PUBLIC LAW 106-398 —APPENDIX 114 STAT. 1654A-193 Subtitle F—Other Matters SEC. 751. MANAGEMENT OF ANTHRAX VACCINE IMMUNIZATION PRO- GRAM. (a) SYSTEM AND PROCEDURES FOR TRACKING SEPARATIONS.— (1) Chapter 59 of title 10, United States Code, is amended by adding at the end the following new section: "§1178. System and procedures for tracking separations resulting from refusal to participate in anthrax vaccine immunization program "(a) REQUIREMENT TO ESTABLISH SYSTEM.— The Secretary of each military department shall establish a system for tracking, recording, and reporting separations of members of the armed forces under the Secretary's jurisdiction that result from procedures initiated as a result of a refusal to participate in the anthrax vaccine immunization program. "(b) REPORT.— The Secretary of Defense shall consolidate the information recorded under the system described in subsection (a) and shall submit to the Committees on Armed Services of the Senate and the House of Representatives not later than April 1 of each year a report on such information. Each such report shall include a description of— "(1) the number of members separated, categorized by military department, grade, and active-duty or reserve status; and "(2) any other information determined appropriate by the Secretary.". (2) The table of sections at the beginning of such chapter is amended by adding at the end the following new item: "1178. System and procedures for tracking separations resulting from refusal to participate in anthrax vaccine immunization program.". (b) PROCEDURES FOR EXEMPTIONS; MONITORING ADVERSE REAC- TIONS.— (1) Chapter 55 of such title is amended by adding at the end the following new section: "§ 1110. Anthrax vaccine immunization program; procedures for exemptions and monitoring reactions "(a) PROCEDURES FOR MEDICAL AND ADMINISTRATIVE EXEMP- TIONS. — (1) The Secretary of Defense shall establish uniform procedures under which members of the armed forces may be exempted from participating in the anthrax vaccine immunization program for either administrative or medical reasons. "(2) The Secretaries of the military departments shall provide for notification of all members of the armed forces of the procedures established pursuant to paragraph (1). " (b) SYSTEM FOR MONITORING ADVERSE REACTIONS. — (1) The Secretary shall establish a system for monitoring adverse reactions of members of the armed forces to the anthrax vaccine. That system shall include the following: "(A) Independent review of Vaccine Adverse Event Reporting System reports. "(B) Periodic surveys of personnel to whom the vaccine is administered.