,i #aah? ,,congress #a/ ,session ,h4 ,r4 #ejjb ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,july #bg1 #bjbc,mrs4 ,h>%b>g] introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,vet]ans' ,affairs ,a ,,bill ,to direct ! ,secret>y ( ,vet]ans ,affairs to c>ry out a pilot program = ! cognitive c>e ( vet]ans1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,innovative ,cognitive ,c>e = ,vet]ans ,act ( #bjbc4 #b4 ,f9d+s ,congress f9ds ! foll[+3 7#a7 ,accord+ to a #bjbj /udy by ! ,(fice ( ! ,assi/ant ,deputy ,"u ,secret>y = ,heal? = ,policy & ,plann+ ( ! ,dep>tm5t ( ,vet]ans ,affairs1 x is project$ t ! numb] ( vet]ans ) ,alzheim]'s dem5tia w increase by #bh4i p]c5t betwe5 fiscal ye> #bjba & fiscal ye> #bjcc1 am\nt+ to an e/imat$ #dh1jjj new pati5ts ) cognitive impairm5ts4 7#b7 ,! co/ ( exp5ditures ( ! ,dep>tm5t ( ,vet]ans ,affairs = long-t]m c>e is gr[+ rapidly1 z demon/rat$ by a #bjbj ,gov]nm5t ,acc\ntability ,(fice report t e/imates su* exp5ditures are project$ to d\ble to #ad1cjj1jjj1jjj by #bjcg4 7#c7 ,z describ$ 9 ! report specifi$ 9 p>agraph 7#b71 ! ,dep>tm5t ( ,vet]ans ,affairs also faces bo? a curr5t & incom+ work=ce %ortage1 9 addition to o!r *all5ges relat+ to ! provision ( long-t]m c>e s]vices to ! m ?an #b1hjj1jjj e/imat$ vet]ans :o are enroll$ 9 ! pati5t enrollm5t sy/em ( ! ,dep>tm5t e/abli%$ & op]at$ "u section #agje7;a7 ( title #ch1 ,unit$ ,/ates ,code1 & live 9 rural areas4 7#d7 ,z obs]v$ by ! ,secret>y ( ,vet]ans ,affairs1 vet]ans c also be prone to unique factors t increase ! risk = future cognitive impairm5t4 ,= example1 x has be5 f\nd t vet]ans :o s]v$ dur+ ! ,vietnam era &1 :ile s s]v+1 7 expos$ to ,ag5t ,orange are ne>ly twice z likely z ^? )\t su* exposure to receive a diagnosis ( dem5tia4 7#e7 ,accord+ to ! ,dep>tm5t ( ,vet]ans ,affairs1 m ?an #ahe1jjj vet]ans enroll$ 9 ! heal? c>e sy/em ( ! ,dep>tm5t ( ,vet]ans ,affairs h be5 diagnos$ ) at lea/ "o traumatic bra9 injury4 ,traumatic bra9 injury (t5 affects ! cognitive abilities ( an individual & c disrupt normal bra9 function4 ,vet]ans ) a traumatic bra9 injury are also #fj p]c5t m likely to develop ,alzheim]'s ,disease or o!r =ms ( dem5tia4 7#f7 ,?is data compels ! ,unit$ ,/ates ,gov]nm5t to d m = vet]ans & _! cognitive c>e4 #c4 ,pilot program ( ,dep>tm5t ( ,vet]ans ,affairs = address+ cognitive disord]s among vet]ans 7a7 ,pilot program 7#a7 ,pilot program ,n lat] ?an #ahj days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,vet]ans ,affairs %all c>ry out1 z a "p ( ! ,vet]ans ,community ,c>e ,program "u section #agjc ( title #ch1 & 9 accordance ) ! requirem5ts ( su* program1 a pilot program 79 ?is section ref]r$ to z ! pilot program7 "u :i* ! ,secret>y may ent] into agreem5ts ) eligible entities to furni% to p>ticipat+ vet]ans teleheal?1 virtual tra9+ tools = home heal? aides1 & o!r innovative s]vices1 t sl[ ! progression ( cognitive disord]s4 7#b7 ,vet]ans ,c>e ,agreem5ts ,9 ent]+ into agreem5ts "u p>agraph 7#a71 ! ,secret>y may ent] into a ,vet]ans ,c>e ,agreem5t "u section #agjc;,a ( title #ch1 ,unit$ ,/ates ,code1 consi/5t ) ! requirem5ts ( su* section4 7b7 ,selection ( entities 7#a7 ,eligible entities ,an entity is eligible = entry into an agreem5t "u ! pilot program if ! entity-- 7,a7 furni%es teleheal?1 virtual tra9+ tools = home heal? aides1 or o!r innovative s]vices1 t sl[ ! progression ( cognitive disord]s2 & 7,b7 meets su* o!r requirem5ts z ! ,secret>y may prescribe4 7#b7 ,priority ,9 select+ eligible entities = entry into an agreem5t "u ! pilot program1 ! ,secret>y %all give priority to eligible entities )-- 7,a7 demon/rat$ exp]i5ce 9-- 7i7 provid+ assi/ance to individuals ) cognitive disord]s2 7ii7 address+ behavioral & temp]am5t issues1 includ+ ?r\gh int]active engagem5t & /imulation solutions2 7iii7 c>egiv] or home heal? aid tra9+2 & 7iv7 work+ 9 ! field ( cognitive disord]s1 includ+ ?r\gh ! treatm5t (1 or rehabilitation =1 traumatic bra9 injury or neurodeg5]ative conditions2 & 7,b7 ! ability to provide s]vices "u ! pilot program to vet]ans at locations o!r ?an a hospital1 nurs+ home1 or o!r m$ical facility1 9 accordance ) subsection 7d77#b74 7#c7 ,li/ ( select$ entities ,! ,secret>y %all-- 7,a7 publi% on an int]net website ( ! ,dep>tm5t a li/ id5tify+ ea* eligible entity ) :i* ! ,secret>y has ent]$ into an agreem5t "u ! pilot program2 & 7,b7 ensure su* li/ is accessible to vet]ans select$ = p>ticipation 9 ! pilot program4 7c7 ,selection ( vet]ans ,9 select+ vet]ans = p>ticipation 9 ! pilot program1 ! ,secret>y-- 7#a7 %all ensure t n m ?an #ejj vet]ans p>ticipate 9 ! pilot program at any giv5 "t2 & 7#b7 may n take into consid]ation age or risk factors = cognitive disord]s4 7d7 ,s]vices3 self-,direct$ & 9-,home nature ,ea* vet]an select$ by ! ,secret>y = p>ticipation 9 ! pilot program-- 7#a7 may select1 f among ! entities li/$ "u subsection 7b77#c7 t are accessible to ! vet]an1 ! entity f :i* s]vices %all be receiv$ by ! vet]an "u ! pilot program2 & 7#b7 may elect to receive s]vices "u ! pilot program at a location t is n a traditional m$ical sett+1 su* z at ! resid5ce ( ! vet]an1 9 lieu ( receiv+ su* s]vices at a hospital1 nurs+ home1 or o!r m$ical facility4 7e7 ,t]m9ation ,! pilot program %all t]m9ate on ! date t is five ye>s aft] ! date on :i* ! pilot program comm5ces4 7f7 ,report ,n lat] ?an #ahj days aft] ! date ( t]m9ation "u subsection 7e71 ! ,secret>y %all submit to ! ,committees on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives & ! ,s5ate a report on ! pilot program4 ,su* report %all include ! foll[+3 7#a7 ,a detail$ ov]view ( ea* entity ) :i* ! ,secret>y ent]$ into an agreem5t "u ! pilot program1 & ! s]vices t entity provid$ to p>ticipat+ vet]ans pursuant to su* agreem5t4 7#b7 ,an id5tification ( ! types ( te*nology t eligible entities ) :i* ! ,secret>y ent]$ into an agreem5t "u ! pilot program us$ to provide s]vices to p>ticipat+ vet]ans pursuant to su* agreem5t4 7#c7 ,an id5tification ( ! foll[+3 7,a7 ,! numb] ( vet]ans t p>ticipat$ 9 ! pilot program4 7,b7 ,! numb] ( vet]ans t appli$ to p>ticipate 9 ! pilot program b 7 n select$ = p>ticipation z a result ( ! limitation "u subsection 7c77#b74 7,c7 ,( ! vet]ans :o p>ticipat$ 9 ! pilot program1 ! numb] :o1 = ! duration ( su* p>ticipation1 receiv$ s]vices "u ! pilot program4 7,d7 ,( ! vet]ans :o p>ticipat$ 9 ! pilot program1 ! numb] :o suff]$ traumatic bra9 injury :ile s]v+ 9 ! ,arm$ ,=ces1 includ+1 = ea* su* vet]an-- 7i7 a classification ( ! traumatic bra9 injury s suff]$ z mild1 mod]ate1 or sev]e 7z ! case may be72 & 7ii7 an id5tification ( ! me*anism ( injury4 7,e7 ,! p]c5tage ( vet]ans :o p>ticipat$ 9 ! pilot program 7disaggregat$ by type ( outcome specifi$ 9 clauses 7i7 ?r\gh 7iii77 :o report$ t su* p>ticipation result$ 9 ! foll[+ outcomes1 ) respect to ! individual vet]an3 7i7 ,quality ( life improv$4 7ii7 ,quality ( life 0 unaffect$4 7iii7 ,quality ( life wors5$4 7,f7 ,a socioeconomic & demographic breakd[n ( vet]ans :o p>ticipat$ 9 ! pilot program4 7,g7 ,! type ( h\s+ 9 :i* ! vet]ans :o p>ticipat$ 9 ! pilot program reside4 7,h7 ,:e!r ! vet]ans :o p>ticipat$ 9 ! pilot program h access to p]sonal c>e s]vices f a c>egiv]1 & if s1 :e!r su* s]vices 7 furni%$ by ! ,secret>y 7includ+ ?r\gh a non-,dep>tm5t ( ,vet]ans ,affairs heal? c>e provid] provid+ su* s]vices "u ! laws adm9i/]$ by ! ,secret>y74 7,i7 ,su* o!r in=mation z may be det]m9$ relevant by ! ,secret>y4 7g7 ,s\rce ( funds ,am\nts requir$ to c>ry out ?is ,act %all be d]iv$ f unobligat$ am\nts appropriat$ to ! ,vet]ans ,heal? ,adm9i/ration & det]m9$ appropriate by ! ,secret>y4