# H.R. 586 (119th): Vietnam Veterans Liver Fluke Cancer Study Act

Vietnam Veterans Liver Fluke Cancer Study Act This bill requires the Department of Veterans Affairs (VA) to conduct an epidemiological study and report on the prevalence of cholangiocarcinoma (bile duct cancer) in veterans who served in the Vietnam theater of operations during the Vietnam era. The study must identify the rate of incidence of cholangiocarcinoma in such veterans and in U.S. residents. The bill also requires the VA to track and report on the prevalence of cholangiocarcinoma using the Veterans Affairs Central Cancer Registry. Additionally, the VA must periodically submit follow-up reports to Congress regarding the epidemiological study and information collected from the cancer registry regarding the prevalence of bile duct cancer.

## How this bill is scored

Tier: no Tier 1 record. A bill with no record cannot newly become Tier 1.
Lane: public_health. Category: not stored. Lane tag: not stored.
Lane: research_study. Category: not stored. Lane tag: not stored.
Lane: veterans_health. Category: not stored. Lane tag: not stored.
Tier 1 sign-off: no record. A bill with no record cannot newly become Tier 1.
Stored polarity: mixed. Only tags the rules mark scoreable on a mixed bill are scored. A yea can draw a penalty or a credit according to the tag. A nay on a tag scored as good can draw a penalty.
Roll 89: On Motion to Suspend the Rules and Pass, as Amended. Vote type: final_passage.
Polarity rationale: Reviewed enrichment (llm_import) polarity: The bill is an ordinary prudential public-health and veterans-health measure. It neither directly advances moral harm nor directly defends a named justice principle, and the summary raises no real moral concern. The 'mixed' label reflects that it is a routine governance good that does not warrant a hard moral verdict, not that it contains troubling provisions.
Theological note: The measure bears on care for veterans who may have suffered service-connected illness and on the duty to seek truthful knowledge that serves the sick. Scripture's concern for the bodily welfare of neighbors and for just treatment of those who served gives it relevance, though it is a limited research and reporting mandate rather than a moral contest.

## Recorded votes

Roll 89: On Motion to Suspend the Rules and Pass, as Amended. Yea 411 · Nay 0 · Other 22.

HTML: https://justmeasure.org/bill/hr-586-119/