,,ii  #aaf? ,,congress  #a/ ,session    
,s4 #aaie  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,april #aa1 #bjai,mrs4 
,gillibr& 7= h]self1 ,mr4 ,da9es1 ,mr4  
,te/]1 ,ms4 ,cortez ,ma/o1 ,mr4         
,portman1 ,mr4 ,s*um]1 ,mr4 ,cram]1 ,mr4
 ,br[n1 ,mr4 ,wyd51 ,mr4 ,jones1 ,ms4   
,murk[ski1 ,ms4 ,ros51 ,ms4 ,s9ema1 ,mr4
 ,b5net1 ,ms4 ,cantwell1 ,ms4 ,w>r51    
,mr4 ,m]kley1 ,mr4 ,blum5?al1 ,mr4      
,hoev51 ,mrs4 ,fe9/e91 ,mr4 ,r\nds1 ,mr4
 ,coons1 ,mr4 ,g>dn]1 ,mr4 ,pet]s1 ,mr4 
,boozman1 ,ms4 ,hirono1 ,mr4 ,s*atz1    
,mr4 ,udall1 ,ms4 ,smi?1 ,ms4 ,klobu*>1 
,mr4 ,rubio1 & ,mr4 ,m55dez7 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 cl>ify presumptions    
relat+ to ! exposure ( c]ta9 vet]ans :o 
s]v$ 9 ! vic9ity ( ! ,republic (        
,vietnam1 & = o!r purposes4  #a4 ,%ort  
title ,?is ,act may be cit$ z ! ,blue   
,wat] ,navy ,vietnam ,vet]ans ,act (    
#bjai4  #b4 ,cl>ification ( presumptions

 ( exposure = vet]ans :o s]v$ 9 vic9ity 
( ,republic ( ,vietnam  7a7 ,comp5sation
 ,subsections 7a77#a7 & 7f7 ( section   
#aaaf ( title #ch1 ,unit$ ,/ates ,code1 
are am5d$ by ins]t+ 7includ+ !          
t]ritorial seas ( su* ,republic pursuant
 to ! maximum ext5t au?oriz$ by         
int]national law7 aft] s]v$ 9 !         
,republic ( ,vietnam ea* place x appe>s4
  7b7 ,heal? c>e ,section #agaj7;e77#d7 
( su* title is am5d$ by ins]t+ 7includ+ 
! t]ritorial seas ( su* ,republic       
pursuant to ! maximum ext5t au?oriz$ by 
int]national law7 aft] s]v$ on active   
duty 9 ! ,republic ( ,vietnam4  7c7     
,effective date ,! am5dm5ts made by     
subsections 7a7 & 7b7 %all take effect z
 ( ,septemb] #be1 #aihe4  #c4           
,presumption ( h]bicide exposure = c]ta9
 vet]ans :o s]v$ 9 ,korea  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 ( h]bicide exposure = c]ta9
 vet]ans :o s]v$ 9 ,korea  7a7          

,presumption ( s]vice-,connection  7#a7 
,= ! purposes ( section #aaaj ( ?is     
title1 & subject to section #aaac ( ?is 
title1 a disease specifi$ 9 subsection  
7b7 t becomes manife/ z specifi$ 9 t    
subsection 9 a vet]an 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* disease dur+ ! p]iod ( su* s]vice4  
7#b7 ,a vet]an describ$ 9 ?is p>agraph  
is a vet]an :o1 dur+ active milit>y1    
naval1 or air s]vice1 s]v$ 9 or ne> !   
,korean ,demilit>iz$ ,zone 7,,dmz71 dur+
 ! p]iod beg9n+ on ,septemb] #a1 #aifg1 
& end+ on ,augu/ #ca1 #aiga4  7b7       
,diseases ,a disease specifi$ 9 ?is     
subsection is-- 7#a7 a disease specifi$ 
9 p>agraph 7#b7 ( subsection 7a7 (      
section #aaaf ( ?is title t becomes     
manife/ z specifi$ 9 t p>agraph2 or     
7#b7 any additional disease t-- 7,a7 !  
,secret>y det]m9es 9 regulations w>rants
 a presumption ( s]vice-connection by   

reason ( hav+ positive association )    
exposure to an h]bicide ag5t2 &  7,b7   
becomes manife/ )9 any p]iod prescrib$ 9
 su* regulations4  7c7 ,h]bicide ag5t ,=
 purposes ( ?is section1 ! t]m h]bicide 
ag5t has ! mean+ giv5 su* t]m 9 section 
#ahba7;d7 ( ?is title4  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 (     
h]bicide exposure = c]ta9 vet]ans :o    
s]v$ 9 ,korea4  4  #d4 ,b5efits = *ildr5
 ( c]ta9 ,?ail& s]vice vet]ans born )   
sp9a bifida  7a7 ,9 g5]al ,sub*apt]     
,,iii ( *apt] #ah ( title #ch1 ,unit$   
,/ates ,code1 is am5d$ by add+ at ! end 
! foll[+ new section3  #ahbb4 ,b5efits =
 *ildr5 ( c]ta9 ,?ail& s]vice vet]ans   
born ) sp9a bifida  7a7 ,b5efits        
au?oriz$ ,! ,secret>y may provide to any
 *ild ( a vet]an ( cov]$ s]vice 9 ,?ail&
 :o is suff]+ f sp9a bifida ! heal? c>e1
 vocational tra9+ & rehabilitation1 &   
monet>y all[ance requir$ to be paid to a

 *ild ( a ,vietnam vet]an :o is suff]+ f
 sp9a bifida "u sub*apt] ,i ( ?is *apt] 
z if su* *ild ( a vet]an ( cov]$ s]vice 
9 ,?ail& 7 a *ild ( a ,vietnam vet]an :o
 is suff]+ f sp9a bifida "u su*         
sub*apt]4  7b7 ,sp9a bifida conditions  
cov]$ ,?is section applies ) respect to 
all =ms & manife/ations ( sp9a bifida1  
except sp9a bifida occulta4  7c7 ,vet]an
 ( cov]$ s]vice 9 ,?ail& ,= purposes (  
?is section1 a vet]an ( cov]$ s]vice 9  
,?ail& is any individual1 )\t reg>d to !
 *>act]ization ( t individual's s]vice1 
:o--  7#a7 s]v$ 9 ! active milit>y1     
naval1 or air s]vice 9 ,?ail&1 z det]m9$
 by ! ,secret>y 9 consultation ) !      
,secret>y ( ,def5se1 dur+ ! p]iod beg9n+
 on ,janu>y #i1 #aifb1 & end+ on ,may   
#g1 #aige2 &  7#b7 is det]m9$ by !      
,secret>y1 9 consultation ) ! ,secret>y 
( ,def5se1 to h be5 expos$ to a h]bicide
 ag5t dur+ su* s]vice 9 ,?ail&4  7d7    
,h]bicide ag5t ,= purposes ( ?is        
section1 ! t]m h]bicide ag5t means a    
*emical 9 a h]bicide us$ 9 support (    

,unit$ ,/ates & alli$ milit>y op]ations 
9 ,?ail&1 z det]m9$ by ! ,secret>y 9    
consultation ) ! ,secret>y ( ,def5se1   
dur+ ! p]iod beg9n+ on ,janu>y #i1      
#aifb1 & end+ on ,may #g1 #aige4  4  7b7
 ,con=m+ am5dm5t to def9ition ( *ild    
,section #ahca7a7 ( su* title is am5d$--
 7#a7 9 subp>agraph 7,b7--  7,a7 by     
/rik+ sub*apt] ,,iii ( ?is *apt] &      
ins]t+ section #ahba ( ?is title2 &     
7,b7 9 clause 7i71 by /rik+ section     
#ahba ( ?is title & ins]t+ t section2 & 
7#b7 by add+ at ! end ! foll[+ new      
subp>agraph3  7,c7 ,= purposes ( section
 #ahbb ( ?is title1 an individual1      
reg>dless ( age or m>ital /atus1 :o--   
7i7 is ! natural *ild ( a vet]an ( cov]$
 s]vice 9 ,?ail& 7z det]m9$ = purposes (
 t section72 &  7ii7 0 conceiv$ aft] !  
date on :i* t vet]an fir/ ent]$ s]vice  
describ$ 9 subsection 7c7 ( t section4  
4  7c7 ,cl]ical am5dm5ts  7#a7 ,sub*apt]
 head+ ,! head+ = sub*apt] ,,iii ( *apt]
 #ah ( su* title is am5d$ by ins]t+ &   
,?ail& aft] ,korea4  7#b7 ,table (      

sections ,! table ( sections at ! beg9n+
 ( *apt] #ah ( su* title is am5d$--     
7,a7 by /rik+ ! item relat+ to sub*apt] 
,,iii & ins]t+ ! foll[+ new item3       
,sub*apt] ,,iii--,*ildr5 ( ,c]ta9 ,korea
 & ,?ail& ,s]vice ,vet]ans ,born ) ,sp9a
 ,bifida  2  &  7,b7 by ins]t+ aft] !   
item relat+ to section #ahba ! foll[+   
new item3  #ahbb4 ,b5efits = *ildr5 (   
c]ta9 ,?ail& s]vice vet]ans born ) sp9a 
bifida4  4  7d7 ,report ,n lat] ?an #ahj
 days aft] ! date ( ! enactm5t ( ?is    
,act1 ! ,secret>y ( ,vet]ans ,affairs1 9
 consultation ) ! ,secret>y ( ,def5se1  
%all submit to ! ,committees on         
,vet]ans' ,affairs ( ! ,h\se (          
,repres5tatives & ! ,s5ate a report     
id5tify+--  7#a7 ! milit>y in/allations 
( ! ,unit$ ,/ates locat$ 9 ,?ail& dur+ !
 p]iod beg9n+ on ,janu>y #i1 #aifb1 &   
end+ on ,may #g1 #aige1 at :i* an       
h]bicide ag5t 7z def9$ 9 section #ahbb (
 title #ch1 ,unit$ ,/ates ,code1 z add$ 
by subsection 7a77 0 actively us$2 &    
7#b7 ! p]iod ( su* use4  #e4 ,updat$    

report on c]ta9 ,gulf ,w> ,illness /udy 
,n lat] ?an #ahj days aft] ! date ( !   
enactm5t ( ?is ,act1 ! ,secret>y (      
,vet]ans ,affairs %all submit to !      
,committees on ,vet]ans' ,affairs ( !   
,h\se ( ,repres5tatives & ! ,s5ate an   
updat$ report on ! f9d+s1 z ( ! date ( !
 updat$ report1 ( ! ,foll[-,up ,/udy ( a
 ,national ,cohort ( ,gulf ,w> & ,gulf  
,era ,vet]ans "u ! epidemiology program 
( ! ,dep>tm5t ( ,vet]ans ,affairs4