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<bill bill-stage="Introduced-in-Senate" public-private="public">
	<form>
		<distribution-code display="yes">II</distribution-code>
		<congress>112th CONGRESS</congress>
		<session>1st Session</session>
		<legis-num>S. 666</legis-num>
		<current-chamber>IN THE SENATE OF THE UNITED STATES</current-chamber>
		<action>
			<action-date date="20110329">March 29, 2011</action-date>
			<action-desc><sponsor name-id="S127">Mr. Baucus</sponsor> (for himself,
			 <cosponsor name-id="S257">Mr. Johnson of South Dakota</cosponsor>,
			 <cosponsor name-id="S201">Mr. Conrad</cosponsor>, and <cosponsor name-id="S314">Mr. Tester</cosponsor>) introduced the following bill; which was
			 read twice and referred to the <committee-name committee-id="SSVA00">Committee
			 on Veterans' Affairs</committee-name></action-desc>
		</action>
		<legis-type>A BILL</legis-type>
		<official-title>To require a report on the establishment of a Polytrauma
		  Rehabilitation Center or Polytrauma Network Site of the Department of Veterans
		  Affairs in the northern Rockies or Dakotas, and for other
		  purposes.</official-title>
	</form>
	<legis-body>
		<section id="S1" section-type="section-one"><enum>1.</enum><header>Short
			 title</header><text display-inline="no-display-inline">This Act may be cited as
			 the <quote><short-title>Veterans Traumatic Brain Injury
			 Care Improvement Act of 2011</short-title></quote>.</text>
		</section><section id="id43A0B97AAA6C4288AC2A24F193F8ED3A"><enum>2.</enum><header>Report on
			 establishment of a Polytrauma Rehabilitation Center or Polytrauma Network Site
			 of the Department of Veterans Affairs in the northern Rockies or
			 Dakotas</header>
			<subsection id="idCB62D6D64B0C466DBDCF6F529BED3172"><enum>(a)</enum><header>Findings</header><text>Congress
			 makes the following findings:</text>
				<paragraph id="id2029D095997046E1ADB1D65CAF74F39D"><enum>(1)</enum><text>The States of the
			 northern Rockies and the Dakotas are among those States in the United States
			 with the highest per capita rates of veterans with injuries from military
			 service in Iraq and Afghanistan.</text>
				</paragraph><paragraph id="id0FE5CC9D14F74536B0F126DFEC80C240"><enum>(2)</enum><text>Traumatic brain
			 injury (TBI) has become known as one of the <quote>signature wounds</quote> of
			 military service in Iraq and Afghanistan due to its high occurrence among
			 veterans of such service.</text>
				</paragraph><paragraph id="idC1C05D926AF4469AB0EFFEC5F905BC20"><enum>(3)</enum><text>A recent RAND
			 Corporation study estimates that as many as 20 percent of the veterans of
			 military service in Iraq and Afghanistan have a traumatic brain injury as a
			 result of such service, and many of these veterans require ongoing care for
			 mild, moderate, or severe traumatic brain injury.</text>
				</paragraph><paragraph id="idC589ACFDBDF74877986925259F2E4AF3"><enum>(4)</enum><text>The Department of
			 Veterans Affairs recommends that all veterans experiencing a polytraumatic
			 injury be referred to a Polytrauma Rehabilitation Center or a Polytrauma
			 Network Site.</text>
				</paragraph><paragraph id="id71E1745D038E486D8127C0630DA7B1AB"><enum>(5)</enum><text>The Department of
			 Veterans Affairs Polytrauma System of Care includes 4 Polytrauma Rehabilitation
			 Centers and 22 Polytrauma Network Sites, none of which are located in North
			 Dakota, South Dakota, Idaho, Montana, eastern Washington, or Wyoming, an area
			 that encompasses approximately 740,000 square miles.</text>
				</paragraph><paragraph id="id921D41C88B0D47EE9E5B69A212899D32"><enum>(6)</enum><text>The vastness of
			 this area imposes significant hardships on veterans residing in this area who
			 require care within the Department of Veterans Affairs Polytrauma System of
			 Care and wish to live close to home while receiving care within such system of
			 care.</text>
				</paragraph></subsection><subsection id="idA33D2C58A6C9429487A03A853A7A10B8"><enum>(b)</enum><header>Report</header>
				<paragraph id="idF2C521713E254B3A98012FD3E789CC18"><enum>(1)</enum><header>In
			 general</header><text>Not later than 180 days after the date of the enactment
			 of this Act, the Secretary of Veterans Affairs shall submit to Congress a
			 report on the feasibility and advisability of establishing a Polytrauma
			 Rehabilitation Center or Polytrauma Network Site for the Department of Veterans
			 Affairs in the northern Rockies or the Dakotas. One of the locations evaluated
			 as a potential location for the Polytrauma Rehabilitation Center or Polytrauma
			 Network Site, as the case may be, shall be the Fort Harrison Department of
			 Veterans Affairs hospital in Lewis and Clark County, Montana.</text>
				</paragraph><paragraph id="id1DCC4DC151A64CCFB643B0EC9CA3DD26"><enum>(2)</enum><header>Requirements</header><text>The
			 report required by this subsection shall include the following:</text>
					<subparagraph id="idE023281EDA094DE0BE84EDE89001CCCF"><enum>(A)</enum><text>An assessment of
			 the adequacy of existing Department of Veterans Affairs facilities in the
			 northern Rockies and the Dakotas to address matters that are otherwise
			 addressed by Polytrauma Rehabilitation Centers and Polytrauma Network
			 Sites.</text>
					</subparagraph><subparagraph id="id1943BAA4B20D409D8FFCF57CA8EE6AB2"><enum>(B)</enum><text>A comparative
			 assessment of the effectiveness of rehabilitation programs for individuals with
			 traumatic brain injuries in urban areas with the effectiveness of such programs
			 for individuals with traumatic brain injuries in rural and frontier
			 communities.</text>
					</subparagraph><subparagraph id="id26F92E94D48246FE9D6C36360D0E4384"><enum>(C)</enum><text>An assessment
			 whether the low cost of living in the northern Rockies and the Dakotas could
			 reduce the financial stress faced by veterans receiving care for traumatic
			 brain injury and their families and thereby improve the effectiveness of such
			 care.</text>
					</subparagraph><subparagraph id="id0957A8BE46264C1EBF0853B31D589B0F"><enum>(D)</enum><text>An assessment
			 whether therapies that can prevent or remediate the development of secondary
			 neurologic conditions related to traumatic brain injury can be interrupted by
			 stress caused by living in an urban area.</text>
					</subparagraph></paragraph><paragraph id="id72D38379880A4B7F82AF5D2D5A218991"><enum>(3)</enum><header>Consultation</header><text>The
			 Secretary shall consult with appropriate State and local government agencies in
			 the northern Rockies and the Dakotas in preparing the report required by this
			 subsection.</text>
				</paragraph></subsection></section></legis-body>
</bill>
