,i #aai? ,,congress #a/ ,session ,h4 ,r4 #cjea ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,april #bh1 #bjbe,ms4 ,tlaib 7= h]self1 ,ms4 ,simon1 ,mr4 ,nadl]1 ,mr4 ,?an$>1 ,mr4 ,c>son1 & ,ms4 ,mc,bride7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,=eign ,affairs1 & 9 addition to ! ,committee on ,en]gy & ,comm]ce1 = a p]iod to be subsequ5tly det]m9$ by ! ,speak]1 9 ea* case = consid]ation ( su* provisions z fall )9 ! jurisdiction ( ! committee conc]n$ ,a ,,bill ,to direct ! ,adm9i/rator ( ! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t1 or its successor1 & ! ,secret>y ( ,heal? & ,human ,s]vices to provide assi/ance = individuals affect$ by exposure to ,ag5t ,orange1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,victims ( ,ag5t ,orange ,act ( #bjbe4 #b4 ,f9d+s & purpose 7a7 ,f9d+s ,congress makes ! foll[+ f9d+s3 7#a7 ,f #aifa to #aiga1 approximately #ai1jjj1jjj gallons ( #ae diff]5t h]bicides 7 spray$ ov] ! s\!rn region ( ,vietnam by ! ,unit$ ,/ates milit>y4 7#b7 ,! h]bicides includ$ #ac1jjj1jjj gallons ( ,ag5t ,orange1 #d1ejj1jjj gallons ( ,ag5t ,:ite1 #a1jjj1jjj gallons ( ,ag5t ,blue1 #dbj1jjj gallons ( ,ag5t ,purple1 & relatively small] quantities ( ! o!r h]bicides4 ,_m ( ! h]bicides1 includ+ ,ag5ts ,orange1 ,purple1 ,gre51 ,p9k1 ,d9oxol1 & ,tr9oxol1 conta9$ ! toxic contam9ant diox9 7,,tcdd74 ,ag5t ,blue conta9$ high levels ( ars5ic4 ,! #ae h]bicides1 includ+ ! contam9ant diox91 are usually collectively ref]r$ to z ,ag5t ,orange4 7#c7 ,betwe5 #aifa & #aiga1 ne>ly #bj1jjj spray+ missions 7 c>ri$ out 9 an area ( ab\t #ab1fjj1jjj hect>es4 ,?is repres5t$ ab\t #ab p]c5t ( ,s\? ,vietnam & portions ( ,laos & ,cambodia4 ,^! am\nts only acc\nt = ! ,unit$ ,/ates ,air ,=ce ,op]ation ,ran* ,h& spray+ & d n include ! widespread use ( ,ag5t ,orange by ! ,army ,*emical ,corps1 ,c5tral ,intellig5ce ,ag5cy1 & ,s\? ,vietnamese ,gov]nm5t4 7#d7 ,/udies h f\nd t betwe5 #b1ajj1jjj & #d1hjj1jjj ,vietnamese1 ,lao1 & ,cambodian p & t5s ( ?\s&s ( ,am]icans 7 expos$ to ,ag5t ,orange dur+ ! spray+ op]ations4 ,_m o!r ,vietnamese p 7 or cont9ue to be expos$ to ,ag5t ,orange ?r\gh contact ) ! environm5t & food t 0 contam9at$4 ,_m (fspr+ ( ^? :o 7 expos$ h bir? defects1 developm5tal disabilities1 & o!r diseases4 7#e7 ,today1 !re are /ill doz5s ( h]bicide hotspots t cont9ue to contam9ate ! food1 soil1 s$im5t1 live/ock1 & wildlife ) ,ag5t ,orange4 ,conc5trations ( ,,tcdd z high z #a1jjj mg_/kg h be5 f\nd 9 soil & s$im5t samples m ?an #ej ye>s aft] ,ag5t ,orange 0 spray$ 9 ,vietnam4 7#f7 ,s9ce #bjjg1 ! ,unit$ ,/ates has provid$ assi/ance to ,vietnam 9 rem$iat+ ,ag5t ,orange contam9ation at ! l>ge/ ( ^! hotspots1 :i* are ! airbases t h&l$ ! spray missions4 ,! contam9ation at ! ,da ,nang ,airport has be5 fully clean$ up1 & ! ,unit$ ,/ates has committ$ funds to contribute to clean+ up ! ,bi5 ,hoa ,airbase1 :i* has ! mo/ wide-spread h]bicide contam9ation 9 ,vietnam4 ,!re are at lea/ two doz5 o!r small] hotspots scatt]$ ?r\gh\t s\!rn & c5tral ,vietnam t also mu/ be rem$iat$1 s9ce !y cont9ue to expose local populations to diox9 & ars5ic4 7#g7 ,ag5t ,orange exposure cont9ues to negatively affect ! lives ( vet]ans ( ! ,unit$ ,/ates ,arm$ ,=ces1 ,vietnamese p1 ,vietnamese ,am]icans1 & _! *ildr54 ,! lives ( _m victims are cut %ort1 & o!rs live ) disease1 disabilities1 & pa91 :i* are (t5 untreat$ or unrecogniz$4 7#h7 ,! ,dep>tm5t ( ,vet]ans ,affairs recognizes #ai illnesses & diseases1 includ+ ,,al amyloidosis1 bladd] canc]1 *ronic ,b- cell leukemia1 *loracne1 diabetes mellitus type #b1 high blood pressure 7hyp]t5sion71 ,hodgk9's disease1 hypo?yroidism1 is*emic he>t disease1 monoclonal gammopa?y ( undet]m9$ significance 7,,mgus71 multiple myeloma1 non-,hodgk9's ,lymphoma1 ,p>k9son's disease1 ,p>k9sonism1 acute & sub-acute p]iph]al neuropa?y1 porphyria cutanea t>da1 pro/ate canc]1 respiratory canc]s1 & s(t-tissue s>comas associat$ ) ! spray+ & use ( ,ag5t ,orange by ! ,unit$ ,/ates ,arm$ ,=ces dur+ ! ,vietnam era4 7#i7 ,no simil> recognition has be5 giv5 to affect$ ,vietnamese or ,vietnamese ,am]icans4 7#aj7 ,! ,dep>tm5t ( ,vet]ans ,affairs provides comp5sation = _m sev]e bir? defects among ! *ildr5 ( ,unit$ ,/ates wom5 vet]ans :o s]v$ 9 ,vietnam4 ,! li/ ( bir? defects cov]$ includes1 b is n limit$ to1 a*ondroplasia1 cleft lip1 cleft palate1 cong5ital he>t disease1 cong5ital talipes equ9ov>us 7clubfoot71 esophageal & inte/9al atresia1 ,hall]man-,/reiff syndrome1 hip dysplasia1 ,hirs*sprung's disease 7cong5ital megacolon71 hydrocephalus due to aqu$uctal /5osis1 hypospadias1 imp]=ate anus1 neural tube defects1 ,pol& syndrome1 pyloric /5osis1 syndactyly 7fus$ digits71 tra*eoesophageal fi/ula1 undesc5d$ te/es1 & ,williams syndrome4 ,affect$ *ildr5 ( ^! wom5 vet]ans receive m$ical c>e & o!r b5efits4 ,h[ev]1 ! c>e & comp5sation provid$ by ! ,dep>tm5t ( ,vet]ans ,affairs to ! cov]$ *ildr5 ( ,unit$ ,/ates vet]ans is insuffici5t to meet _! ne$s relat$ to ,ag5t ,orange4 7#aa7 ,! only bir? defect recogniz$ = ! *ildr5 ( male ,am]ican vet]ans is sp9a bifida 7b n occulta74 ,h[ev]1 _m *ildr5 ( male ,vietnam w> vet]ans h ! same range ( bir? defects & diseases z se5 9 ! *ildr5 ( female ,vietnam w> vet]ans4 ,?is discrepancy results 9 mo/ ,ag5t ,orange affect$ *ildr5 ( ,unit$ ,/ates vet]ans receiv+ no c>e or b5efits4 7#ab7 ,no assi/ance has be5 giv5 to ! *ildr5 ( male or female ,vietnamese or ,vietnamese ,am]icans connect$ ) _! exposure1 or _! p>5ts' or gr&p>5ts' exposure4 7#ac7 ,! ,in/itute ( ,m$ic9e = ! pa/ sev]al ye>s has not$ t x is consid]ably m plausible ?an previ\sly believ$ t exposure to ! h]bicides spray$ 9 ,vietnam might h caus$ pat]nally m$iat$ transg5]ational effects attributable to ! ,,tccd contam9ant 9 ,ag5t ,orange4 ,9 rec5t ye>s1 sci5tific /udies h id5tifi$ likely epig5etic l9ks betwe5 exposure to tox9s & bir? defects & developm5tal disord]s 9 subsequ5t g5]ations4 ,"s ( ! *ildr5 & gr&*ildr5 ( expos$ p]sons 7,am]icans1 ,vietnamese1 & ,vietnamese ,am]icans7 :o 7 9 s\!rn ,vietnam dur+ ! ,vietnam w> era likely suff] f disord]s1 bir? defects1 & illnesses relat$ to ,ag5t ,orange4 7#ad7 ,! assi/ance t ! ,unit$ ,/ates has provid$ = environm5tal rem$iation ( contam9ation at ! ,da ,nang & ,bi5 ,hoa airports has1 9 rec5t ye>s1 includ$ funds = public heal? & disabilities activities = individuals resid+ 9 "s affect$ areas4 7#ae7 ,laos & ,cambodia 7 also spray$ ) ,ag5t ,orange dur+ ! ,vietnam w> era4 ,at lea/ #ebg1jjj gallons ( ,ag5t ,orange 7 spray$ 9 ,laos & significant am\nts 7 also spray$ 9 ,cambodia4 ,affect$ ,lao & ,cambodian p ov] sev]al g5]ations suff] f m$ical conditions1 bir? defects1 & disabilities simil> to ^? se5 9 ,vietnam & ! ,unit$ ,/ates4 ,! ,unit$ ,/ates has ! responsibility to take action to mitigate & provide comp5sation = ^? effects4 ,fur!r action w be ne$$ to asc]ta9 & effectively address ?is legacy ( ! ,vietnam w>4 7b7 ,purpose ,x is ! purpose ( ?is ,act to address & rem$iate ! ongo+ damage t arose or w cont9ue to arise f ! use ( ,ag5t ,orange dur+ ! ,vietnam w>4 #c4 ,assi/ance = individuals affect$ by heal? issues relat$ to exposure to ,ag5t ,orange 7a7 ,= cov]$ individuals ,! ,adm9i/rator ( ! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t1 or its successor1 9 coord9ation ) ! heads ( o!r appropriate ,f$]al ag5cies & nongov]nm5tal organizations1 %all provide assi/ance to address ! heal? c>e ne$s ( cov]$ individuals4 ,su* assi/ance may include ! provision ( m$ical & *ronic c>e s]vices1 nurs+ s]vices1 vocational employm5t tra9+1 & m$ical equipm5t4 7b7 ,= c>egiv]s ,! ,adm9i/rator ( ! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t1 or its successor1 9 coord9ation ) ! heads ( o!r appropriate ,f$]al ag5cies & nongov]nm5tal organizations1 %all provide assi/ance to in/itutions 9 ,vietnam t provide heal? c>e = cov]$ individuals4 ,su* assi/ance may include-- 7#a7 m$ic9es & m$ical equipm5t2 7#b7 cu/odial c>e1 home c>e1 respite c>e1 & dayc>e programs2 7#c7 tra9+ programs = c>egiv]s2 7#d7 m$ical & physical rehabilitation1 & c\nsel+ s]vices & equipm5t = illnesses & de=mities associat$ ) exposure to ,ag5t ,orange2 & 7#e7 recon/ructive surgical programs4 7c7 ,= h\s+ & pov]ty r$uction ,! ,adm9i/rator ( ! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t1 or its successor1 9 coord9ation ) ! heads ( o!r appropriate ,f$]al ag5cies & nongov]nm5tal organizations %all provide-- 7#a7 assi/ance to in/itutions 9 ,vietnam t repair & rebuild sub/&>d homes 9 ,vietnam = cov]$ individuals & ! families ( cov]$ individuals2 & 7#b7 micro grants & loans to facilitate subsi/5ce paym5ts & pov]ty r$uction = cov]$ individuals & families ( cov]$ individuals4 7d7 ,= environm5tal rem$iation 7#a7 ,9 g5]al ,! ,adm9i/rator ( ! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t1 or its successor1 9 coord9ation ) ! heads ( o!r appropriate ,f$]al ag5cies & nongov]nm5tal organizations %all provide assi/ance to rem$iate ^? geographic areas ( ,vietnam t ! ,secret>y det]m9es conta9 high levels ( ,ag5t ,orange4 7#b7 ,priority ,9 provid+ assi/ance "u ?is subsection1 ! ,adm9i/rator %all give priority to heavily spray$ areas1 includ+ areas t s]v$ z milit>y bases :]e ,ag5t ,orange 0 h&l$1 & areas :]e heavy spray+1 spills1 or air cra%es result$ 9 h>mful deposits ( ,ag5t ,orange4 7e7 ,adm9i/rative au?orities ,! ,adm9i/rator %all-- 7#a7 provide assi/ance "u ?is section 7o!r ?an assi/ance "u subsection 7d77 ?r\gh appropriate ,vietnamese community & nongov]nm5tal organizations & ,vietnamese public ag5cies2 7#b7 provide assi/ance "u ?is section to affect$ p]sons 9 all areas ( ,vietnam1 includ+ rural1 m\nta9\s1 & urban areas2 & 7#c7 seek out & actively enc\rage o!r bilat]al donors z well z ,unit$ ,/ates & =eign bus9ess ent]prises 9 ,vietnam to support ! goals ( ?is section ?r\gh developm5t assi/ance & corporate philan?ropy programs4 7f7 ,cov]$ individual def9$ ,9 ?is section1 ! t]m cov]$ individual means an individual :o-- 7#a7 is a resid5t ( ,vietnam2 & 7#b7 7,a7 is affect$ by heal? issues relat$ to exposure to ,ag5t ,orange :i* took place dur+ ! p]iod beg9n+ on ,janu>y #a1 #aifa1 & end+ on ,may #g1 #aige1 or :o lives or has liv$ 9 or ne> ^? geographic areas 9 ,vietnam t cont9ue to conta9 high levels ( ,ag5t ,orange z describ$ 9 subsection 7d72 or 7,b7 is ! *ild or desc5dant ( an individual describ$ 9 subp>agraph 7,a71 & is affect$ by heal? issues describ$ 9 subp>agraph 7,a74 #d4 ,dep>tm5t ( ,heal? & ,human ,s]vices heal? assessm5t & assi/ance = ,vietnamese ,am]icans 7a7 ,heal? assessm5t ,! ,secret>y ( ,heal? & ,human ,s]vices %all make grants to appropriate public heal? organizations & ,vietnamese ,am]ican organizations = ! purpose ( conduct+ a broad heal? assessm5t ( ,vietnamese ,am]icans :o may h be5 expos$ to ,ag5t ,orange & _! *ildr5 or desc5dants to det]m9e ! effects to _! heal? ( su* exposure4 7b7 ,assi/ance ,! ,secret>y ( ,heal? & ,human ,s]vices %all e/abli% c5t]s 9 locations 9 ! ,unit$ ,/ates :]e l>ge populations ( ,vietnamese ,am]icans reside = ! purpose ( provid+ assessm5t1 c\nsel+1 & treatm5t = conditions relat$ to exposure to ,ag5t ,orange4 ,! ,secret>y may c>ry out ?is subsection ?r\gh appropriate community & nongov]nm5tal organizations or o!r suitable organizations1 z det]m9$ by ! ,secret>y4 #e4 ,deadl9e = implem5tation ,n lat] ?an #ahj days aft] ! date ( enactm5t ( ?is ,act1 ! ,adm9i/rator ( ! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t1 or its successor1 & ! ,secret>y ( ,heal? & ,human ,s]vices %all ea* complete a plan = ! implem5tation ( ! provisions ( ?is ,act1 & ! am5dm5ts made by ?is ,act1 t are applicable to su* ,secret>y & %all issue a reque/ = proposals1 if applicable4 ,! ,adm9i/rator ( ! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t1 or its successor1 & ! ,secret>y ( ,heal? & ,human ,s]vices %all ea* implem5t ! applicable provisions ( ?is ,act by n lat] ?an #ah mon?s aft] ! date ( enactm5t ( ?is ,act4 #f4 ,qu>t]ly reports ,n lat] ?an #cj days aft] ! la/ day ( ea* fiscal qu>t] beg9n+ on or aft] #ah mon?s aft] ! date ( enactm5t ( ?is ,act1 ! ,adm9i/rator ( ! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t1 or its successor1 & ! ,secret>y ( ,heal? & ,human ,s]vices %all ea* submit to ,congress a report on ! implem5tation ( ! provisions ( ?is ,act applicable to su* ,secret>y dur+ ! imm$iately prec$+ fiscal qu>t]4 #g4 ,def9ition ,= purposes ( ?is ,act1 ! t]m ,ag5t ,orange includes any *emical comp\nd :i* became "p1 ei!r by design or ?r\gh impurities1 ( an h]bicide ag5t us$ 9 support ( ! ,unit$ ,/ates & alli$ milit>y op]ations 9 ! ,republic ( ,vietnam4