,,ii  #aahth ,,congress  #ast ,session  
,s4 #bahc  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,june #bb1     
#bjbc ,mr4 ,schatz 7for himself1 ,mr4   
,moran1 and ,ms4 ,hirono7 introduced the
 following bill2 which was read twice   
and referred to the ,committee on ,armed
 ,services  ,a ,,bill  ,to require the  
,secretary of ,health and ,human        
,services to establish an exposure      
registry and conduct epidemiological    
studies to assess health outcomes       
associated with the ,red ,hill          
,incident4  #a4 ,short title ,this ,act 
may be cited as the ,red ,hill ,health  
,impact ,act4  #b4 ,registry for        
impacted individuals of the ,red ,hill  
,incident  7a7 ,establishment of        
registry ,the ,secretary of ,health and 
,human ,services 7referred to in this   
section as the ,secretary7 shall        
establish within the ,agency for ,toxic 
,substances and ,disease ,registry or   
the ,centers for ,disease ,control and  
,prevention or through an award of a    

grant or contract1 as the ,secretary    
determines appropriate1 a ,red ,hill    
,incident exposure registry to collect  
data on health implications of          
petroleum-contaminated water for        
impacted individuals on a voluntary     
basis4 ,such registry shall be          
complementary to1 and not duplicative   
of1 the ,red ,hill ,incident ,report of 
the ,defense ,occupational and          
,environmental ,health ,readiness       
,system4  7b7 ,other responsibilities   
7#a7 ,in general ,the ,secretary1 in    
coordination with the ,director of the  
,centers for ,disease ,control and      
,prevention1 and in consultation with   
the ,secretary of ,defense1 the         
,secretary of ,veterans ,affairs1 and   
such ,state and local authorities or    
other partners as the ,secretary of     
,health and ,human ,services considers  
appropriate1 shall-- 7,a7 review the    
,federal programs and services available
 to individuals exposed to petroleum2   
7,b7 review current research on         

petroleum exposure in order to identify 
additional research needs2  7,c7        
identify effective services1 individuals
 and communities affected by            
petroleum-contaminated water2 and  7,d7 
undertake any other review or activities
 that the ,secretary determines to be   
appropriate4  7#b7 ,report ,not later   
than #a year after the date of enactment
 of this ,act1 and annually thereafter  
for #f additional years1 the ,secretary 
shall submit to the appropriate         
congressional committees a report on the
 review and activities undertaken under 
paragraph 7#a7 that includes--  7,a7    
strategies for communicating and        
engaging with stakeholders on the ,red  
,hill ,incident2  7,b7 the number of    
impacted and potentially impacted       
individuals enrolled in the registry    
established under subsection 7a72  7,c7 
processes for referring such registry   
enrollees to comprehensive1 coordinated 
services to mitigate the effects of     
petroleum exposure2  7,d7 measures and  

frequency of follow-up to collect data  
and specimens related to exposure1      
health1 and developmental milestones as 
appropriate2 and  7,e7 a summary of data
 and analyses on exposure1 health1 and  
developmental milestones for impacted   
individuals4  7#c7 ,consultation ,in    
carrying out paragraphs 7#a7 and 7#b71  
the ,secretary shall consult with       
non-,federal experts1 including         
individuals with certification in       
epidemiology1 toxicology1 mental health1
 pediatrics1 and environmental health1  
and members of the impacted community4  
7c7 ,funding ,without regard to section 
#bbae of title #aj1 ,united ,states     
,code1 the ,secretary of ,defense is    
authorized to provide1 from amounts made
 available to such ,secretary1 such sums
 as may be necessary for each of fiscal 
years #bjbd through #bjcj for the       
,secretary of ,health and ,human        
,services to carry out this section4    
#c4 ,red ,hill epidemiological health   
outcomes study  7a7 ,in general ,the    

,secretary of ,health and ,human        
,services1 in consultation with the     
,secretary of ,defense1 the ,secretary  
of ,veterans ,affairs1 and such ,state  
and local health authorities or other   
partners as the ,secretary of ,health   
and ,human ,services considers          
appropriate1 shall conduct an           
epidemiological study or studies for a  
period of not less than #bj years to    
assess health outcomes for impacted     
individuals of the ,red ,hill ,incident4
  7b7 ,additional contracts ,the        
,secretary of ,health and ,human        
,services may contract with independent 
research institutes or consultants1     
nonprofit or public entities1           
laboratories1 or medical schools1 as the
 ,secretary considers appropriate1 that 
are not part of the ,federal ,government
 to assist with the feasibility         
assessment required by subsection 7d7   
and the study or studies under          
subsection 7a74  7c7 ,funding ,without  
regard to section #bbae of title #aj1   

,united ,states ,code1 the ,secretary of
 ,defense is authorized to provide1 from
 amounts made available to such         
,secretary1 no less than #d1jjj1jjj for 
fiscal year #bjbd for the ,secretary of 
,health and ,human ,services to carry   
out the assessment under subsection 7d71
 and such sums as may be necessary to   
complete the study or studies under     
subsection 7a74  7d7 ,feasibility       
assessment ,not later than one year     
after the date of the enactment of this 
,act1 the ,secretary of ,health and     
,human ,services shall submit to the    
appropriate congressional committees the
 results of a feasibility assessment to 
inform the design of the epidemiological
 study or studies to assess health      
outcomes for impacted individuals and a 
plan for such study or studies under    
subsection 7a71 which may include-- 7#a7
 a strategy to recruit impacted         
individuals to participate in the study 
or studies1 including incentives for    
participation2  7#b7 a description of   

protocols and methodologies to assess   
health outcomes from the ,red ,hill     
,incident1 including data management    
protocols to secure the privacy and     
security of the personal information of 
impacted individuals2 and  7#c7 the     
periodicity for data collection that    
takes into account the differences      
between health care practices among     
impacted individuals who are--  7,a7    
members of the ,armed ,forces on active 
duty or spouses or dependents of such   
members2  7,b7 members of the ,armed    
,forces separating from active duty or  
spouses or dependents of such members2  
7,c7 veterans and other individuals with
 access to health care from the         
,department of ,veterans ,affairs2 and  
7,d7 individuals without access to      
health care from the ,department of     
,defense or the ,department of ,veterans
 ,affairs2  7#d7 a description of       
methodologies to analyze data received  
from the study or studies to determine  
possible connections between exposure to

 water contaminated during the ,red     
,hill ,incident and adverse impacts to  
the health of impacted individuals2     
7#e7 an identification of exposures     
resulting from the ,red ,hill ,incident 
that may qualify individuals to be      
eligible for participation in the study 
or studies as a result of those         
exposures2 and  7#f7 steps that will be 
taken to provide individuals impacted by
 the ,red ,hill ,incident with          
information on available resources and  
services4  7e7 ,potentially impacted    
individuals  7#a7 ,in general ,the      
,secretary of ,health and ,human        
,services may enlarge the scope of the  
study or studies under subsection 7a7 to
 include potentially impacted           
individuals based on--  7,a7 the request
 of a potentially impacted individual1  
as applicable2  7,b7 the recommendation 
of the ,secretary of ,defense1 the      
,secretary of ,veterans ,affairs1 or any
 contracted party under subsection 7b72 
7,c7 the exposures identified in        

subsection 7d77#e72 or  7,d7 other      
exigent circumstances4  7#b7 ,treatment 
of potentially impacted individuals ,if1
 under paragraph 7#a71 the ,secretary   
enlarges the scope of the study or      
studies under subsection 7a71           
potentially impacted individuals shall  
be treated as impacted individuals for  
purposes of this section4  7f7          
,notifications2 briefings  7#a7 ,in     
general ,not later than one year after  
the completion of the feasibility       
assessment under subsection 7d71 and    
annually thereafter1 the ,secretary of  
,health and ,human ,services shall--    
7,a7 notify impacted individuals on the 
interim findings of the study or        
studies2 and  7,b7 brief the appropriate
 congressional committees on the interim
 findings of the study or studies4  7#b7
 ,final notification ,upon completion of
 the study or studies under subsection  
7a71 the ,secretary of ,health and      
,human ,services shall notify the       
appropriate congressional committees and

 all impacted individuals of the        
completion of the study or studies and  
the publication of the final report     
under subsection 7g77#b74  7g7 ,reports 
7#a7 ,annual reports ,not later than one
 year after the date of the commencement
 of the study or studies under          
subsection 7a71 and annually thereafter1
 the ,secretary of ,health and ,human   
,services shall publish on the website  
of the ,department of ,health and ,human
 ,services a report on the interim      
findings of the study or studies4  7#b7 
,final report ,upon completion of the   
study or studies under subsection 7a71  
the ,secretary of ,health and ,human    
,services-- 7,a7 shall publish on a     
publicly available internet website of  
the ,department of ,health and ,human   
,services a report on the findings of   
the study or studies2 and  7,b7 may     
publish such report in a scientific     
publication4  #d4 ,definitions ,in this 
,act3  7#a7 ,appropriate congressional  
committees ,the term appropriate        

congressional committees means-- 7,a7   
the ,committee on ,health1 ,education1  
,labor1 and ,pensions of the ,senate2   
7,b7 the ,committee on ,armed ,services 
and the ,subcommittee on ,defense of the
 ,committee on ,appropriations of the   
,senate2  7,c7 the ,committee on        
,veterans' ,affairs of the ,senate2     
7,d7 the ,committee on ,energy and      
,commerce of the ,house of              
,representatives2  7,e7 the ,committee  
on ,armed ,services and the             
,subcommittee on ,defense of the        
,committee on ,appropriations of the    
,house of ,representatives2 and  7,f7   
the ,committee on ,veterans' ,affairs of
 the ,house of ,representatives4  7#b7  
,impacted individual ,the term impacted 
individual means an individual who1 at  
the time of the ,red ,hill ,incident1   
lived or worked in a building or        
residence served by the community water 
system at ,joint ,base ,pearl           
,harbor-,hickam1 ,oahu1 ,hawaii4  7#c7  
,red ,hill ,incident ,the term ,red     

,hill ,incident means the release of    
fuel from the ,red ,hill ,bulk ,fuel    
,storage ,facility1 ,oahu1 ,hawaii1 into
 the sole-source basal aquifer located  
#ajj feet below the facility1           
contaminating the community water system
 at ,joint ,base ,pearl ,harbor-,hickam 
on ,november #bj1 #bjba4