,i #aacth ,,congress #b;d ,session ,h4 ,r4 #dbgf ,,in ,,the ,,house ,,of ,,representatives ,march #ah1 #bjad ,mr4 ,cassidy 7for himself and ,mr4 ,mc,carthy of ,california7 introduced the following bill2 which was referred to the ,committee on ,veterans' ,affairs ,a ,,bill ,to extend and modify a pilot program on assisted living services for veterans with traumatic brain injury4 #a4 ,short title ,this ,act may be cited as the ,veterans ,traumatic ,brain ,injury ,care ,improvement ,act of #bjad4 #b4 ,extension and modification of pilot program on assisted living services for veterans with traumatic brain injury 7a7 ,extension of program ,subsection 7a7 of section #agje of the ,national ,defense ,authorization ,act for ,fiscal ,year #bjjh 7,public ,law #aaj-aha2 #ch ,u4,s4,c4 #agaj;,c note7 is amended by striking a five-year and inserting an eight-year4 7b7 ,modification of locations ,subsection 7b7 of such section is amended-- 7#a7 by redesignating paragraph 7#b7 as paragraph 7#c72 and 7#b7 by striking paragraph 7#a7 and inserting the following new paragraphs3 7#a7 ,in general ,the pilot program shall be carried out at locations selected by the ,secretary for purposes of the pilot program4 7#b7 ,located in same region as polytrauma centers ,of the locations selected under paragraph 7#a71 at least one location shall be in each health care region of the ,veterans ,health ,administration of the ,department of ,veterans ,affairs that contains a polytrauma center of the ,department of ,veterans ,affairs4 4 7c7 ,modification of report requirements ,subsection 7e7 of such section is amended to read as follows3 7e7 ,reports 7#a7 ,quarterly reports 7,a7 ,in general ,during each #ij-;day period occurring during the period beginning ,january #a1 #bjaf1 and ending ,january #a1 #bjah1 the ,secretary shall submit to the ,committees on ,veterans' ,affairs of the ,senate and the ,house of ,representatives a report on the pilot program4 7,b7 ,elements ,each report submitted under subparagraph 7,a7 shall include the following3 7i7 ,the number of individuals that participated in the pilot program during the quarter preceding the submission of the report4 7ii7 ,the number of individuals that successfully completed the pilot program during the quarter preceding the submission of the report4 7iii7 ,the degree to which pilot program participants and family members of pilot program participants were satisfied with the pilot program4 7iv7 ,the interim findings and conclusions of the ,secretary with respect to the success of the pilot program and recommendations for improvement4 7#b7 ,final report 7,a7 ,in general ,not later than #fj days after the completion of the pilot program1 the ,secretary shall submit to the ,committees on ,veterans' ,affairs of the ,senate and the ,house of ,representatives a final report on the pilot program4 7,b7 ,elements ,the final report required by subparagraph 7,a7 shall include the following3 7i7 ,a description of the pilot program4 7ii7 ,an assessment of the utility of the activities under the pilot program in enhancing the rehabilitation1 quality of life1 and community reintegration of veterans with traumatic brain injury1 including complex mild traumatic brain injury4 7iii7 ,an evaluation of the pilot program in light of independent living programs carried out by the ,secretary under title #ch1 ,united ,states ,code1 including-- 7,i7 whether the pilot program duplicates services provided under such independent living programs2 7,,ii7 the ways in which the pilot program provides different services2 7,,iii7 how the pilot program could be better defined or shaped2 and 7,,iv7 whether the pilot program should be incorporated into such independent living programs4 7iv7 ,such recommendations as the ,secretary considers appropriate regarding improving the pilot program4 4 7d7 ,modification of definitions 7#a7 ,community-based brain injury residential rehabilitative care services ,such section is further amended-- 7,a7 in the section heading1 by striking assisted living and inserting community-based brain injury residential rehabilitative care2 7,b7 in subsection 7c71 in the subsection heading1 by striking ,assisted ,living and inserting ,community-,based ,brain ,injury ,residential ,rehabilitative ,care2 7,c7 by striking assisted living each place it appears1 and inserting community-based brain injury rehabilitative care2 and 7,d7 in subsection 7f77#a71 by striking and personal care and inserting rehabilitation1 and personal care4 7#b7 ,eligible veteran ,subsection 7f77#c7 of such section is amended-- 7,a7 in subparagraph 7,c71 by striking 2 and and inserting a semicolon2 7,b7 in subparagraph 7,d71 by striking the period at the end and inserting 2 and2 and 7,c7 by adding at the end the following new subparagraph3 7,e7 has a traumatic brain injury that is classified as complex-mild to severe4 4 7e7 ,authorization of appropriations ,there is authorized to be appropriated for the ,department of ,veterans ,affairs for fiscal year #bjae #df1jjj1jjj to carry out the pilot program under section #agje of the ,national ,defense ,authorization ,act for ,fiscal ,year #bjjh 7,public ,law #aaj-aha2 #ch ,u4,s4,c4 #agaj;,c note71 as amended by this section4 ,the amount so authorized to be appropriated shall be available for obligation for the three-year period beginning on ,october #a1 #bjad4 7f7 ,effective date ,the amendments made by this section shall take effect on ,october #a1 #bjad4 #c4 ,improvements to recovery by ,united ,states of cost of certain care and services provided by ,department of ,veterans ,affairs ,section #agbi7;h7 of title #ch1 ,united ,states ,code1 is amended by adding at the end the following new paragraph3 7#d7 7,a7 ,notwithstanding paragraph 7#c7 or section #gccb of this title1 the ,secretary may make available to third parties medical records of a veteran described in paragraph 7#b7 without the written consent of the veteran if-- 7i7 the care or services furnished to the veteran for which recovery or collection is sought under this section relates to drug abuse1 alcoholism or alcohol abuse1 infection with the human immunodeficiency virus1 or sickle cell anemia2 and 7ii7 by not later than #cj days after receiving such care or services1 the ,secretary does not receive from the veteran a notification described in subparagraph 7,b74 7,b7 ,a notification described in this subparagraph is a notification by a veteran that the veteran does not consent to a disclosure of medical records of the veteran under subparagraph 7,a74 4