,,ii #aaf? ,,congress #b;d ,session ,s4 #dcfc ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,july #bi1 #bjbj,mrs4 ,murray introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ,a ,,bill ,to e/abli% a presumption ( occupational disease = c]ta9 employees at ! ,dep>tm5t ( ,en]gy's ,radioactive ,wa/e ,managem5t ,complex1 to ref9e ! def9ition ( comp5sable illnesses1 to e/abli% a rese>* program1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,toxic ,exposure ,safety ,act ( #bjbj4 #b4 ,e/abli%+ a ,toxic ,special ,exposure ,cohort 7a7 ,expansion ( cov]$ employees & def9ition ( cov]$ illnesses "u subtitle ,e ,section #cfga ( ! ,en]gy ,employees ,occupational ,illness ,comp5sation ,program ,act ( #bjjj 7#db ,u4,s4,c4 #gches7 is am5d$-- 7#a7 9 p>agraph 7#a7-- 7,a7 by /rik+ employee det]m9$ "u & ins]t+ ! foll[+3 employee det]m9$-- 7,a7 "u 2 7,b7 by /rik+ ! p]iod at ! end & ins]t+ 2 or2 & 7,c7 by add+ at ! end ! foll[+3 7,b7 to h contract$ a cov]$ illness & be a memb] ( ! ,toxic ,special ,exposure ,cohort e/abli%$ "u section #cfga;,a4 2 & 7#b7 by /rik+ p>agraph 7#b7 & ins]t+ ! foll[+3 7#b7 ,! t]m cov]$ illness means an occupational illness or dea? result+ f exposure to a toxic sub/ance1 includ+-- 7,a7 all =ms ( canc]2 7,b7 meso!lioma2 7,c7 pneumoconiosis1 includ+ silicosis1 asbe/osis1 & o!r pneumoconiosis1 & o!r asbe/os-relat$ diseases1 includ+ asbe/os-relat$ pleural disease2 7,d7 any illness id5tifi$ 9 a heal? /udies report "u section #e7;f77#d7 ( ! ,toxic ,exposure ,safety ,act ( #bjbj or a report "u section #cfae7;f77#b77;,d72 & 7,e7 any additional illness t ! ,secret>y ( ,heal? & ,human ,s]vices designates by regulation1 z su* ,secret>y det]m9es appropriate bas$ on-- 7i7 ! results ( ! report "u section #cfga;,a7c72 & 7ii7 ! det]m9ations made by su* ,secret>y 9 e/abli%+ a ,toxic ,special ,exposure ,cohort "u section #cfga;,a4 4 7b7 ,designation ( toxic special exposure cohort ,subtitle ,e ( ! ,en]gy ,employees ,occupational ,illness ,comp5sation ,program ,act ( #bjjj 7#db ,u4,s4,c4 #gches et seq47 is am5d$ by ins]t+ aft] section #cfga ! foll[+3 #cfga;,a4 ,e/abli%m5t ( ! ,toxic ,special ,exposure ,cohort 7a7 ,c]ta9 designations ,! ,secret>y ( ,heal? & ,human ,s]vices1 act+ ?r\gh ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion-- 7#a7 %all e/abli% a ,toxic ,special ,exposure ,cohort2 & 7#b7 z ! ,secret>y det]m9es appropriate 9 accordance ) ! rules promulgat$ "u subsection 7b71 may designate classes ( ,dep>tm5t ( ,en]gy employees1 ,dep>tm5t ( ,en]gy contractor employees1 or atomic weapons employees z memb]s ( ! ,toxic ,special ,exposure ,cohort4 7b7 ,promulgation ( rules ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ! ,toxic ,exposure ,safety ,act ( #bjbj1 ! ,secret>y ( ,heal? & ,human ,s]vices %all promulgate rules-- 7#a7 e/abli%+ a process to det]m9e :e!r !re are classes ( ,dep>tm5t ( ,en]gy employees1 ,dep>tm5t ( ,en]gy contractor employees1 or o!r classes ( employees employ$ at any ,dep>tm5t ( ,en]gy facility-- 7,a7 :o 7 at lea/ z likely z n expos$ to toxic sub/ances at a ,dep>tm5t ( ,en]gy facility2 & 7,b7 = :om ! ,secret>y ( ,heal? & ,human ,s]vices has det]m9$1 aft] tak+ into consid]ation ! recomm5dations ( ! ,advisory ,bo>d on ,toxic ,sub/ances & ,work] ,heal? on ! matt]1 t x is n feasible to e/imate ) suffici5t accuracy ! dose !y receiv$2 & 7#b7 reg>d+ h[ ! ,secret>y ( ,heal? & ,human ,s]vices w designate employees1 or classes ( employees1 describ$ 9 p>agraph 7#a7 z memb]s ( ! ,toxic ,special ,exposure ,cohort e/abli%$ "u subsection 7a77#a71 :i* %all include a requirem5t t ! ,secret>y %all make initial det]m9ations reg>d+ su* designations4 7c7 ,report to ,congress 7#a7 ,9 g5]al ,n lat] ?an #ahj days aft] ! date ( enactm5t ( ! ,toxic ,exposure ,safety ,act ( #bjbj1 ! ,secret>y ( ,heal? & ,human ,s]vices %all submit to ! relevant committees ( ,congress a report t id5tifies ea* ( ! foll[+3 7,a7 ,a li/ ( canc]s & o!r illnesses associat$ ) toxic sub/ances t pose1 or pos$1 a haz>d 9 ! "w environm5t at any ,dep>tm5t ( ,en]gy facility4 7,b7 ,! m9imum duration ( "w requir$ to qualify = ! ,toxic ,special ,exposure ,cohort e/abli%$ "u subsection 7a77#a74 7,c7 ,! class ( employees t are designat$ z memb]s 9 ! ,toxic ,special ,exposure ,cohort4 7#b7 ,relevant committees ( ,congress def9$ ,9 ?is subsection1 ! t]m relevant committees ( ,congress means-- 7,a7 ! ,committee on ,arm$ ,s]vices1 ,committee on ,appropriations1 ,committee on ,en]gy & ,natural ,res\rces1 & ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate2 & 7,b7 ! ,committee on ,arm$ ,s]vices1 ,committee on ,appropriations1 ,committee on ,en]gy & ,comm]ce1 & ! ,committee on ,education & ,labor ( ! ,h\se ( ,repres5tatives4 4 7c7 ,all[+ subtitle ,b claims = eligible employees :o are memb]s ( ! ,toxic ,special ,exposure ,cohort ,section #cfba7a7 ( ! ,en]gy ,employees ,occupational ,illness ,comp5sation ,program ,act ( #bjjj 7#db ,u4,s4,c4 #gchdl7#a77 is am5d$ by add+ at ! end ! foll[+3 7,d7 ,a ,dep>tm5t ( ,en]gy employee or atomic weapons employee :o-- 7i7 has contract$ a cov]$ illness 7z def9$ 9 section #cfga72 & 7ii7 satisfies ! requirem5ts e/abli%$ by ! ,secret>y ( ,heal? & ,human ,s]vices = ! ,toxic ,special ,exposure ,cohort "u section #cfga;,a4 4 7d7 ,cl>ification ( toxic sub/ance exposure = cov]$ illnesses ,section #cfge7;c77#a7 ( ! ,en]gy ,employees ,occupational ,illness ,comp5sation ,program ,act ( #bjjj 7#db ,u4,s4,c4 #gches-#d7;c77#a77 is am5d$ by ins]t+ 7includ+ *emicals or comb9ations or mixtures ( a toxic sub/ance1 includ+ heavy metals1 & radiation7 aft] toxic sub/ance ea* place su* t]m appe>s4 #c4 ,provid+ in=mation reg>d+ ,dep>tm5t ( ,en]gy facilities ,subtitle ,e ( ! ,en]gy ,employees ,occupational ,illness ,comp5sation ,program ,act ( #bjjj 7#db ,u4,s4,c4 #gches et seq47 is am5d$ by ins]t+ aft] section #cfha ! foll[+3 #cfha;,a4 ,completion & updates ( site exposure matrices 7a7 ,def9ition ,9 ?is section1 ! t]m site exposure matrices means an exposure assessm5t ( a ,dep>tm5t ( ,en]gy facility t id5tifies-- 7#a7 ! toxic sub/ances or processes t 7 commonly us$ 9 ea* build+ or process ( ! facility1 includ+ ! trade "n 7if any7 ( ! sub/ance2 & 7#b7 ! "t frame dur+ :i* ! pot5tial = exposure to toxic sub/ances exi/$ at su* facility4 7b7 ,9 g5]al ,n lat] ?an #ahj days aft] ! date ( enactm5t ( ! ,toxic ,exposure ,safety ,act ( #bjbj1 ! ,secret>y ( ,labor %all1 9 coord9ation ) ! ,secret>y ( ,en]gy1 create or update site exposure matrices = ea* ,dep>tm5t ( ,en]gy facility bas$ on ! records1 files1 & o!r data provid$ by ! ,secret>y ( ,en]gy & su* o!r in=mation z is available1 includ+ in=mation available f ! =m] work] m$ical scre5+ programs ( ! ,dep>tm5t ( ,en]gy4 7c7 ,p]iodic update ,beg9n+ #ij days aft] ! initial creation or update describ$ 9 subsection 7b71 & ea* #ij days !reaft]1 ! ,secret>y %all update ! site exposure matrices ) all in=mation available z ( su* "t f ! ,secret>y ( ,en]gy4 7d7 ,in=mation ,! ,secret>y ( ,en]gy %all furni% to ! ,secret>y ( ,labor any in=mation t ! ,secret>y ( ,labor f9ds necess>y or useful = ! production ( ! site exposure matrices "u ?is section1 includ+ records f ! ,dep>tm5t ( ,en]gy =m] work] m$ical scre5+ program4 7e7 ,public availability ,! ,secret>y ( ,labor %all make available to ! public1 on ! prim>y website ( ! ,dep>tm5t ( ,labor-- 7#a7 ! site exposure matrices1 z p]iodically updat$ "u subsections 7b7 & 7c72 7#b7 ea* site pr(ile prep>$ "u section #cfcc7;a72 7#c7 any o!r database us$ by ! ,secret>y ( ,labor to evaluate claims = comp5sation "u ?is ,act2 & 7#d7 /ati/ical data1 9 ! aggregate & disaggregat$ by ea* ,dep>tm5t ( ,en]gy facility1 reg>d+-- 7,a7 ! numb] ( claims fil$ "u ?is subtitle & ! numb] ( claims fil$ by memb]s ( ! ,toxic ,special ,exposure ,cohort :o are cov]$ "u subtitle ,b2 7,b7 ! illnesses claim$2 7,c7 ! numb] ( claims fil$ = ea* illness &1 = ea* claim1 :e!r ! claim 0 approv$ or d5i$2 7,d7 ! numb] ( claimants receiv+ comp5sation2 & 7,e7 ! l5g? ( "t requir$ to process ea* claim1 z measur$ f ! date on :i* ! claim is fil$ to ! f9al disposition ( ! claim4 7f7 ,fund+ ,!re is au?oriz$ & h]eby appropriat$ to ! ,secret>y ( ,en]gy1 = fiscal ye> #bjba & ea* succe$+ ye>1 su* sums z may be necess>y to support ! ,secret>y ( ,labor 9 creat+ or updat+ ! site exposure matrices4 4 #d4 ,assi/+ curr5t & =m] employees "u ! ,,eeoicpa 7a7 ,provid+ in=mation & outrea* ,subtitle ,a ( ! ,en]gy ,employees ,occupational ,illness ,comp5sation ,program ,act ( #bjjj 7#db ,u4,s4,c4 #gchd;d et seq47 is am5d$-- 7#a7 by r$esignat+ section #cfad z section #cfaf2 & 7#b7 by ins]t+ aft] section #cfac ! foll[+3 #cfad4 ,in=mation & outrea* 7a7 ,e/abli%m5t ( toll-,free in=mation phone numb] ,by n lat] ?an ,janu>y #a1 #bjbb1 ! ,secret>y ( ,labor %all e/abli% a toll-free phone numb] t curr5t or =m] employees ( ! ,dep>tm5t ( ,en]gy1 or curr5t or =m] ,dep>tm5t ( ,en]gy contractor employees1 may use 9 ord] to receive in=mation reg>d+-- 7#a7 ! comp5sation program "u subtitle ,b or ,e2 7#b7 in=mation reg>d+ ! process ( submitt+ a claim "u ei!r comp5sation program2 7#c7 assi/ance 9 complet+ ! occupational heal? que/ionnaire requir$ z "p ( a claim "u subtitle ,b or ,e2 7#d7 ! next /eps to take if a claim "u subtitle ,b or ,e is accept$ or d5i$2 & 7#e7 su* o!r in=mation z ! ,secret>y det]m9es necess>y to fur!r ! purposes ( ?is title4 7b7 ,e/abli%m5t ( res\rce & advocacy c5t]s 7#a7 ,9 g5]al ,by n lat] ?an ,janu>y #a1 #bjbb1 ! ,secret>y ( ,en]gy1 9 coord9ation ) ! ,secret>y ( ,labor1 %all e/abli% a res\rce & advocacy c5t] at ea* ,dep>tm5t ( ,en]gy facility :]e cleanup op]ations are be+ c>ri$ out1 or h be5 c>ri$ out1 "u ! environm5tal managem5t program ( ! ,dep>tm5t ( ,en]gy4 ,ea* su* res\rce & advocacy c5t] %all assi/ curr5t or =m] ,dep>tm5t ( ,en]gy employees & curr5t or =m] ,dep>tm5t ( ,en]gy contractor employees1 by enabl+ ! employees & contractor employees to-- 7,a7 receive in=mation reg>d+ all relat$ programs available to !m relat+ to pot5tial claims "u ?is title1 includ+-- 7i7 programs "u subtitles ,b & ,e2 & 7ii7 ! =m] work] m$ical scre5+ program ( ! ,dep>tm5t ( ,en]gy2 & 7,b7 navigate all su* relat$ programs4 7#b7 ,coord9ation ,! ,secret>y ( ,en]gy %all integrate o!r programs available to curr5t & =m] employees1 & curr5t or =m] ,dep>tm5t ( ,en]gy contractor employees1 :i* are relat$ to ! purposes ( ?is title1 ) ! res\rce & advocacy c5t]s e/abli%$ "u p>agraph 7#a71 z appropriate4 7c7 ,in=mation ,! ,secret>y ( ,labor %all develop & di/ribute1 ?r\gh ! res\rce & advocacy c5t]s e/abli%$ "u subsection 7b7 & o!r means1 in=mation 7:i* may include responses to frequ5tly ask$ que/ions7 = curr5t or =m] employees or curr5t or =m] ,dep>tm5t ( ,en]gy contractor employees ab\t ! programs "u subtitles ,b & ,e & ! claims process "u su* programs4 7d7 ,copy ( employee's claims records 7#a7 ,9 g5]al ,! ,secret>y ( ,labor %all1 ^u ! reque/ ( a curr5t or =m] employee or ,dep>tm5t ( ,en]gy contractor employee1 provide ! employee ) a complete copy ( all records or o!r mat]ials held by ! ,dep>tm5t ( ,labor relat+ to ! employee's claim "u subtitle ,b or ,e4 7#b7 ,*oice ( =mat ,! ,secret>y ( ,labor %all provide ! copy ( records describ$ 9 p>agraph 7#a7 to an employee 9 electronic or pap] =m1 z select$ by ! employee4 7e7 ,contact ( employees by indu/rial hygi5i/s ,! ,secret>y ( ,labor %all all[ indu/rial hygi5i/s to contact curr5t or =m] employees or ,dep>tm5t ( ,en]gy contractor employees reg>d+ ! employee's claim "u subtitle ,b or ,e4 4 7b7 ,ext5d+ appeal p]iod ,section #cfgg7;a7 ( ! ,en]gy ,employees ,occupational ,illness ,comp5sation ,program ,act ( #bjjj 7#db ,u4,s4,c4 #gches-#f7;a77 is am5d$ by /rik+ #fj days & ins]t+ #ahj days4 7c7 ,fund+ ,section #cfhd ( ! ,en]gy ,employees ,occupational ,illness ,comp5sation ,program ,act ( #bjjj 7#db ,u4,s4,c4 #gches-#ac7 is am5d$-- 7#a7 by /rik+ ,!re is au?oriz$ & ins]t+ ! foll[+3 7a7 ,9 g5]al ,!re is au?oriz$ 2 7#b7 by ins]t+ be=e ! p]iod at ! end ! foll[+3 1 includ+ ! am\nts necess>y to c>ry out ! requirem5ts ( section #cfha;,a2 & 7#c7 by add+ at ! end ! foll[+3 7b7 ,adm9i/rative co/s = dep>tm5t ( en]gy ,!re is au?oriz$ & h]eby appropriat$ to ! ,secret>y ( ,en]gy = fiscal ye> #bjba & ea* succe$+ ye> su* sums z may be necess>y to support ! ,secret>y 9 c>ry+ out ! requirem5ts ( ?is title1 includ+ section #cfha;,a4 4 7d7 ,ext5d+ ! au?orization ( ! ,,eeoicpa ombudsman ,section #cfhf7;h7 ( ! ,en]gy ,employees ,occupational ,illness ,comp5sation ,program ,act ( #bjjj 7#db ,u4,s4,c4 #gches-#ae7;h77 is am5d$ by /rik+ ,octob] #bh1 #bjai & ins]t+ ,octob] #bh1 #bjbd4 7e7 ,advisory bo>d on toxic sub/ances & work] heal? ,section #cfhg ( ! ,en]gy ,employees ,occupational ,illness ,comp5sation ,program ,act ( #bjjj 7#db ,u4,s4,c4 #gches-#af7 is am5d$-- 7#a7 9 subsection 7b7-- 7,a7 9 p>agraph 7#a77;,f71 by /rik+ & aft] ! semicolon2 7,b7 9 p>agraph 7#b71 by /rik+ ! p]iod at ! end & ins]t+ a semicolon2 & 7,c7 by add+ at ! end ! foll[+3 7#c7 develop recomm5dations = ! ,secret>y ( ,heal? & ,human ,s]vices reg>d+-- 7,a7 :e!r !re is a class ( ,dep>tm5t ( ,en]gy employees1 ,dep>tm5t ( ,en]gy contractor employees1 or o!r employees at any ,dep>tm5t ( ,en]gy facility :o 7 at lea/ z likely z n expos$ to toxic sub/ances at t facility b = :om x is n feasible to e/imate ) suffici5t accuracy ! dose !y receiv$2 & 7,b7 ! conditions or requirem5ts t %\ld be met 9 ord] = an individual to be designat$ z a memb] ( ! ,special ,exposure ,cohort "u section #cfga;,a2 & 7#d7 review all exi/+1 z ( ! date ( ! review1 rules & guidel9es issu$ by ! ,secret>y reg>d+ presumption ( causation & provide ! ,secret>y ) recomm5dations = new rules & guidel9es reg>d+ presumption ( causation4 2 7#b7 9 subsection 7c77#c71 by ins]t+ or ! ,bo>d aft] ,! ,secret>y2 7#c7 by r$esignat+ subsections 7h7 & 7i7 z subsections 7i7 & 7j71 respectively2 & 7#d7 by ins]t+ aft] subsection 7g7 ! foll[+3 7h7 ,requir$ responses to bo>d recomm5dations ,n lat] ?an #ij days aft] ! date on :i* ! ,secret>y ( ,labor & ! ,secret>y ( ,heal? & ,human ,s]vices receives recomm5dations 9 accordance ) p>agraph 7#a71 7#c71 or 7#d7 ( subsection 7b71 su* ,secret>y %all submit =mal responses to ea* recomm5dation to ! ,bo>d & ,congress4 4 #e4 ,rese>* program on epidemiological impacts ( toxic exposures 7a7 ,def9itions ,9 ?is section-- 7#a7 ! t]m ,dep>tm5t ( ,en]gy facility has ! mean+ giv5 ! t]m 9 section #cfba ( ! ,en]gy ,employees ,occupational ,illness ,comp5sation ,program ,act ( #bjjj 7#db ,u4,s4,c4 #gchdl72 7#b7 ! t]m in/itution ( high] education has ! mean+ giv5 su* t]m 9 section #aja ( ! ,high] ,education ,act ( #aife 7#bj ,u4,s4,c4 #ajja72 & 7#c7 ! t]m ,secret>y means ! ,secret>y ( ,heal? & ,human ,s]vices4 7b7 ,e/abli%m5t ,! ,secret>y1 act+ ?r\gh ! ,director ( ! ,national ,in/itute ( ,environm5tal ,heal? ,sci5ces & 9 collaboration ) ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 %all conduct or support rese>* on ! epidemiological impacts ( exposures to toxic sub/ances at ,dep>tm5t ( ,en]gy facilities4 7c7 ,use ( funds ,rese>* "u subsection 7b7 may include rese>* on ! epidemiological1 cl9ical1 or heal? impacts on individuals :o 7 expos$ to toxic sub/ances 9 or ne> ! tank f>ms & o!r relevant ,dep>tm5t ( ,en]gy facilities ?r\gh _! "w at su* sites4 7d7 ,eligibility & application ,any in/itution ( high] education or ! ,national ,academy ( ,sci5ces may apply = fund+ "u ?is section by submitt+ to ! ,secret>y an application at su* "t1 9 su* mann]1 & conta9+ or accompani$ by su* in=mation z ! ,secret>y may require4 7e7 ,rese>* coord9ation ,! ,secret>y %all coord9ate activities "u ?is section ) simil> activities conduct$ by ! ,dep>tm5t ( ,heal? & ,human ,s]vices to ! ext5t t o!r ag5cies h responsibilities t are relat$ to ! /udy ( epidemiological1 cl9ical1 or heal? impacts ( exposures to toxic sub/ances4 7f7 ,heal? /udies report to secret>y ,n lat] ?an #a ye> aft] ! end ( ! fund+ p]iod = rese>* "u ?is section1 ! fund+ recipi5t %all prep>e & submit to ! ,secret>y a f9al report t-- 7#a7 summ>izes ! f9d+s ( ! rese>*2 7#b7 includes recomm5dations = any additional /udies2 7#c7 describes any classes ( employees t1 bas$ on ! results ( ! /udy & 9 accordance ) ! rules promulgat$ by ! ,secret>y "u section #cfga;,a7b7 ( ! ,en]gy ,employees ,occupational ,illness ,comp5sation ,program ,act ( #bjjj 7z add$ by ?is ,act71 qualify = inclusion 9 ! ,toxic ,special ,exposure ,cohort "u su* section #cfga;,a2 & 7#d7 describes any illnesses to be includ$ z cov]$ illnesses "u section #cfga7b77;,d7 ( ! ,en]gy ,employees ,occupational ,illness ,comp5sation ,program ,act ( #bjjj 7#db ,u4,s4,c4 #gches7#b77;,d774 7g7 ,report to ,congress 7#a7 ,9 g5]al ,n lat] ?an #abj days aft] ! date on :i* ! reports "u subsection 7f7 are due1 ! ,secret>y %all-- 7,a7 designate all classes ( employees describ$ 9 ! report "u subsection 7f77#c7 z memb]s ( ! ,toxic ,special ,exposure ,cohort "u section #cfga;,a ( ! ,en]gy ,employees ,occupational ,illness ,comp5sation ,program ,act ( #bjjj 7z add$ by ?is ,act72 & 7,b7 prep>e & submit to ! relevant committees ( ,congress a report-- 7i7 summ>iz+ ! f9d+s f ! reports requir$ "u subsection 7f72 7ii7 id5tify+ ! classes ( employees designat$ "u subp>agraph 7,a72 7iii7 id5tify+ any new illnesses t1 z a result ( ! /udy1 w be includ$ z cov]$ illnesses1 pursuant to subsection 7f77#d7 & section #cfga7b77;,d7 ( ! ,en]gy ,employees ,occupational ,illness ,comp5sation ,program ,act ( #bjjj 7#db ,u4,s4,c4 #gches7#b77;,d772 & 7iv7 includ+ ! ,secret>y's recomm5dations = additional heal? /udies relat+ to toxic sub/ances1 if ! ,secret>y det]m9es x necess>y4 7#b7 ,relevant committees ( ,congress def9$ ,9 ?is subsection1 ! t]m relevant committees ( ,congress means-- 7,a7 ! ,committee on ,arm$ ,s]vices1 ,committee on ,appropriations1 ,committee on ,en]gy & ,natural ,res\rces1 & ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate2 & 7,b7 ! ,committee on ,arm$ ,s]vices1 ,committee on ,appropriations1 ,committee on ,en]gy & ,comm]ce1 & ! ,committee on ,education & ,labor ( ! ,h\se ( ,repres5tatives4 7h7 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$ to c>ry out ?is section #c1jjj1jjj = ea* ( fiscal ye>s #bjba ?r\gh #bjbe4 #f4 ,national ,academy ( ,sci5ces review ,subtitle ,a ( ! ,en]gy ,employees ,occupational ,illness ,comp5sation ,program ,act ( #bjjj 7#db ,u4,s4,c4 #gchd;d et seq471 z am5d$ by section #d1 is fur!r am5d$ by ins]t+ aft] section #cfad ! foll[+3 #cfae4 ,national ,academy ( ,sci5ces review 7a7 ,purpose ,! purpose ( ?is section is to enable ! ,national ,academy ( ,sci5ces1 a non-,f$]al entity ) appropriate exp]tise1 to review & evaluate ! available sci5tific evid5ce reg>d+ associations betwe5 diseases & exposure to toxic sub/ances f\nd at ,dep>tm5t ( ,en]gy cleanup sites4 7b7 ,def9itions ,9 ?is section3 7#a7 ,dep>tm5t ( en]gy cleanup site ,! t]m ,dep>tm5t ( ,en]gy cleanup site means a ,dep>tm5t ( ,en]gy facility :]e cleanup op]ations are be+ c>ri$ out1 or h be5 c>ri$ out1 "u ! environm5tal managem5t program ( ! ,dep>tm5t ( ,en]gy4 7#b7 ,heal? /udies report ,! t]m heal? /udies report means ! report submitt$ "u section #e7;f7 ( ! ,toxic ,exposure ,safety ,act ( #bjbj4 7c7 ,agreem5t ,n lat] ?an #fj days aft] ! issuance ( ! heal? /udies report1 ! ,secret>y ( ,heal? & ,human ,s]vices %all ent] into an agreem5t ) ! ,national ,academy ( ,sci5ces to c>ry out ! requirem5ts ( ?is section4 7d7 ,review ( sci5tific & m$ical evid5ce 7#a7 ,9 g5]al ,"u ! agreem5t describ$ 9 subsection 7c71 ! ,national ,academy ( ,sci5ces %all1 = ! p]iod ( ! agreem5t-- 7,a7 = ea* area recomm5d$ = additional /udy "u ! heal? /udies report "u section #e7;f77#b7 ( ! ,toxic ,exposure ,safety ,act ( #bjbj1 review & summ>ize ! sci5tific evid5ce relat+ to ! area1 includ+-- 7i7 /udies by ! ,dep>tm5t ( ,en]gy & ,dep>tm5t ( ,labor2 & 7ii7 any o!r available & relevant sci5tific /udies1 to ! ext5t t su* /udies are relevant to ! occupational exposures t h occurr$ at ,dep>tm5t ( ,en]gy cleanup sites2 & 7,b7 review & summ>ize ! sci5tific & m$ical evid5ce conc]n+ ! association betwe5 exposure to toxic sub/ances f\nd at ,dep>tm5t ( ,en]gy cleanup sites & resultant diseases4 7#b7 ,sci5tific det]m9ations conc]n+ diseases ,9 conduct+ ea* review ( sci5tific evid5ce "u subp>agraphs 7,a7 & 7,b7 ( p>agraph 7#a71 ! ,national ,academy ( ,sci5ces %all-- 7,a7 assess ! /r5g? ( su* evid5ce2 7,b7 assess :e!r a /ati/ical association betwe5 exposure to a toxic sub/ance & a disease exi/s1 tak+ into acc\nt ! /r5g? ( ! sci5tific evid5ce & ! appropriat5ess ( ! /ati/ical & epidemiological me?ods us$ to detect an association2 7,c7 assess ! increas$ risk ( disease among ^? expos$ to ! toxic sub/ance dur+ s]vice dur+ ! production & cleanup eras ( ! ,dep>tm5t ( ,en]gy cleanup sites2 7,d7 survey ! impact to heal? ( ! toxic sub/ance1 focus+ on r5al1 liv]1 neurological1 sk91 respiratory1 e>1 nose1 eye1 & ?roat diseases1 includ+ dem5tia1 *emical s5sitivities1 & emphysema2 & 7,e7 det]m9e :e!r a plausible biological me*anism or o!r evid5ce ( a causal relation%ip exi/s betwe5 exposure to ! toxic sub/ance & disease4 7e7 ,additional sci5tific /udies ,if ! ,national ,academy ( ,sci5ces det]m9es1 9 ! c\rse ( conduct+ ! /udies "u subsection 7d71 t additional /udies are ne$$ to resolve areas ( cont9u+ sci5tific unc]ta9ty relat+ to toxic exposure at ,dep>tm5t ( ,en]gy cleanup sites1 ! ,national ,academy ( ,sci5ces %all include1 9 ! next report submitt$ "u subsection 7f71 recomm5dations = areas ( additional /udy1 consi/+ (-- 7#a7 a li/ ( diseases & tox9s t require fur!r evaluation & /udy2 7#b7 a review ! curr5t in=mation available1 z ( ! date ( ! report1 relat+ to su* diseases & tox9s2 7#c7 ! value ( ! in=mation t w\ld result f ! additional /udies2 & 7#d7 ! co/ & feasibility ( c>ry+ out additional /udies4 7f7 ,reports 7#a7 ,9 g5]al ,by n lat] ?an #ah mon?s aft] ! date ( ! agreem5t "u subsection 7c71 & e #b ye>s !reaft]1 ! ,national ,academy ( ,sci5ces %all prep>e & submit a report to-- 7,a7 ! ,secret>y2 7,b7 ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions & ! ,committee on ,en]gy & ,natural ,res\rces ( ! ,s5ate2 & 7,c7 ! ,committee on ,natural ,res\rces1 ! ,committee on ,education & ,labor1 & ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives4 7#b7 ,cont5ts ,ea* report submitt$ "u p>agraph 7#a7 %all include1 = ! #ah-mon? or #b-ye> p]iod cov]$ by ! report-- 7,a7 a description (-- 7i7 ! reviews & /udies conduct$ "u ?is section2 7ii7 ! det]m9ations & conclusions ( ! ,national ,academy ( ,sci5ces ) respect to su* reviews & /udies2 & 7iii7 ! sci5tific evid5ce & reason+ t l$ to su* conclusions2 7,b7 ! recomm5dations = fur!r areas ( /udy made "u subsection 7e7 = ! report+ p]iod2 7,c7 a description ( any classes ( employees t1 bas$ on ! results ( ! reviews & /udies & 9 accordance ) ! rules promulgat$ by ! ,secret>y "u section #cfga;,a7b71 qualify = inclusion 9 ! ,toxic ,special ,exposure ,cohort "u su* section #cfga;,a2 & 7,d7 ! id5tification ( any illness t ! ,national ,academy ( ,sci5ces has det]m9$1 z a result ( ! reviews & /udies1 %\ld be a cov]$ illness "u section #cfga7b77;,d74 7g7 ,limitation on au?ority ,! au?ority to ent] into agreem5ts "u ?is section %all be effective = a fiscal ye> to ! ext5t t appropriations are available4 7h7 ,sunset ,?is section %all cease to be effective #aj ye>s aft] ! la/ day ( ! fiscal ye> 9 :i* ! ,national ,academy ( ,sci5ces transmits to ! ,secret>y ! fir/ report "u subsection 7f74 4 #g4 ,con=m+ am5dm5ts ,! ,en]gy ,employees ,occupational ,illness ,comp5sation ,program ,act ( #bjjj 7#db ,u4,s4,c4 #gchd et seq47 is am5d$-- 7#a7 9 ! table ( cont5ts-- 7,a7 by r$esignat+ ! item relat+ to section #cfad z ! item relat+ to section #cfaf2 7,b7 by ins]t+ aft] ! item relat+ to section #cfac ! foll[+3 ,sec4 #cfad4 ,in=mation & outrea*4,sec4 #cfae4 ,national ,academy ( ,sci5ces review4 2 7,c7 by ins]t+ aft] ! item relat+ to section #cfga ! foll[+3 ,sec4 #cfga;,a4 ,e/abli%m5t ( ! ,toxic ,special ,exposure ,cohort4 2 & 7,d7 by ins]t+ aft] ! item relat+ to section #cfha ! foll[+3 ,sec4 #cfha;,a4 ,completion & updates ( site exposure matrices4 2 & 7#b7 9 ea* ( subsections 7b77#a7 & 7c7 ( section #cfab1 by /rik+ #cfad7;b7 & ins]t+ #cfaf7;b74