I 117th CONGRESS 1st Session H. R. 4340 IN THE HOUSE OF REPRESENTATIVES July 1, 2021 Ms. Slotkin (for herself and Mr. Turner ) introduced 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 substances, and for other purposes.

1. Short title This Act may be cited as the PFAS Exposure Assessment and Documentation Act . 2. Inclusion of exposure to perfluoroalkyl and polyfluoroalkyl substances as part of periodic health assessments (a) Periodic health assessment The Secretary of Defense shall ensure that any periodic health assessment provided to a member of the Armed Forces includes an evaluation of whether the member has been— (1) based or stationed at a military installation identified by the Department of Defense as a location with a known or suspected release of perfluoroalkyl substances or polyfluoroalkyl substances 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 examinations Section 1145(a)(5) of title 10, United States Code, is amended by adding at the end the following new subparagraph: (D) 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 substances or polyfluoroalkyl substances during the period 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: (E) 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 substances or polyfluoroalkyl substances during the period 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. . 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 Secretary of Defense shall provide to that member, during that covered evaluation, blood testing to determine and document potential exposure to such substances. (2) Inclusion in health record The results of blood testing of a member of the Armed Forces conducted under paragraph (1) shall be included 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 otherwise eligible for such program or through the use of vouchers to obtain such testing. (c) Definitions In this section: (1) Covered evaluation The term covered evaluation means— (A) a periodic health assessment conducted in accordance with section 2(a); (B) a separation history and physical examination conducted under section 1145(a)(5) of title 10, United States Code, as amended by section 2(b); and (C) a deployment assessment conducted under section 1074f(b)(2) of such title, as amended by section 2(c). (2) Covered individual The term covered individual means a former member of the Armed Forces or a family member of a member or former member of the Armed Forces who lived at a location (or the surrounding area of such a location) identified by the Department of Defense as a location with a known or suspected release of perfluoroalkyl substances or polyfluoroalkyl substances during the period in which the individual lived at that location (or surrounding area). (3) TRICARE program The term TRI­CARE program has the meaning given that term in section 1072(7) of title 10, United States Code. 4. Documentation of exposure to per­fluo­ro­al­kyl substances or poly­fluo­ro­al­kyl substances (a) Sharing of information The Secretary of Defense and the Secretary of Veterans Affairs shall enter into a memorandum of understanding providing for the sharing by the Department of Defense with the Department of Veterans Affairs of the results of covered evaluations regarding the exposure by a member of the Armed Forces to perfluoroalkyl substances or polyfluoroalkyl substances. (b) Registry (1) Establishment The Secretary of Defense shall establish a registry of members of the Armed Forces who have been exposed to, or are suspected to have been exposed to, perfluoroalkyl substances or polyfluoroalkyl substances. (2) Inclusion in registry The Secretary shall include a member of the Armed Forces in the registry established under paragraph (1) if a covered evaluation of the member establishes that the member— (A) was based or stationed at a location identified by the Department of Defense as a location with a known or suspected release of perfluoroalkyl substances or polyfluoroalkyl substances during the period in which the member was based or stationed at the location; or (B) was exposed to such substances. (3) Blood testing The results of any blood test conducted under section 3(a) shall be included in the registry established under paragraph (1) for any member of the Armed Forces included in the registry. (4) Election A member of the Armed Forces may elect not to be included in the registry established under paragraph (1). (c) Provision of information The Secretary of Defense shall provide to a member of the Armed Forces more information on perfluoroalkyl substances and polyfluoroalkyl substances and the potential impact of exposure to such substances if a covered evaluation of such member establishes that the member— (1) was based or stationed at a location identified by the Department of Defense as a location with a known or suspected release of perfluoroalkyl substances or polyfluoroalkyl substances during the period in which the member was based or stationed at the location; or (2) was exposed to such substances. (d) Rule of construction Nothing in this section may be construed to preclude eligibility of a veteran for benefits under the laws administered by the Secretary of Veterans Affairs by reason of the exposure of the veteran to perfluoroalkyl substances or polyfluoroalkyl substances not being recorded in a covered evaluation. (e) Covered evaluation defined In this section, the term covered evaluation means— (1) a periodic health assessment conducted in accordance with section 2(a); (2) a separation history and physical examination conducted under section 1145(a)(5) of title 10, United States Code, as amended by section 2(b); and (3) a deployment assessment conducted under section 1074f(b)(2) of such title, as amended by section 2(c).