S.Amdt. 3343

1. Adds SEC. 3147. LIMITATION ON USE OF FUND FOR CONTRACT FOR NATIONWIDE MEDICAL SCREENING OF DEPARTMENT OF ENERGY WORKERS EXPOSED TO HAZARDOUS OR RADIOACTIVE SUBSTANCES on page 408, between lines 9 and 10

   Adds a sectionPrinted page

   Inserted: SEC. 3147. LIMITATION ON USE OF FUND FOR CONTRACT FOR NATIONWIDE MEDICAL SCREENING OF DEPARTMENT OF ENERGY WORKERS EXPOSED TO HAZARDOUS OR RADIOACTIVE SUBSTANCES.

   Inserted: (a) Limitation.--The Secretary of Energy may not obligate or expend any funds for the evaluation, award, execution, implementation, or administration of a nationwide contract or cooperative agreement for medical screening of Department of Energy workers exposed to hazardous or radioactive substances under the program under section 4643 of the Atomic Energy Defense Act (50 U.S.C. 2733) until the accomplishment of each of the following:

   Inserted: (1) The Secretary of Energy enters into an agreement with the Secretary of Health and Human Services through the National Institute for Occupational Safety and Health on the program as required by subsection (c) of such section.

   Inserted: (2) The Secretary of Energy consults with the Director of the National Institute for Occupational Safety and Health on the means, methods, and implementation plans for medical screening of such workers, as currently proposed by the Secretary of Energy, in order to address--

   Inserted: (A) the performance of site-specific hazard identification and risk assessments to determine the appropriate methods and means for identifying health affects;

   Inserted: (B) the methods for ensuring the collaboration and participation of workers and their representatives;

   Inserted: (C) the establishment of local advisory committees of individuals and stakeholder organizations with knowledge of the site concerned or the ability to contribute to the appropriate methods of screening, or both;

   Inserted: (D) the participation of local health care providers with knowledge and expertise in the field of occupational medicine;

   Inserted: (E) the implementation of site-specific education and outreach to former workers;

   Inserted: (F) physician independence in such medical screening;

   Inserted: (G) requirements for ongoing medical evaluations under such section;

   Inserted: (H) early lung cancer detection using advanced technology; and

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   Inserted: (I) lessons learned from medical screening pilot projects previously conducted at Department of Energy facilities.

   Inserted: (3) The Secretary of Energy consults with organizations listed in subsection (b)(3) of such section on matters relating to the program under subsection (b)(1) of such section and paragraph (2) of this subsection.

   Inserted: (4) The Secretary of Energy submits to the congressional defense committees a report setting forth--

   Inserted: (A) the assessment and recommendations of the Secretary of Health and Human Services on the program, which assessment and recommendations shall be based upon internal review and peer review of the program by the National Institute of Occupational Safety and Health;

   Inserted: (B) the recommendations of the organizations listed in subsection (b)(3) of such section;

   Inserted: (C) a description of the manner in which the Secretary has taken into account the recommendations of the National Institute of Occupational Safety and Health and the organizations listed in subsection (b)(3) of such section in modifying program; and

   Inserted: (D) the proposed schedule of the Secretary for a revised request for applications for such contract or contracts for medical screening, including a description of the manner in which the revisions to the program, if any, conform to the recommendations of the National Institute of Occupational Safety and Health and the organizations listed in subsection (b)(3) of such section.

   Inserted: (b) Deadline for Report.--The report referred to in subsection (a)(4) shall be submitted not later than 120 days after the date of the enactment of this Act.

   Inserted: (c) Existing Medical Screening Programs Unaffected.--Nothing in this section shall be construed to affect the implementation of any medical screening program for former workers exposed to hazardous or radioactive substances that was in effect during fiscal year 2004.

   Original wording

   On page 408, between lines 9 and 10, insert the following:

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As printed