,,ii ,cal5d> ,no4 #ade #aag? ,,congress 
#a/ ,session  ,s4 #cjjc  ,,9 ,,! ,,s5ate
 ,,( ,,! ,,unit$ ,,/ates  ,octob] #ai1  
#bjba,mr4 ,te/]1 f ! ,committee on      
,vet]ans' ,affairs1 report$ ! foll[+    
orig9al bill2 :i* 0 read twice & plac$  
on ! cal5d>  ,a ,,bill  ,to improve     
heal? c>e & b5efits = vet]ans expos$ to 
toxic sub/ances1 & = o!r purposes4  #a4 
,%ort title2 table ( cont5ts  7a7 ,%ort 
title ,?is ,act may be cit$ z !         
,compreh5sive & ,ov]due ,support =      
,troops ( ,w> ,act ( #bjba or ! ,,co/ ( 
,w> ,act ( #bjba4  7b7 ,table ( cont5ts 
,! table ( cont5ts = ?is ,act is z      
foll[s3 ,sec4 #a4 ,%ort title2 table (  
cont5ts4,,title ,i--,expansion ( heal?  
c>e = toxic exposure veterans,sec4 #aja4
 ,heal? c>e = c]ta9 toxic exposure      
vet]ans4,sec4 #ajb4 ,expansion ( heal?  
c>e eligibility = c]ta9 vet]ans expos$  
to op5 burn pits4,sec4 #ajc4 ,expansion 
( heal? c>e eligibility = vet]ans aw>d$ 
c]ta9 m$als4,sec4 #ajd4 ,/udy on        
feasibility & advisability ( furni%+    

hospital c>e & m$ical s]vices to        
dep5d5ts ( vet]ans :o p>ticipat$ 9 toxic
 exposure risk activities4,,title       
,,ii--,re=ms to ! toxic exposure        
presumption process,sec4 #bja4          
,improvem5ts to ability ( ,dep>tm5t (   
,vet]ans ,affairs to e/abli%            
presumptions ( s]vice connection bas$ on
 toxic exposure4,sec4 #bjb4 ,te*nical   
corrections4,,title ,,iii--,re=ms to !  
s]vice connection process = toxic       
exposure veterans,sec4 #cja4            
,presumptions ( toxic exposure4,sec4    
#cjb4 ,presumption ( exposure to        
airborne haz>ds & sub/ances f burn      
pits4,sec4 #cjc4 ,m$ical nexus          
exam9ations = toxic exposures4,,title   
,,iv--,expansion ( presumptions ( s]vice
 connection = =gott5 veterans,sec4 #dja4
 ,m>k ,takai ,atomic ,vet]ans ,heal?c>e 
,p>ity ,act ( #bjba4,sec4 #djb4         
,treatm5t ( vet]ans :o p>ticipat$ 9     
nucle> response ne> ,palom>es1 ,spa91 z 
radiation-expos$ vet]ans = purposes (   
presumption ( s]vice-connection ( c]ta9 

disabilities by ,dep>tm5t ( ,vet]ans    
,affairs4,sec4 #djc4 ,presumptions (    
s]vice connection = diseases associat$ )
 exposures to c]ta9 h]bicide ag5ts =    
vet]ans :o s]v$ 9 c]ta9 locations4,sec4 
#djd4 ,addition ( additional diseases   
associat$ ) exposure to c]ta9 h]bicide  
ag5ts = :i* !re is a presumption (      
s]vice connection = vet]ans :o s]v$ 9 ! 
,republic ( ,vietnam4,sec4 #dje4        
,improv+ comp5sation = disabilities     
occurr+ 9 ,p]sian ,gulf ,w>             
vet]ans4,sec4 #djf4 ,presumption (      
s]vice connection = c]ta9 diseases      
associat$ ) exposure to burn pits & o!r 
tox9s4,,title ,v--,/r5g!n+ ,f$]al rese>*
 on toxic exposures,sec4 #eja4          
,coord9ation by ,dep>tm5t ( ,vet]ans    
,affairs ( toxic exposure rese>*4,sec4  
#ejb4 ,collection1 analysis1 & report on
 treatm5t ( vet]ans = m$ical conditions 
relat$ to toxic exposure4,sec4 #ejc4    
,/udies relat+ to vet]ans :o s]v$ 9     
,s\?we/ ,asia4,sec4 #ejd4 ,/udy on heal?
 tr5ds ( po/ #i_/aa vet]ans4,sec4 #eje4 

,/udy on canc] rates among              
vet]ans4,,title ,,vi--,improv+ support  
to toxic exposure veterans,sec4 #fja4   
,def9itions4,sec4 #fjb4 ,publication (  
li/ ( res\rces ( ,dep>tm5t ( ,vet]ans   
,affairs = toxic exposure vet]ans &     
outrea* program = su* vet]ans & c>egiv]s
 & survivors ( su* vet]ans4,sec4 #fjc4  
,incorporation ( toxic exposure         
que/ionnaire dur+ prim>y c>e            
appo9tm5ts4,sec4 #fjd4 ,tra9+ = p]sonnel
 ( ! ,dep>tm5t ( ,vet]ans ,affairs )    
respect to toxic exposure vet]ans4,sec4 
#fje4 ,,sfc ,hea? ,rob9son ,burn ,pit   
,transp>5cy ,act4,,title ,,vii--,/r5g!n+
 record-keep+ ( toxic exposures by      
,dep>tm5t ( ,defense,sec4 #gja4         
,def9itions4,sec4 #gjb4 ,indep5d5t /udy 
on ,individual ,longitud9al ,exposure   
,record4,sec4 #gjc4 ,biannual report on 
,individual ,longitud9al ,exposure      
,record4,sec4 #gjd4 ,correction ( toxic 
exposure records4  ,i ,expansion ( heal?
 c>e = toxic exposure vet]ans  #aja4    
,heal? c>e = c]ta9 toxic exposure       

vet]ans  7a7 ,9 g5]al ,section #agaj7;e7
 ( title #ch1 ,unit$ ,/ates ,code1 is   
am5d$-- 7#a7 p>agraph 7#a71 by add+ at !
 end ! foll[+ new subp>agraph3  7,g7    
,subject to p>agraph 7#b71 any vet]an :o
 p>ticipat$ 9 a toxic exposure risk     
activity :ile s]v+ on active duty1      
active duty = tra9+1 or inactive duty   
tra9+ is eligible = hospital c>e1 m$ical
 s]vices1 & nurs+ home c>e "u subsection
 7a77#b77;,f7 = any illness1 not)/&+ t  
!re is insuffici5t m$ical evid5ce to    
conclude t su* illness is attributable  
to su* toxic exposure risk activity4  2 
&  7#b7 9 p>agraph 7#b77;,b7-- 7,a7 by  
/rik+ or 7,f7 & ins]t+ 7,f71 or 7,g72 & 
7,b7 by /rik+ s]vice or te/+ & ins]t+   
s]vice1 te/+1 or activity4  7b7         
,def9itions ,section #aja ( su* title is
 am5d$ by add+ at ! end ! foll[+ new    
p>agraphs3  7#cg7 ,! t]m toxic exposure 
includes ! foll[+3 7,a7 ,a toxic        
exposure risk activity4  7,b7 ,an       
exposure to a toxic or haz>d\s sub/ance 
t is subject to regulation by !         

,occupational ,safety & ,heal?          
,adm9i/ration4  7#ch7 ,! t]m toxic      
exposure vet]an means any vet]an :o--   
7,a7 c>ri$ out a toxic exposure risk    
activity2 or  7,b7 receiv$ or receives  
hospital c>e1 m$ical s]vices1 or nurs+  
home c>e pursuant to section            
#agaj7;e77#a7 ( ?is title4  7#ci7 ,! t]m
 toxic exposure risk activity means any 
activity-- 7,a7 t requires a correspond+
 entry 9 ! ,individual ,longitud9al     
,exposure ,record ( ! vet]an :o c>ri$   
out ! activity2 or  7,b7 t ! ,secret>y  
det]m9es qualifies = purposes ( section 
#agaj7;e77#a7 ( ?is title :5 tak+ into  
acc\nt :at is reasonably prud5t to      
protect ! heal? ( vet]ans4  7#dj7 ,! t]m
 ,individual ,longitud9al ,exposure     
,record includes any pilot program or   
o!r program us$ by ! ,dep>tm5t (        
,vet]ans ,affairs or ! ,dep>tm5t (      
,def5se to track h[ memb]s ( ! ,arm$    
,=ces or vet]ans h be5 expos$ to v>i\s  
occupational or environm5tal haz>ds4  4 
#ajb4 ,expansion ( heal? c>e eligibility

 = c]ta9 vet]ans expos$ to op5 burn pits
  7a7 ,9 g5]al ,section #agaj7;e7 (     
title #ch1 ,unit$ ,/ates ,code1 z am5d$ 
by section #aja7;a77#b77;,a71 is fur!r  
am5d$-- 7#a7 9 p>agraph 7#a71 by add+ at
 ! end ! foll[+ new subp>agraph3  7,h7  
7i7 ,subject to p>agraph 7#b71 a cov]$  
vet]an is eligible = hospital c>e1      
m$ical s]vices1 & nurs+ home c>e "u     
subsection 7a77#b77;,f7 = any illness4  
7ii7 ,= purposes ( ?is subp>agraph1 a   
cov]$ vet]an is a vet]an :o-- 7,i7 is   
eligible = inclusion 9 ! ,airborne      
,haz>ds & ,op5 ,burn ,pit ,regi/ry2 or  
7,,ii7 has be5 id5tifi$ by ! ,secret>y (
 ,def5se to h be5 possibly expos$1      
inside or outside ! ,unit$ ,/ates1 dur+ 
active duty1 active duty = tra9+1 or    
inactive duty tra9+1 to an op5 burn pit4
  7iii7 ,9 ?is subp>agraph3 7,i7 ,! t]m 
,airborne ,haz>ds & ,op5 ,burn ,pit     
,regi/ry means ! regi/ry e/abli%$ by !  
,secret>y "u section #bja ( ! ,dignifi$ 
,burial & ,o!r ,vet]ans' ,b5efits       
,improvem5t ,act ( #bjab 7,public ,law  

#aab-bfj2 #ch ,u4,s4,c4 #ebg note74     
7,,ii7 ,! t]m op5 burn pit has ! mean+  
giv5 t t]m 9 section #bja7;c7 ( !       
,dignifi$ ,burial & ,o!r ,vet]ans'      
,b5efits ,improvem5t ,act ( #bjab       
7,public ,law #aab-bfj2 #ch ,u4,s4,c4   
#ebg note74  2 &  7#b7 9 p>agraph       
7#b77;,b71 z am5d$ by section           
#aja7;a77#b77;,a71 by /rik+ or 7,g7 &   
ins]t+ 7,g71 or 7,h74  7b7 ,effective   
date ,! am5dm5ts made by subsection 7a7 
%all take effect on ! date t is #ij days
 aft] ! date ( ! enactm5t ( ?is ,act4   
#ajc4 ,expansion ( heal? c>e eligibility
 = vet]ans aw>d$ c]ta9 m$als  7a7 ,9    
g5]al ,section #agaj7;e7 ( title #ch1   
,unit$ ,/ates ,code1 z am5d$ by section 
#ajb7;a77#a71 is fur!r am5d$-- 7#a7 9   
p>agraph 7#a71 by add+ at ! end ! foll[+
 new subp>agraph3  7,i7 ,subject to     
p>agraph 7#b71 a vet]an is eligible =   
hospital c>e1 m$ical s]vices1 & nurs+   
home c>e "u subsection 7a77#b77;,f7 =   
any illness if ! vet]an 0 aw>d$ any ( ! 
foll[+3 7i7 ,! ,afghani/an ,campaign    

,m$al4  7ii7 ,! ,arm$ ,=ces ,exp$ition>y
 ,m$al4  7iii7 ,! ,global ,w> on        
,t]rorism ,exp$ition>y ,m$al4  7iv7 ,!  
,inh]5t ,resolve ,campaign ,m$al4  7v7  
,! ,iraqi ,campaign ,m$al4  7vi7 ,!     
,s\?we/ ,asia ,s]vice ,m$al4  2 &  7#b7 
9 p>agraph 7#b77;,b71 z am5d$ by section
 #ajb7;a77#b71 by /rik+ or 7,h7 & ins]t+
 7,h71 or 7,i74  7b7 ,effective date ,! 
am5dm5ts made by subsection 7a7 %all    
take effect on ! date t is #ij days aft]
 ! date ( ! enactm5t ( ?is ,act4  #ajd4 
,/udy on feasibility & advisability (   
furni%+ hospital c>e & m$ical s]vices to
 dep5d5ts ( vet]ans :o p>ticipat$ 9     
toxic exposure risk activities  7a7 ,9  
g5]al ,! ,secret>y ( ,vet]ans ,affairs  
%all conduct a /udy on ! feasibility &  
advisability ( furni%+ hospital c>e &   
m$ical s]vices to qualify+ dep5d5ts (   
vet]ans describ$ 9 section              
#agaj7;e77#a77;,g7 ( title #ch1 ,unit$  
,/ates ,code1 z add$ by section         
#aja7;a77#a71 = any illness or condition
 det]m9$ by ! ,secret>y to be connect$  

to a toxic exposure risk activity c>ri$ 
out by ! vet]an1 z det]m9$ by !         
,secret>y1 not)/&+ t !re is insuffici5t 
m$ical evid5ce to conclude t su* illness
 or condition is attributable to su*    
activity4  7b7 ,elem5ts ( /udy ,! /udy  
requir$ "u subsection 7a7 %all-- 7#a7   
assess ! impact ( furni%+ hospital c>e &
 m$ical s]vices to qualify+ dep5d5ts z  
describ$ 9 su* subsection on ! ability (
 ! ,dep>tm5t ( ,vet]ans ,affairs to     
furni% hospital c>e & m$ical s]vices to 
vet]ans2  7#b7 assess ! pot5tial co/ (  
furni%+ hospital c>e & m$ical s]vices to
 qualify+ dep5d5ts z describ$ 9 su*     
subsection2  7#c7 e/imate ! res\rces    
requir$ to furni% su* c>e & s]vices2    
7#d7 assess any /ress or o!r impact     
furni%+ su* c>e & s]vices w\ld h on !   
claims & appeals sy/em ( ! ,dep>tm5t2   
7#e7 e/imate ! numb] ( qualify+ dep5d5ts
 :o w\ld be eligible = su* c>e &        
s]vices2 &  7#f7 assess ! feasibility ( 
adjudicat+ claims = su* c>e & s]vices4  
7c7 ,phas$ 9 application ,9 conduct+ !  

/udy "u subsection 7a71 ! ,secret>y %all
 assess ! feasibility & advisability (  
phas+ 9 ! furni%+ ( hospital c>e &      
m$ical s]vices to qualify+ dep5d5ts     
describ$ 9 su* subsection by ! decade 9 
:i* su* toxic exposure risk activity    
occurr$1 />t+ ) ! mo/ rec5t decade4  7d7
 ,review ( exposure cases reg>d+        
liability ( ,dep>tm5t ( ,def5se ,9      
conduct+ ! /udy "u subsection 7a71 !    
,secret>y %all-- 7#a7 review kn[n cases 
( toxic exposure on in/allations ( !    
,dep>tm5t ( ,def5se 9 ! ,unit$ ,/ates2  
7#b7 explore ! liability ( ! ,dep>tm5t (
 ,def5se 9 ea* su* case2 &  7#c7 assess 
:e!r ! ,dep>tm5t ( ,def5se %\ld provide 
c>e & s]vices relat+ to su* toxic       
exposures "u ! ,,tric>e program4  7e7   
,report ,n lat] ?an two ye>s aft] ! date
 ( ! enactm5t ( ?is ,act1 ! ,secret>y   
%all submit to ,congress a report on !  
/udy conduct$ "u subsection 7a74  7f7   
,def9itions ,9 ?is section3 7#a7        
,hospital c>e & m$ical s]vices ,! t]ms  
hospital c>e & m$ical s]vices h ! mean+s

 giv5 ^? t]ms 9 section #agja ( title   
#ch1 ,unit$ ,/ates ,code4  7#b7         
,qualify+ dep5d5t ,! t]m qualify+       
dep5d5t means-- 7,a7 a dep5d5t ( a      
vet]an describ$ 9 section               
#agaj7;e77#a77;,g7 ( title #ch1 ,unit$  
,/ates ,code1 z add$ by section         
#aja7;a77#b7 :o resid$ ) ! vet]an dur+ !
 p]iod 9 :i*1 & on ! in/allation at :i*1
 ! vet]an p>ticipat$ 9 a toxic exposure 
risk activity2  7,b7 an individual :o 0 
9 ut]o ( su* a vet]an or o!r qualify+   
dep5d5t :5 ! vet]an p>ticipat$ 9 a toxic
 exposure risk activity2 or  7,c7 a     
dep5d5t ( su* a vet]an :o is n describ$ 
9 subp>agraph 7,a7 or 7,b7 b :o may h an
 illness or condition t is connect$ to !
 toxic exposure risk activity ( !       
vet]an1 z det]m9$ by ! ,secret>y4  7#c7 
,,tric>e program ,! t]m ,,tric>e program
 has ! mean+ giv5 t t]m 9 section       
#ajgb7g7 ( title #aj1 ,unit$ ,/ates     
,code4  ,,ii ,re=ms to ! toxic exposure 
presumption process  #bja4 ,improvem5ts 
to ability ( ,dep>tm5t ( ,vet]ans       

,affairs to e/abli% presumptions (      
s]vice connection bas$ on toxic exposure
  7a7 ,advisory committees1 panels1 &   
bo>ds  7#a7 ,e/abli%m5t ,*apt] #aa (    
title #ch1 ,unit$ ,/ates ,code1 is am5d$
 by add+ at ! end ! foll[+ new sub*apt]3
  ,,vii ,rese>* & det]m9ations relat+ to
 presumptions ( s]vice connection bas$  
on toxic exposure  #aaga4 ,proc$ures to 
det]m9e presumptions ( s]vice connection
 bas$ on toxic exposure2 def9itions  7a7
 ,proc$ures ,! ,secret>y %all det]m9e   
:e!r to e/abli%1 to modify1 or to remove
 presumptions ( s]vice connection bas$  
on toxic exposure pursuant to ?is       
sub*apt]1 :]eby-- 7#a7 ! ,toxic         
,exposure ,review ,commission advises ! 
,secret>y & makes recomm5dations        
pursuant to section #aagb ( ?is title2  
7#b7 ! ,national ,academies ( ,sci5ces1 
,eng9e]+1 & ,m$ic9e1 reviews & evaluates
 ! available sci5tific evid5ce pursuant 
to an agreem5t "u section #aagc ( ?is   
title2  7#c7 ! work+ gr\p e/abli%$ "u   
section #aagd ( ?is title evaluates !   

conclusions ( ! ,national ,academies (  
,sci5ces1 ,eng9e]+1 & ,m$ic9e pursuant  
to ! agreem5t describ$ 9 p>agraph 7#b7 &
 makes recomm5dations to ! ,secret>y "u 
su* section2 &  7#d7 ! ,secret>y        
prescribes regulations "u section #aage 
( ?is title4  7b7 ,illness def9$ ,9 ?is 
sub*apt]1 ! t]m illness includes a      
disease or o!r condition affect+ ! heal?
 ( an individual4  7c7 ,nonapplication (
 ,,faca ,! ,f$]al ,advisory ,committee  
,act 7#e ,u4,s4,c4 ,app47 %all n apply  
to an entity e/abli%$ "u ?is sub*apt]4  
#aagb4 ,toxic ,exposure ,review         
,commission  7a7 ,e/abli%m5t ,!         
,secret>y %all e/abli% an indep5d5t     
commission to be kn[n z ! ,toxic        
,exposure ,review ,commission 79 ?is    
section ref]r$ to z ! ,commission74  7b7
 ,purpose ,! ,commission %all-- 7#a7    
advise ! ,secret>y on que/ions relat+ to
 toxic exposures t require sci5tific    
rese>*2 &  7#b7 assi/ 9 ! consid]ation (
 possible presumptions ( s]vice         
connection relat+ to toxic exposure4    

7c7 ,duties  7#a7 ,! ,commission %all   
c>ry out ! foll[+ duties3 7,a7 ,collect 
any relevant in=mation f ! ,dep>tm5t (  
,def5se & o!r s\rces to id5tify possible
 toxic exposures relat+ to s]vice dur+  
active duty1 active duty = tra9+1 or    
inactive duty tra9+ 9 ord] to det]m9e ! 
ne$ = a compreh5sive review "u an       
agreem5t ) ! ,national ,academies (     
,sci5ces1 ,eng9e]+1 & ,m$ic9e "u section
 #aagc ( ?is title4  7,b7 ,recomm5d to !
 ,secret>y1 by majority vote1 :e!r a    
review %\ld be conduct$ "u an agreem5t )
 ! ,national ,academies ( ,sci5ces1     
,eng9e]+1 & ,m$ic9e "u section #aagc (  
?is title4  7,c7 ,recomm5d to !         
,secret>y1 by majority vote1 :e!r new1  
indep5d5t /udies reg>d+ ! heal? outcomes
 ( toxic exposures1 or any o!r new1     
indep5d5t /udies t ! ,commission deems  
necess>y & appropriate1 %\ld be         
conduct$4  7,d7 ,annually report to     
,congress on progress reg>d+ ! duties   
set =? 9 subp>agraphs 7,a7 ?r\gh 7,c71  
any recomm5dations made to ! ,secret>y1 

& any responses ( ! ,secret>y to su*    
recomm5dations4  7#b7 7,a7 ,relevant    
in=mation may be collect$ "u p>agraph   
7#a77;,a7 f ! foll[+3 7i7 ,any ,f$]al   
ag5cy z ! ,commission consid]s necess>y 
to c>ry out ?is section4  7ii7 ,public  
meet+s or he>+s1 :i* may be held to take
 su* te/imony & receive su* evid5ce z ! 
,commission consid]s advisable to c>ry  
out ! duties ( ! ,commission4  7,b7 ,^u 
reque/ ( ! *airp]son ( ! ,commission1 ! 
head ( a ,f$]al ag5cy %all furni%       
in=mation collect$ "u subp>agraph       
7,a77i7 to ! ,commission unless su*     
in=mation is classifi$4  7d7 ,memb]%ip  
7#a7 7,a7 ,! ,commission %all be compos$
 ( n9e memb]s1 appo9t$ z foll[s3 7i7    
,two memb]s appo9t$ by ! majority lead] 
( ! ,s5ate4  7ii7 ,two memb]s appo9t$ by
 ! m9ority lead] ( ! ,s5ate4  7iii7 ,two
 memb]s appo9t$ by ! ,speak] ( ! ,h\se (
 ,repres5tatives4  7iv7 ,two memb]s     
appo9t$ by ! m9ority lead] ( ! ,h\se (  
,repres5tatives4  7v7 ,"o memb] appo9t$ 
by ! ,secret>y4  7,b7 ,! initial memb]s 

( ! ,commission %all be appo9t$ "u      
subp>agraph 7,a7 n lat] ?an #ahj days   
aft] ! date ( ! enactm5t ( !            
,compreh5sive & ,ov]due ,support =      
,troops ( ,w> ,act ( #bjba4  7#b7 ,9    
appo9t+ individuals "u p>agraph         
7#a77;,a71 ! majority lead] ( ! ,s5ate1 
! m9ority lead] ( ! ,s5ate1 ! ,speak] ( 
! ,h\se ( ,repres5tatives1 ! m9ority    
lead] ( ! ,h\se ( ,repres5tatives1 & !  
,secret>y %all jo9tly ensure t at lea/  
five memb]s ( ! ,commission are sci5ti/s
 or heal? c>e pr(essionals-- 7,a7 (     
:om-- 7i7 "o has a backgr\nd 9 ! field (
 respiratory m$ic9e2  7ii7 "o has a     
backgr\nd 9 ! field ( endocr9ology &    
metabolic m$ic9e2  7iii7 "o has a       
backgr\nd 9 hematology2  7iv7 "o has a  
backgr\nd 9 oncology2 &  7v7 "o has a   
backgr\nd 9 occupational & environm5tal 
heal?2 &  7,b7 :o are n (ficials or     
employees ( ! ,f$]al ,gov]nm5t4  7#c7 ,9
 appo9t+ individuals "u p>agraph        
7#a77;,a71 ! majority lead] ( ! ,s5ate1 
! m9ority lead] ( ! ,s5ate1 ! ,speak] ( 

! ,h\se ( ,repres5tatives1 ! m9ority    
lead] ( ! ,h\se ( ,repres5tatives1 & !  
,secret>y %all jo9tly ensure t at lea/  
two memb]s ( ! ,commission repres5t an  
organization recogniz$ by ! ,secret>y = 
! repres5tation ( vet]ans "u section    
#eijb ( ?is title4  7#d7 ,9 appo9t+     
individuals "u p>agraph 7#a77;,a71 !    
majority lead] ( ! ,s5ate1 ! m9ority    
lead] ( ! ,s5ate1 ! ,speak] ( ! ,h\se ( 
,repres5tatives1 ! m9ority lead] ( !    
,h\se ( ,repres5tatives1 & ! ,secret>y  
%all jo9tly give consid]ation to includ+
 9 ! ,commission at lea/ "o memb] :o    
works ) survivors ( illnesses relat+ to 
toxic exposures & has a backgr\nd 9 !   
field ( /udy ( toxic exposures4  7e7    
,meet+s  7#a7 ,! ,commission %all meet n
 less frequ5tly ?an twice ea* ye>4  7#b7
 7,a7 ,ea* meet+ ( ! ,commission %all be
 op5 to ! public4  7,b7 ,all ! proce$+s1
 in=mation1 & delib]ations ( !          
,commission %all be available = review  
by ! public4  7,c7 ,meet+s ( !          
,commission may be c>ri$ out ?r\gh ! use

 ( telephonic or o!r appropriate        
telecommunication te*nology if !        
,commission det]m9es t su* te*nology w  
all[ ! memb]s to communicate            
simultane\sly4  7f7 ,*airp]son & vice   
*air ,at ! initial meet+ ( ! ,commission
 "u subsection 7e71 ! ,commission %all  
select a *airp]son & vice *airp]son f   
among ! memb]s ( ! ,commission by a     
majority vote ( ! memb]s ( !            
,commission4  7g7 ,p]iod ( appo9tm5t2   
vacancies  7#a7 ,a memb] ( ! ,commission
 %all be appo9t$ = a t]m t may n exce$  
f\r ye>s4  7#b7 ,! ,secret>y %all ensure
 t t]ms ( memb]s ( ! ,commission are    
/agg]$ s t no su* t]ms end on ! same    
date4  7#c7 ,a vacancy 9 ! ,commission  
%all be fill$ 9 ! same mann] z ! orig9al
 appo9tm5t1 b ! individual appo9t$ to   
fill ! vacancy %all s]ve only = !       
unexpir$ portion ( ! t]m = :i* !        
individual's pr$ecessor 0 appo9t$4  7#d7
 ,9 appo9t+ ! initial memb]s ( !        
,commission1 ea* (ficial :o is au?oriz$ 
to appo9t two memb]s ( ! ,commission    

%all appo9t-- 7,a7 "o memb] ^: t]m      
expires aft] two ye>s2 &  7,b7 "o memb] 
^: t]m expires aft] f\r ye>s4  7h7 ,pay 
7#a7 ,memb]s ( ! ,commission %all s]ve  
)\t pay4  7#b7 ,ea* memb] ( !           
,commission :o is an (fic] or employee (
 ! ,unit$ ,/ates %all s]ve )\t          
comp5sation 9 addition to t receiv$ =   
s]vice z an (fic] or employee ( ! ,unit$
 ,/ates4  7#c7 ,memb]s %all receive     
travel exp5ses1 includ+ p] diem 9 lieu (
 subsi/5ce1 9 accordance ) sections     
#egjb & #egjc ( title #e4  7i7 ,director
 ( /aff  7#a7 ,! ,commission %all appo9t
 a ,director :o-- 7,a7 has n s]v$ z an  
employee ( ! ,dep>tm5t dur+ ! "o-ye>    
p]iod prec$+ ! date ( su* appo9tm5t2 &  
7,b7 is n o!rwise b>r$ or prohibit$ f   
s]v+ z ,director "u ,f$]al e?ics laws & 
regulations1 by reason ( po/-employm5t  
conflict ( int]e/4  7#b7 ,! ,director   
%all be paid at ! rate ( basic pay      
payable = level ,,iv ( ! ,executive     
,s*$ule "u section #ecae ( title #e4    
7j7 ,/aff  7#a7 ,subject to p>agraphs   

7#b7 & 7#c71 ! ,director1 ) ! approval (
 ! ,commission1 may appo9t & fix ! pay (
 additional p]sonnel4  7#b7 ,! ,director
 may make su* appo9tm5ts )\t reg>d to ! 
provisions ( title #e gov]n+ appo9tm5ts 
9 ! competitive s]vice1 & any p]sonnel s
 appo9t$ may be paid )\t reg>d to !     
provisions ( *apt] #ea & sub*apt] ,,iii 
( *apt] #ec ( t title relat+ to         
classification & ,g5]al ,s*$ule pay     
rates1 except t an individual s appo9t$ 
may n receive pay 9 excess ( ! annual   
rate ( basic pay payable = ,,gs-#ae ( ! 
,g5]al ,s*$ule4  7#c7 7,a7 ,n m ?an     
two-?irds ( ! p]sonnel employ$ by or    
detail$ to ! ,commission may be on      
detail f ! ,dep>tm5t4  7,b7 ,n m ?an    
half ( ! pr(essional analy/s ( !        
,commission /aff may be p]sons detail$ f
 ! ,dep>tm5t to ! ,commission4  7#d7    
,subject to p>agraph 7#c71 ! head ( any 
,f$]al ag5cy1 ^u ! reque/ ( ! ,director1
 may detail any ( ! p]sonnel ( t ag5cy  
to ! ,commission to assi/ ! ,commission 
9 c>ry+ out its duties "u ?is section4  

7#e7 ,! ,commission may secure directly 
f any ,f$]al ag5cy su* in=mation z !    
,commission consid]s necess>y to c>ry   
out ?is section4 ,^u reque/ ( !         
*airp]son ( ! ,commission1 ! head ( su* 
ag5cy %all furni% su* in=mation to !    
,commission1 unless su* in=mation is    
classifi$4  7k7 ,o!r au?ority  7#a7 ,!  
,commission may procure by contract1 to 
! ext5t funds are available1 ! tempor>y 
or int]mitt5t s]vices ( exp]ts or       
consultants pursuant to section #caji ( 
title #e4  7#b7 ,to ! ext5t funds are   
available1 ! ,commission may lease real 
prop]ty & acquire p]sonal prop]ty ei!r (
 its own accord or 9 consultation ) !   
,g5]al ,s]vices ,adm9i/ration4  7l7     
,communications  7#a7 7,a7 ,except z    
provid$ 9 subp>agraph 7,b71 no p]son may
 re/rict an employee ( ! ,dep>tm5t 9    
communicat+ ) ! ,commission4  7,b7      
,subp>agraph 7,a7 does n apply to a     
communication t is unlawful4  7#b7 ,all 
ex p>te communications ) ! ,commission  
%all be made "p ( ! public record4  7m7 

,responses by ,secret>y ,9 response to  
ea* report submitt$ to ! ,secret>y by ! 
,commission "u subsection 7c77#a71 !    
,secret>y %all submit to ! ,committee on
 ,vet]ans' ,affairs ( ! ,s5ate & !      
,committee on ,vet]ans' ,affairs ( !    
,h\se ( ,repres5tatives & make available
 to ! public a report on-- 7#a7 ! f9d+s 
& op9ions ( ! ,secret>y ) respect to !  
report mo/ rec5tly submitt$ "u          
subsection 7c77#a72  7#b7 :e!r !        
,secret>y int5ds to nom9ate = review "u 
an agreem5t ) ! ,national ,academies (  
,sci5ces1 ,eng9e]+1 & ,m$ic9e "u section
 #aagc ( ?is title ! review recomm5d$ by
 ! ,committee 9 ! report1 & if n1 an    
explanation ( :y1 includ+ citations &   
s\rces2 &  7#c7 :e!r ! ,secret>y int5ds 
to foll[ any o!r recomm5dation made by !
 ,commission4  #aagc4 ,sci5ce review    
agreem5t  7a7 ,purpose ,! purpose ( ?is 
section is to provide = ! ,national     
,academies ( ,sci5ces1 ,eng9e]+1 &      
,m$ic9e 79 ?is section ref]r$ to z !    
,academies71 an indep5d5t nonpr(it      

sci5tific organization ) appropriate    
exp]tise t is n "p ( ! ,f$]al ,gov]nm5t1
 to review & evaluate ! available       
sci5tific evid5ce reg>d+ associations   
betwe5 illnesses & toxic exposures4  7b7
 ,agreem5t  7#a7 ,! ,secret>y %all seek 
to ent] into a #aj-ye> agreem5t ) !     
,academies to p]=m ! s]vices cov]$ by   
?is section4  7#b7 ,! ,secret>y %all    
seek to ent] into an agreem5t describ$ 9
 p>agraph 7#a7 n lat] ?an #fj days aft] 
! date ( ! enactm5t ( ! ,compreh5sive & 
,ov]due ,support = ,troops ( ,w> ,act ( 
#bjba4  7#c7 ,an agreem5t "u ?is section
 may be ext5d$ 9 five-ye> or #aj-ye>    
increm5ts4  7c7 ,review ( sci5tific     
evid5ce ,"u an agreem5t betwe5 !        
,secret>y & ! ,academies "u ?is section1
 ! ,academies %all review & summ>ize !  
sci5tific evid5ce1 & assess ! /r5g?     
!re(1 conc]n+ ! association betwe5 toxic
 exposures dur+ active milit>y1 naval1  
or air s]vice & ea* illness suspect$ to 
be associat$ ) su* exposure 9 ! human   
population4  7d7 ,sci5tific det]m9ations

 conc]n+ illnesses ,= ea* illness       
review$ "u subsection 7c71 ! ,academies 
%all det]m9e1 to ! ext5t t available    
sci5tific data p]mit mean+ful           
det]m9ations-- 7#a7 :e!r an association 
exi/s betwe5 a toxic exposure & !       
occurr5ce ( ! illness1 tak+ into acc\nt 
! /r5g? ( ! sci5tific evid5ce & !       
appropriat5ess ( ! /ati/ical &          
epidemiological me?ods us$ to detect !  
association2  7#b7 ! increas$ risk ( !  
illness among ^? subject to toxic       
exposures dur+ active milit>y1 naval1 or
 air s]vice2 &  7#c7 :e!r !re exi/s a   
plausible biological me*anism or o!r    
evid5ce ( a causal relation%ip betwe5 ! 
toxic exposure & ! occurr5ce ( !        
illness4  7e7 ,coop]ation ( ,f$]al      
ag5cies ,! head ( ea* relevant ,f$]al   
ag5cy1 includ+ ! ,secret>y ( ,def5se1   
%all coop]ate fully ) ! ,academies 9    
p]=m+ ! s]vices cov]$ by ?is section4   
7f7 ,recomm5dations = additional        
sci5tific /udies  7#a7 ,"u an agreem5t  
betwe5 ! ,secret>y & ! ,academies "u ?is

 section1 ! ,academies %all make any    
recomm5dations = additional sci5tific   
/udies to resolve areas ( cont9u+       
sci5tific unc]ta9ty relat+ to toxic     
exposures4  7#b7 ,9 mak+ recomm5dations 
"u p>agraph 7#a71 ! ,academies %all     
consid]-- 7,a7 ! sci5tific in=mation t  
is available at ! "t ( ! recomm5dation2 
7,b7 ! value & relevance ( ! in=mation t
 c\ld result f additional /udies2 &     
7,c7 ! co/ & feasibility ( c>ry+ out su*
 additional /udies4  7g7 ,reports  7#a7 
,"u an agreem5t betwe5 ! ,secret>y & !  
,academies "u ?is section1 = ea* review 
conduct$ "u subsection 7c71 ! ,academies
 %all submit to ! ,secret>y1 !          
,committee on ,vet]ans' ,affairs ( !    
,s5ate1 & ! ,committee on ,vet]ans'     
,affairs ( ! ,h\se ( ,repres5tatives an 
initial report on ! activities ( !      
,academies "u ! agreem5t4  7#b7 ,!      
report submitt$ "u p>agraph 7#a7 %all   
include ! foll[+3 7,a7 ,! det]m9ations  
describ$ 9 subsection 7d74  7,b7 ,a full
 explanation ( ! sci5tific evid5ce &    

reason+ t l$ to su* det]m9ations4  7,c7 
,any recomm5dations ( ! ,academies "u   
subsection 7f74  7h7 ,alt]native        
contract sci5tific organization  7#a7   
,if ! ,secret>y is unable to ent] into  
an agreem5t ) ! ,academies = ! purposes 
( ?is section on t]ms acceptable to !   
,secret>y1 ! ,secret>y %all seek to ent]
 into an agreem5t = ! purposes ( ?is    
section ) ano!r appropriate sci5tific   
organization t-- 7,a7 is n "p ( ! ,f$]al
 ,gov]nm5t2  7,b7 op]ates z a n-=-pr(it 
entity2 &  7,c7 has exp]tise &          
objectivity comp>able to t ( !          
,academies4  7#b7 ,if ! ,secret>y ent]s 
into an agreem5t ) ano!r organization z 
describ$ 9 p>agraph 7#a71 any ref]5ce 9 
?is sub*apt] to ! ,national ,academies (
 ,sci5ces1 ,eng9e]+1 & ,m$ic9e %all be  
treat$ z a ref]5ce to ! o!r             
organization4  #aagd4 ,work+ gr\p on    
presumptions ( s]vice connection  7a7   
,e/abli%m5t ,! ,secret>y %all e/abli% a 
work+ gr\p 79 ?is section ref]r$ to z ! 
,work+ ,gr\p7-- 7#a7 to evaluate !      

conclusions ( ! ,national ,academies (  
,sci5ces1 ,eng9e]+1 & ,m$ic9e conta9$ 9 
ea* report submitt$ "u section #aagc7;g7
 ( ?is title2 &  7#b7 to develop &      
submit to ! ,secret>y a recomm5dation )9
 #fj days ( ! ,secret>y's receipt ( a   
report "u section #aagc7;g7 ( ?is title 
) respect to :e!r-- 7,a7 to e/abli% a   
presumption ( s]vice connection betwe5  
ea* toxic exposure & illness cov]$ by a 
report describ$ 9 p>agraph 7#a72 or     
7,b7 to modify an exi/+ presumption (   
s]vice connection cov]$ by a report     
describ$ 9 p>agraph 7#a74  7b7          
,recomm5dations  7#a7 ,9 mak+ a         
recomm5dation "u subsection 7a77#b71 !  
,work+ ,gr\p %all1 if ! ,work+ ,gr\p    
det]m9es t additional rese>*1 /udies1 or
 reports are appropriate be=e mak+ a    
f9al recomm5dation ) respect to e/abli%+
 or modify+ a presumption ( s]vice      
connection1 submit to ! ,secret>y a     
description ( su* additional rese>*1    
/udies1 or reports4  7#b7 ,9 mak+ a     
recomm5dation "u subsection 7a77#b71 !  

,work+ ,gr\p %all consid] only !        
positive association betwe5 a toxic     
exposure & an illness4  7#c7 ,concurr5t 
) ! submittal ( a recomm5dation to !    
,secret>y "u subsection 7a77#b71 !      
,work+ ,gr\p %all submit to ! ,committee
 on ,vet]ans' ,affairs ( ! ,s5ate & !   
,committee on ,vet]ans' ,affairs ( !    
,h\se ( ,repres5tatives a description ( 
su* recomm5dation4  #aage4 ,regulations 
reg>d+ presumptions ( s]vice connection 
bas$ on toxic exposure  7a7 ,action ^u  
,work+ ,gr\p recomm5dation ,n lat] ?an  
#fj days aft] ! date on :i* ! ,secret>y 
receives a recomm5dation to e/abli% or  
modify a presumption ( s]vice connection
 "u section #aagd7;a77#b7 ( ?is title-- 
7#a7 if ! ,secret>y det]m9es t !        
presumption1 or modification1 is        
w>rant$1 ! ,secret>y %all issue propos$ 
regulations sett+ =? ! presumption or   
revise regulations to c>ry out su*      
modification2 or  7#b7 if ! ,secret>y   
det]m9es t ! presumption1 or            
modification1 is n w>rant$1 ! ,secret>y 

%all publi% 9 ! ,f$]al ,regi/] a notice 
( ! det]m9ation1 includ+ ! reasons      
support+ ! det]m9ation1 & all mat]ials !
 ,secret>y reli$ ^u = ! det]m9ation4    
7b7 ,f9al regulation ,n lat] ?an #ij    
days aft] ! date on :i* ! ,secret>y     
issues any propos$ regulations "u       
subsection 7a77#a71 ! ,secret>y %all    
issue f9al regulations4 ,su* regulations
 %all be effective on ! date ( issuance4
  7c7 ,removal ( presumption  7#a7 ,!   
,secret>y may issue regulations to      
remove an illness f a presumption (     
s]vice connection previ\sly e/abli%$    
pursuant to a regulation issu$ "u       
subsection 7b74  7#b7 ,:5ev] an illness 
is remov$ f regulations pursuant to     
p>agraph 7#a71 or ! p]iods or locations 
( exposure cov]$ by a presumption (     
s]vice connection are modifi$ "u        
subsection 7a7-- 7,a7 a vet]an :o 0     
aw>d$ comp5sation = su* illness on !    
basis ( ! presumption provid$ "u su*    
regulations be=e ! effective date ( !   
removal or modification %all cont9ue to 

be entitl$ to receive comp5sation on t  
basis2 &  7,b7 a survivor ( a vet]an :o 
0 aw>d$ dep5d5cy & indemnity comp5sation
 = ! dea? ( a vet]an result+ f su*      
illness on ! basis ( su* presumption    
%all cont9ue to be entitl$ to receive   
dep5d5cy & indemnity comp5sation on su* 
basis4  4  7#b7 ,cl]ical am5dm5t ,!     
table ( sections at ! beg9n+ ( su* *apt]
 is am5d$ by add+ at ! end ! foll[+ new 
items3  ,,sub*apt] ,,vii--,rese>* &     
det]m9ations relat+ to presumptions (   
s]vice connection bas$ on toxic exposure
 #aaga4 ,proc$ures to det]m9e           
presumptions ( s]vice connection bas$ on
 toxic exposure2 def9itions4 #aagb4     
,toxic ,exposure ,review ,commission4   
#aagc4 ,sci5ce review agreem5t4 #aagd4  
,work+ gr\p on presumptions ( s]vice    
connection4 #aage4 ,regulations reg>d+  
presumptions ( s]vice connection bas$ on
 toxic exposure4  4  7b7 ,e/abli%m5t (  
work+ gr\p ,n lat] ?an #abj days aft] ! 
date ( ! enactm5t ( ?is ,act1 !         
,secret>y ( ,vet]ans ,affairs %all      

e/abli% ! work+ gr\p requir$ by section 
#aagd7;a7 ( title #ch1 ,unit$ ,/ates    
,code1 z add$ by subsection 7a74  7c7   
,con=m+ am5dm5ts ,*apt] #aa ( title #ch1
 ,unit$ ,/ates ,code1 is am5d$-- 7#a7 9 
section #aaaf-- 7,a7 by /rik+           
subsections 7b71 7c71 7d71 & 7e72  7,b7 
by ins]t+ aft] subsection 7a7 ! foll[+  
new subsection 7b73  7b7 ,! ,secret>y   
%all ensure t any det]m9ation made on or
 aft] ! date ( ! enactm5t ( !           
,compreh5sive & ,ov]due ,support =      
,troops ( ,w> ,act ( #bjba reg>d+ a     
presumption ( s]vice connection bas$ on 
exposure to an h]bicide ag5t "u ?is     
section is made pursuant to sub*apt]    
,,vii ( ?is *apt]1 includ+ ) respect to 
assess+ reports receiv$ by ! ,secret>y f
 ! ,national ,academy ( ,sci5ces "u     
section #c ( ! ,ag5t ,orange ,act (     
#aiia 7,public ,law #ajb-d74  2 &  7,c7 
by r$esignat+ subsection 7f7 z          
subsection 7c74  7#b7 9 section         
#aaaf;,b7b77#b77;,a71 by ins]t+ pursuant
 to sub*apt] ,,vii ( ?is *apt]1 be=e !  

,secret>y det]m9es2 &  7#c7 9 section   
#aaah-- 7,a7 by /rik+ subsections 7b7   
?r\gh 7e72 &  7,b7 by ins]t+ aft]       
subsection 7a7 ! foll[+ new subsection  
7b73  7b7 ,! ,secret>y %all ensure t any
 det]m9ation made on or aft] ! date ( ! 
enactm5t ( ! ,compreh5sive & ,ov]due    
,support = ,troops ( ,w> ,act ( #bjba   
reg>d+ a presumption ( s]vice connection
 bas$ on a toxic exposure "u ?is section
 is made pursuant to sub*apt] ,,vii (   
?is *apt]4  4  #bjb4 ,te*nical          
corrections  7a7 ,9 g5]al ,sub*apt] ,,vi
 ( *apt] #aa ( title #ch1 ,unit$ ,/ates 
,code1 is am5d$-- 7#a7 by r$esignat+    
section #aafe z section #aaff2 &  7#b7  
by r$esignat+ ! section #aafd t 0 add$  
by section #eeja7;a77#a7 ( ! ,johnny    
,isakson & ,david ,p4 ,roe1 ,m4,d4      
,vet]ans ,heal? ,c>e & ,b5efits         
,improvem5t ,act ( #bjbj 7,public ,law  
#aaf-cae7 z section #aafe4  7b7 ,con=m+ 
cl]ical am5dm5ts ,! table ( sections at 
! beg9n+ ( su* *apt] is am5d$ by /rik+ !
 items relat+ to ! section #aafd t 0    

add$ by section #eeja7;a77#a7 ( !       
,johnny ,isakson & ,david ,p4 ,roe1     
,m4,d4 ,vet]ans ,heal? ,c>e & ,b5efits  
,improvem5t ,act ( #bjbj 7,public ,law  
#aaf-cae7 & section #aafe & ins]t+ !    
foll[+ new items3  #aafe4 ,specializ$   
teams to evaluate claims involv+ milit>y
 sexual trauma4#aaff4 ,*oice ( sex (    
m$ical exam9] = c]ta9 disabilities4  4  
,,iii ,re=ms to ! s]vice connection     
process = toxic exposure vet]ans  #cja4 
,presumptions ( toxic exposure  7a7 ,9  
g5]al ,sub*apt] ,,ii ( *apt] #aa ( title
 #ch1 ,unit$ ,/ates ,code1 is am5d$ by  
add+ at ! end ! foll[+ new section3     
#aaai4 ,presumptions ( toxic exposure   
7a7 ,presumption ( toxic exposure       
,except z provid$ 9 section #aabj ( ?is 
title1 if a vet]an submits to !         
,secret>y a claim = comp5sation = a     
s]vice-connect$ disability "u section   
#aaaj ( ?is title ) indication ( a toxic
 exposure t occurr$ dur+ active milit>y1
 naval1 or air s]vice1 ! ,secret>y %all 
presume t ! vet]an 0 subject to su*     

toxic exposure-- 7#a7 if ! ,individual  
,longitud9al ,exposure ,record ( !      
vet]an includes evid5ce ( ! toxic       
exposure2 or  7#b7 9 a case 9 :i* !     
,individual ,longitud9al ,exposure      
,record ( ! vet]an does n indicate t !  
vet]an 0 subject to ! claim$ toxic      
exposure dur+ active milit>y1 naval1 or 
air s]vice1 if cr$ible evid5ce ( !      
facts1 places1 & circum/ances ( ! s]vice
 ( ! vet]an 9 ! active milit>y1 naval1  
or air s]vice1 includ+ evid5ce ( !      
vet]an's unit assignm5ts1 milit>y       
specialty1 or date & location ( s]vice1 
%[s ! vet]an 0 subject to ! claim$ toxic
 exposure dur+ su* s]vice4  7b7 ,role ( 
lay /atem5ts ,9 a case describ$ 9       
subsection 7a77#b71 ! ,secret>y %all    
accept z cr$ible evid5ce "u su*         
subsection a lay /atem5t by ! vet]an or 
ano!r t is consi/5t ) ! o!r cr$ible     
evid5ce ( ! facts1 places1 &            
circum/ances ( ! vet]an's s]vice 9 !    
active milit>y1 naval1 or air s]vice4  4
  7b7 ,cl]ical am5dm5t ,! table (       

sections at ! beg9n+ ( *apt] #aa ( su*  
title is am5d$ by ins]t+ aft] ! item    
relat+ to section #aaah ! foll[+ new    
item3  #aaai4 ,presumptions ( toxic     
exposure4  4  7c7 ,con=m+ am5dm5t       
,section #aaac ( su* title is am5d$ by  
/rik+ or #aaah ea* place x appe>s &     
ins]t+ #aaah1 or #aaai4  #cjb4          
,presumption ( exposure to airborne     
haz>ds & sub/ances f burn pits  7a7 ,9  
g5]al ,sub*apt] ,,ii ( *apt] #aa ( title
 #ch1 ,unit$ ,/ates ,code1 z am5d$ by   
section #cja7;a71 is fur!r am5d$ by add+
 at ! end ! foll[+ new section3  #aabj4 
,presumption ( exposure to c]ta9        
airborne haz>ds & sub/ances f           
p>ticipation 9 cont+5cy op]ations  7a7  
,9 g5]al ,= purposes ( section #aaaj &  
*apt] #ag ( ?is title1 any vet]an       
describ$ 9 subsection 7b7 %all be       
presum$ to h be5 expos$ to ! sub/ances1 
*emicals1 & haz>ds li/$ 9 subsection    
7c71 unless !re is affirmative evid5ce  
to e/abli% t ! vet]an 0 n expos$ to any 
su* sub/ances1 *emicals1 or haz>ds dur+ 

t s]vice4  7b7 ,vet]ans describ$  7#a7  
,a vet]an describ$ 9 ?is p>agraph is any
 vet]an :o-- 7,a7 dur+ active milit>y1  
naval1 or air s]vice1 0 deploy$ 9       
support ( a cont+5cy op]ation :ile s    
s]v+ & z "p ( su* deploym5t s]v$ 9 a    
cov]$ location dur+ a correspond+ p]iod 
set =? "u p>agraph 7#b72 or  7,b7 on or 
aft] ,augu/ #b1 #aiij1 0 aw>d$ any ( !  
foll[+3 7i7 ,! ,afghani/an ,campaign    
,m$al4  7ii7 ,! ,arm$ ,=ces ,exp$ition>y
 ,m$al4  7iii7 ,! ,global ,w> ,on       
,t]rorism ,exp$ition>y ,m$al4  7iv7 ,!  
,inh]5t ,resolve ,campaign ,m$al4  7v7  
,! ,iraqi ,campaign ,m$al4  7vi7 ,!     
,s\?we/ ,asia ,s]vice ,m$al4  7#b7 7,a7 
,! cov]$ locations & correspond+ p]iods 
set =? "u ?is subsection are z foll[s3  
7i7 ,iraq & ! foll[+ p]iods3 7,i7 ,!    
p]iod beg9n+ on ,augu/ #b1 #aiij1 & end+
 on ,febru>y #bh1 #aiia4  7,,ii7 ,!     
p]iod beg9n+ on ,m>* #ai1 #bjjc1 & end+ 
on su* date z ! ,secret>y det]m9es burn 
pits are no long] us$ 9 ,iraq4  7ii7 ,! 
,s\?we/ ,asia ,!at] ( op]ations1 o!r ?an

 ,iraq1 & ! p]iod beg9n+ on ,augu/ #b1  
#aiij1 & end+ on su* date z ! ,secret>y 
det]m9es burn pits are no long] us$ 9   
su* location1 includ+ ! foll[+3 7,i7    
,kuwait4  7,,ii7 ,saudi ,arabia4        
7,,iii7 ,oman4  7,,iv7 ,qat>4  7iii7    
,afghani/an & ! p]iod beg9n+ on         
,septemb] #aa1 #bjja1 & end+ on su* date
 z ! ,secret>y det]m9es burn pits are no
 long] us$ 9 ,afghani/an4  7iv7 ,djib\ti
 & ! p]iod beg9n+ on ,septemb] #aa1     
#bjja1 & end+ on su* date z ! ,secret>y 
det]m9es burn pits are no long] us$ 9   
,djib\ti4  7v7 ,syria & ! p]iod beg9n+  
on ,septemb] #aa1 #bjja1 & end+ on su*  
date z ! ,secret>y det]m9es burn pits   
are no long] us$ 9 ,syria4  7vi7 ,jordan
 & ! p]iod beg9n+ on ,septemb] #aa1     
#bjja1 & end+ on su* date z ! ,secret>y 
det]m9es burn pits are no long] us$ 9   
,jordan4  7vii7 ,egypt & ! p]iod beg9n+ 
on ,septemb] #aa1 #bjja1 & end+ on su*  
date z ! ,secret>y det]m9es burn pits   
are no long] us$ 9 ,egypt4  7viii7      
,lebanon & ! p]iod beg9n+ on ,septemb]  

#aa1 #bjja1 & end+ on su* date z !      
,secret>y det]m9es burn pits are no     
long] us$ 9 ,lebanon4  7ix7 ,yem5 & !   
p]iod beg9n+ on ,septemb] #aa1 #bjja1 & 
end+ on su* date z ! ,secret>y det]m9es 
burn pits are no long] us$ 9 ,yem54  7x7
 ,su* o!r locations z are set =? by !   
,airborne ,haz>ds & ,op5 ,burn ,pit     
,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 note7 & correspond+ p]iods set =? 9
 su* regi/ry4  7xi7 ,su* o!r locations &
 correspond+ p]iods z ! ,secret>y1 9    
collaboration ) ! ,secret>y ( ,def5se1  
may det]m9e appropriate 9 a report !    
,secret>y ( ,vet]ans ,affairs %all      
submit to ,congress n lat] ?an two ye>s 
aft] ! date ( ! enactm5t ( ! ,vet]ans   
,burn ,pits ,exposure ,recognition ,act 
( #bjba & n less frequ5tly ?an once e   
two ye>s !reaft]4  7,b7 ,a location set 
=? "u ?is p>agraph %all n include any   
body ( wat] ar\nd or any airspace above 

su* location4  7c7 ,sub/ances1 *emicals1
 & airborne haz>ds  7#a7 ,subject to    
p>agraph 7#b71 ! sub/ances1 *emicals1 & 
airborne haz>ds li/$ 9 ?is subsection   
are z foll[s3 7,a7 ,p>ticulate matt]1   
includ+ ! foll[+3 7i7 ,,pm-#aj4  7ii7   
,,pm-#b4e4  7,b7 ,polycyclic aromatic   
hydroc>bons 7,p,a,hs71 includ+ ! foll[+3
 7i7 ,ac5aph!ne4  7ii7 ,ac5aph?yl5e4    
7iii7 ,an?rac5e4  7iv7 ,b5zo7a7an?rac5e4
  7v7 ,b5zo7a7pyr5e4  7vi7              
,b5zo7b7fluoroan!ne4  7vii7             
,b5zo7g1h1i7p]yl5e4  7viii7             
,b5zo7k7fluoroan!ne4  7ix7 ,*rys5e4  7x7
 ,dib5z7a1h7an?rac5e4  7xi7 ,fluoran!ne4
  7xii7 ,fluor5e4  7xiii7               
,ind5o7#a1b1c-;cd7pyr5e4  7xiv7         
,naph?al5e4  7xv7 ,ph5an?r5e4  7xvi7    
,pyr5e4  7,c7 ,volatile organic comp\nds
 7,v,o,cs71 includ+ ! foll[+3 7i7       
,acetone4  7ii7 ,acrole94  7iii7 ,b5z5e4
  7iv7 ,c>bon ,disulfide4  7v7          
,*lorodifluorome?ane4  7vi7             
,*lorome?ane4  7vii7 ,e?ylb5z5e4  7viii7
 ,hexane4  7ix7 ,hexa*lorobutadi5e4  7x7

 m_/p-,xyl5e4  7xi7 ,me?yl5e ,*loride4  
7xii7 ,p5tane4  7xiii7 ,propyl5e4  7xiv7
 ,/yr5e4  7xv7 ,tolu5e4  7,d7 ,toxic    
organic halog5at$ diox9s & furans       
7diox9s71 includ+ ! foll[+3 7i7         
#a1b1c1d1f1g1h ,,hpcdd4  7ii7           
#a1b1c1d1f1g1h ,,hpcdf4  7iii7          
#a1b1c1d1g1h1i ,,hpcdf4  7iv7           
#a1b1c1d1g1h ,,hxcdd4  7v7 #a1b1c1d1g1h 
,,hxcdf4  7vi7 #a1b1c1f1g1h ,,hxcdd4    
7vii7 #a1b1c1f1g1h ,,hxcdf4  7viii7     
#a1b1c1g1h1i ,,hxcdd4  7ix7 #a1b1c1g1h1i
 ,,hxcdf4  7x7 #a1b1c1g1h ,,pecdd4  7xi7
 #a1b1c1g1h ,,pecdf4  7xii7 #b1c1d1f1g1h
 ,,hxcdf4  7xiii7 #b1c1d1g1h ,,pecdf4   
7xiv7 #b1c1g1h ,,tcdd4  7xv7 #b1c1g1h   
,,tcdf4  7xvi7 octa*lorodib5zodiox94    
7xvii7 octa*lorodib5z(uran4  7,e7 ,su*  
o!r sub/ances1 *emicals1 & airborne     
haz>ds z ! ,secret>y1 9 collaboration ) 
! ,secret>y ( ,def5se1 may add "u       
p>agraph 7#b74  7#b7 ,! ,secret>y may   
add to or remove f ! li/ "u p>agraph    
7#a7 z ! ,secret>y det]m9es appropriate 
9 a report ! ,secret>y %all submit to   

,congress n lat] ?an two ye>s aft] !    
date ( ! enactm5t ( ! ,compreh5sive &   
,ov]due ,support = ,troops ( ,w> ,act ( 
#bjba1 & n less frequ5tly ?an once e two
 ye>s !reaft]4  4  7b7 ,cl]ical am5dm5t 
,! table ( sections at ! beg9n+ ( *apt] 
#aa ( su* title1 z am5d$ by section     
#cja7;b71 is fur!r am5d$ by ins]t+ aft] 
! item relat+ to section #aaai ! foll[+ 
new item3  #aabj4 ,presumption (        
exposure to c]ta9 airborne haz>ds &     
sub/ances f p>ticipation 9 cont+5cy     
op]ations4  4  7c7 ,con=m+ am5dm5t      
,section #aaac ( su* title1 z am5d$ by  
section #cja1 is am5d$ by /rik+ or #aaai
 ea* place x appe>s & ins]t+ #aaai1 or  
#aabj4  #cjc4 ,m$ical nexus exam9ations 
= toxic exposures  7a7 ,9 g5]al         
,sub*apt] ,,vi ( *apt] #aa ( title #ch1 
,unit$ ,/ates ,code1 z am5d$ by title   
,,ii ( ?is ,act1 is fur!r am5d$ by add+ 
at ! end ! foll[+ new section3  #aafh4  
,m$ical nexus exam9ations = toxic       
exposures  7a7 ,9 g5]al ,except z       
provid$ 9 subsection 7c71 if a cov]$    

vet]an submits to ! ,secret>y a claim = 
comp5sation = a s]vice-connect$         
disability "u section #aaaj ( ?is title 
relat+ to a toxic exposure or exposure  
to a sub/ance1 *emical1 or haz>d li/$ 9 
section #aabj7;c7 ( ?is title dur+      
active milit>y1 naval1 or air s]vice1 & 
su* evid5ce is n suffici5t to e/abli% a 
s]vice connection = ! disability1 !     
,secret>y %all-- 7#a7 provide ! vet]an )
 a m$ical exam9ation ( ! claim$         
disability relat+ to su* exposure2  7#b7
 provide ! vet]an ! option to h !       
exam9ation provid$ "u p>agraph 7#a7     
conduct$ by a speciali/ 9 ! field (     
m$ic9e :i* cov]s ! specifically claim$  
disability2 &  7#c7 reque/ a m$ical     
op9ion1 z "p ( ! m$ical exam9ation      
provid$ "u p>agraph 7#a71 z to :e!r x is
 at lea/ z likely z n t !re is a nexus  
betwe5 ! claim$ disability & ! exposure4
  7b7 ,cov]$ vet]ans ,= purposes ( ?is  
section1 a cov]$ vet]an is-- 7#a7 a     
vet]an presum$ "u section #aaai7;a7 (   
?is title to h be5 subject to a toxic   

exposure2 or  7#b7 a vet]an presum$ "u  
subsection 7a7 ( section #aabj ( ?is    
title to h be5 expos$ to a sub/ance1    
*emical1 or haz>d li/$ 9 subsection 7c7 
( su* section4  7c7 ,exception          
,subsection 7a7 %all n apply 9 a case 9 
:i* a cov]$ vet]an claims a disability t
 is cle>ly unrelat$ to ! claim$         
exposure4  7d7 ,consid]ations 9         
provision ( m$ical op9ions ,:5 provid+ !
 ,secret>y ) a m$ical op9ion reque/$ "u 
subsection 7a77#c71 ! exam9] %all       
consid] ! total pot5tial exposure ?r\gh 
all applicable milit>y deploym5ts1 & !  
syn]gi/ic1 comb9$ effect ( all          
applicable toxic exposure risk          
activities4  4  7b7 ,cl]ical am5dm5t ,! 
table ( sections at ! beg9n+ ( *apt] #aa
 ( su* title1 z am5d$ by title ,,ii (   
?is ,act1 is fur!r am5d$ by ins]t+ aft] 
! item relat+ to section #aafg1 z add$  
by su* title1 ! foll[+ new item3  #aafh4
 ,m$ical nexus exam9ations = toxic      
exposures4  4  ,,iv ,expansion (        
presumptions ( s]vice connection =      

=gott5 vet]ans  #dja4 ,m>k ,takai       
,atomic ,vet]ans ,heal?c>e ,p>ity ,act (
 #bjba ,section #aaab7;c77#c77;,b7 (    
title #ch1 ,unit$ ,/ates ,code1 is am5d$
 by add+ at ! end ! foll[+ new clause3  
7v7 ,cleanup ( ,enewetak ,atoll dur+ !  
p]iod beg9n+ on ,janu>y #a1 #aigg1 &    
end+ on ,decemb] #ca1 #aihj4  4  #djb4  
,treatm5t ( vet]ans :o p>ticipat$ 9     
nucle> response ne> ,palom>es1 ,spa91 z 
radiation-expos$ vet]ans = purposes (   
presumption ( s]vice-connection ( c]ta9 
disabilities by ,dep>tm5t ( ,vet]ans    
,affairs ,section #aaab7;c77#c77;,b7 (  
title #ch1 ,unit$ ,/ates ,code1 z am5d$ 
by section #dja1 is fur!r am5d$ by add+ 
at ! end ! foll[+ new clause3  7vi7     
,onsite p>ticipation 9 ! response ef=t  
foll[+ ! collision ( a ,unit$ ,/ates    
,air ,=ce ,b-#eb bomb] & refuel+ plane t
 caus$ ! release ( f\r !rmonucle>       
weapons 9 ! vic9ity ( ,palom>es1 ,spa91 
dur+ ! p]iod beg9n+ ,janu>y #ag1 #aiff1 
& end+ ,m>* #ca1 #aifg4  4  #djc4       
,presumptions ( s]vice connection =     

diseases associat$ ) exposures to c]ta9 
h]bicide ag5ts = vet]ans :o s]v$ 9 c]ta9
 locations  7a7 ,9 g5]al ,section #aaaf 
( title #ch1 ,unit$ ,/ates ,code1 z     
am5d$ by section #bja1 is fur!r am5d$-- 
7#a7 by /rik+ 1 dur+ active milit>y1    
naval1 or air s]vice1 s]v$ 9 ! ,republic
 ( ,vietnam dur+ ! p]iod beg9n+ on      
,janu>y #i1 #aifb1 & end+ on ,may #g1   
#aige ea* place x appe>s & ins]t+ p]=m$ 
cov]$ s]vice2  7#b7 by /rik+ p]=m$      
active milit>y1 naval1 or air s]vice 9 !
 ,republic ( ,vietnam dur+ ! p]iod      
beg9n+ on ,janu>y #i1 #aifb1 & end+ on  
,may #g1 #aige ea* place x appe>s &     
ins]t+ p]=m$ cov]$ s]vice2 &  7#c7 by   
add+ at ! end ! foll[+ new subsection3  
7d7 ,9 ?is section1 ! t]m cov]$ s]vice  
means active milit>y1 naval1 or air     
s]vice-- 7#a7 p]=m$ 9 ! ,republic (     
,vietnam dur+ ! p]iod beg9n+ on ,janu>y 
#i1 #aifb1 & end+ on ,may #g1 #aige2    
7#b7 p]=m$ 9 ,?ail& at any ,unit$ ,/ates
 or ,royal ,?ai base dur+ ! p]iod beg9n+
 on ,janu>y #i1 #aifb1 & end+ on ,june  

#cj1 #aigf1 )\t reg>d to :]e on ! base !
 vet]an 0 locat$ or :at milit>y job     
specialty ! vet]an p]=m$2  7#c7 p]=m$ 9 
,laos dur+ ! p]iod beg9n+ on ,decemb]   
#a1 #aife1 & end+ on ,septemb] #cj1     
#aifi2  7#d7 p]=m$ 9 ,cambodia at ,mimot
 or ,krek1 ,kompon ,*am ,prov9ce dur+ ! 
p]iod beg9n+ on ,april #af1 #aifi1 &    
end+ on ,april #cj1 #aifi2 or  7#e7     
p]=m$ on ,guam or ,am]ican ,samoa1 or 9 
! t]ritorial wat]s !re(1 dur+ ! p]iod   
beg9n+ on ,janu>y #i1 #aifb1 & end+ on  
,july #ca1 #aihj1 or s]v$ on ,john/on   
,atoll or on a %ip t call$ at ,john/on  
,atoll dur+ ! p]iod beg9n+ on ,janu>y   
#a1 #aigb1 & end+ on ,septemb] #cj1     
#aigg4  4  7b7 ,eligibility = hospital  
c>e & m$ical s]vices ,section           
#agaj7;e77#d7 is am5d$ by am5d+         
subp>agraph 7,a7 to read z foll[s3  7,a7
 ,! t]m ,vietnam-era h]bicide-expos$    
vet]an means a vet]an :o-- 7i7 p]=m$    
cov]$ s]vice1 z def9$ 9 section         
#aaaf7;c7 ( ?is title2 or  7ii7 !       
,secret>y f9ds may h be5 expos$ dur+ su*

 s]vice to diox9 or 0 expos$ dur+ su*   
s]vice to a toxic sub/ance f\nd 9 a     
h]bicide or defoliant us$ = milit>y     
purposes dur+ su* p]iod4  4  7c7        
,cl]ical am5dm5ts  7#a7 ,section head+  
,! head+ = section #aaaf is am5d$ by    
/rik+ & ! ,republic ( ,vietnam & ins]t+ 
c]ta9 locations4  7#b7 ,table ( sections
 ,! table ( sections at ! beg9n+ ( *apt]
 #aa ( su* title is am5d$ by /rik+ !    
item relat+ to section #aaaf & ins]t+ ! 
foll[+ new item3  #aaaf4 ,presumptions (
 s]vice connection = diseases associat$ 
) exposure to c]ta9 h]bicide ag5ts2     
presumption ( exposure = vet]ans :o s]v$
 9 c]ta9 locations4  4  #djd4 ,addition 
( additional diseases associat$ )       
exposure to c]ta9 h]bicide ag5ts = :i*  
!re is a presumption ( s]vice connection
 = vet]ans :o s]v$ 9 ! ,republic (      
,vietnam ,section #aaaf7;a77#b7 ( title 
#ch1 ,unit$ ,/ates ,code1 z am5d$ by    
section #iaji ( ! ,william ,m4 7,mac7   
,?ornb]ry ,national ,def5se             
,au?orization ,act = ,fiscal ,ye> #bjba 

7,public ,law #aaf-bhc71 is fur!r am5d$ 
by add+ at ! end ! foll[+ new           
subp>agraphs3  7,l7 ,hyp]t5sion4  7,m7  
,monoclonal gammopa?y ( undet]m9$       
significance4  4  #dje4 ,improv+        
comp5sation = disabilities occurr+ 9    
,p]sian ,gulf ,w> vet]ans  7a7 ,r$uction
 9 ?re%old ( eligibility ,subsection    
7a77#a7 ( section #aaag ( title #ch1    
,unit$ ,/ates ,code1 is am5d$ by /rik+  
became manife/-- & all t foll[s ?r\gh ! 
p]iod at ! end & ins]t+ became manife/  
to a degree ( #aj p]c5t or m at any "t44
  7b7 ,p]man5t ext5sion ( p]iod (       
eligibility  7#a7 ,9 g5]al ,su* section 
is am5d$ by /rik+ subsection 7b74  7#b7 
,con=m+ am5dm5ts ,su* section1 z am5d$  
by p>agraph 7#a71 is fur!r am5d$-- 7,a7 
by r$esignat+ subsections 7c7 & 7d7 z   
subsections 7b7 & 7c71 respectively2 &  
7,b7 9 subsection 7a77#b77;,c71 by /rik+
 "u subsection 7d7 & ins]t+ "u          
subsection 7c74  7c7 ,e/abli%+ s+ul>    
disability bas$ que/ionnaire ,su*       
section1 z am5d$ by subsection 7b71 is  

fur!r am5d$ by ins]t+ aft] subsection   
7c7 ! foll[+ new subsection 7d73  7d7 ,!
 ,secret>y %all develop a ,disability   
,b5efits ,que/ionnaire 7,,dbq71 or      
successor que/ionnaire1 su* t if a      
,p]sian ,gulf vet]an pres5ts ) any "o   
symptom associat$ ) ,gulf ,w> ,illness1 
use ( su* que/ionnaire is m&atory =     
heal? c>e p]sonnel ( ! ,dep>tm5t = !    
id5tification ( ,gulf ,w> ,illness4  4  
7d7 ,tra9+ ,su* section is am5d$ by add+
 at ! end ! foll[+ new subsection3  7i7 
7#a7 ,! ,secret>y %all take su* actions 
z may be necess>y to ensure t heal? c>e 
p]sonnel ( ! ,dep>tm5t are appropriately
 tra9$ to effectively c>ry out ?is      
section4  7#b7 ,n less frequ5tly ?an    
once ea* ye>1 ! ,secret>y %all submit to
 ,congress a report on ! actions tak5 by
 ! ,secret>y to c>ry out p>agraph 7#a74 
4  #djf4 ,presumption ( s]vice          
connection = c]ta9 diseases associat$ ) 
exposure to burn pits & o!r tox9s  7a7  
,9 g5]al ,sub*apt] ,,ii ( *apt] #aa (   
title #ch1 ,unit$ ,/ates ,code1 z am5d$ 

by section #cjb7;a71 is fur!r am5d$ by  
ins]t+ aft] section #aabj ! foll[+ new  
section3  #aabj;,a4 ,presumption (      
s]vice connection = c]ta9 diseases      
associat$ ) exposure to burn pits & o!r 
tox9s  7a7 ,presumption ( s]vice        
connection ,= ! purposes ( section #aaaj
 ( ?is title1 & subject to section #aaac
 ( ?is title1 a disease specifi$ 9      
subsection 7c7 becom+ manife/ 9 a cov]$ 
vet]an %all be consid]$ to h be5 incurr$
 9 or aggravat$ dur+ active milit>y1    
naval1 or air s]vice1 not)/&+ t !re is  
no record ( evid5ce ( su* disease dur+ !
 p]iod ( su* s]vice4  7b7 ,cov]$ vet]ans
 ,= purposes ( ?is section1 a cov]$     
vet]an is a vet]an presum$ "u subsection
 7a7 ( section #aabj ( ?is title to h   
be5 expos$ to a sub/ance1 *emical1 or   
haz>d li/$ 9 subsection 7c7 ( su*       
section4  7c7 ,diseases specifi$ ,!     
diseases specifi$ 9 ?is subsection are !
 foll[+3 7#a7 ,a/hma t 0 diagnos$ aft]--
 7,a7 a deploym5t describ$ 9 subp>agraph
 7,a7 ( section #aabj7;b77#a7 ( ?is     

title2 or  7,b7 a p]iod ( s]vice = :i* a
 m$al set =? "u subp>agraph 7,b7 ( su*  
section 0 aw>d$4  7#b7 ,*ronic          
ob/ructive pulmon>y disease4  7#c7      
,*ronic bron*itis4  7#d7 ,con/rictive   
bron*iolitis or oblit]ative             
bron*iolitis4  7#e7 ,emphysema4  7#f7   
,pleuritis4  7#g7 ,pulmon>y fibrosis4   
7#h7 ,int]/itial lung disease4  7#i7    
,s>coidosis4  7#aj7 ,respiratory canc] (
 any type4  7#aa7 ,gliobla/oma4  7#ab7  
,rh9itis4  7#ac7 ,s9usitis4  4  7b7     
,cl]ical am5dm5t ,! table ( sections at 
! beg9n+ ( *apt] #aa ( title #ch1 ,unit$
 ,/ates ,code1 z am5d$ by section       
#cjb7;b71 is fur!r am5d$ by ins]t+ aft] 
! item relat+ to section #aabj ! foll[+ 
new item3  #aabj;,a4 ,presumption (     
s]vice connection = c]ta9 diseases      
associat$ ) exposure to burn pits & o!r 
tox9s4  4  7c7 ,con=m+ am5dm5t ,section 
#aaac ( su* title1 z am5d$ by section   
#cjb1 is fur!r am5d$ by /rik+ or #aabj  
ea* place x appe>s & ins]t+ #aabj1 or   
#aabj;,a4  ,v ,/r5g!n+ ,f$]al rese>* on 

toxic exposures  #eja4 ,coord9ation by  
,dep>tm5t ( ,vet]ans ,affairs ( toxic   
exposure rese>*  7a7 ,9 g5]al ,sub*apt] 
,,ii ( *apt] #gc ( title #ch1 ,unit$    
,/ates ,code1 is am5d$ by add+ at ! end 
! foll[+ new section3  #gccj;,d4        
,coord9ation ( toxic exposure rese>*    
7a7 ,9 g5]al ,! ,secret>y %all coord9ate
 all rese>* activities und]tak5 or fund$
 by ! ,executive ,bran* ( ! ,f$]al      
,gov]nm5t on ! heal? consequ5ces ( toxic
 exposures exp]i5c$ dur+ s]vice 9 !     
,arm$ ,=ces4  7b7 ,/rategic plan ,9     
c>ry+ out subsection 7a71 ! ,secret>y   
%all e/abli% a /rategic plan1 to be kn[n
 z ! ,toxic ,exposure ,rese>* ,/rategic 
,plan1 to ensure t ! rese>* activities  
describ$ 9 su* subsection are           
collaborative1 transp>5t1 & highly      
coord9at$4  7c7 ,report ,n lat] ?an "o  
ye> aft] ! date ( ! enactm5t ( !        
,compreh5sive & ,ov]due ,support =      
,troops ( ,w> ,act ( #bjba1 & annually  
!reaft]1 ! ,secret>y %all submit to !   
,committee on ,vet]ans' ,affairs ( !    

,s5ate & ! ,committee on ,vet]ans'      
,affairs ( ! ,h\se ( ,repres5tatives a  
report on all rese>* activities describ$
 9 subsection 7a7 und]tak5 dur+ ! ye>   
cov]$ by ! report4  4  7b7 ,cl]ical     
am5dm5t ,! table ( sections at ! beg9n+ 
( su* sub*apt] is am5d$ by ins]t+ aft] !
 item relat+ to section #gccj;,c !      
foll[+ new item3  #gccj;,d4 ,coord9ation
 ( toxic exposure rese>*4  4  #ejb4     
,collection1 analysis1 & report on      
treatm5t ( vet]ans = m$ical conditions  
relat$ to toxic exposure  7a7 ,9 g5]al  
,! ,secret>y ( ,vet]ans ,affairs %all   
compile & analyze1 on a cont9u\s basis1 
all cl9ical data t-- 7#a7 is obta9$ by !
 ,dep>tm5t ( ,vet]ans ,affairs 9        
connection ) hospital c>e1 m$ical       
s]vices1 & nurs+ home c>e furni%$ "u    
section #agaj7;a77#b77;,f7 ( title #ch1 
,unit$ ,/ates ,code2 &  7#b7 is likely  
to be sci5tifically useful 9 det]m9+ !  
association1 if any1 betwe5 ! m$ical    
condition ( a vet]an & a toxic exposure4
  7b7 ,cons5t ( pati5ts ,compilation &  

analysis by ! ,secret>y ( cl9ical data (
 a vet]an "u subsection 7a7 %all be     
conduct$1 & su* data %all be us$1       
consi/5t ) ! in=m$ cons5t ( ! vet]an & 9
 compliance ) all applicable ,f$]al law4
  7c7 ,annual report ,n lat] ?an "o ye> 
aft] ! date ( ! enactm5t ( ?is ,act1 &  
annually !reaft]1 ! ,secret>y %all      
submit to ! ,committee on ,vet]ans'     
,affairs ( ! ,s5ate & ! ,committee on   
,vet]ans' ,affairs ( ! ,h\se (          
,repres5tatives a report conta9+-- 7#a7 
! data compil$ "u subsection 7a72  7#b7 
an analysis ( su* data2  7#c7 a         
description ( ! types & incid5ces (     
m$ical conditions id5tifi$ by !         
,dep>tm5t "u su* subsection2  7#d7 !    
explanation ( ! ,secret>y = ! incid5ce (
 su* m$ical conditions & o!r            
explanations = ! incid5ce ( su*         
conditions z ! ,secret>y consid]s       
reasonable2 &  7#e7 ! views ( !         
,secret>y on ! sci5tific validity (     
draw+ conclusions f ! incid5ce ( su*    
m$ical conditions1 z evid5c$ by ! data  

compil$ "u subsection 7a71 reg>d+ any   
association betwe5 su* conditions & a   
toxic exposure4  7d7 ,toxic exposure    
def9$ ,9 ?is section1 ! t]m toxic       
exposure has ! mean+ giv5 t t]m 9       
section #aja7cg7 ( title #ch1 ,unit$    
,/ates ,code4  #ejc4 ,/udies relat+ to  
vet]ans :o s]v$ 9 ,s\?we/ ,asia  7a7    
,analysis  7#a7 ,9 g5]al ,n lat] ?an    
#ahj days aft] ! date ( ! enactm5t ( ?is
 ,act1 ! ,secret>y ( ,vet]ans ,affairs1 
9 coord9ation ) ! ,secret>y ( ,def5se1  
%all conduct an updat$ analysis ( total 
& respiratory disease mortality 9 cov]$ 
vet]ans4  7#b7 ,elem5ts ,! analysis     
requir$ by p>agraph 7#a7 %all include1  
to ! ext5t practicable1 ! foll[+3 7,a7  
,metrics ( airborne exposures4  7,b7 ,! 
location & tim+ ( deploym5ts4  7,c7 ,!  
milit>y occupational specialty4  7,d7 ,!
 ,arm$ ,=ce 9 :i* ! vet]an s]v$4  7,e7  
,pre-exi/+ heal? /atus1 includ+ )       
respect to a/hma4  7,f7 ,relevant       
p]sonal in=mation1 includ+ cig>ette &   
e-cig>ette smok+ hi/ory1 diet1 sex1     

g5d]1 age1 race1 & e?nicity4  7b7       
,epidemiological /udy ,n lat] ?an #ahj  
days aft] ! date ( ! enactm5t ( ?is     
,act1 ! ,secret>y %all conduct an       
epidemiological /udy ( cov]$ vet]ans t  
uses ! foll[+3 7#a7 ,improv$            
spatio-temporal e/imates ( ambi5t air   
pollution exposures us+ advances 9      
retrospective exposure assessm5t4  7#b7 
,detail$ in=mation on ! /udy subjects   
obta9$ ?r\gh m$ical records1            
adm9i/rative data1 & o!r exi/+ s\rces1 t
 include-- 7,a7 p]sonal *>act]i/ics1    
includ+ cig>ette & e-cig>ette smok+     
hi/ory1 diet1 sex1 g5d]1 age1 race1 &   
e?nicity2  7,b7 deploym5t hi/ory1       
includ+ locations1 p]iods1 & numb] (    
deploym5ts2  7,c7 biospecim5 data2 &    
7,d7 supplem5t>y heal? /atus & outcomes 
data1 includ+ imag+ & physiological     
p>amet]s4  7c7 ,toxicology /udy  7#a7 ,9
 g5]al ,n lat] ?an #ahj days aft] ! date
 ( ! enactm5t ( ?is ,act1 ! ,secret>y   
%all conduct a toxicology /udy to       
include v>iability to replicate         

exposures ( heal?y1 "y memb]s ( ! ,arm$ 
,=ces1 z well z pot5tially susceptible  
memb]s1 ) preexi/+ heal? conditions4    
7#b7 ,elem5ts ,! /udy requir$ "u        
p>agraph 7#a7 %all-- 7,a7 analyze ! /udy
 results = me*ani/ic m>k]s & cl9ically  
relevant outcomes2 &  7,b7 validate     
s]um1 tissue1 & o!r biom>k]s ( exposure1
 susceptibility1 or effect4  7d7 ,cov]$ 
vet]an def9$ ,9 ?is section1 ! t]m cov]$
 vet]an means any vet]an :o-- 7#a7 on or
 aft] ,augu/ #b1 #aiij1 s]v$ on active  
duty 9-- 7,a7 ,bahra92  7,b7 ,iraq2     
7,c7 ,kuwait2  7,d7 ,oman2  7,e7 ,qat>2 
7,f7 ,saudi ,arabia2  7,g7 ,somalia2 or 
7,h7 ! ,unit$ ,arab ,emirates2 or  7#b7 
on or aft] ,septemb] #aa1 #bjja1 s]v$ on
 active duty 9-- 7,a7 ,afghani/an2  7,b7
 ,djib\ti2  7,c7 ,egypt2  7,d7 ,jordan2 
7,e7 ,lebanon2  7,f7 ,syria2 or  7,g7   
,yem54  #ejd4 ,/udy on heal? tr5ds ( po/
 #i_/aa vet]ans ,! ,secret>y ( ,vet]ans 
,affairs %all conduct an epidemiological
 /udy on ! heal? tr5ds ( vet]ans :o s]v$
 9 ! ,arm$ ,=ces aft] ,septemb] #aa1    

#bjja4  #eje4 ,/udy on canc] rates among
 vet]ans  7a7 ,9 g5]al ,! ,secret>y (   
,vet]ans ,affairs %all conduct a /udy on
 ! incid5ce ( canc] 9 vet]ans to det]m9e
 tr5ds 9 ! rates ( ! incid5ce ( canc] 9 
vet]ans4  7b7 ,elem5ts ,! /udy requir$  
by subsection 7a7 %all assess1 ) respect
 to ea* vet]an includ$ 9 ! /udy1 !      
foll[+3 7#a7 ,! age ( ! vet]an4  7#b7 ,!
 p]iod ( s]vice & l5g? ( s]vice ( !     
vet]an 9 ! ,arm$ ,=ces4  7#c7 ,! milit>y
 occupational speciality or specialties 
( ! vet]an4  7#d7 ,! g5d] ( ! vet]an4   
7#e7 ,! type or types ( canc] t ! vet]an
 has4  ,,vi ,improv+ support to toxic   
exposure vet]ans  #fja4 ,def9itions ,9  
?is title1 ! t]ms active milit>y1 naval1
 or air s]vice1 toxic exposure1 & toxic 
exposure vet]an h ! mean+s giv5 ^? t]ms 
9 section #aja ( title #ch1 ,unit$      
,/ates ,code4  #fjb4 ,publication ( li/ 
( res\rces ( ,dep>tm5t ( ,vet]ans       
,affairs = toxic exposure vet]ans &     
outrea* program = su* vet]ans & c>egiv]s
 & survivors ( su* vet]ans  7a7         

,publication ( li/ ( res\rces  7#a7 ,9  
g5]al ,n lat] ?an "o ye> aft] ! date ( !
 enactm5t ( ?is ,act1 & annually        
!reaft]1 ! ,secret>y ( ,vet]ans ,affairs
 %all publi% a li/ ( res\rces ( !       
,dep>tm5t ( ,vet]ans ,affairs =-- 7,a7  
toxic exposure vet]ans2  7,b7 families &
 c>egiv]s ( toxic exposure vet]ans2 &   
7,c7 survivors ( toxic exposure vet]ans 
7or :o w\ld be toxic exposure vet]ans 7 
! vet]ans alive7 :o are receiv+ dea?    
b5efits "u ! laws adm9i/]$ by !         
,secret>y4  7#b7 ,update ,! ,secret>y   
%all p]iodically update ! li/ publi%$ "u
 p>agraph 7#a74  7b7 ,outrea* ,!        
,secret>y %all develop1 ) input f !     
community1 an in=mative outrea* program 
= vet]ans on illnesses t may be relat$  
to toxic exposure1 includ+ outrea* )    
respect to b5efits & support programs4  
#fjc4 ,incorporation ( toxic exposure   
que/ionnaire dur+ prim>y c>e appo9tm5ts 
7a7 ,9 g5]al ,! ,secret>y ( ,vet]ans    
,affairs %all incorporate a cl9ical     
que/ionnaire to help det]m9e pot5tial   

toxic exposures dur+ active milit>y1    
naval1 or air s]vice z "p ( ! initial   
scre5+ conduct$ = an appo9tm5t ( a      
vet]an ) a prim>y c>e provid] ( !       
,dep>tm5t ( ,vet]ans ,affairs to improve
 und]/&+ by ! ,dep>tm5t ( toxic         
exposures ( vet]ans :ile s]v+ 9 ! ,arm$ 
,=ces4  7b7 ,det]m9ation ( que/ions ,!  
que/ions includ$ 9 ! que/ionnaire       
requir$ "u subsection 7a7 %all be       
det]m9$ by ! ,secret>y ) input f m$ical 
pr(essionals4  #fjd4 ,tra9+ = p]sonnel (
 ! ,dep>tm5t ( ,vet]ans ,affairs )      
respect to toxic exposure vet]ans  7a7  
,heal? c>e p]sonnel ,! ,secret>y (      
,vet]ans ,affairs %all provide to heal? 
c>e p]sonnel ( ! ,dep>tm5t ( ,vet]ans   
,affairs education & tra9+ to id5tify1  
treat1 & assess ! impact on toxic       
exposure vet]ans ( illnesses relat$ to  
toxic exposure & in=m su* p]sonnel ( h[ 
to ask = additional in=mation f vet]ans 
reg>d+ diff]5t toxic exposures4  7b7    
,b5efits p]sonnel  7#a7 ,9 g5]al ,!     
,secret>y %all e/abli% a tra9+ program =

 processors ( claims "u ! laws adm9i/]$ 
by ! ,secret>y :o review claims =       
disability b5efits relat+ to            
s]vice-connect$ disabilities bas$ on    
toxic exposure4  7#b7 ,annual tra9+     
,tra9+ provid$ to processors "u p>agraph
 7#a7 %all be provid$ n less frequ5tly  
?an annually4  #fje4 ,,sfc ,hea?        
,rob9son ,burn ,pit ,transp>5cy ,act    
7a7 ,%ort title ,?is section may be cit$
 z ! ,,sfc ,hea? ,rob9son ,burn ,pit    
,transp>5cy ,act4  7b7 ,qu>t]ly         
notifications  7#a7 ,9 g5]al ,on a      
qu>t]ly basis1 ! ,secret>y ( ,vet]ans   
,affairs %all submit to ! appropriate   
congressional committees a report on ea*
 report$ case ( burn pit exposure by a  
cov]$ vet]an report$ dur+ ! previ\s     
qu>t]4  7#b7 ,elem5ts ,ea* report       
submitt$ "u p>agraph 7#a7 %all include1 
) respect to ea* report$ case ( burn pit
 exposure ( a cov]$ vet]an includ$ 9 !  
report1 ! foll[+3 7,a7 ,notice ( ! case1
 includ+ ! m$ical facility at :i* ! case
 0 report$4  7,b7 ,notice (1 z          

available-- 7i7 ! enrollm5t /atus ( !   
cov]$ vet]an ) respect to ! pati5t      
enrollm5t sy/em ( ! ,dep>tm5t ( ,vet]ans
 ,affairs "u section #agje7;a7 ( title  
#ch1 ,unit$ ,/ates ,code2  7ii7 a summ>y
 ( all heal? c>e visits by ! cov]$      
vet]an at ! m$ical facility at :i* !    
case 0 report$ t are relat$ to ! case2  
7iii7 ! demographics ( ! cov]$ vet]an1  
includ+ age1 sex1 & race2  7iv7 any     
non-,dep>tm5t ( ,vet]ans ,affairs heal? 
c>e b5efits t ! cov]$ vet]an receives2  
7v7 ! ,arm$ ,=ce 9 :i* ! cov]$ vet]an   
s]v$ & ! rank ( ! cov]$ vet]an2  7vi7 ! 
p]iod 9 :i* ! cov]$ vet]an s]v$2  7vii7 
ea* location t ! cov]$ vet]an report$ z 
be+ a location at :i* ! vet]an 0 expos$ 
to toxic airborne *emicals & fumes f an 
op5 burn pit2  7viii7 ! m$ical diagnoses
 ( ! cov]$ vet]an & ! treatm5t provid$  
to ! vet]an2 &  7ix7 :e!r ! cov]$ vet]an
 is regi/]$ 9 ! ,airborne ,haz>ds & ,op5
 ,burn ,pit ,regi/ry4  7#c7 ,protection 
( in=mation ,! ,secret>y %all ensure t !
 reports submitt$ "u p>agraph 7#a7 d n  

include ! id5tity ( cov]$ vet]ans or    
conta9 o!r p]sonally id5tifiable data4  
7c7 ,annual report on cases  7#a7 ,9    
g5]al ,n lat] ?an #ahj days aft] ! date 
( ! enactm5t ( ?is ,act1 & annually     
!reaft]1 ! ,secret>y ( ,vet]ans         
,affairs1 9 collaboration ) ! ,secret>y 
( ,def5se1 %all submit to ! appropriate 
congressional committees a report       
detail+ ! foll[+3 7,a7 ,! total numb] ( 
cov]$ vet]ans4  7,b7 ,! total numb] (   
claims = disability comp5sation "u *apt]
 #aa ( title #ch1 ,unit$ ,/ates ,code1  
approv$ & ! total numb] d5i$ by !       
,secret>y ( ,vet]ans ,affairs ) respect 
to a cov]$ vet]an1 & = ea* su* d5ial1 ! 
rationale ( ! d5ial4  7,c7 ,a           
compreh5sive li/ (-- 7i7 ! conditions = 
:i* cov]$ vet]ans seek treatm5t2 &  7ii7
 ! locations t ! cov]$ vet]ans report$ z
 be+ locations at :i* ! vet]ans 7 expos$
 to toxic airborne *emicals & fumes f   
op5 burn pits4  7,d7 ,id5tification (   
any illnesses relat+ to exposure to op5 
burn pits t =m$ ! basis = ! ,secret>y to

 aw>d b5efits1 includ+ entitlem5t to    
s]vice connection or an increase 9      
disability rat+4  7,e7 ,! total numb] ( 
cov]$ vet]ans :o di$ aft] seek+ c>e = an
 illness relat+ to exposure to an op5   
burn pit4  7,f7 ,any updates or tr5ds ) 
respect to ! in=mation describ$ 9       
subp>agraphs 7,a71 7,b71 7,c71 7,d71 &  
7,e7 t ! ,secret>y det]m9es appropriate4
  7#b7 ,matt]s includ$ 9 fir/ report ,! 
,secret>y %all include 9 ! fir/ report  
"u p>agraph 7#a7 in=mation specifi$ 9   
subsection 7b77#b7 ) respect to report$ 
cases ( burn pit exposure made dur+ !   
p]iod beg9n+ ,janu>y #a1 #aiij1 & end+  
on ! day be=e ! date ( ! enactm5t ( ?is 
,act4  7d7 ,comptroll] ,g5]al report ,n 
lat] ?an #ahj days aft] ! date ( !      
enactm5t ( ?is ,act1 ! ,comptroll]      
,g5]al ( ! ,unit$ ,/ates %all submit to 
! appropriate congressional committees a
 report conta9+ an assessm5t ( !        
effectiv5ess ( any memor&um ( und]/&+ or
 memor&um ( agreem5t ent]$ into by !    
,secret>y ( ,vet]ans ,affairs ) respect 

to-- 7#a7 ! process+ ( report$ cases (  
burn pit exposure2 &  7#b7 ! coord9ation
 ( c>e & provision ( heal? c>e relat+ to
 su* cases at m$ical facilities ( !     
,dep>tm5t ( ,vet]ans ,affairs & at      
non-,dep>tm5t facilities4  7e7          
,def9itions ,9 ?is section3 7#a7 ,! t]m 
,airborne ,haz>ds & ,op5 ,burn ,pit     
,regi/ry means ! regi/ry e/abli%$ by !  
,secret>y ( ,vet]ans ,affairs "u section
 #bja ( ! ,dignifi$ ,burial & ,o!r      
,vet]ans' ,b5efits ,improvem5t ,act (   
#bjab 7,public ,law #aab-bfj2 #ch       
,u4,s4,c4 #ebg note74  7#b7 ,! t]m      
appropriate congressional committees    
means-- 7,a7 ! ,committee on ,vet]ans'  
,affairs & ! ,committee on ,arm$        
,s]vices ( ! ,s5ate2 &  7,b7 ,!         
,committee on ,vet]ans' ,affairs & !    
,committee on ,arm$ ,s]vices ( ! ,h\se (
 ,repres5tatives4  7#c7 ,! t]m cov]$    
vet]an means a vet]an :o pres5ts at a   
m$ical facility ( ! ,dep>tm5t ( ,vet]ans
 ,affairs 7or 9 a non-,dep>tm5t facility
 pursuant to section #agjc or #agjc;,a (

 title #ch1 ,unit$ ,/ates ,code7 =      
treatm5t t ! vet]an describes z be+     
relat$ to1 or ancill>y to1 ! exposure ( 
! vet]an to toxic airborne *emicals &   
fumes caus$ by op5 burn pits at any "t  
:ile s]v+ 9 ! ,arm$ ,=ces4  7#d7 ,! t]m 
op5 burn pit has ! mean+ giv5 t t]m 9   
section #bja7;c7 ( ! ,dignifi$ ,burial &
 ,o!r ,vet]ans' ,b5efits ,improvem5t    
,act ( #bjab 7,public ,law #aab-bfj2 #ch
 ,u4,s4,c4 #ebg note74  7#e7 ,! t]m     
report$ case ( burn pit exposure means  
ea* in/ance 9 :i* a vet]an pres5ts at a 
m$ical facility ( ! ,dep>tm5t ( ,vet]ans
 ,affairs 7or 9 a non-,dep>tm5t facility
 pursuant to section #agjc or #agjc;,a (
 title #ch1 ,unit$ ,/ates ,code7 =      
treatm5t t ! vet]an describes z be+     
relat$ to1 or ancill>y to1 ! exposure ( 
! vet]an to toxic airborne *emicals &   
fumes caus$ by op5 burn pits at any "t  
:ile s]v+ 9 ! ,arm$ ,=ces4  ,,vii       
,/r5g!n+ record-keep+ ( toxic exposures 
by ,dep>tm5t ( ,def5se  #gja4           
,def9itions ,9 ?is title3 7#a7          

,individual longitud9al exposure record 
,! t]m ,individual ,longitud9al         
,exposure ,record has ! mean+ giv5 t t]m
 9 section #aja7dj7 ( title #ch1 ,unit$ 
,/ates ,code1 z add$ by section         
#aja7;b74  7#b7 ,toxic exposure ,! t]m  
toxic exposure has ! mean+ giv5 t t]m 9 
section #aja7cg7 ( su* title1 z s add$4 
#gjb4 ,indep5d5t /udy on ,individual    
,longitud9al ,exposure ,record  7a7 ,9  
g5]al ,n lat] ?an #fj days aft] ! date (
 ! enactm5t ( ?is ,act1 ! ,secret>y (   
,def5se %all ent] into a contract ) an  
indep5d5t rese>* entity describ$ 9      
subsection 7b7 to c>ry out a            
compreh5sive /udy ( ! developm5t ( !    
,individual ,longitud9al ,exposure      
,record to evaluate-- 7#a7 ! quality ( !
 location data1 occupational &          
environm5tal exposure data1 & heal?     
surveillance data2 &  7#b7 :e!r a memb] 
( ! ,arm$ ,=ces c be reasonably assur$ t
 any toxic exposure exp]i5c$ by ! memb] 
dur+ s]vice 9 ! ,arm$ ,=ces w be        
accurately reflect$ 9 ! ,individual     

,longitud9al ,exposure ,record ( !      
memb]4  7b7 ,indep5d5t rese>* entity    
describ$ ,an indep5d5t rese>* entity    
describ$ 9 ?is subsection is a f$]ally  
fund$ rese>* & developm5t c5t] )        
appropriate exp]tise & analytical       
capability to c>ry out ! /udy requir$ "u
 subsection 7a74  #gjc4 ,biannual report
 on ,individual ,longitud9al ,exposure  
,record  7a7 ,9 g5]al ,n lat] ?an "o ye>
 aft] ! date on :i* ! ,individual       
,longitud9al ,exposure ,record a*ieves  
full op]ation capability1 z det]m9$ by !
 ,secret>y ( ,def5se1 & e #ahj days     
!reaft]1 ! ,secret>y ( ,def5se %all1 9  
consultation ) ! ,secret>y ( ,vet]ans   
,affairs1 submit to ! appropriate       
committees ( ,congress a report on !    
data quality ( ! databases ( ! ,dep>tm5t
 ( ,def5se t provide ! in=mation pres5t$
 9 ! ,individual ,longitud9al ,exposure 
,record & ! usefulness ( ! ,individual  
,longitud9al ,exposure ,record 9        
support+ memb]s ( ! ,arm$ ,=ces &       
vet]ans 9 receiv+ heal? c>e & b5efits f 

! ,dep>tm5t ( ,def5se & ! ,dep>tm5t (   
,vet]ans ,affairs4  7b7 ,elem5ts ,ea*   
report requir$ by subsection 7a7 %all   
include1 = ! p]iod cov]$ by ! report1 ! 
foll[+3 7#a7 ,an id5tification ( toxic  
exposures t may n be fully captur$ by ! 
curr5t sy/ems ( ! ,dep>tm5t ( ,def5se = 
environm5tal & occupational heal?       
monitor+1 & recomm5dations = h[ to      
improve ^? sy/ems4  7#b7 ,an analysis ( 
! quality ( ! location data us$ by !    
,dep>tm5t ( ,def5se 9 det]m9+ toxic     
exposures ( memb]s ( ! ,arm$ ,=ces &    
vet]ans1 & recomm5dations = h[ to       
improve ! quality ( t location data4    
7c7 ,appropriate committees ( ,congress 
def9$ ,9 ?is section1 ! t]m appropriate 
committees ( ,congress means-- 7#a7 !   
,committee on ,arm$ ,s]vices & !        
,committee on ,vet]ans' ,affairs ( !    
,s5ate2 &  7#b7 ! ,committee on ,arm$   
,s]vices & ! ,committee on ,vet]ans'    
,affairs ( ! ,h\se ( ,repres5tatives4   
#gjd4 ,correction ( toxic exposure      
records  7a7 ,9 g5]al ,! ,secret>y (    

,def5se & ! ,secret>y ( ,vet]ans        
,affairs %all provide a means = memb]s (
 ! ,arm$ ,=ces & vet]ans to update _!   
records z necess>y to reflect a toxic   
exposure by su* memb] or vet]an 9 !     
,individual ,longitud9al ,exposure      
,record4  7b7 ,evid5ce  7#a7 ,9 g5]al   
,to update a record "u subsection 7a71 a
 memb] ( ! ,arm$ ,=ces or vet]an1 z !   
case may be1 mu/ provide su* evid5ce z !
 ,secret>y ( ,def5se & ! ,secret>y (    
,vet]ans ,affairs jo9tly consid]        
suffici5t4  7#b7 ,regulations ,!        
,secret>y ( ,vet]ans ,affairs %all      
prescribe by regulation ! evid5ce       
consid]$ suffici5t "u p>agraph 7#a74    
,octob] #ai1 #bjba,read twice & plac$ on
 ! cal5d>