#aaith ,,congress  #ast ,session  ,h4   
,r4 #ehf  ,,an ,,act  ,to direct the    
,secretary of ,veterans ,affairs to     
study and report on the prevalence of   
cholangiocarcinoma in veterans who      
served in the ,vietnam theater of       
operations during the ,vietnam era1 and 
for other purposes4  #a4 ,short title   
,this ,act may be cited as the ,vietnam 
,veterans ,liver ,fluke ,cancer ,study  
,act4  #b4 ,study on the prevalence of  
cholangiocarcinoma in veterans who      
served in the ,vietnam theater of       
operations during the ,vietnam era  7a7 
,epidemiological study ,not later than  
#abj days after the date of enactment of
 this ,act1 the ,secretary of ,veterans 
,affairs1 in consultation with the      
,director of the ,centers for ,disease  
,control and ,prevention of the         
,department of ,health and ,human       
,services1 shall commence an            
epidemiological study on the prevalence 
of cholangiocarcinoma in covered        
veterans of the ,vietnam era1 using data

 from the ,veterans ,affairs ,central   
,cancer ,registry and the ,national     
,program of ,cancer ,registries4 ,the   
study shall include--  7#a7 an          
identification of the rate of incidence 
of cholangiocarcinoma in covered        
veterans of the ,vietnam era and in     
residents of the ,united ,states1 from  
the beginning of the ,vietnam era to the
 date of enactment of this ,act2 and    
7#b7 for each of the groups specified in
 paragraph 7#a71 an identification of   
the percentage of individuals with      
cholangiocarcinoma by various           
demographic characteristics1 including  
by age1 gender1 race1 ethnicity1 and the
 geographic location of the patient at  
the time of diagnosis4  7b7 ,reports to 
,congress  7#a7 ,initial report ,not    
later than one year after the completion
 of the study under subsection 7a71 the 
,secretary shall submit to ,congress a  
report containing-- 7,a7 the results of 
the study under subsection 7a72 and     
7,b7 recommendations for administrative 

or legislative actions required to      
address issues identified in the study  
under subsection 7a74  7#b7 ,follow-,up 
reports ,the ,secretary shall           
periodically submit to the ,congress a  
follow-up reports1 as determined by the 
,secretary1 to provide updates to the   
information included in the initial     
report under paragraph 7#a7 and         
information collected pursuant to       
subsection 7c74  7c7 ,continued tracking
 of cholangiocarcinoma in covered       
veterans of the ,vietnam era ,the       
,secretary shall track the prevalence of
 cholangiocarcinoma in covered veterans 
of the ,vietnam era using the ,veterans 
,affairs ,central ,cancer ,registry1 and
 provide such information to ,congress  
in follow-up reports submitted under    
subsection 7b77#b74  7d7 ,definitions   
,in this section3  7#a7 ,the term       
,vietnam era has the meaning given such 
term in section #aja of title #ch1      
,united ,states ,code4  7#b7 ,the term  
covered veterans of the ,vietnam era    

means veterans who served in the        
,vietnam theater of operations during   
the ,vietnam era4  #c4 ,extension of    
certain limitation of pension payments  
,section #eejc7;d77#g7 of title #ch1    
,united ,states ,code1 is amended by    
striking ,november #cj1 #bjca and       
inserting ,december #ca1 #bjca4  ,passed
 the ,house of ,representatives ,april  
#g1 #bjbe4;,clerk4