Veterans Traumatic Brain Injury Care Improvement Act of 2014

Bill: 113-hr-4276
Sponsor: full_name: Rep. Cassidy, Bill [R-LA-6]
Introduced: 2014-03-18
Policy area: Armed Forces and National Security
Subjects: Blood and blood diseases

Congressional oversight

Debt collection

Disability and paralysis

Drug, alcohol, tobacco use

Emergency medical services and trauma care

HIV/AIDS

Health facilities and institutions

Health information and medical records

Health programs administration and funding

Housing for the elderly and disabled

Neurological disorders

Right of privacy

Veterans' loans, housing, homeless programs

Veterans' medical care
Latest action: action_date: 2014-12-18
text: Became Public Law No: 113-257.

Summaries:
action_date: 2014-03-18
action_desc: Introduced in House
text: <p>Veterans Traumatic Brain Injury Care Improvement Act of 2014 - Amends the National Defense Authorization Act for Fiscal Year 2008 to extend the pilot program to assess the effectiveness of providing assistance to eligible veterans with traumatic brain injury to enhance their rehabilitation, quality of life, and community integration.</p> <p>Requires that at least one location of the program be in each health care region of the Veterans Health Administration that contains a polytrauma center of the Department of Veterans Affairs (VA). (Under current law, selected locations also must include any location other than one described above in an area that contains a high concentration of veterans with traumatic brain injuries.)</p> <p>Expands requirements for reports on the pilot program.</p> <p>Replaces references to &quot;assisted living&quot; with the term &quot;community-based brain injury residential rehabilitative care,&quot; including rehabilitation services within the meaning of such care.</p> <p>Requires a veteran, in order to be eligible for such services, to have a traumatic brain injury that is classified as complex-mild to severe.</p> <p>Modifies the process of recovery of the costs of certain care for a non-service-connected disability to allow a veteran's medical records to be made available to third parties without written consent if the care or services are related to drug abuse, alcoholism or alcohol abuse, HIV infection, or sickle cell anemia and the veteran does not withhold consent for such disclosure within 30 days of receiving such care.</p>

action_date: 2014-09-15
action_desc: Reported to House with amendment(s)
text: <p>Veterans Traumatic Brain Injury Care Improvement Act of 2014 - Amends the National Defense Authorization Act for Fiscal Year 2008 to alter the reporting requirements under the pilot program to assess the effectiveness of providing assistance to eligible veterans with traumatic brain injury to enhance their rehabilitation, quality of life, and community integration.</p> <p>Directs the Secretary of Veterans Affairs (VA) to submit reports to the congressional veterans committees on the pilot program for each quarter occurring between January 1, 2015, and September 30, 2017. Requires each quarterly report to include for the preceding quarter: </p> <ul> <li>the number of individuals who participated in the pilot program,</li> <li>the number of individuals who successfully completed the program,</li> <li>the degree to which pilot program participants and their family members were satisfied with the program, and</li> <li>the interim findings and conclusions of the Secretary regarding the success of the program and recommendations for improving it.</li> </ul> <p>Requires the Secretary to include in the report the Secretary submits to the congressional veterans committees after the completion of the pilot program: </p> <ul> <li> an evaluation of the pilot program in light of the VA's independent living programs, including an assessment of whether&nbsp; the pilot program should be incorporated into such independent living programs; and </li> <li> recommendations for improving the pilot program.</li> </ul> <p>Replaces references to "assisted living" with the term "community-based brain injury residential rehabilitative care," including rehabilitation services within the meaning of such care.</p>

action_date: 2014-09-16
action_desc: Passed House amended
text: <p>Veterans Traumatic Brain Injury Care Improvement Act of 2014 - Amends the National Defense Authorization Act for Fiscal Year 2008 to alter the reporting requirements under the pilot program to assess the effectiveness of providing assistance to eligible veterans with traumatic brain injury to enhance their rehabilitation, quality of life, and community integration.</p> <p>Directs the Secretary of Veterans Affairs (VA) to submit reports to the congressional veterans committees on the pilot program for each quarter occurring between January 1, 2015, and September 30, 2017. Requires each quarterly report to include for the preceding quarter: </p> <ul> <li>the number of individuals who participated in the pilot program,</li> <li>the number of individuals who successfully completed the program,</li> <li>the degree to which pilot program participants and their family members were satisfied with the program, and</li> <li>the interim findings and conclusions of the Secretary regarding the success of the program and recommendations for improving it.</li></ul> <p>Requires the Secretary to include in the report the Secretary submits to the congressional veterans committees after the completion of the pilot program: </p> <ul> <li> an evaluation of the pilot program in light of the VA's independent living programs, including an assessment of whether&nbsp; the pilot program should be incorporated into such independent living programs; and </li> <li> recommendations for improving the pilot program.</li></ul> <p>Replaces references to "assisted living" with the term "community-based brain injury residential rehabilitative care," including rehabilitation services within the meaning of such care.</p> <p>Requires this Act and its amendments to be carried out using funds already available for such purposes. </p>

action_date: 2014-12-15
action_desc: Passed Senate without amendment
text: <p><b>(This measure has not been amended since it was passed by the House on September 16, 2014. The summary of that version is repeated here.)</b></p> <p>Veterans Traumatic Brain Injury Care Improvement Act of 2014 - Amends the National Defense Authorization Act for Fiscal Year 2008 to alter the reporting requirements under the pilot program to assess the effectiveness of providing assistance to eligible veterans with traumatic brain injury to enhance their rehabilitation, quality of life, and community integration.</p> <p>Directs the Secretary of Veterans Affairs (VA) to submit reports to the congressional veterans committees on the pilot program for each quarter occurring between January 1, 2015, and September 30, 2017. Requires each quarterly report to include for the preceding quarter: </p> <ul> <li>the number of individuals who participated in the pilot program,</li> <li>the number of individuals who successfully completed the program,</li> <li>the degree to which pilot program participants and their family members were satisfied with the program, and</li> <li>the interim findings and conclusions of the Secretary regarding the success of the program and recommendations for improving it.</li></ul> <p>Requires the Secretary to include in the report the Secretary submits to the congressional veterans committees after the completion of the pilot program: </p> <ul> <li> an evaluation of the pilot program in light of the VA's independent living programs, including an assessment of whether&nbsp; the pilot program should be incorporated into such independent living programs; and </li> <li> recommendations for improving the pilot program.</li></ul> <p>Replaces references to "assisted living" with the term "community-based brain injury residential rehabilitative care," including rehabilitation services within the meaning of such care.</p> <p>Requires this Act and its amendments to be carried out using funds already available for such purposes. </p>

action_date: 2014-12-18
action_desc: Public Law
text: <p><b>(This measure has not been amended since it was passed by the House on September 16, 2014. The summary of that version is repeated here.)</b></p> <p>Veterans Traumatic Brain Injury Care Improvement Act of 2014 - Amends the National Defense Authorization Act for Fiscal Year 2008 to alter the reporting requirements under the pilot program to assess the effectiveness of providing assistance to eligible veterans with traumatic brain injury to enhance their rehabilitation, quality of life, and community integration.</p> <p>Directs the Secretary of Veterans Affairs (VA) to submit reports to the congressional veterans committees on the pilot program for each quarter occurring between January 1, 2015, and September 30, 2017. Requires each quarterly report to include for the preceding quarter: </p> <ul> <li>the number of individuals who participated in the pilot program,</li> <li>the number of individuals who successfully completed the program,</li> <li>the degree to which pilot program participants and their family members were satisfied with the program, and</li> <li>the interim findings and conclusions of the Secretary regarding the success of the program and recommendations for improving it.</li></ul> <p>Requires the Secretary to include in the report the Secretary submits to the congressional veterans committees after the completion of the pilot program: </p> <ul> <li> an evaluation of the pilot program in light of the VA's independent living programs, including an assessment of whether&nbsp; the pilot program should be incorporated into such independent living programs; and </li> <li> recommendations for improving the pilot program.</li></ul> <p>Replaces references to "assisted living" with the term "community-based brain injury residential rehabilitative care," including rehabilitation services within the meaning of such care.</p> <p>Requires this Act and its amendments to be carried out using funds already available for such purposes. </p>

tv_txt: I 113th CONGRESS 2d Session H. R. 4276 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.

1. Short title This Act may be cited as the Veterans Traumatic Brain Injury Care Improvement Act of 2014 . 2. Extension and modification of pilot program 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 for Fiscal Year 2008 ( Public Law 110–181 ; 38 U.S.C. 1710C note) is amended by striking a five-year and inserting an eight-year . (b) Modification of locations Subsection (b) of such section is amended— (1) by redesignating paragraph (2) as paragraph (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 Affairs that contains a polytrauma center of the Department of Veterans Affairs. . (c) Modification of report requirements Subsection (e) of such section is amended to read as follows: (e) Reports (1) Quarterly reports (A) In general During each 90-day period occurring during the period beginning January 1, 2016, and ending January 1, 2018, 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 the following: (i) The number of individuals that participated in the pilot program during the quarter preceding the submission of the report. (ii) The number of individuals that successfully completed the pilot program during the quarter preceding the submission of the report. (iii) The degree to which pilot program participants and family members of pilot program participants were satisfied with the pilot program. (iv) The interim findings and conclusions of the Secretary with respect to the success of the pilot program 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. (B) Elements The final report required by subparagraph (A) shall include the following: (i) A description of the pilot program. (ii) An assessment of the utility of the activities under the pilot program in enhancing the rehabilitation, quality of life, and community reintegration of veterans with traumatic brain injury, including complex mild traumatic brain injury. (iii) An evaluation of the pilot program in light of independent living programs 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; (III) how the pilot program could be better defined or shaped; and (IV) whether the pilot program should be incorporated into such independent living programs. (iv) Such recommendations as the Secretary considers appropriate regarding improving the pilot program. . (d) Modification of definitions (1) Community-based brain injury residential rehabilitative care services Such section is further amended— (A) in the section heading, by striking assisted living and inserting community-based brain injury residential rehabilitative care ; (B) in subsection (c), in the subsection heading, by striking Assisted Living and inserting Community-Based Brain Injury Residential Rehabilitative Care ; (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 Veterans 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 beginning on October 1, 2014. (f) Effective date The amendments made by this section shall take effect on October 1, 2014. 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 paragraph: (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 veteran for which recovery or collection is sought under this section relates to drug abuse, alcoholism or alcohol abuse, infection with the human immunodeficiency 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 subparagraph (B). (B) A notification described in this subparagraph is a notification by a veteran that the veteran does not consent to a disclosure of medical records of the veteran under subparagraph (A). .

tv_txt: I 113th CONGRESS 2d Session H. R. 4276 IN THE HOUSE OF REPRESENTATIVES AN ACT To extend and modify a pilot program on assisted living services for veterans with traumatic brain injury.

1. Short title This Act may be cited as the Veterans Traumatic Brain Injury Care Improvement Act of 2014 . 2. Extension and modification of pilot program 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 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 participants and family members of pilot program participants were satisfied with the pilot program. (iv) The interim findings and conclusions of the Secretary with respect to the success of the pilot program 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. (B) Elements The final report required by subparagraph (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 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 independent living programs. (iv) Such recommendations as the Secretary considers appropriate regarding improving the pilot program. . (b) Definition of community-based brain injury residential 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 shall be carried out using amounts otherwise available for such purpose.

Passed the House of Representatives September 16, 2014. Karen L. Haas, Clerk.

tv_txt: 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.

1. Short title This Act may be cited as the Veterans Traumatic Brain Injury Care Improvement Act of 2014 . 2. Extension and modification of pilot program 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 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 participants and family members of pilot program participants were satisfied with the pilot program. (iv) The interim findings and conclusions of the Secretary with respect to the success of the pilot program 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. (B) Elements The final report required by subparagraph (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 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 independent living programs. (iv) Such recommendations as the Secretary considers appropriate regarding improving the pilot program. . (b) Definition of community-based brain injury residential 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 shall be carried out using amounts otherwise available for such purpose.

Passed the House of Representatives September 16, 2014. Karen L. Haas, Clerk

tv_txt: IB Union Calendar No. 445 113th CONGRESS 2d Session H. R. 4276 [Report No. 113–598] 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 September 15, 2014 Additional sponsors: Mr. Enyart , Mr. Jolly , Mrs. Brooks of Indiana , Mr. Young of Indiana , and Ms. Sinema September 15, 2014 Reported with an amendment, committed to the Committee of the Whole House on the State of the Union, and ordered to be printed Strike out all after the enacting clause and insert the part printed in italic For text of introduced bill, see copy of bill as introduced on March 18, 2014 A BILL To extend and modify a pilot program on assisted living services for veterans with traumatic brain injury.

1. Short title This Act may be cited as the Veterans Traumatic Brain Injury Care Improvement Act of 2014 . 2. Extension and modification of pilot program 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 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 participants and family members of pilot program participants were satisfied with the pilot program. (iv) The interim findings and conclusions of the Secretary with respect to the success of the pilot program 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. (B) Elements The final report required by subparagraph (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 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 independent living programs. (iv) Such recommendations as the Secretary considers appropriate regarding improving the pilot program. . (b) Definition of community-based brain injury residential 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.

September 15, 2014 Reported with an amendment, committed to the Committee of the Whole House on the State of the Union, and ordered to be printed

tv_txt: I 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 H. R. 4276 AN ACT To extend and modify a pilot program on assisted living services for veterans with traumatic brain injury.

1. Short title This Act may be cited as the Veterans Traumatic Brain Injury Care Improvement Act of 2014 . 2. Extension and modification of pilot program 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 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 participants and family members of pilot program participants were satisfied with the pilot program. (iv) The interim findings and conclusions of the Secretary with respect to the success of the pilot program 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. (B) Elements The final report required by subparagraph (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 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 independent living programs. (iv) Such recommendations as the Secretary considers appropriate regarding improving the pilot program. . (b) Definition of community-Based brain injury residential 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 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.