S.Amdt. 4326

SA 4326. Mr. BURR (for himself and Mr. Tillis) submitted an amendment
intended to be proposed to amendment SA 3867 submitted by Mr. Reed and
intended to be proposed to the bill H.R. 4350, to authorize
appropriations for fiscal year 2022 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 G of title X, add the following:

SEC. 1064. REVIEW OF ILLNESSES AND CONDITIONS RELATING TO
VETERANS STATIONED AT CAMP LEJEUNE, NORTH
CAROLINA AND THEIR FAMILY MEMBERS.

(a) Review and Publication of Illness or Condition.--Part P
of title III of the Public Health Service Act (42 U.S.C. 280g
et seq.) is amended by adding at the end the following:

``SEC. 399V-7. REVIEW AND PUBLICATION OF ILLNESSES AND
CONDITIONS.

``Consistent with section 104(i) of the Comprehensive
Environmental Response, Compensation, and Liability Act of
1980, not later than 1 year after the date of enactment of
this section, and not less frequently than once every 3 years
thereafter, the Secretary, acting through the Administrator
of the Agency for Toxic Substances and Disease Registry,
shall--
``(1)(A) review the scientific literature relevant to the
relationship between the employment or residence of
individuals at Camp Lejeune, North Carolina for not fewer
than 30 days during the period beginning on August 1, 1953,
and ending on December 31, 1987, and specific illnesses or
conditions incurred by those individuals;
``(B) determine each illness or condition for which there
is evidence that exposure to a toxic substance at Camp
Lejeune, North Carolina, during the period specific in
subparagraph (A) may be a cause of the illness or condition;
and
``(C) with respect to each illness or condition for which a
determination has been made under subparagraph (B),
categorize the evidence of the connection of the illness or
condition to exposure described in that subparagraph as--
``(i) sufficient to conclude with reasonable confidence
that the exposure is a cause of the illness or condition;
``(ii) modest supporting causation, but not sufficient to
conclude with reasonable confidence that exposure is a cause
of the illness or condition; or
``(iii) no more than limited supporting causation;
``(2) publish in the Federal Register and on the Internet
website of the Department of Health and Human Services--
``(A) a list of each illness or condition for which a
determination has been made under paragraph (1)(B), including
the categorization of the evidence of causal connection
relating to the illness or condition under paragraph (1)(C);
and
``(B) the bibliographic citations for all literature
reviewed under paragraph (1) for each illness or condition
listed under such paragraph; and
``(3) update the list under paragraph (2), as applicable,
to add an illness or condition for which a determination has
been made under paragraph (1)(B), including the
categorization of the evidence of causal connection relating
to the illness or condition under paragraph (1)(C), since
such list was last updated consistent with the requirements
of this section.''.
(b) Eligibility for Health Care From Department of Veterans
Affairs.--
(1) In general.--Section 1710(e)(1)(F) of title 38, United
States Code, is amended--
(A) by redesignating clauses (i) through (xv) as subclauses
(I) through (XV), respectively;
(B) by striking ``(F) Subject to'' and inserting ``(F)(i)
Subject to'';
(C) by striking ``any of the following'' and inserting
``any of the illnesses or conditions for which the evidence
of connection of the illness or condition to exposure to a
toxic substance at Camp Lejeune, North Carolina, during such
period is categorized as sufficient or modest in the most
recent list published under section 399V-7(2) of the Public
Health Service Act, which may include any of the following'';
and
(D) by adding at the end the following new clause:
``(ii) For the purposes of ensuring continuation of care,
any veteran who has been furnished hospital care or medical
services under this subparagraph for an illness or condition
shall remain eligible for hospital

[[Page S7868]]

care or medical services for such illness or condition
notwithstanding that the evidence of connection of such
illness or condition to exposure to a toxic substance at Camp
Lejeune, North Carolina, during the period described in
clause (i) is not categorized as sufficient or modest in the
most recent list published under section 399V-7(2) of the
Public Health Service Act.''.
(2) Family members.--Section 1787 of such title is amended
by adding at the end the following new subsection:
``(c) Continuation of Care.--For the purposes of ensuring
continuation of care, any individual who has been furnished
hospital care or medical services under this section for an
illness or condition shall remain eligible for hospital care
or medical services for such illness or condition
notwithstanding that the illness or condition is no longer
described in section 1710(e)(1)(F) of this title.''.
(3) Transfer of amounts for program.--Notwithstanding any
other provision of law, for each of fiscal years 2022 and
2023, the Secretary of Veterans Affairs shall transfer
$2,000,000 from amounts made available to the Department of
Veterans Affairs for medical support and compliance to the
Chief Business Office and Financial Services Center of the
Department to be used to continue building and enhancing the
claims processing system, eligibility system, and web portal
for the Camp Lejeune Family Member Program of the Department.
______