,,ii  #aai? ,,congress  #b;d ,session   
,s4 #dfge  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,june #c1 #bjbf,ms4    
,ros5 7= h]self & ,ms4 ,cortez ,ma/o7   
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,vet]ans' ,affairs  ,a ,,bill  ,to      
improve b5efits = vet]ans :o may h be5  
expos$ to toxic sub/ances1 & = o!r      
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,s]geant ,dave ,crete      
,fight+ = ! ,ov]look$ ,recognition (    
,gr\ps ,op]at+ 9 ,toxic ,te/            
,environm5ts 9 ,nevada ,vet]ans ,act (  
#bjbf or ! ,s]geant ,dave ,crete        
,,=gott5 ,vet]ans ,act ( #bjbf4  #b4    
,def9itions ,9 ?is ,act3 7#a7 ,active   
milit>y1 naval1 air1 or space s]vice ,! 
t]m active milit>y1 naval1 air1 or space
 s]vice has ! mean+ giv5 t t]m 9 section
 #aja7bd7 ( title #ch1 ,unit$ ,/ates    
,code4  7#b7 ,cov]$ location ,! t]m     
cov]$ location means-- 7,a7 any facility
 on ! mo/ rec5t li/ ( facilities cov]$  
"u ! ,en]gy ,employees ,occupational    

,illness ,comp5sation ,program ,act (   
#bjjj 7#db ,u4,s4,c4 #gchd et seq47     
publi%$ 9 ! ,f$]al ,regi/] by !         
,dep>tm5t ( ,en]gy2 or  7,b7 ) respect  
to s]vice on or aft] ,janu>y #bg1 #aiea1
 any location )9 ! ,nevada ,te/ & ,tra9+
 ,range or ! ,nevada ,national ,security
 ,site 7z def9$ on ,may #ai1 #bjbf74    
7#c7 ,toxic exposure ,! t]m toxic       
exposure has ! mean+ giv5 t t]m 9       
section #aja7cg7 ( title #ch1 ,unit$    
,/ates ,code4  #c4 ,coord9ation )       
,dep>tm5t ( ,def5se to id5tify vet]ans  
:o p]=m$ milit>y s]vice at cov]$        
locations  7a7 ,9 g5]al ,! ,secret>y (  
,vet]ans ,affairs1 9 coord9ation ) !    
,secret>y ( ,def5se1 %all e/abli% & c>ry
 out a process to id5tify vet]ans :o    
s]v$ at a cov]$ location & may h        
enc\nt]$ toxic exposure dur+ active     
milit>y1 naval1 air1 or space s]vice4   
7b7 ,use ( available in=mation ,9 c>ry+ 
out subsection 7a71 ! ,secret>y (       
,vet]ans ,affairs %all use-- 7#a7       
milit>y p]sonnel & deploym5t records    

ma9ta9$ by ! ,dep>tm5t ( ,def5se2 &     
7#b7 in=mation provid$ by vet]ans ?r\gh 
! regi/ry e/abli%$ "u section #g4  7c7  
,no affirmative evid5ce requir$ ,!      
,secret>y ( ,vet]ans ,affairs may n     
require a vet]an to provide affirmative 
evid5ce ( exposure to a specific toxic  
sub/ance if s]vice at a cov]$ location  
is e/abli%$4  #d4 ,treatm5t z           
radiation-risk activities by ,dep>tm5t (
 ,vet]ans ,affairs ,section             
#aaab7;c77#c77;,b7 ( title #ch1 ,unit$  
,/ates ,code1 is am5d$ by add+ at ! end 
! foll[+ new clause3  7viii7 ,active    
milit>y1 naval1 air1 or space s]vice1 or
 onsite p>ticipation 9 any aspect ( !   
developm5t1 con/ruction1 op]ation1 or   
ma9t5ance ( a milit>y in/allation 7z    
def9$ 9 section #bhja ( title #aj71 )9 !
 area t comprises ! ,nevada ,te/ &      
,tra9+ ,range & ! ,nevada ,national     
,security ,site1 z def9$ on ,may #ai1   
#bjbf1 dur+ ! p]iod beg9n+ on ,janu>y   
#bg1 #aiea1 & end+ on ! date :i* !      
,secret>y ( ,def5se1 ) indep5d5t        

v]ification1 c]tifies t ! area t        
comprises ! ,nevada ,te/ & ,tra9+ ,range
 & ! ,nevada ,national ,security ,site  
no long] pose radiation risk to p]sonnel
 pres5t1 or enactm5t ( ! ,s]geant ,dave 
,crete ,fight+ = ! ,ov]look$            
,recognition ( ,gr\ps ,op]at+ 9 ,toxic  
,te/ ,environm5ts 9 ,nevada ,vet]ans    
,act ( #bjbf1 :i*ev] is lat]4  4  #e4   
,presumption ( toxic exposure = vet]ans 
:o s]v$ at cov]$ locations & presumption
 ( s]vice connection = c]ta9 diseases   
,section #aaai7;c77#a7 ( title #ch1     
,unit$ ,/ates ,code1 is am5d$-- 7#a7 9  
subp>agraph 7,a77viii71 by /rik+ 2 or & 
ins]t+ a semicolon2  7#b7 9 subp>agraph 
7,b77ix71 by /rik+ ! p]iod at ! end &   
ins]t+ a semicolon2 &  7#c7 by add+ at !
 end ! foll[+ new subp>agraphs3  7,c7 at
 any "t1 p]=m$ active milit>y1 naval1   
air1 or space s]vice :ile assign$ to a  
duty /ation 91 includ+ airspace above1  
any facility on ! mo/ rec5t li/ (       
facilities cov]$ "u ! ,en]gy ,employees 
,occupational ,illness ,comp5sation     

,program ,act ( #bjjj 7#db ,u4,s4,c4    
#gchd et seq47 publi%$ 9 ! ,f$]al       
,regi/] by ! ,dep>tm5t ( ,en]gy2 or     
7,d7 on or aft] ,janu>y #bg1 #aiea1     
p]=m$ active milit>y1 naval1 air1 or    
space s]vice :ile assign$ to a duty     
/ation 91 includ+ airspace above1 any   
location )9 ! area t comprises ! ,nevada
 ,te/ & ,tra9+ ,range & ! ,nevada       
,national ,security ,site1 z def9$ on   
,may #ai1 #bjbf4  4  #f4 ,/udy on toxic 
exposures at cov]$ locations  7a7 ,9    
g5]al ,n lat] ?an #ahj days aft] ! date 
( ! enactm5t ( ?is ,act1 ! ,secret>y (  
,vet]ans ,affairs1 9 coord9ation ) !    
,secret>y ( ,def5se1 %all seek to ent]  
into an agreem5t ) ! ,dep>tm5t ( ,heal? 
& ,human ,s]vices or ano!r appropriate  
sci5tific organization to /udy pot5tial 
toxic exposures & environm5tal haz>ds at
 cov]$ locations4  7b7 ,/udy ,! /udy    
requir$ "u subsection 7a7 %all-- 7#a7   
id5tify exposures associat$ ) milit>y   
occupations ( vet]ans :o s]v$ at cov]$  
locations1 includ+ exposures relat+ to  

*emicals1 comp\nds1 ag5ts1 & o!r        
ph5om5a2 &  7#b7 review ! lit]ature to  
det]m9e associations betwe5 su*         
exposures & ! incid5ce or preval5ce (   
ov]all canc] morbidity & ov]all canc]   
mortality1 & det]m9e1 to ! ext5t        
possible1 ! preval5ce & mortality (     
canc]s among su* vet]ans by us+         
available s\rces ( data1 :i* may        
include-- 7,a7 heal? c>e & o!r          
adm9i/rative databases ( ! ,dep>tm5t (  
,vet]ans ,affairs1 ! ,dep>tm5t (        
,def5se1 & ! milit>y dep>tm5ts1         
respectively2 &  7,b7 ! national dea?   
index ma9ta9$ by ! ,national ,c5t] =    
,heal? ,/ati/ics ( ! ,c5t]s = ,disease  
,control & ,prev5tion4  7c7 ,transf]    
au?ority ,am\nts au?oriz$ to be         
appropriat$ to ! ,secret>y ( ,def5se to 
c>ry out ! /udy requir$ "u subsection   
7a7 may be transf]r$ )\t reg>d to       
section #bbae ( title #aj1 ,unit$ ,/ates
 ,code1 to ! ,secret>y ( ,heal? & ,human
 ,s]vices to pay = ! /udy4  7d7 ,report 
,at ! conclusion ( ! /udy requir$ "u    

subsection 7a71 ! ,dep>tm5t ( ,heal? &  
,human ,s]vices or o!r appropriate      
sci5tific organization1 z ! case may be1
 %all submit to ! ,secret>y ( ,vet]ans  
,affairs1 ! ,committee on ,vet]ans'     
,affairs ( ! ,s5ate1 ! ,committee on    
,vet]ans' ,affairs ( ! ,h\se (          
,repres5tatives1 ! ,presid5t ( !        
,national ,academies ( ,sci5ces1        
,eng9e]+1 & ,m$ic9e1 & ! ,*air ( !      
,national ,rese>* ,c\ncil a report      
conta9+ ! results ( ! /udy4  #g4        
,e/abli%m5t ( cov]$ location vet]an     
regi/ry  7a7 ,e/abli%m5t ,! ,secret>y ( 
,vet]ans ,affairs %all e/abli% & ma9ta9 
a regi/ry ( vet]ans :o s]v$ at cov]$    
locations :o may h enc\nt]$ toxic       
exposure dur+ active milit>y1 naval1    
air1 or space s]vice 79 ?is section     
ref]r$ to z ! regi/ry74  7b7 ,purposes  
,! regi/ry %all be us$ to-- 7#a7        
collect1 process1 ma9ta91 & consolidate 
epidemiological in=mation requir$ to    
analyze incid5ce ( adv]se heal? effects 
among vet]ans :o s]v$ 9 cov]$ locations2

  7#b7 facilitate coord9ation betwe5 !  
,dep>tm5t ( ,vet]ans ,affairs & !       
,dep>tm5t ( ,def5se to v]ify s]vice2    
7#c7 in=m vet]ans ( available heal? c>e1
 b5efits1 & scre5+s2 &  7#d7 support    
outrea*1 rese>*1 & claims adjudication  
relat$ to toxic exposure4  7c7 ,opt-,out
 & recruitm5t  7#a7 ,opt-out            
,p>ticipants mu/ h ! opportunity to     
opt-out ( inclusion 9 ! regi/ry4  7#b7  
,recruitm5t  ,! ,secret>y ( ,vet]ans    
,affairs %all recruit vet]ans describ$ 9
 subsection 7a7 :o are n repres5t$ 9    
data s\rces ( ! ,dep>tm5t ( ,def5se or !
 ,dep>tm5t ( ,vet]ans ,affairs4  7d7    
,data-,%>+  ,! ,secret>y ( ,vet]ans     
,affairs %all %>e in=mation collect$    
?r\gh ! regi/ry ) ! ,secret>y ( ,def5se1
 consi/5t ) applicable privacy &        
security laws1 = purposes ( id5tify+    
affect$ vet]ans & improv+ c>e & b5efits 
deliv]y4  #h4 ,classification ( c]ta9   
facilities z locations :]e contam9ation 
occurr$ & memb]s ( ! ,arm$ ,=ces 7      
expos$ to toxic sub/ances  7a7 ,9 g5]al 

,! ,secret>y ( ,def5se %all classify !  
foll[+ locations z a location :]e       
contam9ation occurr$3 7#a7 ,on & aft]   
,janu>y #bg1 #aiea1 ! ,nevada ,te/ &    
,tra9+ ,range1 includ+ ! ,nevada        
,national ,security ,site 7z su* site is
 def9$ on ,may #ai1 #bjbf74  7#b7 ,any  
facility on ! mo/ rec5t li/ ( facilities
 cov]$ "u ! ,en]gy ,employees           
,occupational ,illness ,comp5sation     
,program ,act ( #bjjj 7#db ,u4,s4,c4    
#gchd et seq47 publi%$ 9 ! ,f$]al       
,regi/] by ! ,secret>y ( ,en]gy4  7b7   
,id5tification process  7#a7 ,9 g5]al ,!
 ,secret>y ( ,def5se %all e/abli% a     
process to id5tify memb]s ( ! ,arm$     
,=ces & =m] memb]s ( ! ,arm$ ,=ces t 7  
/ation$ at a facility specifi$ 9        
subsection 7a74  7#b7 ,docum5tation ,!  
,secret>y ( ,def5se %all e/abli% a      
process to p]mit memb]s ( ! ,arm$ ,=ces 
& =m] memb]s ( ! ,arm$ ,=ces to provide 
docum5tation or evid5ce ( _! assignm5t  
at a facility specifi$ 9 subsection 7a7 
to assi/ ! ,secret>y 9 id5tify+ ^?      

memb]s & =m] memb]s "u p>agraph 7#a74   
7#c7 ,ef=ts ,! ,secret>y ( ,def5se %all 
make all ef=ts to id5tify individuals   
describ$ 9 p>agraph 7#a7 & %all n       
require memb]s ( ! ,arm$ ,=ces or =m]   
memb]s ( ! ,arm$ ,=ces to submit evid5ce
 ( _! /ation+4  7c7 ,%>+ ( in=mation ,! 
,secret>y ( ,def5se %all %>e ) !        
,secret>y ( ,vet]ans ,affairs all       
in=mation & docum5tation ga!r$ "u       
subsection 7b7 9 ord] to provide !      
,secret>y ( ,vet]ans ,affairs ) adequate
 docum5tation ( ! s]vice ( memb]s ( !   
,arm$ ,=ces & =m] memb]s ( ! ,arm$ ,=ces
 at facilities specifi$ 9 subsection 7a7
 & any injuries1 exposures1 or illnesses
 relat$ to su* s]vice1 = ! purpose (    
e/abli%+ any claim = b5efits "u ! laws  
adm9i/]$ by ! ,secret>y ( ,vet]ans      
,affairs to :i* su* memb]s & =m] memb]s 
are legally entitl$4