,i  #aai? ,,congress  #a/ ,session  ,h4 
,r4 #fcgf  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,decemb] #c1 #bjbe,ms4
 ,br[nley 7= h]self & ,ms4 ,tlaib7      
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,vet]ans' ,affairs  ,a 
,,bill  ,to am5d title #ch1 ,unit$      
,/ates ,code1 to direct ! ,secret>y (   
,vet]ans ,affairs to provide heal? c>e =
 family memb]s & o!r individuals :o     
resid$ at or work$ at locations :]e !re 
is a presumption ( s]vice-connection =  
c]ta9 illnesses & conditions1 & = o!r   
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,support+ ,milit>y         
,families ,expos$ to ,toxic ,sub/ances  
,act4  #b4 ,dep>tm5t ( ,vet]ans ,affairs
 provision ( heal? c>e = family memb]s &
 o!r individuals :o resid$ at or work$  
at locations :]e !re is a presumption ( 
s]vice-connection = c]ta9 illnesses &   
conditions  7a7 ,9 g5]al ,sub*apt]      
,,viii ( *apt] #ag ( title #ch1 ,unit$  
,/ates ,code1 is am5d$ by add+ at ! end 
! foll[+ new section3  #agij4 ,heal? c>e

 = family memb]s & o!r individuals :o   
resid$ at or work$ at locations :]e !re 
is a presumption ( s]vice-connection =  
c]ta9 illnesses & conditions  7a7 ,9    
g5]al  7#a7 ,an individual describ$ 9   
subsection 7b7 %all be eligible =       
hospital c>e & m$ical s]vices furni%$ by
 ! ,secret>y = a cov]$ illness or       
condition4  7#b7 ,an individual describ$
 9 ?is subsection is an individual :o-- 
7,a7 resid$ at1 work$ at1 or 0 9 ut]o   
:ile _! "m resid$ at or work$ at a      
location = :i* ! ,secret>y has e/abli%$ 
a presumption ( s]vice-connection = any 
illness or condition "u or pursuant to  
*apt] #aa ( ?is title = ! "t p]iod      
requir$ = su* presumption2 &  7,b7 c    
demon/rate t ! individual 0 expos$ to ! 
same condition or conditions t qualify  
vet]ans = su* presumption1 z det]m9$ by 
! ,secret>y4  7b7 ,limitations  7#a7 ,! 
,secret>y may only furni% hospital c>e &
 m$ical s]vices "u subsection 7a7 to !  
ext5t & 9 ! am\nt provid$ 9 advance 9   
appropriations ,acts = su* purpose4     

7#b7 ,hospital c>e & m$ical s]vices may 
n be furni%$ "u subsection 7a7 = an     
illness or condition ( an individual t  
is f\nd1 9 accordance ) guidel9es issu$ 
by ! ,"u ,secret>y = ,heal?1 to h       
result$ f a cause o!r ?an "t sp5t at a  
location ref]r$ to 9 subsection         
7a77#b77;,a74  7#c7 ,! ,secret>y may    
furni% hospital c>e or m$ical s]vices   
provid$ to an individual describ$ 9     
subsection 7a77#b7 only aft] !          
individual or ! provid] ( su* c>e or    
s]vices has exhau/$ )\t success all     
claims & rem$ies reasonably available to
 ! individual or provid] aga9/ a ?ird   
p>ty 7z def9$ 9 section #agbe7;f7 ( ?is 
title7 = paym5t ( su* c>e or s]vices1   
includ+ ) respect to heal?-plan         
contracts 7z def9$ 9 su* section74  7c7 
,cov]$ illness or condition ,9 ?is      
section1 ! t]m cov]$ illness or         
condition means1 ) respect to an        
individual :o resid$ at1 work$ at1 or 0 
9 ut]o :ile _! "m resid$ at or work$ at 
a location1 an illness or condition =   

:i* ! ,secret>y has e/abli%$ a          
presumption ( s]vice-connection "u or   
pursuant to *apt] #aa ( ?is title bas$  
on s]vice 9 ! ,arm$ ,=ces at t location1
 not)/&+ t !re is insuffici5t m$ical    
evid5ce to conclude t ! illness or      
condition is attributable to su*        
resid5ce or "w4  4  7b7 ,cl]ical am5dm5t
 ,! table ( sections at ! beg9n+ ( su*  
*apt] is am5d$ by ins]t+ aft] ! item    
relat+ to section #aghi ! foll[+ new    
item3  #agij4 ,heal? c>e = family memb]s
 & o!r individuals :o resid$ at or work$
 at locations :]e !re is a presumption (
 s]vice-connection = c]ta9 illnesses &  
conditions4  4  7c7 ,reports ,n lat] ?an
 ,decemb] #ca ( ea* ( #bjbg1 #bjbh1 &   
#bjbi1 ! ,secret>y ( ,vet]ans ,affairs  
%all submit to ! ,committee on ,vet]ans'
 ,affairs ( ! ,s5ate & ! ,committee on  
,vet]ans' ,affairs ( ! ,h\se (          
,repres5tatives a report on ! hospital  
c>e & m$ical s]vices provid$ "u section 
#agij ( title #ch1 ,unit$ ,/ates ,code1 
z add$ by subsection 7a74 ,ea* su*      

report %all include ea* ( ! foll[+3 7#a7
 ,! numb] ( individuals :o 7 furni%$    
hospital c>e or m$ical s]vices "u su*   
section dur+ ! p]iod beg9n+ on ,janu>y  
#a1 #bjbf1 & end+ on ! date ( su*       
report4  7#b7 ,! illnesses & conditions 
= :i* su* c>e or s]vices 7 provid$ & !  
location associat$ ) ! presumption (    
s]vice-connection = ea* su* illness or  
condition4  7#c7 ,! numb] ( individuals 
:o appli$ = c>e or s]vices "u su*       
section dur+ t p]iod b :o 7 d5i$1       
includ+ in=mation on ! reasons = su*    
d5ials4  7#d7 ,! numb] ( individuals :o 
appli$ = c>e or s]vices "u su* section &
 are await+ a decision f ! ,secret>y on 
eligibility = su* c>e or s]vices4 z ( ! 
date ( su* report4