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Honorable Thomas P. O'Neill
Speaker of the House of
Representatives

Washington, D.C.
Dear Mr.

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Speaker:

Enclosed is a draft bill "to amend section 106 of the Act of
October 15, 1977, as amended, concerning health care in the Marshall

Islands, and for other purposes."

We recommend that the bill be introduced and enacted.

The draft bill results from the nuclear testing program conducted by
the Unired States in the Marshall Islands, Trust Territory of the

Pacific Islands, from 1946 to 1958. Atmospheric tests were then
performed in the Marshalls, 42 at the Enewetak Atoll and 25 at the
Bikini Atoll, with consequences that have become well-known:

-- The Bikini people who were moved off their island in 1946

cannot now be permitted to return, because it has been concluded that
Bikini Island remains unsafe for human habitation;
--The Enewetak people, as a result of a major rehabilitation
program recently completed by the United States, are now able to
return and reside on the southern islands of Enewetak atoll;

--The people of Rongelap and Utirik, who were subject to a
particularly serious and unexpected exposure that occurred on March l,
1954, have received some monetary compensation from the United States

and are receiving continued medical care provided by the United

States.

Public Law 96-205 provides, in section 102, for a program of medical
care and treatment for such people of the Marshalls "as may be found
to be or to have been exposed to radiation from the nuclear weapons
testing program.” That statute directed the Secretary of the Interior
to submit to the Congress by January 1, 1981, a plan for doing so.
The former Secretary of the Interior submitted on January 7, 1981, a
preliminary report on the subject. He acknowledged that the

preliminary report did not constitute the "plan" contemplated by the

statute, but he described some of the difficulties created by the
statute and encountered by the interested Federal agencies and by the
interested Marshallese people as they worked with it. Chief among

those difficulties was and is the uncertainty as to who was intended

by the Congress to be the beneficiaries of the special medical

progran.

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