,,ii  #aai? ,,congress  #a/ ,session    
,s4 #acbj  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,april #h1 #bjbe ,mrs4 
,murray 7= h]self & ,ms4 ,ern/7         
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,vet]ans' ,affairs  ,a ,,bill  ,to      
direct ! ,secret>y ( ,def5se & !        
,secret>y ( ,vet]ans ,affairs to take   
c]ta9 /eps reg>d+ rese>* relat$ to      
m5opause1 p]im5opause1 or mid-life      
wom5's heal?1 & = o!r purposes4  #a4    
,%ort title ,?is ,act may be cit$ z !   
,s]vicewom5 & ,vet]ans ,m5opause ,rese>*
 ,act4  #b4 ,def9itions ,9 ?is ,act3    
7#a7 ,cov]$ provid] ,! t]m cov]$ provid]
 means a heal? c>e provid] employ$ by ! 
,dep>tm5t ( ,def5se or ! ,dep>tm5t (    
,vet]ans ,affairs4  7#b7 ,m5opause ,!   
t]m m5opause means ! /age ( a woman's   
life--  7,a7 :5 m5/rual p]iods /op      
p]man5tly & %e c no long] get pregnant2 
&  7,b7 t is n a disease /ate1 b a      
normal "p ( ag+ = wom54  7#c7 ,mid-life 
,! t]m mid-life means a life /age t--   

7,a7 co9cides ) ! m5opausal transition 9
 wom51 :i* may be physical or emotional2
  7,b7 encompasses ! late reproductive  
age1 :i* c beg9 at approximately #ce    
ye>s ( age1 to ! late po/m5opausal /ages
 ( reproductive ag+1 :i* c ext5d to     
approximately #fe ye>s ( age2 &  7,c7   
(t5 m>ks ! onset ( _m *ronic diseases4  
7#d7 ,p]im5opause ,! t]m p]im5opause    
means ! "t dur+ a woman's life :5 levels
 ( ! hormone e/rog5 fall unev5ly 9 a    
woman's body & is also call$ ! m5opausal
 transition4  7#e7 ,po/m5opausal ,! t]m 
po/m5opausal means ! /age ( a woman's   
life aft] a woman has be5 )\t a m5/rual 
p]iod = #ab mon?s t la/s = ! re/ ( a    
woman's life & reflects a "t :5 wom5 are
 at increas$ risk = o/eoporosis & he>t  
disease4  #c4 ,evaluation ( c]ta9 rese>*
 relat$ to m5opause1 p]im5opause1 or    
mid-life wom5's heal?  7a7 ,9 g5]al ,!  
,secret>y ( ,def5se1 9 coord9ation )    
,secret>y ( ,vet]ans ,affairs1 %all     
evaluate-- 7#a7 ! results ( complet$    
rese>* relat$ to m5opause1 p]im5opause1 

or mid-life wom5's heal? among wom5 :o  
are memb]s ( ! ,arm$ ,=ces or vet]ans2  
7#b7 ! /atus ( su* rese>* t is ongo+2   
7#c7 any gaps 9 k & rese>* on--  7,a7   
treatm5ts = m5opause-relat$ symptoms1   
includ+ hormone & non-hormone treatm5ts2
  7,b7 ! safety & effectiv5ess (        
treatm5ts = m5opause-relat$ symptoms2   
7,c7 ! relation ( s]vice 9 ! ,arm$ ,=ces
 to p]im5opause & m5opause & ! impact ( 
su* s]vice on p]im5opause & m5opause2   
7,d7 ! effect ( combat roles on symptoms
 relat+ to p]im5opause & m5opause1      
includ+ exposure to burn pits1 toxic    
*emicals1 & p]fluoroalkyl &             
polyfluoroalkyl sub/ances 7commonly kn[n
 z ,,pfas72 &  7,e7 ! impact (          
p]im5opause & m5opause on ! m5tal heal? 
( wom5 :o are memb]s ( ! ,arm$ ,=ces or 
vet]ans2  7#d7 ! availability ( & uptake
 ( pr(essional tra9+ res\rces = cov]$   
provid]s relat+ to mid-life wom5's heal?
 ) respect to ! c>e1 treatm5t1 &        
managem5t ( p]im5opause & m5opausal     
symptoms1 & relat$ support s]vices2 &   

7#e7 ! availability ( & uptake (        
treatm5ts = wom5 :o are memb]s ( ! ,arm$
 ,=ces or vet]ans :o are exp]i5c+       
p]im5opause or m5opause4  7b7 ,report2  
/rategic plan ,n lat] ?an #ahj days aft]
 ! date ( ! enactm5t ( ?is ,act1 !      
,secret>y ( ,def5se & ! ,secret>y (     
,vet]ans ,affairs %all ea* submit to    
,congress a report conta9+--  7#a7 !    
f9d+s ( ! evaluation conduct$ "u        
subsection 7a72  7#b7 recomm5dations =  
improv+ pr(essional tra9+ res\rces      
describ$ 9 subsection 7a77#d7 = cov]$   
provid]s2 &  7#c7 a /rategic plan t--   
7,a7 resolves ! gaps 9 k & rese>*       
id5tifi$ 9 ! report2 &  7,b7 id5tifies  
topics 9 ne$ ( fur!r rese>* relat+ to   
pot5tial treatm5ts = m5opause-relat$    
symptoms ( wom5 :o are memb]s ( ! ,arm$ 
,=ces or vet]ans4  7c7 ,nonduplication &
 supplem5tation ( ef=ts ,9 c>ry+ out    
activities "u ?is section1 ! ,secret>y (
 ,def5se & ! ,secret>y ( ,vet]ans       
,affairs %all ensure t su* activities   
m9imize duplication & supplem5t1 n      

supplant1 exi/+ in=mation-%>+ ef=ts ( ! 
,dep>tm5t ( ,heal? & ,human ,s]vices4   
#d4 ,s5se ( ,congress on additional     
rese>* relat$ to m5opause1 p]im5opause1 
or mid-life wom5's heal? ,x is ! s5se ( 
,congress t ! ,secret>y ( ,def5se & !   
,secret>y ( ,vet]ans ,affairs %\ld ea*  
conduct rese>* relat$ to m5opause1      
p]im5opause1 or mid-life heal? reg>d+   
wom5 :o are memb]s ( ! ,arm$ ,=ces or   
vet]ans4