[Congressional Record Volume 169, Number 120 (Thursday, July 13, 2023)]
[Senate]
[Page S2626]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]
SA 474. Ms. KLOBUCHAR submitted an amendment intended to be proposed
by her to the bill S. 2226, to authorize appropriations for fiscal year
2024 for military activities of the Department of Defense, for military
construction, and for defense activities of the Department of Energy,
to prescribe military personnel strengths for such fiscal year, and for
other purposes; which was ordered to lie on the table; as follows:
At the end of subtitle A of title VII, add the following:
SEC. 707. REVISION OF THE PRIMARY AND PREVENTIVE HEALTH CARE
POLICY OF THE DEPARTMENT OF DEFENSE TO PROVIDE
ENHANCED COLORECTAL CANCER SCREENING STANDARD
FOR MEMBERS OF THE UNIFORMED SERVICES WHO
SERVED IN LOCATIONS ASSOCIATED WITH TOXIC
EXPOSURE.
(a) In General.--Section 1074d of title 10, United States
Code, is amended--
(1) in subsection (a)--
(A) in paragraph (1), by striking ``subsection (b)'' and
inserting ``subsection (c)''; and
(B) in paragraph (2), by striking ``consider appropriate.''
and inserting ``determine meet or exceed national standards
for preventive care services, including screening under
subsection (b).'';
(2) by redesignating subsection (b) as subsection (c); and
(3) by inserting after subsection (a) the following new
subsection (b):
``(b) Enhanced Colorectal Cancer Screening Standard for
Members of the Uniformed Services Exposed to Toxic
Substances.--(1) Under the policy developed under subsection
(a)(2), any member of the uniformed services who, during
active service, was deployed in support of a contingency
operation in a location and during a period specified in
paragraph (2), is entitled to a colorectal cancer screening,
which may include a colonoscopy, fecal occult blood testing,
sigmoidoscopy, or other colon cancer screening, by a health
care provider of the Department of Defense beginning on the
date that is five years after the first day of qualifying
service for such member and thereafter at a frequency as
recommended by the United States Preventive Services Task
Force.
``(2) The locations and periods specified in this paragraph
are the following:
``(A) Iraq during following periods:
``(i) The period beginning on August 2, 1990, and ending on
February 28, 1991.
``(ii) The period beginning on March 19, 2003, and ending
on such date as the Secretary of Defense determines burn pits
are no longer used in Iraq.
``(B) 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:
``(i) Kuwait.
``(ii) Saudi Arabia.
``(iii) Oman.
``(iv) Qatar.
``(C) 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.
``(D) 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.
``(E) 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.
``(F) 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.
``(G) 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.
``(H) 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.
``(I) 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.
``(J) 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 (Public Law
112-260;38 U.S.C. 527 note).
``(K) Such other locations and corresponding periods as the
Secretary may determine appropriate in a report submitted
under paragraph (3).
``(3) Not later than two years after the date of the
enactment of the CPT Rafael Barbosa Enhanced Colorectal
Cancer Screening Standard for Toxic Exposed Members of the
Uniformed Services Act, and not less frequently than once
every two years thereafter, the Secretary of Defense shall
submit to Congress a report specifying other locations and
corresponding periods for purposes of paragraph (2)(K).
``(4) A location under this subsection shall not include
any body of water around or any airspace above such location.
``(5) In this subsection, the term `burn pit' means an area
of land that--
``(A) is used for disposal of solid waste by burning in the
outdoor air; and
``(B) does not contain a commercially manufactured
incinerator or other equipment specifically designed and
manufactured for the burning of solid waste.''.
(b) Report on Colorectal Cancer Rates for Members of the
Uniformed Services Deployed to Certain Areas.--
(1) In general.--Not later than two years after the date of
the enactment of this Act, the Secretary of Defense shall
submit to the Committee on Armed Services of the Senate and
the Committee on Armed Services of the House of
Representatives a report that compares the rates of
colorectal cancer among members of the uniformed services
deployed to the locations and during the periods specified in
section 1074d(b) of title 10, United States Code, as added by
subsection (a), as compared to members of the uniformed
services who were not deployed to those locations during
those periods and to the civilian population.
(2) Uniformed services defined.--In this subsection, the
term ``uniformed services'' has the meaning given that term
in section 101(a)(5) of title 10, United States Code.
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