S.Amdt. 6249

1. Adds SEC. ___. RED HILL EPIDEMIOLOGICAL HEALTH OUTCOMES STUDY at the appropriate place in title X

   Adds a section

   Inserted: SEC. ___. RED HILL EPIDEMIOLOGICAL HEALTH OUTCOMES STUDY.

   Inserted: (a) In General.--The Secretary of Health and Human Services, in consultation with the Secretary of Defense, the Secretary of Veterans Affairs, and such State and local health authorities or other partners as the Secretary of Health and Human Services considers appropriate, shall conduct an epidemiological study or studies for a period of not less than 20 years to assess health outcomes for impacted individuals of the Red Hill Incident.

   Inserted: (b) Additional Contracts.--The Secretary of Health and Human Services may contract with independent research institutes or consultants, nonprofit or public entities, laboratories, or medical schools, as the Secretary considers appropriate, that are not part of the Federal Government to assist with the feasibility assessment required by subsection (d) and the study or studies under subsection (a).

   Inserted: (c) Funding.--Without regard to section 2215 of title 10, United States Code, the Secretary of the Defense is authorized to provide, from amounts made available to such Secretary, no less than $4,000,000 for fiscal year 2023 for the Secretary of Health and Human Services to carry out the assessment under subsection (d), and such sums as may be necessary to complete the study or studies under subsection (a).

   Inserted: (d) Feasability Assessment.--Not later than one year after the date of the enactment of this Act, the Secretary of Health and Human Services shall submit to the appropriate congressional committees the results of a feasibility assessment to inform the design of the epidemiological study or studies to assess health outcomes for impacted individuals and a plan for such study or studies under subsection (a), which shall include--

   Inserted: (1) a strategy to recruit impacted individuals to participate in the study or studies, including incentives for participation;

   Inserted: (2) a description of protocols and methodology to be used in the study or studies, including data management to secure the privacy and security of the personal information of impacted individuals; and

   Inserted: (3) the periodicity for data collection that takes into account the differences between health care practices among impacted individuals who are--

   Inserted: (A) members of the Armed Forces on active duty or spouses or dependents of such members;

   Inserted: (B) members of the Armed Forces separating from active duty or spouses or dependents of such members;

   Inserted: (C) veterans and other individuals with access to health care from the Department of Veterans Affairs; and

   Inserted: (D) individuals without access to health care from the Department of Defense or the Department of Veterans Affairs;

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   Inserted: (4) a description of methodologies to analyze data received from the study or studies to determine possible connections between exposure to water contaminated during the Red Hill Incident and adverse impacts to the health of impacted individuals;

   Inserted: (5) an identification of criteria to evaluate the advisability of enlarging the study or studies to include potentially impacted individuals; and

   Inserted: (6) steps that will be taken to provide study participants with information on available resources and services.

   Inserted: (e) Potentially Impacted Individuals.--

   Inserted: (1) In general.--The Secretary of Health and Human Services may enlarge the scope of the study or studies under subsection (a) to include potentially impacted individuals based on--

   Inserted: (A) the request of a potentially impacted individual, as applicable;

   Inserted: (B) the recommendation of the Secretary of Defense, the Secretary of Veterans Affairs, or any contracted party under subsection (b);

   Inserted: (C) the criteria identified in subsection (d)(5); or

   Inserted: (D) other exigent circumstances.

   Inserted: (2) Treatment of potentially impacted individuals.--If, under paragraph (1), the Secretary enlarges the scope of the study or studies under subsection (a), potentially impacted individuals shall be treated as impacted individuals for purposes of this section.

   Inserted: (f) Notifications; Briefings.--

   Inserted: (1) In general.--Not later than one year after the completion of the feasibility assessment under subsection (d), and annually thereafter, the Secretary of Health and Human Services shall--

   Inserted: (A) brief the appropriate congressional committees on the interim findings of the study or studies; and

   Inserted: (B) notify impacted individuals on the interim findings of the study or studies.

   Inserted: (2) Final notification.--Upon completion of the study or studies under subsection (a), the Secretary of Health and Human Services shall notify the appropriate congressional committees and all impacted individuals of the completion of the study or studies and the publication of the final report under subsection (g)(2).

   Inserted: (g) Reports.--

   Inserted: (1) Annual reports.--Not later than one year after the date of the commencement of the study or studies under subsection (a), and annually thereafter, the Secretary of Health and Human Services shall publish on the website of the Department of Health and Human Services a report on the interim findings of the study or studies.

   Inserted: (2) Final report.--Upon completion of the study or studies under subsection (a), the Secretary of Health and Human Services--

   Inserted: (A) shall publish on a publicly available internet website of the Department of Health and Human Services a report on the findings of the study or studies; and

   Inserted: (B) may publish such report in a scientific publication.

   Inserted: (h) Definitions.--In this section:

   Inserted: (1) Appropriate congressional committees.--The term "appropriate congressional committees" means--

   Inserted: (A) the Committee on Health, Education, Labor, and Pensions of the Senate;

   Inserted: (B) the Committee on Armed Services and the Subcommittee on Defense of the Committee on Appropriations of the Senate;

   Inserted: (C) the Committee on Veterans' Affairs of the Senate;

   Inserted: (D) the Committee on Energy and Commerce of the House of Representatives;

   Inserted: (E) the Committee on Armed Services and the Subcommittee on Defense of the Committee on Appropriations of the House of Representatives; and

   Inserted: (F) the Committee on Veterans' Affairs of the House of Representatives.

   Inserted: (2) Impacted individual.--The term "impacted individual" means an individual who, at the time of the Red Hill Incident, lived or worked in a building or residence served by the community water system at Joint Base Pearl Harbor-Hickam, Oahu, Hawaii.

   Inserted: (3) Potentially impacted individual.--The term "potentially impacted individual" means an individual who, after the Red Hill Incident, lived or worked in a building or residence served by the community water system at Joint Base Pearl Harbor-Hickam, Oahu, Hawaii.

   Inserted: (4) Red hill incident.--The term "Red Hill Incident" means the release of fuel from the Red Hill Bulk Fuel Storage Facility, Oahu, Hawaii, into the sole-source basal aquifer located 100 feet below the facility, contaminating the community water system at Joint Base Pearl Harbor-Hickam on November 20, 2021.

   The amendment doesn't say where this goes; the clerk decides.

   Original wording

   At the appropriate place in title X, insert the following:

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As printed