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Appendix B Committee on Evaluation of the Presumptive Disability Decision-Making Process for Veterans Open Session Meeting Agendas Committee Meeting #1 May 31, 2006 Keck Center of the National Academies Washington, D.C. AGENDA Wednesday, May 31 Room 201 8:30 a.m. Closed Session (Committee Members and IOM Staff Only) 10:30 a.m. Open Session Begins 10:30 a.m. Welcome and Introductory Remarks, Introduction of Committee Member and Attendees Jonathan Samet, M.D., M.S., Committee Chair 10:40 a.m. Expectations of the Study Sponsor Commissioner John Grady (Member, Veterans’ Disability Benefits Commission) 11:00 a.m. An Overview of the Disability Benefits Program and Presumptions Affecting Veterans’ Benefits Thomas Pamperin, M.B.A. (Assistant Director for Policy, Compensation and Pension Service, Department of Veterans Affairs) 11:45 a.m. Legislative and Regulatory History of Presumptions David Barrans, J.D. (Deputy Assistant General Counsel, Office of General Counsel, Department of Veterans Affairs) 

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 APPENDIX B 12:15 p.m. Lunch 1:15 p.m. The Role of Science in Establishing VA Disability Compensation Policies Mark Brown, Ph.D. (Director, VA’s Environmental Agents Service, Office of Public Health and Environmental Hazards, Department of Veterans Affairs) 1:45 p.m. Presumptions in VA’s Disability Program—The Effect Thomas Pamperin, M.B.A. (Assistant Director for Policy, Compensation and Pension Service, Department of Veterans Affairs) 2:05 p.m. PANEL Q&A—VA Presenters and Committee Members 2:45 p.m. Break 3:00 p.m. An Examiner’s Use of the Clinician’s Guide and How Examiners Are Selected and Trained by VHA Patrick Joyce, M.D., J.D., M.P.H. (Chief Physician, Compensation and Pension Program, VA Medical Center, Washington, D.C.) 3:45 p.m. Making Decisions Based on Medical Evidence Bradley Flohr (Chief of Advisory Review Staff, Compensation and Pension Service) 4:15 p.m. Public Comments (Attendees will be given the opportunity to make brief remarks to the Committee Members) 5:15 p.m. Open Session Ends 5:15 p.m. Closed Session (Committee Members and IOM Staff Only) 6:15 p.m. Adjourn Committee Meeting #2 July 27, 2006 Keck Center of the National Academies Washington, D.C. AGENDA Thursday, July 27 Room 101 8:30 a.m. Closed Session (Committee Members and IOM Staff Only) 9:00 a.m. Open Session Begins 9:00 a.m. Welcome and Introductory Remarks, Introduction of Committee Members and Attendees Jonathan Samet, M.D., M.S., Committee Chair

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6 IMPROVING THE PRESUMPTIVE DISABILITY DECISION-MAKING PROCESS 9:10 a.m. Summary of Recent IOM Studies Conducted for VA Rose Marie Martinez, Sc.D. (Director, Board on Population Health and Public Health Practice, Institute of Medicine) 9:45 a.m. VA Health Care Utilization Among Operation Iraqi Freedom/ Operation Enduring Freedom Veterans Han K. Kang, Dr.P.H. (Director, Environmental Epidemiology Service, Department of Veterans Affairs) 10:15 a.m. Overview of VA Registries Han K. Kang, Dr.P.H. (Director, Environmental Epidemiology Service, Department of Veterans Affairs) 10:45 a.m. Break 11:00 a.m. Assessing Environmental and Occupational Exposures— VA Disability and Compensation Policies Lawrence R. Deyton, M.S.P.H., M.D. (Chief Officer, Public Health and Environmental Hazards, Department of Veterans Affairs) 12:00 p.m. Lunch 1:00 p.m. Overview of DoD Deployment and Installation-Based Occupational and Environmental Health Programs R. Craig Postlewaite, D.V.M., M.P.H. (Senior Analyst, Environmental Health Surveillance, DoD Deployment Health Support Directorate) 1:20 p.m. Deployment Health Surveillance: Past, Current, and Future Operations Jack M. Heller, Ph.D. (Director, Health Risk Management, U.S. Army Center for Health Promotion and Preventive Medicine) 2:05 p.m. DoD Occupational Health Exposure Assessment Processes John Seibert, C.I.H., C.S.P. (Assistant for Safety, Health and Fire Protection, Office of the Deputy Under Secretary of Defense for Installations and Environment) 2:50 p.m. Break 3:00 p.m. Panel Discussion with DoD Representatives 4:00 p.m. Public Comments from Veterans Service Organizations The American Legion Cathy Wiblemo, M.H.A. (Deputy Director, Veterans Affairs and Rehabilitation Division) AMVETS Jim Doran (National Service Director) United Spinal Association Leonard Selfon, Esq. (National Service Director)

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 APPENDIX B Veterans of Foreign Wars of the United States Quentin Kinderman (Deputy Director, National Legislative Service) Vietnam Veterans of America Rick Weidman (Executive Director for Policy and Government Affairs) 4:30 p.m. Public Comments from Attendees (Attendees will also be given the opportunity to make brief remarks to the Committee Members) 5:00 p.m. Open Session Ends 5:15 p.m. Closed Session (Committee Members and IOM Staff Only) 6:00 p.m. Adjourn Committee Meeting #3 October 4, 2006 Emily Morgan Hotel 705 East Houston Street San Antonio, Texas AGENDA Wednesday, October 4 Emily Morgan Hotel (Room 2) 7:30 a.m. Closed Session (Committee Members and IOM Staff Only) 8:00 a.m. Open Session Begins 8:00 a.m. Welcome and Introductory Remarks, Introduction of Committee Members and Attendees Jonathan M. Samet, M.D., M.S., (Chair, Committee on Evaluation of the Presumptive Disability Decision-Making Process for Veterans) 8:10 a.m. Presentations from Past Congressional Staffers Laura Petrou Patrick Ryan, J.D. Edward Scott, J.D. Chris Yoder 9:10 a.m. Panel Q&A—Panel Presenters and Committee Members 9:50 a.m. Break 10:00 a.m. DoD and Veterans Affairs: Health Information Sharing Nhan Do, M.D., M.S., F.A.C.P. (Information Manager, Medical Informatics, TricareManagement Activity) Cliff Freeman, M.A., M.S. (Director, VA/DoD Health IT Sharing Program)

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 IMPROVING THE PRESUMPTIVE DISABILITY DECISION-MAKING PROCESS 10:30 a.m. Panel Q&A—Health IT Presenters and Committee Members 11:00 a.m. Public Comments from Veterans Service Organizations Public Comments from Attendees (Attendees will also be given the opportunity to make brief remarks to the Committee Members) Comments from LTG James Terry Scott, U.S. Army (Ret.) (Chairman, Veterans Disability Benefits Commission) Closing Comments from Jonathan M. Samet, M.D., M.S. (Chair, Committee on Evaluation of the Presumptive Disability Decision-Making Process for Veterans) 12:00 p.m. Open Session Ends 1:00 p.m. Closed Session (Committee Members and IOM Staff Only) 6:00 p.m. Adjourn