H. R. 4276 
One Hundred Thirteenth Congress 
of the 
United States of America 
AT THE SECOND SESSION 
Begun and held at the City of Washington on Friday, 
the third day of January, two thousand and fourteen 
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 Representatives 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 PROGRAM ON 
ASSISTED LIVING SERVICES FOR VETERANS WITH TRAU-
MATIC 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 
Committees 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. 
‘‘(ii) The number of individuals that successfully 
completed the pilot program. 
‘‘(iii) The degree to which pilot program partici-
pants and family members of pilot program partici-
pants were satisfied with the pilot program. 
‘‘(iv) The interim findings and conclusions of the 
Secretary with respect to the success of the pilot pro-
gram and recommendations 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.
H. R. 4276—2 
‘‘(B) ELEMENTS.—The final report required by subpara-
graph (A) shall include the following: 
‘‘(i) A description of the pilot program. 
‘‘(ii) The Secretary’s assessment of the utility of 
the activities carried out under the pilot program in 
enhancing the rehabilitation, quality of life, and 
community reintegration of veterans with traumatic 
brain injury. 
‘‘(iii) An evaluation of the pilot program in light 
of independent living programs carried out by the Sec-
retary under title 38, United States Code, including— 
‘‘(I) whether the pilot program duplicates serv-
ices provided under such independent living pro-
grams; 
‘‘(II) the ways in which the pilot program pro-
vides 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 independent living pro-
grams. 
‘‘(iv) Such recommendations as the Secretary con-
siders appropriate regarding improving the pilot pro-
gram.’’. 
(b) DEFINITION OF COMMUNITY-BASED BRAIN INJURY RESIDEN-
TIAL REHABILITATIVE CARE SERVICES.—Such section is further 
amended— 
(1) in the section heading, by striking ‘‘ASSISTED LIVING’’ 
and inserting ‘‘COMMUNITY-BASED BRAIN INJURY RESIDENTIAL 
REHABILITATIVE CARE’’; 
(2) in subsection (c), in the subsection heading, by striking 
‘‘ASSISTED LIVING’’ and inserting ‘‘COMMUNITY-BASED BRAIN 
INJURY RESIDENTIAL REHABILITATIVE CARE’’; 
(3) by striking ‘‘assisted living’’ each place it appears, and 
inserting ‘‘community-based brain injury rehabilitative care’’; 
and 
(4) in subsection (f)(1), by striking ‘‘and personal care’’ 
and inserting ‘‘rehabilitation, and personal 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, and this Act and such amendments
H. R. 4276—3 
shall be carried out using amounts otherwise available for such 
purpose. 
Speaker of the House of Representatives. 
Vice President of the United States and
President of the Senate.