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‘‘(b) CONTENTS OF PLAN.—Each plan developed under
subsection (a) shall include, for the individual covered by
such plan, the following:
‘‘(1) Rehabilitation objectives for improving the
physical, cognitive, and vocational functioning of
such individual with the goal of maximizing the inde-
pendence and reintegration of such individual into
the community.
‘‘(2) Access, as warranted, to all appropriate re-
habilitative components of the traumatic brain injury
continuum of care.
‘‘(3) A description of specific rehabilitative treat-
ments and other services to achieve the objectives de-
scribed in paragraph (1), which description shall set
forth the type, frequency, duration, and location of
such treatments and services.
‘‘(4) The name of the case manager designated in
accordance with subsection (d) to be responsible for
the implementation of such plan.
‘‘(5) Dates on which the effectiveness of the plan
will be reviewed in accordance with subsection (f).
‘‘(c) COMPREHENSIVE ASSESSMENT.—
‘‘(1) IN GENERAL.—Each plan developed under
subsection (a) shall be based upon a comprehensive
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assessment, developed in accordance with paragraph
(2), of—
‘‘(A) the physical, cognitive, vocational, and
neuropsychological and social impairments of
such individual; and
‘‘(B) the family education and family sup-
port needs of such individual after discharge
from inpatient care.
‘‘(2) FORMATION.—The comprehensive assess-
ment required under paragraph (1) with respect to an
individual is a comprehensive assessment of the mat-
ters set forth in that paragraph by a team, composed
by the Secretary for purposes of the assessment from
among, but not limited to, individuals with expertise
in traumatic brain injury, including the following:
‘‘(A) A neurologist.
‘‘(B) A rehabilitation physician.
‘‘(C) A social worker.
‘‘(D) A neuropsychologist.
‘‘(E) A physical therapist.
‘‘(F) A vocational rehabilitation specialist.
‘‘(G) An occupational therapist.
‘‘(H) A speech language pathologist.
‘‘(I) A rehabilitation nurse.
‘‘(J) An educational therapist.
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‘‘(K) An audiologist.
‘‘(L) A blind rehabilitation specialist.
‘‘(M) A recreational therapist.
‘‘(N) A low vision optometrist.
‘‘(O) An orthotist or prostetist.
‘‘(P) An assistive technologist or rehabilita-
tion engineer.
‘‘(Q) An otolaryngology physician.
‘‘(R) A dietician.
‘‘(S) An opthamologist.
‘‘(T) A psychiatrist.
‘‘(d) CASE MANAGER.—(1) The Secretary shall des-
ignate a case manager for each individual described in sub-
section (a) to be responsible for the implementation of the
plan, and coordination of such care, required by such sub-
section for such individual.
‘‘(2) The Secretary shall ensure that such case manager
has specific expertise in the care required by the individual
to whom such case manager is designated, regardless of
whether such case manager obtains such expertise through
experience, education, or training.
‘‘(e) PARTICIPATION AND COLLABORATION IN DEVEL-
OPMENT OF PLANS.—(1) The Secretary shall involve each
individual described in subsection (a), and the family or
legal guardian of such individual, in the development of
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the plan for such individual under that subsection to the
maximum extent practicable.
‘‘(2) The Secretary shall collaborate in the development
of a plan for an individual under subsection (a) with a
State protection and advocacy system if—
‘‘(A) the individual covered by such plan re-
quests such collaboration; or
‘‘(B) in the case such individual is incapaci-
tated, the family or guardian of such individual re-
quests such collaboration.
‘‘(3) In the case of a plan required by subsection (a)
for a member of the Armed Forces who is on active duty,
the Secretary shall collaborate with the Secretary of Defense
in the development of such plan.
‘‘(4) In developing vocational rehabilitation objectives
required under subsection (b)(1) and in conducting the as-
sessment required under subsection (c), the Secretary shall
act through the Under Secretary for Health in coordination
with the Vocational Rehabilitation and Employment Serv-
ice of the Department of Veterans Affairs.
‘‘(f) EVALUATION.—
‘‘(1) PERIODIC
REVIEW
BY
SECRETARY.—The
Secretary shall periodically review the effectiveness of
each plan developed under subsection (a). The Sec-