,i  #aai? ,,congress  #a/ ,session  ,h4 
,r4 #dhje  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,july #bi1 #bjbe,mrs4 
,kiggans ( ,virg9ia 7= h]self & ,ms4    
,goodl&]7 introduc$ ! foll[+ bill2 :i* 0
 ref]r$ to ! ,committee on ,vet]ans'    
,affairs  ,a ,,bill  ,to direct !       
,secret>y ( ,vet]ans ,affairs to conduct
 a /udy on ! long-t]m physiological &   
psy*ological effects ( milit>y aviation 
vet]ans :o s]v$ z aviators 9 ! ,arm$    
,=ces1 & = o!r purposes4  #a4 ,%ort     
title ,?is ,act may be cit$ z ! ,w>rior 
,impact f ,neurological & ,g-,=ce ,/ress
 ,act or ! ,,w+s ,act4  #b4 ,/udy on    
long-t]m effects ( milit>y flight       
op]ations on bra9 heal? & m5tal heal?   
7a7 ,/udy ,! ,secret>y ( ,vet]ans       
,affairs %all conduct a compreh5sive1   
longitud9al /udy to assess ! long-t]m   
physiological & psy*ological effects (  
milit>y aviation1 includ+ ) respect to  
high-p]=mance flight & ,g-=ce exposure1 
on milit>y aviators4  7b7 ,elem5ts ,!   
/udy "u subsection 7a7 %all exam9e1 at a

 m9imum-- 7#a7 ! relation%ip betwe5     
cumulative flight h\rs & exposure to    
,g-=ces & incid5ts ( traumatic bra9     
injury1 sub-concussive trauma1 or       
cognitive impairm5t2  7#b7 long-t]m     
m5tal heal? outcomes1 includ+ ) respect 
to incid5ce ( depression1 anxiety       
disord]s1 & po/-traumatic /ress disord]1
 9 milit>y aviators comp>$ to o!r memb]s
 ( ! ,arm$ ,=ces2  7#c7 ! correlation   
betwe5 aviation-relat$ physiological    
/ress & suicide risk among aviators2    
7#d7 ! preval5ce ( neurodeg5]ative      
conditions 7includ+ *ronic traumatic    
encephalopa?y1 amyotrophic lat]al       
scl]osis1 & ,p>k9son's disease7 9 curr5t
 & =m] milit>y aviators2  7#e7 ! effect 
( helmet design1 oxyg5 sy/ems1 flight   
suit pressurization1 & o!r cockpit      
environm5tal factors on neurocognitive  
heal?2  7#f7 curr5t scre5+ & diagno/ic  
proc$ures us$ to detect e>ly signs (    
neurological injury or psy*ological     
di/ress 9 milit>y aviators2 &  7#g7     
recomm5d$ improvem5ts 9 ! monitor+1     

prev5tion1 & treatm5t ( aviation-relat$ 
bra9 trauma & m5tal heal? *all5ges4  7c7
 ,consultation ,9 conduct+ ! /udy "u    
subsection 7a71 ! ,secret>y %all consult
 )-- 7#a7 ! ,secret>y ( ,def5se2  7#b7 !
 ,surgeons ,g5]al ( ! milit>y dep>tm5ts2
  7#c7 ! ,director ( ! ,def5se ,heal?   
,ag5cy2 &  7#d7 relevant academic       
in/itutions & f$]ally fund$ rese>* &    
developm5t c5t]s ) exp]tise 9 aviation  
m$ic9e1 neurosci5ce1 & psy*iatry4  7d7  
,pilot heal? regi/ry ,! ,secret>y (     
,vet]ans ,affairs %all e/abli% & ma9ta9 
a c5traliz$ ,milit>y ,aviator           
,neuroheal? ,regi/ry t includes-- 7#a7  
anonymiz$ heal? data ( milit>y aviators 
volunt>ily p>ticipat+ 9 ! /udy "u       
subsection 7a72  7#b7 flight exposure   
metrics1 includ+ cumulative h\rs &      
,g-=ce pr(iles2  7#c7 relevant heal?    
outcomes track$ ov] "t2 &  7#d7 a       
me*anism = longitud9al foll[-up ) !     
milit>y aviators4  7e7 ,reports  7#a7   
,int]im report ,n lat] ?an "o ye> aft] !
 date ( ! enactm5t ( ?is ,act1 !        

,secret>y %all submit to ,congress an   
int]im report on ! /udy "u subsection   
7a71 includ+ any prelim9>y f9d+s &      
recomm5dations4  7#b7 ,f9al report ,n   
lat] ?an ?ree ye>s aft] ! date ( !      
enactm5t ( ?is ,act1 ! ,secret>y %all   
submit to ,congress report on ! /udy "u 
subsection 7a71 includ+ f9d+s &         
recomm5dations4  7f7 ,milit>y aviator   
def9$ ,9 ?is section1 ! t]m milit>y     
aviator means a vet]an :o1 z a memb] ( !
 ,arm$ ,=ces1 includ+ a commission$     
(fic] or a w>rant (fic]-- 7#a7 _h be5   
designat$ z a pilot1 naval aviator1 or  
aircrew memb] by ! ,secret>y ( ! milit>y
 dep>tm5t conc]n$2  7#b7 op]at$1 or 0   
regul>ly assign$ z a flight crew memb]  
abo>d1 high-p]=mance1 crew$1 fix$-w+ or 
rot>y-w+ aircraft design$ = tactical1   
tra9+1 or reconnaissance missions1      
includ+-- 7,a7 fight] aircraft 7su* z ! 
,f-#ce1 ,f_/,a-#ah1 ,f-#bb1 & ,f-#af    
aircraft72  7,b7 attack aircraft 7su* z 
! ,a-#aj & ,,ah-#fd aircraft72  7,c7    
tra9] jets 7su* z ! ,t-#g1 ,t-#ch1 &    

,t-#de aircraft72 &  7,d7 tiltrotor or  
high-spe$ rot>y aircraft 7su* z ! ,v-#bb
 aircraft72  7#c7 0 subject to su/a9$ or
 repeat$ ,g-=ces dur+ ! r\t9e execution 
( flight duties2 &  7#d7 s]v$ 9 a role t
 may h includ$ aircraft control1 weapons
 employm5t1 navigation1 reconnaissance1 
or mission-specific op]ations requir+   
aircrew qualification & exposure to     
flight-relat$ physiological /ressors4