IIB 
113TH CONGRESS 
2D SESSION 
H. R. 4276 
IN THE SENATE OF THE UNITED STATES 
SEPTEMBER 17 (legislative day, SEPTEMBER 16), 2014 
Received; read twice and referred to the Committee on Veterans’ Affairs 
AN ACT 
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, 
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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) MODIFICATION OF REPORT REQUIREMENTS.— 
Subsection (e) of section 1705 of the National Defense 
Authorization Act for Fiscal Year 2008 (Public Law 110– 
181; 38 U.S.C. 1710C note) is amended to read as follows: 
‘‘(e) REPORTS.— 
‘‘(1) QUARTERLY REPORTS.— 
‘‘(A) IN
GENERAL.—For each calendar 
quarter occurring during the period beginning 
January 1, 2015, and ending September 30, 
2017, the Secretary shall submit to the Com-
mittees on Veterans’ Affairs of the Senate and 
the House of Representatives a report on the 
pilot program. 
‘‘(B) ELEMENTS.—Each report submitted 
under subparagraph (A) shall include each of 
the following for the quarter preceding the 
quarter during which the report is submitted 
the following: 
‘‘(i) The number of individuals that 
participated in the pilot program. 
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‘‘(ii) The number of individuals that 
successfully completed the pilot program. 
‘‘(iii) The degree to which pilot pro-
gram participants and family members of 
pilot program participants were satisfied 
with the pilot program. 
‘‘(iv) The interim findings and conclu-
sions of the Secretary with respect to the 
success of the pilot program and rec-
ommendations for improvement. 
‘‘(2) FINAL REPORT.— 
‘‘(A) IN
GENERAL.—Not later than 60 
days after the completion of the pilot program, 
the Secretary shall submit to the Committees 
on Veterans’ Affairs of the Senate and the 
House of Representatives a final report on the 
pilot program. 
‘‘(B) ELEMENTS.—The final report re-
quired by subparagraph (A) shall include the 
following: 
‘‘(i) A description of the pilot pro-
gram. 
‘‘(ii) The Secretary’s assessment of 
the utility of the activities carried out 
under the pilot program in enhancing the 
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rehabilitation, quality of life, and commu-
nity reintegration of veterans with trau-
matic brain injury. 
‘‘(iii) An evaluation of the pilot pro-
gram in light of independent living pro-
grams carried out by the Secretary under 
title 38, United States Code, including— 
‘‘(I) whether the pilot program 
duplicates services provided under 
such independent living programs; 
‘‘(II) the ways in which the pilot 
program provides different services 
that the services provided under such 
independent living program; 
‘‘(III) how the pilot program 
could be better defined or shaped; and 
‘‘(IV) whether the pilot program 
should be incorporated into such inde-
pendent living programs. 
‘‘(iv) Such recommendations as the 
Secretary considers appropriate regarding 
improving the pilot program.’’. 
(b) DEFINITION OF COMMUNITY-BASED BRAIN IN-
JURY RESIDENTIAL REHABILITATIVE CARE SERVICES.— 
Such section is further amended— 
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(1) in the section heading, by striking ‘‘AS-
SISTED
LIVING’’ and inserting ‘‘COMMUNITY- 
BASED BRAIN INJURY RESIDENTIAL REHABILI-
TATIVE CARE’’; 
(2) in subsection (c), in the subsection heading, 
by striking ‘‘ASSISTED LIVING’’ and inserting ‘‘COM-
MUNITY-BASED BRAIN INJURY RESIDENTIAL REHA-
BILITATIVE CARE’’; 
(3) by striking ‘‘assisted living’’ each place it 
appears, and inserting ‘‘community-based brain in-
jury rehabilitative care’’; and 
(4) in subsection (f)(1), by striking ‘‘and per-
sonal care’’ and inserting ‘‘rehabilitation, and per-
sonal care’’. 
(c) EFFECTIVE DATE.—The amendments made by 
this section shall take effect on the date of the enactment 
of this Act. 
(d) PROHIBITION ON NEW APPROPRIATIONS.—No 
additional funds are authorized to be appropriated to 
carry out this Act and the amendments made by this Act, 
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and this Act and such amendments shall be carried out 
using amounts otherwise available for such purpose. 
Passed the House of Representatives September 16, 
2014. 
Attest: 
KAREN L. HAAS, 
Clerk. 
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