I 
112TH CONGRESS 
1ST SESSION H. R. 1742 
To amend title 38, United States Code, to direct the Secretary of Veterans 
Affairs to establish a presumption of service connection for illnesses 
associated with contaminants in the water supply at Marine Corps Base 
Camp Lejeune, North Carolina, and to provide health care to family 
members of veterans who lived at Camp Lejeune while the water was 
contaminated. 
IN THE HOUSE OF REPRESENTATIVES 
MAY 5, 2011 
Mr. MILLER of North Carolina (for himself, Mr. DINGELL, Mr. COURTNEY, 
Mr. BUTTERFIELD, Mr. JACKSON of Illinois, Ms. BERKLEY, Mr. DON-
NELLY of Indiana, Mr. MURPHY of Connecticut, Mr. PRICE of North 
Carolina, Mr. WILSON of South Carolina, Ms. SUTTON, Mr. RIBBLE, Mr. 
CONYERS, Mrs. MALONEY, and Mr. JONES) introduced the following bill; 
which was referred to the Committee on Veterans’ Affairs 
A BILL 
To amend title 38, United States Code, to direct the Sec-
retary of Veterans Affairs to establish a presumption 
of service connection for illnesses associated with con-
taminants in the water supply at Marine Corps Base 
Camp Lejeune, North Carolina, and to provide health 
care to family members of veterans who lived at Camp 
Lejeune while the water was contaminated. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
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SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Janey Ensminger 
Act’’. 
SEC. 2. PRESUMPTIONS OF SERVICE CONNECTION FOR ILL-
NESSES ASSOCIATED WITH CONTAMINANTS 
IN THE WATER SUPPLY AT MARINE CORPS 
BASE CAMP LEJEUNE, NORTH CAROLINA. 
(a) IN GENERAL.—Subchapter II of chapter 11 of 
title 38, United States Code, is amended by adding at the 
end the following new section: 
‘‘§ 1119. Presumptions of service connection for ill-
nesses associated with contaminants in 
the water supply at Camp Lejeune, North 
Carolina 
‘‘(a) PRESUMPTION.—(1) For purposes of section 
1110 of this title, and subject to section 1113 of this title, 
each illness, if any, described in paragraph (2) shall be 
considered to have been incurred in or aggravated by serv-
ice referred to in that paragraph, notwithstanding that 
there is no record of evidence of such illness during the 
period of such service. 
‘‘(2) An illness referred to in paragraph (1) is any 
diagnosed or undiagnosed illness that— 
‘‘(A) the Secretary determines, in consultation 
with the Agency for Toxic Substances and Disease 
Registry, in regulations prescribed under this section 
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to warrant a presumption of service connection by 
reason of having a positive association with exposure 
to volatile organic compounds, including known 
human carcinogens and probable human carcino-
gens, known or presumed to be associated with serv-
ice in the Armed Forces at Marine Corps Base 
Camp Lejeune, North Carolina, during a period de-
termined by the Secretary in consultation with the 
Agency for Toxic Substances and Disease Registry; 
and 
‘‘(B) becomes manifest within the period, if 
any, prescribed in such regulations in a veteran who 
served on active duty at Camp Lejeune, North Caro-
lina, and by reason of such service was exposed to 
such compounds. 
‘‘(3) For purposes of this subsection, a veteran who 
served on active duty at Camp Lejeune, North Carolina, 
during the period referred to in paragraph (2)(A) and who 
has an illness described in paragraph (2) shall be pre-
sumed to have been exposed by reason of such service to 
the compound associated with the illness in the regulations 
prescribed under this section unless there is conclusive evi-
dence to establish that the veteran was not exposed to the 
compound by reason of such service. 
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