[Congressional Record Volume 168, Number 158 (Thursday, September 29, 2022)]
[Senate]
[Pages S5598-S5599]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]

  SA 6066. Mr. BLUMENTHAL submitted an amendment intended to be 
proposed to amendment SA 5499 submitted by Mr. Reed (for himself and 
Mr. Inhofe) and intended to be proposed to the bill H.R. 7900, to 
authorize appropriations for fiscal year 2023 for military activities 
of the Department of Defense, for military construction, and for 
defense activities of the Department of Energy, to prescribe military 
personnel strengths for such fiscal year, and for other purposes; which 
was ordered to lie on the table; as follows:

        At the end of subtitle C of title XII, add the following:

     SEC. 1239. TREATMENT FOR SEVERELY WOUNDED UKRAINIAN SOLDIERS.

       (a) Sense of the Senate.--It is the sense of the Senate 
     that--
       (1) the treatment and rehabilitation of severely wounded 
     Ukrainian soldiers is of paramount importance to the United 
     States and Ukraine as Ukraine continues to valiantly repulse 
     an unprovoked invasion of its sovereignty by the Russian 
     Federation;
       (2) the Senate applauds efforts by the Secretary of Defense 
     to provide treatment in medical facilities of the United 
     States Armed Forces through the Secretarial Designee Program; 
     and
       (3) the Senate encourages the Secretary to continue working 
     with defense officials of Ukraine, and as necessary with 
     other governmental and private sources, to fund 
     transportation, lodging, meals, caretakers, and any other 
     nonmedical expenses necessary in connection with treatment 
     for severely wounded Ukrainian soldiers.
       (b) Role of the Extremity Trauma and Amputation Center of 
     Excellence in Mitigating, Treating, and Rehabilitating 
     Traumatic Extremity Injuries in Ukraine.--
       (1) Responsibilities.--The Extremity Trauma and Amputation 
     Center of Excellence shall have the following 
     responsibilities:
       (A) Not later than 180 days after the date of the enactment 
     of this Act, to develop a comprehensive plan and strategy for 
     the mitigation, treatment, and rehabilitation of traumatic 
     extremity injuries and amputations in Ukraine.
       (B) To identify scientific research aimed at saving injured 
     extremities, avoiding amputations, and preserving and 
     restoring the function of injured extremities. Such research 
     shall address the current needs of Ukraine, specifically 
     military medical needs, and the full range of scientific 
     inquiry encompassing basic, translational, and clinical 
     research.
       (C) To carry out such other activities to improve and 
     enhance the efforts of the Government of Ukraine for the 
     mitigation, treatment, and rehabilitation of traumatic 
     extremity injuries and amputations as the Director of the 
     Extremity Trauma and Amputation Center of Excellence 
     considers appropriate.
       (D) To develop and implement jointly with partners, 
     including the Government of Ukraine, a one-year pilot program 
     to implement the comprehensive plan and strategy developed 
     under subparagraph (A).
       (2) Partnerships.--In carrying out the responsibilities 
     under paragraph (1), the Extremity Trauma and Amputation 
     Center of Excellence shall partner and consult with relevant 
     government agencies, institutions of higher education, and 
     any other appropriate public and private entities, including 
     international entities.
       (3) Reports.--
       (A) In general.--Not later than one year after the date of 
     the enactment of this Act, and annually thereafter for two 
     years, the Director of the Extremity Trauma and Amputation 
     Center of Excellence shall submit to Congress a report on the 
     implementation of this subsection.
       (B) Elements.--
       (i) Initial report.-- The initial report required by 
     subparagraph (A) shall include a description of the 
     implementation requirements of the pilot program described in 
     paragraph (1)(D).
       (ii) Subsequent reports.--Each subsequent report shall 
     include, for the one-year period ending on the date of 
     submission of the report--

       (I) a description and assessment of the activities of the 
     pilot program under paragraph (1)(D);
       (II) an assessment of the role of the Extremity Trauma and 
     Amputation Center of Excellence and partners with respect to 
     the mitigation, treatment, and rehabilitation of traumatic 
     extremity injuries and amputations in Ukraine; and
       (III) any recommendation with respect to the extension of 
     such pilot program.

       (4) Authorization of appropriations.--Of the amounts 
     appropriated by the Ukraine Supplemental Appropriations Act, 
     2022 (division N of Public Law 117-103; 136 Stat. 776) and 
     the Additional Ukraine Supplemental Appropriations Act, 2022 
     (Public Law 117-128; 136 Stat. 1211), $1,500,000 shall be 
     made available to carry out this subsection.
       (c) Role of the Traumatic Brain Injury Center of Excellence 
     in Improving Treatment for Adult and Pediatric Traumatic 
     Brain Injuries in Ukraine.--
       (1) Responsibilities.--The Traumatic Brain Injury Center of 
     Excellence shall have the following responsibilities:
       (A) Not later than 180 days after the date of the enactment 
     of this Act, to develop a comprehensive plan and strategy for 
     the development of an interactive quality assessment and 
     quality assurance clinical decision support tool to provide 
     real-time, evidence-based medical care guidance for adult and 
     pediatric intensive-care unit patients with severe traumatic 
     brain injury in Ukraine.
       (B) To develop such a clinical decision support tool.
       (C) To identify scientific research aimed at increasing 
     compliance with internationally approved, evidence-based 
     treatment guidelines for severe adult and pediatric traumatic 
     brain injury so as to reduce patient mortality, improve 
     patient level of recovery, and reduce long-term care costs in 
     Ukraine.
       (D) To carry out such other activities to improve and 
     enhance the efforts of the Government of Ukraine for the 
     treatment of severe adult and pediatric traumatic brain 
     injury as the Director of the Traumatic Brain Injury Center 
     of Excellence considers appropriate.
       (E) To develop and implement jointly with partners, 
     including the Government of Ukraine, a one-year pilot program 
     to implement the comprehensive plan and strategy developed 
     under subparagraph (A).
       (2) Partnerships.--In carrying out the responsibilities 
     under paragraph (1), the Traumatic Brain Injury Center of 
     Excellence shall partner and consult with relevant government 
     agencies, institutions of higher education, and other 
     appropriate public and private entities, including 
     international entities.
       (3) Reports.--
       (A) In general.--Not later than one year after the date of 
     the enactment of this Act, and annually thereafter for two 
     years, the Director of the Traumatic Brain Injury Center of 
     Excellence shall submit to Congress a

[[Page S5599]]

     report on the implementation of this subsection.
       (B) Elements.--
       (i) Initial report.-- The initial report required by 
     subparagraph (A) shall include a description of the 
     implementation requirements of the pilot program described in 
     paragraph (1)(E).
       (ii) Subsequent reports.--Each subsequent report shall 
     include, for the one-year period ending on the date of 
     submission of the report--

       (I) a description and assessment of the activities of the 
     pilot program under paragraph (1)(E);
       (II) an assessment of the role of the Traumatic Brain 
     Injury Center of Excellence and partners with respect to 
     improving internationally approved, evidence-based treatment 
     guidelines for severe adult and pediatric traumatic brain 
     injury so as to reduce patient mortality, improve patient 
     level of recovery, and reduce long-term care costs in 
     Ukraine; and
       (III) any recommendation with respect to the extension of 
     such pilot program.

       (4) Authorization of appropriations.--Of the amounts 
     appropriated by the Ukraine Supplemental Appropriations Act, 
     2022 (division N of Public Law 117-103; 136 Stat. 776) and 
     the Additional Ukraine Supplemental Appropriations Act, 2022 
     (Public Law 117-128; 136 Stat. 1211), $1,500,000 shall be 
     made available to carry out this subsection.
                                 ______