This bill aims to address and remediate the ongoing damage resulting from the use of Agent Orange during the Vietnam War. It mandates the U.S. Agency for International Development (USAID) and the Department of Health and Human Services (HHS) to provide comprehensive assistance. USAID is tasked with delivering aid within Vietnam, focusing on health care, housing, poverty reduction, and environmental remediation for affected individuals and communities. Meanwhile, HHS is directed to support Vietnamese Americans in the United States through health assessments and specialized treatment centers. For individuals in Vietnam, USAID's assistance includes providing medical and chronic care services , nursing, vocational employment training, and medical equipment. It also supports institutions offering custodial care, home care, rehabilitation, and reconstructive surgery, along with training for caregivers. Furthermore, USAID will assist in repairing substandard homes and offer micro-grants and loans for poverty reduction for affected individuals and their families. Environmental remediation efforts will prioritize heavily sprayed areas, including former military bases and sites with significant spills or crashes. In the United States, HHS is directed to make grants to public health and Vietnamese American organizations to conduct a broad health assessment of Vietnamese Americans and their descendants potentially exposed to Agent Orange. Following this, HHS will establish centers in areas with large Vietnamese American populations to provide assessment, counseling, and treatment for related conditions. Both agencies are required to complete implementation plans within 180 days and fully implement applicable provisions within 18 months of the bill's enactment, with quarterly reports to Congress.