 su*     
section74  4  7#b7 ,cl]ical am5dm5t ,!  
table ( sections at ! beg9n+ ( su* *apt]
 is am5d$ by ins]t+ aft] ! item relat+  

to section #aghg ! foll[+ new item3     
#aghg;,a4 ,heal? c>e ( family memb]s (  
individuals /ation$ at ,wurtsmi? ,air   
,=ce ,base 9 ,oscoda1 ,mi*igan1 :o 7    
expos$ to volatile organic comp\nds4  4 
7c7 ,annual reports  7#a7 ,9 g5]al ,dur+
 ! ?ree-ye> p]iod beg9n+ on ! date ( !  
enactm5t ( ?is ,act1 ! ,secret>y (      
,vet]ans ,affairs %all submit to !      
,committee on ,vet]ans' ,affairs ( !    
,s5ate & ! ,committee on ,vet]ans'      
,affairs ( ! ,h\se ( ,repres5tatives an 
annual report on ! c>e & s]vices provid$
 "u sections #agaj7;e77#a77;,g7 &       
#aghg;,a ( title #ch1 ,unit$ ,/ates     
,code 7z add$ by subsections 7a7 &      
7b77#a71 respectively74  7#b7 ,elem5ts  
,ea* report "u p>agraph 7#a7 %all set =?
 ! foll[+3 7,a7 ,! numb] ( vet]ans1     
memb]s ( ! res]ve compon5ts ( ! ,arm$   
,=ces1 & family memb]s provid$ hospital 
c>e & m$ical s]vices "u ! provisions (  
law specifi$ 9 p>agraph 7#a7 dur+ !     
p]iod cov]$ by ! report4  7,b7 ,!       
illnesses1 conditions1 & disabilities = 

:i* c>e & s]vices h be5 provid$ su*     
vet]ans1 memb]s ( ! res]ve compon5ts1 & 
family memb]s "u su* provisions ( law   
dur+ t p]iod4  7,c7 ,! numb] ( vet]ans1 
memb]s ( ! res]ve compon5ts1 & family   
memb]s :o appli$ = c>e & s]vices "u su* 
provisions ( law dur+ t p]iod b 7 d5i$1 
includ+ in=mation on ! reasons = su*    
d5ials4  7,d7 ,! numb] ( vet]ans1 memb]s
 ( ! res]ve compon5ts1 & family memb]s  
:o appli$ = c>e & s]vices "u su*        
provisions ( law & are await+ a decision
 f ! ,secret>y on eligibility = su* c>e 
& s]vices z ( ! date ( su* report4  #c4 
,presumption ( s]vice connection = c]ta9
 individuals /ation$ at ,wurtsmi? ,air  
,=ce ,base 9 ,oscoda1 ,mi*igan1 :o 7    
expos$ to volatile organic comp\nds  7a7
 ,9 g5]al ,*apt] #aa ( title #ch1 ,unit$
 ,/ates ,code1 is am5d$ by ins]t+ aft]  
section #aaaf ! foll[+ new section3     
#aaaf;,a4 ,presumption ( s]vice         
connection = c]ta9 individuals /ation$  
at ,wurtsmi? ,air ,=ce ,base 9 ,oscoda1 
,mi*igan1 :o 7 expos$ to volatile       

organic comp\nds  7a7 ,presumption (    
s]vice connection  7#a7 ,= ! purposes ( 
section #aaaj ( ?is title1 & subject to 
section #aaac ( ?is title1 ea* disease1 
illness1 or condition specifi$ 9        
subsection 7b7 t becomes manife/ 9 an   
individual describ$ 9 p>agraph 7#b7 %all
 be consid]$ to h be5 incurr$ or        
aggravat$ 9 ! l9e ( duty 9 ! active     
milit>y1 naval1 or air s]vice1 not)/&+ t
 !re is no record ( evid5ce ( su*       
disease1 illness1 or condition dur+ !   
p]iod ( su* s]vice4  7#b7 ,an individual
 describ$ 9 ?is p>agraph is a vet]an :o1
 dur+ active milit>y1 naval1 or air     
s]vice1 s]v$ at ,wurtsmi? ,air ,=ce     
,base 9 ,oscoda1 ,mi*igan1 or a memb] ( 
! res]ve compon5ts ( ! ,arm$ ,=ces :o   
s]v$ at su* base1 dur+ ! p]iod det]m9$  
"u section #agaj7;e77#a77;,g77i7 ( ?is  
title & 0 expos$ to a volatile organic  
comp\nd1 includ+ tri*loroe?yl5e or      
b5z5e4  7b7 ,diseases1 illnesses1 &     
conditions specifi$ ,! diseases1        
illnesses1 & conditions specifi$ 9 ?is  

clause are ! diseases1 illnesses1 &     
conditions det]m9$ by ! ,secret>y1 9    
consultation ) ! ,ag5cy = ,toxic        
,sub/ances & ,disease ,regi/ry ( !      
,dep>tm5t ( ,heal? & ,human ,s]vices1 to
 h result$ f exposure to volatile       
organic comp\nds pursuant to ! heal?    
consultation conduct$ by ! ,ag5cy =     
,toxic ,sub/ances & ,disease ,regi/ry   
dat$ ,july #bg1 #bjah1 or any o!r rese>*
 conduct$ by a ,f$]al ag5cy4  4  7b7    
,cl]ical am5dm5t ,! table ( sections at 
! beg9n+ ( su* *apt] is am5d$ by ins]t+ 
aft] ! item relat+ to section #aaaf !   
foll[+ new item3  #aaaf;,a4 ,presumption
 ( s]vice connection = c]ta9 individuals
 /ation$ at ,wurtsmi? ,air ,=ce ,base 9 
,oscoda1 ,mi*igan1 :o 7 expos$ to       
volatile organic comp\nds4  4