datamatters24/research-document-archive huggingface dataset:
109TH CONGRESS 
1ST SESSION H. R. 3981
AN ACT 
To authorize the Secretary of Agriculture to carry out certain 
land exchanges involving small parcels of National Forest 
System land in the Tahoe National Forest in the State 
of California, and for other purposes.
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled,
SECTION 1. LAND EXCHANGES, TAHOE NATIONAL FOREST, 
CALIFORNIA. 
(a) 
CHRISTENSEN
EXCHANGE.—Notwithstanding 
section 3 of Public Law 97–465 (16 U.S.C. 521e; com-
monly known as the Small Tracts Act), the Secretary of 
Agriculture may use the authority of such Act to acquire 
land from Irving N. Christensen in that portion of the 
SW1⁄4NW1⁄4 of section 16, township 19 north, range 9 
east, Mount Diablo meridian, lying southwest of California 
State Highway 49 and that portion of the S1⁄2NE1⁄4 of 
section 17 of the same township and range lying southwest 
of California State Highway 49 and northeast of the 
North Fork Yuba River, through an exchange of all right, 
title, and interest of the United States in and to a parcel 
National Forest System land in Tahoe National Forest, 
California, lying north of California State Highway 49 
within the N1⁄2N1⁄2 of such section 17. 
(b) MCCREARY EXCHANGE.—The Secretary of Agri-
culture may use the authority of provided by Public Law 
97–465 (16 U.S.C. 521c et seq.; commonly known as the 
Small Tracts Act) to acquire land from Dennis W. 
McCreary and Cindy M. McCreary in lot 19 of section 35, 
township 20 north, range 10 east, Mount Diablo meridian, 
through an exchange of all right, title, and interest of the 
United States in and to a parcel National Forest System 
land in Tahoe National Forest, California, in lot 121 of
such section 35. For purposes of Public Law 97–465, this 
land exchange is deemed to involve a mineral survey frac-
tion. 
(c) WITHDRAWAL.—Subject to valid existing rights, 
all lands to be exchanged under this section are withdrawn 
from location, entry, and patent under the mining laws 
of the United States.
Passed the House of Representatives November 15, 
2005. 
Attest:
Clerk.
109TH CONGRESS 
1ST SESSION 
H. R. 3981
AN ACT 
To authorize the Secretary of Agriculture to carry 
out certain land exchanges involving small par-
cels of National Forest System land in the Tahoe 
National Forest in the State of California, and 
for other purposes.
I 
109TH CONGRESS 
1ST SESSION H. R. 3981 
To authorize the Secretary of Agriculture to carry out certain land exchanges 
involving small parcels of National Forest System land in the Tahoe 
National Forest in the State of California, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
OCTOBER 6, 2005 
Mr. DOOLITTLE introduced the following bill; which was referred to the 
Committee on Resources 
A BILL 
To authorize the Secretary of Agriculture to carry out certain 
land exchanges involving small parcels of National Forest 
System land in the Tahoe National Forest in the State 
of California, and for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. LAND EXCHANGES, TAHOE NATIONAL FOREST, 
CALIFORNIA. 
(a) 
CHRISTENSEN
EXCHANGE.—Notwithstanding 
section 3 of Public Law 97–465 (16 U.S.C. 521e; com-
monly known as the Small Tracts Act), the Secretary of 
Agriculture may use the authority of such Act to acquire
land from Irving N. Christensen in that portion of the 
SW1⁄4NW1⁄4 of section 16, township 19 north, range 9 
east, Mount Diablo meridian, lying southwest of California 
State Highway 49 and that portion of the S1⁄2NE1⁄4 of 
section 17 of the same township and range lying southwest 
of California State Highway 49 and northeast of the 
North Fork Yuba River, through an exchange of all right, 
title, and interest of the United States in and to a parcel 
National Forest System land in Tahoe National Forest, 
California, lying north of California State Highway 49 
within the N1⁄2N1⁄2 of such section 17. 
(b) MCCREARY EXCHANGE.—The Secretary of Agri-
culture may use the authority of provided by Public Law 
97–465 (16 U.S.C. 521c et seq.; commonly known as the 
Small Tracts Act) to acquire land from Dennis W. 
McCreary and Cindy M. McCreary in lot 19 of section 35, 
township 20 north, range 10 east, Mount Diablo meridian, 
through an exchange of all right, title, and interest of the 
United States in and to a parcel National Forest System 
land in Tahoe National Forest, California, in lot 121 of 
such section 35. For purposes of Public Law 97–465, this 
land exchange is deemed to involve a mineral survey frac-
tion. 
(c) WITHDRAWAL.—Subject to valid existing rights, 
all lands to be exchanged under this section are withdrawn
from location, entry, and patent under the mining laws 
of the United States. 
Æ
IIB 
109TH CONGRESS 
1ST SESSION H. R. 3981 
IN THE SENATE OF THE UNITED STATES 
NOVEMBER 16, 2005 
Received; read twice and referred to the Committee on Energy and Natural 
Resources 
AN ACT 
To authorize the Secretary of Agriculture to carry out certain 
land exchanges involving small parcels of National Forest 
System land in the Tahoe National Forest in the State 
of California, and for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled,
HR 3981 RFS 
SECTION 1. LAND EXCHANGES, TAHOE NATIONAL FOREST, 
CALIFORNIA. 
(a) 
CHRISTENSEN
EXCHANGE.—Notwithstanding 
section 3 of Public Law 97–465 (16 U.S.C. 521e; com-
monly known as the Small Tracts Act), the Secretary of 
Agriculture may use the authority of such Act to acquire 
land from Irving N. Christensen in that portion of the 
SW1⁄4NW1⁄4 of section 16, township 19 north, range 9 
east, Mount Diablo meridian, lying southwest of California 
State Highway 49 and that portion of the S1⁄2NE1⁄4 of 
section 17 of the same township and range lying southwest 
of California State Highway 49 and northeast of the 
North Fork Yuba River, through an exchange of all right, 
title, and interest of the United States in and to a parcel 
National Forest System land in Tahoe National Forest, 
California, lying north of California State Highway 49 
within the N1⁄2N1⁄2 of such section 17. 
(b) MCCREARY EXCHANGE.—The Secretary of Agri-
culture may use the authority of provided by Public Law 
97–465 (16 U.S.C. 521c et seq.; commonly known as the 
Small Tracts Act) to acquire land from Dennis W. 
McCreary and Cindy M. McCreary in lot 19 of section 35, 
township 20 north, range 10 east, Mount Diablo meridian, 
through an exchange of all right, title, and interest of the
HR 3981 RFS 
United States in and to a parcel National Forest System 
land in Tahoe National Forest, California, in lot 121 of 
such section 35. For purposes of Public Law 97–465, this 
land exchange is deemed to involve a mineral survey frac-
tion. 
(c) WITHDRAWAL.—Subject to valid existing rights, 
all lands to be exchanged under this section are withdrawn 
from location, entry, and patent under the mining laws 
of the United States. 
Passed the House of Representatives November 15, 
2005. 
Attest: 
JEFF TRANDAHL, 
Clerk.
(c) EFFECTIVE DATE.—The amendment made by 
subsection (a) shall apply to elections made on or after 
the date specified by the Secretary of Health and Human 
Services, but in no case later than 60 days after the date 
of the enactment of this Act. 
SEC. 5. ANNUAL ACCOUNTABILITY REPORTS. 
(a) MEDICARE ADVANTAGE ACCOUNTABILITY RE-
PORT.—Section 1856 of the Social Security Act (42 
U.S.C. 1395w–26) is amended— 
(1) by amending the heading to read as follows: 
‘‘ESTABLISHMENT OF STANDARDS; ANNUAL 
ACCOUNTABILITY REPORT’’; AND 
(2) by adding at the end the following new sub-
section: 
‘‘(c) ANNUAL ACCOUNTABILITY REPORT.— 
‘‘(1) IN GENERAL.—The Secretary shall com-
pile, and transmit to Congress, at the end of each 
year (beginning with 2005), an annual Medicare Ad-
vantage accountability report. 
‘‘(2) CONTENTS.—Each annual accountability 
report shall include the following: 
‘‘(A) A detailed analysis of geographic var-
iation in cost-sharing and premiums among MA 
plans. 
‘‘(B) A comparison of the use of amounts 
paid to MA plans for benefit payments, admin-
istrative costs, and profits with the amounts ex-
pended under the fee-for-service programs 
under parts A and B for benefit payments and 
administrative expenses. 
‘‘(C) 
Recommendations 
for 
legislative 
changes to the Medicare Advantage program, or 
the fee-for-service programs under parts A and 
B, to assure that medicare beneficiaries under 
both programs have access to comparable bene-
fits at comparable cost and that Government 
subsidies under the two programs are equiva-
lent. 
‘‘(D) The results of audits conducted 
under section 1857(d) and enforcement actions 
taken in response to findings of inappropriate 
expenditures of funds under this part.’’. 
(b) PRESCRIPTION
DRUG
ACCOUNTABILITY
RE-
PORT.—Section 1860D–12 of such Act (42 U.S.C. 
1395w–112) is amended by adding at the end the fol-
lowing new subsection: 
‘‘(h) ANNUAL ACCOUNTABILITY REPORT.— 
‘‘(1) IN GENERAL.—The Secretary shall com-
pile, and transmit to Congress, at the end of each 
year (beginning with 2006), an annual prescription 
drug accountability report.
‘‘(2) CONTENTS.—Each annual accountability 
report shall include the same types of information 
(as specified by the Secretary) with respect to pre-
scription drug plans as are provided under subpara-
graphs (A), (B), and (D) of section 1856(c)(2) with 
respect to MA plans.’’. 
SEC. 6. AUDITING OF ACTUARIAL EQUIVALENCY. 
(a) 
MEDICARE
ADVANTAGE
PLANS.—Section 
1854(a)(5) of the Social Security Act (42 U.S.C. 1395w– 
24(a)(5)) is amended by adding at the end the following 
new subparagraph: 
‘‘(B) PERIODIC
AUDITS
OF
ACTUARIAL 
EQUIVALENCY DETERMINATIONS.—In the case 
of MA plans that provide for an actuarially 
equivalent level of benefits under this part, the 
Inspector General of the Department of Health 
and Human Services shall periodically audit a 
representative sample of the determinations 
made by the Secretary regarding such actuarial 
equivalency to ensure that the Secretary is only 
approving plans with benefits that are actuari-
ally equivalent.’’. 
(b) APPLICATION TO PRESCRIPTION DRUG PLANS.— 
Section 1860D–11(e) of the Social Security Act (42
U.S.C. 1395w–111(e)) is amended by adding at the end 
the following new paragraph: 
‘‘(3) 
PERIODIC
AUDITING
OF
ACTUARIAL 
EQUIVALENCY DETERMINATIONS.—The provisions of 
section 1854(a)(5)(B) shall apply with respect to de-
terminations of actuarial equivalence of benefits 
under prescription drug plans in the same manner 
as they apply to determinations of actuarial equiva-
lence of benefits under MA plans.’’. 
SEC. 7. REPORT COMPARING COSTS AND BENEFITS UNDER 
MEDICARE ADVANTAGE PLANS, MEDICARE 
SUPPLEMENTAL 
POLICIES, 
AND 
FEE-FOR- 
SERVICE MEDICARE. 
Not later than 1 year after the date of the enactment 
of this Act, the Secretary of Health and Human Services 
shall submit to Congress a report that compares the aver-
age benefit payments, administrative costs, profits, and in-
vestment income (expressed as a percentage of revenues 
collected) for MA plans with such average for the fee-for- 
service programs under parts A and B and for group and 
individual medicare supplemental policies. 
SEC. 8. ANNUAL REPORT ON DRUG CLAIM DENIALS. 
Section 1860D–4(h) of the Social Security Act (42 
U.S.C. 1395w–104(h)) is amended by adding at the end 
the following new paragraph:
‘‘(4) ANNUAL REPORT ON DRUG CLAIMS REJEC-
TIONS
AND
REVERSALS
ON
APPEAL.—Each PDP 
sponsor with respect to a prescription drug plan, 
and each MA organization with respect to an MA– 
PD plan, shall annually report to the Inspector Gen-
eral of the Department of Health and Human Serv-
ices on the following: 
‘‘(A)(i) The percentage of claims for pre-
scription drugs under the plan that are initially 
denied. 
‘‘(ii) The percentage of such claim denials 
that are appealed. 
‘‘(iii) The percentage of such appealed 
claim denials that are reversed upon appeal. 
‘‘(B) The volume of such claims denials 
that are based on— 
‘‘(i) a medical necessity determination; 
‘‘(ii) the drug not being on a for-
mulary; and 
‘‘(iii) other reasons.’’. 
SEC. 9. MEDICARE PRESCRIPTION DRUG OMBUDSMAN. 
Section 1808 of the Social Security Act (42 U.S.C. 
1395b–9) is amended by adding at the end the following 
new subsection:
‘‘(d) MEDICARE
PRESCRIPTION
DRUG
OMBUDS-
MAN.— 
‘‘(1) IN GENERAL.—The Secretary shall appoint 
within the Department of Health and Human Serv-
ices a Medicare Prescription Drug Ombudsman who 
shall have expertise and experience in the fields of 
health care and education of (and assistance to) in-
dividuals entitled to benefits under this title with re-
spect to prescription drug coverage under part D of 
this title. 
‘‘(2) 
DUTIES.—The 
Medicare 
Prescription 
Drug Ombudsman shall— 
‘‘(A) receive complaints, grievances, and 
requests for information submitted by individ-
uals entitled to benefits under part D; 
‘‘(B) provide assistance with respect to 
complaints, grievances, and requests referred to 
in subparagraph (A), including— 
‘‘(i) assistance in collecting relevant 
information for such individuals, to seek 
an appeal of a decision or determination 
made by a PDP sponsor or MA organiza-
tion; 
‘‘(ii) assistance to such individuals 
with 
any 
problems 
arising 
from
disenrollment from a PDP under part C or 
an MA–PD plan under part D; 
‘‘(C) provide assistance to beneficiaries in 
relation to State medicaid programs under title 
XIX and drug manufacturers in accessing 
medically necessary drugs that are excluded 
from coverage under part D; and 
‘‘(D) submit annual reports to Congress 
and the Secretary that describe the activities of 
the Office and that include such recommenda-
tions for improvement in the administration of 
part D of this title as the Ombudsman deter-
mines appropriate. 
The annual report under subparagraph (D) in 2007 
and 2009 shall include information on the number 
of cases described in subparagraph (C) that are han-
dled and the success rates in finding alternative 
sources of coverage.’’. 
Æ
112TH CONGRESS 
1ST SESSION H. R. 2940 
AN ACT 
To direct the Securities and Exchange Commission to elimi-
nate the prohibition against general solicitation as a re-
quirement for a certain exemption under Regulation D. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled,
I 
109TH CONGRESS 
1ST SESSION H. R. 4104 
To amend the Internal Revenue Code of 1986 to allow a deduction for 
qualified long-term care services in computing adjusted gross income. 
IN THE HOUSE OF REPRESENTATIVES 
OCTOBER 20, 2005 
Ms. GINNY BROWN-WAITE of Florida introduced the following bill; which was 
referred to the Committee on Ways and Means 
A BILL 
To amend the Internal Revenue Code of 1986 to allow a 
deduction for qualified long-term care services in com-
puting adjusted gross income. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Qualified Long-term 
Care Fairness Act of 2005’’. 
SEC. 2. DEDUCTION FOR QUALIFIED LONG-TERM CARE 
SERVICES 
ALLOWED 
IN 
COMPUTING 
AD-
JUSTED GROSS INCOME. 
(a) IN GENERAL.—Subsection (a) of section 62 of the 
Internal Revenue Code of 1986 (relating to adjusted gross
income defined) is amended by redesignating paragraph 
(19) (relating to costs involving discrimination suits, etc.) 
as paragraph (20) and by inserting after paragraph (20) 
the following new paragraph: 
‘‘(21) QUALIFIED
LONG-TERM
CARE
SERV-
ICES.—The deductions that would be allowed by sec-
tion 213, notwithstanding the requirement in sub-
section (a) of such section that a deduction only be 
allowed to the extent that expenses paid for medical 
care exceed 7.5 percent of adjusted gross income, 
which consist of amounts paid for qualified long- 
term care services and qualified long-term care in-
surance contracts.’’. 
(b) EFFECTIVE DATE.—The amendments made by 
this section shall apply to taxable years beginning after 
December 31, 2005. 
Æ
10(b)) is amended by striking paragraph (1) and in-
serting the following: 
‘‘(1)(A) has been employed— 
‘‘(i) as a full-time teacher for 5 consecutive 
complete school years in a school that qualifies 
under section 465(a)(2)(A) for loan cancellation 
for Perkins loan recipients who teach in such a 
school; or 
‘‘(ii) as a full-time school superintendent, 
principal, or other administrator for 5 consecu-
tive complete school years in a school district of 
a local educational agency in which 50 percent 
or more of the schools are schools that so qual-
ify under such section 465(a)(2)(A); and 
‘‘(B) if employed as an elementary school or 
secondary school teacher, is highly qualified as de-
fined in section 9101 of the Elementary Secondary 
Education Act of 1965; and’’. 
(2) CONFORMING AMENDMENTS.—Section 428J 
of the Higher Education Act of 1965 (20 U.S.C. 
1078–10) is amended— 
(A) in subsection (f), by striking ‘‘sub-
section 
(b)’’ 
and 
inserting 
‘‘subsection 
(b)(1)(A)(i)’’; and
I 
109TH CONGRESS 
1ST SESSION H. R. 3986 
To require the Secretary of Energy to conduct a study on the potential 
fuel savings from intelligent transportation systems that help businesses 
and consumers to plan their travel and avoid delays. 
IN THE HOUSE OF REPRESENTATIVES 
OCTOBER 6, 2005 
Mr. HOLT (for himself and Mr. TERRY) introduced the following bill; which 
was referred to the Committee on Energy and Commerce 
A BILL 
To require the Secretary of Energy to conduct a study on 
the potential fuel savings from intelligent transportation 
systems that help businesses and consumers to plan their 
travel and avoid delays. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Fuel Savings, Smarter 
Travel, and Efficient Roadways Act’’.
SEC. 2. STUDY OF FUEL SAVINGS FROM INTELLIGENT 
TRANSPORTATION SYSTEMS. 
Not later than 2 years after the date of enactment 
of this Act, the Secretary of Energy shall, in consultation 
with the Secretary of Transportation, report to Congress 
on the potential fuel savings from intelligent transpor-
tation systems that help businesses and consumers to plan 
their travel and avoid delays. These systems may include 
web-based real-time transit information systems, conges-
tion information systems, carpool information systems, 
parking information systems, freight route management, 
and traffic management systems. The report shall include 
analysis of fuel savings, analysis of system costs, assess-
ment of local, State, and regional differences in applica-
bility, and evaluation of case studies, best practices, and 
emerging technologies from both the private and public 
sector. 
Æ
I 
109TH CONGRESS 
1ST SESSION H. R. 4105 
To amend the Wild and Scenic Rivers Act to designate the Perquimans 
River and its tributaries in Perquimans County, North Carolina, for 
study for potential addition to the National Wild and Scenic Rivers 
System, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
OCTOBER 20, 2005 
Mr. BUTTERFIELD introduced the following bill; which was referred to the 
Committee on Resources 
A BILL 
To amend the Wild and Scenic Rivers Act to designate 
the Perquimans River and its tributaries in Perquimans 
County, North Carolina, for study for potential addition 
to the National Wild and Scenic Rivers System, and 
for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Perquimans River Wild 
and Scenic River Study Act of 2005’’.
SEC. 2. DESIGNATION OF PERQUIMANS RIVER AND ITS 
TRIBUTARIES 
IN 
PERQUIMANS 
COUNTY, 
NORTH CAROLINA, FOR STUDY FOR POTEN-
TIAL ADDITION TO NATIONAL WILD AND SCE-
NIC RIVERS SYSTEM. 
(a) DESIGNATION.—Section 5(a) of the Wild and 
Scenic Rivers Act (16 U.S.C. 1276(a)) is amended by add-
ing at the end the following new paragraph: 
‘‘(139) PERQUIMANS RIVER, NORTH CAROLINA.— 
The Perquimans River and its tributaries in Perquimans 
County, North Carolina.’’. 
(b) TIME FOR SUBMISSION.—Not later than three 
years after the date of the enactment of this Act, the Sec-
retary of the Interior shall submit to Congress a report 
containing the results of the study required by the amend-
ment made by subsection (b). 
Æ
‘‘(ii) use to carry out its insurance 
purposes, in the manner provided by this 
subsection; and 
‘‘(iii) invest in accordance with section 
13(a). 
‘‘(B) USES.—The Deposit Insurance Fund 
shall be available to the Corporation for use 
with respect to insured depository institutions 
the deposits of which are insured by the De-
posit Insurance Fund. 
‘‘(C) 
LIMITATION
ON
USE.—Notwith-
standing any provision of law other than section 
13(c)(4)(G), the Deposit Insurance Fund shall 
not be used in any manner to benefit any share-
holder or affiliate (other than an insured depos-
itory institution that receives assistance in ac-
cordance with the provisions of this Act) of— 
‘‘(i) any insured depository institution 
for which the Corporation has been ap-
pointed conservator or receiver, in connec-
tion with any type of resolution by the 
Corporation; 
‘‘(ii) any other insured depository in-
stitution in default or in danger of default,
112TH CONGRESS 
1ST SESSION H. R. 2943 
AN ACT 
To extend the program of block grants to States for tem-
porary assistance for needy families and related pro-
grams through December 31, 2011. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled,
109TH CONGRESS 
1ST SESSION 
H. R. 3989
AN ACT 
To designate the facility of the United States Post-
al Service located at 37598 Goodhue Avenue in 
Dennison, Minnesota, as the ‘‘Albert H. Quie 
Post Office’’.
109TH CONGRESS 
1ST SESSION H. R. 3989
AN ACT 
To designate the facility of the United States Postal Service 
located at 37598 Goodhue Avenue in Dennison, Min-
nesota, as the ‘‘Albert H. Quie Post Office’’.
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled,
SECTION 1. DESIGNATION. 
The facility of the United States Postal Service lo-
cated at 37598 Goodhue Avenue in Dennison, Minnesota, 
shall be known and designated as the ‘‘Albert H. Quie 
Post Office’’. 
SEC. 2. REFERENCES. 
Any reference in a law, map, regulation, document, 
paper, or other record of the United States to the facility 
referred to in section 1 shall be deemed to be a reference 
to the ‘‘Albert H. Quie Post Office’’.
Passed the House of Representatives November 1, 
2005. 
Attest:
Clerk.
1141 
HR 4986 RDS 
ceipt of care for traumatic brain injury, post-trau-
matic stress disorder, or other mental health condi-
tions, as applicable, including the monitoring and as-
sessment of treatment and outcomes. 
(8) EDUCATION AND AWARENESS.—The devel-
opment and deployment of an education and aware-
ness training initiative designed to reduce the nega-
tive stigma associated with traumatic brain injury, 
post-traumatic stress disorder, and other mental 
health conditions, and mental health treatment. 
(9) EDUCATION AND OUTREACH.—The provi-
sion of education and outreach to families of mem-
bers of the Armed Forces with traumatic brain in-
jury, post-traumatic stress disorder, or other mental 
health conditions on a range of matters relating to 
traumatic brain injury, post-traumatic stress dis-
order, or other mental health conditions, as applica-
ble, including detection, mitigation, and treatment. 
(10) RECORDING OF BLASTS.—A requirement 
that exposure to a blast or blasts be recorded in the 
records of members of the Armed Forces. 
(11) GUIDELINES FOR BLAST INJURIES.—The 
development of clinical practice guidelines for the di-
agnosis and treatment of blast injuries in members 
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