I 
116TH CONGRESS 
2D SESSION 
H. R. 8643 
To direct the Secretary of Defense to include in periodic health assessments 
of members of the Armed Forces an evaluation of whether the member 
has been exposed to perfluoroalkyl substances and polyfluoroalkyl sub-
stances, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
OCTOBER 20, 2020 
Ms. SLOTKIN (for herself, Ms. HAALAND, Mr. TURNER, and Mr. POSEY) in-
troduced the following bill; which was referred to the Committee on 
Armed Services 
A BILL 
To direct the Secretary of Defense to include in periodic 
health assessments of members of the Armed Forces 
an evaluation of whether the member has been exposed 
to perfluoroalkyl substances and polyfluoroalkyl sub-
stances, and for other purposes. 
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 Exposure As-
sessment and Documentation Act’’. 
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SEC. 2. INCLUSION OF EXPOSURE TO PERFLUOROALKYL 
AND POLYFLUOROALKYL SUBSTANCES AS 
PART OF PERIODIC HEALTH ASSESSMENTS. 
(a) PERIODIC HEALTH ASSESSMENT.—The Sec-
retary of Defense shall ensure that any periodic health as-
sessment provided to a member of the Armed Forces in-
cludes an evaluation of whether the member has been— 
(1) based or stationed at a military installation 
identified by the Department of Defense as a loca-
tion with a known or suspected release of 
perfluoroalkyl substances or polyfluoroalkyl sub-
stances during the period in which the member was 
based or stationed at the military installation; or 
(2) exposed to such substances, including by 
evaluating any information in the health record of 
the member. 
(b) SEPARATION HISTORY AND PHYSICAL EXAMINA-
TIONS.—Section 1145(a)(5) of title 10, United States 
Code, is amended by adding at the end the following new 
subparagraph: 
‘‘(C) The Secretary concerned shall ensure that each 
physical examination of a member under subparagraph 
(A) includes an assessment of whether the member was— 
‘‘(i) based or stationed at a military installation 
identified by the Department as a location with a 
known or suspected release of perfluoroalkyl sub-
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stances or polyfluoroalkyl substances during the pe-
riod in which the member was based or stationed at 
the military installation; or 
‘‘(ii) exposed to such substances, including by 
assessing any information in the health record of the 
member.’’. 
(c) 
DEPLOYMENT
ASSESSMENTS.—Section 
1074f(b)(2) of title 10, United States Code, is amended 
by adding at the end the following new subparagraph: 
‘‘(D) An assessment of whether the member 
was— 
‘‘(i) based or stationed at a military instal-
lation identified by the Department as a loca-
tion with a known or suspected release of 
perfluoroalkyl substances or polyfluoroalkyl sub-
stances during the period in which the member 
was based or stationed at the military installa-
tion; or 
‘‘(ii) exposed to such substances, including 
by assessing any information in the health 
record of the member.’’. 
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SEC. 3. PROVISION OF BLOOD TESTING FOR MEMBERS OF 
THE ARMED FORCES, FORMER MEMBERS OF 
THE ARMED FORCES, AND THEIR FAMILIES 
TO 
DETERMINE 
EXPOSURE 
TO 
PERFLUOROALKYL 
SUBSTANCES 
OR 
POLYFLUOROALKYL SUBSTANCES. 
(a) MEMBERS OF THE ARMED FORCES.— 
(1) IN GENERAL.—If a covered evaluation of a 
member of the Armed Forces results in a positive 
determination of potential exposure to perfluoroalkyl 
substances or polyfluoroalkyl substances, the Sec-
retary of Defense shall provide to that member, dur-
ing that covered evaluation, blood testing to deter-
mine and document potential exposure to such sub-
stances. 
(2) INCLUSION IN HEALTH RECORD.—The re-
sults of blood testing of a member of the Armed 
Forces conducted under paragraph (1) shall be in-
cluded in the health record of the member. 
(b) FORMER MEMBERS OF THE ARMED FORCES AND 
FAMILY MEMBERS.—The Secretary shall pay for blood 
testing to determine and document potential exposure to 
perfluoroalkyl substances or polyfluoroalkyl substances for 
any covered individual, at the election of the individual, 
either through the TRICARE program for individuals oth-
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