To ensure fair treatment of Department of Energy employees during the restructuring of the Department of Energy defense nuclear facilities workforce, to provide assistance to communities affected by such restructuring, to provide medical examinations to certain current and former such employees, to provide medical reinsurance for certain former such employees, and for other purposes.

Directs the Secretary of Energy (the Secretary) to develop and implement a plan for the restructuring of the employee work force of the Department of Energy (DOE) defense nuclear facilities. Outlines plan contents designed to minimize the economic impact of the restructuring upon affected employees and communities. Requires the Secretary to issue annual plan updates to specified congressional committees.

Sets forth requirements relating to contracts for environmental restoration and waste management at DOE defense nuclear facilities.

Requires the Secretary to establish and implement a program to monitor current and former DOE employees subject to significant health risks as a result of their exposure to hazardous or radioactive substances during the course of their employment. Delineates plan contents.

Directs the Secretary to: (1) notify employees exposed to certain hazardous and radioactive substances of the results of their medical examinations regarding such exposure; (2) collect information regarding such tests and examinations; (3) enter into an agreement with the Secretary of Health and Human Services to implement their respective activities under this Act; and (4) implement a health insurance program to cover the reasonable expenses of health care services incurred by such employees.