by inserting after the item relating to section 1787 
the following new item: 
‘‘1787A. Health care of family members of individuals stationed at Wurtsmith 
Air Force Base in Oscoda, Michigan, who were exposed to vola-
tile organic compounds.’’. 
(c) ANNUAL REPORTS.— 
(1) IN GENERAL.—During the three-year period 
beginning on the date of the enactment of this Act, 
the Secretary of Veterans Affairs shall submit to the 
Committee on Veterans’ Affairs of the Senate and 
the Committee on Veterans’ Affairs of the House of 
Representatives an annual report on the care and 
services provided under sections 1710(e)(1)(G) and 
1787A of title 38, United States Code (as added by 
subsections (a) and (b)(1), respectively). 
(2) ELEMENTS.—Each report under paragraph 
(1) shall set forth the following: 
(A) The number of veterans, members of 
the reserve components of the Armed Forces, 
and family members provided hospital care and 
medical services under the provisions of law 
specified in paragraph (1) during the period 
covered by the report. 
(B) The illnesses, conditions, and disabil-
ities for which care and services have been pro-
vided such veterans, members of the reserve 
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components, and family members under such 
provisions of law during that period. 
(C) The number of veterans, members of 
the reserve components, and family members 
who applied for care and services under such 
provisions of law during that period but were 
denied, including information on the reasons for 
such denials. 
(D) The number of veterans, members of 
the reserve components, and family members 
who applied for care and services under such 
provisions of law and are awaiting a decision 
from the Secretary on eligibility for such care 
and services as of the date of such report. 
SEC. 3. PRESUMPTION OF SERVICE CONNECTION FOR CER-
TAIN INDIVIDUALS STATIONED AT WURT-
SMITH AIR FORCE BASE IN OSCODA, MICHI-
GAN, WHO WERE EXPOSED TO VOLATILE OR-
GANIC COMPOUNDS. 
(a) IN GENERAL.—Chapter 11 of title 38, United 
States Code, is amended by inserting after section 1116 
the following new section: 
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‘‘§ 1116A. Presumption of service connection for cer-
tain individuals stationed at Wurtsmith 
Air Force Base in Oscoda, Michigan, who 
were exposed to volatile organic com-
pounds 
‘‘(a) PRESUMPTION OF SERVICE CONNECTION.—(1) 
For the purposes of section 1110 of this title, and subject 
to section 1113 of this title, each disease, illness, or condi-
tion specified in subsection (b) that becomes manifest in 
an individual described in paragraph (2) shall be consid-
ered to have been incurred or aggravated in the line of 
duty in the active military, naval, or air service, notwith-
standing that there is no record of evidence of such dis-
ease, illness, or condition during the period of such service. 
‘‘(2) An individual described in this paragraph is a 
veteran who, during active military, naval, or air service, 
served at Wurtsmith Air Force Base in Oscoda, Michigan, 
or a member of the reserve components of the Armed 
Forces who served at such base, during a period specified 
by the Secretary pursuant to section 1710(e)(1)(G)(i) of 
this title and was exposed to a volatile organic compound, 
including trichloroethylene or benzene. 
‘‘(b) DISEASES, ILLNESSES, AND CONDITIONS SPECI-
FIED.—The diseases, illnesses, and conditions specified in 
this clause are the diseases, illnesses, and conditions deter-
mined by the Secretary, in consultation with the Adminis-
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trator of the Agency for Toxic Substances and Disease 
Registry of the Department of Health and Human Serv-
ices, to have resulted from exposure to volatile organic 
compounds pursuant to the health consultation conducted 
by the Agency for Toxic Substances and Disease Registry 
of the Department of Health and Human Services dated 
July 27, 2018, or any other research conducted by a Fed-
eral agency.’’. 
(b) CLERICAL AMENDMENT.—The table of sections 
at the beginning of such chapter is amended by inserting 
after the item relating to section 1116 the following new 
item: 
‘‘1116A. Presumption of service connection for certain individuals stationed at 
Wurtsmith Air Force Base in Oscoda, Michigan, who were ex-
posed to volatile organic compounds.’’. 
Æ 
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