,i  #aah? ,,congress  #a/ ,session  ,h4 
,r4 #ebei  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,augu/ #bb1 #bjbc,ms4 
,slotk9 7= h]self1 ,mr4 ,posey1 & ,mr4  
,turn]7 introduc$ ! foll[+ bill2 :i* 0  
ref]r$ to ! ,committee on ,arm$ ,s]vices
  ,a ,,bill  ,to direct ! ,secret>y (   
,def5se to include 9 p]iodic heal?      
assessm5ts ( memb]s ( ! ,arm$ ,=ces an  
evaluation ( :e!r ! memb] has be5 expos$
 to p]fluoroalkyl sub/ances &           
polyfluoroalkyl sub/ances1 & = o!r      
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,,pfas ,exposure ,assessm5t
 & ,docum5tation ,act4  #b4 ,inclusion (
 exposure to p]fluoroalkyl &            
polyfluoroalkyl sub/ances z "p ( p]iodic
 heal? assessm5ts  7a7 ,p]iodic heal?   
assessm5t ,! ,secret>y ( ,def5se %all   
ensure t any p]iodic heal? assessm5t    
provid$ to a memb] ( ! ,arm$ ,=ces      
includes an evaluation ( :e!r ! memb]   
has be5-- 7#a7 bas$ or /ation$ at a     
milit>y in/allation id5tifi$ by !       
,dep>tm5t ( ,def5se z a location ) a    

kn[n or suspect$ release ( p]fluoroalkyl
 sub/ances or polyfluoroalkyl sub/ances 
dur+ ! p]iod 9 :i* ! memb] 0 bas$ or    
/ation$ at ! milit>y in/allation2 or    
7#b7 expos$ to su* sub/ances1 includ+ by
 evaluat+ any in=mation 9 ! heal? record
 ( ! memb]4  7b7 ,sep>ation hi/ory &    
physical exam9ations ,section           
#aade7;a77#e7 ( title #aj1 ,unit$ ,/ates
 ,code1 is am5d$ by add+ at ! end !     
foll[+ new subp>agraph3  7,d7 ,!        
,secret>y conc]n$ %all ensure t ea*     
physical exam9ation ( a memb] "u        
subp>agraph 7,a7 includes an assessm5t (
 :e!r ! memb] 0-- 7i7 bas$ or /ation$ at
 a milit>y in/allation id5tifi$ by !    
,dep>tm5t z a location ) a kn[n or      
suspect$ release ( p]fluoroalkyl        
sub/ances or polyfluoroalkyl sub/ances  
dur+ ! p]iod 9 :i* ! memb] 0 bas$ or    
/ation$ at ! milit>y in/allation2 or    
7ii7 expos$ to su* sub/ances1 includ+ by
 assess+ any in=mation 9 ! heal? record 
( ! memb]4  4  7c7 ,deploym5t assessm5ts
 ,section #ajgd;f7b77#b7 ( title #aj1   

,unit$ ,/ates ,code1 is am5d$ by add+ at
 ! end ! foll[+ new subp>agraph3  7,e7  
,an assessm5t ( :e!r ! memb] 0-- 7i7    
bas$ or /ation$ at a milit>y in/allation
 id5tifi$ by ! ,dep>tm5t z a location ) 
a kn[n or suspect$ release (            
p]fluoroalkyl sub/ances or              
polyfluoroalkyl sub/ances dur+ ! p]iod 9
 :i* ! memb] 0 bas$ or /ation$ at !     
milit>y in/allation2 or  7ii7 expos$ to 
su* sub/ances1 includ+ by assess+ any   
in=mation 9 ! heal? record ( ! memb]4  4
  #c4 ,provision ( blood te/+ = memb]s (
 ! ,arm$ ,=ces1 =m] memb]s ( ! ,arm$    
,=ces1 & _! families to det]m9e exposure
 to p]fluoroalkyl sub/ances or          
polyfluoroalkyl sub/ances  7a7 ,memb]s (
 ! ,arm$ ,=ces  7#a7 ,9 g5]al ,if a     
cov]$ evaluation ( a memb] ( ! ,arm$    
,=ces results 9 a positive det]m9ation (
 pot5tial exposure to p]fluoroalkyl     
sub/ances or polyfluoroalkyl sub/ances1 
! ,secret>y ( ,def5se %all provide to t 
memb]1 dur+ t cov]$ evaluation1 blood   
te/+ to det]m9e & docum5t pot5tial      

exposure to su* sub/ances4  7#b7        
,inclusion 9 heal? record ,! results (  
blood te/+ ( a memb] ( ! ,arm$ ,=ces    
conduct$ "u p>agraph 7#a7 %all be       
includ$ 9 ! heal? record ( ! memb]4  7b7
 ,=m] memb]s ( ! ,arm$ ,=ces & family   
memb]s ,! ,secret>y %all pay = blood    
te/+ to det]m9e & docum5t pot5tial      
exposure to p]fluoroalkyl sub/ances or  
polyfluoroalkyl sub/ances = any cov]$   
individual1 at ! election ( !           
individual1 ei!r ?r\gh ! ,,tric>e       
program = individuals o!rwise eligible =
 su* program or ?r\gh ! use ( v\*]s to  
obta9 su* te/+4  7c7 ,def9itions ,9 ?is 
section3 7#a7 ,! t]m cov]$ evaluation   
means-- 7,a7 a p]iodic heal? assessm5t  
conduct$ 9 accordance ) section #b7;a72 
7,b7 a sep>ation hi/ory & physical      
exam9ation conduct$ "u section          
#aade7;a77#e7 ( title #aj1 ,unit$ ,/ates
 ,code1 z am5d$ by section #b7;b72 &    
7,c7 a deploym5t assessm5t conduct$ "u  
section #ajgd;f7b77#b7 ( su* title1 z   
am5d$ by section #b7;c74  7#b7 ,! t]m   

cov]$ individual means a =m] memb] ( !  
,arm$ ,=ces or a family memb] ( a memb] 
or =m] memb] ( ! ,arm$ ,=ces :o liv$ at 
a location 7or ! surr\nd+ area ( su* a  
location7 id5tifi$ by ! ,dep>tm5t (     
,def5se z a location ) a kn[n or        
suspect$ release ( p]fluoroalkyl        
sub/ances or polyfluoroalkyl sub/ances  
dur+ ! p]iod 9 :i* ! individual liv$ at 
t location 7or surr\nd+ area74  7#c7 ,! 
t]m ,,tric>e program has ! mean+ giv5 t 
t]m 9 section #ajgb7g7 ( title #aj1     
,unit$ ,/ates ,code4  #d4 ,docum5tation 
( exposure to p]fluoroalkyl sub/ances or
 polyfluoroalkyl sub/ances  7a7 ,%>+ (  
in=mation ,! ,secret>y ( ,def5se & !    
,secret>y ( ,vet]ans ,affairs %all ent] 
into a memor&um ( und]/&+ provid+ = !   
%>+ by ! ,dep>tm5t ( ,def5se ) !        
,dep>tm5t ( ,vet]ans ,affairs ( !       
results ( cov]$ evaluations reg>d+ !    
exposure by a memb] ( ! ,arm$ ,=ces to  
p]fluoroalkyl sub/ances or              
polyfluoroalkyl sub/ances4  7b7 ,regi/ry
  7#a7 ,e/abli%m5t ,! ,secret>y (       

,def5se %all e/abli% a regi/ry ( memb]s 
( ! ,arm$ ,=ces :o h be5 expos$ to1 or  
are suspect$ to h be5 expos$ to1        
p]fluoroalkyl sub/ances or              
polyfluoroalkyl sub/ances4  7#b7        
,inclusion 9 regi/ry ,! ,secret>y %all  
include a memb] ( ! ,arm$ ,=ces 9 !     
regi/ry e/abli%$ "u p>agraph 7#a7 if a  
cov]$ evaluation ( ! memb] e/abli%es t !
 memb]-- 7,a7 0 bas$ or /ation$ at a    
location id5tifi$ by ! ,dep>tm5t (      
,def5se z a location ) a kn[n or        
suspect$ release ( p]fluoroalkyl        
sub/ances or polyfluoroalkyl sub/ances  
dur+ ! p]iod 9 :i* ! memb] 0 bas$ or    
/ation$ at ! location2 or  7,b7 0 expos$
 to su* sub/ances4  7#c7 ,blood te/+ ,! 
results ( any blood te/ conduct$ "u     
section #c7;a7 %all be includ$ 9 !      
regi/ry e/abli%$ "u p>agraph 7#a7 = any 
memb] ( ! ,arm$ ,=ces includ$ 9 !       
regi/ry4  7#d7 ,election ,a memb] ( !   
,arm$ ,=ces may elect n to be includ$ 9 
! regi/ry e/abli%$ "u p>agraph 7#a74    
7c7 ,provision ( in=mation ,! ,secret>y 

( ,def5se %all provide to a memb] ( !   
,arm$ ,=ces m in=mation on p]fluoroalkyl
 sub/ances & polyfluoroalkyl sub/ances &
 ! pot5tial impact ( exposure to su*    
sub/ances if a cov]$ evaluation ( su*   
memb] e/abli%es t ! memb]-- 7#a7 0 bas$ 
or /ation$ at a location id5tifi$ by !  
,dep>tm5t ( ,def5se z a location ) a    
kn[n or suspect$ release ( p]fluoroalkyl
 sub/ances or polyfluoroalkyl sub/ances 
dur+ ! p]iod 9 :i* ! memb] 0 bas$ or    
/ation$ at ! location2 or  7#b7 0 expos$
 to su* sub/ances4  7d7 ,rule (         
con/ruction ,no?+ 9 ?is section may be  
con/ru$ to preclude eligibility ( a     
vet]an = b5efits "u ! laws adm9i/]$ by !
 ,secret>y ( ,vet]ans ,affairs by reason
 ( ! exposure ( ! vet]an to             
p]fluoroalkyl sub/ances or              
polyfluoroalkyl sub/ances n be+ record$ 
9 a cov]$ evaluation4  7e7 ,cov]$       
evaluation def9$ ,9 ?is section1 ! t]m  
cov]$ evaluation means-- 7#a7 a p]iodic 
heal? assessm5t conduct$ 9 accordance ) 
section #b7;a72  7#b7 a sep>ation hi/ory

 & physical exam9ation conduct$ "u      
section #aade7;a77#e7 ( title #aj1      
,unit$ ,/ates ,code1 z am5d$ by section 
#b7;b72 &  7#c7 a deploym5t assessm5t   
conduct$ "u section #ajgd;f7b77#b7 ( su*
 title1 z am5d$ by section #b7;c74