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protect the privacy of all medical records generated under 
subsection (a) and accessible to the Administration. 
‘‘(e) REGULATIONS.—The Administrator shall pro-
mulgate such regulations as are necessary to carry out this 
section. 
‘‘(f) DEFINITION OF UNITED STATES GOVERNMENT 
ASTRONAUT.—In this section, the term ‘United States 
government astronaut’ has the meaning given the term 
‘government astronaut’ in section 50902, except it does 
not include an individual who is an international partner 
astronaut. 
‘‘(g) DATA USE AND DISCLOSURE.—The Adminis-
trator may use or disclose data acquired in the course of 
medical monitoring, diagnosis, or treatment of a former 
United States government astronaut or a former payload 
specialist under subsection (a), in accordance with sub-
section (d). Former United States government astronaut 
or former payload specialist participation in medical moni-
toring, diagnosis, or treatment under subsection (a) shall 
constitute consent for the Administrator to use or disclose 
such data.’’. 
(b) CLERICAL AMENDMENT.—The table of contents 
for chapter 201 of title 51, United States Code is amended 
by inserting after the item relating to section 20147 the 
following: 
‘‘20148. Medical monitoring and research relating to human space flight’’. 
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(c) ANNUAL REPORTS.— 
(1) IN GENERAL.—Each fiscal year, not later 
than the date of submission of the President’s an-
nual budget request for that fiscal year under sec-
tion 1105 of title 31, United States Code, the Ad-
ministrator of the National Aeronautics and Space 
Administration shall publish a report, in accordance 
with applicable Federal privacy laws, on the activi-
ties of the National Aeronautics and Space Adminis-
tration under section 20148 of title 51, United 
States Code, as added by subsection (a). 
(2) CONTENTS.—Each report under paragraph 
(1) shall include a detailed cost accounting of the 
Administration’s activities under such section 20148 
of title 51, United States Code, and a 5-year budget 
estimate. 
(3) SUBMISSION TO CONGRESS.—The Adminis-
trator shall submit to the appropriate committees of 
Congress each report under paragraph (1) not later 
than the date of submission of the President’s an-
nual budget request for that fiscal year under sec-
tion 1105 of title 31, United States Code. 
(d) COST ESTIMATE.— 
(1) REQUIREMENT.—Not later than 90 days 
after the date of enactment of this Act, the Adminis-
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trator of the National Aeronautics and Space Ad-
ministration shall enter into an arrangement with an 
independent external organization to undertake an 
independent cost estimate of the cost to the National 
Aeronautics and Space Administration and the Fed-
eral Government to implement and administer the 
activities of the National Aeronautics and Space Ad-
ministration under section 20148 of title 51, United 
States Code, as added by subsection (a). The inde-
pendent external organization may not be an entity 
of the National Aeronautics and Space Administra-
tion, such as the Office of Safety and Mission Assur-
ance. 
(2) SUBMITTAL TO CONGRESS.—Not later than 
1 year after the date of the enactment of this Act, 
the Administrator shall submit the independent cost 
estimate undertaken pursuant to paragraph (1) to 
the Committee on Science, Space, and Technology of 
the House of Representatives and the Committee on 
Commerce, Science, and Transportation of the Sen-
ate. 
(e) PRIVACY STUDY.— 
(1) STUDY.—The Administrator of the National 
Aeronautics and Space Administration shall carry 
out a study on any potential privacy or legal issues 
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related to the possible sharing beyond the Federal 
Government of data acquired under the activities of 
the National Aeronautics and Space Administration 
under section 20148 of title 51, United States Code, 
as added by subsection (a). 
(2) REPORT.—Not later than 270 days after 
the date of the enactment of this Act, the Adminis-
trator shall submit to the Committee on Science, 
Space, and Technology of the House of Representa-
tives and the Committee on Commerce, Science, and 
Transportation of the Senate a report containing the 
results of the study carried out under paragraph (1). 
(f) INSPECTOR GENERAL AUDIT.—The Inspector 
General of the National Aeronautics and Space Adminis-
tration shall periodically audit or review, as the Inspector 
General considers necessary to prevent waste, fraud, and 
abuse, the activities of the National Aeronautics and 
Space Administration under section 20148 of title 51, 
United States Code, as added by subsection (a). 
Passed the House of Representatives December 7, 
2016. 
Attest: 
KAREN L. HAAS, 
Clerk. 
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