,i  #aaith ,,congress  #b;d ,session    
,h4 ,r4 #haae  ,,in ,,the ,,house ,,of  
,,representatives  ,march #bf1 #bjbf    
,mrs4 ,miller-,meeks introduced the     
following bill2 which was referred to   
the ,committee on ,veterans' ,affairs1  
and in addition to the ,committee on    
,armed ,services1 for a period to be    
subsequently determined by the ,speaker1
 in each case for consideration of such 
provisions as fall within the           
jurisdiction of the committee concerned 
,a ,,bill  ,to modify the ,precision    
,medicine for ,veterans ,initiative of  
the ,department of ,veterans ,affairs4  
#a4 ,short title ,this ,act may be cited
 as the ,precision ,brain ,health       
,research ,act of #bjbf4  #b4           
,modification of ,precision ,medicine   
for ,veterans ,initiative ,section #cje 
of the ,commander ,john ,scott ,hannon  
,veterans ,mental ,health ,care         
,improvement ,act of #bjai 7#ch         
,u4,s4,c4 #agab;,a note2 ,public ,law   
#aaf-aga7 is amended--  7#a7 in         

subsection 7a71 by striking and such    
other mental health conditions and      
inserting repetitive low-level blast    
exposure1 dementia1 and such other brain
 and mental health conditions2  7#b7 in 
subsection 7d77#d71 by adding at the end
 the following new subparagraph3  7,e7  
,data-sharing partnership  7i7 ,in      
general ,not later than one year after  
the date of the enactment of the        
,precision ,brain ,health ,research ,act
 of #bjbf1 the ,secretary of ,veterans  
,affairs and the ,secretary of ,defense 
shall establish a data-sharing          
partnership between the ,department of  
,veterans ,affairs and the ,department  
of ,defense4  7ii7 ,storage ,the        
partnership established under clause 7i7
 shall be stored in the open platform   
made available under this paragraph4    
7iii7 ,data ,the data supplied by the   
,secretary of ,defense shall include all
 relevant data of the ,department of    
,defense1 collected through-- 7,i7 the  
,armed ,forces2  7,,ii7 the ,united     

,states ,special ,operations ,command2  
and  7,,iii7 the ,long-,term ,impact of 
,military-,relevant ,brain ,injury      
,consortium ,chronic ,effects of        
,neurotrauma ,consortium maintained by  
the ,defense ,health ,agency4  7iv7     
,report ,every two years during the     
period beginning on the date of the     
establishment of the partnership under  
this subparagraph and ending on the day 
when the partnership terminates1 the    
,secretary of ,veterans ,affairs shall  
submit to the ,committees on ,veterans' 
,affairs of the ,senate and the ,house  
of ,representatives a report regarding  
the partnership4 ,each such report shall
 include1 with respect to the period of 
two years preceding the date of such    
report1 the following elements3 7,i7 ,a 
description of any new therapy or       
treatment protocol developed using data 
shared through the partnership4  7,,ii7 
,the evaluation of the ,secretary of the
 partnership4  7,,iii7 ,recommendations 
of the ,secretary regarding the         

partnership4  2 and  7#c7 by adding at  
the end the following new subsections3  
7f7 ,repetitive low-level blast exposure
 research ,in carrying out the          
initiative under subsection 7a71 the    
,secretary of ,veterans ,affairs shall  
conduct the following research3  7#a7 ,a
 big-data assessment of the clinical and
 non-clinical interventions that are    
illustrating positive outcomes for      
patients within the health system of the
 ,veterans ,health ,administration with 
likely low-level repetitive blast       
injuries1 including a categorization of 
military occupational specialties1 and  
units1 known to experience higher levels
 of low-level repetitive blast injuries4
  7#b7 ,not fewer than two large-scale  
implementation studies of               
research-proven interventions within    
such health system for patients with    
likely low-level repetitive blast       
injuries1 including a categorization of 
military occupational specialties1 and  
units1 known to experience higher levels

 of low-level repetitive blast injuries4
  7#c7 ,a translational research study  
on the use of growth hormone replacement
 therapy on the improvement of cognitive
 function1 quality of life1 brain       
structure1 and other negative symptoms  
on patients within such health system   
with likely low-level repetitive blast  
injuries4  7#d7 ,not fewer than four    
large-scale quality improvement studies 
on improving the diagnosis and care of  
veteran patients with likely low-level  
repetitive blast injuries4  7g7         
,assistance and report by ,national     
,academies of ,sciences1 ,engineering1  
and ,medicine ,not later than #fj days  
after the date of the enactment of the  
,precision ,brain ,health ,research ,act
 of #bjbf1 the ,secretary of ,veterans  
,affairs shall seek to enter into a     
contract with the ,national ,academies  
of ,sciences1 ,engineering1 and         
,medicine under which the ,national     
,academies shall-- 7#a7 work in tandem  
with the initiative under subsection 7a7

 on validation of brain and mental      
health biomarkers among veterans2 and   
7#b7 not less frequently than once every
 two years1 submit to the ,committee on 
,veterans' ,affairs of the ,senate and  
the ,committee on ,veterans' ,affairs of
 the ,house of ,representatives a report
 on the work completed under paragraph  
7#a74  7h7 ,assessment  7#a7 ,in general
 ,the ,secretary of ,veterans ,affairs  
shall conduct an assessment of all      
translational research studies in       
progress and planned under the          
initiative under subsection 7a71        
including research under subsection 7f74
  7#b7 ,report ,not later than #fj days 
after completion of the assessment      
conducted under paragraph 7#a71 the     
,secretary shall submit to the          
,committee on ,veterans' ,affairs of the
 ,senate and the ,committee on          
,veterans' ,affairs of the ,house of    
,representatives a report on the        
assessment4  7i7 ,reports  7#a7 ,in     
general ,not less frequently than once  

every two years1 the ,secretary of      
,veterans ,affairs shall submit to the  
,committee on ,veterans' ,affairs of the
 ,senate and the ,committee on          
,veterans' ,affairs of the ,house of    
,representatives a report on the        
initiative under subsection 7a74  7#b7  
,recommendations ,each report required  
by paragraph 7#a7 shall include         
recommendations for immediate           
administrative and legislative action to
 improve the initiative under subsection
 7a74  7j7 ,authorization of            
appropriations ,there is authorized to  
be appropriated to the ,secretary of    
,veterans ,affairs #e1jjj1jjj to carry  
out the initiative under subsection 7a7 
for each of fiscal years #bjbe through  
#bjcj4  4