,,ii #aahth ,,congress #ast ,session ,s4 #cjb ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,february #g1 #bjbc,ms4 ,klobuchar introduced the following bill2 which was read twice and referred to the ,committee on ,armed ,services ,a ,,bill ,to amend title #aj1 ,united ,states ,code1 to direct the ,secretary of ,defense to provide colorectal cancer screening for members of the uniformed services who served in locations associated with toxic exposure1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,,cpt ,rafael ,barbosa ,enhanced ,colorectal ,cancer ,screening ,standard for ,toxic ,exposed ,members of the ,uniformed ,services ,act or the ,barbosa ,act4 #b4 ,revision of the primary and preventive health care policy of the ,department of ,defense to provide enhanced colorectal cancer screening standard for members of the uniformed services who served in locations associated with toxic exposure 7a7 ,in general ,section #ajgd;d of title #aj1 ,united ,states ,code1 is amended-- 7#a7 in subsection 7a7-- 7,a7 in paragraph 7#a71 by striking subsection 7b7 and inserting subsection 7c72 and 7,b7 in paragraph 7#b71 by striking consider appropriate4 and inserting determine meet or exceed national standards for preventive care services1 including screening under subsection 7b742 7#b7 by redesignating subsection 7b7 as subsection 7c72 and 7#c7 by inserting after subsection 7a7 the following new subsection 7b73 7b7 ,enhanced colorectal cancer screening standard for members of the uniformed services exposed to toxic substances 7#a7 ,under the policy developed under subsection 7a77#b71 any member of the uniformed services who1 during active service1 was deployed in support of a contingency operation in a location and during a period specified in paragraph 7#b71 is entitled to a colorectal cancer screening1 which may include a colonoscopy1 fecal occult blood testing1 sigmoidoscopy1 or other colon cancer screening1 by a health care provider of the ,department of ,defense beginning on the date that is five years after the first day of qualifying service for such member and thereafter at a frequency as recommended by the ,united ,states ,preventive ,services ,task ,force4 7#b7 ,the locations and periods specified in this paragraph are the following3 7,a7 ,iraq during following periods3 7i7 ,the period beginning on ,august #b1 #aiij1 and ending on ,february #bh1 #aiia4 7ii7 ,the period beginning on ,march #ai1 #bjjc1 and ending on such date as the ,secretary of ,defense determines burn pits are no longer used in ,iraq4 7,b7 ,the ,southwest ,asia theater of operations1 other than ,iraq1 during the period beginning on ,august #b1 #aiij1 and ending on such date as the ,secretary determines burn pits are no longer used in such location1 including the following locations3 7i7 ,kuwait4 7ii7 ,saudi ,arabia4 7iii7 ,oman4 7iv7 ,qatar4 7,c7 ,afghanistan during the period beginning on ,september #aa1 #bjja1 and ending on such date as the ,secretary determines burn pits are no longer used in ,afghanistan4 7,d7 ,djibouti during the period beginning on ,september #aa1 #bjja1 and ending on such date as the ,secretary determines burn pits are no longer used in ,djibouti4 7,e7 ,syria during the period beginning on ,september #aa1 #bjja1 and ending on such date as the ,secretary determines burn pits are no longer used in ,syria4 7,f7 ,jordan during the period beginning on ,september #aa1 #bjja1 and ending on such date as the ,secretary determines burn pits are no longer used in ,jordan4 7,g7 ,egypt during the period beginning on ,september #aa1 #bjja1 and ending on such date as the ,secretary determines burn pits are no longer used in ,egypt4 7,h7 ,lebanon during the period beginning on ,september #aa1 #bjja1 and ending on such date as the ,secretary determines burn pits are no longer used in ,lebanon4 7,i7 ,yemen during the period beginning on ,september #aa1 #bjja1 and ending on such date as the ,secretary determines burn pits are no longer used in ,yemen4 7,j7 ,such other locations and corresponding periods as set forth by the ,airborne ,hazards and ,open ,burn ,pit ,registry established under section #bja of the ,dignified ,burial and ,other ,veterans' ,benefits ,improvement ,act of #bjab 7,public ,law #aab-bfj2 #ch ,u4,s4,c4 #ebg note74 7,k7 ,such other locations and corresponding periods as the ,secretary may determine appropriate in a report submitted under paragraph 7#c74 7#c7 ,not later than two years after the date of the enactment of the ,,cpt ,rafael ,barbosa ,enhanced ,colorectal ,cancer ,screening ,standard for ,toxic ,exposed ,members of the ,uniformed ,services ,act1 and not less frequently than once every two years thereafter1 the ,secretary of ,defense shall submit to ,congress a report specifying other locations and corresponding periods for purposes of paragraph 7#b77,k74 7#d7 ,a location under this subsection shall not include any body of water around or any airspace above such location4 7#e7 ,in this subsection1 the term burn pit means an area of land that-- 7,a7 is used for disposal of solid waste by burning in the outdoor air2 and 7,b7 does not contain a commercially manufactured incinerator or other equipment specifically designed and manufactured for the burning of solid waste4 4 7b7 ,report on colorectal cancer rates for members of the uniformed services deployed to certain areas 7#a7 ,in general ,not later than two years after the date of the enactment of this ,act1 the ,secretary of ,defense shall submit to the ,committee on ,armed ,services of the ,senate and the ,committee on ,armed ,services of the ,house of ,representatives a report that compares the rates of colorectal cancer among members of the uniformed services deployed to the locations and during the periods specified in section #ajgd;d7b7 of title #aj1 ,united ,states ,code1 as added by subsection 7a71 as compared to members of the uniformed services who were not deployed to those locations during those periods and to the civilian population4 7#b7 ,uniformed services defined ,in this subsection1 the term uniformed services has the meaning given that term in section #aja7;a77#e7 of title #aj1 ,united ,states ,code4