SEC. 2. BRAIN HEALTH INITIATIVE OF DEPARTMENT OF 
DEFENSE. 
(a) IN GENERAL.—The Secretary of Defense, in con-
sultation with the Secretaries concerned, shall establish a 
comprehensive initiative for brain health to be known as 
the ‘‘Warfighter Brain Health Initiative’’ (in this section 
referred to as the ‘‘Initiative’’) for the purpose of unifying 
efforts and programs across the Department of Defense 
to improve the cognitive performance and brain health of 
members of the Armed Forces. 
(b) OBJECTIVES.—The objectives of the Initiative 
shall be the following: 
(1) To enhance, maintain, and restore the cog-
nitive performance of members of the Armed Forces 
through education, training, prevention, protection, 
monitoring, detection, diagnosis, treatment, and re-
habilitation, including through the following activi-
ties: 
(A) The establishment of a program to 
monitor cognitive brain health across the De-
partment of Defense, beginning upon the acces-
sion of a member to the Armed Forces and re-
peated at regular intervals thereafter, with the 
goal of detecting any need for cognitive en-
hancement or restoration resulting from poten-
tial brain exposures of the member, to mitigate 
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possible evolution of injury or disease progres-
sion. 
(B) The identification and dissemination of 
thresholds for blast pressure safety and associ-
ated emerging scientific evidence. 
(C) The modification of high-risk training 
and operational activities to mitigate the nega-
tive effects of repetitive blast exposure. 
(D) The identification of individuals who 
perform high-risk training or occupational ac-
tivities, for purposes of increased monitoring of 
the brain health of such individuals. 
(E) The development and operational field-
ing of non-invasive, portable, point-of-care med-
ical devices, to inform the diagnosis and treat-
ment of traumatic brain injury. 
(F) The establishment of a standardized 
monitoring program that documents and ana-
lyzes blast exposures that may affect the brain 
health of members of the Armed Forces. 
(G) The development of a resource that 
would set forth specific criteria used in the 
awarding of potential grants for research 
projects relating to the direct correlation of en-
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vironmental exposures and brain injuries to the 
brain health of members of the Armed Forces. 
(H) The incorporation of the findings and 
recommendations of the report of the National 
Academies of Science, Engineering, and Medi-
cine titled ‘‘Traumatic Brain Injury: A Road-
map for Accelerating Progress’’ and published 
in 2022 (relating to the acceleration of progress 
in traumatic brain injury research and care), or 
any successor report, into activities of the De-
partment relating to brain health, as applicable. 
(2) To harmonize and prioritize the efforts of 
the Department of Defense into a single approach to 
brain health, to produce more efficient and effective 
results. 
(c) STRATEGY AND IMPLEMENTATION PLAN.—Not 
later than one year after the date of the enactment of this 
Act, the Secretary of Defense shall submit to the congres-
sional defense committees a report setting forth a strategy 
and implementation plan of the Department of Defense 
to achieve the objectives of the Initiative under subsection 
(b). 
(d) 
ANNUAL
BUDGET
JUSTIFICATION
DOCU-
MENTS.—In the budget justification materials submitted 
to Congress in support of the Department of Defense 
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budget for each of fiscal years 2025 through 2029 (as sub-
mitted with the budget of the President under section 
1105(a) of title 31, United States Code), the Secretary 
of Defense shall include a budget justification display that 
includes all activities of the Department relating to the 
Initiative. 
(e) ANNUAL REPORTS.—Not later than January 31, 
2024, and annually thereafter until January 31, 2030, the 
Secretary of Defense shall submit to the congressional de-
fense committees a report on the Initiative that includes 
the following: 
(1) A description of the activities taken under 
the Initiative and resources expended under the Ini-
tiative during the prior fiscal year. 
(2) A summary of the progress made during the 
prior fiscal year with respect to the objectives of the 
Initiative under subsection (b). 
(f) SECRETARY CONCERNED DEFINED.—In this sec-
tion, the term ‘‘Secretary concerned’’ has the meaning 
given that term in section 101 of title 10, United States 
Code. 
Æ 
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