,,ii  #aafth ,,congress  #ast ,session  
,s4 #afhj  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,may #bc       
7legislative day1 ,may #bb71 #bjai,mr4  
,tester 7for himself1 ,mrs4 ,blackburn1 
and ,ms4 ,klobuchar7 introduced the     
following bill2 which was read twice and
 referred to the ,committee on ,armed   
,services  ,a ,,bill  ,to amend title   
#aj1 ,united ,states ,code1 to enhance  
recordkeeping with respect to exposure  
by members of the ,armed ,forces to     
certain occupational and environmental  
hazards while deployed overseas1 and for
 other purposes4  #a4 ,short title ,this
 ,act may be cited as the ,service      
,member's ,occupational and             
,environmental ,transparency ,health    
,act or the ,,oath ,act4  #b4           
,information required to be added to    
medical records of certain members of   
the ,armed ,forces  7a7 ,occupational   
and environmental health risks in       
deployment area  7#a7 ,elements of      
medical tracking system ,subsection     

7b77#a77;,a7 of section #ajgd;f of title
 #aj1 ,united ,states ,code1 is         
amended-- 7,a7 in clause 7ii71 by       
striking and at the end2  7,b7 in clause
 7iii71 by striking the period at the   
end and inserting 2 and2 and  7,c7 by   
adding at the end the following new     
clause3  7iv7 accurately record any     
exposure to occupational and            
environmental health risks during the   
course of their deployment4  4  7#b7    
,recordkeeping ,subsection 7c7 of such  
section is amended by inserting after   
deployment area the following3          
7including the results of any assessment
 performed by the ,secretary of         
occupational and environmental health   
risks for such area74  7#c7 ,effective  
date ,the amendments made by this       
subsection shall take effect on the date
 of the enactment of this subsection4   
7b7 ,burn pit registry  7#a7 ,updates to
 electronic health records ,beginning   
not later than one year after the date  
of the enactment of this ,act-- 7,a7 the

 ,secretary of ,defense shall ensure    
that the electronic health record       
maintained by such ,secretary of a      
member of the ,armed ,forces registered 
with the burn pit registry is updated   
with any information contained in such  
registry2 and  7,b7 the ,secretary of   
,veterans ,affairs shall ensure that the
 electronic health record maintained by 
such ,secretary of a veteran registered 
with the burn pit registry is updated   
with any information contained in such  
registry4  7#b7 ,burn pit registry      
defined ,in this subsection1 the term   
burn pit registry means the registry    
established under section #bja of the   
,dignified ,burial and ,other ,veterans'
 ,benefits ,improvement ,act of #bjab   
7,public ,law #aab-bfj2 #ch ,u4,s4,c4   
#ebg note74  #c4 ,additional            
requirements for postdeployment medical 
examination and health reassessments    
7a7 ,postdeployment medical examination 
and reassessments ,section #ajgd;f of   
title #aj1 ,united ,states ,code1 as    

amended by section #b1 is further       
amended by adding at the end the        
following new subsection3  7g7          
,additional requirements for            
postdeployment medical examinations and 
health reassessments  7#a7 ,the         
,secretary of ,defense shall-- 7,a7     
standardize and make available to a     
provider that conducts a postdeployment 
medical examination or reassessment     
under the system described in subsection
 7a7 questions relating to occupational 
and environmental health exposure2 and  
7,b7 prior to an examination or         
reassessment of a member of the armed   
forces1 require such provider to review 
information applicable to such member-- 
7i7 in a ,periodic ,occupational and    
,environmental ,monitoring ,summary 7or 
any successor document72 and  7ii7 on   
the ,defense ,occupational and          
,environmental ,health ,readiness       
,system 7or any successor system74  7#b7
 ,the ,secretary shall ensure that the  
medical record of a member includes     

information on the external cause       
relating to a diagnosis of the member1  
including by associating an external    
cause code 7as issued under the         
,international ,statistical             
,classification of ,diseases and        
,related ,health ,problems1 #ajth       
,revision 7or any successor revision774 
4  7b7 ,effective date ,the amendments  
made by this section shall take effect  
on the date that is #ahj days after the 
date of the enactment of this section4  
#d4 ,report by ,comptroller ,general of 
the ,united ,states  7a7 ,report ,not   
later than two years after the date of  
the enactment of this ,act1 the         
,comptroller ,general of the ,united    
,states shall submit to the             
congressional defense committees1 the   
,committee on ,veterans' ,affairs of the
 ,senate1 and the ,committee on         
,veterans' ,affairs of the ,house of    
,representatives a report containing an 
evaluation of the implementation of this
 ,act 7and the amendments made by this  

,act71 including an assessment of the   
extent to which the ,secretary of       
,defense and ,secretary of ,veterans    
,affairs are in compliance with the     
applicable requirements of this ,act    
7and the amendments made by this ,act74 
7b7 ,congressional defense committees   
defined ,in this section1 the term      
congressional defense committees has the
 meaning given that term in section     
#aja7;a77#af7 of title #aj1 ,united     
,states ,code4