Radiation Exposure Compensation Reauthorization Act of 2026

This Act may be cited as the “Radiation Exposure Compensation Reauthorization Act of 2026”.

Section 4 of the Radiation Exposure Compensation Act (Public Law 101–426; 42 U.S.C. 2210 note) is amended—

(1) in subsection (a)—

(A) in paragraph (1)(A)(i)—

(i) in subclause (I), by striking “1962” in each place it appears and inserting “1992”;

(ii) in subclause (III)—

(I) by striking “1962” in each place it appears and inserting “1992”; and

(II) by striking “or” at the end;

(iii) by striking subclause (IV); and

(iv) by inserting after subclause (III) the following:

“(IV) was physically present in an affected area—

(aa) for a period of at least 1 year during the period beginning on July 1, 1946, and ending on November 6, 1992; or

(bb) for the period beginning on April 25, 1962, and ending on November 6, 1962; or

(V) participated—

(aa) onsite in a test involving the atmospheric detonation of a nuclear device; or

(bb) onsite in the radiological cleanup of Enewetak Atoll during the period beginning on January 1, 1977, and ending on December 31, 1980; or

(cc) onsite in the response effort following the collision of a United States Air Force B–52 bomber and refueling aircraft that caused the release of four thermonuclear weapons in the vicinity of Palomares, Spain, during the period beginning January 17, 1966, and ending March 31, 1967; or

(dd) onsite in the response effort following the on-board fire and crash of a United States Air Force B–52 bomber that caused the release of four thermonuclear weapons in the vicinity of Thule Air Force Base, Greenland, during the period beginning January 21, 1968, and ending September 25, 1968;

(VI) is a member of the petitioner cohort; and”; and

(B) in paragraph (2)—

(i) in subparagraph (A), by striking “1962” each place it appears and inserting “1992”;

(ii) in subparagraph (C)—

(I) by striking “1962” each place it appears and inserting “1992”; and

(II) by striking “or” at the end;

(iii) by redesignating subparagraph (D) as subparagraph (F); and

(iv) by inserting after subparagraph (C) the following:

“(D) was physically present in an affected area—

(i) for a period of at least 1 year during the period beginning on July 1, 1946, and ending on November 6, 1992; or

(ii) for the period beginning on April 25, 1962, and ending on November 6, 1962;

(E) is a member of the petitioner cohort; or”; and

(2) in subsection (b)—

(A) in paragraph (1)—

(i) in subparagraph (A)—

(I) in the matter preceding clause (i), by striking “subparagraph (B)” and inserting “subparagraphs (B) and (C)”;

(II) in clause (i), by striking “and Idaho” and inserting “Idaho, Colorado, and Montana”;

(III) in clause (ii), by striking “, the counties of White Pine, Nye, Lander, Lincoln, Eureka, and that portion of Clark County that consists of townships 13 through 16 at ranges 63 through 71”;

(IV) in clause (iii), by striking “, the counties of Coconino, Yavapai, Navajo, Apache, and Gila, and Mohave”; and

(V) by adding at the end the following:

“(iv) the territory of Guam; and”; and

(ii) by adding at the end the following:

“(C) with respect to a claim by an individual under subsection (a)(1)(A)(i)(IV) or (a)(2)(D), only Guam.”; and

(B) by adding at the end the following:

“(3) “petitioner cohort” means a class of individuals designated pursuant to section 7 of this Act.”.

Section 5A of the Radiation Exposure Compensation Act (Public Law 101–426; 42 U.S.C. 2210 note), as added by section 110204 of Public Law 119–21, is amended—

(1) in subsection (d)(1), to read as follows:

“(1) in the State of Missouri, the ZIP Codes of 63031, 63033, 63034, 63042, 63045, 63074, 63106, 63107, 63112, 63113, 63114, 63115, 63120, 63133, 63135, 63136, 63137, 63138, 63044, 63121, 63140, 63145, 63147, 63102, 63304, 63134, 63043, 63341, 63368, and 63367;”;

(2) in subsection (d)(3), by striking “; and” and inserting a semicolon;

(3) in subsection (d)(4), by striking the period at the end and inserting a semicolon;

(4) in subsection (d), by adding at the end the following:

“(5) in the State of Illinois, the ZIP Code of 62060;

(6) in the State of Washington, the ZIP Codes of 98832, 98837, 98857, 98930, 98944, 98948, 98951, 98952, 99105, 99144, 99159, 99169, 99301, 99320, 99321, 99323, 99324, 99326, 99330, 99333, 99335, 99336, 99337, 99338, 99341, 99343, 99344, 99345, 99346, 99348, 99349, 99350, 99352, 99353, 99354, 99357, 99359, 99360, 99361, 99362, 99363, and 99371;

(7) in the State of Colorado, the Zip Codes of 80002, 80003, 80004, 80005, 80007, 80025, 80020, 80021, 80023, 80026, 80027, 80030, 80031, 80033, 80202, 80203, 80204, 80205, 80206, 80207, 80209, 80210, 80211, 80212, 80216, 80218, 80220, 80221, 80222, 80223, 80224, 80229, 80230, 80231, 80233, 80234, 80241, 80246, 80247, 80260, 80266, 80303, 80305, 80403, 80601, 80602, 80603, 80621, 80640, 81212, 81215, 81221, 81226, 81240, 81244, 81246, and 81290; and

(8) in the State of Ohio, the Zip Codes of 45613, 45648, 45661, 45690.”;

(5) in subsection (a)(2)—

(A) in subparagraph (A), by striking “; and” and inserting “and contracted a specified disease after such period of physical presence; or”; and

(B) by amending subparagraph (B) to read as follows:

“(B) is a member of the petitioner cohort.”; and

(6) by adding at the end the following:

“(h) Petitioner cohort.— The term petitioner cohort means a class of individuals designated pursuant to section 7 of this Act.”.

(a) Downwinder claims.— Section 4(a) of the Radiation Exposure Compensation Act (Public Law 101–426; 42 U.S.C. 2210 note) is amended—

(1) in paragraph (1)(B), by striking “$100,000” and inserting “$150,000 in addition to the total amount of compensation for which the individual is eligible under paragraph (5)”;

(2) in paragraph (2)(F) (as redesignated by this Act), by striking “$100,000” and inserting “$150,000 in addition to the total amount of compensation for which the individual is eligible under paragraph (5)”; and

(3) by adding at the end the following:

“(5) Medical benefits.— An individual receiving a payment under this section shall be eligible to receive, upon submission of contemporaneous written medical records, reports, or billing statements created by or at the direction of a licensed medical professional who provided contemporaneous medical care to the claimant, additional compensation in the amount of all documented out-of-pocket medical expenses incurred as a result of the specified disease suffered by that claimant, such as any medical expenses not covered, paid for, or reimbursed through—

(A) any public or private health insurance;

(B) any employee health insurance;

(C) any workers’ compensation program; or

(D) any other public, private, or employee health program or benefit.”.

(b) Manhattan project waste claims.— Section 5A of the Radiation Exposure Compensation Act (Public Law 101–425; 42 U.S.C. 2210 note) is amended in subsection (b)(1) by striking “in an amount that is the greater of $50,000 or the total amount of compensation for which the individual is eligible under paragraph (2).” and inserting “$150,000 in addition to the total amount of compensation for which the individual is eligible under paragraph (2).”.

(c) Manhattan project waste claims payments to beneficiaries of deceased individuals.— Section 5A of the Radiation Exposure Compensation Act (Public Law 101–425; 42 U.S.C. 2210 note) is amended in subsection (c) by striking “$25,000” in each instance it appears and inserting “$150,000”.

Section 6(b) of the Radiation Exposure Compensation Act (Public Law 101–426; 42 U.S.C. 2210 note) is amended by adding at the end the following:

“(3) Affidavits.—

(A) Employment history.— For purposes of this Act, the Attorney General shall accept a written affidavit or declaration as evidence to substantiate the employment of an individual as a miner, miller, core driller, or ore transporter if the affidavit—

(i) is provided in addition to the other material that may be used to substantiate the employment history of the individual;

(ii) attests to the employment history of the individual;

(iii) is made subject to the penalty for perjury; and

(iv) is made by a person other than the individual filing the claim.

(B) Physical presence in affected area.— For purposes of this Act, the Attorney General shall accept a written affidavit or declaration as evidence to substantiate an individual’s physical presence in an affected area during a period described in section 4(a)(1)(A)(i) or section 4(a)(2) if the affidavit—

(i) is provided in addition to other material that may be used to substantiate the individual’s presence in an affected area during that time period;

(ii) attests to the individual’s presence in an affected area during that period;

(iii) is made subject to penalty for perjury; and

(iv) is made by a person other than the individual filing the claim.

(C) Participation at testing site.— For purposes of this Act, the Attorney General shall accept a written affidavit or declaration as evidence to substantiate an individual’s participation onsite in a test involving the atmospheric detonation of a nuclear device if the affidavit—

(i) is provided in addition to other material that may be used to substantiate the individual’s participation onsite in a test involving the atmospheric detonation of a nuclear device;

(ii) attests to the individual’s participation onsite in a test involving the atmospheric detonation of a nuclear device;

(iii) is made subject to penalty for perjury; and

(iv) is made by a person other than the individual filing the claim.

(D) Participation in cleanup.— For purposes of this Act, the Attorney General shall accept a written affidavit or declaration as evidence to substantiate an individual’s participation onsite in the cleanup of Enewetak Atoll during the period beginning on January 1, 1977, and ending on December 31, 1980, if the affidavit—

(i) is provided in addition to other material that may be used to substantiate the individual’s participation onsite in the cleanup of Enewetak Atoll during such period;

(ii) attests to the individual’s participation onsite in the cleanup of Enewetak Atoll during such period;

(iii) is made subject to penalty for perjury; and

(iv) is made by a person other than the individual filing the claim.

(E) Participation in palomares response effort.— For purposes of this Act, the Attorney General shall accept a written affidavit or declaration as evidence to substantiate an individual’s participation onsite in the response effort following the collision of a United States Air Force B–52 bomber and refueling aircraft that caused the release of four thermonuclear weapons in the vicinity of Palomares, Spain, during the period beginning January 17, 1966, and ending March 31, 1967, if the affidavit—

(i) is provided in addition to other material that may be used to substantiate the individual’s participation onsite in such response effort during such period;

(ii) attests to the individual’s participation onsite in such response effort during such period;

(iii) is made subject to penalty for perjury; and

(iv) is made by a person other than the individual filing the claim.

(F) Participation in thule response effort.— For purposes of this Act, the Attorney General shall accept a written affidavit or declaration as evidence to substantiate an individual’s participation onsite in the response effort following the on-board fire and crash of a United States Air Force B–52 bomber that caused the release of four thermonuclear weapons in the vicinity of Thule, Greenland, during the period beginning January 21, 1968, and ending September 25, 1968, if the affidavit—

(i) is provided in addition to other material that may be used to substantiate the individual’s participation onsite in such response effort during such period;

(ii) attests to the individual’s participation onsite in such response effort during such period;

(iii) is made subject to penalty for perjury; and

(iv) is made by a person other than the individual filing the claim.

(G) Compensable diseases.— For purposes of this Act, the Attorney General shall accept a written affidavit or declaration as evidence to substantiate an individual’s contraction of one of the cancers and diseases enumerated in section 4(b)(2), section 5(a)(1)(A)(ii), section 5(b)(3), section 5(b)(6), or section 5A(e), if the affidavit—

(i) is provided in addition to other material that may be used to substantiate the individual’s contraction of such cancer or diseases;

(ii) attests to the individual’s contraction of such cancer or diseases;

(iii) is made subject to penalty for perjury; and

(iv) is made by a person other than the individual filing the claim.”.

(a) Addition of authorized agent as eligible To file claims relating to Manhattan Project waste.— Section 5A(a)(1)(B) of the Radiation Exposure Compensation Act (Public Law 101–426; 42 U.S.C. 2210 note) is amended to read as follows:

“(B) any survivors or representatives of the individual described in section 6(a) and section 6(c)(4)(A).”.

(b) Addition of authorized agent as eligible To file claims relating to manhattan project waste on behalf of a deceased child.— Section 5A(c) of the Radiation Exposure Compensation Act (Public Law 101–426; 42 U.S.C. 2210 note) is amended—

(1) in paragraph 1 by striking “or” at the end;

(2) in paragraph 2 by striking the period at the end and inserting “; or”; and

(3) by adding at the end the following:

“(3) any surviving parent or representatives of the individual described in section 6(a) and section 6(c)(4)(A).”.

(c) Establishing filing procedures.— Section 6(a) of the Radiation Exposure Compensation Act (Public Law 101–426; 42 U.S.C. 2210 note) is amended to read as follows:

“(a) Establishment of filing procedures.— The Attorney General shall establish procedures whereby individuals may submit claims for payments under this Act. In establishing procedures under this subsection, the Attorney General shall—

(1) take into account and make allowances for the law, tradition, and customs of Indian Tribes (as that term is defined in section 5(b)) and members of Indian Tribes, to the maximum extent practicable; and

(2) accept claims filed by—

(A) an exposed individual;

(B) survivors of such an individual as set forth in section 6(c)(4)(A); or

(C) an authorized agent (as such term is defined in subsection (c)(4)(C)) of such an individual, if the individual is deceased or incapacitated.”.

(d) Defining authorized agent.— Section 6(c)(4)(C) of the Radiation Exposure Compensation Act (Public Law 101–426; 42 U.S.C. 2210 note) is amended—

(1) by striking “and” at the end of clause (iv);

(2) by striking the period at the end of clause (v) and inserting “; and”; and

(3) by adding to the end the following:

“(vi) an “authorized agent” of an individual is—

(I) an executor or a conservator of the estate of the individual;

(II) a legal guardian, a personal representative, or a conservator of the individual;

(III) a personal representative or a conservator of a legal guardian of the individual; or

(IV) a person that the Attorney General determines is similarly situated to a person described in subclauses (I) through (III).”.

The Radiation Exposure Compensation Act (Public Law 101–426; 42 U.S.C. 2210 note) is amended—

(1) in section 4(b), by amending paragraph (2) to read as follows:

“(2) “specified disease” means leukemia (including chronic lymphocytic leukemia), provided the onset of the disease was at least 2 years after first exposure, and the following diseases, provided onset was at least 2 years after first exposure: multiple myeloma, lymphomas (other than Hodgkin’s disease), renal disease, thyroid diseases, and primary cancer of the: thyroid, male or female breast, esophagus, stomach, pharynx, small intestine, pancreas, bile ducts, gall bladder, salivary gland, urinary bladder, brain, colon, ovary, liver (except if cirrhosis or hepatitis B is indicated), bone, renal, rectal, prostate, uterine, cervical, skin, or lung.”; and

(2) in section 5A(e)(2)—

(A) by redesignating subparagraph (C) as subparagraph (E);

(B) by inserting after subparagraph (B) the following:

“(C) Renal disease.

(D) Thyroid disease.”; and

(C) in subparagraph (E), as so redesignated—

(i) in clause (xvii), by striking “or” at the end;

(ii) in clause (xviii), by striking the period at the end and inserting a semicolon; and

(iii) by inserting at the end the following:

“(xix) rectal;

(xx) prostate;

(xxi) uterine;

(xxii) cervical; or

(xxiii) skin.”.

(a) Extension of authorization of fund.— Section 3(d) of the Radiation Exposure Compensation Act (Public Law 101–426; 42 U.S.C. 2210 note) is amended by striking “2028” and inserting “2043”.

(b) Extension of limitation on claims.— Section 9(a) of the Radiation Exposure Compensation Act (Public Law 101–426; 42 U.S.C. 2210 note) (as redesignated by section 10 of this Act) is amended by striking “2027” and inserting “2042”.

(a) In general.— After the date of enactment of this Act, any claimant who received compensation under the Radiation Exposure Compensation Act (Public Law 101–426; 42 U.S.C. 2210 note) may submit a request to the Attorney General for additional compensation and benefits. Such request shall contain—

(1) the claimant’s name, social security number, and date of birth;

(2) the amount of award received under the Radiation Exposure Compensation Act (Public Law 101–426; 42 U.S.C. 2210 note) before the date of enactment of this Act;

(3) any additional benefits and compensation sought through such request; and

(4) any additional information required by the Attorney General.

(b) Additional compensation.— If the claimant received compensation under the Radiation Exposure Compensation Act (Public Law 101–426; 42 U.S.C. 2210 note) before the date of enactment of this Act and submits a request described in subsection (a), the Attorney General shall—

(1) pay the claimant the amount that is equal to any excess of—

(A) the amount the claimant is eligible to receive under the Radiation Exposure Compensation Act (Public Law 101–426; 42 U.S.C. 2210 note) as amended by this Act; minus

(B) the aggregate amount paid to the claimant under the Radiation Exposure Compensation Act (Public Law 101–426; 42 U.S.C. 2210 note) before the date of enactment of this Act; and

(2) in any case in which the claimant was compensated under section 4 of the Radiation Exposure Compensation Act (Public Law 101–426; 42 U.S.C. 2210 note), provide the claimant with medical benefits under section 4(a)(5) of the Radiation Exposure Compensation Act (Public Law 101–426; 42 U.S.C. 2210 note).

(a) Leukemia age restrictions.— Section 5A(e)(1) of the Radiation Exposure Compensation Act (Public Law 101–426; 42 U.S.C. 2210 note) is amended by striking “the initial exposure occurred after 20 years of age and”.

(b) Physical presence requirements.— Section 5A(f)(1) of the Radiation Exposure Compensation Act (Public Law 101–426; 42 U.S.C. 2210 note) is amended—

(1) in subparagraph (A) by striking “2 years” and inserting “1 year”; and

(2) in subparagraph (B) by striking “2 years” and inserting “1 year”.

(c) Authority.— The Radiation Exposure Compensation Act (Public Law 101–426; 42 U.S.C. 2210 note) is amended—

(1) by redesignating sections 7 through 13 as sections 8 through 14, respectively; and

(2) by inserting after section 6 the following:

“7. Designation of additional classes of individuals.—

(a) Advice on additional individuals.—

(1) The Attorney General shall advise the President whether there is a class of individuals who likely were exposed to radiation as a result of atmospheric nuclear testing, uranium mining, uranium milling, uranium core drilling, or Manhattan Project waste disposal but who are not currently eligible for compensation under this Act.

(2) The advice of the Attorney General under paragraph (1) shall be based on exposure assessments by radiation health professionals, information provided by the Department of Energy, the Department of Defense, and the Department of Health and Human Services and such other information as the Attorney General considers appropriate.

(3) The President shall request advice under paragraph (1) after consideration of petitions by classes of individuals described in that paragraph for such advice. The President shall consider such petitions pursuant to procedures established by the President.

(b) Designation of additional individuals.— Subject to the provisions of this Act, the members of a class of individuals who likely were exposed to radiation as a result of atmospheric nuclear testing, uranium mining, uranium milling, uranium core drilling, or Manhattan Project waste disposal, may be treated as members of the petitioner cohort eligible under an existing claimant category, or if needed, a new claimant category for purposes of the compensation program if the President, upon recommendation of the Attorney General, determines that—

(1) such class of individuals are not currently covered under this Act;

(2) there is a reasonable likelihood that such radiation dose may have endangered the health of members of the class; and

(3) such a determination is aligned with the purposes of this Act.

(c) Deadlines.—

(1) Not later than 180 days after the date on which the President receives a petition for designation as members of the petitioner cohort, the Secretary of Energy and the Secretary of Health and Human Services shall submit to the Attorney General a recommendation on that petition, including all supporting documentation.

(2) Upon receipt by the President of a recommendation of the Attorney General that the President should determine in the affirmative that paragraphs (1) and (2) of subsection (b) apply to a class, the President shall have a period of 30 days in which to determine whether such paragraphs apply to the class and to submit that determination (whether affirmative or negative) to Congress.”.

(a) Study required.— Not later than 18 months after the date of the enactment of this Act, the Secretary of Energy, in consultation with the Administrator of the National Nuclear Security Administration, the Secretary of Health and Human Services, the heads of other relevant Federal departments and agencies, and the National Academies of Sciences, Engineering, and Medicine, shall conduct a study to determine the extent to which radioactive fallout resulting from atmospheric nuclear weapons testing conducted by the United States in the Pacific Proving Grounds, including the Marshall Islands, during the period beginning in 1946 and ending in 1962 (in this section referred to as “covered testing”) may have affected residents of the Commonwealth of the Northern Mariana Islands.

(b) Elements.— The study under subsection (a) shall include—

(1) a review of historical records, meteorological data, environmental monitoring data, fallout modeling, declassified documents, and other relevant information relating to covered testing;

(2) an assessment of the extent to which radioactive fallout resulting from covered testing reached inhabited areas of the Commonwealth of the Northern Mariana Islands, including Saipan, Tinian, and Rota;

(3) an evaluation of potential radiation doses received by individuals residing in the Commonwealth of the Northern Mariana Islands during the period specified in subsection (a) as a result of covered testing, and any associated health risks;

(4) an identification of any gaps in available data necessary to assess historical radiation exposure experienced by such individuals, and recommendations for additional research necessary to address such gaps;

(5) an assessment of whether the levels of radiation exposure identified pursuant to paragraph (3) would be comparable to radiation exposure levels experienced by populations eligible, or previously eligible, for compensation under the Radiation Exposure Compensation Act (Public Law 101–426; 42 U.S.C. 2210 note); and

(6) a determination of whether the available evidence supports extending eligibility for compensation under such Act, or any successor compensation program, to individuals who resided in the Commonwealth of the Northern Mariana Islands during the period specified in subsection (a).

(c) Report.—

(1) Submission to congress.— Not later than 18 months after the date of the enactment of this Act, the Secretary of Energy shall submit to the appropriate congressional committees a report containing the findings and recommendations of the study under subsection (a).

(2) Form.— The report under paragraph (1) shall be submitted in unclassified form, but may include a classified annex.

(3) Public availability.— The Secretary of Energy shall make the unclassified portion of the report under paragraph (1) publicly available on a website of the Department of Energy.

(d) Appropriate congressional committees defined.— In this section, the term appropriate congressional committees means—

(1) the Committee on Armed Services, the Committee on the Judiciary, the Committee on Energy and Commerce, and the Committee on Natural Resources of the House of Representatives; and

(2) the Committee on Armed Services, the Committee on the Judiciary, and the Committee on Energy and Natural Resources of the Senate.

(a) National institutes of health study on qualified cancers.—

(1) Study.— Not later than 90 days after the date of the enactment of this Act, the Director of the National Institutes of Health shall conduct a study to evaluate the health, specifically with respect to qualified cancer incident rates, among covered descendants.

(2) Report.— Not later than 90 days after the date on which the study under paragraph (1) is completed, the Director of the National Institutes of Health shall submit to the Congress a report on such study.

(b) National institutes of health study on qualified thyroid illness.—

(1) Study.— Not Later than 90 days after the date of the enactment of this act, the Director of the National Institutes of Health shall conduct a study to evaluate the health, specifically with respect to qualified thyroid illness, among—

(A) qualified individuals and covered descendants; and

(B) qualified individuals who participated in any study for which a Federal agency was the sponsor, relating to radiation exposure and related illness.

(2) Report.— Not later than 90 days after the date on which the study under paragraph (1) is completed, the Director of the National Institutes of Health shall submit to the Congress a report on such study.

(c) Collaboration with other entities.— In carrying out the studies described in subsection (a) and subsection (b), the Director of the National Institutes of Health may enter into agreements with the Secretary of Defense, the Secretary of Energy, the heads of other relevant Federal departments and agencies, and the National Academies of Science, Engineering, and Medicine.

(d) Database on international radiation exposure.— Not later than 1 year after the date of the enactment of this Act, the Director of the National Institutes of Health, in consultation with the Secretary of State, shall seek to enter into a partnership or partnerships with relevant foreign health ministries and organizations under which such the Director and such ministries and organizations will establish an international information system tracking the various studies on international radiation exposure and identifying populations of interest for additional study.

(e) Authorization of appropriations.— There are authorized to be appropriated such funds as are needed to carry out this section, for the period of fiscal years 2027 through 2032, to remain available until expended.

(f) Definitions.— In this Act:

(1) Qualified individual.— The term qualified individual means an individual who—

(A) is described in—

(i) subsection (a)(1)(A)(i) of section 4 of the Radiation Exposure Compensation Act (Public Law 101–426; 42 U.S.C. 2210 note);

(ii) subsection (a) of section 5 of the Radiation Exposure Compensation Act (Public Law 101–426; 42 U.S.C. 2210 note); or

(iii) section 5A of the Radiation Exposure Compensation Act (Public Law 101–426; 42 U.S.C. 2210 note); and

(B) has received payment pursuant to a claim submitted under the Radiation Exposure Compensation Act (Public Law 101–426; 42 U.S.C. 2210 note).

(2) Covered descendant.— The term covered descendant means a direct descendant of an individual described in paragraph (1).

(3) Qualified cancer.— The term qualified cancer means any cancer that is listed as a specified diseases under section 4(b), section 5(a)(ii), or section 5A(e) of the Radiation Exposure Compensation Act (Public Law 101–426; 42 U.S.C. 2210 note) and such other cancer as may be specified by the Secretary of Health and Human Services.

(4) Qualified thyroid illnesses.— The term qualified thyroid illness means any illness relating to the thyroid that is listed as a specified diseases under section 4(b) or section 5A(e) of the Radiation Exposure Compensation Act (Public Law 101–426; 42 U.S.C. 2210 note) and such other illness relating to the thyroid as may be specified by the Secretary of Health and Human Services.

(g) National radiation exposure screening and education program.— Section 527C(b)(1) of the Public Health Service Act (42 U.S.C. 285a–9(b)(1)) is amended by inserting “or a covered descendent (as defined in section 12(e) of the Radiation Exposure Compensation Reauthorization Act of 2026” after “note)”.

(a) Geographical distribution of awards.— The Secretary of Health and Human Services, acting through the Administrator of the Health Resources and Services Administration, shall, to the extent practicable, take the steps necessary to ensure that grants awarded under section 527C(b)(1) of the Public Health Service Act (42 U.S.C. 285a–9(b)(1)) are distributed to applicants as follows:

(1) At least 3 in Utah, including at least one in the northern counties of Utah.

(2) At least one in Idaho.

(3) At least 3 in Arizona, including at least one in the southern counties of Arizona.

(4) At least 2 in Nevada.

(5) At least 2 in Colorado.

(6) At least one in Montana.

(7) At least one in Missouri.

(8) At least one in Kentucky.

(9) At least one in Tennessee.

(10) At least one in Guam.

(11) At least one in the eastern counties of Washington.

(12) At least one in the southern counties of Ohio.

(13) At least 2 in New Mexico.

(b) Mobile clinics.— In addition to the requirements under subsection (a), the Secretary of Health and Human Services, acting through the Administrator of the Health Resources and Services Administration, shall, to the extent practicable, ensure that no less than four awards are made to applicants who propose the operation of mobile units in rural areas located in one of the States or U.S. territories listed in subsection (a).

(c) Appropriations.— There is hereby appropriated the following amounts to carry out this section:

(1) $11,500,000 for Fiscal Year 2027.

(2) $11,879,000 for Fiscal Year 2028.

(3) $12,270,000 for Fiscal Year 2029.

(4) $12,673,000 for Fiscal Year 2030.

(5) $13,090,000 for Fiscal Year 2031.

(6) $13,521,000 for Fiscal Year 2032.

(7) $13,966,000 for Fiscal Year 2033.

(8) $14,425,000 for Fiscal Year 2034.

(9) $14,900,000 for Fiscal Year 2035.

(10) $15,390,000 for Fiscal Year 2036.

(11) $15,896,000 for Fiscal Year 2037.

(12) $16,419,000 for Fiscal Year 2038.

(13) $16,959,000 for Fiscal Year 2039.

(14) $17,517,000 for Fiscal Year 2040.

(15) $18,094,000 for Fiscal Year 2041.

The amendments made by this Act shall take effect as if included in the enactment of Public Law 119–21.