Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,

SECTION 1. SHORT TITLE; REFERENCES TO TITLE 38, UNITED STATES CODE; TABLE OF CONTENTS.

1. SHORT TITLE.—This Act may be cited as the “Sergeant First Class Heath Robinson Honoring our Promise to Address Comprehensive Toxics Act of 2022” or the “Honoring our PACT Act of 2022”.

Sergeant First Class Heath Robinson Honoring our Promise to Address Comprehensive Toxics Act of 2022. 38 USC 101 note.

1. STUDY.—Not later than 180 days after the date of the enactment of this Act, the Secretary of Veterans Affairs shall enter into an agreement with the National Academies of Sciences, Engineering, and Medicine for the conduct of a study on the health trends of veterans who, while serving in the active military, naval, air, or space service—
   1. participated in activities relating to the Manhattan Project (including activities relating to covered waste) in connection with such service; or

1. 2. resided at or near, as determined by the Secretary, the locations described in subsection (b).

2. COVERED LOCATIONS.—The locations described in this subsection are the following locations:
   1. In the county of St. Louis, Missouri, the following:
      1. Coldwater Creek, Missouri.
      2. The St. Louis Airport Site, Missouri.
      3. The West Lake Landfill.
   2. Oak Ridge, Tennessee.
   3. Hanford, Washington.

4. Any other location that is proximate to covered waste, as determined by the Secretary.

3. ELEMENTS.—The study under subsection (a) shall assess, with respect to each veteran included in the study, the following:
   1. The age, sex, and race of the veteran.
   2. The period and location of exposure to covered waste.
   3. Any type of cancer, or other illness associated with toxic exposure, that the veteran has.

4. A comparison of the overall health condition of the veteran, including any illness of the veteran identified pursuant to paragraph (3), with the overall health condition of past and present civilian populations residing at the same location of exposure, as determined by the Secretary.

4. REPORT.—Not later than three years after the date of the enactment of this Act, the Secretary shall submit to the Committee on Veterans’ Affairs of the Senate and the Committee on Veterans’ Affairs of the House of Representatives a report on the study under subsection (a) and include in such report an analysis of the data available and data reliability.
5. DEFINITIONS.—In this section:
   1. ACTIVE MILITARY, NAVAL, AIR, OR SPACE SERVICE; TOXIC EXPOSURE.—The terms “active military, naval, air, or space service” and “toxic exposure” have the meanings given those terms in section 101 of title 38, United States Code, as added by section 102(b).
   2. COVERED WASTE.—The term “covered waste” means any waste arising from activities carried out in connection with the Manhattan Project.
   3. ILLNESS.—The term “illness” has the meaning given that term in section 1171 of title 38, United States Code, as added by section 202.
   4. TOXIC EXPOSURE.—The term “toxic exposure” has the meaning given such term in section 101 of title 38, United States Code, as amended by section 102(b).