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<meta><dc:title>117 S 2102 ENR: To amend title 38, United States Code, to direct the Under Secretary for Health of the Department of Veterans Affairs to provide mammography screening for veterans who served in locations associated with toxic exposure.</dc:title>
<dc:type>Senate Bill</dc:type><docNumber>2102</docNumber><citableAs>117 S 2102 ENR</citableAs>
<citableAs>117s2102enr</citableAs>
<citableAs>117 S. 2102 ENR</citableAs>
<dc:creator>United States Senate</dc:creator><dc:publisher>United States Government Publishing Office</dc:publisher><dc:format>text/xml</dc:format><dc:language>EN</dc:language><dc:rights>Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.</dc:rights><docStage>ENR</docStage>
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<congress>117</congress><session>2</session><publicPrivate>public</publicPrivate>
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<preface><dc:type>S.</dc:type><docNumber>2102</docNumber>

<congress style="-uslm-lc:I665502" value="117">One Hundred Seventeenth Congress of the United States of America</congress><session style="-uslm-lc:I665503" value="2">A T T  H  E S  E  C  O  N  D S  E  S  S  I  O  N</session>
<enrolledDateline style="-uslm-lc:I665504">Begun and held at the City of Washington on Monday, the third day of January, two thousand and twenty two</enrolledDateline>
</preface>
<main>
<longTitle>
<docTitle class="centered fontsize18" style="-uslm-lc:I665505">An Act</docTitle>
<officialTitle class="centered fontsize8" style="-uslm-lc:I665511">To amend title 38, United States Code, to direct the Under Secretary for Health of the Department of Veterans Affairs to provide mammography screening for veterans who served in locations associated with toxic exposure.<?GPOvSpace 08?></officialTitle>
</longTitle>
<enactingFormula style="-uslm-lc:I650120">  Be it enacted by the Senate and House of Representa­tives of the United States of America in Congress assembled,</enactingFormula>
<section id="d31871e62" identifier="/us/bill/117/s/2102/s1" style="-uslm-lc:I650146"><num value="1">SECTION 1. </num><heading>SHORT TITLE.</heading><content style="-uslm-lc:I650120">  This Act may be cited as the “<shortTitle role="act">Dr. Kate Hendricks Thomas Supporting Expanded Review for Veterans In Combat Environments Act</shortTitle>” or the “<shortTitle role="act">Dr. Kate Hendricks Thomas SERVICE Act</shortTitle>”.</content></section>
<section id="d31871e75" identifier="/us/bill/117/s/2102/s2" style="-uslm-lc:I650141"><num value="2">SEC. 2. </num><heading>REVISION OF BREAST CANCER MAMMOGRAPHY POLICY OF DEPARTMENT OF VETERANS AFFAIRS TO PROVIDE MAMMOGRAPHY SCREENING FOR VETERANS WHO SERVED IN LOCATIONS ASSOCIATED WITH TOXIC EXPOSURE.</heading><subsection class="indentUp0 firstIndent1 fontsize10" id="d31871e79" identifier="/us/bill/117/s/2102/s2/a" role="instruction" style="-uslm-lc:I650120"><num style="-uslm-lc:emspace2" value="a">(a) </num><heading><inline class="smallCaps">In General</inline>.—</heading><chapeau><ref href="/us/usc/t38/s7322">Section 7322 of title 38, United States Code</ref>, <amendingAction type="amend">is amended</amendingAction>—</chapeau><paragraph class="indentUp1 firstIndent1 fontsize10" id="d31871e93" identifier="/us/bill/117/s/2102/s2/a/1" style="-uslm-lc:I650122"><num style="-uslm-lc:emspace2" value="1">(1) </num><content>in subsection (a), by <amendingAction type="delete">striking</amendingAction> “<quotedText>The</quotedText>” and <amendingAction type="insert">inserting</amendingAction> “<quotedText><headingText class="smallCaps">In General</headingText>.—The</quotedText>”;</content></paragraph><paragraph class="indentUp1 firstIndent1 fontsize10" id="d31871e107" identifier="/us/bill/117/s/2102/s2/a/2" style="-uslm-lc:I650122"><num style="-uslm-lc:emspace2" value="2">(2) </num><chapeau>in subsection (b)—</chapeau><subparagraph class="indentUp1 firstIndent1 fontsize10" id="d31871e111" identifier="/us/bill/117/s/2102/s2/a/2/A" style="-uslm-lc:I650124"><num style="-uslm-lc:emspace2" value="A">(A) </num><content>by <amendingAction type="delete">striking</amendingAction> “<quotedText>The</quotedText>” and <amendingAction type="insert">inserting</amendingAction> “<quotedText><headingText class="smallCaps">Standards for Screening</headingText>.—The</quotedText>”; and</content></subparagraph><subparagraph class="indentUp1 firstIndent1 fontsize10" id="d31871e125" identifier="/us/bill/117/s/2102/s2/a/2/B" style="-uslm-lc:I650124"><num style="-uslm-lc:emspace2" value="B">(B) </num><content>in paragraph (2)(B), by <amendingAction type="insert">inserting</amendingAction> “<quotedText>a record of service in a location and during a period specified in subsection (d),</quotedText>” after “<quotedText>risk factors,</quotedText>”; and</content></subparagraph></paragraph><paragraph class="indentUp1 firstIndent1 fontsize10" id="d31871e133" identifier="/us/bill/117/s/2102/s2/a/3" style="-uslm-lc:I650122"><num style="-uslm-lc:emspace2" value="3">(3) </num><content>by <amendingAction type="add">adding</amendingAction> at the end the following new subsections:<quotedContent><subsection class="indentUp0 firstIndent1 fontsize10" style="-uslm-lc:I650120"><num style="-uslm-lc:emspace2" value="c">“(c) </num><heading><inline class="smallCaps">Eligibility for Screening for Veterans Exposed to Toxic Substances</inline>.—</heading><content>The Under Secretary for Health shall ensure that, under the policy developed under subsection (a), any veteran who, during active military, naval, or air service, was deployed in support of a contingency operation in a location and during a period specified in subsection (d), is eligible for a mammography screening by a health care provider of the Department.</content></subsection><subsection class="indentUp0 firstIndent1 fontsize10" style="-uslm-lc:I650120"><num style="-uslm-lc:emspace2" value="d">“(d) </num><heading><inline class="smallCaps">Locations and Periods Specified</inline>.—</heading><paragraph class="inline"><num value="1">(1) </num><chapeau>The locations and periods specified in this subsection are the following:</chapeau><subparagraph class="indentUp1 firstIndent1 fontsize10" style="-uslm-lc:I650122"><num style="-uslm-lc:emspace2" value="A">“(A) </num><chapeau>Iraq during following periods:</chapeau><clause class="indentUp1 firstIndent1 fontsize10" style="-uslm-lc:I650124"><num style="-uslm-lc:emspace2" value="i">“(i) </num><content>The period beginning on August 2, 1990, and ending on February 28, 1991.</content></clause><clause class="indentUp1 firstIndent1 fontsize10" style="-uslm-lc:I650124"><num style="-uslm-lc:emspace2" value="ii">“(ii) </num><content>The period beginning on March 19, 2003, and ending on such date as the Secretary determines burn pits are no longer used in Iraq.</content></clause></subparagraph><subparagraph class="indentUp1 firstIndent1 fontsize10" style="-uslm-lc:I650122"><num style="-uslm-lc:emspace2" value="B">“(B) </num><chapeau>The Southwest Asia theater of operations, other than Iraq, during the period beginning on August 2, 1990, and ending on such date as the Secretary determines burn pits are no longer used in such location, including the following locations:</chapeau><clause class="indentUp1 firstIndent1 fontsize10" style="-uslm-lc:I650124"><num style="-uslm-lc:emspace2" value="i">“(i) </num><content>Kuwait.</content></clause><clause class="indentUp1 firstIndent1 fontsize10" style="-uslm-lc:I650124"><num style="-uslm-lc:emspace2" value="ii">“(ii) </num><content>Saudi Arabia.</content></clause><clause class="indentUp1 firstIndent1 fontsize10" style="-uslm-lc:I650124"><num style="-uslm-lc:emspace2" value="iii">“(iii) </num><content>Oman.</content></clause><clause class="indentUp1 firstIndent1 fontsize10" style="-uslm-lc:I650124"><num style="-uslm-lc:emspace2" value="iv">“(iv) </num><content>Qatar.</content></clause></subparagraph><subparagraph class="indentUp1 firstIndent1 fontsize10" style="-uslm-lc:I650122"><num style="-uslm-lc:emspace2" value="C">“(C) </num><content>Afghanistan during the period beginning on September 11, 2001, and ending on such date as the Secretary determines burn pits are no longer used in Afghanistan.</content></subparagraph><subparagraph class="indentUp1 firstIndent1 fontsize10" style="-uslm-lc:I650122"><num style="-uslm-lc:emspace2" value="D">“(D) </num><content>Djibouti during the period beginning on September 11, 2001, and ending on such date as the Secretary determines burn pits are no longer used in Djibouti.</content></subparagraph><subparagraph class="indentUp1 firstIndent1 fontsize10" style="-uslm-lc:I650122"><num style="-uslm-lc:emspace2" value="E">“(E) </num><content>Syria during the period beginning on September 11, 2001, and ending on such date as the Secretary determines burn pits are no longer used in Syria.</content></subparagraph><subparagraph class="indentUp1 firstIndent1 fontsize10" style="-uslm-lc:I650122"><num style="-uslm-lc:emspace2" value="F">“(F) </num><content>Jordan during the period beginning on September 11, 2001, and ending on such date as the Secretary determines burn pits are no longer used in Jordan.</content></subparagraph><subparagraph class="indentUp1 firstIndent1 fontsize10" style="-uslm-lc:I650122"><num style="-uslm-lc:emspace2" value="G">“(G) </num><content>Egypt during the period beginning on September 11, 2001, and ending on such date as the Secretary determines burn pits are no longer used in Egypt.</content></subparagraph><subparagraph class="indentUp1 firstIndent1 fontsize10" style="-uslm-lc:I650122"><num style="-uslm-lc:emspace2" value="H">“(H) </num><content>Lebanon during the period beginning on September 11, 2001, and ending on such date as the Secretary determines burn pits are no longer used in Lebanon.</content></subparagraph><subparagraph class="indentUp1 firstIndent1 fontsize10" style="-uslm-lc:I650122"><num style="-uslm-lc:emspace2" value="I">“(I) </num><content>Yemen during the period beginning on September 11, 2001, and ending on such date as the Secretary determines burn pits are no longer used in Yemen.</content></subparagraph><subparagraph class="indentUp1 firstIndent1 fontsize10" style="-uslm-lc:I650122"><num style="-uslm-lc:emspace2" value="J">“(J) </num><content>Such other locations and corresponding periods as set forth by the Airborne Hazards and Open Burn Pit Registry established under section 201 of the Dignified Burial and Other Veterans’ Benefits Improvement Act of 2012 (<ref href="/us/pl/112/260">Public Law 112–260</ref>; <ref href="/us/usc/t38/s527">38 U.S.C. 527 note</ref>).</content></subparagraph><subparagraph class="indentUp1 firstIndent1 fontsize10" style="-uslm-lc:I650122"><num style="-uslm-lc:emspace2" value="K">“(K) </num><content>Such other locations and corresponding periods as the Secretary, in collaboration with the Secretary of Defense, may determine appropriate in a report submitted under paragraph (2).</content></subparagraph></paragraph><paragraph class="indentUp0 firstIndent1 fontsize10" style="-uslm-lc:I650120"><num style="-uslm-lc:emspace2" value="2">“(2) </num><content>Not later than two years after the date of the enactment of the Dr. Kate Hendricks Thomas Supporting Expanded Review for Veterans In Combat Environments Act, and not less frequently than once every two years thereafter, the Secretary of Veterans Affairs, in collaboration with the Secretary of Defense, shall submit to Congress a report specifying other locations and corresponding periods for purposes of paragraph (1)(K).</content></paragraph><paragraph class="indentUp0 firstIndent1 fontsize10" style="-uslm-lc:I650120"><num style="-uslm-lc:emspace2" value="3">“(3) </num><content>A location under this subsection shall not include any body of water around or any airspace above such location.</content></paragraph><paragraph class="indentUp0 firstIndent1 fontsize10" role="definitions" style="-uslm-lc:I650120"><num style="-uslm-lc:emspace2" value="4">“(4) </num><chapeau>In this subsection, the term ‘<term>burn pit</term>’ means an area of land that—</chapeau><subparagraph class="indentUp1 firstIndent1 fontsize10" style="-uslm-lc:I650122"><num style="-uslm-lc:emspace2" value="A">“(A) </num><content>is used for disposal of solid waste by burning in the outdoor air; and</content></subparagraph><subparagraph class="indentUp1 firstIndent1 fontsize10" style="-uslm-lc:I650122"><num style="-uslm-lc:emspace2" value="B">“(B) </num><content>does not contain a commercially manufactured incinerator or other equipment specifically designed and manufactured for the burning of solid waste.”</content></subparagraph></paragraph></subsection></quotedContent>.</content></paragraph></subsection><subsection class="indentUp0 firstIndent1 fontsize10" id="d31871e258" identifier="/us/bill/117/s/2102/s2/b" style="-uslm-lc:I650120"><num style="-uslm-lc:emspace2" value="b">(b) </num><heading><inline class="smallCaps">Report on Breast Cancer Rates for Veterans Deployed to Certain Areas</inline>.—</heading><content>Not later than two years after the date of the enactment of this Act, the Secretary of Veterans Affairs shall submit to the Committee on Veterans’ Affairs of the Senate and the Committee on Veterans’ Affairs of the House of Representatives a report that compares the rates of breast cancer among members of the Armed Forces deployed to the locations and during the periods specified in <ref href="/us/usc/t38/s7322/d">section 7322(d) of title 38, United States Code</ref>, as added by subsection (a), as compared to members of the Armed Forces who were not deployed to those locations during those periods and to the civilian population.</content></subsection></section>
</main>
<signatures>
<signature><role style="-uslm-lc:I650114">Speaker of the House of Representatives.</role></signature>
<signature><role style="-uslm-lc:I650114">Vice President of the United States and  President of the Senate.</role></signature>
</signatures>
</bill>