,i  #aag? ,,congress  #a/ ,session  ,h4 
,r4 #eeii  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,octob] #ae1 #bjba,ms4
 ,%]rill 7= h]self & ,mr4 ,g>b>9o7      
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,arm$ ,s]vices1 & 9    
addition to ! ,committee on ,vet]ans'   
,affairs1 = a p]iod to be subsequ5tly   
det]m9$ by ! ,speak]1 9 ea* case =      
consid]ation ( su* provisions z fall )9 
! jurisdiction ( ! committee conc]n$  ,a
 ,,bill  ,to direct ! ,comptroll] ,g5]al
 ( ! ,unit$ ,/ates to conduct a bi5nial 
/udy on ! ,individual ,longitud9al      
,exposure ,record program ( ! ,dep>tm5t 
( ,def5se & ! ,dep>tm5t ( ,vet]ans      
,affairs1 & = o!r purposes4  #a4 ,%ort  
title ,?is ,act may be cit$ z ! ,burn   
,pit ,program to ,review ,op]ations &   
,managem5t ( ,,il] ,sy/em ,efficacy ,act
 or ! ,burn ,pit ,,promise ,act4  #b4   
,,gao bi5nial /udy on ,individual       
,longitud9al ,exposure ,record program  
7a7 ,/udies & reports requir$ ,n lat]   
?an ,decemb] #ca1 #bjbb1 & once e two   

ye>s !reaft] until ,decemb] #ca1 #bjcj1 
! ,comptroll] ,g5]al ( ! ,unit$ ,/ates  
%all-- 7#a7 conduct a /udy on !         
implem5tation & effectiv5ess ( !        
,individual ,longitud9al ,exposure      
,record program ( ! ,dep>tm5t ( ,def5se 
& ! ,dep>tm5t ( ,vet]ans ,affairs2 &    
7#b7 submit to ! appropriate            
congressional committees a report       
conta9+ ! f9d+s ( ! mo/ rec5tly conduct$
 /udy4  7b7 ,elem5ts ,! bi5nial /udies  
"u subsection 7a7 %all include an       
assessm5t ( elem5ts z foll[s3 7#a7      
,initial /udy ,! initial /udy conduct$  
"u subsection 7a7 %all assess1 at a     
m9imum1 ! foll[+3 7,a7 ,/ati/ics relat+ 
to use ( ! ,individual ,longitud9al     
,exposure ,record program1 includ+ !    
total numb] ( individuals ! records (   
:om are conta9$ !re9 & ! total numb] (  
records accessible "u ! program4  7,b7  
,co/s associat$ ) ! program1 includ+ any
 co/ ov]runs associat$ ) ! program4     
7,c7 ,! capacity to exp& ! program to   
include ! m$ical records ( vet]ans :o   

s]v$ prior to ! e/abli%m5t ( ! program4 
7,d7 ,any illness rec5tly id5tifi$ z    
relat+ to a toxic exposure 7or any      
guidance relat+ to su* an illness       
rec5tly issu$7 by ei!r ! ,secret>y (    
,def5se or ! ,secret>y ( ,vet]ans       
,affairs1 includ+ any su* illness or    
guidance t relates to op5 burn pit      
exposure4  7,e7 ,h[ ! program has enabl$
 7or fail$ to enable7 ! discov]y1       
notification1 & m$ical c>e ( individuals
 affect$ by an illness describ$ 9       
subp>agraph 7,d74  7,f7 ,physician &    
pati5t fe$back on ! program1 p>ticul>ly 
fe$back t relates to ease ( use4  7,g7  
,cyb]security & privacy protections (   
pati5t data /or$ "u ! program1 includ+  
:e!r any classifi$ or re/rict$ data has 
be5 /or$ "u ! program 7su* z data relat+
 to deploym5t locations or duty         
/ations74  7,h7 ,any te*nical or        
logi/ical imp$im5ts to ! implem5tation  
or expansion ( ! program1 includ+ any   
imp$im5ts to ! inclusion 9 ! program (  
databases or mat]ials orig9ally int5d$  

to be includ$4  7,i7 ,any issues relat+ 
to read-only access to data "u ! program
 by vet]ans4  7,j7 ,any issues relat+ to
 ! int]op]ability ( ! program betwe5 !  
,dep>tm5t ( ,def5se & ! ,dep>tm5t (     
,vet]ans ,affairs4  7#b7 ,subsequ5t     
/udies ,except z provid$ 9 p>agraph     
7#c71 ea* /udy conduct$ "u subsection   
7a7 foll[+ ! initial /udy specifi$ 9    
p>agraph 7#a7 %all assess-- 7,a7        
/ati/ics relat+ to use ( ! ,individual  
,longitud9al ,exposure ,record program1 
includ+ ! total numb] ( individuals !   
records ( :om are conta9$ !re9 & ! total
 numb] ( records accessible "u !        
program2 &  7,b7 su* o!r elem5ts z !    
,comptroll] ,g5]al det]m9es appropriate1
 :i* may include any o!r elem5t specifi$
 9 p>agraph 7#a74  7#c7 ,f9al /udy ,!   
f9al /udy conduct$ "u subsection 7a7    
%all assess-- 7,a7 ! elem5ts specifi$ 9 
subp>agraphs 7,a71 7,b71 7,d71 7,e71    
7,f71 & 7,h7 ( p>agraph 7#a72 &  7,b7   
su* o!r elem5ts z ! ,comptroll] ,g5]al  
det]m9es appropriate1 :i* may include   

any o!r elem5t specifi$ 9 p>agraph 7#a74
  7c7 ,access by ,comptroll] ,g5]al     
7#a7 ,in=mation & mat]ials ,^u reque/ ( 
! ,comptroll] ,g5]al1 ! ,secret>y (     
,def5se & ! ,secret>y ( ,vet]ans        
,affairs %all make available to !       
,comptroll] ,g5]al any in=mation or o!r 
mat]ials necess>y = ! conduct ( ea*     
bi5nial /udy "u subsection 7a74  7#b7   
,int]views ,9 addition to su* o!r       
au?orities z are available1 !           
,comptroll] ,g5]al %all h ! "r to       
int]view (ficials & employees ( !       
,dep>tm5t ( ,def5se & ! ,dep>tm5t (     
,vet]ans ,affairs 7includ+ cl9icians1   
claims adjudicators1 & rese>*]s7 z      
necess>y = ! conduct ( ea* bi5nial /udy 
"u subsection 7a74  7#c7 ,in=mation f   
pati5ts & =m] pati5ts  7,a7 ,developm5t 
( que/ionnaire ,9 c>ry+ out ea* bi5nial 
/udy "u subsection 7a71 ! ,comptroll]   
,g5]al may develop a que/ionnaire =     
individuals ! records ( :om are conta9$ 
9 ! ,individual ,longitud9al ,exposure  
,record1 to obta9 ! in=mation necess>y =

 ! conduct ( ! /udy4  7,b7 ,di/ribution 
,! ,secret>y conc]n$ %all ensure t any  
que/ionnaire develop$ pursuant to       
subp>agraph 7,a7 is di/ribut$ to        
individuals ! records ( :om are conta9$ 
9 ! ,individual ,longitud9al ,exposure  
,record4  7d7 ,def9itions ,9 ?is ,act3  
7#a7 ,! t]m appropriate congressional   
committees means-- 7,a7 ! ,committee on 
,arm$ ,s]vices & ! ,committee on        
,vet]ans' ,affairs ( ! ,h\se (          
,repres5tatives2 &  7,b7 ! ,committee on
 ,arm$ ,s]vices & ! ,committee on       
,vet]ans' ,affairs ( ! ,s5ate4  7#b7 ,! 
t]m ,secret>y conc]n$ means-- 7,a7 !    
,secret>y ( ,def5se1 ) respect to matt]s
 conc]n+ ! ,dep>tm5t ( ,def5se2 &  7,b7 
! ,secret>y ( ,vet]ans ,affairs1 )      
respect to matt]s conc]n+ ! ,dep>tm5t ( 
,vet]ans ,affairs4