SEC. 2. STUDY ON INCIDENCE AND MORTALITY OF CANCER 
AMONG AIRCREW OF THE NAVY, AIR FORCE, 
AND MARINE CORPS. 
(a) STUDY.—Not later than 60 days after the date 
of the enactment of this Act, the Secretary of Veterans 
Affairs shall seek to enter into an agreement with the Na-
tional Academies of Sciences, Engineering, and Medicine 
under which the National Academies shall conduct a study 
of the incidence and mortality of cancers among covered 
individuals. 
(b) MATTERS INCLUDED.—The study under sub-
section (a) shall include the following: 
(1) Identification of chemicals, compounds, 
agents, and other phenomena that cause elevated 
cancer incidence and mortality risks among covered 
individuals, including a nexus study design to deter-
mine whether there is a scientifically established 
causal link between such a chemical, compound, 
agent, or other phenomena and such cancer inci-
dence or mortality risk. 
(2) An assessment of not fewer than 10 types 
of cancer that are of the greatest concern with re-
spect to exposure by covered individuals to the 
chemicals, compounds, agents, and other phenomena 
identified under paragraph (1), which may include 
colon and rectum cancers, pancreatic cancer, mela-
VerDate Sep 11 2014 
19:45 Apr 15, 2022
Jkt 029200
PO 00000
Frm 00002
Fmt 6652
Sfmt 6201
E:\BILLS\H7524.IH
H7524
pamtmann on DSKBC07HB2PROD with BILLS
noma skin cancer, prostate cancer, testis cancer, uri-
nary bladder cancer, kidney cancer, brain cancer, 
thyroid cancer, lung cancer, and non-Hodgkin 
lymphoma. 
(3) A review of all available sources of relevant 
data, including health care databases of the Depart-
ment of Veterans Affairs and the Department of De-
fense and the national death index, and the study 
conducted under section 750 of the William M. 
(Mac) Thornberry National Defense Authorization 
Act for Fiscal Year 2021 (Public Law 116–283; 134 
Stat. 3716). 
(c) SUBMISSION.— 
(1) STUDY.—Upon completion of the study 
under subsection (a), the National Academies shall 
submit to the Secretary of Veterans Affairs, the Sec-
retary of Defense, the Secretary of the Navy, the 
Secretary of the Air Force, and the Committees on 
Veterans’ Affairs of the House of Representatives 
and the Senate the study. 
(2) REPORT.—Not later than December 31, 
2025, the Secretary of Veterans Affairs shall submit 
to the Committees on Veterans’ Affairs of the House 
of Representatives and the Senate a report on the 
study under subsection (a), including— 
VerDate Sep 11 2014 
19:45 Apr 15, 2022
Jkt 029200
PO 00000
Frm 00003
Fmt 6652
Sfmt 6201
E:\BILLS\H7524.IH
H7524
pamtmann on DSKBC07HB2PROD with BILLS
(A) the specific actions the Secretary is 
taking to ensure that the study informs the 
evaluation of disability claims made to the Sec-
retary, including with respect to providing guid-
ance to claims examiners and revising the 
schedule of ratings for disabilities under chap-
ter 11 of title 38, United States Code; and 
(B) any recommendations of the Secretary. 
(3) FORM.—The report under paragraph (2) 
shall be submitted in unclassified form. 
(d) COVERED INDIVIDUAL DEFINED.—In this sec-
tion, the term ‘‘covered individual’’ means an individual 
who served in the regular or reserve components of the 
Navy, Air Force, or Marine Corps, as an air crew member 
of a fixed-wing aircraft or personnel supporting generation 
of the aircraft, including pilots, navigators, weapons sys-
tems operators, aircraft system operators, personnel asso-
ciated with aircraft maintenance, supply, logistics, fuels, 
or transportation, and any other crew member who regu-
larly flew in an aircraft or was required to complete the 
mission of the aircraft. 
Æ 
VerDate Sep 11 2014 
19:45 Apr 15, 2022
Jkt 029200
PO 00000
Frm 00004
Fmt 6652
Sfmt 6301
E:\BILLS\H7524.IH
H7524
pamtmann on DSKBC07HB2PROD with BILLS