Sec. 443. MEDICAL MONITORING AND RESEARCH RELATING TO HUMAN SPACE FLIGHT
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## SEC. 443 MEDICAL MONITORING AND RESEARCH RELATING TO HUMAN SPACE FLIGHT ###
(a)In general Subchapter III of chapter 201 of title 51, United States Code, as amended by section 305 of this Act, is further amended by adding at the end the following: > > ## “§ 20149 Medical monitoring and research relating to human space flight > > **[**[51 U.S.C. 20149](/us/usc/t51/s20149)**]** > > > ### “(a) In general > > Notwithstanding any other provision of law, the Administrator may provide for— > > > #### “(1) > > the medical monitoring and diagnosis of a former United States government astronaut or a former payload specialist for conditions that the Administrator considers potentially associated with human space flight; and > > > #### “(2) > > the treatment of a former United States government astronaut or a former payload specialist for conditions that the Administrator considers associated with human space flight, including scientific and medical tests for psychological and medical conditions. > > > ### “(b) Requirements > > > #### “(1) No cost sharing > > The medical monitoring, diagnosis, or treatment described in subsection
(a)shall be provided without any deductible, copayment, or other cost sharing obligation. > > > #### “(2) Access to local services > > The medical monitoring, diagnosis, and treatment described in subsection
(a)may be provided by a local health care provider if it is unadvisable due to the health of the applicable former United States government astronaut or former payload specialist for that former United States government astronaut or former payload specialist to travel to the Lyndon B. Johnson Space Center, as determined by the Administrator. > > > #### “(3) Secondary payment > > Payment or reimbursement for the medical monitoring, diagnosis, or treatment described in subsection
(a)shall be secondary to any obligation of the United States Government or any third party under any other provision of law or contractual agreement to pay for or provide such medical monitoring, diagnosis, or treatment. Any costs for items and services that may be provided by the Administrator for medical monitoring, diagnosis, or treatment under subsection
(a)that are not paid for or provided under such other provision of law or contractual agreement, due to the application of deductibles, copayments, coinsurance, other cost sharing, or otherwise, are reimbursable by the Administrator on behalf of the former United States government astronaut or former payload specialist involved to the extent such items or services are authorized to be provided by the Administrator for such medical monitoring, diagnosis, or treatment under subsection (a). > > > #### “(4) Conditional payment > > The Administrator may provide for conditional payments for or provide medical monitoring, diagnosis, or treatment described in subsection
(a)that is obligated to be paid for or provided by the United States or any third party under any other provision of law or contractual agreement to pay for or provide such medical monitoring, diagnosis, or treatment if— > > > ##### “(A) > > payment for (or the provision of) such medical monitoring, diagnosis, or treatment services has not been made (or provided) or cannot reasonably be expected to be made (or provided) promptly by the United States or such third party, respectively; and > > > ##### “(B) > > such payment (or such provision of services) by the Administrator is conditioned on reimbursement by the United States or such third party, respectively, for such medical monitoring, diagnosis, or treatment. > > > ### “(c) Exclusions > > The Administrator may not— > > > #### “(1) > > provide for medical monitoring or diagnosis of a former United States government astronaut or former payload specialist under subsection
(a)for any psychological or medical condition that is not potentially associated with human space flight; > > > #### “(2) > > provide for treatment of a former United States government astronaut or former payload specialist under subsection
(a)for any psychological or medical condition that is not associated with human space flight; or > > > #### “(3) > > require a former United States government astronaut or former payload specialist to participate in the medical monitoring, diagnosis, or treatment authorized under subsection (a). > > > ### “(d) Privacy > > Consistent with applicable provisions of Federal law relating to privacy, the Administrator shall protect the privacy of all medical records generated under subsection
(a)and accessible to the Administration. > > > ### “(e) Regulations > > The Administrator shall promulgate such regulations as are necessary to carry out this section. > > > ### “(f) Definition of United States Government Astronaut > > In this section, the term ‘**United States government astronaut**’ has the meaning given the term ‘**government astronaut**’ in section 50902, except it does not include an individual who is an international partner astronaut. > > > ### “(g) Data Use and Disclosure > > The Administrator may use or disclose data acquired in the course of medical monitoring, diagnosis, or treatment of a former United States government astronaut or a former payload specialist under subsection (a), in accordance with subsection (d). Former United States government astronaut or former payload specialist participation in medical monitoring, diagnosis, or treatment under subsection
(a)shall constitute consent for the Administrator to use or disclose such data.” > . ###
(b)Table of Contents **[**[51 U.S.C. 20101](/us/usc/t51/s20101)**]** The table of contents for chapter 201 of title 51, United States Code, as amended by section 305 of this Act, is further amended by inserting after the item relating to section 20148 the following:" “20149. Medical monitoring and research relating to human space flight.” ". ###
(c)Annual Reports **[**[51 U.S.C. 20149 note](/us/usc/t51/s20149)**]** ####
(1)In general Each fiscal year, not later than the date of submission of the President’s annual budget request for that fiscal year under section 1105 of title 31, United States Code, the Administrator shall publish a report, in accordance with applicable Federal privacy laws, on the activities of the Administration under section 20149 of title 51, United States Code. ####
(2)Contents Each report under paragraph
(1)shall include a detailed cost accounting of the Administration’s activities under section 20149 of title 51, United States Code, and a 5-year budget estimate. ####
(3)Submission to congress The Administrator shall submit to the appropriate committees of Congress each report under paragraph
(1)not later than the date of submission of the President’s annual budget request for that fiscal year under section 1105 of title 31, United States Code. ###
(d)Cost Estimate ####
(1)Requirement Not later than 90 days after the date of enactment of this Act, the Administrator shall enter into an arrangement with an independent external organization to undertake an independent cost estimate of the cost to the Administration and the Federal Government to implement and administer the activities of the Administration under section 20149 of title 51, United States Code. The independent external organization may not be a NASA entity, such as the Office of Safety and Mission Assurance. ####
(2)Submittal to congress Not later than 1 year after the date of the enactment of this Act, the Administrator shall submit to the appropriate committees of Congress the independent cost estimate under paragraph (1). ###
(e)Privacy Study ####
(1)Study The Administrator shall carry out a study on any potential privacy or legal issues related to the possible sharing beyond the Federal Government of data acquired under the activities of the Administration under section 20149 of title 51, United States Code. ####
(2)Report Not later than 270 days after the date of enactment of this Act, the Administrator shall submit to the appropriate committees of Congress a report containing the results of the study carried out under paragraph (1). ###
(f)Inspector General Audit **[**[51 U.S.C. 20149 note](/us/usc/t51/s20149)**]** The Inspector General of NASA shall periodically audit or review, as the Inspector General considers necessary to prevent waste, fraud, and abuse, the activities of the Administration under section 20149 of title 51, United States Code. # TITLE V ADVANCING SPACE SCIENCE
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