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II
116TH CONGRESS
2D SESSION
S. 4363
To establish a presumption of occupational disease for certain employees
at the Department of Energy’s Radioactive Waste Management Complex,
to refine the definition of compensable illnesses, to establish a research
program, and for other purposes.
IN THE SENATE OF THE UNITED STATES
JULY 29, 2020
Mrs. MURRAY introduced the following bill; which was read twice and referred
to the Committee on Health, Education, Labor, and Pensions
A BILL
To establish a presumption of occupational disease for cer-
tain employees at the Department of Energy’s Radio-
active Waste Management Complex, to refine the defini-
tion of compensable illnesses, to establish a research
program, and for other purposes.
Be it enacted by the Senate and House of Representa-
1
tives of the United States of America in Congress assembled,
2
SECTION 1. SHORT TITLE.
3
This Act may be cited as the ‘‘Toxic Exposure Safety
4
Act of 2020’’.
5
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•S 4363 IS
SEC. 2. ESTABLISHING A TOXIC SPECIAL EXPOSURE CO-
1
HORT.
2
(a) EXPANSION OF COVERED EMPLOYEES AND DEFI-
3
NITION OF COVERED ILLNESSES UNDER SUBTITLE E.—
4
Section 3671 of the Energy Employees Occupational Ill-
5
ness Compensation Program Act of 2000 (42 U.S.C.
6
7385s) is amended—
7
(1) in paragraph (1)—
8
(A) by striking ‘‘employee determined
9
under’’ and inserting the following: ‘‘employee
10
determined—
11
‘‘(A) under’’;
12
(B) by striking the period at the end and
13
inserting ‘‘; or’’; and
14
(C) by adding at the end the following:
15
‘‘(B) to have contracted a covered illness
16
and be a member of the Toxic Special Exposure
17
Cohort established under section 3671A.’’; and
18
(2) by striking paragraph (2) and inserting the
19
following:
20
‘‘(2) The term ‘covered illness’ means an occu-
21
pational illness or death resulting from exposure to
22
a toxic substance, including—
23
‘‘(A) all forms of cancer;
24
‘‘(B) mesothelioma;
25
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‘‘(C) pneumoconiosis, including silicosis,
1
asbestosis, and other pneumoconiosis, and other
2
asbestos-related diseases, including asbestos-re-
3
lated pleural disease;
4
‘‘(D) any illness identified in a health stud-
5
ies report under section 5(f)(4) of the Toxic Ex-
6
posure Safety Act of 2020 or a report under
7
section 3615(f)(2)(D); and
8
‘‘(E) any additional illness that the Sec-
9
retary of Health and Human Services des-
10
ignates by regulation, as such Secretary deter-
11
mines appropriate based on—
12
‘‘(i) the results of the report under
13
section 3671A(c); and
14
‘‘(ii) the determinations made by such
15
Secretary in establishing a Toxic Special
16
Exposure Cohort under section 3671A.’’.
17
(b) DESIGNATION OF TOXIC SPECIAL EXPOSURE CO-
18
HORT.—Subtitle E of the Energy Employees Occupational
19
Illness Compensation Program Act of 2000 (42 U.S.C.
20
7385s et seq.) is amended by inserting after section 3671
21
the following:
22
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‘‘SEC. 3671A. ESTABLISHMENT OF THE TOXIC SPECIAL EX-
1
POSURE COHORT.
2
‘‘(a) CERTAIN DESIGNATIONS.—The Secretary of
3
Health and Human Services, acting through the Director
4
of the Centers for Disease Control and Prevention—
5
‘‘(1) shall establish a Toxic Special Exposure
6
Cohort; and
7
‘‘(2) as the Secretary determines appropriate in
8
accordance with the rules promulgated under sub-
9
section (b), may designate classes of Department of
10
Energy employees, Department of Energy contractor
11
employees, or atomic weapons employees as members
12
of the Toxic Special Exposure Cohort.
13
‘‘(b) PROMULGATION OF RULES.—Not later than 1
14
year after the date of enactment of the Toxic Exposure
15
Safety Act of 2020, the Secretary of Health and Human
16
Services shall promulgate rules—
17
‘‘(1) establishing a process to determine wheth-
18
er there are classes of Department of Energy em-
19
ployees, Department of Energy contractor employ-
20
ees, or other classes of employees employed at any
21
Department of Energy facility—
22
‘‘(A) who were at least as likely as not ex-
23
posed to toxic substances at a Department of
24
Energy facility; and
25
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‘‘(B) for whom the Secretary of Health
1
and Human Services has determined, after tak-
2
ing into consideration the recommendations of
3
the Advisory Board on Toxic Substances and
4
Worker Health on the matter, that it is not fea-
5
sible to estimate with sufficient accuracy the
6
dose they received; and
7
‘‘(2) regarding how the Secretary of Health and
8
Human Services will designate employees, or classes
9
of employees, described in paragraph (1) as mem-
10
bers of the Toxic Special Exposure Cohort estab-
11
lished under subsection (a)(1), which shall include a
12
requirement that the Secretary shall make initial de-
13
terminations regarding such designations.
14
‘‘(c) REPORT TO CONGRESS.—
15
‘‘(1) IN GENERAL.—Not later than 180 days
16
after the date of enactment of the Toxic Exposure
17
Safety Act of 2020, the Secretary of Health and
18
Human Services shall submit to the relevant com-
19
mittees of Congress a report that identifies each of
20
the following:
21
‘‘(A) A list of cancers and other illnesses
22
associated with toxic substances that pose, or
23
posed, a hazard in the work environment at any
24
Department of Energy facility.
25
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‘‘(B) The minimum duration of work re-
1
quired to qualify for the Toxic Special Exposure
2
Cohort established under subsection (a)(1).
3
‘‘(C) The class of employees that are des-
4
ignated as members in the Toxic Special Expo-
5
sure Cohort.
6
‘‘(2) RELEVANT
COMMITTEES
OF
CONGRESS
7
DEFINED.—In this subsection, the term ‘relevant
8
committees of Congress’ means—
9
‘‘(A) the Committee on Armed Services,
10
Committee on Appropriations, Committee on
11
Energy and Natural Resources, and the Com-
12
mittee on Health, Education, Labor, and Pen-
13
sions of the Senate; and
14
‘‘(B) the Committee on Armed Services,
15
Committee on Appropriations, Committee on
16
Energy and Commerce, and the Committee on
17
Education and Labor of the House of Rep-
18
resentatives.’’.
19
(c) ALLOWING SUBTITLE B CLAIMS FOR ELIGIBLE
20
EMPLOYEES WHO ARE MEMBERS OF THE TOXIC SPECIAL
21
EXPOSURE COHORT.—Section 3621(1) of the Energy
22
Employees Occupational Illness Compensation Program
23
Act of 2000 (42 U.S.C. 7384l(1)) is amended by adding
24
at the end the following:
25
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‘‘(D) A Department of Energy employee or
1
atomic weapons employee who—
2
‘‘(i) has contracted a covered illness
3
(as defined in section 3671); and
4
‘‘(ii) satisfies the requirements estab-
5
lished by the Secretary of Health and
6
Human Services for the Toxic Special Ex-
7
posure Cohort under section 3671A.’’.
8
(d) CLARIFICATION OF TOXIC SUBSTANCE EXPO-
9
SURE FOR COVERED ILLNESSES.—Section 3675(c)(1) of
10
the Energy Employees Occupational Illness Compensation
11
Program Act of 2000 (42 U.S.C. 7385s–4(c)(1)) is
12
amended by inserting ‘‘(including chemicals or combina-
13
tions or mixtures of a toxic substance, including heavy
14
metals, and radiation)’’ after ‘‘toxic substance’’ each place
15
such term appears.
16
SEC. 3. PROVIDING INFORMATION REGARDING DEPART-
17
MENT OF ENERGY FACILITIES.
18
Subtitle E of the Energy Employees Occupational Ill-
19
ness Compensation Program Act of 2000 (42 U.S.C.
20
7385s et seq.) is amended by inserting after section 3681
21
the following:
22
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‘‘SEC. 3681A. COMPLETION AND UPDATES OF SITE EXPO-
1
SURE MATRICES.
2
‘‘(a) DEFINITION.—In this section, the term ‘site ex-
3
posure matrices’ means an exposure assessment of a De-
4
partment of Energy facility that identifies—
5
‘‘(1) the toxic substances or processes that were
6
commonly used in each building or process of the fa-
7
cility, including the trade name (if any) of the sub-
8
stance; and
9
‘‘(2) the time frame during which the potential
10
for exposure to toxic substances existed at such fa-
11
cility.
12
‘‘(b) IN GENERAL.—Not later than 180 days after
13
the date of enactment of the Toxic Exposure Safety Act
14
of 2020, the Secretary of Labor shall, in coordination with
15
the Secretary of Energy, create or update site exposure
16
matrices for each Department of Energy facility based on
17
the records, files, and other data provided by the Secretary
18
of Energy and such other information as is available, in-
19
cluding information available from the former worker
20
medical screening programs of the Department of Energy.
21
‘‘(c) PERIODIC UPDATE.—Beginning 90 days after
22
the initial creation or update described in subsection (b),
23
and each 90 days thereafter, the Secretary shall update
24
the site exposure matrices with all information available
25
as of such time from the Secretary of Energy.
26
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‘‘(d) INFORMATION.—The Secretary of Energy shall
1
furnish to the Secretary of Labor any information that
2
the Secretary of Labor finds necessary or useful for the
3
production of the site exposure matrices under this sec-
4
tion, including records from the Department of Energy
5
former worker medical screening program.
6
‘‘(e) PUBLIC AVAILABILITY.—The Secretary of Labor
7
shall make available to the public, on the primary website
8
of the Department of Labor—
9
‘‘(1) the site exposure matrices, as periodically
10
updated under subsections (b) and (c);
11
‘‘(2) each site profile prepared under section
12
3633(a);
13
‘‘(3) any other database used by the Secretary
14
of Labor to evaluate claims for compensation under
15
this Act; and
16
‘‘(4) statistical data, in the aggregate and
17
disaggregated by each Department of Energy facil-
18
ity, regarding—
19
‘‘(A) the number of claims filed under this
20
subtitle and the number of claims filed by mem-
21
bers of the Toxic Special Exposure Cohort who
22
are covered under subtitle B;
23
‘‘(B) the illnesses claimed;
24
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‘‘(C) the number of claims filed for each
1
illness and, for each claim, whether the claim
2
was approved or denied;
3
‘‘(D) the number of claimants receiving
4
compensation; and
5
‘‘(E) the length of time required to process
6
each claim, as measured from the date on which
7
the claim is filed to the final disposition of the
8
claim.
9
‘‘(f) FUNDING.—There is authorized and hereby ap-
10
propriated to the Secretary of Energy, for fiscal year 2021
11
and each succeeding year, such sums as may be necessary
12
to support the Secretary of Labor in creating or updating
13
the site exposure matrices.’’.
14
SEC. 4. ASSISTING CURRENT AND FORMER EMPLOYEES
15
UNDER THE EEOICPA.
16
(a) PROVIDING INFORMATION
AND OUTREACH.—
17
Subtitle A of the Energy Employees Occupational Illness
18
Compensation Program Act of 2000 (42 U.S.C. 7384d et
19
seq.) is amended—
20
(1) by redesignating section 3614 as section
21
3616; and
22
(2) by inserting after section 3613 the fol-
23
lowing:
24
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‘‘SEC. 3614. INFORMATION AND OUTREACH.
1
‘‘(a) ESTABLISHMENT OF TOLL-FREE INFORMATION
2
PHONE NUMBER.—By not later than January 1, 2022,
3
the Secretary of Labor shall establish a toll-free phone
4
number that current or former employees of the Depart-
5
ment of Energy, or current or former Department of En-
6
ergy contractor employees, may use in order to receive in-
7
formation regarding—
8
‘‘(1) the compensation program under subtitle
9
B or E;
10
‘‘(2) information regarding the process of sub-
11
mitting a claim under either compensation program;
12
‘‘(3) assistance in completing the occupational
13
health questionnaire required as part of a claim
14
under subtitle B or E;
15
‘‘(4) the next steps to take if a claim under
16
subtitle B or E is accepted or denied; and
17
‘‘(5) such other information as the Secretary
18
determines necessary to further the purposes of this
19
title.
20
‘‘(b) ESTABLISHMENT OF RESOURCE AND ADVOCACY
21
CENTERS.—
22
‘‘(1) IN GENERAL.—By not later than January
23
1, 2022, the Secretary of Energy, in coordination
24
with the Secretary of Labor, shall establish a re-
25
source and advocacy center at each Department of
26
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Energy facility where cleanup operations are being
1
carried out, or have been carried out, under the en-
2
vironmental management program of the Depart-
3
ment of Energy. Each such resource and advocacy
4
center shall assist current or former Department of
5
Energy employees and current or former Depart-
6
ment of Energy contractor employees, by enabling
7
the employees and contractor employees to—
8
‘‘(A) receive information regarding all re-
9
lated programs available to them relating to po-
10
tential claims under this title, including—
11
‘‘(i) programs under subtitles B and
12
E; and
13
‘‘(ii)
the
former
worker
medical
14
screening program of the Department of
15
Energy; and
16
‘‘(B) navigate all such related programs.
17
‘‘(2) COORDINATION.—The Secretary of Energy
18
shall integrate other programs available to current
19
and former employees, and current or former De-
20
partment of Energy contractor employees, which are
21
related to the purposes of this title, with the re-
22
source and advocacy centers established under para-
23
graph (1), as appropriate.
24
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