PolicyBrief
H.R. 5569
119th CongressSep 26th 2025
PILOT Act
IN COMMITTEE

The PILOT Act mandates a Department of Defense study and report on traumatic brain injuries sustained by active-duty military pilots due to operational stress.

Jason Crow
D

Jason Crow

Representative

CO-6

LEGISLATION

New PILOT Act Mandates DoD Study on Brain Injuries from High-Speed Flying Within 180 Days

The new Preventing and Identifying Lasting Operational TBI Act (PILOT Act) is straightforward: it forces the Department of Defense (DoD) to take a hard look at the brain health of its active-duty pilots. Essentially, Congress is asking the DoD, “Are our high-speed maneuvers and catapult launches causing brain injuries in the cockpit?”

The 180-Day Deadline for Answers

Under Section 2, the Secretary of Defense has to deliver a detailed report to Congress within 180 days of the bill becoming law. This isn’t just a quick check-in; it mandates a full study to determine if the constant, intense operational stress of flying—think high-G turns and the sheer force of a carrier launch—is causing traumatic brain injuries (TBIs) in pilots. For the people wearing those flight suits, this is huge. It means the physical cost of their job is finally being formally investigated, potentially leading to better health protections down the line.

Mapping the Current TBI Landscape

Beyond just the study results, the report must also lay out exactly what the DoD is doing right now to handle TBI. This includes a full rundown of their existing rules for identifying, documenting, and treating mild, moderate, and severe TBIs in pilots. This is the policy equivalent of opening up the hood of the car and checking the engine—it forces transparency on current practices. If you’ve ever had to navigate a company’s confusing health or safety protocols, you know how important it is to have those procedures clearly defined.

The Strategy for the Future

Perhaps the most impactful part of the PILOT Act is the required forward-looking strategy. The DoD can’t just report on the problem; they must provide a concrete plan for how they will improve the way they find, record, and treat these brain injuries moving forward. This is where the rubber meets the road for the pilots. A good strategy could mean faster diagnoses, better long-term care, and new safety protocols to reduce exposure. Finally, the Secretary must give Congress specific suggestions for any new laws or rules needed to fix the gaps identified in the study, ensuring that this isn't just a paper exercise but a pathway to real change.