PolicyBrief
S. 5013
119th CongressJul 16th 2026
Veteran Acquired Brain Injury Caregiving Act
IN COMMITTEE

This bill establishes a five-year pilot program allowing veterans with acquired brain injuries to use Veteran-Directed Care funds to purchase services from eligible mission-driven nonprofit organizations.

Bill Cassidy
R

Bill Cassidy

Senator

LA

LEGISLATION

VA Pilot Program Grants Veterans with Brain Injuries New Power to Choose Their Caregivers

The Veteran Acquired Brain Injury Caregiving Act sets up a five-year pilot program designed to give veterans with acquired brain injuries more control over their recovery. Within 180 days of becoming law, the Department of Veterans Affairs must launch this initiative at a minimum of five VA medical centers. The core change allows eligible veterans to redirect funds from the existing Veteran-Directed Care program—which usually focuses on general home and community-based services—specifically toward mission-driven 501(c)(3) nonprofits that specialize in brain injury support (Section 2).

Customizing the Road to Recovery

For a veteran living with a brain injury, recovery isn't a one-size-fits-all process. Currently, navigating the bureaucracy to find specialized care can feel like a second job. Under this bill, a veteran clinically assessed with an acquired brain injury who already qualifies for Veteran-Directed Care can essentially 'shop' for specialized services from nonprofits that understand their specific neurological needs. Imagine a former software engineer who now struggles with cognitive processing; instead of settling for generic home health aid, this program allows them to use their VA budget to hire a nonprofit specialist who focuses on neuro-rehabilitation and cognitive pacing.

Accountability and Growth

This isn't just a blank check; it’s a test run with homework. Starting one year in, the VA Secretary has to hand over annual reports to Congress detailing exactly how many veterans are using the program and, more importantly, whether they are actually getting better. The bill specifically requires the VA to track clinical outcomes and veteran satisfaction (Section 2). This means if the data shows that veterans are happier and healthier when they choose their own nonprofit providers, it creates a strong case for expanding the program beyond the initial five sites and five-year window, potentially shifting how the VA handles specialized long-term care nationwide.