I 
113TH CONGRESS 
2D SESSION 
H. R. 4276 
To extend and modify a pilot program on assisted living services for veterans 
with traumatic brain injury. 
IN THE HOUSE OF REPRESENTATIVES 
MARCH 18, 2014 
Mr. CASSIDY (for himself and Mr. MCCARTHY of California) introduced the 
following bill; which was referred to the Committee on Veterans’ Affairs 
A BILL 
To extend and modify a pilot program on assisted living 
services for veterans with traumatic brain injury. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Veterans Traumatic 
Brain Injury Care Improvement Act of 2014’’. 
SEC. 2. EXTENSION AND MODIFICATION OF PILOT PRO-
GRAM ON ASSISTED LIVING SERVICES FOR 
VETERANS WITH TRAUMATIC BRAIN INJURY. 
(a) EXTENSION
OF PROGRAM.—Subsection (a) of 
section 1705 of the National Defense Authorization Act 
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for Fiscal Year 2008 (Public Law 110–181; 38 U.S.C. 
1710C note) is amended by striking ‘‘a five-year’’ and in-
serting ‘‘an eight-year’’. 
(b) MODIFICATION OF LOCATIONS.—Subsection (b) 
of such section is amended— 
(1) by redesignating paragraph (2) as para-
graph (3); and 
(2) by striking paragraph (1) and inserting the 
following new paragraphs: 
‘‘(1) IN GENERAL.—The pilot program shall be 
carried out at locations selected by the Secretary for 
purposes of the pilot program. 
‘‘(2) 
LOCATED
IN
SAME
REGION
AS 
POLYTRAUMA CENTERS.—Of the locations selected 
under paragraph (1), at least one location shall be 
in each health care region of the Veterans Health 
Administration of the Department of Veterans Af-
fairs that contains a polytrauma center of the De-
partment of Veterans Affairs.’’. 
(c) MODIFICATION OF REPORT REQUIREMENTS.— 
Subsection (e) of such section is amended to read as fol-
lows: 
‘‘(e) REPORTS.— 
‘‘(1) QUARTERLY REPORTS.— 
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(C) by striking ‘‘assisted living’’ each place 
it appears, and inserting ‘‘community-based 
brain injury rehabilitative care’’; and 
(D) in subsection (f)(1), by striking ‘‘and 
personal care’’ and inserting ‘‘rehabilitation, 
and personal care’’. 
(2) ELIGIBLE VETERAN.—Subsection (f)(3) of 
such section is amended— 
(A) in subparagraph (C), by striking ‘‘; 
and’’ and inserting a semicolon; 
(B) in subparagraph (D), by striking the 
period at the end and inserting ‘‘; and’’; and 
(C) by adding at the end the following new 
subparagraph: 
‘‘(E) has a traumatic brain injury that is 
classified as complex-mild to severe.’’. 
(e) AUTHORIZATION OF APPROPRIATIONS.—There is 
authorized to be appropriated for the Department of Vet-
erans Affairs for fiscal year 2015 $46,000,000 to carry 
out the pilot program under section 1705 of the National 
Defense Authorization Act for Fiscal Year 2008 (Public 
Law 110–181; 38 U.S.C. 1710C note), as amended by this 
section. The amount so authorized to be appropriated shall 
be available for obligation for the three-year period begin-
ning on October 1, 2014. 
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(f) EFFECTIVE DATE.—The amendments made by 
this section shall take effect on October 1, 2014. 
SEC. 3. IMPROVEMENTS TO RECOVERY BY UNITED STATES 
OF COST OF CERTAIN CARE AND SERVICES 
PROVIDED BY DEPARTMENT OF VETERANS 
AFFAIRS. 
Section 1729(h) of title 38, United States Code, is 
amended by adding at the end the following new para-
graph: 
‘‘(4)(A) Notwithstanding paragraph (3) or section 
7332 of this title, the Secretary may make available to 
third parties medical records of a veteran described in 
paragraph (2) without the written consent of the veteran 
if— 
‘‘(i) the care or services furnished to the vet-
eran for which recovery or collection is sought under 
this section relates to drug abuse, alcoholism or alco-
hol abuse, infection with the human immuno-
deficiency virus, or sickle cell anemia; and 
‘‘(ii) by not later than 30 days after receiving 
such care or services, the Secretary does not receive 
from the veteran a notification described in subpara-
graph (B). 
‘‘(B) A notification described in this subparagraph is 
a notification by a veteran that the veteran does not con-
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sent to a disclosure of medical records of the veteran 
under subparagraph (A).’’. 
Æ 
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