II 

108TH CONGRESS 

2D SESSION S. 2430

To provide for improved medical readiness of the members of the Armed 

Forces, and for other purposes. 

IN THE SENATE OF THE UNITED STATES 

MAY 18, 2004

Mrs. CLINTON (for herself, Mr. TALENT, and Mr. SCHUMER) introduced the 

following bill; which was read twice and referred to the Committee on 

Armed Services 

A BILL

To provide for improved medical readiness of the members 

of the Armed Forces, and for other purposes.

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 ‘‘Medical Readiness and 

5 Tracking Act of 2004’’. 
2

•S 2430 IS 

1 TITLE I—RESERVE COMPONENT 

2 PERSONNEL 

3 SEC. 101. STUDY OF HEALTH OF RESERVES ORDERED TO 

4 ACTIVE DUTY FOR OPERATIONS ENDURING 

5 FREEDOM AND IRAQI FREEDOM. 

6 (a) REQUIREMENT FOR GAO STUDY.—The Comp7 troller General of the United States shall carry out a study 

8 of the health of the members of the reserve components 

9 of the Armed Forces who have been called or ordered to 

10 active duty for a period of more than 30 days in support 

11 of Operation Enduring Freedom and Operation Iraqi 

12 Freedom. The Comptroller General shall commence the 

13 study not later than 180 days after the date of the enact14 ment of this Act. 

15 (b) PURPOSES.—The purposes of the study under 

16 this section are as follows: 

17 (1) To review the health status and medical fit18 ness of the activated Reserves when they were called 

19 or ordered to active duty. 

20 (2) To review the effects, if any, on logistics 

21 planning and the deployment schedules for the oper22 ations referred to in subsection (a) that resulted 

23 from deficiencies in the health or medical fitness of 

24 activated Reserves. 
3

•S 2430 IS 

1 (3) To review compliance of the responsible De2 partment of Defense personnel with Department of 

3 Defense policies on routine medical and physical fit4 ness examinations that are applicable to the reserve 

5 components of the Armed Forces. 

6 (4) To review in the case of activated Reserves 

7 deployed to the theater of an operation referred to 

8 in subsection (a), the medical care that was provided 

9 to such personnel in the theater during the first six 

10 months after arrival in the theater. 

11 (c) REPORT.—The Comptroller General shall, not 

12 later than 18 months after the date of the enactment of 

13 this Act, submit a report on the results of the study under 

14 this section to the Committees on Armed Services of the 

15 Senate and the House of Representatives. The report shall 

16 include the following matters: 

17 (1) With respect to the matters reviewed under 

18 paragraph (1) of subsection (b)—

19 (A) the percentage of activated Reserves 

20 who were determined to be medically unfit for 

21 deployment, together with an analysis of the 

22 medical illnesses or conditions most commonly 

23 found among the activated Reserves that were 

24 grounds for determinations of medical unfitness 

25 for deployment; and 
4

•S 2430 IS 

1 (B) the percentage of the activated Re2 serves who, before being deployed, needed med3 ical care for health conditions identified when 

4 called or ordered to active duty, together with 

5 an analysis of the types of care that were pro6 vided for such conditions. 

7 (2) With respect to the matters reviewed under 

8 paragraph (2) of subsection (b)—

9 (A) the delays and other disruptions in de10 ployment schedules that resulted from defi11 ciencies in the health status or medical fitness 

12 of activated Reserves; and 

13 (B) an analysis of the extent to which it 

14 was necessary to merge units or otherwise alter 

15 the composition of units, and the extent to 

16 which it was necessary to merge or otherwise 

17 alter objectives, in order to compensate for limi18 tations on the deployability of activated Re19 serves resulting from deficiencies in the health 

20 status or medical fitness of activated Reserves. 

21 (3) With respect to the matters reviewed under 

22 paragraph (3) of subsection (b), an assessment of 

23 the extent of the compliance of the responsible De24 partment of Defense personnel with Department of 

25 Defense policies on routine medical and physical fit-
5

•S 2430 IS 

1 ness examinations that are applicable to the reserve 

2 components of the Armed Forces. 

3 (4) With respect to the matters reviewed under 

4 paragraph (4) of subsection (b), an analysis of the 

5 extent to which the medical care provided to acti6 vated Reserves in each theater of operations referred 

7 to in subsection (a) related to preexisting conditions 

8 that were not adequately addressed before the de9 ployment of such personnel to the theater. 

10 (d) DEFINITIONS.—In this section: 

11 (1) The term ‘‘activated Reserves’’ means the 

12 members of the Armed Forces referred to in sub13 section (a). 

14 (2) The term ‘‘active duty for a period of more 

15 than 30 days’’ has the meaning given such term in 

16 section 101(d) of title 10, United States Code. 

17 (3) The term ‘‘health condition’’ includes a den18 tal condition. 

19 (4) The term ‘‘reserve components of the 

20 Armed Forces’’ means the reserve components listed 

21 in section 10101 of title 10, United States Code. 

22 SEC. 102. PHYSICAL EXAMINATIONS. 

23 (a) REQUIREMENT.—Section 10206(a) of title 10, 

24 United States Code, is amended by striking ‘‘shall—’’ and 

25 all that follows and inserting ‘‘shall be examined as to his
6

•S 2430 IS 

1 physical fitness every 30 months, or more often as the Sec2 retary concerned considers necessary.’’. 

3 (b) EFFECTIVE DATE.—This section and the amend4 ment made by subsection (a) shall take effect on October 

5 1, 2004. 

6 SEC. 103. RETRAINING OR SEPARATION OF MEDICALLY 

7 UNFIT MEMBERS. 

8 (a) REQUIREMENT.—Chapter 1007 of title 10, 

9 United States Code, is amended by inserting after section 

10 10206 the following new section: 

11 ‘‘§ 10206a. Required actions for members not medi12 cally fit 

13 ‘‘(a) IN GENERAL.—The Secretary of a military de14 partment shall take action under subsection (b) in the case 

15 of each member of a reserve component under the Sec16 retary’s jurisdiction who—

17 ‘‘(1) as a result of an examination under sec18 tion 10206 of this title or any other physical or med19 ical examination performed under regulations pre20 scribed by the Secretary, is determined not medically 

21 qualified for the performance of the duties of such 

22 member’s position; and 

23 ‘‘(2) either—

24 ‘‘(A) as of the date that is 180 days after 

25 the date of that determination, is not making 
7

•S 2430 IS 

1 progress to become medically qualified in ac2 cordance with a plan approved under regula3 tions prescribed by the Secretary; or 

4 ‘‘(B) does not become medically qualified 

5 for the position within the period covered by 

6 such a plan. 

7 ‘‘(b) REQUIRED ACTIONS.—A member of a reserve 

8 component described in subsection (a)—

9 ‘‘(1) shall be reassigned to a position in such 

10 reserve component for which the member is medi11 cally and otherwise qualified; or 

12 ‘‘(2) if there is no position in such reserve com13 ponent for which the member is medically and other14 wise qualified, shall be separated from such reserve 

15 component.’’. 

16 (b) CLERICAL AMENDMENT.—The table of sections 

17 at the beginning of such chapter is amended by inserting 

18 after the item relating to section 10206 the following new 

19 item:

‘‘10206a. Required actions for members not medically fit.’’.

20 SEC. 104. POLICY ON DEFERRAL OF MEDICAL TREATMENT 

21 PENDING DEPLOYMENT TO THEATERS OF OP22 ERATION. 

23 (a) REQUIREMENT FOR POLICY.—(1) Chapter 1007 

24 of title 10, United States Code, as amended by section 
8

•S 2430 IS 

1 103, is further amended by inserting after section 10206a 

2 the following new section: 

3 ‘‘§ 10206b. Members ordered to active duty: treatment 

4 of medical conditions 

5 ‘‘(a) POLICY REQUIRED.—The Secretary of Defense 

6 shall prescribe a policy that specifies for members of the 

7 reserve components called or ordered to active duty for 

8 a period of more than 30 days under a provision of law 

9 referred to in section 101(a)(13)(B) of this title—

10 (1) the circumstances under which treatment 

11 for medical conditions may be deferred to be pro12 vided within a theater of operations in order to pre13 vent delay or other disruption of a deployment to 

14 that theater; and 

15 (2) the circumstances under which medical con16 ditions are to be treated before deployment to that 

17 theater. 

18 ‘‘(b) FACTORS TO BE CONSIDERED.—The policy 

19 under subsection (a) shall specify the factors to be consid20 ered in a determination of deferral or initiation of treat21 ment of a medical condition of a member to be deployed 

22 to a theater of operations, including the following factors: 

23 ‘‘(1) Severity of the condition, including the ex24 tent of risk of significant aggravation of the condi25 tion if treatment is delayed or inadequate. 
9

•S 2430 IS 

1 ‘‘(2) Medical treatment capabilities available to 

2 the member for such condition in the theater of op3 erations. 

4 ‘‘(3) The cost of treatment of the condition in 

5 such theater as compared to the cost of treatment 

6 of the condition under chapter 55 of this title at or 

7 in the vicinity of the facility or installation from 

8 which the member is to be deployed.’’. 

9 (2) The table of sections at the beginning of such 

10 chapter, as amended by section 103(b), is further amend11 ed by inserting after the item relating to section 10206a 

12 the following new item:

‘‘10206b. Members ordered to active duty: treatment of medical conditions.’’.

13 (b) TIME FOR ISSUANCE OF POLICY.—The Secretary 

14 of Defense shall issue the policy required by section 

15 10206b of title 10, United States Code (as added by sub16 section (a)), not later than 180 days after the date of the 

17 enactment of this Act. 

18 TITLE II—ALL ARMED FORCES 

19 PERSONNEL 

20 Subtitle A—Health Screening 

21 SEC. 201. RECRUIT ASSESSMENT PROGRAM. 

22 (a) BASELINE HEALTH DATA.—(1) Chapter 55 of 

23 title 10, United States Code, is amended by inserting after 

24 section 1092 the following new section: 
10

•S 2430 IS 

1 ‘‘§ 1092a. Persons entering the armed forces: baseline 

2 health data 

3 ‘‘(a) PROGRAM REQUIRED.—The Secretary of De4 fense shall, for the purposes set forth in subsection (b), 

5 carry out a program for—

6 ‘‘(1) the routine collection of baseline health 

7 data from all persons entering the armed forces; 

8 ‘‘(2) computerized compilation and maintenance 

9 of the baseline health data; and 

10 ‘‘(3) analysis of the data. 

11 ‘‘(b) PURPOSES.—The program under this section 

12 shall be designed to achieve the following purposes: 

13 ‘‘(1) To facilitate understanding of how expo14 sures related to service in the armed forces affect 

15 health. 

16 ‘‘(2) To facilitate development of early interven17 tion and prevention programs to protect health and 

18 readiness. 

19 ‘‘(c) BASELINE HEALTH DATA DEFINED.—In this 

20 section, the term ‘baseline health data’, with respect to 

21 a person entering any of the armed forces, means com22 prehensive information on the health of that person upon 

23 entry. 

24 ‘‘(d) APPLICABILITY TO COAST GUARD.—(1) The 

25 program under this section shall apply to members of the
11

•S 2430 IS 

1 Coast Guard to the extent approved by the Secretary of 

2 Homeland Security. 

3 ‘‘(2) Nothing in paragraph (1) shall be construed to 

4 limit the application of the program under this section to 

5 a member of the Coast Guard in that member’s capacity 

6 as a person entering a reserve component of the Army, 

7 Navy, Air Force, or Marine Corps.’’. 

8 (2) The table of sections at the beginning of such 

9 chapter is amended by inserting after the item relating 

10 to section 1092 the following new item:

‘‘1092a. Persons entering the armed forces: baseline health data.’’.

11 (b) TIME FOR IMPLEMENTATION.—The Secretary of 

12 Defense shall implement the program required under sec13 tion 1092a of title 10, United States Code (as added by 

14 paragraph (1)), not later than two years after the date 

15 of the enactment of this Act. 

16 SEC. 202. FURTHER REFINEMENT OF MEDICAL TRACKING 

17 SYSTEM FOR MEMBERS DEPLOYED OVER18 SEAS. 

19 (a) ESTABLISHMENT OF ADVISORY WORKING

20 GROUP.—(1) Not later than 90 days after the date of the 

21 enactment of this Act, the Secretary of Defense shall con22 vene a working group to improve the medical tracking sys23 tem for members deployed overseas established under sec24 tion 1074f of title 10, United States Code. 
12

•S 2430 IS 

1 (2) The working group under paragraph (1) shall be 

2 composed of any number of members, not less than 12 

3 and not more than 20, that the Secretary of Defense de4 termines appropriate for the working group to carry out 

5 its duties effectively, including members appointed by the 

6 Secretary as follows: 

7 (A) One or more representatives of the Assist8 ant Secretary of Defense for Health Affairs. 

9 (B) One or more representatives of the Sec10 retary of Veterans Affairs, with the consent of the 

11 Secretary. 

12 (C) One or more civilian health professionals 

13 who have expertise in public health and epidemi14 ology. 

15 (D) Three or more civilian health professionals 

16 who have been involved in military health research 

17 or treatment. 

18 (E) Three or more civilian health professionals 

19 who have been involved in environmental health re20 search or treatment. 

21 (F) Three or more civilians who are representa22 tive of veterans and military health advocacy organi23 zations. 

24 (3) The working group shall—
13

•S 2430 IS 

1 (A) analyze the strengths and weaknesses of the 

2 medical tracking system administered under section 

3 1074f of title 10, United States Code, as a means 

4 for detecting—

5 (i) any health problems (including mental 

6 health conditions) of members of the Armed 

7 Forces contemporaneous with the performance 

8 of the assessment under the system; and 

9 (ii) exposures of the assessed members to 

10 environmental hazards that potentially lead to 

11 future health problems; 

12 (B) analyze the strengths and weaknesses of 

13 such medical tracking system as a means for sup14 porting future research on health issues presenting 

15 in the years following the deployment of the mem16 bers of the Armed Forces assessed under the sys17 tem; and 

18 (C) identify and develop recommended changes 

19 to such medical tracking system that strengthen the 

20 system as a means for—

21 (i) detecting health problems and expo22 sures to environmental hazards as described in 

23 subparagraph (A); and 

24 (ii) supporting future research as described 

25 in subparagraph (B). 
14

•S 2430 IS 

1 (4) Not later than 180 days after convening, the 

2 working group shall submit to the Secretary a report set3 ting forth the analyses and recommendations of the work4 ing group. 

5 (b) ACTIONS BY SECRETARY OF DEFENSE.—Not 

6 later than 180 days after receipt of the report under sub7 section (a)(4), the Secretary of Defense shall prescribe 

8 regulations to implement the recommendations of the 

9 working group to the extent that the Secretary considers 

10 appropriate. The regulations shall include policies and 

11 standards for drawing blood samples for effective assess12 ment and tracking of the medical conditions of personnel 

13 before deployment, upon the end of a deployment, and for 

14 a follow-up period of appropriate length. 

15 (c) INTERIM STANDARDS FOR BLOOD SAMPLING.—

16 (1) The Secretary of Defense shall require that, under the 

17 medical tracking system administered under section 1074f 

18 of title 10, United States Code—

19 (A) the blood samples necessary for the 

20 predeployment medical examination of a member of 

21 the Armed Forces required under subsection (b) of 

22 such section be drawn not earlier than 30 days be23 fore the date of the deployment; 

24 (B) the blood samples necessary for the 

25 postdeployment medical examination of a member of 
15

•S 2430 IS 

1 the Armed Forces required under such subsection be 

2 drawn not later than 30 days after the date on 

3 which the deployment ends; and 

4 (C) annually, for the first three years after the 

5 deployment of a member ends, blood samples be 

6 drawn from that person for the purpose of assessing 

7 the medical condition of such person under such sys8 tem. 

9 (2) In the case of a person who is no longer a member 

10 of the Armed Forces when a blood sample is to be drawn 

11 from such person under paragraph (1)(C), the blood may 

12 be drawn at any medical facility of the uniformed services 

13 designated by the Secretary of Defense. The Secretary 

14 shall attempt to accommodate the convenience of that per15 son in selecting a facility for the drawing of that person’s 

16 blood sample. 

17 (3) The requirements of paragraph (1) shall cease to 

18 be effective on the date on which the regulations pre19 scribed under subsection (b) take effect. 

20 Subtitle B—Medical Care in 

21 Theater of Operations 

22 SEC. 211. MEDICAL SERVICES PROVIDED IN ALLIED 

23 HEALTH FACILITIES. 

24 Not later than one year after the date of the enact25 ment of this Act, the Assistant Secretary of Defense for
16

•S 2430 IS 

1 Health Affairs shall submit to the Secretary of Defense 

2 and the Committees on Armed Services of the Senate and 

3 the House of Representatives a report on the extent and 

4 types of medical services that were provided to members 

5 of the Armed Forces in facilities of allies of the United 

6 States during previous and current deployments of the 

7 Armed Forces, including Operations Desert Shield, Desert 

8 Storm, Joint Endeavor, Joint Forge, Joint Guardian, En9 during Freedom, and Iraqi Freedom. 

10 SEC. 212. DEVELOPMENT OF POLICY ON PERSONNEL LOCA11 TION DATA. 

12 (a) REQUIREMENT FOR POLICY.—The Secretary of 

13 Defense shall prescribe a Department of Defense policy 

14 on the collection and dissemination of in-theater individual 

15 personnel location data for the following purposes: 

16 (1) To facilitate health care research and in17 formed health care policy making for the Armed 

18 Forces. 

19 (2) To enhance the capabilities of the Armed 

20 Forces to recognize and meet the health care needs 

21 of members of the Armed Forces returning to home 

22 stations from deployment to a theater of operations. 

23 (b) ADVISORY WORKING GROUP.—(1) The Secretary 

24 shall establish a working group to advise the Secretary on 
17

•S 2430 IS 

1 the development of the policy under subsection (a). The 

2 working group shall include the following: 

3 (A) One or more representatives of the Assist4 ant Secretary of Defense for Health Affairs. 

5 (B) One or more representatives of the Sec6 retary of Veterans Affairs, with the consent of the 

7 Secretary. 

8 (C) One or more representatives of the program 

9 manager for the Global Combat Support System. 

10 (D) One or more representatives of the defense 

11 manpower data center. 

12 (E) One or more representatives of the program 

13 manager for the Land Warrior System. 

14 (F) One or more civilian health professionals 

15 who have been involved in research and treatment of 

16 Gulf War Syndrome. 

17 (G) One or more representatives of the Joint 

18 Staff. 

19 (2) In developing the policy recommendations, the 

20 working group shall take into consideration—

21 (A) traditional medical requirements for com22 plete and open access to specific, individual per23 sonnel location data to provide for—

24 (i) adequate and independent peer review 

25 by all interested parties; and 
18

•S 2430 IS 

1 (ii) an open and transparent process for 

2 setting scientifically rigorous health policy and 

3 formulating clinical guidelines for care; 

4 (B) traditional operational requirements for se5 curing personnel location data so as to prevent—

6 (i) compromise of mission objectives; or 

7 (ii) unauthorized disclosure of tactical and 

8 logistical planning; and 

9 (C) existing practical limitations on the collec10 tion of such data, together with solutions for elimi11 nating such limitations. 

12 SEC. 213. REPORT ON TRAINING OF FIELD MEDICAL PER13 SONNEL. 

14 (a) REQUIREMENT FOR REPORT.—Not later than 

15 one year after the date of the enactment of this Act, the 

16 Secretary of Defense shall submit to the Committees on 

17 Armed Services of the Senate and the House of Represent18 atives a report on the training on environmental hazards 

19 that is provided by the Armed Forces to medical personnel 

20 of the Armed Forces who are deployable to the field in 

21 direct support of combat personnel. 

22 (b) CONTENT.—The report under subsection (a) shall 

23 include the following: 

24 (1) An assessment of the adequacy of the train25 ing regarding—
19

•S 2430 IS 

1 (A) the identification of—

2 (i) common environmental hazards; 

3 and 

4 (ii) exposures to such hazards; and 

5 (B) the prevention and treatment of ad6 verse health effects of such exposures. 

7 (2) A discussion of the actions taken and to be 

8 taken to improve such training. 

9 Subtitle C—Medical Care After 

10 Return From Deployment 

11 SEC. 221. FINDINGS. 

12 Congress makes the following findings: 

13 (1) One out of every nine members of the 

14 Armed Forces returning to home station from a de15 ployment overseas listed on the member’s post-de16 ployment self-reported health assessment under the 

17 Health Evaluation Assessment Review program of 

18 the United States Army Center for Health Pro19 motion and Preventive Medicine a concern about 

20 possibly having been exposed to environmental haz21 ards deleterious to the member’s health during the 

22 deployment, according to an article in the edition of 

23 the Medical Surveillance Monthly Report published 

24 for July and August 2003 by the Army Medical Sur25 veillance Activity of the Directorate of Epidemiology 
20

•S 2430 IS 

1 and Disease Surveillance of the United States Army 

2 Center for Health Promotion and Prevention of Dis3 ease. 

4 (2) This constitutes a high proportion of mem5 bers who might have suffered exposure to environ6 mental hazards that potentially lead to immediate or 

7 future health problems. 

8 SEC. 222. REPORT ON RESPONSES TO HEALTH CONCERNS 

9 OF MEMBERS. 

10 (a) REQUIREMENT FOR REPORT.—Not later than 

11 180 days after the date of the enactment of this Act, the 

12 Assistant Secretary of Defense for Health Affairs shall 

13 submit to the Secretary of Defense and the Committees 

14 on Armed Services of the Senate and the House of Rep15 resentatives a report on Department of Defense responses 

16 to expressions of concerns made as described in section 

17 221(1). 

18 (b) CONTENT.—The report regarding health concerns 

19 submitted under subsection (a) shall include the following: 

20 (1) A discussion of the actions taken by De21 partment of Defense officials to investigate the cir22 cumstances underlying such concerns in order to de23 termine the validity of the concerns. 

24 (2) A discussion of the actions taken by De25 partment of Defense officials to evaluate or treat
21

•S 2430 IS 

1 members and former members of the Armed Forces 

2 who are confirmed to have been exposed to environ3 mental hazards deleterious to their health during de4 ployments of the Armed Forces. 

5 SEC. 223. RESPONSIBILITIES OF INSTALLATION COM6 MANDERS. 

7 (a) PREPARATIONS TO MEET HEALTH CARE

8 NEEDS.—Chapter 55 of title 10, United States Code, is 

9 amended by inserting after section 1074k the following 

10 new section: 

11 ‘‘§ 1074l. Care of members redeploying from overseas 

12 deployment 

13 ‘‘(a) NEEDS ASSESSMENT.—The Secretary of De14 fense shall require the commander of each military instal15 lation at which members of the armed forces are to be 

16 processed upon redeployment from an overseas deploy17 ment—

18 ‘‘(1) to identify and analyze the anticipated 

19 health care needs of such members before the arrival 

20 of such members at that installation; and 

21 ‘‘(2) to report such needs to the Secretary. 

22 ‘‘(b) DATA SOURCES.—To carry out the duties im23 posed under subsection (a), the commander of an installa24 tion shall obtain the necessary information from the 
22

•S 2430 IS 

1 sources available to the commander, including the fol2 lowing information: 

3 ‘‘(1) Information on schedules and locations 

4 from transportation and logistics personnel. 

5 ‘‘(2) Information on disease and nonbattle inju6 ries from the Surgeon General of the armed force 

7 concerned. 

8 ‘‘(3) Information collected from environmental 

9 surveillance of the theater of military operations 

10 from which members are redeploying. 

11 ‘‘(4) Information on the prevalence of combat 

12 and noncombat injuries, to the extent relevant. 

13 ‘‘(c) HEALTH CARE TO MEET NEEDS.—The Sec14 retary of Defense shall prescribe in regulations procedures 

15 for the commander of each military installation described 

16 in subsection (a) to meet the anticipated health care needs 

17 that are identified by the commander in the performance 

18 of duties under this section. The procedures shall include 

19 the following: 

20 ‘‘(1) Arrangements for health care provided by 

21 the Secretary of Veterans Affairs. 

22 ‘‘(2) Procurement of services from local health 

23 care providers. 

24 ‘‘(3) Temporary employment of health care per25 sonnel to provide services at such installation.’’. 
23

•S 2430 IS 

1 (b) CLERICAL AMENDMENT.—The table of sections 

2 at the beginning of such chapter is amended by inserting 

3 after the item relating to section 1074k the following new 

4 item:

‘‘1074l. Care of members redeploying from overseas deployment.’’.

5 TITLE III—POLICY COMPLIANCE 

6 ASSURANCE 

7 SEC. 301. SERUM REPOSITORY AUDITS. 

8 (a) REQUIREMENT FOR BIENNIAL AUDIT.—(1) 

9 Chapter 55 of title 10, United States Code, is amended 

10 by inserting after section 1073a the following new section: 

11 ‘‘§ 1073b. Serum repository audits 

12 ‘‘(a) PERIODIC AUDITS.—The Secretary of Defense 

13 shall require the director of the serum repository of the 

14 Department of Defense to audit at least twice every two 

15 years the records of blood samples stored in such reposi16 tory to determine the percentage of members of the armed 

17 forces who are in compliance with the applicable Depart18 ment of Defense and military department policies on the 

19 collection of blood samples from members of the armed 

20 forces. The Secretary may impose any higher minimum 

21 number of periodic audits under this section that the Sec22 retary considers appropriate. 

23 ‘‘(b) REPORT.—(1) Upon completion of an audit 

24 under subsection (a), the director of the serum repository 
24

•S 2430 IS 

1 shall submit a report on the audit to the Secretary of De2 fense. The report shall include the following information: 

3 ‘‘(A) The compliance percentage determined 

4 under such subsection. 

5 ‘‘(B) A discussion of the most common compli6 ance problems identified. 

7 ‘‘(C) Any recommendations for actions to im8 prove compliance. 

9 ‘‘(2) The Secretary shall transmit the report received 

10 under paragraph (1) to the Committees on Armed Services 

11 of the Senate and the House of Representatives. The Sec12 retary may include any comments and recommendations 

13 that the Secretary considers appropriate.’’. 

14 (2) The table of sections at the beginning of such 

15 chapter is amended by inserting after the item relating 

16 to section 1073a the following new item:

‘‘1073b. Serum repository audits.’’.

17 (b) INITIAL AUDIT.—The first audit under section 

18 1073b of title 10, United States Code (as added by sub19 section (a)), shall be completed not later than 180 days 

20 after the date of the enactment of this Act. 

21 SEC. 302. DEPLOYMENT-RELATED HEALTH ASSESSMENT 

22 AUDITS. 

23 (a) REQUIREMENT FOR BIENNIAL AUDIT.—Section 

24 1074f(d) of title 10, United States Code, is amended—
25

•S 2430 IS 

1 (1) by inserting ‘‘(1)’’ after ‘‘(d) QUALITY AS2 SURANCE.—’’; and 

3 (2) by adding at the end the following: 

4 ‘‘(2)(A) The Secretary of Defense shall require the 

5 director of the Defense Medical Surveillance System to 

6 audit, every two years, the predeployment and 

7 postdeployment health assessment database maintained by 

8 the director in order to determine the percentage of mem9 bers of the armed forces who are in compliance with the 

10 applicable Department of Defense and military depart11 ment policies on the collection of predeployment and 

12 postdeployment health assessment data. 

13 ‘‘(B) Upon completion of the biennial audit under 

14 subparagraph (A), the director of the Defense Medical 

15 Surveillance System shall submit a report on the audit to 

16 the Secretary of Defense. The report shall include the fol17 lowing information: 

18 ‘‘(i) The compliance percentage determined 

19 under such audit. 

20 ‘‘(ii) A discussion of the most common compli21 ance problems identified. 

22 ‘‘(iii) Any recommendations for actions to im23 prove compliance. 

24 ‘‘(C) The Secretary shall transmit the report received 

25 under subparagraph (B) to the Committees on Armed 
26

•S 2430 IS 

1 Services of the Senate and the House of Representatives. 

2 The Secretary may include any comments and rec3 ommendations that the Secretary considers appropriate.’’. 

4 (b) INITIAL AUDIT.—The first audit under section 

5 1074f(d)(2) of title 10, United States Code (as added by 

6 subsection (a)), shall be completed not later than 180 days 

7 after the date of the enactment of this Act. 

8 SEC. 303. DECLASSIFICATION OF INFORMATION ON EXPO9 SURES TO ENVIRONMENTAL HAZARDS. 

10 (a) REQUIREMENT FOR REVIEW.—The Secretary of 

11 Defense shall review and, as determined appropriate, re12 vise the classification policies of the Armed Forces Medical 

13 Intelligence Center with a view to facilitating the declas14 sification of data that is potentially useful for the moni15 toring and assessment of the health of members of the 

16 Armed Forces who have been exposed to environmental 

17 hazards during deployments overseas, including the fol18 lowing data: 

19 (1) In-theater injury rates. 

20 (2) Data derived from environmental surveil21 lance. 

22 (3) Health tracking data. 

23 (b) PARTICIPATION OF DIRECTOR OF ARMED

24 FORCES MEDICAL INTELLIGENCE CENTER.—The Sec25 retary may act through or consult with the Director of 
27

•S 2430 IS 

1 the Armed Forces Medical Intelligence Center in carrying 

2 out the review and revising policies under subsection (b). 

3 (c) REPORT.—Not later than 180 days after the date 

4 of the enactment of this Act, the Secretary of Defense 

5 shall submit to the Committees on Armed Services of the 

6 Senate and the House of Representatives a report on any 

7 changes to policies described in subsection (a) that have 

8 been made as a result of the review under such subsection. 

9 SEC. 304. ACCESSIBILITY OF HEALTH ASSESSMENT INFOR10 MATION TO ARMY MEMBERS ON THE INTER11 NET. 

12 Not later than one year after the date of the enact13 ment of this Act, the Chief Information Officer of the De14 partment of the Army shall ensure that the Army Knowl15 edge Online portal website includes the following health16 assessment related information: 

17 (1) Information on the Department of Defense 

18 policies regarding predeployment and 

19 postdeployment health assessments, including poli20 cies on the following matters: 

21 (A) Health surveys. 

22 (B) Physical examinations. 

23 (C) Collection of blood samples and other 

24 tissue samples. 
28

•S 2430 IS 

1 (2) Procedural information on compliance with 

2 such policies, including the following information: 

3 (A) Information for determining whether a 

4 member is in compliance. 

5 (B) Information on how to comply. 

6 (3) Health assessment surveys that are either—

7 (A) web-based; or 

8 (B) accessible (with instructions) in

9 printer-ready form by download. 

10 SEC. 305. FULL IMPLEMENTATION OF FORCE HEALTH PRO11 TECTION AND READINESS PROGRAM. 

12 (a) IMPLEMENTATION AT ALL LEVELS.—The Sec13 retary of Defense, in conjunction with the Secretaries of 

14 the military departments, shall take such actions as are 

15 necessary to ensure that each of the Armed Forces fully 

16 implements at all levels the Force Health Protection and 

17 Readiness Program of the Department of Defense (relat18 ing to the prevention of injury and illness and the reduc19 tion of disease and noncombat injury threats). 

20 (b) ACTION OFFICIAL.—The Secretary of Defense 

21 may act through the Deputy Assistant Secretary of De22 fense for Force Health Protection and Readiness in car23 rying out subsection (a).

Æ