I 
108TH CONGRESS 
2D SESSION 
H. R. 4346
To amend title 10, United States Code, to clarify requirements relating 
to predeployment and postdeployment medical exams of certain members 
of the Armed Forces. 
IN THE HOUSE OF REPRESENTATIVES 
MAY 12, 2004
Mr. BISHOP of Georgia (for himself, Mr. SKELTON, Mr. EVANS, Mr. ED-
WARDS, and Mr. MURTHA) introduced the following bill; which was re-
ferred to the Committee on Armed Services 
A BILL 
To amend title 10, United States Code, to clarify require-
ments relating to predeployment and postdeployment 
medical exams of certain members of the Armed Forces.
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 ‘‘Healthy Troops Act’’.
SEC. 2. CLARIFICATION OF REQUIREMENTS RELATING TO 
PREDEPLOYMENT 
AND 
POSTDEPLOYMENT 
MEDICAL EXAMS OF CERTAIN MEMBERS OF 
THE ARMED FORCES. 
(a) CLARIFICATION
OF
PREDEPLOYMENT
AND 
POSTDEPLOYMENT MEDICAL EXAMS.—Subsection (b) of 
section 1074f of title 10, United States Code, is amended 
to read as follows: 
‘‘(b) ELEMENTS OF SYSTEM.—(1) The system de-
scribed in subsection (a) shall include the use of 
predeployment medical examinations and postdeployment 
medical examinations, in accordance with this subsection, 
to accurately record the medical condition of members be-
fore their deployment and any changes in their medical 
condition during the course of their deployment. 
‘‘(2) A predeployment medical examination shall con-
sist of a self-administered survey followed by a clinical ex-
amination conducted by medical personnel of the Depart-
ment of Defense. The survey and clinical examination 
shall include—
‘‘(A) the collection of clinical data (such as vital 
signs and the drawing of blood samples); 
‘‘(B) the collection of information (including in-
formation on immunizations) on current and past 
physical or mental health conditions that might af-
fect the ability of the member to perform duties;
‘‘(C) an assessment of mental health; 
‘‘(D) screening for diseases that are prevalent 
in members of the armed forces; and 
‘‘(E) referral to appropriate medical care for 
any conditions needing further treatment. 
‘‘(3) A postdeployment medical examination shall 
consist of a self-administered survey followed by a clinical 
examination conducted by medical personnel of the De-
partment of Defense. The survey and clinical examina-
tion—
‘‘(A) shall include self-reported information 
about any relevant exposures during the period of 
deployment, including witnessing or participating in 
combat and screening for post-traumatic stress dis-
order; and 
‘‘(B) shall be conducted when the member is re-
deployed or otherwise leaves an area in which the 
system is in operation (or as soon as possible there-
after).’’. 
(b) STUDY.—The Secretary of Defense shall conduct 
a study of the effectiveness of self-administered surveys 
included in predeployment and postdeployment medical 
exams of members of the Armed Forces that are carried 
out as part of the medical tracking system required under
section 1074f of title 10, United States Code (as amended 
by subsection (a)).
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