,,ii  #aaf? ,,congress  #a/ ,session    
,s4 #afhj  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,may #bc 7legislative  
day1 ,may #bb71 #bjai,mr4 ,te/] 7=      
himself1 ,mrs4 ,blackburn1 & ,ms4       
,klobu*>7 introduc$ ! foll[+ bill2 :i* 0
 read twice & ref]r$ to ! ,committee on 
,arm$ ,s]vices  ,a ,,bill  ,to am5d     
title #aj1 ,unit$ ,/ates ,code1 to      
enhance recordkeep+ ) respect to        
exposure by memb]s ( ! ,arm$ ,=ces to   
c]ta9 occupational & environm5tal haz>ds
 :ile deploy$ ov]seas1 & = o!r purposes4
  #a4 ,%ort title ,?is ,act may be cit$ 
z ! ,s]vice ,memb]'s ,occupational &    
,environm5tal ,transp>5cy ,heal? ,act or
 ! ,,oa? ,act4  #b4 ,in=mation requir$  
to be add$ to m$ical records ( c]ta9    
memb]s ( ! ,arm$ ,=ces  7a7             
,occupational & environm5tal heal? risks
 9 deploym5t area  7#a7 ,elem5ts (      
m$ical track+ sy/em ,subsection         
7b77#a77;,a7 ( section #ajgd;f ( title  
#aj1 ,unit$ ,/ates ,code1 is am5d$--    
7,a7 9 clause 7ii71 by /rik+ & at ! end2

  7,b7 9 clause 7iii71 by /rik+ ! p]iod 
at ! end & ins]t+ 2 &2 &  7,c7 by add+  
at ! end ! foll[+ new clause3  7iv7     
accurately record any exposure to       
occupational & environm5tal heal? risks 
dur+ ! c\rse ( _! deploym5t4  4  7#b7   
,recordkeep+ ,subsection 7c7 ( su*      
section is am5d$ by ins]t+ aft]         
deploym5t area ! foll[+3 7includ+ !     
results ( any assessm5t p]=m$ by !      
,secret>y ( occupational & environm5tal 
heal? risks = su* area74  7#c7          
,effective date ,! am5dm5ts made by ?is 
subsection %all take effect on ! date ( 
! enactm5t ( ?is subsection4  7b7 ,burn 
pit regi/ry  7#a7 ,updates to electronic
 heal? records ,beg9n+ n lat] ?an "o ye>
 aft] ! date ( ! enactm5t ( ?is ,act--  
7,a7 ! ,secret>y ( ,def5se %all ensure t
 ! electronic heal? record ma9ta9$ by   
su* ,secret>y ( a memb] ( ! ,arm$ ,=ces 
regi/]$ ) ! burn pit regi/ry is updat$ )
 any in=mation conta9$ 9 su* regi/ry2 & 
7,b7 ! ,secret>y ( ,vet]ans ,affairs    
%all ensure t ! electronic heal? record 

ma9ta9$ by su* ,secret>y ( a vet]an     
regi/]$ ) ! burn pit regi/ry is updat$ )
 any in=mation conta9$ 9 su* regi/ry4   
7#b7 ,burn pit regi/ry def9$ ,9 ?is     
subsection1 ! t]m burn pit regi/ry means
 ! regi/ry e/abli%$ "u section #bja ( ! 
,dignifi$ ,burial & ,o!r ,vet]ans'      
,b5efits ,improvem5t ,act ( #bjab       
7,public ,law #aab-bfj2 #ch ,u4,s4,c4   
#ebg note74  #c4 ,additional requirem5ts
 = po/deploym5t m$ical exam9ation &     
heal? reassessm5ts  7a7 ,po/deploym5t   
m$ical exam9ation & reassessm5ts        
,section #ajgd;f ( title #aj1 ,unit$    
,/ates ,code1 z am5d$ by section #b1 is 
fur!r am5d$ by add+ at ! end ! foll[+   
new subsection3  7g7 ,additional        
requirem5ts = po/deploym5t m$ical       
exam9ations & heal? reassessm5ts  7#a7  
,! ,secret>y ( ,def5se %all-- 7,a7      
/&>dize & make available to a provid] t 
conducts a po/deploym5t m$ical          
exam9ation or reassessm5t "u ! sy/em    
describ$ 9 subsection 7a7 que/ions      
relat+ to occupational & environm5tal   

heal? exposure2 &  7,b7 prior to an     
exam9ation or reassessm5t ( a memb] ( ! 
arm$ =ces1 require su* provid] to review
 in=mation applicable to su* memb]-- 7i7
 9 a ,p]iodic ,occupational &           
,environm5tal ,monitor+ ,summ>y 7or any 
successor docum5t72 &  7ii7 on ! ,def5se
 ,occupational & ,environm5tal ,heal?   
,read9ess ,sy/em 7or any successor      
sy/em74  7#b7 ,! ,secret>y %all ensure t
 ! m$ical record ( a memb] includes     
in=mation on ! ext]nal cause relat+ to a
 diagnosis ( ! memb]1 includ+ by        
associat+ an ext]nal cause code 7z issu$
 "u ! ,int]national ,/ati/ical          
,classification ( ,diseases & ,relat$   
,heal? ,problems1 #aj? ,revision 7or any
 successor revision774  4  7b7          
,effective date ,! am5dm5ts made by ?is 
section %all take effect on ! date t is 
#ahj days aft] ! date ( ! enactm5t ( ?is
 section4  #d4 ,report by ,comptroll]   
,g5]al ( ! ,unit$ ,/ates  7a7 ,report ,n
 lat] ?an two ye>s aft] ! date ( !      
enactm5t ( ?is ,act1 ! ,comptroll]      

,g5]al ( ! ,unit$ ,/ates %all submit to 
! congressional def5se committees1 !    
,committee on ,vet]ans' ,affairs ( !    
,s5ate1 & ! ,committee on ,vet]ans'     
,affairs ( ! ,h\se ( ,repres5tatives a  
report conta9+ an evaluation ( !        
implem5tation ( ?is ,act 7& ! am5dm5ts  
made by ?is ,act71 includ+ an assessm5t 
( ! ext5t to :i* ! ,secret>y ( ,def5se &
 ,secret>y ( ,vet]ans ,affairs are 9    
compliance ) ! applicable requirem5ts ( 
?is ,act 7& ! am5dm5ts made by ?is      
,act74  7b7 ,congressional def5se       
committees def9$ ,9 ?is section1 ! t]m  
congressional def5se committees has !   
mean+ giv5 t t]m 9 section #aja7;a77#af7
 ( title #aj1 ,unit$ ,/ates ,code4