(A) CURRICULUM.—Not later than 180 
days after the date of the enactment of this 
Act, the Secretary shall ensure that a standard 
medical training curriculum exists for medical 
providers who conduct examinations and pro-
vide opinions pursuant to section 1168 of title 
38, United States Code, as added by section 
303, regardless of whether the provider is an 
employee of the Department or a contractor. 
(B) STANDARDIZED APPROACH.—The Sec-
retary shall ensure that the curriculum estab-
lished under subparagraph (A)— 
(i) provides a standardized approach 
to conducting and providing examinations 
and opinions in accordance with such sec-
tion 1168; and 
(ii) instructs medical providers to con-
sider, when conducting an examination or 
providing an opinion— 
(I) relevant medical and scientific 
literature; 
(II) the proximity, intensity, and 
frequency of exposure of the indi-
vidual to the identified toxic exposure;
(III) 
medically 
unexplained 
chronic multisymptom illnesses; and 
(IV) all competent and credible 
evidence of record. 
SEC. 605. GUIDELINES FOR ACTIVE DUTY MILITARY ON PO-
TENTIAL RISKS AND PREVENTION OF TOXIC 
EXPOSURES. 
Not later than 90 days after the date of the enact-
ment of this Act, the Secretary of Defense and the Sec-
retary of Veterans Affairs shall jointly coordinate and es-
tablish guidelines to be used during training of members 
of the Armed Forces serving on active duty to provide the 
members awareness of the potential risks of toxic expo-
sures and ways to prevent being exposed during combat. 
TITLE VII—REGISTRIES, 
RECORDS, AND OTHER MATTERS 
SEC. 701. REGISTRY OF INDIVIDUALS EXPOSED TO PER- 
AND POLYFLUOROALKYL SUBSTANCES ON 
MILITARY INSTALLATIONS. 
(a) ESTABLISHMENT OF REGISTRY.— 
(1) IN
GENERAL.—Not later than one year 
after the date of the enactment of this Act, the Sec-
retary of Veterans Affairs shall— 
(A) establish and maintain a registry for 
eligible individuals who may have been exposed
to per- and polyfluoroalkyl substances (in this 
section referred to as ‘‘PFAS’’) due to the envi-
ronmental release of aqueous film-forming foam 
(in this section referred to as ‘‘AFFF’’) on mili-
tary installations to meet the requirements of 
military specification MIL–F–24385F; 
(B) include any information in such reg-
istry that the Secretary determines necessary to 
ascertain and monitor the health effects of the 
exposure of members of the Armed Forces to 
PFAS associated with AFFF; 
(C) develop a public information campaign 
to inform eligible individuals about the registry, 
including how to register and the benefits of 
registering; and 
(D) periodically notify eligible individuals 
of significant developments in the study and 
treatment of conditions associated with expo-
sure to PFAS. 
(2) COORDINATION.—The Secretary of Vet-
erans Affairs shall coordinate with the Secretary of 
Defense in carrying out paragraph (1). 
(b) REPORTS.— 
(1) INITIAL REPORT.—Not later than one year 
after the date of the enactment of this Act, the Sec-
retary of Defense shall submit to Congress a report 
regarding the following: 
(A) Sources of PFAS on military installa-
tions other than AFFF. 
(B) Any recommendation of the Secretary 
regarding whether to expand eligibility for the 
registry to individuals exposed to sources of 
PFAS described in subparagraph (A). 
(2) INTERIM
REPORT.—Not later than two 
years after the date on which the registry under sub-
section (a) is established, the Secretary of Veterans 
Affairs shall submit to Congress an initial report 
containing the following: 
(A) An assessment of the effectiveness of 
actions taken by the Secretary of Veterans Af-
fairs and the Secretary of Defense to collect 
and maintain information on the health effects 
of exposure to PFAS. 
(B) Recommendations to improve the col-
lection and maintenance of such information. 
(C) Using established and previously pub-
lished epidemiological studies, recommendations 
regarding the most effective and prudent means 
of addressing the medical needs of eligible indi-
viduals with respect to exposure to PFAS.
(3) FOLLOWUP REPORT.—Not later than five 
years after submitting the initial report under para-
graph (1), the Secretary of Veterans Affairs shall 
submit to Congress a followup report containing the 
following: 
(A) An update to the initial report sub-
mitted under paragraph (1). 
(B) An assessment of whether and to what 
degree the content of the registry established 
under subsection (a) is current and scientif-
ically up to date. 
(4) 
INDEPENDENT
SCIENTIFIC
ORGANIZA-
TION.—The Secretary of Veterans Affairs shall enter 
into an agreement with an independent scientific or-
ganization to prepare the reports under paragraphs 
(1) and (2). 
(c) RECOMMENDATIONS
FOR ADDITIONAL EXPO-
SURES TO BE INCLUDED.—Not later than five years after 
the date of the enactment of this Act, and every five years 
thereafter, the Secretary of Veterans Affairs, in consulta-
tion with the Secretary of Defense and the Administrator 
of the Environmental Protection Agency, shall submit to 
Congress recommendations for additional chemicals with 
respect to which individuals exposed to such chemicals
should be included in the registry established under sub-
section (a). 
(d) ELIGIBLE INDIVIDUAL DEFINED.—In this sec-
tion, the term ‘‘eligible individual’’ means any individual 
who, on or after a date specified by the Secretary of Vet-
erans Affairs through regulations, served or is serving in 
the Armed Forces at a military installation where AFFF 
was used or at another location of the Department of De-
fense where AFFF was used. 
SEC. 702. FORT MCCLELLAN HEALTH REGISTRY. 
(a) ESTABLISHMENT.—The Secretary of Veterans 
Affairs shall establish and maintain a special record to be 
known as the Fort McClellan Health Registry (in this sec-
tion referred to as the ‘‘Registry’’). 
(b) CONTENTS.—Except as provided in subsection 
(c), the Registry shall include the following information: 
(1) A list containing the name of each indi-
vidual who, while serving as a member of the Armed 
Forces, was stationed at Fort McClellan, Alabama, 
at any time during the period beginning January 1, 
1935, and ending on May 20, 1999, and who— 
(A) applies for care or services from the 
Department of Veterans Affairs under chapter 
17 of title 38, United States Code;
(B) files a claim for compensation under 
chapter 11 of such title on the basis of any dis-
ability which may be associated with such serv-
ice; 
(C) dies and is survived by a spouse, child, 
or parent who files a claim for dependency and 
indemnity compensation under chapter 13 of 
such title on the basis of such service; 
(D) requests from the Secretary a health 
examination under subsection (d); or 
(E) receives from the Secretary a health 
examination similar to the health examination 
referred to in subparagraph (D) and requests 
inclusion in the Registry. 
(2) Relevant medical data relating to the health 
status of, and other information that the Secretary 
considers relevant and appropriate with respect to, 
each individual described in paragraph (1) who— 
(A) grants to the Secretary permission to 
include such information in the Registry; or 
(B) at the time the individual is listed in 
the Registry, is deceased. 
(c) INDIVIDUALS SUBMITTING CLAIMS OR MAKING 
REQUESTS BEFORE DATE OF ENACTMENT.—If in the 
case of an individual described in subsection (b)(1) the
application, claim, or request referred to in such sub-
section was submitted, filed, or made before the date of 
the enactment of this Act, the Secretary shall, to the ex-
tent feasible, include in the Registry such individual’s 
name and the data and information, if any, described in 
subsection (b)(2) relating to the individual. 
(d) EXAMINATIONS.—Upon the request of a veteran 
who was stationed at Fort McClellan, Alabama, at any 
time during the period beginning January 1, 1935, and 
ending on May 20, 1999, the Secretary shall provide the 
veteran with a health examination (including any appro-
priate diagnostic tests) and consultation and counseling 
with respect to the results of the examination and the 
tests. 
(e) OUTREACH.— 
(1) ONGOING OUTREACH TO INDIVIDUALS LIST-
ED IN REGISTRY.—The Secretary shall, from time to 
time, notify individuals listed in the Registry of sig-
nificant developments in research on the health con-
sequences of potential exposure to a toxic substance 
or environmental hazard related to service at Fort 
McClellan. 
(2) EXAMINATION OUTREACH.—The Secretary 
shall carry out appropriate outreach activities with 
respect to the provision of any health examinations
(including any diagnostic tests) and consultation and 
counseling services under subsection (d). 
(f) CONSULTATION.—The Secretary of Veterans Af-
fairs shall consult with the Secretary of Defense to acquire 
information maintained by the Secretary of Defense that 
the Secretary of Veterans Affairs considers necessary to 
establish and maintain the Registry. 
SEC. 703. INDEPENDENT STUDY ON INDIVIDUAL LONGITU-
DINAL EXPOSURE RECORD. 
(a) IN GENERAL.—Not later than 60 days after the 
date of the enactment of this Act, the Secretary of Defense 
shall enter into a contract with an independent research 
entity described in subsection (b) to carry out a com-
prehensive study of the development of the Individual Lon-
gitudinal Exposure Record, or successor system, to deter-
mine— 
(1) the quality of the location data, occupa-
tional and environmental exposure data, and health 
surveillance data; and 
(2) whether a member of the Armed Forces can 
be reasonably assured that any toxic exposure they 
experience during service in the Armed Forces will 
be accurately reflected in the record of the member 
in such Individual Longitudinal Exposure Record.
(b) INDEPENDENT RESEARCH ENTITY.—The entity 
described in this subsection is an independent research en-
tity that is a not-for-profit entity or a federally funded 
research and development center with appropriate exper-
tise and analytical capability to carry out the study re-
quired under subsection (a). 
(c) TOXIC EXPOSURE DEFINED.—In this section, the 
term ‘‘toxic exposure’’ has the meaning given that term 
in section 101(37) of title 38, United States Code, as 
added by section 102(b). 
SEC. 704. BIANNUAL REPORT ON INDIVIDUAL LONGITU-
DINAL EXPOSURE RECORD. 
(a) IN GENERAL.—Not later than one year after the 
date on which the Individual Longitudinal Exposure 
Record, or successor system, achieves full operation capa-
bility, as determined by the Secretary of Defense, and 
every 180 days thereafter, the Secretary of Defense, in 
consultation with the Secretary of Veterans Affairs, shall 
submit to the appropriate committees of Congress a report 
on— 
(1) the data quality of the databases of the De-
partment of Defense that provide the information 
presented in such Individual Longitudinal Exposure 
Record; and
(2) the usefulness of such Individual Longitu-
dinal Exposure Record in supporting members of the 
Armed Forces and veterans in receiving health care 
and benefits from the Department of Defense and 
the Department of Veterans Affairs. 
(b) ELEMENTS.—Each report required by subsection 
(a) shall include, for the period covered by the report, the 
following: 
(1) An identification of toxic exposure events 
that may not be fully captured by the current sys-
tems of the Department of Defense for environ-
mental, occupational, and health monitoring, and 
recommendations for how to improve those systems. 
(2) An analysis of the quality of the location 
data used by the Department of Defense in deter-
mining toxic exposures of members of the Armed 
Forces and veterans, and recommendations for how 
to improve the quality of that location data if nec-
essary. 
(c) REPORT ON NATIONAL GUARD USE OF ILER.— 
Not later than one year after the date of the enactment 
of this Act, the Secretary of Defense shall submit to the 
appropriate committees of Congress a report on the feasi-
bility of modifying the Individual Longitudinal Exposure 
Record to ensure that a member of the National Guard
who is deployed in the United States in connection with 
a natural disaster, without regard to duty status (includ-
ing any duty under title 10 or title 32, United States 
Code, or State active duty), may record information re-
garding a suspected exposure by the member to toxic sub-
stances during such deployment. 
(d) DEFINITIONS.—In this section: 
(1) 
APPROPRIATE
COMMITTEES
OF
CON-
GRESS.—The term ‘‘appropriate committees of Con-
gress’’ means— 
(A) the Committee on Armed Services and 
the Committee on Veterans’ Affairs of the Sen-
ate; and 
(B) the Committee on Armed Services and 
the Committee on Veterans’ Affairs of the 
House of Representatives. 
(2) TOXIC EXPOSURE.—The term ‘‘toxic expo-
sure’’ has the meaning given that term in section 
101(37) of title 38, United States Code, as added by 
section 102(b). 
SEC. 705. CORRECTION OF EXPOSURE RECORDS BY MEM-
BERS OF THE ARMED FORCES AND VET-
ERANS. 
(a) IN GENERAL.—The Secretary of Defense shall 
provide a means for members of the Armed Forces and
veterans to update their records as necessary to reflect a 
toxic exposure by such member or veteran in the Indi-
vidual Longitudinal Exposure Record, or successor sys-
tem. 
(b) EVIDENCE.— 
(1) PROVISION
OF
EVIDENCE.—To update a 
record under subsection (a), a member of the Armed 
Forces or veteran, as the case may be, shall provide 
such evidence as the Secretary of Defense considers 
necessary. 
(2) BENEFIT
OF
THE
DOUBT.—In reviewing 
evidence provided under paragraph (1), the Sec-
retary of Defense shall give the benefit of the doubt 
to the member of the Armed Forces or veteran who 
provided the evidence, as the case may be, in a man-
ner that is equivalent to the benefit of the doubt re-
quired under section 5107(b) of title 38, United 
States Code. 
(3) REGULATIONS.—The Secretary of Defense 
shall prescribe by regulation the evidence considered 
necessary under paragraph (1). 
(c) TOXIC EXPOSURE DEFINED.—In this section, the 
term ‘‘toxic exposure’’ has the meaning given that term 
in section 101(37) of title 38, United States Code, as 
added by section 102(b).