114 STAT. 1654A-194 PUBLIC LAW 106-398 —APPENDIX "(C) A continuing longitudinal study of a pre-identified group of members of the armed forces (including men and women and members from all services). "(D) Active surveillance of a sample of members to whom the anthrax vaccine has been administered that is sufficient to identify, at the earliest opportunity, any patterns of adverse reactions, the discovery of which might be delayed by reliance solely on the Vaccine Adverse Event Reporting System. "(2) The Secretary may extend or expand any ongoing or planned study or analysis of trends in adverse reactions of members of the armed forces to the anthrax vaccine in order to meet any of the requirements in paragraph (1). "(3) The Secretary shall establish guidelines under which members of the armed forces who are determined by an independent expert panel to be experiencing unexplained adverse reactions may obtain access to a Department of Defense Center of Excellence treatment facility for expedited treatment and follow up.". (2) The table of sections at the beginning of such chapter is amended by adding at the end the following new item: "1110. Anthrax vaccine immunization program; procedures for exemptions and monitoring reactions.". (c) EMERGENCY ESSENTIAL EMPLOYEES.— (1) Chapter 81 of such title is amended by inserting after section 1580 the following new section: "§ 1580a. Emergency essential employees: notiHcation of required participation in anthrax vaccine immunization program "The Secretary of Defense shall— "(1) prescribe regulations for the purpose of ensuring that any civilian employee of the Department of Defense v.'ho is determined to be an emergency essential employee and who is required to participate in the anthrax vaccine immunization program is notified of the requirement to participate in the program and the consequences of a decision not to participate; and "(2) ensure that any individual who is being considered for a position as such an employee is notified of the obligation to participate in the program before being offered employment in such position.". (2) The table of sections at the beginning of such chapter is amended by inserting after the item relating to section 1580 the following new item: "1580a. Emergency essential employees: notification of required participation in anthrax vaccine immunization program.". (d) COMPTROLLER GENERAL REPORT.— (1) Not later than April 1, 2002, the Comptroller General shall submit to the Committees on Armed Services of the Senate and the House of Representatives a report on the effect of the Department of Defense anthrax vaccine immunization program on the recruitment and retention of active duty and reserve military personnel and civilian personnel of the Department of Defense. The study shall cover the period beginning on the date of the enactment of this Act and ending on December 31, 200L (2) The Comptroller General shall include in the report required by paragraph (1) a description of any personnel actions (including
�
