United States Department of the Interior OFFICE OF THE SECRETARY WASHINGTON, DC 20240 { ~ Honorable Thomas P. O'Neill Speaker of the House of Representatives Washington, D.C. 20515 Dear Mr. Speaker: The Secretary of the Interior is required by section 102 of Public Law 9€-2C05 to subrit to the Congress by January 1, 19€1, a plan for health care and related programs for people of the Marshall Islands. To afford to the new Administration as much flexibility as possible, we are submitting at this time only a preliminary report, with the expectation that a final plan will be submitted to you sometime after the Inauguration. I should like to set forth below certain of the key provisions of the statute, a statement of some of the areas in which the Statute presents problems of construction, information concern- ing the Interior Department's efforts to implement the statute, and brief summaries of the proposals received from our contractors to help us implement section 102. At this time the Department neither endorses nor rejects the conclusions contained in the proposals. The statute Section 102 of Public Law 96-205 contains the following provisions relevant to our current undertaking: -- The plan required of the Secretary of the Interior results from the United States' nuclear weapons testing prograr. conducted in the Marshall Islands during the period 1946 to 1956. -- The beneficiaries of the plan are to be “the people of the atolls of Bikini, Enewetak, Rongelap, and Utirik and...the people of such other atolls as may be found to be or to have been exposed to radiation from the nuclear weapons testing program”. -- The plan is to consist of "a program of medical care ané treatment and environmental research and monitoring for any injury, illness, or condition which may be the result directly or indirectly of such nuclear weapons testing program". The plan is to include (1) "an integrated, comprehensive health care prograr. including primary, secondary, and tertiary care with special emphasis upon the biological effects of ionizing radiation", (2) an environmental monitoring, gram, and research, and dose assessment pro- (3) an education and information program.