Background Paper on a Yealzh Plan
for the Marshail Islands
Article l--Intreduction

P.L. 96-205 requires the Secretary of the interior to develbo
o f_

integrated,

comprehensive health care

srogrgm ang a

environmental researen and monitoring for the s®déples o
the Marshalis for any injury, iliness, or condition which

be the resule direcely or indirectly of the U.S. nuclear
weapons testing program.

¥

The statute. The pertinent statute is Public Law 96-295,
l.
approved March 12, 1380, which provides in section 102:
"(a) In addition to anv cther payments or benefits
- provided by law to csmpensate inhabitants of tha atoli;
of Bikini, Enewetak, Rongelap, and Utirix, in the
Marshall Islands for radiation exposure or other losseg

gustained by them as a result of the United Staces

nuclear weapons tastiag program at or near the atolis
during the period 1946 to 1958, the Secretary of ‘he
Interior (herein after in shis section referred ts as
the ‘'Secretary') shall provide for the people ct the
atolls of Bikini, Emewetak, Rencelap,
and Utirix and
for the people cf such other atolls as say be found ts
be or to have been exposed to radiation from the
muclear weapons testing program, a program of medical
care and treatment and environmental research and
monitoring for any injury, illness, or condition which
may be the result directly or indirectly of suck
muclear weapons testing program. The program shall be
implemented acesrding to a plan developed Sy the
Secretary in consultation with the Secretaries of
Defense, Energy, and Health, Education, anc WelZacre

and with the direct involvement of representatives =

the pecple of each of the affected atolls and from the
government of the Marshall Islands. The plan shall se
forth, a8 appropriate to the situation, condition, and
needs of the individual atoll pecplaes:

°C) an integrated, comprehensive health care

program including primary, secondary, and

tertiary care with special emphasis upon the

biological effeces of ionizing radiation;

"@) a schedule for the periodiccomprehensive

agurvey_and analysis of the radiological status
of the atolls to and at appropriate intervals,

but not less frequently than once every five

years, the development of an updated raciation

doseassessment, together with an estinate of

the risks associated with the predicted human
exposure, for each such atell; and

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Select target paragraph3