,,ii  #aah? ,,congress  #a/ ,session    
,s4 #bcih  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,july #ai1 #bjbc,mr4   
,m>key introduc$ ! foll[+ bill2 :i* 0   
read twice & ref]r$ to ! ,committee on  
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to require rese>* into !    
heal? consequ5ces ( ! environm5tal      
impacts ( nucle> w>1 & = o!r purposes4  
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,heal? ,impacts ( ,nucle> ,w> ,act (  
#bjbc4  #b4 ,f9d+s ,congress f9ds t--   
7#a7 nucle> weapons explosions w\ld h   
deva/at+ heal? impacts1 includ+ imm$iate
 radiation exposure1 !rmal burns1 & bla/
 injuries2  7#b7 a l>ge body ( sci5tific
 lit]ature sugge/s t ! impacts (        
wide-spread nucle> weapons explosions   
are likely to ext5d well beyond !       
imm$iate effect ( ! explosions & may    
include long-la/+ & cata/rophic         
environm5tal effects1 includ+-- 7,a7 !  
g5]ation ( va/ quantities ( soot z a    
result ( fire/orms g5]at$ by nucle>     
explosions2  7,b7 ! injection ( su* soot

 into ! /ratosph]e2  7,c7 a significant 
r$uction 9 sunlight rea*+ ! ,e>?'s      
surface z a result ( su* soot1 caus+ a  
significant r$uction 9 ,e>?'s surface   
temp]atures1 sub/antial *anges to       
precipitation & ocean circulation       
patt]ns1 & a dramatic decrease 9 crop & 
fi%]ies yields2 &  7,d7 damage to !     
ozone lay] z a result ( su* soot1 caus+ 
increas$ ultraviolet radiation at !     
,e>?'s surface2  7#c7 su* an            
environm5tal cata/rophe c\ld impact !   
,unit$ ,/ates ev5 if ! nucle> weapons   
explosions 7 outside ! ,unit$ ,/ates2   
7#d7 ! heal? consequ5ces ( su* an       
environm5tal cata/rophe w\ld be sev]e & 
long-la/+ & may include-- 7,a7 increas$ 
canc] rates z a result ( high]          
ultra-violet radiation levels or        
radioactive fall\t2  7,b7 malnutrition z
 a result ( decreases 9 agricultural &  
fi%]ies productivity aft] an abrupt     
r$uction 9 sunlight2  7,c7 infecti\s    
disease spread due to det]iorat$ public 
heal? conc]ns & compromis$ immunity2    

7,d7 hypo!rmia1 fro/bite1 & o!r         
consequ5ces ( exposure to extreme cold2 
&  7,e7 o!r1 cascad+ effects1 su* z     
consequ5ces ( widespread damage to      
critical infra/ructure2  7#e7 su* heal? 
consequ5ces may be ev5 m damag+ &       
long-la/+ ?an ! initial impact ( nucle> 
explosions1 & ! prospects = recov]y f   
su* consequ5ces are curr5tly uncle>2    
7#f7 su* heal? consequ5ces %\ld be      
consid]$ :5 prep>+ all-haz>ds em]g5cy   
plans z a compon5t ( *emical1           
biological1 radiological1 & nucle>      
?reats2  7#g7 ! focus ( exi/+ ,f$]al    
,gov]nm5t prep>$ness & plann+ = nucle>  
?reats has prim>ily be5 on individual   
nucle> detonation incid5ts1 & n on      
respond+ to ! long-t]m environm5tal &   
heal? impacts2 &  7#h7 rese>* into1 &   
prep>$ness =1 ! heal? consequ5ces ( !   
environm5tal impacts ( nucle> w> is (   
critical importance to ! national       
security ( ! ,unit$ ,/ates4  #c4 ,heal? 
consequ5ces ( ! environm5tal impacts (  
nucle> w> ,subtitle ,c ( title ,,xxviii 

( ! ,public ,heal? ,s]vice ,act 7#db    
,u4,s4,c4 #cjj;hh-#ca et seq47 is am5d$ 
by add+ at ! end ! foll[+3  #bhbg4      
,heal? consequ5ces ( ! environm5tal     
impacts ( nucle> w>  7a7 ,def9itions ,9 
?is section3 7#a7 ,environm5tal impacts 
( nucle> w> ,! t]m environm5tal impacts 
( nucle> w> means *anges to ! environm5t
 result+1 ei!r directly or indirectly1 f
 ! explosion ( nucle> weapons1 includ+--
 7,a7 ! g5]ation ( va/ quantities ( soot
 z a result ( fire/orms g5]at$ by nucle>
 explosions2  7,b7 ! injection ( su*    
soot into ! /ratosph]e2  7,c7 a         
significant r$uction 9 sunlight rea*+ ! 
,e>?'s surface z a result ( su* soot1   
caus+ a significant r$uction 9 ,e>?'s   
surface temp]atures1 sub/antial *anges  
to precipitation & ocean circulation    
patt]ns1 & a dramatic decrease 9 crop & 
fi%]ies yields2  7,d7 damage to ! ozone 
lay] z a result ( su* soot1 caus+       
increas$ ultraviolet radiation at !     
,e>?'s surface2 &  7,e7 o!r impacts1 z  
det]m9$ by ! ,secret>y4  7#b7 ,heal?    

consequ5ces ( ! environm5tal impacts (  
nucle> w> ,! t]m heal? consequ5ces ( !  
environm5tal impacts ( nucle> w> means  
adv]se effects on ! physical or m5tal   
well-be+ ( individuals result+1 ei!r    
directly or indirectly1 f environm5tal  
impacts ( nucle> w>1 includ+-- 7,a7     
increas$ canc] rates z a result ( high] 
ultra-violet radiation levels or        
radioactive fall\t2  7,b7 malnutrition z
 a result ( decreases 9 agricultural &  
fi%]ies productivity aft] an abrupt     
r$uction 9 sunlight2  7,c7 infecti\s    
disease spread due to det]iorat$ public 
heal? conditions & compromis$ immunity1 
includ+ due to malnutrition2  7,d7      
hypo!rmia1 fro/bite1 & o!r consequ5ces (
 exposure to extreme cold2 &  7,e7 o!r  
consequ5ces1 z det]m9$ by ! ,secret>y4  
7#c7 ,nucle> w> ,! t]m nucle> w> means  
milit>y conflict involv+ ! detonation ( 
multiple nucle> weapons4  7b7 ,rese>*   
grants ,to /udy ! heal? consequ5ces ( ! 
environm5tal impacts ( nucle> w>  7#a7  
,rese>* & prep>$ness program ,!         

,secret>y1 9 collaboration ) ! ,director
 ( ! ,national ,in/itutes ( ,heal?1 !   
,director ( ! ,c5t]s = ,disease ,control
 & ,prev5tion1 & ! ,assi/ant ,secret>y =
 ,prep>$ness & ,response1 %all develop &
 implem5t a #e-ye> rese>* & prep>$ness  
program1 :i* may include activities     
c>ri$ out by ! ,secret>y1 z well z      
grants1 contracts1 & coop]ative         
agreem5ts aw>d$ to eligible entities1 to
 address ! heal? consequ5ces ( !        
environm5tal impacts ( nucle> w>4  7#b7 
,compon5ts ( rese>* & prep>$ness program
 ,! program may include-- 7,a7 sci5tific
 /udy ( ! pot5tial heal? consequ5ces ( !
 environm5tal impacts ( nucle> w>1      
includ+ ! longevity ( su* effects & !   
prospects = recov]y2  7,b7 ex]cises &   
drills to und]/& possible heal? sy/em   
response to ! environm5tal impacts (    
nucle> w>2  7,c7 id5tify+ & address+    
capability & capacity gaps = heal? sy/em
 response to ! environm5tal impacts (   
nucle> w>2 &  7,d7 develop+             
c\nt]measures to combat ! heal? effects 

( ! environm5tal impacts ( nucle> w>4   
7#c7 ,eligible entities ,to be eligible 
to receive a grant1 contract1 or        
coop]ative agreem5t describ$ 9 p>agraph 
7#a71 an entity %all-- 7,a7 be-- 7i7 a  
nonpr(it entity2  7ii7 a nonpr(it rese>*
 in/itution2 or  7iii7 an in/itution (  
high] education 7z def9$ 9 section #ajb 
( ! ,high] ,education ,act ( #aife72 &  
7,b7 submit an application to !         
,secret>y1 at su* "t1 9 su* mann]1 &    
conta9+ su* in=mation z ! ,secret>y may 
require4  7#d7 ,au?orization (          
appropriations ,to c>ry out ?is         
subsection1 !re are au?oriz$ to be      
appropriat$ #aj1jjj1jjj = ea* ( fiscal  
ye>s #bjbd ?r\gh #bjbh4  7c7 ,assessm5t 
& recomm5dations by ! ,secret>y  7#a7   
,assessm5t ,! ,secret>y %all conduct an 
assessm5t ( ! ability ( ! heal? sy/ems (
 ! ,unit$ ,/ates to respond to ! heal?  
consequ5ces ( ! environm5tal impacts (  
nucle> w>1 includ+-- 7,a7 an assessm5t (
 ! possible heal? consequ5ces ( !       
environm5tal impacts ( nucle> w>2  7,b7 

an assessm5t ( exi/+ ,/ate & ,f$]al     
gov]nm5tal prep>$ness & response        
au?orities1 capabilities1 protocols1 &  
plans to respond to ! likely heal?      
consequ5ces ( ! environm5tal impacts (  
nucle> w>2  7,c7 an assessm5t ( curr5t  
c\nt]measures to address ! range (      
likely heal? impacts 9 ! ev5t (         
environm5tal impacts ( nucle> w>2  7,d7 
an assessm5t ( ! curr5t sci5tific       
unc]ta9ties relat+ to ! environm5tal    
consequ5ces ( nucle> w>1 _! heal?       
consequ5ces1 & _! implications =        
prep>$ness2  7,e7 recomm5dations = fur!r
 sci5tific rese>* to address any        
unc]ta9ties id5tifi$ "u subp>agraph     
7,d72 &  7,f7 id5tification &           
prioritization ( ! mo/ critical         
prep>$ness & response gaps ( ! ,unit$   
,/ates to address ! heal? consequ5ces ( 
! environm5tal impacts ( nucle> w>4     
7#b7 ,assessm5t report ,n lat] ?an #a   
ye> aft] ! date ( enactm5t ( ! ,heal?   
,impacts ( ,nucle> ,w> ,act ( #bjbc1 !  
,secret>y %all prep>e & submit to !     

,committee on ,heal?1 ,education1       
,labor1 & ,p5sions ( ! ,s5ate & !       
,committee on ,en]gy & ,comm]ce ( !     
,h\se ( ,repres5tatives a report t      
conta9s ! f9d+s ( ! /udy conduct$ "u    
p>agraph 7#a74  7#c7 ,coord9ation ,9    
c>ry+ out ! assessm5t "u p>agraph 7#a71 
! ,secret>y %all coord9ate ) ! foll[+3  
7,a7 ,ea* ( ! foll[+ heads ( ag5cies or 
dep>tm5ts 7or ! designees ( su* heads73 
7i7 ,! ,director ( ! ,national          
,in/itutes ( ,heal?4  7ii7 ,! ,assi/ant 
,secret>y = ,prep>$ness & ,response4    
7iii7 ,! ,director ( ! ,c5t]s = ,disease
 ,control & ,prev5tion4  7iv7 ,!        
,assi/ant to ! ,presid5t = ,national    
,security ,affairs4  7v7 ,! ,director ( 
! ,(fice ( ,sci5ce & ,te*nology ,policy4
  7vi7 ,! ,secret>y ( ,en]gy4  7vii7 ,! 
,"u ,secret>y ( ,en]gy = ,nucle>        
,security4  7viii7 ,! ,adm9i/rator ( !  
,national ,nucle> ,security             
,adm9i/ration4  7ix7 ,! ,director ( !   
,(fice ( ,sci5ce ( ! ,dep>tm5t ( ,en]gy4
  7x7 ,! ,secret>y ( ,comm]ce4  7xi7 ,! 

,"u ,secret>y ( ,comm]ce = ,oceans &    
,atmosph]e4  7xii7 ,! ,director ( !     
,national ,c5t] = ,atmosph]ic ,rese>*4  
7xiii7 ,! ,secret>y ( ! ,int]ior4  7xiv7
 ,! ,director ( ! ,unit$ ,/ates         
,geological ,survey4  7xv7 ,!           
,adm9i/rator ( ! ,environm5tal          
,protection ,ag5cy4  7xvi7 ,! ,director 
( ! ,national ,sci5ce ,f\ndation4       
7xvii7 ,! ,secret>y ( ,def5se4  7xviii7 
,! ,director ( ! ,def5se ,?reat         
,r$uction ,ag5cy4  7xix7 ,! ,*airman ( !
 ,jo9t ,*iefs ( ,/aff4  7xx7 ,!         
,secret>y ( ,/ate4  7xxi7 ,! ,"u        
,secret>y ( ,/ate = ,arms ,control &    
,int]national ,security4  7xxii7 ,!     
,adm9i/rator ( ! ,f$]al ,em]g5cy        
,managem5t ,au?ority4  7xxiii7 ,!       
,secret>y ( ,agriculture4  7xxiv7 ,!    
,secret>y ( ,homel& ,security4  7,b7    
,o!r /akehold]s1 z ! ,secret>y det]m9es 
appropriate4  4  #d4 ,scope ( nucle>    
?reats ,! ,public ,heal? ,s]vice ,act is
 am5d$-- 7#a7 9 section #cai;,c-#a 7#db 
,u4,s4,c4 #bdg;d-#c;a7-- 7,a7 9         

subsection 7b77#b77;,a77i71 by ins]t+ & 
) respect to ! heal? consequ5ces ( !    
environm5tal impacts ( nucle> w>1 z     
def9$ 9 section #bhbg aft] nucle>       
?reats2 &  7,b7 9 subsection            
7g77#a77;,a71 by ins]t+ & ) respect to !
 heal? consequ5ces ( ! environm5tal     
impacts ( nucle> w>1 z def9$ 9 section  
#bhbg aft] nucle> ?reats2  7#b7 9       
section #cai;,c-#b7;c7 7#db ,u4,s4,c4   
#bdg;d-#c;b71 by ins]t+ & ) respect to !
 heal? consequ5ces ( ! environm5tal     
impacts ( nucle> w>1 z def9$ 9 section  
#bhbg aft] nucle> ?reats2  7#c7 9       
section #cai;,c-#c7;c77#a7 7#db         
,u4,s4,c4 #bdg;d-#c;c7c77#a771 by ins]t+
 & ) respect to ! heal? consequ5ces ( ! 
environm5tal impacts ( nucle> w>1 z     
def9$ 9 section #bhbg aft] infecti\s    
diseases2  7#d7 9 section               
#cai;,f7d77#c77;,a7 7#db ,u4,s4,c4      
#bdg;d-#f7;d77#c77;,a771 by ins]t+ & )  
respect to ! heal? consequ5ces ( !      
environm5tal impacts ( nucle> w>1 z     
def9$ 9 section #bhbg aft] infecti\s    

diseases2  7#e7 9 section               
#cai,l7c77#d77;,f77i7 7#db ,u4,s4,c4    
#bdg;d-#g;e7c77#d77;,f77i771 by ins]t+ &
 ) respect to ! heal? consequ5ces ( !   
environm5tal impacts ( nucle> w>1 z     
def9$ 9 section #bhbg aft] infecti\s    
diseases2  7#f7 9 section #bhja7;d77#c7 
7#db ,u4,s4,c4 #cjj;hh7d77#c771 by      
ins]t+ & ) respect to ! heal?           
consequ5ces ( ! environm5tal impacts (  
nucle> w>1 z def9$ 9 section #bhbg be=e 
! semicolon2  7#g7 9 section #bhaa 7#db 
,u4,s4,c4 #cjj;hh-#aj7-- 7,a7 9         
subsection 7b77#d77;,j77i71 9 ! matt]   
prec$+ subclause 7,i71 by ins]t+ & )    
respect to ! heal? consequ5ces ( !      
environm5tal impacts ( nucle> w>1 z     
def9$ 9 section #bhbg aft] infecti\s    
diseases2  7,b7 9 subsection 7d77#a71 by
 ins]t+ 1 includ+ ! heal? consequ5ces ( 
! environm5tal impacts ( nucle> w>1 z   
def9$ 9 section #bhbg aft] nucle>       
?reats2 &  7,c7 9 subsection            
7d77#b77;,a71 by ins]t+ 1 includ+ )     
respect to ! heal? consequ5ces ( !      

environm5tal impacts ( nucle> w>1 z     
def9$ 9 section #bhbg1 aft] ,nation2 &  
7#h7 9 section #bhaa-a7;c77#a77;,a7 7#db
 ,u4,s4,c4 #cjj;hh-#aj;a7c77#a77;,a771  
by ins]t+ & ) respect to ! heal?        
consequ5ces ( ! environm5tal impacts (  
nucle> w>1 z def9$ 9 section #bhbg aft] 
infecti\s diseases4