,,ii #aafth ,,congress #ast ,session ,s4 #aefc ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,may #ba1 #bjai,mr4 ,burr 7for himself1 ,mr4 ,tester1 ,mr4 ,tillis1 ,mr4 ,rubio1 and ,mr4 ,cardin7 introduced the following bill2 which was read twice and referred to the ,committee on ,veterans' ,affairs ,a ,,bill ,to amend the ,public ,health ,service ,act with respect to the ,agency for ,toxic ,substances and ,disease ,registry's review and publication of illness and conditions relating to veterans stationed at ,camp ,lejeune1 ,north ,carolina1 and their family members1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,janey ,ensminger ,act of #bjai4 #b4 ,review of illnesses and conditions relating to veterans stationed at ,camp ,lejeune1 ,north ,carolina1 and their family members 7a7 ,review and publication of illness or condition ,part ,p of title ,,iii of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bhj;g et seq47 is amended by adding at the end the following3 #cii,v-#g4 ,review and publication of illnesses and conditions ,consistent with section #ajd7;i7 of the ,comprehensive ,environmental ,response1 ,compensation1 and ,liability ,act of #aihj1 not later than #a year after the date of enactment of this section1 and not less frequently than once every #c years thereafter1 the ,secretary1 acting through the ,administrator of the ,agency for ,toxic ,substances and ,disease ,registry1 shall-- 7#a7 7,a7 review the scientific literature relevant to the relationship between the employment or residence of individuals at ,camp ,lejeune1 ,north ,carolina1 for not fewer than #cj days during the period beginning on ,august #a1 #aiec1 and ending on ,december #ba1 #aihg1 and specific illnesses or conditions incurred by those individuals2 7,b7 determine each illness or condition for which there is evidence that exposure to a toxic substance at ,camp ,lejeune1 ,north ,carolina1 during the period specific in subparagraph 7,a7 may be a cause of the illness or condition2 and 7,c7 with respect to each illness or condition for which a determination has been made under subparagraph 7,b71 categorize the evidence of the connection of the illness or condition to exposure described in that subparagraph as-- 7i7 sufficient to conclude with reasonable confidence that the exposure is a cause of the illness or condition2 7ii7 modest supporting causation1 but not sufficient to conclude with reasonable confidence that exposure is a cause of the illness or condition2 or 7iii7 no more than limited supporting causation2 7#b7 publish in the ,federal ,register and on the internet website of the ,department of ,health and ,human ,services-- 7,a7 a list of each illness or condition for which a determination has been made under paragraph 7#a77;,b71 including the categorization of the evidence of causal connection relating to the illness or condition under paragraph 7#a77;,c72 and 7,b7 the bibliographic citations for all literature reviewed under paragraph 7#a7 for each illness or condition listed under such paragraph2 and 7#c7 update the list under paragraph 7#b71 as applicable1 to add an illness or condition for which a determination has been made under paragraph 7#a77;,b71 including the categorization of the evidence of causal connection relating to the illness or condition under paragraph 7#a77;,c71 since such list was last updated consistent with the requirements of this section4 4 7b7 ,eligibility for health care from ,department of ,veterans ,affairs 7#a7 ,in general ,section #agaj7;e77#a77;,f7 of title #ch1 ,united ,states ,code1 is amended-- 7,a7 by redesignating clauses 7i7 through 7xv7 as subclauses 7,i7 through 7,,xv71 respectively2 7,b7 by striking 7,f7 ,subject to and inserting 7,f77i7 ,subject to2 7,c7 by striking any of the following and inserting any of the illnesses or conditions for which the evidence of connection of the illness or condition to exposure to a toxic substance at ,camp ,lejeune1 ,north ,carolina1 during such period is categorized as sufficient or modest in the most recent list published under section #cii,v-#g7;a77#b7 of the ,public ,health ,service ,act1 which may include any of the following2 and 7,d7 by adding at the end the following new clause3 7ii7 ,for the purposes of ensuring continuation of care1 any veteran who has been furnished hospital care or medical services under this subparagraph for an illness or condition shall remain eligible for hospital care or medical services for such illness or condition notwithstanding that the evidence of connection of such illness or condition to exposure to a toxic substance at ,camp ,lejeune1 ,north ,carolina1 during the period described in clause 7i7 is not categorized as sufficient or modest in the most recent list published under section #cii,v-#g7;a77#b7 of the ,public ,health ,service ,act4 4 7#b7 ,family members ,section #aghg of such title is amended by adding at the end the following new subsection3 7c7 ,continuation of care ,for the purposes of ensuring continuation of care1 any individual who has been furnished hospital care or medical services under this section for an illness or condition shall remain eligible for hospital care or medical services for such illness or condition notwithstanding that the illness or condition is no longer described in section #agaj7;e77#a77;,f7 of this title4 4 7#c7 ,transfer of amounts for program ,notwithstanding any other provision of law1 for each of fiscal years #bjai and #bjbj1 the ,secretary of ,veterans ,affairs shall transfer #b1jjj1jjj from amounts made available to the ,department of ,veterans ,affairs for medical support and compliance to the ,chief ,business ,office and ,financial ,services ,center of the ,department to be used to continue building and enhancing the claims processing system1 eligibility system1 and web portal for the ,camp ,lejeune ,family ,member ,program of the ,department4