HOUSE AMENDED
        PRIOR PRINTER'S NOS. 1537, 1865, 1913         PRINTER'S NO. 2209

THE GENERAL ASSEMBLY OF PENNSYLVANIA


SENATE BILL

No. 1159 Session of 1983


        INTRODUCED BY SHAFFER, PECORA, REIBMAN, HELFRICK, ANDREZESKI,
           STAPLETON, O'CONNELL AND SHUMAKER, NOVEMBER 30, 1983

        AS REPORTED FROM COMMITTEE ON FEDERAL-STATE RELATIONS, HOUSE OF
           REPRESENTATIVES, AS AMENDED, JUNE 27, 1984

                                     AN ACT

     1  Amending the act of April 29, 1982 (P.L.355, No.99), entitled
     2     "An act establishing a Vietnam Herbicides Information
     3     Commission; imposing powers and duties on the commission;
     4     granting additional powers and duties to the Department of
     5     Health and making an appropriation," designating dioxin as a
     6     specific herbicide to be studied by the commission; extending
     7     the life of the commission; extending the deadline for making
     8     its final report; empowering the commission to initiate an
     9     epidemiological study; revising content requirements of
    10     report forms; and making an editorial change.

    11     The General Assembly of the Commonwealth of Pennsylvania
    12  hereby enacts as follows:
    13     Section 1.  Sections 2, 3, 4, 5, 6, 7, 8, 9 and 12 of the act
    14  of April 29, 1982 (P.L.355, No.99), known as the Vietnam
    15  Herbicides Information Act, are reenacted and amended to read:
    16  Section 2.  Definitions.
    17     The following words and phrases when used in this act shall
    18  have, unless the context clearly indicates otherwise, the
    19  meanings given to them in this section:
    20     "Agent Orange."  The herbicide composed of [tri-chlorphenoxy


     1  acitic] trichlorophenoxyacetic acid and [di-chlorphenoxyacitic]
     2  dichorophenoxyacetic acid and the contaminant dioxin (TCDD).
     3     "Commission."  The Vietnam Herbicides Information Commission
     4  established pursuant to section 3.
     5     "Department."  The Department of Health of the Commonwealth
     6  of Pennsylvania.
     7     "Secretary."  The Secretary of Health of the Commonwealth of
     8  Pennsylvania.
     9     "Veteran."  A person who was a resident of the Commonwealth
    10  at the time of his induction into the Armed Forces of the United
    11  States of America or is a resident of this Commonwealth who
    12  served in the armed forces during the years 1961-1972.
    13     "Vietnam herbicide."  The herbicides, defoliants and other
    14  causative agents containing dioxin, including Agent Orange, used
    15  in the Vietnam Conflict.
    16     Section 3.  The Vietnam Herbicides Information Commission.
    17     (a)  There is hereby created within the Department of Health
    18  an advisory commission to be known as the Vietnam Herbicides
    19  Information Commission. This commission on Vietnam herbicides
    20  exposure is to obtain information relating to the health effects
    21  of exposure to herbicides containing dioxin and other causative
    22  agents for Vietnam veteran residents of the [State] Commonwealth
    23  of Pennsylvania who may have been exposed to these substances
    24  during their period of military service.
    25     (b)  The commission shall consist of 15 members who shall
    26  serve for [a term of two years] AN INITIAL TERM ENDING JUNE 30,   <--
    27  1985. The Governor shall appoint the Secretary of Health, the
    28  Adjutant General of the Department of Military Affairs, the
    29  Chairman of the State Veterans Commission, the President of the
    30  Pennsylvania War Veterans Council and nine other members of whom
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     1  five shall be honorably discharged veterans of the Vietnam
     2  Conflict with at least one veteran selected from each of the
     3  five areas covered by the Governor's Veterans Outreach Centers;
     4  of the remaining members to be appointed by the Governor, one
     5  shall be an epidemiologist selected from the State public health
     6  and medical schools, one shall be a health environmentalist
     7  selected from the State public health and medical schools and
     8  one shall be a toxicologist selected from the State public
     9  health and medical schools and one shall be a specialist in
    10  public health selected from the State public health and medical
    11  schools. The Speaker of the House of Representatives shall
    12  appoint one member of the House to the commission. The President
    13  pro tempore of the Senate shall appoint one member of the Senate
    14  to the commission.
    15     (c)  The commission shall be chaired by the Secretary of the
    16  Department of Health.
    17     (d)  Vacancies in the membership of the commission and its
    18  officers shall be filled for the unexpired term in the same
    19  manner as the original appointment or election.
    20     (e)  The commission shall meet at least four times each year
    21  at the call of the chairperson. The initial meeting of the
    22  commission shall be called by the Secretary of Health not later
    23  than July 1, 1982.
    24     (f)  The commission shall be established [for a period of two
    25  years] until April 30, 1987 AND CONTINUE IN EXISTENCE UNTIL JUNE  <--
    26  30, 1985.
    27     (g)  The members of the commission shall receive no
    28  compensation for their services but shall be allowed their
    29  actual and necessary expenses incurred in the performance of
    30  their duties hereunder.
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     1  Section 4.  Powers and duties of the commission.
     2     The commission shall have the following powers and duties:
     3         (1)  Determine what medical, administrative and social
     4     assistance is needed for veterans who were exposed to Vietnam
     5     herbicides and submit its recommendations to the Legislature
     6     for its consideration.
     7         (2)  Conduct an extensive outreach program which would
     8     coordinate and supplement the outreach efforts of the
     9     Department of Military Affairs, the State Veterans
    10     Commission, the Pennsylvania War Veterans Council, county
    11     directors of veterans affairs, the Governor's Outreach and
    12     Assistance Centers and other organizations to inform veterans
    13     who may have been exposed to herbicides containing dioxin of
    14     any Federal or State assistance available to them.
    15         (3)  Act as the official agent of the State for
    16     disseminating information to veterans about epidemiological
    17     or other studies relating to Vietnam herbicides exposure
    18     which are being conducted by the Federal or State Government.
    19  Section 5.  Cooperation with other agencies.
    20     To the maximum extent feasible, the commission shall be
    21  entitled to request and receive and shall utilize and be
    22  provided with such facilities, resources and data of any court,
    23  department, division, board, bureau, commission or agency of the
    24  [State] Commonwealth or any political subdivision thereof as it
    25  may reasonably request to carry out properly its powers and
    26  duties hereunder.
    27  Section 6.  Information to be confidential.
    28     The commission shall not disclose information received
    29  pursuant to this act so as to divulge the identities of the
    30  persons to whom it relates except as is necessary to carry out
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     1  the purposes of this act.
     2  Section 7.  Reports.
     3     The commission shall make a preliminary report to the
     4  Governor and the Legislature of its findings, conclusions and
     5  recommendations not later than November 30, 1982 and a final
     6  report of its findings, conclusions and recommendations not
     7  later than [June 30, 1983] April 30, 1987 JUNE 30, 1985.          <--
     8  Section 8.  Duties of the Department of Health.
     9     For the purpose of identifying persons who were exposed to
    10  Vietnam herbicides and for the purpose of compiling data on the
    11  health effects of this exposure, the department shall:
    12         (1)  Establish, promote and maintain a public information
    13     program on Vietnam herbicides. Such program shall be
    14     coordinated with the Department of Military Affairs and the
    15     Governor's Outreach and Assistance Centers and shall include,
    16     but may not be limited to, assistance in the commission's
    17     efforts to contact veterans who were exposed to the herbicide
    18     containing dioxin.
    19         (2)  Establish, maintain and promote a reporting process
    20     for veterans who were exposed to herbicides, defoliants and
    21     other causative agents, including Agent Orange.
    22         (3)  Maintain a central data bank within the department
    23     for information collected on the health effects of exposure
    24     to Vietnam herbicides and for the cataloguing of existing
    25     scientific and medical literature on the health effects of
    26     this exposure.
    27         (4)  Initiate education for health professionals to
    28     assist them in understanding the potential risks and state-
    29     of-art knowledge with regard to detection, diagnosis and
    30     treatment of acute and chronic symptoms associated with
    19830S1159B2209                  - 5 -

     1     Vietnam herbicides exposure. The education component should
     2     utilize existing resources, such as the informational films
     3     prepared by the Veterans Administration, whenever possible.
     4         (5)  Initiate an epidemiological study or studies of the
     5     health effects of exposure to herbicides, defoliants and
     6     other causative agents, including Agent Orange.
     7  Section 9.  Reports to the department.
     8     (a)  A physician who has primary responsibility for treating
     9  a veteran who believes he may have been exposed to chemical
    10  herbicides or defoliants, including Agent Orange, while serving
    11  in the Armed Forces of the United States, shall, at the request
    12  of the veteran, submit a report to the department on a form
    13  provided by the department. If there is no physician having
    14  primary responsibility for treating the veteran, the hospital
    15  treating the veteran shall, at the request of the veteran,
    16  submit the report to the department.
    17     (b)  The form provided by the department to the physician
    18  shall be similar in content to the forms being used by the
    19  Veterans Administration in their Agent Orange Registry Program
    20  and shall request the following information:
    21         (1)  Symptoms of the veteran.
    22         (2)  Diagnosis of the veteran.
    23         (3)  Methods of treatment prescribed.
    24         [(4)  Dates of military service in Vietnam and the
    25     locations in Vietnam where the veteran served.]
    26     (c)  The department may require the veteran to provide such
    27  other information as determined by the secretary of the
    28  department.
    29  Section 12.  Report by department.
    30     The department shall make an annual report to the Legislature
    19830S1159B2209                  - 6 -

     1  of its findings and recommendations concerning the
     2  effectiveness, impact and benefits derived from the special
     3  policies as provided for in this act. Such report shall be
     4  delivered on or before March 1 and shall contain evaluations of
     5  the policies and any legislation deemed necessary and proper to
     6  the House Federal-State Relations [Committee] and Military and
     7  Veterans Affairs Committees and the Senate Military and Veterans
     8  Affairs Committee.
     9     Section 2.  The act of April 29, 1982 (P.L.355, No.99), known
    10  as the Vietnam Herbicides Information Act, and the commission
    11  established thereby shall terminate on April 30, 1987 JUNE 30,    <--
    12  1985.
    13     Section 3.  This act shall take effect immediately and shall
    14  be retroactive to April 30 29, 1984.                              <--











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