[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[S. 3130 Introduced in Senate (IS)]

<DOC>






119th CONGRESS
  1st Session
                                S. 3130

 To direct the Secretary of Veterans Affairs to carry out a program to 
 award grants to eligible entities to develop, implement, and evaluate 
approaches and methodologies for prospective randomized control trials 
 for neurorehabilitation treatments for the treatment of chronic mild 
      traumatic brain injury in veterans, and for other purposes.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                            November 6, 2025

  Mr. McCormick (for himself and Ms. Rosen) introduced the following 
 bill; which was read twice and referred to the Committee on Veterans' 
                                Affairs

_______________________________________________________________________

                                 A BILL


 
 To direct the Secretary of Veterans Affairs to carry out a program to 
 award grants to eligible entities to develop, implement, and evaluate 
approaches and methodologies for prospective randomized control trials 
 for neurorehabilitation treatments for the treatment of chronic mild 
      traumatic brain injury in veterans, and for other purposes.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Veterans TBI Adaptive Care 
Opportunities Nationwide Act of 2025''.

SEC. 2. DEPARTMENT OF VETERANS AFFAIRS GRANT PROGRAM FOR SUPPLEMENTAL 
              NEUROREHABILITATION APPROACHES TO CHRONIC MILD TBI 
              TREATMENT.

    (a) In General.--The Secretary of Veterans Affairs shall establish 
a grant program (to be known as the ``TBI Innovation Grant Program'') 
to award grants to eligible entities for the development, 
implementation, and evaluation of approaches and methodologies for 
prospective randomized control trials for neurorehabilitation 
treatments for the treatment of chronic mild TBI (in this section 
referred to ``mTBI'') in veterans.
    (b) Duration.--The authority of the Secretary to carry out the 
grant program under this section shall terminate at the end of the 
three-year period beginning on the date of the enactment of this Act.
    (c) Use of Funds.--An eligible entity in receipt of a grant under 
this section shall use amounts awarded under such grant to support 
activities that include--
            (1) designing and testing novel or integrative treatments 
        for mTBI that prioritize patient-centered care, including non-
        pharmacological therapies;
            (2) conducting clinical studies and assessments to measure 
        the effectiveness of funded approaches--
                    (A) to improve mental health outcomes among 
                veterans;
                    (B) to reduce suicidality and common risk factors 
                for completing suicide, including depression and 
                substance use disorders among veterans; and
                    (C) to mitigate long-term effects of mTBI;
            (3) providing training for clinicians and outreach to 
        veterans and their families to improve awareness and 
        accessibility of innovative mTBI treatments; and
            (4) establishing partnerships with community organizations, 
        academic institutions, and health care facilities of the 
        Department of Veterans Affairs to implement and evaluate best 
        practices.
    (d) Limitation on Grant Amount.--The Secretary may not award an 
eligible entity a grant under this section in an amount that exceeds 
$5,000,000 per fiscal year.
    (e) Priority.--In awarding grants under this section, the Secretary 
shall give priority to eligible entities that the Secretary determines 
have demonstrated experience in delivering or researching effective 
treatments for mTBI.
    (f) Program Administration.--
            (1) Applications.--An eligible entity desiring a grant 
        under this section shall submit to the Secretary an application 
        in such form, at such time, and containing such information and 
        assurances as the Secretary determines appropriate, including a 
        detailed description of--
                    (A) proposed activities;
                    (B) expected outcomes; and
                    (C) plans for evaluating effectiveness.
            (2) Periodic reports.--An eligible entity in receipt of a 
        grant under this section shall, not less frequently than 
        annually, submit to the Secretary a report that includes, with 
        respect to the period covered by the report--
                    (A) a description of how the eligible entity used 
                such grant;
                    (B) a summary of the progress of activities funded 
                with amounts from such grant; and
                    (C) measured outcomes relating to such activities.
            (3) Oversight; annual evaluations.--The Secretary shall--
                    (A) ensure rigorous oversight with respect to the 
                grant program under this section; and
                    (B) on an annual basis during the period in which 
                the authority to carry out the grant program is 
                effective, evaluate the efficacy of activities funded 
                with a grant awarded under such program.
    (g) Coordination With Mental Health Services of Department of 
Veterans Affairs.--The Secretary shall ensure that the grant program 
under this section aligns with the Staff Sergeant Parker Gordon Fox 
Suicide Prevention Grant Program of the Department under section 201 of 
the Commander John Scott Hannon Veterans Mental Health Care Improvement 
Act of 2019 (Public Law 116-171; 38 U.S.C. 1720F note)--
            (1) to provide for cohesive and comprehensive support for 
        veterans with mTBI and associated mental health conditions; and
            (2) to increase research and development on integrated mTBI 
        and mental health interventions outside of the scope of 
        traditional pathways, interventions, programs, procedures, and 
        pharmaceuticals of the Department.
    (h) Annual Review.--Not less frequently than annually during the 
duration of the grant program under this section, the Secretary shall 
review the effectiveness of such program to determine the potential of 
such program for continuation or expansion.
    (i) Reports to Congress.--Not later than two years after the date 
of the enactment of this Act, and not less frequently than annually 
thereafter, the Secretary shall submit to Congress a report that 
includes--
            (1) the findings of the activities reported under 
        subsection (f)(2); and
            (2) the recommendations of the Secretary with respect to 
        policy and programmatic improvements to services of the 
        Department of Veterans Affairs to treat TBI among veterans.
    (j) Regulations.--Not later than 180 days after the date of the 
enactment of this Act, the Secretary shall prescribe regulations to 
carry out this section.
    (k) Funding.--
            (1) Available amounts.--The Secretary may carry out the 
        grant program under this section using amounts available to the 
        Secretary for general mental health care programs.
            (2) Authorization of appropriations.--There are authorized 
        to be appropriated to the Secretary $30,000,000 for fiscal 
        years 2026 through 2028 to carry out the grant program under 
        this section, which shall remain available until expended.
    (l) Definitions.--In this section:
            (1) Eligible entity.--The term ``eligible entity'' means 
        any of the following:
                    (A) A nonprofit organization.
                    (B) An academic institution engaged in research 
                with respect to TBI.
                    (C) A non-Department of Veterans Affairs health 
                care provider with expertise in neurorehabilitative 
                therapies.
                    (D) An entity the Secretary determines appropriate 
                for an award of a grant under this section.
            (2) TBI.--The term ``TBI'' means traumatic brain injury.
            (3) Treatment.--The term ``treatment'', with respect to 
        TBI, means clinical interventions, therapeutic devices, or 
        rehabilitation care provided directly to a veteran with TBI.
            (4) Veteran.--The term ``veteran'' has the meaning given 
        that term in section 101 of title 38, United States Code.
                                 <all>