H.R. 396House112th Congress (2011-2013)In Committee

TBI Treatment Act

Introduced January 24, 2011

Legislative Activity

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3 earlier actions
HouseCommittee Latest Action

Referred to the Subcommittee on Health.

February 25, 2011

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HouseIntro Referral

Introduced in House

January 24, 2011

HouseIntro Referral

Referred to the Committee on Armed Services, and in addition to the Committee on Veterans' Affairs, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

January 24, 2011

HouseCommittee

Referred to the Subcommittee on Military Personnel.

February 4, 2011

HouseCommittee

Referred to the Subcommittee on Health.

February 25, 2011

Floor Debate

24 members

What members said about H.R. 396 on the floor

8 Republicans16 Democrats
Adam Smith
Rep. Adam SmithD-WA-9 · May 25, 2011

Madam Chair, I support the amendment being offered. With that, I yield 1 minute to the gentleman from New York (Mr. Tonko). Madam Chair, I yield 1 minute to the gentleman from California (Mr.…

K. Michael Conaway
Rep. K. Michael ConawayR-TX-11 · May 25, 2011

Mr. Chairman, I claim the time in opposition. I do oppose the gentleman from Connecticut's amendment on the grounds that it's really bad policy. Having spent several years working with the…

Joe Donnelly
Rep. Joe DonnellyD-IN-2 · May 25, 2011

Mr. Chair, on February 19, 2010, a constituent of mine, Marine Lance Corporal Joshua Birchfield of Westville, Indiana, was shot and killed while on patrol by a local Afghan security contractor who…

Silvestre Reyes
Rep. Silvestre ReyesD-TX-16 · May 25, 2011

I thank the gentleman for yielding. Just in fairness, none of the manufacturing of this great aircraft is in my district. So what I'm saying is based on my experience and what I know about the…

John R. Carter
Rep. John R. CarterR-TX-31 · May 25, 2011

Madam Chairman, I have an amendment at the desk. Madam Chair, this is an amendment to extend whistleblower protection for American soldiers for the protection of American soldiers both at home and…

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Christopher Murphy
Rep. Christopher MurphyD-CT-5 · May 25, 2011

Mr. Chairman, I have an amendment at the desk. Mr. Chairman, the amendment before the House now is a relatively simple one. We have, over the last 10 years, lost 42,000 factories in this country. We…

John P. Sarbanes
Rep. John P. SarbanesD-MD-3 · May 25, 2011

Mr. Chairman, I have an amendment at the desk. Mr. Chair, I appreciate the opportunity to speak to this amendment, and I want to thank the cosponsors: Representatives Hanabusa, Langevin, Loebsack,…

John Garamendi
Rep. John GaramendiD-CA-10 · May 25, 2011

I have an amendment at the desk. Mr. Chairman, this is a very simple amendment. This is about local jobs for local companies. Many of us have in our districts military facilities of large and small…

J. Randy Forbes
Rep. J. Randy ForbesR-VA-4 · May 25, 2011

Mr. Chairman, I rise in opposition to the amendment. I yield myself such time as I may consume. I thank the gentleman for his amendment, but, Mr. Chairman, most of all, I thank the chairman of the…

Betty McCollum
Rep. Betty McCollumD-MN-4 · May 18, 2012

Mr. Chair, over the past four years, the Department of Defense has spent $1.55 billion for its 150 military bands and more than 5,000 full-time, professional military musicians. In FY 2013, from…

Elijah E. Cummings
Rep. Elijah E. CummingsD-MD-7 · May 25, 2011

I claim the time in opposition. Mr. Chairman, I rise in very strong opposition to this amendment. The amendment is nothing more than a legislative attempt to circumvent a draft Executive order, which…

Lynn C. Woolsey
Rep. Lynn C. WoolseyD-CA-6 · May 25, 2011

Madam Chair, I have an amendment at the desk. Madam Chair, in the current budget debate, I often hear from my Republican colleagues that everything should be on the table. By that they usually mean…

Bob Filner
Rep. Bob FilnerD-CA-51 · May 18, 2012

Mr. Chair, on rollcall 270, I was away from the Capitol due to prior commitments to my constituents. Had I been present, I would have voted ``aye.'' Amendment No. 45 Offered by Gohmert Mr. Chair, on…

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André Carson
Rep. André CarsonD-IN-7 · May 25, 2011

Mr. Chairman, I have an amendment at the desk. I yield myself such time as I may consume. Mr. Chairman, my amendment seeks to address shortfalls in the current Department of Defense mental health…

Laura Richardson
Rep. Laura RichardsonD-CA-37 · May 18, 2012

Mr. Chair, I speak in support of the En Bloc Amendment #5 to H.R. 4310, the National Defense Authorization Act for Fiscal Year 2013, which includes two of my amendments. I thank Chairman McKeon,…

Tom Cole
Rep. Tom ColeR-OK-4 · May 25, 2011

Mr. Chairman, I have an amendment at the desk. I thank the chairman. Mr. Chairman, last month a draft Executive order was circulated that would require companies to disclose all Federal campaign…

Howard P. "Buck" McKeon
Rep. Howard P. "Buck" McKeonR-CA-25 · May 25, 2011

Madam Chairwoman, pursuant to H. Res. 276, I offer amendments en bloc. Madam Chair, I ask unanimous consent that amendment No. 5 be modified in the form I have placed at the desk. I ask unanimous…

Jim McDermott
Rep. Jim McDermottD-WA-7 · May 18, 2012

Mr. Chair, I rise today to introduce my amendment to the National Defense Authorization Act (NDAA) for Fiscal Year 2013 to encourage and strengthen information and data sharing between the Department…

Mac Thornberry
Rep. Mac ThornberryR-TX-13 · May 25, 2011

Madam Chair, I claim the time in opposition. I yield myself such time as I may consume. Madam Chair, Will Rogers was quoted as having said, ``It ain't so much what a man doesn't know that causes him…

Pete Sessions
Rep. Pete SessionsR-TX-32 · May 18, 2012

Mr. Chair, thousands of our brave servicemen and women are returning from combat with severe cases of Traumatic Brain Injury (TBI) and Post-Traumatic Stress Disorder (PTSD), resulting in an inability…

Robert E. Andrews
Rep. Robert E. AndrewsD-NJ-1 · May 25, 2011

Ladies and gentlemen of the House, I share my friend from Texas' goal, but I don't share his way of meeting that goal. I certainly think that any uniformed person who reports something that they are…

Earl Blumenauer
Rep. Earl BlumenauerD-OR-3 · May 25, 2011

I appreciate the gentleman's courtesy, as I appreciate the cooperation of the ranking member and the Chair on a couple of items that we've placed in this en bloc amendment. One of them deals with the…

Gene Green
Rep. Gene GreenD-TX-29 · May 18, 2012

Mr. Chair, as one of the cosponsors, I rise in strong support of Amendment #108. This amendment would strike Section 3503 of the legislation, which allows the Maritime Administration to exempt itself…

Bill Shuster
Rep. Bill ShusterR-PA-9 · May 25, 2011

I thank the gentleman from Texas, and I rise in opposition to this amendment. We on this side of the aisle do stand with small business; but this is an arbitrary amendment, sets up arbitrary mileage,…

Bill Text

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Introduced in HouseIssued January 24, 2011

I

112th CONGRESS

1st Session

H. R. 396

IN THE HOUSE OF REPRESENTATIVES

January 24, 2011

Mr. Sessions (for himself, Mr. Platts, and Mr. Pascrell) introduced the following bill; which was referred to the Committee on Armed Services, and in addition to the Committee on Veterans’ Affairs, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned

A BILL

To direct the Secretary of Defense and the Secretary of Veterans Affairs to carry out a pilot program under which the Secretaries make payments for certain treatments of traumatic brain injury and post-traumatic stress disorder.

1.

Short title

This Act may be cited as the TBI Treatment Act.

2.

Pilot program on payment for treatment of members of the Armed Forces and veterans for traumatic brain injury and post-traumatic stress disorder

(a)

Payment process

The Secretary of Defense and the Secretary of Veterans Affairs shall carry out a five-year pilot program under which each such Secretary shall establish a process through which each Secretary shall provide payment for treatments (including diagnostic testing) of traumatic brain injury or post-traumatic stress disorder received by members of the Armed Forces and veterans in health care facilities other than military treatment facilities or Department of Veterans Affairs medical facilities. Such process shall provide that payment be made directly to the health care facility furnishing the treatment.

(b)

Conditions for payment

The approval by a Secretary for payment for a treatment pursuant to subsection (a) shall be subject to the following conditions:

(1)

Any drug or device used in the treatment must be approved or cleared by the Food and Drug Administration for any purpose.

(2)

The treatment must have been approved by an institutional review board operating in accordance with regulations issued by the Secretary of Health and Human Services.

(3)

The treatment (including any patient disclosure requirements) must be used by the health care provider delivering the treatment.

(4)

The patient receiving the treatment must demonstrate an improvement as a result of the treatment on one or more of the following:

(A)

Standardized independent pre-treatment and post-treatment neuropsychological testing.

(B)

Accepted survey instruments.

(C)

Neurological imaging.

(D)

Clinical examination.

(5)

The patient receiving the treatment must be receiving the treatment voluntarily.

(6)

The patient receiving the treatment may not be a retired member of the uniformed services or of the Armed Forces who is over the age of 65 and entitled to benefits under part A, or eligible to enroll under part B, of title XVIII of the Social Security Act.

(c)

Additional restrictions prohibited

Except as provided in this subsection (b), no restriction or condition for reimbursement may be placed on any health care provider that is operating lawfully under the laws of the State in which the provider is located with respect to the receipt of payment under this Act.

(d)

Payment deadline

The Secretary of Defense and the Secretary of Veterans Affairs shall make a payment for a treatment pursuant to subsection (a) not later than 30 days after a member of the Armed Forces or veteran (or health care provider on behalf of such member or veteran) submits to the Secretary documentation regarding the treatment. The Secretary of Defense and the Secretary of Veterans Affairs shall ensure that the documentation required under this subsection may not be an undue burden on the member of the Armed Forces or veteran or on the health care provider.

(e)

Payment authority

(1)

Department of Defense

The Secretary of Defense shall make payments under this section for treatments received by members of the Armed Forces using the authority in subsection (c)(1) of section 1074 of title 10, United States Code.

(2)

Department of Veterans Affairs

The Secretary of Veterans Affairs shall make payments under this section for treatments received by veterans using the authority in section 1728 of title 38, United States Code.

(f)

Payment amount

A payment under this Act shall be made at the equivalent Centers for Medicare and Medicaid Services reimbursement rate in effect for appropriate treatment codes for the State or territory in which the treatment is received. If no such rate is in effect, payment shall be made at a fair market rate, as determined by the Secretary of Defense, in consultation with the Secretary of Health and Human Services, with respect to a patient who is a member of the Armed Forces or the Secretary of Veterans Affairs with respect to a patient who is a veteran.

(g)

Data collection and availability

(1)

In General

The Secretary of Defense and the Secretary of Veterans Affairs shall jointly develop and maintain a database containing data from each patient case involving the use of a treatment under this section. The Secretaries shall ensure that the database preserves confidentiality and be made available only—

(A)

for third-party payer examination;

(B)

to the appropriate congressional committees and employees of the Department of Defense, the Department of Veterans Affairs, the Department of Health and Human Services, and appropriate State agencies; and

(C)

to the primary investigator of the institutional review board that approved the treatment, in the case of data relating to a patient case involving the use of such treatment.

(2)

Enrollment in Institutional Review Board Study

In the case of a patient enrolled in a registered institutional review board study, results may be publically distributable in accordance with the regulations prescribed pursuant to the Health Insurance Portability and Accountability Act of 1996 (Public Law 104–191) and other regulations and practices in effect as of the date of the enactment of this Act.

(3)

Qualified institutional review boards

The Secretary of Defense and the Secretary of Veterans Affairs shall each ensure that the Internet Web site of their respective departments includes a list of all civilian institutional review board studies that have received a payment under this Act.

(h)

Assistance for members To obtain treatment

(1)

Assignment to temporary duty

The Secretary of a military department may assign a member of the Armed Forces under the jurisdiction of the Secretary to temporary duty or allow the member a permissive temporary duty in order to permit the member to receive treatment for traumatic brain injury or post-traumatic stress disorder, for which payments shall be made under subsection (a), at a location beyond reasonable commuting distance of the member’s permanent duty station.

(2)

Payment of per diem

A member who is away from the member’s permanent station may be paid a per diem in lieu of subsistence in an amount not more than the amount to which the member would be entitled if the member were performing travel in connection with a temporary duty assignment.

(3)

Gift rule waiver

Notwithstanding any rule of any department or agency with respect to ethics or the receipt of gifts, any assistance provided to a member of the Armed Forces with a service-connected injury or disability for travel, meals, or entertainment incidental to receiving treatment under this Act, or for the provision of such treatment, shall not be subject to or covered by any such rule.

(i)

Retaliation prohibited

No retaliation may be made against any member of the Armed Forces or veteran who receives treatment as part of registered institutional review board study carried out by a civilian health care practitioner.

(j)

Treatment of university and nationally accredited institutional review boards

For purposes of this Act, a university-affiliated or nationally accredited institutional review board shall be treated in the same manner as a Government institutional review board.

(k)

Memoranda of understanding

The Secretary of Defense and the Secretary of Veterans Affairs shall seek to expeditiously enter into memoranda of understandings with civilian institutional review boards described in subsection (j) for the purpose of providing for members of the Armed Forces and veterans to receive treatment carried out by civilian health care practitioners under a treatment approved by and under the oversight of civilian institutional review boards that would qualify for payment under this Act.

(l)

Outreach required

(1)

Outreach to veterans

The Secretary of Veterans Affairs shall notify each veteran with a service-connected injury or disability of the opportunity to receive treatment pursuant to this Act.

(2)

Outreach to members of the Armed Forces

The Secretary of Defense shall notify each member of the Armed Forces with a service-connected injury or disability of the opportunity to receive treatment pursuant to this Act.

(m)

Report to Congress

Not later than 30 days after the last day of each fiscal year during which the Secretary of Defense and the Secretary of Veterans Affairs are authorized to make payments under this Act, the Secretaries shall jointly submit to Congress an annual report on the implementation of this Act. Such report shall include each of the following for that fiscal year:

(1)

The number of individuals for whom the Secretary has provided payments under this Act.

(2)

The condition for which each such individual receives treatment for which payment is provided under this Act and the success rate of each such treatment.

(3)

Treatment methods that are used by entities receiving payment provided under this Act and the respective rate of success of each such method.

(4)

The recommendations of the Secretaries with respect to the integration of treatment methods for which payment is provided under this Act into facilities of the Department of Defense and Department of Veterans Affairs.

(n)

Termination

The authority to make a payment under this Act shall terminate on the date that is five years after the date of the enactment of this Act.

(o)

Authorization of appropriations

There is authorized to be appropriated to carry out this Act $10,000,000 for each fiscal year during which the Secretary of Veterans Affairs and the Secretary of Defense are authorized to make payments under this Act.