‘‘(b) DETERMINATIONS RELATING TO DISEASES.— 
(1) Whenever the Secretary determines, in consultation 
with the Agency for Toxic Substances and Disease Reg-
istry, on the basis of sound medical and scientific evidence, 
that a positive association exists between the exposure of 
humans to a volatile organic compound known or pre-
sumed to be present in the water supply at Camp Lejeune, 
North Carolina, and the occurrence of a disease in hu-
mans, the Secretary shall prescribe regulations providing 
that a presumption of service connection is warranted for 
that disease for the purposes of this section. 
‘‘(2) In making determinations for the purpose of this 
subsection, the Secretary shall take into account all other 
sound medical and scientific information and analyses 
available to the Secretary. In evaluating any study for the 
purpose of making such determinations, the Secretary 
shall take into consideration whether the results are statis-
tically significant, are capable of replication, and with-
stand peer review. 
‘‘(3) An association between the occurrence of a dis-
ease in humans and exposure to a volatile organic com-
pound shall be considered to be positive for the purposes 
of this section if the credible evidence for the association 
is equal to or outweighs the credible evidence against the 
association. 
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‘‘(c) REMOVAL OF DISEASES.—Whenever a disease is 
removed from regulations prescribed under this section— 
‘‘(1) a veteran who was awarded compensation 
for such disease on the basis of the presumption pro-
vided in subsection (a) before the effective date of 
the removal shall continue to be entitled to receive 
compensation on that basis; and 
‘‘(2) a survivor of a veteran who was awarded 
dependency and indemnity compensation for the 
death of a veteran resulting from such disease on 
the basis of such presumption shall continue to be 
entitled to receive dependency and indemnity com-
pensation on such basis.’’. 
(b) CLERICAL AMENDMENT.—The table of sections 
at the beginning of such chapter is amended by inserting 
after the item relating to section 1118 the following new 
item: 
‘‘1119. Presumptions of service connection for illnesses associated with contami-
nants in the water supply at Camp Lejeune, North Carolina.’’. 
SEC. 3. HOSPITAL CARE, MEDICAL SERVICES, AND NURS-
ING HOME CARE FOR VETERANS STATIONED 
AT 
CAMP 
LEJEUNE, 
NORTH 
CAROLINA, 
WHILE THE WATER WAS CONTAMINATED AT 
CAMP LEJEUNE. 
(a) FAMILY MEMBERS.— 
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(1) IN GENERAL.—Subchapter VIII of chapter 
17 of title 38, United States Code, is amended by 
adding at the end the following new section: 
‘‘§ 1786. Health care of family members of veterans 
stationed at Camp Lejeune, North Caro-
lina, while the water was contaminated 
at Camp Lejeune 
‘‘(a) IN GENERAL.—A family member of a veteran 
described in section 1119(a)(3) of this title who resided 
at Camp Lejeune, North Carolina, during the period de-
scribed in such section, or who was in utero during such 
period while the mother of such family member resided 
at such location, shall be eligible for hospital care, medical 
services, and nursing home care furnished by the Sec-
retary for any covered condition, or any covered disability 
that is associated with a condition, that is associated with 
exposure to the contaminants in the water at Camp 
Lejeune during such period. 
‘‘(b) COVERED CONDITIONS AND DISABILITIES.—In 
this section, covered conditions and disabilities are those 
conditions and disabilities described in section 1119(a)(2) 
of this title.’’. 
(2) CLERICAL AMENDMENT.—The table of sec-
tions at the beginning of such chapter is amended 
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by inserting after the item relating to section 1785 
the following new item: 
‘‘1786. Health care of family members of veterans stationed at Camp Lejeune, 
North Carolina, while the water was contaminated at Camp 
Lejeune.’’. 
Æ 
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