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CIVIC HERALD
HR 586 · 119th Congress · HouseIn committee

Vietnam Veterans Liver Fluke Cancer Study Act

Provisional: our plain-language summary, pending review.

In plain language: This legislation requires the Department of Veterans Affairs and the CDC to investigate rates of cholangiocarcinoma—a rare bile duct cancer linked to parasitic liver flukes—among veterans who served in the Vietnam theater. Researchers will compare veteran diagnosis rates against the general public to recommend whether Congress should provide new medical care or disability compensation, while the VA continues tracking cases over time. To offset federal spending, the bill also extends an existing $90 monthly cap on VA pension payments for certain single veterans receiving Medicaid-funded nursing home care for an additional month, through December 2031.

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Provisionalunreviewed: impact, provisions, stakeholders, summary
People affected—The text applies to Vietnam veterans diagnosed with or at risk for cholangiocarcinoma and certain veterans subject to pension limits under 38 U.S.C. 5503(d)(7), but does not provide an estimated or definite count of individuals affected.
Fiscal magnitude—The bill text does not specify an appropriation amount or projected cost/savings for the study or the one-month pension limitation extension.
Reach
provisional · pending review15rigor: heuristic llm
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Issues

What this bill touches.

Veterans' care delivery+12

The sign shows the bill's direction on each issue (+ toward, − away); the number is its magnitude. Color never encodes good or bad, and never party.

Who it affects

Who it helps · who it burdens.

Provisional: our reading of who it affects, pending review.

Who it helps

  • Vietnam theater veteransSec. 2 directs the VA and CDC to conduct an epidemiological study on bile duct cancer (cholangiocarcinoma) rates among Vietnam theater veterans, continuously track cases, and recommend future legislative or administrative actions.provisional

Who it burdens

  • Department of Veterans AffairsSec. 2 requires the VA to conduct an epidemiological study with the CDC, continuously track bile duct cancer cases using its cancer registry, and submit initial and periodic follow-up reports to Congress.provisional
  • Centers for Disease Control and PreventionSec. 2(a) requires the CDC to consult with the VA and provide registry data to carry out an epidemiological study comparing bile duct cancer rates between Vietnam veterans and the broader public.provisional
  • Medicaid-covered veterans in nursing homes without dependentsSec. 3 extends by one month (through December 31, 2031) the statutory $90 monthly cap on VA pension payments for veterans without dependents who receive Medicaid-covered nursing home care.provisional

Dollar-level funding (FEC sector totals) is coming in a later phase.

What it does

The provisions, in plain language.

Provisional: our reading of what the bill does, pending review.

Show all 4 provisions
  1. Directs the Department of Veterans Affairs and the Centers for Disease Control and Prevention to conduct an epidemiological study on the rates and demographic patterns of cholangiocarcinoma (bile duct cancer) among veterans who served in the Vietnam theater compared to the general U.S. population.

    Sec. 2(a)provisional
  2. Requires the Department of Veterans Affairs to submit a report to Congress within one year of completing the study, detailing the results and recommending legislative or administrative actions.

    Sec. 2(b)(1)provisional
  3. Requires the Department of Veterans Affairs to continuously track bile duct cancer cases among Vietnam veterans using its central cancer registry and provide regular progress updates to Congress.

    Sec. 2(c)provisional
  4. Extends through December 31, 2031, the $90 monthly cap on Department of Veterans Affairs pensions for certain veterans without dependents who receive Medicaid-covered nursing home care.

    Sec. 3provisional
  1. Directs the Department of Veterans Affairs and the Centers for Disease Control and Prevention to conduct an epidemiological study on the rates and demographic patterns of cholangiocarcinoma (bile duct cancer) among veterans who served in the Vietnam theater compared to the general U.S. population.

    Sec. 2(a)provisional
  2. Requires the Department of Veterans Affairs to submit a report to Congress within one year of completing the study, detailing the results and recommending legislative or administrative actions.

    Sec. 2(b)(1)provisional
  3. Requires the Department of Veterans Affairs to continuously track bile duct cancer cases among Vietnam veterans using its central cancer registry and provide regular progress updates to Congress.

    Sec. 2(c)provisional

How your members of Congress line up

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The record

How members voted on Vietnam Veterans Liver Fluke Cancer Study Act.

Recorded roll calls on this bill, most recent first. Open one to see each member's position.

  • House · Apr 7, 2025 · 2/3 YEA-AND-NAY

    On Motion to Suspend the Rules and Pass, as Amended · Passed

    Source →

Timeline

How it moved.

Show all 12 actions
  1. Apr 8, 2025Received in the Senate and Read twice and referred to the Committee on Veterans' Affairs.
  2. Apr 7, 2025Motion to reconsider laid on the table Agreed to without objection.
  3. Apr 7, 2025On motion to suspend the rules and pass the bill, as amended Agreed to by the Yeas and Nays: (2/3 required): 411 - 0 (Roll no. 89). (text: CR H1435-1436)
  4. Apr 7, 2025Passed/agreed to in House: On motion to suspend the rules and pass the bill, as amended Agreed to by the Yeas and Nays: (2/3 required): 411 - 0 (Roll no. 89). (text: CR H1435-1436: 1)
  5. Apr 7, 2025Considered as unfinished business. (consideration: CR H1441-1442)
  6. Apr 7, 2025At the conclusion of debate, the Yeas and Nays were demanded and ordered. Pursuant to the provisions of clause 8, rule XX, the Chair announced that further proceedings on the motion would be postponed.
  7. Apr 7, 2025DEBATE - The House proceeded with forty minutes of debate on H.R. 586.
  8. Apr 7, 2025Considered under suspension of the rules. (consideration: CR H1435-1437)
  9. Apr 7, 2025Mr. Bost moved to suspend the rules and pass the bill, as amended.
  10. Feb 25, 2025Referred to the Subcommittee on Health.
  11. Jan 21, 2025Referred to the House Committee on Veterans' Affairs.
  12. Jan 21, 2025Introduced in House
  1. Apr 8, 2025Received in the Senate and Read twice and referred to the Committee on Veterans' Affairs.
  2. Apr 7, 2025Motion to reconsider laid on the table Agreed to without objection.
  3. Apr 7, 2025On motion to suspend the rules and pass the bill, as amended Agreed to by the Yeas and Nays: (2/3 required): 411 - 0 (Roll no. 89). (text: CR H1435-1436)
  4. Apr 7, 2025Passed/agreed to in House: On motion to suspend the rules and pass the bill, as amended Agreed to by the Yeas and Nays: (2/3 required): 411 - 0 (Roll no. 89). (text: CR H1435-1436: 1)
  5. Jan 21, 2025Introduced in House

The original text

Read it for yourself.

Sources & provenance

Congress.govrefreshed 4 months ago

Cite this page

Civic Herald. “Vietnam Veterans Liver Fluke Cancer Study Act (H.R. 586, 119th Congress).” https://civicherald.app/bills/119-hr-586. Congress.gov record as of Jul 13, 2026.

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