,,ii  #aad? ,,congress  #a/ ,session    
,s4 #bdd  ,,9 ,,! ,,s5ate ,,( ,,!       
,,unit$ ,,/ates  ,janu>y #bb1 #bjae,mr4 
,te/] introduc$ ! foll[+ bill2 :i* 0    
read twice & ref]r$ to ! ,committee on  
,vet]ans' ,affairs  ,a ,,bill  ,to      
require an indep5d5t compreh5sive review
 ( ! process by :i* ! ,dep>tm5t (       
,vet]ans ,affairs assesses cognitive    
impairm5ts t result f traumatic bra9    
injury = purposes ( aw>d+ disability    
comp5sation1 & = o!r purposes4  #a4     
,indep5d5t review ( process by :i*      
,dep>tm5t ( ,vet]ans ,affairs assesses  
cognitive impairm5ts t result f         
traumatic bra9 injury = purposes ( aw>d+
 disability comp5sation  7a7 ,agreem5t  
7#a7 ,9 g5]al ,! ,secret>y ( ,vet]ans   
,affairs %all seek to ent] into an      
agreem5t ) ! ,in/itute ( ,m$ic9e ( !    
,national ,academies to p]=m ! s]vices  
cov]$ by ?is section4  7#b7 ,tim+ ,!    
,secret>y %all seek to ent] into !      
agreem5t describ$ 9 p>agraph 7#a7 n lat]
 ?an ! late/ date by :i* ! ,secret>y    

consid]s reasonable = ! ,in/itute (     
,m$ic9e to beg9 p]=m+ ! s]vices cov]$ by
 ?is section & complete !m be=e ! date  
describ$ subsection 7c77#a74  7b7       
,compreh5sive review  7#a7 ,9 g5]al ,"u 
an agreem5t betwe5 ! ,secret>y & !      
,in/itute ( ,m$ic9e "u ?is section1 !   
,in/itute ( ,m$ic9e %all conduct a      
compreh5sive review ( exam9ations       
provid$ by ! ,dep>tm5t ( ,vet]ans       
,affairs to individuals :o submit claims
 to ! ,secret>y = comp5sation "u *apt]  
#aa ( title #ch1 ,unit$ ,/ates ,code1 = 
traumatic bra9 injury to assess !       
cognitive impairm5ts ( su* individuals4 
7#b7 ,elem5ts ,! compreh5sive review    
c>ri$ out pursuant to p>agraph 7#a7 %all
 include ! foll[+3 7,a7 ,a det]m9ation (
 ! adequacy ( ! tools & protocols us$ by
 ! ,dep>tm5t to provide exam9ations     
describ$ 9 p>agraph 7#a74  7,b7 ,a      
det]m9ation ( :i* cr$5tials are necess>y
 = heal? c>e speciali/s & provid]s to   
p]=m su* portions ( su* exam9ations t   
relate to assessm5t ( cognitive         

functions1 su* z a neuropsy*ological    
evaluation4  7#c7 ,gr\p ( exp]i5c$ heal?
 c>e provid]s ,9 c>ry+ out !            
compreh5sive review pursuant to p>agraph
 7#a71 ! ,in/itute ( ,m$ic9e %all conv5e
 a gr\p ( exp]ts 9 cl9ical              
neuropsy*ology & o!r relat$ discipl9es4 
7c7 ,report  7#a7 ,9 g5]al ,n lat] ?an  
#edj days aft] ! date on :i* ! ,secret>y
 ent]s into an agreem5t "u subsection   
7a77#a71 ! ,secret>y %all submit to     
,congress a report on ! compreh5sive    
review conduct$ "u ?is section4  7#b7   
,elem5ts ,! report submitt$ "u p>agraph 
7#a7 %all include ! foll[+3 7,a7 ,!     
f9d+s ( ! ,in/itute ( ,m$ic9e ) respect 
to ! compreh5sive review conduct$ "u ?is
 section4  7,b7 ,su* recomm5dations =   
legislative or adm9i/rative action z !  
,in/itute ( ,m$ic9e may h = ! improvem5t
 ( ! adjudication ( claims describ$ 9   
subsection 7b77#a74  7d7 ,alt]nate      
contract organization  7#a7 ,9 g5]al ,if
 ! ,secret>y is unable )9 ! p]iod       
prescrib$ 9 subsection 7a77#b7 to ent]  

into an agreem5t describ$ 9 subsection  
7a77#a7 ) ! ,in/itute ( ,m$ic9e on t]ms 
acceptable to ! ,secret>y1 ! ,secret>y  
%all seek to ent] into su* an agreem5t )
 ano!r appropriate organization t-- 7,a7
 is n "p ( ! ,gov]nm5t2  7,b7 op]ates z 
a n-=-pr(it entity2 &  7,c7 has exp]tise
 & objectivity comp>able to t ( !       
,in/itute ( ,m$ic9e4  7#b7 ,treatm5t ,if
 ! ,secret>y ent]s into an agreem5t )   
ano!r organization z describ$ 9 p>agraph
 7#a71 any ref]5ce 9 ?is section to !   
,in/itute ( ,m$ic9e %all be treat$ z a  
ref]5ce to ! o!r organization4