,i  #aai? ,,congress  #b;d ,session  ,h4
 ,r4 #haae  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,m>* #bf1 #bjbf ,mrs4 
,mill]-,meeks introduc$ ! foll[+ bill2  
:i* 0 ref]r$ to ! ,committee on         
,vet]ans' ,affairs1 & 9 addition to !   
,committee on ,arm$ ,s]vices1 = a p]iod 
to be subsequ5tly det]m9$ by ! ,speak]1 
9 ea* case = consid]ation ( su*         
provisions z fall )9 ! jurisdiction ( ! 
committee conc]n$  ,a ,,bill  ,to modify
 ! ,precision ,m$ic9e = ,vet]ans        
,initiative ( ! ,dep>tm5t ( ,vet]ans    
,affairs4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,precision ,bra9 ,heal?    
,rese>* ,act ( #bjbf4  #b4 ,modification
 ( ,precision ,m$ic9e = ,vet]ans        
,initiative ,section #cje ( ! ,comm&]   
,john ,scott ,hannon ,vet]ans ,m5tal    
,heal? ,c>e ,improvem5t ,act ( #bjai    
7#ch ,u4,s4,c4 #agab;,a note2 ,public   
,law #aaf-aga7 is am5d$--  7#a7 9       
subsection 7a71 by /rik+ & su* o!r m5tal
 heal? conditions & ins]t+ repetitive   
l[-level bla/ exposure1 dem5tia1 & su*  

o!r bra9 & m5tal heal? conditions2  7#b7
 9 subsection 7d77#d71 by add+ at ! end 
! foll[+ new subp>agraph3  7,e7         
,data-%>+ p>tn]%ip  7i7 ,9 g5]al ,n lat]
 ?an "o ye> aft] ! date ( ! enactm5t ( !
 ,precision ,bra9 ,heal? ,rese>* ,act ( 
#bjbf1 ! ,secret>y ( ,vet]ans ,affairs &
 ! ,secret>y ( ,def5se %all e/abli% a   
data-%>+ p>tn]%ip betwe5 ! ,dep>tm5t (  
,vet]ans ,affairs & ! ,dep>tm5t (       
,def5se4  7ii7 ,/orage ,! p>tn]%ip      
e/abli%$ "u clause 7i7 %all be /or$ 9 ! 
op5 plat=m made available "u ?is        
p>agraph4  7iii7 ,data ,! data suppli$  
by ! ,secret>y ( ,def5se %all include   
all relevant data ( ! ,dep>tm5t (       
,def5se1 collect$ ?r\gh-- 7,i7 ! ,arm$  
,=ces2  7,,ii7 ! ,unit$ ,/ates ,special 
,op]ations ,comm&2 &  7,,iii7 !         
,long-,t]m ,impact ( ,milit>y-,relevant 
,bra9 ,injury ,consortium ,*ronic       
,effects ( ,neurotrauma ,consortium     
ma9ta9$ by ! ,def5se ,heal? ,ag5cy4     
7iv7 ,report ,e two ye>s dur+ ! p]iod   
beg9n+ on ! date ( ! e/abli%m5t ( !     

p>tn]%ip "u ?is subp>agraph & end+ on ! 
day :5 ! p>tn]%ip t]m9ates1 ! ,secret>y 
( ,vet]ans ,affairs %all submit to !    
,committees on ,vet]ans' ,affairs ( !   
,s5ate & ! ,h\se ( ,repres5tatives a    
report reg>d+ ! p>tn]%ip4 ,ea* su*      
report %all include1 ) respect to !     
p]iod ( two ye>s prec$+ ! date ( su*    
report1 ! foll[+ elem5ts3 7,i7 ,a       
description ( any new !rapy or treatm5t 
protocol develop$ us+ data %>$ ?r\gh !  
p>tn]%ip4  7,,ii7 ,! evaluation ( !     
,secret>y ( ! p>tn]%ip4  7,,iii7        
,recomm5dations ( ! ,secret>y reg>d+ !  
p>tn]%ip4  2 &  7#c7 by add+ at ! end ! 
foll[+ new subsections3  7f7 ,repetitive
 l[-level bla/ exposure rese>* ,9 c>ry+ 
out ! initiative "u subsection 7a71 !   
,secret>y ( ,vet]ans ,affairs %all      
conduct ! foll[+ rese>*3  7#a7 ,a       
big-data assessm5t ( ! cl9ical &        
non-cl9ical int]v5tions t are illu/rat+ 
positive outcomes = pati5ts )9 ! heal?  
sy/em ( ! ,vet]ans ,heal? ,adm9i/ration 
) likely l[-level repetitive bla/       

injuries1 includ+ a categorization (    
milit>y occupational specialties1 &     
units1 kn[n to exp]i5ce high] levels (  
l[-level repetitive bla/ injuries4  7#b7
 ,n few] ?an two l>ge-scale             
implem5tation /udies ( rese>*-prov5     
int]v5tions )9 su* heal? sy/em = pati5ts
 ) likely l[-level repetitive bla/      
injuries1 includ+ a categorization (    
milit>y occupational specialties1 &     
units1 kn[n to exp]i5ce high] levels (  
l[-level repetitive bla/ injuries4  7#c7
 ,a translational rese>* /udy on ! use (
 gr[? hormone replacem5t !rapy on !     
improvem5t ( cognitive function1 quality
 ( life1 bra9 /ructure1 & o!r negative  
symptoms on pati5ts )9 su* heal? sy/em )
 likely l[-level repetitive bla/        
injuries4  7#d7 ,n few] ?an f\r         
l>ge-scale quality improvem5t /udies on 
improv+ ! diagnosis & c>e ( vet]an      
pati5ts ) likely l[-level repetitive    
bla/ injuries4  7g7 ,assi/ance & report 
by ,national ,academies ( ,sci5ces1     
,eng9e]+1 & ,m$ic9e ,n lat] ?an #fj days

 aft] ! date ( ! enactm5t ( ! ,precision
 ,bra9 ,heal? ,rese>* ,act ( #bjbf1 !   
,secret>y ( ,vet]ans ,affairs %all seek 
to ent] into a contract ) ! ,national   
,academies ( ,sci5ces1 ,eng9e]+1 &      
,m$ic9e "u :i* ! ,national ,academies   
%all-- 7#a7 "w 9 t&em ) ! initiative "u 
subsection 7a7 on validation ( bra9 &   
m5tal heal? biom>k]s among vet]ans2 &   
7#b7 n less frequ5tly ?an once e two    
ye>s1 submit to ! ,committee on         
,vet]ans' ,affairs ( ! ,s5ate & !       
,committee on ,vet]ans' ,affairs ( !    
,h\se ( ,repres5tatives a report on ! "w
 complet$ "u p>agraph 7#a74  7h7        
,assessm5t  7#a7 ,9 g5]al ,! ,secret>y (
 ,vet]ans ,affairs %all conduct an      
assessm5t ( all translational rese>*    
/udies 9 progress & plann$ "u !         
initiative "u subsection 7a71 includ+   
rese>* "u subsection 7f74  7#b7 ,report 
,n lat] ?an #fj days aft] completion ( !
 assessm5t conduct$ "u p>agraph 7#a71 ! 
,secret>y %all submit to ! ,committee on
 ,vet]ans' ,affairs ( ! ,s5ate & !      

,committee on ,vet]ans' ,affairs ( !    
,h\se ( ,repres5tatives a report on !   
assessm5t4  7i7 ,reports  7#a7 ,9 g5]al 
,n less frequ5tly ?an once e two ye>s1 !
 ,secret>y ( ,vet]ans ,affairs %all     
submit to ! ,committee on ,vet]ans'     
,affairs ( ! ,s5ate & ! ,committee on   
,vet]ans' ,affairs ( ! ,h\se (          
,repres5tatives a report on ! initiative
 "u subsection 7a74  7#b7               
,recomm5dations ,ea* report requir$ by  
p>agraph 7#a7 %all include              
recomm5dations = imm$iate adm9i/rative &
 legislative action to improve !        
initiative "u subsection 7a74  7j7      
,au?orization ( appropriations ,!re is  
au?oriz$ to be appropriat$ to !         
,secret>y ( ,vet]ans ,affairs #e1jjj1jjj
 to c>ry out ! initiative "u subsection 
7a7 = ea* ( fiscal ye>s #bjbe ?r\gh     
#bjcj4  4