PolicyBrief
H.R. 4321
119th CongressJul 10th 2025
SMART for TBI Act
IN COMMITTEE

The SMART for TBI Act mandates the Department of Defense to establish a working group to develop a comprehensive strategy for leveraging digital health technologies, including AI, to improve the treatment of traumatic brain injuries.

Jason Crow
D

Jason Crow

Representative

CO-6

LEGISLATION

New Military Health Bill Mandates AI Strategy for TBI Treatment, Sets 2026 Deadline

The new SMART for TBI Act is focused entirely on dragging military healthcare into the digital age, specifically for treating Traumatic Brain Injuries (TBIs). This section mandates that the Secretary of Defense create a specialized “Digital Health Technologies Working Group” to figure out how to use tools like Artificial Intelligence (AI) and other digital tech to seriously upgrade TBI care for service members.

The Brain Trust: Outside Experts Required

This isn’t just an internal memo project. The bill requires the working group to include a mix of active military personnel, civilian DoD employees, and—crucially—outside experts. These non-government folks must have “real knowledge” in TBI clinical care, biomedical data science (that’s the informatics part), engineering, and something called implementation science, which is essentially figuring out how to actually put new research into practice. This is a smart move; it ensures the strategy isn’t just theoretical but grounded in clinical reality and the latest tech.

The Strategy: Filling the Gaps with AI

The working group’s main job is to develop a comprehensive strategy. Think of it as a detailed roadmap. They have to identify where current TBI treatments are failing, analyze what the DoD is already doing with AI and digital health, and look at any commercial products they could just buy off the shelf. Most importantly, the strategy must recommend specific advancements needed to close those treatment gaps and include a full investment plan showing where the money needs to go to get these new technologies deployed to treat service members. For a soldier dealing with the long-term effects of a TBI, this means the DoD is being forced to prioritize modern, data-driven solutions over outdated protocols.

What This Means for the Future of Care

This bill section is all about planning for the future. It doesn't instantly change TBI care, but it forces a serious, expert-led conversation about modernization. By setting a deadline of September 30, 2026, for the strategy to be delivered to Congress, the bill ensures accountability and keeps the pressure on. The biggest beneficiaries here are service members with TBIs, who stand to gain from quicker adoption of cutting-edge treatments. While the bill is vague on the exact qualifications of those “outside experts,” the mandate for clinical and data science expertise suggests a strong push toward evidence-based, digital-first solutions for a challenging military health issue.