,,ii  #aae? ,,congress  #b;d ,session   
,s4 #bhhc  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,may #ag1 #bjah,ms4    
,w>r5 7= h]self & ,mrs4 ,ern/7 introduc$
 ! foll[+ bill2 :i* 0 read twice &      
ref]r$ to ! ,committee on ,arm$ ,s]vices
  ,a ,,bill  ,to require ! ,secret>y (  
,def5se to submit a plan to improve     
rese>* & developm5t on !rapies =        
traumatic bra9 injury & po/-traumatic   
/ress disord]1 to docum5t in=mation on  
bla/ exposures 9 s]vice records (       
milit>y p]sonnel1 & = o!r purposes4  #a4
 ,%ort title ,?is ,act may be cit$ z !  
,bla/ ,exposure & ,bra9 ,injury         
,prev5tion ,act4  #b4 ,measures to      
mitigate traumatic bra9 injury &        
po/-traumatic /ress disord]  7a7 ,plan  
on improvem5ts to rese>* & developm5t on
 !rapies = traumatic bra9 injury &      
po/-,traumatic /ress disord] ,n lat] ?an
 #ahj days aft] ! date ( ! enactm5t (   
?is ,act1 ! ,secret>y ( ,def5se %all    
submit to ! congressional def5se        
committees a report sett+ =? ! foll[+3  

7#a7 ,a plan = ! ,director ( ! ,def5se  
,heal? ,ag5cy1 9 collaboration ) !      
,secret>y ( ,vet]ans ,affairs1 !        
,national ,in/itutes ( ,heal?1 &        
appropriate in/itutions ( high]         
education & private entities1 to        
accel]ate coop]ative rese>* & developm5t
 on !rapies = traumatic bra9 injury &   
po/-traumatic /ress disord]1 includ+ !  
foll[+3  7,a7 ,actions to be tak5 by !  
,director to maximize ! coord9ation &   
use ( sci5tific rese>* & developm5t     
ef=ts on su* !rapies t is c>ri$ out by  
o!r elem5ts ( ! ,dep>tm5t ( ,def5se1 !  
,national ,in/itutes ( ,heal?1 !        
,dep>tm5t ( ,vet]ans ,affairs1 & su*    
in/itutions & entities4  7,b7 ,o!r      
actions & processes to be tak5 or       
develop$ by ! ,director to accel]ate    
rese>* & developm5t on & deliv]y ( su*  
!rapies4  7#b7 ,if legislative or       
adm9i/rative action is requir$ to c>ry  
out ! plan1 su* recomm5dations = su*    
legislative or adm9i/rative action z !  
,secret>y ( ,def5se consid]s            

appropriate4  7b7 ,docum5tation (       
in=mation on bla/ exposures 9 s]vice    
records ( milit>y p]sonnel  7#a7 ,9     
g5]al ,9 accordance ) su* guidance z !  
,secret>y ( ,def5se %all issue =        
purposes ( ?is subsection1 ea* ,secret>y
 ( a milit>y dep>tm5t %all include 9 !  
milit>y s]vice records ( memb]s ( !     
,arm$ ,=ces "u ! jurisdiction ( su*     
,secret>y appropriate docum5tation (    
in=mation on any bla/s to :i* su* memb]s
 are expos$ dur+ s]vice 9 ! ,arm$ ,=ces 
7:e!r 9 combat or tra9+71 includ+ !     
foll[+3  7,a7 ,! date ( exposure4  7,b7 
,! duration ( exposure1 & ! bla/        
pressures exp]i5c$ dur+ exposure4  7,c7 
,:e!r exposure occurr$ dur+ combat or   
tra9+4  7,d7 ,:e!r a weapon 0 ! s\rce ( 
! bla/1 &1 if s1 ! type ( weapon4  7,e7 
,su* o!r in=mation on ! exposure z !    
,secret>y ( ,def5se %all specify 9 !    
guidance4  7#b7 ,reports ,n lat] ?an "o 
ye> aft] ! date ( ! enactm5t ( ?is ,act1
 & annually !reaft]1 ! ,secret>y %all   
submit to ! ,committees on ,arm$        

,s]vices ( ! ,s5ate & ! ,h\se (         
,repres5tatives a report on in=mation   
includ$ 9 milit>y s]vice records "u     
p>agraph 7#a7 dur+ ! "o-ye> p]iod end+  
on ! date ( su* report4 ,ea* report %all
 include summ>y descriptions ( !        
in=mation specifi$ 9 ea* subp>agraph (  
p>agraph 7#a7 t 0 includ$ 9 su* records 
dur+ ! ye> cov]$ by su* report4  7c7    
,review ( guidance on bla/ exposure dur+
 tra9+  7#a7 ,initial review ,n lat] ?an
 #ahj days aft] ! date ( ! enactm5t (   
?is ,act1 ! ,assi/ant ,secret>y (       
,def5se = ,heal? ,affairs1 9 coord9ation
 ) ea* ,assi/ant ,secret>y = ,manp[] &  
,res]ve ,affairs ( a milit>y dep>tm5t1  
%all review ! fir+ limits = heavy       
weapons dur+ tra9+ ex]cises4  7#b7      
,elem5ts ,! review requir$ by p>agraph  
7#a7 %all take into acc\nt curr5t data &
 evid5ce on ! cognitive effects ( bla/  
exposure & %all include consid]ation ( !
 foll[+3  7,a7 ,! impact ( exposure ov] 
multiple successive days ( tra9+4  7,b7 
,! impact ( multiple types ( heavy      

weapons be+ fir$ 9 close succession4    
7,c7 ,! feasibility ( cumulative annual 
or lifetime exposure limits4  7,d7 ,!   
m9imum safe di/ance = obs]v]s &         
in/ructors4  7#c7 ,updat$ tra9+ guidance
 ,n lat] ?an #ahj days aft] ! date ( !  
completion ( ! review "u p>agraph 7#a71 
ea* ,secret>y ( a milit>y dep>tm5t %all 
update any relevant tra9+ guidance to   
acc\nt = ! conclusions ( ! review4  7#d7
 ,updat$ review  7,a7 ,9 g5]al ,n less  
frequ5tly ?an once e two ye>s aft] !    
initial review conduct$ "u p>agraph     
7#a71 ! ,assi/ant ,secret>y ( ,def5se = 
,heal? ,affairs1 9 coord9ation ) ea*    
,assi/ant ,secret>y = ,manp[] & ,res]ve 
,affairs ( a milit>y dep>tm5t1 %all     
conduct an updat$ review "u su*         
p>agraph1 includ+ consid]ation ( !      
matt]s set =? "u p>agraph 7#b71 & update
 tra9+ guidance "u p>agraph 7#c74  7,b7 
,consid]ation ( new rese>* & evid5ce    
,ea* updat$ review conduct$ "u          
subp>agraph 7,a7 %all take into acc\nt  
new rese>* & evid5ce t has em]g$ s9ce ! 

previ\s review4  7#e7 ,brief+ requir$ ,!
 ,assi/ant ,secret>y ( ,def5se = ,heal? 
,affairs1 9 coord9ation ) ea* ,assi/ant 
,secret>y = ,manp[] & ,res]ve ,affairs (
 a milit>y dep>tm5t1 %all brief !       
,committees on ,arm$ ,s]vices ( ! ,s5ate
 & ! ,h\se ( ,repres5tatives on a summ>y
 ( ! results ( ! initial review "u      
p>agraph 7#a71 ea* updat$ review        
conduct$ "u p>agraph 7#d71 & any updates
 to tra9+ guidance & proc$ures result+ f
 any su* review or updat$ review4  7d7  
,rese>* on improv$ p]sonal protective   
equipm5t  7#a7 ,9 g5]al ,! ,"u ,secret>y
 ( ,def5se = ,rese>* & ,eng9e]+ %all    
e/abli% a rese>* & developm5t program to
 improve ! efficacy ( p]sonal protective
 equipm5t to r$uce bla/ pressure or     
protect aga9/ bra9 injury f exposure to 
bla/ pressure waves4  7#b7 ,report      
requir$ ,n lat] ?an "o ye> aft] ! date (
 ! enactm5t ( ?is ,act1 ! ,"u ,secret>y 
( ,def5se = ,rese>* & ,eng9e]+ %all     
submit to ! ,committees on ,arm$        
,s]vices ( ! ,s5ate & ! ,h\se (         

,repres5tatives a report on ! efficacy (
 exi/+ p]sonal protective equipm5t to   
protect aga9/ bla/ pressure1 &          
recomm5dations = foll[-on rese>* into   
te*nology advancem5ts t c\ld fur!r      
improve protection f bla/ pressure4     
7#c7 ,elem5ts ,! report requir$ by      
p>agraph 7#b7 %all include ! foll[+3    
7,a7 ,an assessm5t ( exi/+ helmet       
designs1 includ+ comm]cially available  
helmets1 to det]m9e _! efficacy aga9/   
bla/s ( v>i\s sizes & locations4  7,b7  
,a det]m9ation ( :e!r c]ta9             
configurations & mat]ials bett] protect 
aga9/ specific types ( exposure1 includ+
 f explosions & heavy weaponry4  7,c7 ,a
 review ( exi/+ p]sonal protective      
equipm5t requirem5ts1 includ+ helmets1  
to det]m9e ! adequacy ( requirem5ts to  
protect aga9/ bla/ ov]pressure4  7,d7   
,an assessm5t ( ! feasibility (         
modifications to exi/+ p]sonal          
protective equipm5t1 includ+ improv$    
helmet design4  7,e7 ,an assessm5t ( !  
trade-(fs betwe5 improv$ bla/ pressure  

protection & o!r factors1 includ+       
weight1 field ( vision1 co/1 & o!r      
factors z appropriate4  7,f7            
,recomm5dations = modifi$ or additional 
requirem5ts = p]sonal protective        
equipm5t1 includ+ helmets1 to protect   
aga9/ bla/ ov]pressure4  7,g7           
,recomm5dations = additional rese>* into
 p]sonal protective equipm5t advancem5ts
 t %[ promise1 includ+ new mat]ials1    
te*nologies1 & passive & active (f-bo>d 
measures4