INDIVIDUAL REHABILITATION AND COMMUNITY REINTEGRATION PLANS FOR VETERANS AND OTHERS WITH TRAUMATIC BRAIN INJURY.

SEC. 1702. INDIVIDUAL REHABILITATION AND COMMUNITY REINTEGRATION PLANS FOR VETERANS AND OTHERS WITH TRAUMATIC BRAIN INJURY.(a) In General.—Subchapter II of chapter 17 of title 38, United States Code, is amended by inserting after section 1710B the following new sections:“§ 1710C. Traumatic brain injury: plans for rehabilitation and reintegration into the community“(a) Plan Required.—The Secretary shall, for each individual who is a veteran or member of the Armed Forces who receives inpatient or outpatient rehabilitative hospital care or medical services provided by the Department for a traumatic brain injury—“(1) develop an individualized plan for the rehabilitation and reintegration of the individual into the community; and“(2) provide such plan in writing to the individual—“(A) in the case of an individual receiving inpatient care, before the individual is discharged from inpatient care or after the individual’s transition from serving on active duty as a member of the Armed Forces to receiving outpatient care provided by the Department; or122 STAT. 487“(B) as soon as practicable following a diagnosis of traumatic brain injury by a Department health care provider.“(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 the individual with the goal of maximizing the independence and reintegration of such individual into the community.“(2) Access, as warranted, to all appropriate rehabilitative components of the traumatic brain injury continuum of care, and where appropriate, to long-term care services.“(3) A description of specific rehabilitative treatments and other services to achieve the objectives described in paragraph (1), which 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 such plan will be reviewed in accordance with subsection (f).“(c) Comprehensive Assessment.—(1) Each plan developed under subsection (a) shall be based on a comprehensive assessment, developed in accordance with paragraph (2), of—“(A) the physical, cognitive, vocational, and neuropsychological and social impairments of the individual; and“(B) the family education and family support needs of the individual after the individual is discharged from inpatient care or at the commencement of and during the receipt of outpatient care and services.“(2) The comprehensive assessment required under paragraph (1) with respect to an individual is a comprehensive assessment of the matters set forth in that paragraph by a team, composed by the Secretary for purposes of the assessment, of individuals with expertise in traumatic brain injury, including any of 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.“(K) An audiologist.“(L) A blind rehabilitation specialist.“(M) A recreational therapist.“(N) A low vision optometrist.“(O) An orthotist or prosthetist.“(P) An assistive technologist or rehabilitation engineer.“(Q) An otolaryngology physician.“(R) A dietician.“(S) An opthamologist.“(T) A psychiatrist.122 STAT. 488“(d) Case Manager.—(1) The Secretary shall designate a case manager for each individual described in subsection (a) to be responsible for the implementation of the plan developed for that individual under that subsection and the coordination of the individual’s medical care.“(2) The Secretary shall ensure that each case manager has specific expertise in the care required by the individual for whom the case manager is designated, regardless of whether the case manager obtains such expertise through experience, education, or training.“(e) Participation and Collaboration in Development 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 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 the plan requests such collaboration; or“(B) in the case of such an individual who is incapacitated, the family or guardian of the individual requests such collaboration.“(3) In the case of a plan required by subsection (a) for a member of the Armed Forces who is serving 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 assessment required under subsection (c), the Secretary shall act through the Under Secretary for Health in coordination with the Vocational Rehabilitation and Employment Service 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 Secretary shall refine each such plan as the Secretary considers appropriate in light of such review.“(2) Request for review by veterans.—In addition to the periodic review required by paragraph (1), the Secretary shall conduct a review of the plan for an individual under paragraph (1) at the request of the individual, or in the case of an individual who is incapacitated, at the request of the guardian or designee of the individual.“(g) State Designated Protection and Advocacy System Defined.—In this section, the term ‘State protection and advocacy system’ means a system established in a State under subtitle C of the Developmental Disabilities Assistance and Bill of Rights Act of 2000 (42 U.S.C. 15041 et seq.) to protect and advocate for the rights of persons with development disabilities. “§ 1710D. Traumatic brain injury: comprehensive program for long-term rehabilitation“(a) Comprehensive Program.—In developing plans for the rehabilitation and reintegration of individuals with traumatic brain injury under section 1710C of this title, the Secretary shall develop and carry out a comprehensive program of long-term care for post-acute traumatic brain injury rehabilitation that includes residential, 122 STAT. 489 community, and home-based components utilizing interdisciplinary treatment teams.“(b) Location of Program.—The Secretary shall carry out the program developed under subsection (a) in each Department polytrauma rehabilitation center designated by the Secretary.“(c) Eligibility.—A veteran is eligible for care under the program developed under subsection (a) if the veteran is otherwise eligible to receive hospital care and medical services under section 1710 of this title and—“(1) served on active duty in a theater of combat operations (as determined by the Secretary in consultation with the Secretary of Defense) during a period of war after the Persian Gulf War, or in combat against a hostile force during a period of hostilities (as defined in section 1712A(a)(2)(B) of this title) after November 11, 1998;“(2) is diagnosed as suffering from moderate to severe traumatic brain injury; and“(3) is unable to manage routine activities of daily living without supervision or assistance, as determined by the Secretary.“(d) Report.—Not later than one year after the date of the enactment of this section, and annually thereafter, the Secretary shall submit to the Committees on Veterans’ Affairs of the Senate and the House of Representatives a report containing the following information:“(1) A description of the operation of the program.“(2) The number of veterans provided care under the program during the year preceding such report.“(3) The cost of operating the program during the year preceding such report.” .(b) Clerical Amendment.—The table of sections at the beginning of such chapter is amended by inserting after the item relating to section 1710B the following new items: “1710C. Traumatic brain injury: plans for rehabilitation and reintegration into the community. “1710D. Traumatic brain injury: comprehensive plan for long-term rehabilitation.”.