,,ii  #aadth ,,congress  #b;d ,session  
,s4 #ceaa  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,december #g1  
#bjaf,ms4 ,warren introduced the        
following bill2 which was read twice and
 referred to the ,committee on ,armed   
,services  ,a ,,bill  ,to require the   
,secretary of ,defense to expand the    
,secretarial ,designee ,program of the  
,department of ,defense to include      
victims of acts of terror4  #a4 ,short  
title ,this ,act may be cited as the    
,jessica ,kensky and ,patrick ,downes   
,act4  #b4 ,provision of health care    
under ,secretarial ,designee ,program of
 ,department of ,defense for traumatic  
injuries suffered by victims of         
terrorism  7a7 ,sense of ,congress ,it  
is the sense of ,congress that--  7#a7  
victims of acts of terror in the ,united
 ,states deserve the best available     
medical treatment2  7#b7 military       
treatment facilities possess the vital  
expertise and experience to provide     
unique care for victims of acts of      

terror who incur blast and other        
injuries that result in amputations and 
limb salvage procedures2  7#c7 the      
,secretarial ,designee ,program of the  
,department of ,defense conducted under 
section #ajgd7;c7 of title #aj1 ,united 
,states ,code1 should be expanded to    
provide expert care in a timely manner  
to victims of acts of terror2  7#d7 the 
expansion of such program will not only 
benefit victims1 but also provide       
military treatment facilities such as   
,walter ,reed ,national ,military       
,medical ,center and the ,uniformed     
,services ,university of the ,health    
,sciences with the ability to provide   
ongoing education and training          
opportunities to mentor the next        
generation of health care providers that
 will provide care for members of the   
,armed ,forces2 and  7#e7 care for      
victims of acts of terror should be     
provided under the policies of the      
,department in effect as of the date of 
the enactment of this ,act that provide 

space at military treatment facilities  
to civilians on a space available and   
fully reimbursable basis4  7b7          
,expansion of ,secretarial ,designee    
,program of ,department of ,defense     
7#a7 ,expansion of program  7,a7 ,in    
general ,the ,secretary of ,defense     
shall expand eligibility for the        
,secretarial ,designee ,program of the  
,department of ,defense conducted under 
section #ajgd7;c7 of title #aj1 ,united 
,states ,code1 to include the provision 
of health care at military treatment    
facilities for--  7i7 victims of acts of
 terror that occur in the ,united       
,states2 and  7ii7 residents of the     
,united ,states who are victims of acts 
of terror outside the ,united ,states4  
7,b7 ,eligibility status ,individuals   
who become eligible for the ,secretarial
 ,designee ,program pursuant to         
subparagraph 7,a7 shall remain eligible 
for such program on a space available   
and fully reimbursable basis in         
accordance with the policy of the       

,department of ,defense governing such  
program in effect as of the date of the 
enactment of this ,act4  7,c7 ,expedited
 status  7i7 ,in general ,the ,secretary
 may provide expedited eligibility for  
the ,secretarial ,designee ,program     
pursuant to subparagraph 7,a7 if the    
,secretary determines that the injuries 
of the individual are severe enough to  
warrant such expedited eligibility4     
7ii7 ,evaluation ,in making a           
determination under clause 7i71 the     
,secretary shall evaluate victims       
described in clause 7i7 or 7ii7 of      
subparagraph 7,a7 who require critical  
care4  7,d7 ,release to private sector  
health care provider ,the ,secretary may
 not release an individual who is       
receiving care under the ,secretarial   
,designee ,program pursuant to          
subparagraph 7,a7 to a health care      
provider in the private sector until a  
comprehensive treatment plan is         
communicated to the individual and the  
health care provider4  7#b7 ,procedures 

after acts of terror ,not later than    
#bgj days after the date of the         
enactment of this ,act1 the ,secretary  
of ,defense shall1 in consultation with 
the ,secretary of ,homeland ,security   
and the heads of such other ,federal    
agencies as the ,secretary of ,defense  
considers appropriate1 establish        
procedures to implement paragraph 7#a71 
which shall include the following3  7,a7
 ,procedures for the conduct of timely  
outreach and communication to local     
medical facilities after an act of      
terror in the ,united ,states4  7,b7    
,procedures to promptly contact1        
coordinate1 and provide medical         
expertise to local medical facilities   
that are treating victims of an act of  
terror that caused blast related        
injuries and other serious injuries4    
7,c7 ,procedures for the provision of   
medical evaluations for victims of an   
act of terror who were exposed to blast 
and other types of injuries4