[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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