[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 10115 Introduced in House (IH)]

<DOC>






119th CONGRESS
  2d Session
                               H. R. 10115

To amend the Radiation Exposure Compensation Act to provide for certain 
     claims related to atmospheric testing, and for other purposes.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                            August 17, 2026

Mr. Moylan (for himself, Mr. Bell, Ms. Leger Fernandez, Ms. Pettersen, 
Ms. King-Hinds, Ms. Titus, Mr. Vasquez, Mr. Stanton, Ms. Budzinski, Mr. 
  Neguse, and Mr. Horsford) introduced the following bill; which was 
  referred to the Committee on the Judiciary, and in addition to the 
   Committee on Energy and Commerce, for a period to be subsequently 
   determined by the Speaker, in each case for consideration of such 
 provisions as fall within the jurisdiction of the committee concerned

_______________________________________________________________________

                                 A BILL


 
To amend the Radiation Exposure Compensation Act to provide for certain 
     claims related to atmospheric testing, and for other purposes.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Radiation Exposure Compensation 
Reauthorization Act of 2026''.

SEC. 2. CLAIMS RELATED TO ATMOSPHERIC TESTING.

    Section 4 of the Radiation Exposure Compensation Act (Public Law 
101-426; 42 U.S.C. 2210 note) is amended--
            (1) in subsection (a)--
                    (A) in paragraph (1)(A)(i)--
                            (i) in subclause (I), by striking ``1962'' 
                        in each place it appears and inserting 
                        ``1992'';
                            (ii) in subclause (III)--
                                    (I) by striking ``1962'' in each 
                                place it appears and inserting 
                                ``1992''; and
                                    (II) by striking ``or'' at the end;
                            (iii) by striking subclause (IV); and
                            (iv) by inserting after subclause (III) the 
                        following:
                                    ``(IV) was physically present in an 
                                affected area--
                                            ``(aa) for a period of at 
                                        least 1 year during the period 
                                        beginning on July 1, 1946, and 
                                        ending on November 6, 1992; or
                                            ``(bb) for the period 
                                        beginning on April 25, 1962, 
                                        and ending on November 6, 1962; 
                                        or
                                    ``(V) participated--
                                            ``(aa) onsite in a test 
                                        involving the atmospheric 
                                        detonation of a nuclear device; 
                                        or
                                            ``(bb) onsite in the 
                                        radiological cleanup of 
                                        Enewetak Atoll during the 
                                        period beginning on January 1, 
                                        1977, and ending on December 
                                        31, 1980; or
                                            ``(cc) onsite in the 
                                        response effort following the 
                                        collision of a United States 
                                        Air Force B-52 bomber and 
                                        refueling aircraft that caused 
                                        the release of four 
                                        thermonuclear weapons in the 
                                        vicinity of Palomares, Spain, 
                                        during the period beginning 
                                        January 17, 1966, and ending 
                                        March 31, 1967; or
                                            ``(dd) onsite in the 
                                        response effort following the 
                                        on-board fire and crash of a 
                                        United States Air Force B-52 
                                        bomber that caused the release 
                                        of four thermonuclear weapons 
                                        in the vicinity of Thule Air 
                                        Force Base, Greenland, during 
                                        the period beginning January 
                                        21, 1968, and ending September 
                                        25, 1968;
                                    ``(VI) is a member of the 
                                petitioner cohort; and''; and
                    (B) in paragraph (2)--
                            (i) in subparagraph (A), by striking 
                        ``1962'' each place it appears and inserting 
                        ``1992'';
                            (ii) in subparagraph (C)--
                                    (I) by striking ``1962'' each place 
                                it appears and inserting ``1992''; and
                                    (II) by striking ``or'' at the end;
                            (iii) by redesignating subparagraph (D) as 
                        subparagraph (F); and
                            (iv) by inserting after subparagraph (C) 
                        the following:
                    ``(D) was physically present in an affected area--
                            ``(i) for a period of at least 1 year 
                        during the period beginning on July 1, 1946, 
                        and ending on November 6, 1992; or
                            ``(ii) for the period beginning on April 
                        25, 1962, and ending on November 6, 1962;
                    ``(E) is a member of the petitioner cohort; or''; 
                and
            (2) in subsection (b)--
                    (A) in paragraph (1)--
                            (i) in subparagraph (A)--
                                    (I) in the matter preceding clause 
                                (i), by striking ``subparagraph (B)'' 
                                and inserting ``subparagraphs (B) and 
                                (C)'';
                                    (II) in clause (i), by striking 
                                ``and Idaho'' and inserting ``Idaho, 
                                Colorado, and Montana'';
                                    (III) in clause (ii), by striking 
                                ``, the counties of White Pine, Nye, 
                                Lander, Lincoln, Eureka, and that 
                                portion of Clark County that consists 
                                of townships 13 through 16 at ranges 63 
                                through 71'';
                                    (IV) in clause (iii), by striking 
                                ``, the counties of Coconino, Yavapai, 
                                Navajo, Apache, and Gila, and Mohave''; 
                                and
                                    (V) by adding at the end the 
                                following:
                            ``(iv) the territory of Guam; and''; and
                            (ii) by adding at the end the following:
                    ``(C) with respect to a claim by an individual 
                under subsection (a)(1)(A)(i)(IV) or (a)(2)(D), only 
                Guam.''; and
                    (B) by adding at the end the following:
            ``(3) `petitioner cohort' means a class of individuals 
        designated pursuant to section 7 of this Act.''.

SEC. 3. MANHATTAN PROJECT WASTE.

    Section 5A of the Radiation Exposure Compensation Act (Public Law 
101-426; 42 U.S.C. 2210 note), as added by section 110204 of Public Law 
119-21, is amended--
            (1) in subsection (d)(1), to read as follows:
            ``(1) in the State of Missouri, the ZIP Codes of 63031, 
        63033, 63034, 63042, 63045, 63074, 63106, 63107, 63112, 63113, 
        63114, 63115, 63120, 63133, 63135, 63136, 63137, 63138, 63044, 
        63121, 63140, 63145, 63147, 63102, 63304, 63134, 63043, 63341, 
        63368, and 63367;'';
            (2) in subsection (d)(3), by striking ``; and'' and 
        inserting a semicolon;
            (3) in subsection (d)(4), by striking the period at the end 
        and inserting a semicolon;
            (4) in subsection (d), by adding at the end the following:
            ``(5) in the State of Illinois, the ZIP Code of 62060;
            ``(6) in the State of Washington, the ZIP Codes of 98832, 
        98837, 98857, 98930, 98944, 98948, 98951, 98952, 99105, 99144, 
        99159, 99169, 99301, 99320, 99321, 99323, 99324, 99326, 99330, 
        99333, 99335, 99336, 99337, 99338, 99341, 99343, 99344, 99345, 
        99346, 99348, 99349, 99350, 99352, 99353, 99354, 99357, 99359, 
        99360, 99361, 99362, 99363, and 99371;
            ``(7) in the State of Colorado, the Zip Codes of 80002, 
        80003, 80004, 80005, 80007, 80025, 80020, 80021, 80023, 80026, 
        80027, 80030, 80031, 80033, 80202, 80203, 80204, 80205, 80206, 
        80207, 80209, 80210, 80211, 80212, 80216, 80218, 80220, 80221, 
        80222, 80223, 80224, 80229, 80230, 80231, 80233, 80234, 80241, 
        80246, 80247, 80260, 80266, 80303, 80305, 80403, 80601, 80602, 
        80603, 80621, 80640, 81212, 81215, 81221, 81226, 81240, 81244, 
        81246, and 81290; and
            ``(8) in the State of Ohio, the Zip Codes of 45613, 45648, 
        45661, 45690.'';
            (5) in subsection (a)(2)--
                    (A) in subparagraph (A), by striking ``; and'' and 
                inserting ``and contracted a specified disease after 
                such period of physical presence; or''; and
                    (B) by amending subparagraph (B) to read as 
                follows:
                    ``(B) is a member of the petitioner cohort.''; and
            (6) by adding at the end the following:
    ``(h) Petitioner Cohort.--The term `petitioner cohort' means a 
class of individuals designated pursuant to section 7 of this Act.''.

SEC. 4. ADJUSTMENT IN COMPENSATION.

    (a) Downwinder Claims.--Section 4(a) of the Radiation Exposure 
Compensation Act (Public Law 101-426; 42 U.S.C. 2210 note) is amended--
            (1) in paragraph (1)(B), by striking ``$100,000'' and 
        inserting ``$150,000 in addition to the total amount of 
        compensation for which the individual is eligible under 
        paragraph (5)'';
            (2) in paragraph (2)(F) (as redesignated by this Act), by 
        striking ``$100,000'' and inserting ``$150,000 in addition to 
        the total amount of compensation for which the individual is 
        eligible under paragraph (5)''; and
            (3) by adding at the end the following:
            ``(5) Medical benefits.--An individual receiving a payment 
        under this section shall be eligible to receive, upon 
        submission of contemporaneous written medical records, reports, 
        or billing statements created by or at the direction of a 
        licensed medical professional who provided contemporaneous 
        medical care to the claimant, additional compensation in the 
        amount of all documented out-of-pocket medical expenses 
        incurred as a result of the specified disease suffered by that 
        claimant, such as any medical expenses not covered, paid for, 
        or reimbursed through--
                    ``(A) any public or private health insurance;
                    ``(B) any employee health insurance;
                    ``(C) any workers' compensation program; or
                    ``(D) any other public, private, or employee health 
                program or benefit.''.
    (b) Manhattan Project Waste Claims.--Section 5A of the Radiation 
Exposure Compensation Act (Public Law 101-425; 42 U.S.C. 2210 note) is 
amended in subsection (b)(1) by striking ``in an amount that is the 
greater of $50,000 or the total amount of compensation for which the 
individual is eligible under paragraph (2).'' and inserting ``$150,000 
in addition to the total amount of compensation for which the 
individual is eligible under paragraph (2).''.
    (c) Manhattan Project Waste Claims Payments to Beneficiaries of 
Deceased Individuals.--Section 5A of the Radiation Exposure 
Compensation Act (Public Law 101-425; 42 U.S.C. 2210 note) is amended 
in subsection (c) by striking ``$25,000'' in each instance it appears 
and inserting ``$150,000''.

SEC. 5. AFFIDAVITS.

    Section 6(b) of the Radiation Exposure Compensation Act (Public Law 
101-426; 42 U.S.C. 2210 note) is amended by adding at the end the 
following:
            ``(3) Affidavits.--
                    ``(A) Employment history.--For purposes of this 
                Act, the Attorney General shall accept a written 
                affidavit or declaration as evidence to substantiate 
                the employment of an individual as a miner, miller, 
                core driller, or ore transporter if the affidavit--
                            ``(i) is provided in addition to the other 
                        material that may be used to substantiate the 
                        employment history of the individual;
                            ``(ii) attests to the employment history of 
                        the individual;
                            ``(iii) is made subject to the penalty for 
                        perjury; and
                            ``(iv) is made by a person other than the 
                        individual filing the claim.
                    ``(B) Physical presence in affected area.--For 
                purposes of this Act, the Attorney General shall accept 
                a written affidavit or declaration as evidence to 
                substantiate an individual's physical presence in an 
                affected area during a period described in section 
                4(a)(1)(A)(i) or section 4(a)(2) if the affidavit--
                            ``(i) is provided in addition to other 
                        material that may be used to substantiate the 
                        individual's presence in an affected area 
                        during that time period;
                            ``(ii) attests to the individual's presence 
                        in an affected area during that period;
                            ``(iii) is made subject to penalty for 
                        perjury; and
                            ``(iv) is made by a person other than the 
                        individual filing the claim.
                    ``(C) Participation at testing site.--For purposes 
                of this Act, the Attorney General shall accept a 
                written affidavit or declaration as evidence to 
                substantiate an individual's participation onsite in a 
                test involving the atmospheric detonation of a nuclear 
                device if the affidavit--
                            ``(i) is provided in addition to other 
                        material that may be used to substantiate the 
                        individual's participation onsite in a test 
                        involving the atmospheric detonation of a 
                        nuclear device;
                            ``(ii) attests to the individual's 
                        participation onsite in a test involving the 
                        atmospheric detonation of a nuclear device;
                            ``(iii) is made subject to penalty for 
                        perjury; and
                            ``(iv) is made by a person other than the 
                        individual filing the claim.
                    ``(D) Participation in cleanup.--For purposes of 
                this Act, the Attorney General shall accept a written 
                affidavit or declaration as evidence to substantiate an 
                individual's participation onsite in the cleanup of 
                Enewetak Atoll during the period beginning on January 
                1, 1977, and ending on December 31, 1980, if the 
                affidavit--
                            ``(i) is provided in addition to other 
                        material that may be used to substantiate the 
                        individual's participation onsite in the 
                        cleanup of Enewetak Atoll during such period;
                            ``(ii) attests to the individual's 
                        participation onsite in the cleanup of Enewetak 
                        Atoll during such period;
                            ``(iii) is made subject to penalty for 
                        perjury; and
                            ``(iv) is made by a person other than the 
                        individual filing the claim.
                    ``(E) Participation in palomares response effort.--
                For purposes of this Act, the Attorney General shall 
                accept a written affidavit or declaration as evidence 
                to substantiate an individual's participation onsite in 
                the response effort following the collision of a United 
                States Air Force B-52 bomber and refueling aircraft 
                that caused the release of four thermonuclear weapons 
                in the vicinity of Palomares, Spain, during the period 
                beginning January 17, 1966, and ending March 31, 1967, 
                if the affidavit--
                            ``(i) is provided in addition to other 
                        material that may be used to substantiate the 
                        individual's participation onsite in such 
                        response effort during such period;
                            ``(ii) attests to the individual's 
                        participation onsite in such response effort 
                        during such period;
                            ``(iii) is made subject to penalty for 
                        perjury; and
                            ``(iv) is made by a person other than the 
                        individual filing the claim.
                    ``(F) Participation in thule response effort.--For 
                purposes of this Act, the Attorney General shall accept 
                a written affidavit or declaration as evidence to 
                substantiate an individual's participation onsite in 
                the response effort following the on-board fire and 
                crash of a United States Air Force B-52 bomber that 
                caused the release of four thermonuclear weapons in the 
                vicinity of Thule, Greenland, during the period 
                beginning January 21, 1968, and ending September 25, 
                1968, if the affidavit--
                            ``(i) is provided in addition to other 
                        material that may be used to substantiate the 
                        individual's participation onsite in such 
                        response effort during such period;
                            ``(ii) attests to the individual's 
                        participation onsite in such response effort 
                        during such period;
                            ``(iii) is made subject to penalty for 
                        perjury; and
                            ``(iv) is made by a person other than the 
                        individual filing the claim.
                    ``(G) Compensable diseases.--For purposes of this 
                Act, the Attorney General shall accept a written 
                affidavit or declaration as evidence to substantiate an 
                individual's contraction of one of the cancers and 
                diseases enumerated in section 4(b)(2), section 
                5(a)(1)(A)(ii), section 5(b)(3), section 5(b)(6), or 
                section 5A(e), if the affidavit--
                            ``(i) is provided in addition to other 
                        material that may be used to substantiate the 
                        individual's contraction of such cancer or 
                        diseases;
                            ``(ii) attests to the individual's 
                        contraction of such cancer or diseases;
                            ``(iii) is made subject to penalty for 
                        perjury; and
                            ``(iv) is made by a person other than the 
                        individual filing the claim.''.

SEC. 6. CLAIMS SUBMITTED ON BEHALF OF ANOTHER.

    (a) Addition of Authorized Agent as Eligible To File Claims 
Relating to Manhattan Project Waste.--Section 5A(a)(1)(B) of the 
Radiation Exposure Compensation Act (Public Law 101-426; 42 U.S.C. 2210 
note) is amended to read as follows:
                    ``(B) any survivors or representatives of the 
                individual described in section 6(a) and section 
                6(c)(4)(A).''.
    (b) Addition of Authorized Agent as Eligible To File Claims 
Relating to Manhattan Project Waste on Behalf of a Deceased Child.--
Section 5A(c) of the Radiation Exposure Compensation Act (Public Law 
101-426; 42 U.S.C. 2210 note) is amended--
            (1) in paragraph 1 by striking ``or'' at the end;
            (2) in paragraph 2 by striking the period at the end and 
        inserting ``; or''; and
            (3) by adding at the end the following:
            ``(3) any surviving parent or representatives of the 
        individual described in section 6(a) and section 6(c)(4)(A).''.
    (c) Establishing Filing Procedures.--Section 6(a) of the Radiation 
Exposure Compensation Act (Public Law 101-426; 42 U.S.C. 2210 note) is 
amended to read as follows:
    ``(a) Establishment of Filing Procedures.--The Attorney General 
shall establish procedures whereby individuals may submit claims for 
payments under this Act. In establishing procedures under this 
subsection, the Attorney General shall--
            ``(1) take into account and make allowances for the law, 
        tradition, and customs of Indian Tribes (as that term is 
        defined in section 5(b)) and members of Indian Tribes, to the 
        maximum extent practicable; and
            ``(2) accept claims filed by--
                    ``(A) an exposed individual;
                    ``(B) survivors of such an individual as set forth 
                in section 6(c)(4)(A); or
                    ``(C) an authorized agent (as such term is defined 
                in subsection (c)(4)(C)) of such an individual, if the 
                individual is deceased or incapacitated.''.
    (d) Defining Authorized Agent.--Section 6(c)(4)(C) of the Radiation 
Exposure Compensation Act (Public Law 101-426; 42 U.S.C. 2210 note) is 
amended--
            (1) by striking ``and'' at the end of clause (iv);
            (2) by striking the period at the end of clause (v) and 
        inserting ``; and''; and
            (3) by adding to the end the following:
                            ``(vi) an `authorized agent' of an 
                        individual is--
                                    ``(I) an executor or a conservator 
                                of the estate of the individual;
                                    ``(II) a legal guardian, a personal 
                                representative, or a conservator of the 
                                individual;
                                    ``(III) a personal representative 
                                or a conservator of a legal guardian of 
                                the individual; or
                                    ``(IV) a person that the Attorney 
                                General determines is similarly 
                                situated to a person described in 
                                subclauses (I) through (III).''.

SEC. 7. COMPENSABLE CANCERS AND DISEASES.

    The Radiation Exposure Compensation Act (Public Law 101-426; 42 
U.S.C. 2210 note) is amended--
            (1) in section 4(b), by amending paragraph (2) to read as 
        follows:
            ``(2) `specified disease' means leukemia (including chronic 
        lymphocytic leukemia), provided the onset of the disease was at 
        least 2 years after first exposure, and the following diseases, 
        provided onset was at least 2 years after first exposure: 
        multiple myeloma, lymphomas (other than Hodgkin's disease), 
        renal disease, thyroid diseases, and primary cancer of the: 
        thyroid, male or female breast, esophagus, stomach, pharynx, 
        small intestine, pancreas, bile ducts, gall bladder, salivary 
        gland, urinary bladder, brain, colon, ovary, liver (except if 
        cirrhosis or hepatitis B is indicated), bone, renal, rectal, 
        prostate, uterine, cervical, skin, or lung.''; and
            (2) in section 5A(e)(2)--
                    (A) by redesignating subparagraph (C) as 
                subparagraph (E);
                    (B) by inserting after subparagraph (B) the 
                following:
                    ``(C) Renal disease.
                    ``(D) Thyroid disease.''; and
                    (C) in subparagraph (E), as so redesignated--
                            (i) in clause (xvii), by striking ``or'' at 
                        the end;
                            (ii) in clause (xviii), by striking the 
                        period at the end and inserting a semicolon; 
                        and
                            (iii) by inserting at the end the 
                        following:
                            ``(xix) rectal;
                            ``(xx) prostate;
                            ``(xxi) uterine;
                            ``(xxii) cervical; or
                            ``(xxiii) skin.''.

SEC. 8. EXTENSION OF FUND; EXTENSION OF LIMITATIONS ON CLAIMS.

    (a) Extension of Authorization of Fund.--Section 3(d) of the 
Radiation Exposure Compensation Act (Public Law 101-426; 42 U.S.C. 2210 
note) is amended by striking ``2028'' and inserting ``2043''.
    (b) Extension of Limitation on Claims.--Section 9(a) of the 
Radiation Exposure Compensation Act (Public Law 101-426; 42 U.S.C. 2210 
note) (as redesignated by section 10 of this Act) is amended by 
striking ``2027'' and inserting ``2042''.

SEC. 9. PREVIOUSLY SUCCESSFUL CLAIMS.

    (a) In General.--After the date of enactment of this Act, any 
claimant who received compensation under the Radiation Exposure 
Compensation Act (Public Law 101-426; 42 U.S.C. 2210 note) may submit a 
request to the Attorney General for additional compensation and 
benefits. Such request shall contain--
            (1) the claimant's name, social security number, and date 
        of birth;
            (2) the amount of award received under the Radiation 
        Exposure Compensation Act (Public Law 101-426; 42 U.S.C. 2210 
        note) before the date of enactment of this Act;
            (3) any additional benefits and compensation sought through 
        such request; and
            (4) any additional information required by the Attorney 
        General.
    (b) Additional Compensation.--If the claimant received compensation 
under the Radiation Exposure Compensation Act (Public Law 101-426; 42 
U.S.C. 2210 note) before the date of enactment of this Act and submits 
a request described in subsection (a), the Attorney General shall--
            (1) pay the claimant the amount that is equal to any excess 
        of--
                    (A) the amount the claimant is eligible to receive 
                under the Radiation Exposure Compensation Act (Public 
                Law 101-426; 42 U.S.C. 2210 note) as amended by this 
                Act; minus
                    (B) the aggregate amount paid to the claimant under 
                the Radiation Exposure Compensation Act (Public Law 
                101-426; 42 U.S.C. 2210 note) before the date of 
                enactment of this Act; and
            (2) in any case in which the claimant was compensated under 
        section 4 of the Radiation Exposure Compensation Act (Public 
        Law 101-426; 42 U.S.C. 2210 note), provide the claimant with 
        medical benefits under section 4(a)(5) of the Radiation 
        Exposure Compensation Act (Public Law 101-426; 42 U.S.C. 2210 
        note).

SEC. 10. ADDITIONAL CLASSES OF INDIVIDUALS AS ELIGIBLE APPLICANTS; 
              ESTABLISHMENT OF DISCRETIONARY AUTHORITY.

    (a) Leukemia Age Restrictions.--Section 5A(e)(1) of the Radiation 
Exposure Compensation Act (Public Law 101-426; 42 U.S.C. 2210 note) is 
amended by striking ``the initial exposure occurred after 20 years of 
age and''.
    (b) Physical Presence Requirements.--Section 5A(f)(1) of the 
Radiation Exposure Compensation Act (Public Law 101-426; 42 U.S.C. 2210 
note) is amended--
            (1) in subparagraph (A) by striking ``2 years'' and 
        inserting ``1 year''; and
            (2) in subparagraph (B) by striking ``2 years'' and 
        inserting ``1 year''.
    (c) Authority.--The Radiation Exposure Compensation Act (Public Law 
101-426; 42 U.S.C. 2210 note) is amended--
            (1) by redesignating sections 7 through 13 as sections 8 
        through 14, respectively; and
            (2) by inserting after section 6 the following:

``SEC. 7. DESIGNATION OF ADDITIONAL CLASSES OF INDIVIDUALS.

    ``(a) Advice on Additional Individuals.--
            ``(1) The Attorney General shall advise the President 
        whether there is a class of individuals who likely were exposed 
        to radiation as a result of atmospheric nuclear testing, 
        uranium mining, uranium milling, uranium core drilling, or 
        Manhattan Project waste disposal but who are not currently 
        eligible for compensation under this Act.
            ``(2) The advice of the Attorney General under paragraph 
        (1) shall be based on exposure assessments by radiation health 
        professionals, information provided by the Department of 
        Energy, the Department of Defense, and the Department of Health 
        and Human Services and such other information as the Attorney 
        General considers appropriate.
            ``(3) The President shall request advice under paragraph 
        (1) after consideration of petitions by classes of individuals 
        described in that paragraph for such advice. The President 
        shall consider such petitions pursuant to procedures 
        established by the President.
    ``(b) Designation of Additional Individuals.--Subject to the 
provisions of this Act, the members of a class of individuals who 
likely were exposed to radiation as a result of atmospheric nuclear 
testing, uranium mining, uranium milling, uranium core drilling, or 
Manhattan Project waste disposal, may be treated as members of the 
petitioner cohort eligible under an existing claimant category, or if 
needed, a new claimant category for purposes of the compensation 
program if the President, upon recommendation of the Attorney General, 
determines that--
            ``(1) such class of individuals are not currently covered 
        under this Act;
            ``(2) there is a reasonable likelihood that such radiation 
        dose may have endangered the health of members of the class; 
        and
            ``(3) such a determination is aligned with the purposes of 
        this Act.
    ``(c) Deadlines.--
            ``(1) Not later than 180 days after the date on which the 
        President receives a petition for designation as members of the 
        petitioner cohort, the Secretary of Energy and the Secretary of 
        Health and Human Services shall submit to the Attorney General 
        a recommendation on that petition, including all supporting 
        documentation.
            ``(2) Upon receipt by the President of a recommendation of 
        the Attorney General that the President should determine in the 
        affirmative that paragraphs (1) and (2) of subsection (b) apply 
        to a class, the President shall have a period of 30 days in 
        which to determine whether such paragraphs apply to the class 
        and to submit that determination (whether affirmative or 
        negative) to Congress.''.

SEC. 11. STUDY OF RADIOLOGICAL FALLOUT IMPACTS IN THE COMMONWEALTH OF 
              THE NORTHERN MARIANA ISLANDS.

    (a) Study Required.--Not later than 18 months after the date of the 
enactment of this Act, the Secretary of Energy, in consultation with 
the Administrator of the National Nuclear Security Administration, the 
Secretary of Health and Human Services, the heads of other relevant 
Federal departments and agencies, and the National Academies of 
Sciences, Engineering, and Medicine, shall conduct a study to determine 
the extent to which radioactive fallout resulting from atmospheric 
nuclear weapons testing conducted by the United States in the Pacific 
Proving Grounds, including the Marshall Islands, during the period 
beginning in 1946 and ending in 1962 (in this section referred to as 
``covered testing'') may have affected residents of the Commonwealth of 
the Northern Mariana Islands.
    (b) Elements.--The study under subsection (a) shall include--
            (1) a review of historical records, meteorological data, 
        environmental monitoring data, fallout modeling, declassified 
        documents, and other relevant information relating to covered 
        testing;
            (2) an assessment of the extent to which radioactive 
        fallout resulting from covered testing reached inhabited areas 
        of the Commonwealth of the Northern Mariana Islands, including 
        Saipan, Tinian, and Rota;
            (3) an evaluation of potential radiation doses received by 
        individuals residing in the Commonwealth of the Northern 
        Mariana Islands during the period specified in subsection (a) 
        as a result of covered testing, and any associated health 
        risks;
            (4) an identification of any gaps in available data 
        necessary to assess historical radiation exposure experienced 
        by such individuals, and recommendations for additional 
        research necessary to address such gaps;
            (5) an assessment of whether the levels of radiation 
        exposure identified pursuant to paragraph (3) would be 
        comparable to radiation exposure levels experienced by 
        populations eligible, or previously eligible, for compensation 
        under the Radiation Exposure Compensation Act (Public Law 101-
        426; 42 U.S.C. 2210 note); and
            (6) a determination of whether the available evidence 
        supports extending eligibility for compensation under such Act, 
        or any successor compensation program, to individuals who 
        resided in the Commonwealth of the Northern Mariana Islands 
        during the period specified in subsection (a).
    (c) Report.--
            (1) Submission to congress.--Not later than 18 months after 
        the date of the enactment of this Act, the Secretary of Energy 
        shall submit to the appropriate congressional committees a 
        report containing the findings and recommendations of the study 
        under subsection (a).
            (2) Form.--The report under paragraph (1) shall be 
        submitted in unclassified form, but may include a classified 
        annex.
            (3) Public availability.--The Secretary of Energy shall 
        make the unclassified portion of the report under paragraph (1) 
        publicly available on a website of the Department of Energy.
    (d) Appropriate Congressional Committees Defined.--In this section, 
the term ``appropriate congressional committees'' means--
            (1) the Committee on Armed Services, the Committee on the 
        Judiciary, the Committee on Energy and Commerce, and the 
        Committee on Natural Resources of the House of Representatives; 
        and
            (2) the Committee on Armed Services, the Committee on the 
        Judiciary, and the Committee on Energy and Natural Resources of 
        the Senate.

SEC. 12. STUDIES AND INFORMATION ON HEALTH OF RECA CLAIMANTS AND 
              DESCENDANTS.

    (a) National Institutes of Health Study on Qualified Cancers.--
            (1) Study.--Not later than 90 days after the date of the 
        enactment of this Act, the Director of the National Institutes 
        of Health shall conduct a study to evaluate the health, 
        specifically with respect to qualified cancer incident rates, 
        among covered descendants.
            (2) Report.--Not later than 90 days after the date on which 
        the study under paragraph (1) is completed, the Director of the 
        National Institutes of Health shall submit to the Congress a 
        report on such study.
    (b) National Institutes of Health Study on Qualified Thyroid 
Illness.--
            (1) Study.--Not Later than 90 days after the date of the 
        enactment of this act, the Director of the National Institutes 
        of Health shall conduct a study to evaluate the health, 
        specifically with respect to qualified thyroid illness, among--
                    (A) qualified individuals and covered descendants; 
                and
                    (B) qualified individuals who participated in any 
                study for which a Federal agency was the sponsor, 
                relating to radiation exposure and related illness.
            (2) Report.--Not later than 90 days after the date on which 
        the study under paragraph (1) is completed, the Director of the 
        National Institutes of Health shall submit to the Congress a 
        report on such study.
    (c) Collaboration With Other Entities.--In carrying out the studies 
described in subsection (a) and subsection (b), the Director of the 
National Institutes of Health may enter into agreements with the 
Secretary of Defense, the Secretary of Energy, the heads of other 
relevant Federal departments and agencies, and the National Academies 
of Science, Engineering, and Medicine.
    (d) Database on International Radiation Exposure.--Not later than 1 
year after the date of the enactment of this Act, the Director of the 
National Institutes of Health, in consultation with the Secretary of 
State, shall seek to enter into a partnership or partnerships with 
relevant foreign health ministries and organizations under which such 
the Director and such ministries and organizations will establish an 
international information system tracking the various studies on 
international radiation exposure and identifying populations of 
interest for additional study.
    (e) Authorization of Appropriations.--There are authorized to be 
appropriated such funds as are needed to carry out this section, for 
the period of fiscal years 2027 through 2032, to remain available until 
expended.
    (f) Definitions.--In this Act:
            (1) Qualified individual.--The term ``qualified 
        individual'' means an individual who--
                    (A) is described in--
                            (i) subsection (a)(1)(A)(i) of section 4 of 
                        the Radiation Exposure Compensation Act (Public 
                        Law 101-426; 42 U.S.C. 2210 note);
                            (ii) subsection (a) of section 5 of the 
                        Radiation Exposure Compensation Act (Public Law 
                        101-426; 42 U.S.C. 2210 note); or
                            (iii) section 5A of the Radiation Exposure 
                        Compensation Act (Public Law 101-426; 42 U.S.C. 
                        2210 note); and
                    (B) has received payment pursuant to a claim 
                submitted under the Radiation Exposure Compensation Act 
                (Public Law 101-426; 42 U.S.C. 2210 note).
            (2) Covered descendant.--The term ``covered descendant'' 
        means a direct descendant of an individual described in 
        paragraph (1).
            (3) Qualified cancer.--The term qualified cancer means any 
        cancer that is listed as a specified diseases under section 
        4(b), section 5(a)(ii), or section 5A(e) of the Radiation 
        Exposure Compensation Act (Public Law 101-426; 42 U.S.C. 2210 
        note) and such other cancer as may be specified by the 
        Secretary of Health and Human Services.
            (4) Qualified thyroid illnesses.--The term ``qualified 
        thyroid illness'' means any illness relating to the thyroid 
        that is listed as a specified diseases under section 4(b) or 
        section 5A(e) of the Radiation Exposure Compensation Act 
        (Public Law 101-426; 42 U.S.C. 2210 note) and such other 
        illness relating to the thyroid as may be specified by the 
        Secretary of Health and Human Services.
    (g) National Radiation Exposure Screening and Education Program.--
Section 527C(b)(1) of the Public Health Service Act (42 U.S.C. 285a-
9(b)(1)) is amended by inserting ``or a covered descendent (as defined 
in section 12(e) of the Radiation Exposure Compensation Reauthorization 
Act of 2026'' after ``note)''.

SEC. 13. RESEP CLINICS; ADDITIONAL FUNDS.

    (a) Geographical Distribution of Awards.--The Secretary of Health 
and Human Services, acting through the Administrator of the Health 
Resources and Services Administration, shall, to the extent 
practicable, take the steps necessary to ensure that grants awarded 
under section 527C(b)(1) of the Public Health Service Act (42 U.S.C. 
285a-9(b)(1)) are distributed to applicants as follows:
            (1) At least 3 in Utah, including at least one in the 
        northern counties of Utah.
            (2) At least one in Idaho.
            (3) At least 3 in Arizona, including at least one in the 
        southern counties of Arizona.
            (4) At least 2 in Nevada.
            (5) At least 2 in Colorado.
            (6) At least one in Montana.
            (7) At least one in Missouri.
            (8) At least one in Kentucky.
            (9) At least one in Tennessee.
            (10) At least one in Guam.
            (11) At least one in the eastern counties of Washington.
            (12) At least one in the southern counties of Ohio.
            (13) At least 2 in New Mexico.
    (b) Mobile Clinics.--In addition to the requirements under 
subsection (a), the Secretary of Health and Human Services, acting 
through the Administrator of the Health Resources and Services 
Administration, shall, to the extent practicable, ensure that no less 
than four awards are made to applicants who propose the operation of 
mobile units in rural areas located in one of the States or U.S. 
territories listed in subsection (a).
    (c) Appropriations.--There is hereby appropriated the following 
amounts to carry out this section:
            (1) $11,500,000 for Fiscal Year 2027.
            (2) $11,879,000 for Fiscal Year 2028.
            (3) $12,270,000 for Fiscal Year 2029.
            (4) $12,673,000 for Fiscal Year 2030.
            (5) $13,090,000 for Fiscal Year 2031.
            (6) $13,521,000 for Fiscal Year 2032.
            (7) $13,966,000 for Fiscal Year 2033.
            (8) $14,425,000 for Fiscal Year 2034.
            (9) $14,900,000 for Fiscal Year 2035.
            (10) $15,390,000 for Fiscal Year 2036.
            (11) $15,896,000 for Fiscal Year 2037.
            (12) $16,419,000 for Fiscal Year 2038.
            (13) $16,959,000 for Fiscal Year 2039.
            (14) $17,517,000 for Fiscal Year 2040.
            (15) $18,094,000 for Fiscal Year 2041.

SEC. 14. EFFECTIVE DATE FOR CLAIMS.

    The amendments made by this Act shall take effect as if included in 
the enactment of Public Law 119-21.
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