S 2737119th CongressIn Committee

Veterans National Traumatic Brain Injury Treatment Act

Introduced: Sep 9, 2025

HealthcareVeterans Affairs

Standard Summary

Comprehensive overview in 1-2 paragraphs

The Veterans National Traumatic Brain Injury Treatment Act would create a three-year pilot program within the Department of Veterans Affairs to provide hyperbaric oxygen therapy (HBOT) to veterans with traumatic brain injury (TBI) or post-traumatic stress disorder (PTSD) through VA community care providers (i.e., non-VA providers contracted under VA’s community care authorities). The program would operate in two VA VISNs (Veterans Integrated Service Networks), require HBOT facilities to be accredited by recognized bodies, and be funded by a new VA HBOT Fund supported only by donations. The act also requires an update from the Comptroller General on HBOT research since a 2015 GAO report, and it temporarily extends a pension-related payment deadline. After three years, the pilot and fund would terminate unless further legislation is enacted.

Key Points

1Establishes a VA HBOT pilot program for veterans with TBI or PTSD, delivered through a community care provider under VA’s jurisdiction.
2Operates in two selected VA VISNs; facilities must be accredited by the Joint Commission, the Undersea and Hyperbaric Medical Society, or an equivalent accrediting body.
3Creates a “VA HBOT Fund” in the general fund, funded only by donations dedicated to paying for HBOT under the pilot; funds are available without regard to fiscal year.
4Pilot and Fund termination set for three years after enactment; the Comptroller General must report within one year on updated HBOT research and trials since the 2015 GAO report (GAO-16-154).
5Extends a pension payment limit (38 U.S.C. 5503(d)(7)) from November 30, 2031 to October 30, 2034.

Impact Areas

Primary group/area affected: Veterans with traumatic brain injury or post-traumatic stress disorder who might receive HBOT, via VA’s community care system and accredited providers.Secondary group/area affected: VA healthcare delivery network (two VISNs selected for the pilot), affiliated community care providers, and accrediting bodies (Joint Commission, UHMS, or equivalent).Additional impacts:- Fiscal/administrative: Establishment of a donor-funded HBOT fund with no annual appropriation, plus a sunset after three years (potential need for reauthorization or new funding if the program continues).- Oversight and evidence base: CG/GAO involvement requiring a review of HBOT trials and research since the 2015 GAO report, influencing future policy decisions.- Pension policy: Temporary extension of pension payment timing could affect beneficiary payments during the extension period.

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