ment of medical conditions related to exposure 
to open burn pits. 
(F) Actions taken by the Secretary to up-
date the 2011 Institute of Medicine report ti-
tled ‘‘Long-Term Health Consequences of Ex-
posure to Burn Pits in Iraq and Afghanistan’’. 
(G) Any plan of the Secretary to conduct 
research to address areas that the National 
Academy of Medicine identifies as having lim-
ited, suggestive, inadequate, or insufficient evi-
dence to determine whether an association ex-
ists between exposure to open burn pits and an 
illness, symptom, or disease. 
(H) The strategy of the Secretary to edu-
cate health care providers (including non-De-
partment providers) who treat veterans regard-
ing the assessment, diagnosis, and treatment of 
medical conditions related to exposure to open 
burn pits, including the following: 
(i) How the Secretary measures 
whether providers are aware of and versed 
in the environmental exposure knowledge 
base. 
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(ii) Whether and how providers screen 
veterans for medical conditions related to 
exposure to open burn pits. 
(iii) Methods (including direct ques-
tions) that providers use to identify vet-
erans who were likely exposed to open burn 
pits. 
(iv) Whether and how providers refer 
veterans who were exposed to open burn 
pits to appropriate specialists. 
(v) Whether and how the Secretary 
tracks referrals described in clause (v) and 
related outcomes. 
(vi) Whether the Secretary is con-
ducting any ongoing research regarding 
veterans who were exposed to open burn 
pits and related health outcomes. 
(vii) What training the Secretary pro-
vides for providers regarding the assess-
ment, diagnosis, and treatment of medical 
conditions related to exposure to open burn 
pits. 
(viii) How many providers have re-
ceived training described in clause (viii). 
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(I) Coordination with the Department of 
Defense and related information regarding vet-
erans exposed to open burn pits. 
(J) Resources and legislation the Secretary 
determines to be necessary to identify, mitigate, 
investigate, diagnose, treat, and heal medical 
conditions related to open burn pit exposures. 
(2) SECRETARY OF DEFENSE.—Not later than 
January 1, 2019, and annually thereafter, the Sec-
retary of Defense shall submit reports to the Com-
mittees on Armed Services and on Veterans’ Affairs 
of the House of Representatives and Senate regard-
ing the following: 
(A) Actions taken to identify and inform 
members of the Armed Forces and veterans ex-
posed to open burn pits, including— 
(i) the formation of any partnership 
between the Departments of Defense and 
Veterans Affairs to identify such individ-
uals; 
(ii) actions taken to ensure such indi-
viduals are screened for medical conditions 
related to open burn pit exposures; and 
(iii) actions taken to ensure that, be-
fore such members of the Armed Forces 
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separate from active service, the mem-
bers— 
(I) receive education about serv-
ices available from the Departments 
of Defense and Veterans Affairs re-
garding medical conditions related to 
open burn pit exposures; and 
(II) respond to the Registry 
questionnaire. 
(B) Actions taken and plans to mitigate 
future exposures of members of the Armed 
Forces to open burn pits. 
(C) Alternatives to open burn pits and 
evaluations of such alternatives. 
(D) Any exposures of members of the 
Armed Forces to open burn pits operated by an 
entity other than the Department of Defense. 
(E) Data shared with the Secretary of Vet-
erans Affairs regarding— 
(i) members of the Armed Forces and 
veterans exposed to open burn pits; 
(ii) when and where members of the 
Armed Forces and veterans were exposed 
to open burn pits; 
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(iii) the contents of burn pits identi-
fied under clause (ii); 
(iv) the duration of exposures identi-
fied under clause (ii); 
(v) data collected by industrial hygien-
ists regarding exposures of members of the 
Armed Forces to open burn pits; 
(vi) data collected from members of 
the Armed Forces in post-deployment 
health assessments that the Secretary de-
termines are related to open burn pit expo-
sures. 
(F) Plans and actions of the Secretary to 
collect surveillance data to enhance accuracy re-
garding the number of service members ex-
posed, characteristics of those exposed, and pat-
terns or linkages identified in those exposed. 
(G) Plans and actions of the Secretary to 
link data collected under subparagraph (F) to 
health data regarding veterans that is in the 
possession of the Secretary of Veterans Affairs. 
Æ 
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