Tag Archives: Veteran

Serious Gap in Veteran TBI Care Found

On August 5, 2026, the VA Office of Inspector General (VA OIG) released a national review that found a serious gap in traumatic brain injury care for post-9/11 veterans: Of 301,177 veterans who agreed to a comprehensive TBI evaluation after screening positive between September 11, 2001 and March 31, 2025, only 158,907 received one, leaving 142,270 without the assessment.

Though the evaluation largely draws on the same screening data of VA’s congressionally mandated TBI Veterans Health Registry, this oversight review is distinct in auditing the screening-to-evaluation pipeline rather than cataloging diagnosed cases. While very much not excusing the lapse, it was found to have several causes. In a 100-record sample, 65% of veterans canceled the appointment or did not respond to VA’s attempts to schedule it. But investigators also faulted the VA itself, as in 15% of cases the staff never placed the required consult, and a single-use electronic template blocked repeat evaluations for redeployed veterans. One VA official told investigators that once completed, the template effectively “locks down.”

The VA Inspector General Cheryl L. Mason issued three recommendations: (1) review the referral process after positive screenings, (2) consider a uniform system for directing veterans to Polytrauma System of Care specialists, (3) revise the template’s one-time-use limitation. The VA has agreed with the first two and agreed with the third, in principle.

No Pills, No Scalpel: Magnetic Pulse Treatment for Brain Injury

Healthcare professional applying a transcranial magnetic stimulation device to a patient's head in a clinical setting

Imagine treating a brain injury with no incision or pill, but just a magnetic coil held against the scalp. Transcranial magnetic stimulation (TMS) turns that promise into a reality, sending gentle magnetic pulses through the skull, so that misfiring brain circuits go back into rhythm. Long cleared by the FDA to treat depression, the painless technology is now being tested for treatment of traumatic brain injury and the lingering fog, headaches, and trauma it leaves behind.

Weighing TMS against combat-related PTSD, a 2026 systematic review examined a registry of 770 veterans who received TMS probes to determine how brain injury shapes treatment response. And, in a rigorous trial funded by the Department of Veterans Affairs, researchers at VA San Diego treated 70 veterans plagued by relentless headaches after mild brain injuries. Half of the study participants received real stimulation, while half received a placebo. After just ten sessions, published in early 2026, the magnetic group reported fewer headaches, in addition to sharper memory and attention.

Soon, a quiet magnetic coil may become a mainstay of brain-injury medicine.

A Dangerous TBI Two-Way Street

A traumatic brain injury doesn’t just raise your risk of later neurological disorders; preexisting neurological disorders may raise the risk of brain injury, concludes a recent 2026 study from the San Francisco Veterans Affairs Health Care System.

Diagram showing circular relationship between brain injury and epilepsy with arrows indicating feedback loop and mutual exacerbation of seizures and brain damage

Published June 17, 2026. in the journal Neurology, the Department of Defense-supported study tracked more than 55,000 older veterans. Scientists found that traumatic brain injury was tied to higher rates of stroke, dementia, epilepsy, and Parkinson’s disease both before and after the injury. “Our findings raise the possibility that… [pre-existing brain diseases] are themselves risk factors for TBI in older people,” said study author Carrie Peltz, PhD, of the San Francisco Veterans Affairs Health Care System.

In the year before a TBI, older veterans were about three times more likely to have been diagnosed with stroke, dementia, or Parkinson’s and more than four times more likely to have epilepsy. After a TBI, they were roughly twice as likely to have a stroke or epilepsy. This results greatly build on an Oxford Academic, PubMed-accessible, 2025 study that found, “Among those with TBI, patients with pre-injury dementia had particularly high chronic mortality.” While causality has not firmly been medically defined, the study’s results are clear.

The Biggest Veterans Bill in Years Buries a Tinnitus Trap

U.S. flag waving with Capitol building and two military personnel silhouette, text about Veterans Act 2026

House Veterans’ Affairs Chairman Mike Bost (IL) and Senate Veterans’ Affairs Chairman Jerry Moran (KS) introduced the Take Care of America’s Veterans Act (H.R. 9237/S. 4744) on June 10, 2026. This new 554-page, 62-page bill includes many sections that affect the brain injured from multiple angles:

Led by Rep. Jack Bergman (MI), a retired Marine general, and Rep. Sarah Elfreth (MD), the BEACON Act provision authorizes roughly $60 million for VA grants targeting non-pharmacological treatments for mild-to-moderate TBI. The Precision Brain Health Research Act, championed by Sen. Jerry Moran and Sen. Angus King (ME), directs a 10-year VA research plan on repetitive low-level blast injuries. The bill’s TBI provision includes A Blast Overpressure Task Force and HBOT reporting requirement, from Rep. Gregory Murphy (NC). A catastrophic-disability supplement of $833/month would benefit many severe TBI cases.

Furthermore, the package includes the Major Richard Star Act, the Love Lives On Act, and the Veterans’ ACCESS Act, among others. Rep. Gus Bilirakis (FL), a Congressional Brain Injury Task Force member, is among 20 House cosponsors; Senate cosponsors are John Boozman (AR) and Kevin Cramer (ND).

While the bill may appear wholly beneficial, it’s controversial because it offsets costs by reclassifying tinnitus – often a TBI symptom – as a derivative condition. (A derivative condition refers to a medical, legal, or mathematical situation that results directly from a pre-existing or primary cause.) This new classification would eliminate its standalone VA rating and data shows that it could potentially cut $57 billion in benefits for 1.5 million veterans.

VA’s MDMA Trial Offers New Hope, Particularly for the Brain Injured

On May 26, 2026, the VA announced a clinical trial to test MDMA-assisted therapy for veterans battling PTSD and alcohol use disorder. The study, which began enrollment quietly on May 18, is one of 19 psychedelic trials the VA is funding through $23 million in external grants, enrolling approximately 80 veterans at facilities in Providence, Rhode Island, and West Haven, Connecticut, with results expected in May 2030.

The trial will study the safety and effectiveness of MDMA-assisted therapy to address conditions that do not fully respond to standard treatments. For those living with traumatic brain injury, the treatment’s benefit may be significant. Research shows that patients with head injuries are more likely to develop PTSD than those without a TBI history. Studies confirm that veterans with probable TBI have 1.72 times greater odds of developing PTSD.

“This trial represents an important step in safely evaluating new approaches and innovations to treat Veterans with severe mental health conditions,” said VA Secretary Doug Collins. For the hundreds of thousands of veterans carrying both a damaged brain and a traumatized mind, it may represent something even more profound: a second chance at healing.

Another Study Links TBI & PTSD to Cognitive Decline – But Not Through Brain Plaques

A study published May 30, 2026, in the Journal of Alzheimer’s Disease is reshaping how researchers understand cognitive decline in combat veterans. Using data from the Department of Defense’s Alzheimer’s Disease Neuroimaging Initiative, USC researchers examined how TBI and PTSD affect brain imaging markers and cognition in a U.S. veteran population.

Brain imaging results and cognitive test data assessing memory and executive function in veterans

The study found that greater PTSD symptom severity was linked to poorer performance across all three cognitive tests used, and higher TBI severity correlated with lower scores on the Mini-Mental State Examination. What is striking about these findings is that they did not show that TBI severity nor PTSD symptoms were associated with neuroimaging biomarkers of neurodegeneration or vascular damage.

This discovery suggests that cognitive impairment in veterans may not stem directly from the accumulation of Alzheimer’s pathologies or vascular injuries. This matters enormously for treatment. It suggests veterans’ cognitive struggles may require targeted interventions beyond standard dementia pathways – a finding directly relevant to legislative reauthorizing of funding for federal TBI surveillance and research programs.

No Congressional Urge to Move BACK HOME

Inmates in prison uniforms in a common room with correctional officers and a sign reading 'TBI Support Group – 2:00 PM'

An estimated 107,400 veterans are serving time in state or federal prison, many of whom may carry wounds that no one can see. Combat exposure-associated mental and physical consequences including traumatic brain injury, PTSD, and mood disorders, are unfortunately directly linked to a greater likelihood of criminal justice involvement among veterans. Currently, by law, the VA cannot provide hospital or outpatient care to incarcerated veterans because penal institutions are legally obligated to furnish inmate healthcare. Bipartisan legislation aims to break that cycle.

The Get Justice-Involved Veterans Behavioral Assistance and Care for Key Health Outcomes to Maintain Empowerment (BACK HOME) Act, was introduced by Senators Angus King (ME) and Pete Ricketts (NE), along with Representatives Herb Conaway (NJ) and Morgan Luttrell (TX). The bill, S. 4162 and H.R. 8044, would create a VA pilot program to furnish mental health services to incarcerated veterans, prioritizing those with service-connected TBI, PTSD, or military sexual trauma. It would also ensure automatic resumption of disability compensation payments upon a veteran’s release from incarceration.

Logos of veteran associations and psychological associations side by side

“The Get Justice-Involved Veterans BACK HOME Act is about closing a dangerous gap in care by ensuring that justice-involved veterans can still access the mental health services they need to heal, rebuild, and successfully reenter their communities,” said Senator King. Congressman Conaway, a physician himself, added: “The Get Justice-Involved Veterans BACK HOME Act is about closing a dangerous gap in care by ensuring that justice-involved veterans can still access the mental health services they need to heal, rebuild, and successfully reenter their communities.”

The legislation is supported by the American Legion, Vietnam Veterans of America, the American Psychological Association, and the American Psychiatric Association.  Unfortunately, there has been no action on either the Senate or House BACK HOME Acts since their respective  introductions on March 23, 2026, and March 24, 2026.

Your Eyes Can Reveal What’s In Your Brain

In March 2026, the University of Colorado Anschutz Medical Campus published the results of a study that reveals high-speed eye-tracking technology can detect lasting neurological damage from mild traumatic brain injuries. More so, it showed that the damage that can be detected may be completely invisible to MRI scans, CT imaging, and routine clinical exams. This matters enormously. Current standard concussion assessments are largely subjective and can result in patients being told they’ve recovered when their brains are still struggling.

At the CU’s Marcus Institute for Brain Health, researchers tested 78 military veterans and measured subtle disruptions in eye movement that expose hidden neural damage. The findings were sobering: deficits persisted 10 to 15 years after the original injury. As Dr. Jeffrey Hebert, who led the study, noted, “Even when someone feels recovered, their brain may still be working differently behind the scenes.” Funded by the Department of Defense, this technology offers something conventional medicine currently cannot – objective, documented proof of brain trauma.

VA Recognizes TBI Mistake: Positive, But Possibly Too Late

According to the Defense and Veteran’s Brian Injury Center (DVBIC), a cooperative between the Department of Defense and Veteran’s Affairs, “Traumatic brain injury (TBI) is a significant health issue which affects service members and veterans during times of both peace and war.”  Given that the military recognizes that traumatic brain injury (TBI) is a major problem, it is a shock that, since 2007, 25,000 veterans who are now known to suffer from traumatic brain injury were not initially diagnosed and treated for TBI.  (Tested by doctors who have been found to be unqualified, these veterans were diagnosed with post-traumatic stress disorder (PTSD).  PTSD is terrible, yes, but more treatable than TBI.)

Through this major error, tens of thousands of veterans were not given the appropriate medical and financial help they needed and deserved.  Fortunately, the military now realizes its mistakes and can rectify them and prevent them from happening again.  For many veterans, who have struggled for years to get the military to recognize its difficulties, though, is it too little, too late?

(To learn more about TBI and the military from past service members, visit http://www.disabledveterans.org/.)