II 119THCONGRESS 1 STSESSION S. 201 To provide for a study by the National Academies of Sciences, Engineering, and Medicine on the prevalence and mortality of cancer among individ- uals who served as active duty aircrew in the Armed Forces, and for other purposes. IN THE SENATE OF THE UNITED STATES JANUARY23, 2025 Mr. K ELLY(for himself and Mr. COTTON) introduced the following bill; which was read twice and referred to the Committee on Veterans’ Affairs A BILL To provide for a study by the National Academies of Sciences, Engineering, and Medicine on the prevalence and mortality of cancer among individuals who served as active duty aircrew in the Armed Forces, 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 ‘‘ACES Act’’. 4 VerDate Sep 11 2014 02:56 Feb 19, 2025 Jkt 059200 PO 00000 Frm 00001 Fmt 6652 Sfmt 6201 E:\BILLS\S201.IS S201 kjohnson on DSK7ZCZBW3PROD with $$_JOB 2 •S 201 IS SEC. 2. NATIONAL ACADEMIES STUDY ON PREVALENCE 1 AND MORTALITY OF CANCER AMONG INDI-2 VIDUALS WHO SERVED AS ACTIVE DUTY AIR-3 CREW IN THE ARMED FORCES. 4 (a) I NGENERAL.—The Secretary of Veterans Affairs 5 shall enter into an agreement with the National Academies 6 of Sciences, Engineering, and Medicine (in this section re-7 ferred to as the ‘‘National Academies’’), under which the 8 National Academies shall conduct a study on the preva-9 lence and mortality of cancers among covered individuals. 10 (b) S TUDY.—The study required under subsection (a) 11 shall— 12 (1) identify exposures associated with military 13 occupations of covered individuals, including relating 14 to chemicals, compounds, agents, and other phe-15 nomena; 16 (2) review the literature to determine associa-17 tions between exposures referred to in paragraph (1) 18 and the incidence or prevalence of overall cancer 19 morbidity, overall cancer mortality, and increased in-20 cidence or prevalence of— 21 (A) brain cancer; 22 (B) colon and rectal cancers; 23 (C) kidney cancer; 24 (D) lung cancer; 25 (E) melanoma skin cancer; 26 VerDate Sep 11 2014 02:56 Feb 19, 2025 Jkt 059200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\S201.IS S201 kjohnson on DSK7ZCZBW3PROD with $$_JOB 3 •S 201 IS (F) non-Hodgkin lymphoma; 1 (G) pancreatic cancer; 2 (H) prostate cancer; 3 (I) testicular cancer; 4 (J) thyroid cancer; 5 (K) urinary bladder cancer; and 6 (L) other cancers as determined appro-7 priate by the Secretary of Veterans Affairs, in 8 consultation with the National Academies; and 9 (3) determine, to the extent possible, the preva-10 lence of and mortality from the cancers specified in 11 paragraph (2) among covered individuals by using 12 available sources of data, which may include— 13 (A) health care and other administrative 14 databases of the Department of Veterans Af-15 fairs, the Department of Defense, and the indi-16 vidual Services, respectively; 17 (B) the national death index maintained by 18 the National Center for Health Statistics of the 19 Centers for Disease Control and Prevention; 20 and 21 (C) the study conducted under section 750 22 of the William M. (Mac) Thornberry National 23 Defense Authorization Act for Fiscal Year 2021 24 (Public Law 116–283; 134 Stat. 3716). 25 VerDate Sep 11 2014 02:56 Feb 19, 2025 Jkt 059200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\S201.IS S201 kjohnson on DSK7ZCZBW3PROD with $$_JOB 4 •S 201 IS (c) REPORT.—At the conclusion of the study required 1 under subsection (a), the National Academies shall submit 2 to the Secretary and to the Committee on Veterans’ Af-3 fairs of the Senate and the Committee on Veterans’ Af-4 fairs of the House of Representatives a report containing 5 the results of the study described in subsection (b). 6 (d) C OVEREDINDIVIDUALDEFINED.—In this sec-7 tion, the term ‘‘covered individual’’ means an individual 8 who served on active duty in the Army, Navy, Air Force, 9 or Marine Corps as an aircrew member of a fixed-wing 10 aircraft, including as a pilot, navigator, weapons systems 11 operator, aircraft system operator, or any other crew 12 member who regularly flew in a fixed-wing aircraft. 13 Æ VerDate Sep 11 2014 02:56 Feb 19, 2025 Jkt 059200 PO 00000 Frm 00004 Fmt 6652 Sfmt 6301 E:\BILLS\S201.IS S201 kjohnson on DSK7ZCZBW3PROD with $$_JOB