SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Care for Veterans Act 
of 2020’’. 
SEC. 2. HOSPITAL CARE AND MEDICAL SERVICES FOR VET-
ERANS, MEMBERS OF THE RESERVE COMPO-
NENTS, AND DEPENDENTS STATIONED AT 
WURTSMITH AIR FORCE BASE IN OSCODA, 
MICHIGAN, WHO WERE EXPOSED TO VOLA-
TILE ORGANIC COMPOUNDS. 
(a) HOSPITAL CARE AND MEDICAL SERVICES FOR 
VETERANS AND MEMBERS OF THE RESERVE COMPO-
NENTS.— 
(1) IN
GENERAL.—Paragraph (1) of section 
1710(e) of title 38, United States Code, is amended 
by adding at the end the following new subpara-
graph: 
‘‘(G)(i) Beginning on the date that is 90 days after 
the date of the enactment of this subparagraph, subject 
to paragraph (2), a veteran who served on active duty in 
the Armed Forces, or an individual who served as a mem-
ber of the reserve components of the Armed Forces, at 
Wurtsmith Air Force Base in Oscoda, Michigan, during 
a period determined by the Secretary, in consultation with 
the Agency for Toxic Substances and Disease Registry of 
the Department of Health and Human Services, and was 
exposed to a substance specified in clause (ii) is eligible 
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for hospital care and medical services under subsection 
(a)(2)(F) for the diseases, illnesses, or conditions specified 
in clause (iii), notwithstanding that there is insufficient 
medical evidence to conclude that such disease, illness, or 
condition is attributable to such service. 
‘‘(ii) The substances specified in this clause are vola-
tile organic compounds, including trichloroethylene and 
benzene. 
‘‘(iii) The diseases, illnesses, and conditions specified 
in this clause are the diseases, illnesses, and conditions 
determined by the Secretary, in consultation with the 
Agency for Toxic Substances and Disease Registry, to 
have resulted from exposure to volatile organic compounds 
pursuant to the health consultation conducted by the 
Agency for Toxic Substances and Disease Registry dated 
July 27, 2018, or any other research conducted by a Fed-
eral agency.’’. 
(2) LIMITATION.—Paragraph (2)(B) of such 
section is amended by striking ‘‘or (F)’’ and insert-
ing ‘‘(F), or (G)’’. 
(b) FAMILY MEMBERS.— 
(1) IN GENERAL.—Subchapter VIII of chapter 
17 of title 38, United States Code, is amended by 
inserting after section 1787 the following new sec-
tion: 
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‘‘§ 1787A. Health care of family members of individ-
uals stationed at Wurtsmith Air Force 
Base in Oscoda, Michigan, who were ex-
posed to volatile organic compounds 
‘‘(a) IN GENERAL.—Beginning on the date that is 90 
days after the date of the enactment of this section, sub-
ject to subsection (b), a family member of a veteran de-
scribed in clause (i) of section 1710(e)(1)(G) of this title 
(or who would be so described but for the condition by 
which the individual was discharged or released from the 
Armed Forces), or a family member of a member of the 
reserve components of the Armed Forces described in such 
clause, who resided at Wurtsmith Air Force Base in 
Oscoda, Michigan, during the period determined under 
such clause and was exposed to a substance specified in 
clause (ii) of such section or who was in utero while the 
mother of such family member resided at such location 
during such period and was exposed to such a substance 
shall be eligible for hospital care and medical services fur-
nished by the Secretary for any disease, illness, or condi-
tion for which an individual may receive hospital care and 
medical services under clause (iii) of such section, notwith-
standing that there is insufficient medical evidence to con-
clude that such disease, illness, or condition is attributable 
to such residence. 
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‘‘(b) LIMITATIONS.—(1) The Secretary may only fur-
nish hospital care and medical services under subsection 
(a) to the extent and in the amount provided in advance 
in appropriations Acts for such purpose. 
‘‘(2) Hospital care and medical services may not be 
furnished under subsection (a) for a disease, illness, or 
condition of a family member that is found, in accordance 
with guidelines issued by the Under Secretary for Health, 
to have resulted from a cause other than the residence 
of the family member described in that subsection. 
‘‘(3) The Secretary may provide reimbursement for 
hospital care or medical services provided to a family 
member under this section only after the family member 
or the provider of such care or services has exhausted 
without success all claims and remedies reasonably avail-
able to the family member or provider against a third 
party (as defined in section 1725(f) of this title) for pay-
ment of such care or services, including with respect to 
health-plan contracts (as defined in such section).’’. 
(2) CLERICAL AMENDMENT.—The table of sec-
tions at the beginning of such chapter is amended 
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.— 
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(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 
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 
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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 
WURTSMITH AIR FORCE BASE IN OSCODA, 
MICHIGAN, WHO WERE EXPOSED TO VOLA-
TILE ORGANIC COMPOUNDS. 
(a) IN GENERAL.—Chapter 11 of title 38, United 
States Code, is amended by inserting after section 1116 
the following new section: 
‘‘§ 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-
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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 the period deter-
mined under section 1710(e)(1)(G)(i) of this title and was 
exposed to a volatile organic compound, including tri-
chloroethylene 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 Agency 
for Toxic Substances and Disease Registry of the Depart-
ment of Health and Human Services, to have resulted 
from exposure to volatile organic compounds pursuant to 
the health consultation conducted by the Agency for Toxic 
Substances and Disease Registry dated July 27, 2018, or 
any other research conducted by a Federal agency.’’. 
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(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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