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<bill bill-stage="Introduced-in-Senate" dms-id="A1" public-private="public"><metadata xmlns:dc="http://purl.org/dc/elements/1.1/">
<dublinCore>
<dc:title>115 S758 IS: Janey Ensminger Act of 2017</dc:title>
<dc:publisher>U.S. Senate</dc:publisher>
<dc:date>2017-03-29</dc:date>
<dc:format>text/xml</dc:format>
<dc:language>EN</dc:language>
<dc:rights>Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.</dc:rights>
</dublinCore>
</metadata>
<form>
<distribution-code display="yes">II</distribution-code><congress>115th CONGRESS</congress><session>1st Session</session><legis-num>S. 758</legis-num><current-chamber>IN THE SENATE OF THE UNITED STATES</current-chamber><action><action-date date="20170329">March 29, 2017</action-date><action-desc><sponsor name-id="S300">Mr. Burr</sponsor> (for himself, <cosponsor name-id="S384">Mr. Tillis</cosponsor>, <cosponsor name-id="S282">Mr. Nelson</cosponsor>, and <cosponsor name-id="S350">Mr. Rubio</cosponsor>) introduced the following bill; which was read twice and referred to the <committee-name committee-id="SSVA00">Committee on Veterans' Affairs</committee-name></action-desc></action><legis-type>A BILL</legis-type><official-title>To amend the Public Health Service Act with respect to the Agency for Toxic Substances and Disease
			 Registry’s review and publication of illness and conditions relating to
			 veterans stationed at Camp Lejeune, North Carolina, and their family
			 members, and for other purposes.</official-title></form>
	<legis-body display-enacting-clause="yes-display-enacting-clause">
 <section id="S1" section-type="section-one"><enum>1.</enum><header>Short title</header><text display-inline="no-display-inline">This Act may be cited as the <quote><short-title>Janey Ensminger Act of 2017</short-title></quote>.</text>
		</section><section id="ide3acbe5372284819b80b6ea970a2c5f3"><enum>2.</enum><header>Review of illnesses and conditions relating to veterans stationed at Camp Lejeune, North Carolina,
			 and their family members</header>
 <subsection id="idcb2530edf0284941940408afb468abf1"><enum>(a)</enum><header>Review and publication of illness or condition</header><text>Part P of title III of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/280g">42 U.S.C. 280g</external-xref> et seq.) is amended by adding at the end the following:</text>
				<quoted-block display-inline="no-display-inline" id="id45188fb0cbc94101ab59a5bde12abeb9" style="OLC">
					<section id="idcad2ac1767ac481e99702f8f21750fcf"><enum>399V–7.</enum><header>Review and publication of illnesses and conditions</header>
 <subsection id="id8d2a2672c6a642269968312f21be93ad"><enum>(a)</enum><header>In general</header><text>Consistent with section 104(i) of the Comprehensive Environmental Response, Compensation, and Liability Act of 1980, not later than 1 year after the date of enactment of this section, and not less frequently than once every 3 years thereafter, the Secretary, acting through the Administrator of the Agency for Toxic Substances and Disease Registry, shall—</text>
 <paragraph id="id51dc7550e2de4b3791e1c276a5173f3d"><enum>(1)</enum><subparagraph commented="no" display-inline="yes-display-inline" id="id7A4B13533B88429C828366A8D7A6AF4A"><enum>(A)</enum><text>review the scientific literature relevant to the relationship between the employment or residence of individuals at Camp Lejeune, North Carolina, for not fewer than 30 days during the period beginning on August 1, 1953, and ending on December 21, 1987, and specific illnesses or conditions incurred by those individuals;</text>
 </subparagraph><subparagraph id="id8322198F63514A9EBB3EF9C6F99732F7" indent="up1"><enum>(B)</enum><text>determine each illness or condition for which there is evidence that exposure to a toxic substance at Camp Lejeune, North Carolina, during the period specific in subparagraph (A) may be a cause of the illness or condition; and</text>
 </subparagraph><subparagraph id="id0EB3B5CD7BF04652AF3D8AFB1B108F99" indent="up1"><enum>(C)</enum><text>with respect to each illness or condition for which a determination has been made under subparagraph (B), categorize the evidence of the connection of the illness or condition to exposure described in that subparagraph as—</text>
 <clause id="idA5FAF1B9FB944C47899CE2A136D80B9C"><enum>(i)</enum><text>sufficient to conclude with reasonable confidence that the exposure is a cause of the illness or condition;</text>
 </clause><clause id="id65F332E92EE542279C7FE444CBD2B632"><enum>(ii)</enum><text>modest supporting causation, but not sufficient to conclude with reasonable confidence that exposure is a cause of the illness or condition; or</text>
 </clause><clause id="id7E8AA4F5CD83449AB71E6E4BABB82239"><enum>(iii)</enum><text>no more than limited supporting causation;</text> </clause></subparagraph></paragraph><paragraph id="id27056c6f634440598226a109a18cd04f"><enum>(2)</enum><text>publish in the Federal Register and on the Internet website of the Department of Health and Human Services—</text>
 <subparagraph id="id3dd7ab139f604cc5825da2c143204fee"><enum>(A)</enum><text>a list of each illness or condition for which a determination has been made under paragraph (1)(B), including the categorization of the evidence of causal connection relating to the illness or condition under paragraph (1)(C); and</text>
 </subparagraph><subparagraph id="id8204febb82f94813aa6386f39aa2f7b5"><enum>(B)</enum><text>the bibliographic citations for all literature reviewed under paragraph (1) for each illness or condition listed under such paragraph; and</text>
 </subparagraph></paragraph><paragraph id="idb4736ed0458b4991b9e92c95c66d1674"><enum>(3)</enum><text>update the list under paragraph (2), as applicable, to add an illness or condition for which a determination has been made under paragraph (1)(B), including the categorization of the evidence of causal connection relating to the illness or condition under paragraph (1)(C), since such list was last updated consistent with the requirements of this subsection.</text></paragraph></subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
			</subsection><subsection id="id17022f7eb3994cff9838139b46eb7421"><enum>(b)</enum><header>Eligibility for health care from Department of Veterans Affairs</header>
 <paragraph id="id04078d2299b348888edd111a8f0a49e0"><enum>(1)</enum><header>In general</header><text>Section 1710(e)(1)(F) of title 38, United States Code, is amended—</text> <subparagraph id="id7d00c6f4200e48729d62f32010f5be47"><enum>(A)</enum><text>by redesignating clauses (i) through (xv) as subclauses (I) through (XV), respectively;</text>
 </subparagraph><subparagraph id="id38719A7DA51B44348DF78C5505046346"><enum>(B)</enum><text>by striking <quote>(F) Subject to</quote> and inserting <quote>(F)(i) Subject to</quote>;</text> </subparagraph><subparagraph id="idb56dc4c695df44c5b91f19034a8b6f17"><enum>(C)</enum><text>by striking <quote>any of the following</quote> and inserting <quote>any of the illnesses or conditions for which the evidence of connection of the illness or condition to exposure to a toxic substance at Camp Lejeune, North Carolina, during such period is categorized as sufficient or modest in the most recent list published under section 399V–7(a)(2) of the Public Health Service Act, which may include any of the following</quote>; and</text>
 </subparagraph><subparagraph id="id42CC1218429244A1BCDB26999552E0FA"><enum>(D)</enum><text>by adding at the end the following new clause:</text> <quoted-block display-inline="no-display-inline" id="id26C87F29C6964367A98806E83D1963D7" style="OLC"> <clause id="id205e739ab1934c58a0aeba34855c96de" indent="up3"><enum>(ii)</enum><text>For the purposes of ensuring continuation of care, any veteran who has been furnished hospital care or medical services under this subparagraph for an illness or condition shall remain eligible for hospital care or medical services for such illness or condition notwithstanding that the evidence of connection of such illness or condition to exposure to a toxic substance at Camp Lejeune, North Carolina, during the period described in clause (i) is not categorized as sufficient or modest in the most recent list published under section 399V–7(a)(2) of the Public Health Service Act.</text></clause><after-quoted-block>.</after-quoted-block></quoted-block>
 </subparagraph></paragraph><paragraph id="id560d5b83fff2498c929cb457b2199b00"><enum>(2)</enum><header>Family members</header><text>Section 1787 of such title is amended by adding at the end the following new subsection:</text> <quoted-block display-inline="no-display-inline" id="idF4B27C70CDB047EAA85C4E385D929996" style="OLC"> <subsection id="idF360D0311AD040E4BB16674A2CDB06E0"><enum>(c)</enum><header>Continuation of care</header><text>For the purposes of ensuring continuation of care, any individual who has been furnished hospital care or medical services under this section for an illness or condition shall remain eligible for hospital care or medical services for such illness or condition notwithstanding that the illness or condition is no longer described in section 1710(e)(1)(F) of this title.</text></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
 </paragraph><paragraph commented="no" id="id20f14955d9bf4122a658355ececd6737"><enum>(3)</enum><header>Transfer of amounts for program</header><text>Notwithstanding any other provision of law, for each of fiscal years 2017 and 2018, the Secretary of Veterans Affairs shall transfer $2,000,000 from amounts made available to the Department of Veterans Affairs for medical support and compliance to the Chief Business Office and Financial Services Center of the Department to be used to continue building and enhancing the claims processing system, eligibility system, and web portal for the Camp Lejeune Family Member Program of the Department.</text></paragraph></subsection></section></legis-body></bill>


