,,ii #aafth ,,congress #b;d ,session ,s4 #dcfc ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,july #bi1 #bjbj,mrs4 ,murray introduced the following bill2 which was read twice and referred to the ,committee on ,health1 ,education1 ,labor1 and ,pensions ,a ,,bill ,to establish a presumption of occupational disease for certain employees at the ,department of ,energy's ,radioactive ,waste ,management ,complex1 to refine the definition of compensable illnesses1 to establish a research program1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,toxic ,exposure ,safety ,act of #bjbj4 #b4 ,establishing a ,toxic ,special ,exposure ,cohort 7a7 ,expansion of covered employees and definition of covered illnesses under subtitle ,e ,section #cfga of the ,energy ,employees ,occupational ,illness ,compensation ,program ,act of #bjjj 7#db ,u4,s4,c4 #gches7 is amended-- 7#a7 in paragraph 7#a7-- 7,a7 by striking employee determined under and inserting the following3 employee determined-- 7,a7 under 2 7,b7 by striking the period at the end and inserting 2 or2 and 7,c7 by adding at the end the following3 7,b7 to have contracted a covered illness and be a member of the ,toxic ,special ,exposure ,cohort established under section #cfga;,a4 2 and 7#b7 by striking paragraph 7#b7 and inserting the following3 7#b7 ,the term covered illness means an occupational illness or death resulting from exposure to a toxic substance1 including-- 7,a7 all forms of cancer2 7,b7 mesothelioma2 7,c7 pneumoconiosis1 including silicosis1 asbestosis1 and other pneumoconiosis1 and other asbestos-related diseases1 including asbestos-related pleural disease2 7,d7 any illness identified in a health studies report under section #e7;f77#d7 of the ,toxic ,exposure ,safety ,act of #bjbj or a report under section #cfae7;f77#b77;,d72 and 7,e7 any additional illness that the ,secretary of ,health and ,human ,services designates by regulation1 as such ,secretary determines appropriate based on-- 7i7 the results of the report under section #cfga;,a7c72 and 7ii7 the determinations made by such ,secretary in establishing a ,toxic ,special ,exposure ,cohort under section #cfga;,a4 4 7b7 ,designation of toxic special exposure cohort ,subtitle ,e of the ,energy ,employees ,occupational ,illness ,compensation ,program ,act of #bjjj 7#db ,u4,s4,c4 #gches et seq47 is amended by inserting after section #cfga the following3 #cfga;,a4 ,establishment of the ,toxic ,special ,exposure ,cohort 7a7 ,certain designations ,the ,secretary of ,health and ,human ,services1 acting through the ,director of the ,centers for ,disease ,control and ,prevention-- 7#a7 shall establish a ,toxic ,special ,exposure ,cohort2 and 7#b7 as the ,secretary determines appropriate in accordance with the rules promulgated under subsection 7b71 may designate classes of ,department of ,energy employees1 ,department of ,energy contractor employees1 or atomic weapons employees as members of the ,toxic ,special ,exposure ,cohort4 7b7 ,promulgation of rules ,not later than #a year after the date of enactment of the ,toxic ,exposure ,safety ,act of #bjbj1 the ,secretary of ,health and ,human ,services shall promulgate rules-- 7#a7 establishing a process to determine whether there are classes of ,department of ,energy employees1 ,department of ,energy contractor employees1 or other classes of employees employed at any ,department of ,energy facility-- 7,a7 who were at least as likely as not exposed to toxic substances at a ,department of ,energy facility2 and 7,b7 for whom the ,secretary of ,health and ,human ,services has determined1 after taking into consideration the recommendations of the ,advisory ,board on ,toxic ,substances and ,worker ,health on the matter1 that it is not feasible to estimate with sufficient accuracy the dose they received2 and 7#b7 regarding how the ,secretary of ,health and ,human ,services will designate employees1 or classes of employees1 described in paragraph 7#a7 as members of the ,toxic ,special ,exposure ,cohort established under subsection 7a77#a71 which shall include a requirement that the ,secretary shall make initial determinations regarding such designations4 7c7 ,report to ,congress 7#a7 ,in general ,not later than #ahj days after the date of enactment of the ,toxic ,exposure ,safety ,act of #bjbj1 the ,secretary of ,health and ,human ,services shall submit to the relevant committees of ,congress a report that identifies each of the following3 7,a7 ,a list of cancers and other illnesses associated with toxic substances that pose1 or posed1 a hazard in the work environment at any ,department of ,energy facility4 7,b7 ,the minimum duration of work required to qualify for the ,toxic ,special ,exposure ,cohort established under subsection 7a77#a74 7,c7 ,the class of employees that are designated as members in the ,toxic ,special ,exposure ,cohort4 7#b7 ,relevant committees of ,congress defined ,in this subsection1 the term relevant committees of ,congress means-- 7,a7 the ,committee on ,armed ,services1 ,committee on ,appropriations1 ,committee on ,energy and ,natural ,resources1 and the ,committee on ,health1 ,education1 ,labor1 and ,pensions of the ,senate2 and 7,b7 the ,committee on ,armed ,services1 ,committee on ,appropriations1 ,committee on ,energy and ,commerce1 and the ,committee on ,education and ,labor of the ,house of ,representatives4 4 7c7 ,allowing subtitle ,b claims for eligible employees who are members of the ,toxic ,special ,exposure ,cohort ,section #cfba7a7 of the ,energy ,employees ,occupational ,illness ,compensation ,program ,act of #bjjj 7#db ,u4,s4,c4 #gchdl7#a77 is amended by adding at the end the following3 7,d7 ,a ,department of ,energy employee or atomic weapons employee who-- 7i7 has contracted a covered illness 7as defined in section #cfga72 and 7ii7 satisfies the requirements established by the ,secretary of ,health and ,human ,services for the ,toxic ,special ,exposure ,cohort under section #cfga;,a4 4 7d7 ,clarification of toxic substance exposure for covered illnesses ,section #cfge7;c77#a7 of the ,energy ,employees ,occupational ,illness ,compensation ,program ,act of #bjjj 7#db ,u4,s4,c4 #gches-#d7;c77#a77 is amended by inserting 7including chemicals or combinations or mixtures of a toxic substance1 including heavy metals1 and radiation7 after toxic substance each place such term appears4 #c4 ,providing information regarding ,department of ,energy facilities ,subtitle ,e of the ,energy ,employees ,occupational ,illness ,compensation ,program ,act of #bjjj 7#db ,u4,s4,c4 #gches et seq47 is amended by inserting after section #cfha the following3 #cfha;,a4 ,completion and updates of site exposure matrices 7a7 ,definition ,in this section1 the term site exposure matrices means an exposure assessment of a ,department of ,energy facility that identifies-- 7#a7 the toxic substances or processes that were commonly used in each building or process of the facility1 including the trade name 7if any7 of the substance2 and 7#b7 the time frame during which the potential for exposure to toxic substances existed at such facility4 7b7 ,in general ,not later than #ahj days after the date of enactment of the ,toxic ,exposure ,safety ,act of #bjbj1 the ,secretary of ,labor shall1 in coordination with the ,secretary of ,energy1 create or update site exposure matrices for each ,department of ,energy facility based on the records1 files1 and other data provided by the ,secretary of ,energy and such other information as is available1 including information available from the former worker medical screening programs of the ,department of ,energy4 7c7 ,periodic update ,beginning #ij days after the initial creation or update described in subsection 7b71 and each #ij days thereafter1 the ,secretary shall update the site exposure matrices with all information available as of such time from the ,secretary of ,energy4 7d7 ,information ,the ,secretary of ,energy shall furnish to the ,secretary of ,labor any information that the ,secretary of ,labor finds necessary or useful for the production of the site exposure matrices under this section1 including records from the ,department of ,energy former worker medical screening program4 7e7 ,public availability ,the ,secretary of ,labor shall make available to the public1 on the primary website of the ,department of ,labor-- 7#a7 the site exposure matrices1 as periodically updated under subsections 7b7 and 7c72 7#b7 each site profile prepared under section #cfcc7;a72 7#c7 any other database used by the ,secretary of ,labor to evaluate claims for compensation under this ,act2 and 7#d7 statistical data1 in the aggregate and disaggregated by each ,department of ,energy facility1 regarding-- 7,a7 the number of claims filed under this subtitle and the number of claims filed by members of the ,toxic ,special ,exposure ,cohort who are covered under subtitle ,b2 7,b7 the illnesses claimed2 7,c7 the number of claims filed for each illness and1 for each claim1 whether the claim was approved or denied2 7,d7 the number of claimants receiving compensation2 and 7,e7 the length of time required to process each claim1 as measured from the date on which the claim is filed to the final disposition of the claim4 7f7 ,funding ,there is authorized and hereby appropriated to the ,secretary of ,energy1 for fiscal year #bjba and each succeeding year1 such sums as may be necessary to support the ,secretary of ,labor in creating or updating the site exposure matrices4 4 #d4 ,assisting current and former employees under the ,,eeoicpa 7a7 ,providing information and outreach ,subtitle ,a of the ,energy ,employees ,occupational ,illness ,compensation ,program ,act of #bjjj 7#db ,u4,s4,c4 #gchd;d et seq47 is amended-- 7#a7 by redesignating section #cfad as section #cfaf2 and 7#b7 by inserting after section #cfac the following3 #cfad4 ,information and outreach 7a7 ,establishment of toll-,free information phone number ,by not later than ,january #a1 #bjbb1 the ,secretary of ,labor shall establish a toll-free phone number that current or former employees of the ,department of ,energy1 or current or former ,department of ,energy contractor employees1 may use in order to receive information regarding-- 7#a7 the compensation program under subtitle ,b or ,e2 7#b7 information regarding the process of submitting a claim under either compensation program2 7#c7 assistance in completing the occupational health questionnaire required as part of a claim under subtitle ,b or ,e2 7#d7 the next steps to take if a claim under subtitle ,b or ,e is accepted or denied2 and 7#e7 such other information as the ,secretary determines necessary to further the purposes of this title4 7b7 ,establishment of resource and advocacy centers 7#a7 ,in general ,by not later than ,january #a1 #bjbb1 the ,secretary of ,energy1 in coordination with the ,secretary of ,labor1 shall establish a resource and advocacy center at each ,department of ,energy facility where cleanup operations are being carried out1 or have been carried out1 under the environmental management program of the ,department of ,energy4 ,each such resource and advocacy center shall assist current or former ,department of ,energy employees and current or former ,department of ,energy contractor employees1 by enabling the employees and contractor employees to-- 7,a7 receive information regarding all related programs available to them relating to potential claims under this title1 including-- 7i7 programs under subtitles ,b and ,e2 and 7ii7 the former worker medical screening program of the ,department of ,energy2 and 7,b7 navigate all such related programs4 7#b7 ,coordination ,the ,secretary of ,energy shall integrate other programs available to current and former employees1 and current or former ,department of ,energy contractor employees1 which are related to the purposes of this title1 with the resource and advocacy centers established under paragraph 7#a71 as appropriate4 7c7 ,information ,the ,secretary of ,labor shall develop and distribute1 through the resource and advocacy centers established under subsection 7b7 and other means1 information 7which may include responses to frequently asked questions7 for current or former employees or current or former ,department of ,energy contractor employees about the programs under subtitles ,b and ,e and the claims process under such programs4 7d7 ,copy of employee's claims records 7#a7 ,in general ,the ,secretary of ,labor shall1 upon the request of a current or former employee or ,department of ,energy contractor employee1 provide the employee with a complete copy of all records or other materials held by the ,department of ,labor relating to the employee's claim under subtitle ,b or ,e4 7#b7 ,choice of format ,the ,secretary of ,labor shall provide the copy of records described in paragraph 7#a7 to an employee in electronic or paper form1 as selected by the employee4 7e7 ,contact of employees by industrial hygienists ,the ,secretary of ,labor shall allow industrial hygienists to contact current or former employees or ,department of ,energy contractor employees regarding the employee's claim under subtitle ,b or ,e4 4 7b7 ,extending appeal period ,section #cfgg7;a7 of the ,energy ,employees ,occupational ,illness ,compensation ,program ,act of #bjjj 7#db ,u4,s4,c4 #gches-#f7;a77 is amended by striking #fj days and inserting #ahj days4 7c7 ,funding ,section #cfhd of the ,energy ,employees ,occupational ,illness ,compensation ,program ,act of #bjjj 7#db ,u4,s4,c4 #gches-#ac7 is amended-- 7#a7 by striking ,there is authorized and inserting the following3 7a7 ,in general ,there is authorized 2 7#b7 by inserting before the period at the end the following3 1 including the amounts necessary to carry out the requirements of section #cfha;,a2 and 7#c7 by adding at the end the following3 7b7 ,administrative costs for department of energy ,there is authorized and hereby appropriated to the ,secretary of ,energy for fiscal year #bjba and each succeeding year such sums as may be necessary to support the ,secretary in carrying out the requirements of this title1 including section #cfha;,a4 4 7d7 ,extending the authorization of the ,,eeoicpa ombudsman ,section #cfhf7;h7 of the ,energy ,employees ,occupational ,illness ,compensation ,program ,act of #bjjj 7#db ,u4,s4,c4 #gches-#ae7;h77 is amended by striking ,october #bh1 #bjai and inserting ,october #bh1 #bjbd4 7e7 ,advisory board on toxic substances and worker health ,section #cfhg of the ,energy ,employees ,occupational ,illness ,compensation ,program ,act of #bjjj 7#db ,u4,s4,c4 #gches-#af7 is amended-- 7#a7 in subsection 7b7-- 7,a7 in paragraph 7#a77;,f71 by striking and after the semicolon2 7,b7 in paragraph 7#b71 by striking the period at the end and inserting a semicolon2 and 7,c7 by adding at the end the following3 7#c7 develop recommendations for the ,secretary of ,health and ,human ,services regarding-- 7,a7 whether there is a class of ,department of ,energy employees1 ,department of ,energy contractor employees1 or other employees at any ,department of ,energy facility who were at least as likely as not exposed to toxic substances at that facility but for whom it is not feasible to estimate with sufficient accuracy the dose they received2 and 7,b7 the conditions or requirements that should be met in order for an individual to be designated as a member of the ,special ,exposure ,cohort under section #cfga;,a2 and 7#d7 review all existing1 as of the date of the review1 rules and guidelines issued by the ,secretary regarding presumption of causation and provide the ,secretary with recommendations for new rules and guidelines regarding presumption of causation4 2 7#b7 in subsection 7c77#c71 by inserting or the ,board after ,the ,secretary2 7#c7 by redesignating subsections 7h7 and 7i7 as subsections 7i7 and 7j71 respectively2 and 7#d7 by inserting after subsection 7g7 the following3 7h7 ,required responses to board recommendations ,not later than #ij days after the date on which the ,secretary of ,labor and the ,secretary of ,health and ,human ,services receives recommendations in accordance with paragraph 7#a71 7#c71 or 7#d7 of subsection 7b71 such ,secretary shall submit formal responses to each recommendation to the ,board and ,congress4 4 #e4 ,research program on epidemiological impacts of toxic exposures 7a7 ,definitions ,in this section-- 7#a7 the term ,department of ,energy facility has the meaning given the term in section #cfba of the ,energy ,employees ,occupational ,illness ,compensation ,program ,act of #bjjj 7#db ,u4,s4,c4 #gchdl72 7#b7 the term institution of higher education has the meaning given such term in section #aja of the ,higher ,education ,act of #aife 7#bj ,u4,s4,c4 #ajja72 and 7#c7 the term ,secretary means the ,secretary of ,health and ,human ,services4 7b7 ,establishment ,the ,secretary1 acting through the ,director of the ,national ,institute of ,environmental ,health ,sciences and in collaboration with the ,director of the ,centers for ,disease ,control and ,prevention1 shall conduct or support research on the epidemiological impacts of exposures to toxic substances at ,department of ,energy facilities4 7c7 ,use of funds ,research under subsection 7b7 may include research on the epidemiological1 clinical1 or health impacts on individuals who were exposed to toxic substances in or near the tank farms and other relevant ,department of ,energy facilities through their work at such sites4 7d7 ,eligibility and application ,any institution of higher education or the ,national ,academy of ,sciences may apply for funding under this section by submitting to the ,secretary an application at such time1 in such manner1 and containing or accompanied by such information as the ,secretary may require4 7e7 ,research coordination ,the ,secretary shall coordinate activities under this section with similar activities conducted by the ,department of ,health and ,human ,services to the extent that other agencies have responsibilities that are related to the study of epidemiological1 clinical1 or health impacts of exposures to toxic substances4 7f7 ,health studies report to secretary ,not later than #a year after the end of the funding period for research under this section1 the funding recipient shall prepare and submit to the ,secretary a final report that-- 7#a7 summarizes the findings of the research2 7#b7 includes recommendations for any additional studies2 7#c7 describes any classes of employees that1 based on the results of the study and in accordance with the rules promulgated by the ,secretary under section #cfga;,a7b7 of the ,energy ,employees ,occupational ,illness ,compensation ,program ,act of #bjjj 7as added by this ,act71 qualify for inclusion in the ,toxic ,special ,exposure ,cohort under such section #cfga;,a2 and 7#d7 describes any illnesses to be included as covered illnesses under section #cfga7b77;,d7 of the ,energy ,employees ,occupational ,illness ,compensation ,program ,act of #bjjj 7#db ,u4,s4,c4 #gches7#b77;,d774 7g7 ,report to ,congress 7#a7 ,in general ,not later than #abj days after the date on which the reports under subsection 7f7 are due1 the ,secretary shall-- 7,a7 designate all classes of employees described in the report under subsection 7f77#c7 as members of the ,toxic ,special ,exposure ,cohort under section #cfga;,a of the ,energy ,employees ,occupational ,illness ,compensation ,program ,act of #bjjj 7as added by this ,act72 and 7,b7 prepare and submit to the relevant committees of ,congress a report-- 7i7 summarizing the findings from the reports required under subsection 7f72 7ii7 identifying the classes of employees designated under subparagraph 7,a72 7iii7 identifying any new illnesses that1 as a result of the study1 will be included as covered illnesses1 pursuant to subsection 7f77#d7 and section #cfga7b77;,d7 of the ,energy ,employees ,occupational ,illness ,compensation ,program ,act of #bjjj 7#db ,u4,s4,c4 #gches7#b77;,d772 and 7iv7 including the ,secretary's recommendations for additional health studies relating to toxic substances1 if the ,secretary determines it necessary4 7#b7 ,relevant committees of ,congress defined ,in this subsection1 the term relevant committees of ,congress means-- 7,a7 the ,committee on ,armed ,services1 ,committee on ,appropriations1 ,committee on ,energy and ,natural ,resources1 and the ,committee on ,health1 ,education1 ,labor1 and ,pensions of the ,senate2 and 7,b7 the ,committee on ,armed ,services1 ,committee on ,appropriations1 ,committee on ,energy and ,commerce1 and the ,committee on ,education and ,labor of the ,house of ,representatives4 7h7 ,authorization of appropriations ,there are authorized to be appropriated to carry out this section #c1jjj1jjj for each of fiscal years #bjba through #bjbe4 #f4 ,national ,academy of ,sciences review ,subtitle ,a of the ,energy ,employees ,occupational ,illness ,compensation ,program ,act of #bjjj 7#db ,u4,s4,c4 #gchd;d et seq471 as amended by section #d1 is further amended by inserting after section #cfad the following3 #cfae4 ,national ,academy of ,sciences review 7a7 ,purpose ,the purpose of this section is to enable the ,national ,academy of ,sciences1 a non-,federal entity with appropriate expertise1 to review and evaluate the available scientific evidence regarding associations between diseases and exposure to toxic substances found at ,department of ,energy cleanup sites4 7b7 ,definitions ,in this section3 7#a7 ,department of energy cleanup site ,the term ,department of ,energy cleanup site means a ,department of ,energy facility where cleanup operations are being carried out1 or have been carried out1 under the environmental management program of the ,department of ,energy4 7#b7 ,health studies report ,the term health studies report means the report submitted under section #e7;f7 of the ,toxic ,exposure ,safety ,act of #bjbj4 7c7 ,agreement ,not later than #fj days after the issuance of the health studies report1 the ,secretary of ,health and ,human ,services shall enter into an agreement with the ,national ,academy of ,sciences to carry out the requirements of this section4 7d7 ,review of scientific and medical evidence 7#a7 ,in general ,under the agreement described in subsection 7c71 the ,national ,academy of ,sciences shall1 for the period of the agreement-- 7,a7 for each area recommended for additional study under the health studies report under section #e7;f77#b7 of the ,toxic ,exposure ,safety ,act of #bjbj1 review and summarize the scientific evidence relating to the area1 including-- 7i7 studies by the ,department of ,energy and ,department of ,labor2 and 7ii7 any other available and relevant scientific studies1 to the extent that such studies are relevant to the occupational exposures that have occurred at ,department of ,energy cleanup sites2 and 7,b7 review and summarize the scientific and medical evidence concerning the association between exposure to toxic substances found at ,department of ,energy cleanup sites and resultant diseases4 7#b7 ,scientific determinations concerning diseases ,in conducting each review of scientific evidence under subparagraphs 7,a7 and 7,b7 of paragraph 7#a71 the ,national ,academy of ,sciences shall-- 7,a7 assess the strength of such evidence2 7,b7 assess whether a statistical association between exposure to a toxic substance and a disease exists1 taking into account the strength of the scientific evidence and the appropriateness of the statistical and epidemiological methods used to detect an association2 7,c7 assess the increased risk of disease among those exposed to the toxic substance during service during the production and cleanup eras of the ,department of ,energy cleanup sites2 7,d7 survey the impact to health of the toxic substance1 focusing on renal1 liver1 neurological1 skin1 respiratory1 ear1 nose1 eye1 and throat diseases1 including dementia1 chemical sensitivities1 and emphysema2 and 7,e7 determine whether a plausible biological mechanism or other evidence of a causal relationship exists between exposure to the toxic substance and disease4 7e7 ,additional scientific studies ,if the ,national ,academy of ,sciences determines1 in the course of conducting the studies under subsection 7d71 that additional studies are needed to resolve areas of continuing scientific uncertainty relating to toxic exposure at ,department of ,energy cleanup sites1 the ,national ,academy of ,sciences shall include1 in the next report submitted under subsection 7f71 recommendations for areas of additional study1 consisting of-- 7#a7 a list of diseases and toxins that require further evaluation and study2 7#b7 a review the current information available1 as of the date of the report1 relating to such diseases and toxins2 7#c7 the value of the information that would result from the additional studies2 and 7#d7 the cost and feasibility of carrying out additional studies4 7f7 ,reports 7#a7 ,in general ,by not later than #ah months after the date of the agreement under subsection 7c71 and every #b years thereafter1 the ,national ,academy of ,sciences shall prepare and submit a report to-- 7,a7 the ,secretary2 7,b7 the ,committee on ,health1 ,education1 ,labor1 and ,pensions and the ,committee on ,energy and ,natural ,resources of the ,senate2 and 7,c7 the ,committee on ,natural ,resources1 the ,committee on ,education and ,labor1 and the ,committee on ,energy and ,commerce of the ,house of ,representatives4 7#b7 ,contents ,each report submitted under paragraph 7#a7 shall include1 for the #ah-month or #b-year period covered by the report-- 7,a7 a description of-- 7i7 the reviews and studies conducted under this section2 7ii7 the determinations and conclusions of the ,national ,academy of ,sciences with respect to such reviews and studies2 and 7iii7 the scientific evidence and reasoning that led to such conclusions2 7,b7 the recommendations for further areas of study made under subsection 7e7 for the reporting period2 7,c7 a description of any classes of employees that1 based on the results of the reviews and studies and in accordance with the rules promulgated by the ,secretary under section #cfga;,a7b71 qualify for inclusion in the ,toxic ,special ,exposure ,cohort under such section #cfga;,a2 and 7,d7 the identification of any illness that the ,national ,academy of ,sciences has determined1 as a result of the reviews and studies1 should be a covered illness under section #cfga7b77;,d74 7g7 ,limitation on authority ,the authority to enter into agreements under this section shall be effective for a fiscal year to the extent that appropriations are available4 7h7 ,sunset ,this section shall cease to be effective #aj years after the last day of the fiscal year in which the ,national ,academy of ,sciences transmits to the ,secretary the first report under subsection 7f74 4 #g4 ,conforming amendments ,the ,energy ,employees ,occupational ,illness ,compensation ,program ,act of #bjjj 7#db ,u4,s4,c4 #gchd et seq47 is amended-- 7#a7 in the table of contents-- 7,a7 by redesignating the item relating to section #cfad as the item relating to section #cfaf2 7,b7 by inserting after the item relating to section #cfac the following3 ,sec4 #cfad4 ,information and outreach4,sec4 #cfae4 ,national ,academy of ,sciences review4 2 7,c7 by inserting after the item relating to section #cfga the following3 ,sec4 #cfga;,a4 ,establishment of the ,toxic ,special ,exposure ,cohort4 2 and 7,d7 by inserting after the item relating to section #cfha the following3 ,sec4 #cfha;,a4 ,completion and updates of site exposure matrices4 2 and 7#b7 in each of subsections 7b77#a7 and 7c7 of section #cfab1 by striking #cfad7;b7 and inserting #cfaf7;b74