II 

117TH CONGRESS 

1ST SESSION S. 2102 

To amend title 38, United States Code, to direct the Under Secretary for 

Health of the Department of Veterans Affairs to provide mammography 

screening for veterans who served in locations associated with toxic 

exposure. 

IN THE SENATE OF THE UNITED STATES 

JUNE 17, 2021 

Mr. BOOZMAN (for himself and Mr. WYDEN) introduced the following bill; 

which was read twice and referred to the Committee on Veterans’ Affairs 

A BILL 

To amend title 38, United States Code, to direct the Under 

Secretary for Health of the Department of Veterans Affairs to provide mammography screening for veterans 

who served in locations associated with toxic exposure. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Supporting Expanded 

5 Review for Veterans In Combat Environments Act of 

6 2021’’ or the ‘‘SERVICE Act of 2021’’. 


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1 SEC. 2. REVISION OF BREAST CANCER MAMMOGRAPHY 

2 POLICY OF DEPARTMENT OF VETERANS AF3 FAIRS TO PROVIDE MAMMOGRAPHY SCREEN4 ING FOR VETERANS WHO SERVED IN LOCA5 TIONS ASSOCIATED WITH TOXIC EXPOSURE. 

6 (a) IN GENERAL.—Section 7322 of title 38, United 

7 States Code, is amended— 

8 (1) in subsection (a), by striking ‘‘The’’ and in9 serting ‘‘IN GENERAL.—The’’; 

10 (2) in subsection (b)— 

11 (A) by striking ‘‘The’’ and inserting 

12 ‘‘STANDARDS FOR SCREENING.—The’’; and 

13 (B) in paragraph (2)(B), by inserting ‘‘a 

14 record of service in a location and during a pe15 riod specified in subsection (d),’’ after ‘‘risk 

16 factors,’’; and 

17 (3) by adding at the end the following new sub18 sections: 

19 ‘‘(c) ELIGIBILITY FOR SCREENING FOR VETERANS

20 EXPOSED TO TOXIC SUBSTANCES.—The Under Secretary 

21 for Health shall ensure that, under the policy developed 

22 under subsection (a), any veteran who, during active mili23 tary, naval, or air service, was deployed in support of a 

24 contingency operation in a location and during a period 

25 specified in subsection (d), is eligible for a mammography 

26 screening by a health care provider of the Department. 


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1 ‘‘(d) LOCATIONS AND PERIODS SPECIFIED.—(1) The 

2 locations and periods specified in this subsection are the 

3 following: 

4 ‘‘(A) Iraq during following periods: 

5 ‘‘(i) The period beginning on August 2, 

6 1990, and ending on February 28, 1991. 

7 ‘‘(ii) The period beginning on March 19, 

8 2003, and ending on such date as the Secretary 

9 determines burn pits are no longer used in Iraq. 

10 ‘‘(B) The Southwest Asia theater of operations, 

11 other than Iraq, during the period beginning on Au12 gust 2, 1990, and ending on such date as the Sec13 retary determines burn pits are no longer used in 

14 such location, including the following locations: 

15 ‘‘(i) Kuwait. 

16 ‘‘(ii) Saudi Arabia. 

17 ‘‘(iii) Oman. 

18 ‘‘(iv) Qatar. 

19 ‘‘(C) Afghanistan during the period beginning 

20 on September 11, 2001, and ending on such date as 

21 the Secretary determines burn pits are no longer 

22 used in Afghanistan. 

23 ‘‘(D) Djibouti during the period beginning on 

24 September 11, 2001, and ending on such date as the 


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1 Secretary determines burn pits are no longer used in 

2 Djibouti. 

3 ‘‘(E) Syria during the period beginning on Sep4 tember 11, 2001, and ending on such date as the 

5 Secretary determines burn pits are no longer used in 

6 Syria. 

7 ‘‘(F) Jordan during the period beginning on 

8 September 11, 2001, and ending on such date as the 

9 Secretary determines burn pits are no longer used in 

10 Jordan. 

11 ‘‘(G) Egypt during the period beginning on 

12 September 11, 2001, and ending on such date as the 

13 Secretary determines burn pits are no longer used in 

14 Egypt. 

15 ‘‘(H) Lebanon during the period beginning on 

16 September 11, 2001, and ending on such date as the 

17 Secretary determines burn pits are no longer used in 

18 Lebanon. 

19 ‘‘(I) Yemen during the period beginning on 

20 September 11, 2001, and ending on such date as the 

21 Secretary determines burn pits are no longer used in 

22 Yemen. 

23 ‘‘(J) Such other locations and corresponding pe24 riods as set forth by the Airborne Hazards and Open 

25 Burn Pit Registry established under section 201 of 


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1 the Dignified Burial and Other Veterans’ Benefits 

2 Improvement Act of 2012 (Public Law 112–260; 38 

3 U.S.C. 527 note). 

4 ‘‘(K) Such other locations and corresponding 

5 periods as the Secretary, in collaboration with the 

6 Secretary of Defense, may determine appropriate in 

7 a report submitted under paragraph (2). 

8 ‘‘(2) Not later than two years after the date of the 

9 enactment of the Supporting Expanded Review for Vet10 erans In Combat Environments Act of 2021, and not less 

11 frequently than once every two years thereafter, the Sec12 retary of Veterans Affairs, in collaboration with the Sec13 retary of Defense, shall submit to Congress a report speci14 fying other locations and corresponding periods for pur15 poses of paragraph (1)(K). 

16 ‘‘(3) A location under this subsection shall not in17 clude any body of water around or any airspace above such 

18 location. 

19 ‘‘(4) In this subsection, the term ‘burn pit’ means an 

20 area of land that is used for disposal of solid waste by 

21 burning in the outdoor air.’’. 

22 (b) REPORT ON BREAST CANCER RATES FOR VET23 ERANS DEPLOYED TO CERTAIN AREAS.—Not later than 

24 two years after the date of the enactment of this Act, the 

25 Secretary of Veterans Affairs shall submit to the ComVerDate Sep 11 2014 05:21 Jun 24, 2021 Jkt 019200 PO 00000 Frm 00005 Fmt 6652 Sfmt 6201 E:\BILLS\S2102.IS S2102

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1 mittee on Veterans’ Affairs of the Senate and the Com2 mittee on Veterans’ Affairs of the House of Representa3 tives a report that compares the rates of breast cancer 

4 among members of the Armed Forces deployed to the loca5 tions and during the periods specified in section 7322(d) 

6 of title 38, United States Code, as added by subsection 

7 (a), as compared to members of the Armed Forces who 

8 were not deployed to those locations during those periods 

9 and to the civilian population. 

Æ 


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