H.R. 6993

119 HR 6993 IH: Veterans TBI Breakthrough Exploration of Adaptive Care Opportunities Nationwide Act of 2026
 U.S. House of Representatives
 2026-01-09
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 I  119th CONGRESS  2d Session  H. R. 6993  IN THE HOUSE OF REPRESENTATIVES   January 9, 2026   Mr. Bergman  (for himself,  Ms. Elfreth ,  Ms. King-Hinds ,  Mr. Davis of North Carolina ,  Mr. Van Orden , and  Mr. Luttrell ) introduced the following bill; which was referred to the  Committee on Veterans' Affairs    A BILL
To direct the Secretary of Veterans Affairs to carry out programs to award grants to eligible entities to conduct research with respect to treatments for traumatic brain injury prospective randomized control trials for neurorehabilitation treatments, and for other purposes.
1.
Short title
This Act may be cited as the   Veterans TBI Breakthrough Exploration of Adaptive Care Opportunities Nationwide Act of 2026   or the   BEACON Act of 2026  .
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 described in subsection (b) 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 (mTBI) in veterans.
(b)
Eligible entities described
An eligible entity described in this subsection is any of the following:
(1)
A nonprofit organization.
(2)
An academic institution engaged in research with respect to TBI.
(3)
A non-Department health care provider with expertise in neurorehabilitative therapies.
(4)
An entity the Secretary determines appropriate for an award of a grant under this section.
(c)
Use of funds
An eligible entity in receipt of a grant under this section shall use 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 to—
(A)
improve mental health outcomes among veterans;
(B)
reduce suicidality, and common risk factors for completing suicide, including depression and substance use disorders among veterans; and
(C)
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 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 VA mental health services
The Secretary shall ensure that the grant program under this section aligns with the Staff Sergeant Fox Suicide Prevention Grant Program of the Department to—
(1)
provide for cohesive and comprehensive support for veterans with mTBI and associated mental health conditions; and
(2)
increase research and development on integrated mTBI and mental health interventions outside of the scope of traditional Department of Veterans Affairs pathways, interventions, programs, procedures, and pharmaceuticals.
(h)
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.
(i)
Available amounts; authorization of appropriations
(1)
Available amounts
The Secretary may carry out the 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 pilot program under this section, which shall remain available until expended.
(j)
Duration; annual review
The authority of the Secretary to carry out the grant program under this section shall terminate at the end of the 3-year period beginning on the date of the enactment of this Act. During such period, the Secretary shall, on an annual basis, review the effectiveness of such grant program to determine the potential of such grant program for continuation or expansion.
3.
Department of Veterans Affairs grant program for independent third-party research studies and treatment with respect to supplemental neurorehabilitation treatments for mTBI
(a)
Establishment
The Secretary of Veterans Affairs shall establish and carry out a research grant program to award grants to eligible entities described in subsection (b) for studies and applied programs on approaches and methodologies for the treatment of TBI in veterans.
(b)
Eligible entities described
An eligible entity described in this subsection is any of the following:
(1)
An academic institution that conducts significant research on TBI.
(2)
A nonprofit organization with—
(A)
expertise in TBI research and neurorehabilitation; and
(B)
demonstrated capabilities in clinical trials and TBI treatment evaluation and patient care delivery.
(3)
An entity, or a partnership among entities, that the Secretary determines appropriate to receive a grant under this section.
(c)
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 summary of—
(1)
proposed research and treatment activities;
(2)
methodology; and
(3)
expected outcomes.
(d)
Grant categories
(1)
In general
Pursuant to the research grant program under this section, the Secretary shall, each fiscal year—
(A)
subject to the requirement under paragraph (2), award four grants in amounts of not more than $625,000 for exploratory or pilot research and treatment projects; and
(B)
award five grants in amounts of not more than $1,500,000 for collaborative or multidisciplinary research and treatment initiatives.
(2)
Priority
The Secretary shall award not fewer than three grants described in paragraph (1)(A) to nonprofit organizations.
(e)
Responsibilities of the third-Party organization
(1)
In general
The Secretary shall enter into an agreement with an independent third-party organization comparable to the National Center for Posttraumatic Stress Disorder of the Department of Veterans Affairs to—
(A)
administer the research grant program; and
(B)
carry out studies and implement efforts that include—
(i)
analyzing data from TBI treatment methodologies developed pursuant to the research grant program to assess the effect, among veterans, of such methodologies on mental health outcomes and long-term recovery;
(ii)
identifying evidence-based best practices and providing recommendations for further research or clinical application; and
(iii)
randomized, controlled clinical trials to—
(I)
validate and deliver treatments;
(II)
establish a standard of care; and
(III)
improve access to such treatments for veterans.
(2)
Report
The independent third-party organization with which the Secretary enters into an agreement under paragraph (1) shall submit to Congress and the Secretary a comprehensive report that includes—
(A)
the findings of the studies required under such agreement; and
(B)
recommendations with respect to the expansion of successful TBI treatment methodologies and standard of care recommendations, if any, developed pursuant to the research grant program.
(f)
Available amounts; authorization of appropriations
(1)
Available amounts
The Secretary may use amounts available to the Secretary for the operating budget of the National Center for Posttraumatic Stress Disorder to carry out the research grant program under this section.
(2)
Authorization of appropriations
There are authorized to be appropriated to the Secretary $10,000,000 for each of fiscal years 2026 through 2028 to carry out this section.
(g)
Reports to Congress
Not later than two years after the date on which the Secretary commences the research grant program under this section, and on an annual basis thereafter during the period the authority of the Secretary to carry out such research grant program is effective, the Secretary shall submit to Congress a report that includes—
(1)
the findings of the studies under—
(A)
section 2(f)(2); and
(B)
the agreement required by section 3(e); and
(2)
recommendations of the Secretary with respect to policy and programmatic improvements to services of the Department to treat TBI among veterans.
(h)
Termination date
The authority of the Secretary to carry out the research grant program under this section shall terminate on the date that is three years after the date of the enactment of this Act.
4.
Definitions
In this Act:
(1)
The term  TBI  means traumatic brain injury.
(2)
The term  treatment  means clinical interventions, therapeutic devices, or rehabilitation care provided directly to a veteran with TBI.
(3)
The term  veteran  has the meaning given such term in section 101 of title 38, United States Code.