S.Amdt. 5285

1. Adds SEC. 722. INSTITUTE OF MEDICINE STUDY ON MANAGEMENT OF MEDICATIONS FOR PHYSICALLY AND PSYCHOLOGICALLY WOUNDED MEMBERS OF THE ARMED FORCES at the end of subtitle C of title VII

   Adds a section

   In S. 3001 · Placed on Calendar Senate

   (B) The definition in section 721(d)(4) of the National Defense Authorization Act for Fiscal Year 2008.

   Inserted: SEC. 722. INSTITUTE OF MEDICINE STUDY ON MANAGEMENT OF MEDICATIONS FOR PHYSICALLY AND PSYCHOLOGICALLY WOUNDED MEMBERS OF THE ARMED FORCES.

   Inserted: (a) Study Required.--There shall be set-aside from amounts appropriated under section 1403, $1,000,000 for fiscal year 2009 to enable the Secretary of Defense shall enter into an agreement with the Institute of Medicine of the National Academy of Sciences for the purpose of conducting a study on the management of medications for physically and psychologically wounded members of the Armed Forces.

   Inserted: (b) Elements.--The study required under subsection (a) shall include the following:

   Inserted: (1) A review and assessment of current practices within the Department of Defense for the management of medications for physically and psychologically wounded members of the Armed Forces.

   Inserted: (2) A review and analysis of the published literature on factors contributing to the misadministration of medications, including accidental and intentional overdoses, under and over medication, and adverse interactions among medications.

   Inserted: (3) An identification of the medical conditions, and of the patient management procedures of the Department of Defense, that increase the risk of misadministration of medications in populations of members of the Armed Forces.

   Inserted: (4) An assessment of current and best practices in the military, other government agencies, and civilian sector concerning the prescription, distribution, and management of medications, and the associated coordination of care.

   Inserted: (5) An identification of means for decreasing the risk of medication misadminis-tration and associated problems with re-spect to physically and psychologically&fnl; wounded members of the Armed Forces.

   Inserted: (c) Report.--Not later than 18 months after entering into the agreement for the study required under subsection (a), the Institute of Medicine shall submit to the Secretary of Defense, and to Congress, a report on the study containing such findings and determinations as the Institute of Medicine considers appropriate in light of the study.

   Inserted: SEC. 723. INCREASING THE NUMBER OF PSYCHOLOGIST INTERNSHIPS.

   Inserted: There shall be set-aside from amounts appropriated under section 1403, $1,775,000 for fiscal year 2009, and $3,100,000 for fiscal year 2010, to remain available until expended, to enable the Office of the Surgeon General to increase by 30 the number of civilian psychologist internships provided for by the Office.

   Inserted: SEC. 724. TRAUMATIC BRAIN INJURY SURVEY.

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   Inserted: There shall be set-aside from amounts appropriated under section 1403, $1,000,000 for fiscal year 2009 to enable the Secretary of Defense, in consultation with the Secretary of Veterans Affairs, to enter into a contract with the Center for Military Health Policy Research, RAND, for the conduct of a follow-up survey of the 1,950 servicemember and veteran participants of the Invisible Wounds of War study to determine if there is any long-term impairment from traumatic brain injuries, to identify the factors that inhibit access to treatment, including cognitive rehabilitation for mental health disorders, and to assess conditions leading to unemployment and substance use. The analysis of the survey results shall identify priority research needs and gaps in the health care system for individuals with traumatic brain injuries and post traumatic stress disorders. The survey under this section shall be completed not later than 1 year after the date of enactment of this Act.

   Inserted: SEC. 725. COGNITIVE REHABILITATION STUDY.

   Inserted: (a) In General.--There shall be set-aside from amounts appropriated under section 1403, $10,000,000 for fiscal year 2009 to enable the Secretary of Defense, in consultation with the Secretary of Veterans Affairs, the Director of the National Institutes of Health, the Administrator of the Substance Abuse and Mental Health Services Administration, the Director of the Centers for Disease Control and Prevention, and the Director of the Agency for Healthcare Research and Quality, to conduct a long-term (10-year), integrated study of at least 10,000 participants (including injured servicemembers, smaller at-risk populations, and those individuals separated from service but not seeking Veterans Administration services) concerning cognitive rehabilitation research.

   Inserted: (b) Requirements.--The cognitive rehabilitation research study conducted under subsection (a) shall--

   Inserted: (1) be designed to contribute to the establishment of evidence-based practice guidelines in the area of cognitive rehabilitation including predictors of relapse and recovery;

   Inserted: (2) evaluate how use of health care services affects symptoms, functioning, and outcomes over time;

   Inserted: (3) evaluate how traumatic health injuries and mental health conditions affect physical health, economic productivity, and social functioning;

   Inserted: (4) evaluate how long-term impairments may be reduced based on different rehabilitation options;

   Inserted: (5) be designed to result in the implementation of strategies for accessing quality mental health treatment care, including cognitive rehabilitation;

   Inserted: (6) assess current research activity on post traumatic stress disorder and traumatic brain injury, evaluate programs, and make recommendations for strategic research priority setting; and

   Inserted: (7) be coordinated with the study conducted under section 721 of the John Warner National Defense Authorization Act for Fiscal Year 2007 (Public Law 109-364).

   Inserted: (c) Reports.--

   Inserted: (1) Baseline report.--Not later than 2 years after the date of enactment of this Act, the Secretary of Defense shall submit to the appropriate committees of Congress a baseline report on the results of the study conducted under subsection (a).

   Inserted: (2) Preliminary report.--Not later than 4 years after the date of enactment of this Act, the Secretary of Defense shall submit to the appropriate committees of Congress a preliminary report on the results of the study conducted under subsection (a).

   Inserted: (3) Final report.--Not later than 10 years after the date of enactment of this Act, the Secretary of Defense shall submit to the appropriate committees of Congress a final report on the results of the study conducted under subsection (a).

   Original wording

   At the end of subtitle C of title VII, add the following:

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As printed