PolicyBrief
H.R. 1336
119th CongressFeb 13th 2025
Veterans National Traumatic Brain Injury Treatment Act
IN COMMITTEE

This bill directs the VA to establish a pilot program providing hyperbaric oxygen therapy to veterans with traumatic brain injury or PTSD in three Veterans Integrated Service Networks, funded by the "VA HBOT Fund" which consists of donated funds.

Gregory Murphy
R

Gregory Murphy

Representative

NC-3

LEGISLATION

VA Launches Hyperbaric Oxygen Therapy Pilot for Vets with TBI/PTSD: Program Relies on Donations

The Veterans National Traumatic Brain Injury Treatment Act greenlights a five-year pilot program offering hyperbaric oxygen therapy (HBOT) to veterans dealing with traumatic brain injury (TBI) or post-traumatic stress disorder (PTSD). Here's the catch – it's funded entirely by donations, and only available in three, yet to be selected, regions of the Veterans Integrated Service Networks.

Diving Deep with HBOT

This bill sets up a system where the VA can provide HBOT, a treatment that involves breathing pure oxygen in a pressurized chamber. Think of it like a deep-sea dive, but instead of exploring the ocean, it's aimed at helping heal the brain. The bill is specific that this isn't some fringe treatment; it requires the use of devices cleared by the Food and Drug Administration (FDA) (SEC. 2). The goal? To see if this therapy can provide some relief for vets battling the often-invisible wounds of TBI and PTSD.

Show Me the Money (or Not)

Here's where things get interesting, and potentially problematic. The program creates a special "VA HBOT Fund", but it is completely reliant on donations (SEC. 2). Meaning, the program's success, and how many veterans it can help, hinges on how much money people are willing to chip in. There is no appropriated funding, and no fiscal year limitation, so funds can be used until exhausted. For a veteran who has served their country, depending on donations for a medical treatment raises some serious questions about long-term sustainability and access.

Real-World Rollout

Imagine a veteran, maybe a construction worker who experienced a blast injury, or a nurse who served multiple deployments and is now struggling with PTSD. If they live near one of the three selected VA facilities, and if the donation fund is sufficient, they might have access to this therapy. But what about everyone else? This limited rollout means a lot of vets who could potentially benefit might be left out in the cold. The bill also requires the VA to use certain healthcare providers that are already authorized to provide care (SEC. 2), so it's not expanding the provider network significantly.

The Bottom Line

While the Veterans National Traumatic Brain Injury Treatment Act aims to provide a new treatment option for veterans, the reliance on donations and limited availability raise some real flags. It's like offering a life raft, but only to a select few, and only if enough people are willing to pay for it. Whether this approach can truly deliver on its promise remains to be seen.