,i #aac? ,,congress #a/ ,session ,h4 ,r4 #bcdd ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,june #ab1 #bjac ,mr4 ,sessions 7= himself & ,mr4 ,?ompson ( ,cali=nia7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,arm$ ,s]vices ,a ,,bill ,to direct ! ,secret>y ( ,def5se to c>ry out a pilot program = inve/igational treatm5t ( memb]s ( ! ,arm$ ,=ces = traumatic bra9 injury & po/-traumatic /ress disord]4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,,tbi ,treatm5t ,act4 #b4 ,pilot program = inve/igational treatm5t ( memb]s ( ! ,arm$ ,=ces = traumatic bra9 injury & po/-traumatic /ress disord] 7a7 ,process ,! ,secret>y ( ,def5se %all c>ry out a five-ye> pilot program "u :i* ! ,secret>y %all e/abli% a process ?r\gh :i* ! ,secret>y %all provide paym5t = inve/igational treatm5ts 7includ+ diagno/ic te/+7 ( traumatic bra9 injury or po/-traumatic /ress disord] receiv$ by memb]s ( ! ,arm$ ,=ces 9 heal? c>e facilities o!r ?an milit>y treatm5t facilities4 ,su* process %all provide t paym5t be made directly to ! heal? c>e facility furni%+ ! treatm5t4 7b7 ,conditions = approval ,! approval by ! ,secret>y = paym5t = a treatm5t pursuant to subsection 7a7 %all be subject to ! foll[+ conditions3 7#a7 ,any drug or device us$ 9 ! treatm5t mu/ be approv$ or cle>$ by ! ,food & ,drug ,adm9i/ration = any purpose & its use mu/ comply ) rules ( ! ,food & ,drug ,adm9i/ration applicable to inve/igational new drugs or inve/igational devices4 7#b7 ,! treatm5t mu/ be approv$ by ! ,secret>y foll[+ approval by an in/itutional review bo>d op]at+ 9 accordance ) regulations issu$ by ! ,secret>y ( ,heal? & ,human ,s]vices4 7#c7 ,! pati5t receiv+ ! treatm5t mu/ demon/rate an improvem5t "u crit]ia approv$ by ! ,secret>y1 z a result ( ! treatm5t on "o or m ( ! foll[+3 7,a7 ,/&>diz$ indep5d5t pre-treatm5t & po/-treatm5t neuropsy*ological te/+4 7,b7 ,accept$ survey in/rum5ts includ+1 su* in/rum5ts t look at quality ( life4 7,c7 ,neurological imag+4 7,d7 ,cl9ical exam9ation4 7#d7 ,! pati5t receiv+ ! treatm5t mu/ be receiv+ ! treatm5t volunt>ily & bas$ on in=m$ cons5t4 7#e7 ,! pati5t receiv+ ! treatm5t may n be a retir$ memb] ( ! ,arm$ ,=ces :o is entitl$ to b5efits "u "p ,a1 or eligible to enroll "u "p ,b1 ( title ,,xviii ( ! ,social ,security ,act4 7c7 ,additional re/rictions au?oriz$ ,! ,secret>y may e/abli% additional re/rictions or conditions = reimbursem5t z ! ,secret>y det]m9es appropriate to ensure ! protection ( human rese>* subjects1 appropriate fiscal managem5t1 & ! validity ( ! rese>* results4 7d7 ,au?ority ,! ,secret>y %all make paym5ts "u ?is section = treatm5ts receiv$ by memb]s ( ! ,arm$ ,=ces us+ ! au?ority 9 subsection 7c77#a7 ( section #ajgd ( title #aj1 ,unit$ ,/ates ,code4 7e7 ,am\nt ,a paym5t "u ?is section %all be made at ! equival5t ,c5t]s = ,m$ic>e & ,m$icaid ,s]vices reimbursem5t rate 9 effect = appropriate treatm5t codes = ! ,/ate or t]ritory 9 :i* ! treatm5t is receiv$4 ,if no su* rate is 9 effect1 paym5t %all be made on a co/-reimbursem5t basis1 z det]m9$ by ! ,secret>y1 9 consultation ) ! ,secret>y ( ,heal? & ,human ,s]vices4 7f7 ,data collection & availability 7#a7 ,9 g5]al ,! ,secret>y %all develop & ma9ta9 a database conta9+ data f ea* pati5t case involv+ ! use ( a treatm5t "u ?is section4 ,! ,secret>y %all ensure t ! database pres]ves confid5tiality & t any use ( ! database or disclosures ( su* data are limit$ to su* use & disclosures p]mitt$ by law & applicable regulations4 7#b7 ,publication ( qualifi$ in/itutional review bo>d /udies ,! ,secret>y %all ensure t an ,int]net website ( ! ,dep>tm5t ( ,def5se includes a li/ ( all civilian in/itutional review bo>d /udies t h receiv$ a paym5t "u ?is section4 7g7 ,assi/ance = memb]s ,to obta9 treatm5t 7#a7 ,assignm5t to tempor>y duty ,! ,secret>y ( a milit>y dep>tm5t may assign a memb] ( ! ,arm$ ,=ces "u ! jurisdiction ( ! ,secret>y to tempor>y duty or all[ ! memb] a p]missive tempor>y duty 9 ord] to p]mit ! memb] to receive treatm5t = traumatic bra9 injury or po/-traumatic /ress disord]1 = :i* paym5ts %all be made "u subsection 7a71 at a location beyond reasonable commut+ di/ance ( ! p]man5t duty /ation ( ! memb]4 7#b7 ,p] diem ,a memb] :o is away f ! p]man5t /ation ( ! memb] may be paid a p] diem 9 lieu ( subsi/5ce 9 an am\nt n m ?an ! am\nt to :i* ! memb] w\ld be entitl$ if ! memb] 7 p]=m+ travel 9 connection ) a tempor>y duty assignm5t4 7#c7 ,gift rule waiv] ,! ,secret>y ( ,def5se may waive any rule ( ! ,dep>tm5t ( ,def5se reg>d+ e?ics or ! receipt ( gifts ) respect to any assi/ance provid$ to a memb] ( ! ,arm$ ,=ces = travel or p] diem exp5ses incid5tal to receiv+ treatm5t "u ?is section4 7h7 ,memor&a ( und]/&+ ,! ,secret>y %all ent] into memor&a ( und]/&+s ) civilian in/itutions = ! purpose ( provid+ memb]s ( ! ,arm$ ,=ces ) treatm5t c>ri$ out by civilian heal? c>e practition]s "u treatm5t-- 7#a7 approv$ by & "u ! ov]sight ( civilian in/itutional review bo>ds2 & 7#b7 t w\ld qualify = paym5t "u ?is section4 7i7 ,outrea* ,! ,secret>y ( ,def5se %all e/abli% a process to notify memb]s ( ! ,arm$ ,=ces ( ! opportunity to receive treatm5t pursuant to ?is section4 7j7 ,report to congress ,n lat] ?an #cj days aft] ! la/ day ( ea* fiscal ye> dur+ :i* ! ,secret>y is au?oriz$ to make paym5ts "u ?is section1 ! ,secret>y %all submit to ,congress an annual report on ! implem5tation ( ?is section & any available results on inve/igational treatm5t /udies au?oriz$ "u ?is section4 7k7 ,t]m9ation ,! au?ority to make a paym5t "u ?is section %all t]m9ate on ! date t is five ye>s aft] ! date ( ! enactm5t ( ?is ,act4 7l7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section #aj1jjj1jjj = ea* fiscal ye> dur+ :i* ! ,secret>y is au?oriz$ to make paym5ts "u ?is section4