H.R. 4276, Veterans Traumatic Brain Injury Improvement Act of 2014

H.R. 4276

Veterans Traumatic Brain Injury Improvement Act of 2014

September 16, 2014 (113th Congress, 2nd Session)

Staff Contact

Floor Situation

On Tuesday, September 16, 2014, the House will consider H.R. 4276, the Veterans Traumatic Brain Injury Care Improvement Act of 2014, under suspension of the rules.  H.R. 4276 was introduced on March 18, 2014 by Rep. Bill Cassidy (R-LA) and was referred to the House Veterans’ Affairs Committee.  The bill was marked up on September 10, 2014 and was ordered reported, as amended, by voice vote.

Bill Summary

H.R. 4276 modifies the reporting requirements associated with the pilot program on assisted living services for veterans with traumatic brain injury (TBI).  The bill requires the Secretary of Veterans Affairs (Secretary) to submit quarterly reports to Congress from January 1, 2015 to September 30, 2017 on the program, tracking the total number of participants, the number that successfully completed the program, the level of satisfaction of participants and their family members, and the Secretary’s interim conclusions on the program’s success.  Within 60 days of the pilot program’s completion, the Secretary must submit to Congress a final evaluation of the program.

H.R. 4276 replaces references to “assisted living” for purposes of the pilot program with the term “community-based brain injury residential rehabilitative care.”  H.R. 4276 prohibits the appropriation of new funds to carry out the Act.


The National Defense Authorization Act for FY2008 (NDAA) established a pilot program for veterans with TBI.  The bill “required the Secretary, in collaboration with DOD’s Defense and Veterans Brain Injury Center (DVBIC), to carry out a five-year pilot program to assess the effectiveness of providing assisted living (AL) services to eligible veterans with [TBI].  The AL-TBI pilot program was established for implementation between April 2008 and June 2013 and was administered through contracts with residential living programs designed to accommodate the needs of patients with TBI.”[1]  The Veterans Access, Choice, and Accountability Act of 2014 (H.R. 3230), signed into law by the President on August 7, 2014, extended the pilot program until October 6, 2017.[2]

[1] Sidath Viranga Panangala, Cassandria Dortch, Maeve P. Carey, and Elayne J. Heisler, Veterans Access, Choice, and Accountability Act of 2014 (H.R. 3230; P.L. 113-146), Congressional Research Service (Sep. 2, 2014) at 16.
[2] Id. at Summary and 16.


According to CBO estimates, implementing H.R. 4276 would cost $1 million over the 2015-2019 period.  The bill would not affect direct spending or revenues.

Additional Information

For questions or further information contact the GOP Conference at 5-5107.