I 
116TH CONGRESS 
1ST SESSION H. R. 2195 
To require the Secretary of Veterans Affairs to establish and maintain a 
registry for certain individuals who may have been exposed to per- 
and polyfluoroalkyl substances due to the environmental release of aque-
ous film-forming foam on military installations. 
IN THE HOUSE OF REPRESENTATIVES 
APRIL 10, 2019 
Mr. PAPPAS (for himself, Mr. DELGADO, Mr. FITZPATRICK, and Ms. KUSTER 
of New Hampshire) introduced the following bill; which was referred to 
the Committee on Veterans’ Affairs, and in addition to the Committee 
on Armed Services, for a period to be subsequently determined by the 
Speaker, in each case for consideration of such provisions as fall within 
the jurisdiction of the committee concerned 
A BILL 
To require the Secretary of Veterans Affairs to establish 
and maintain a registry for certain individuals who may 
have been exposed to per- and polyfluoroalkyl substances 
due to the environmental release of aqueous film-forming 
foam on military installations. 
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 ‘‘PFAS Registry Act 
of 2019’’. 
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SEC. 2. REGISTRY OF INDIVIDUALS EXPOSED TO PER- AND 
POLYFLUOROALKYL SUBSTANCES ON MILI-
TARY INSTALLATIONS. 
(a) ESTABLISHMENT OF REGISTRY.— 
(1) IN
GENERAL.—Not later than one year 
after the date of the enactment of this Act, the Sec-
retary of Veterans Affairs shall— 
(A) establish and maintain a registry for 
eligible individuals who may have been exposed 
to per- and polyfluoroalkyl substances (in this 
section referred to as ‘‘PFAS’’) due to the envi-
ronmental release of aqueous film-forming foam 
(in this section referred to as ‘‘AFFF’’) on mili-
tary installations to meet the requirements of 
military specification MIL–F–24385F; 
(B) include any information in such reg-
istry that the Secretary of Veterans Affairs de-
termines necessary to ascertain and monitor the 
health effects of the exposure of members of the 
Armed Forces to PFAS associated with AFFF; 
(C) develop a public information campaign 
to inform eligible individuals about the registry, 
including how to register and the benefits of 
registering; and 
(D) periodically notify eligible individuals 
of significant developments in the study and 
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treatment of conditions associated with expo-
sure to PFAS. 
(2) COORDINATION.—The Secretary of Vet-
erans Affairs shall coordinate with the Secretary of 
Defense in carrying out paragraph (1). 
(b) REPORTS.— 
(1) INITIAL REPORT.—Not later than two years 
after the date on which the registry under subsection 
(a) is established, the Secretary of Veterans Affairs 
shall submit to Congress an initial report containing 
the following: 
(A) An assessment of the effectiveness of 
actions taken by the Secretary of Veterans Af-
fairs and the Secretary of Defense to collect 
and maintain information on the health effects 
of exposure to PFAS. 
(B) Recommendations to improve the col-
lection and maintenance of such information. 
(C) Using established and previously pub-
lished epidemiological studies, recommendations 
regarding the most effective and prudent means 
of addressing the medical needs of eligible indi-
viduals with respect to exposure to PFAS. 
(2) FOLLOW-UP REPORT.—Not later than five 
years after submitting the initial report under para-
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graph (1), the Secretary of Veterans Affairs shall 
submit to Congress a follow-up report containing the 
following: 
(A) An update to the initial report sub-
mitted under paragraph (1). 
(B) An assessment of whether and to what 
degree the content of the registry established 
under subsection (a) is current and scientif-
ically up-to-date. 
(3) 
INDEPENDENT
SCIENTIFIC
ORGANIZA-
TION.—The Secretary of Veterans Affairs shall enter 
into an agreement with an independent scientific or-
ganization to prepare the reports under paragraphs 
(1) and (2). 
(c) RECOMMENDATIONS
FOR ADDITIONAL EXPO-
SURES TO BE INCLUDED.—Not later than five years after 
the date of the enactment of this Act, and every five years 
thereafter, the Secretary of Veterans Affairs, in consulta-
tion with the Secretary of Defense and the Administrator 
of the Environmental Protection Agency, shall submit to 
Congress recommendations for additional chemicals with 
respect to which individuals exposed to such chemicals 
should be included in the registry established under sub-
section (a). 
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(d) ELIGIBLE INDIVIDUAL DEFINED.—In this sec-
tion, the term ‘‘eligible individual’’ means any individual 
who, on or after a date specified by the Secretary of Vet-
erans Affairs through regulations, served or is serving in 
the Armed Forces at a military installation where AFFF 
was used or at another location of the Department of De-
fense where AFFF was used. 
Æ 
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