I
119THCONGRESS
1
STSESSION H. R. 1493
To reauthorize and make improvements to Federal programs relating to
the prevention, detection, and treatment of traumatic brain injuries,
and for other purposes.
IN THE HOUSE OF REPRESENTATIVES
FEBRUARY21, 2025
Mr. P
ALLONE(for himself, Mr. BACON, Mr. MENENDEZ, and Mr. CRENSHAW)
introduced the following bill; which was referred to the Committee on En-
ergy and Commerce
A BILL
To reauthorize and make improvements to Federal programs
relating to the prevention, detection, and treatment of
traumatic brain injuries, and for other purposes.
Be it enacted by the Senate and House of Representa-1
tives of the United States of America in Congress assembled, 2
SECTION 1. PROGRAMS TO PREVENT, DETECT, AND TREAT 3
TRAUMATIC BRAIN INJURIES. 4
(a) T
HEBILLPASCRELL, JR., NATIONALPROGRAM 5
FORTRAUMATICBRAININJURYSURVEILLANCE AND 6
R
EGISTRIES.— 7
VerDate Sep 11 2014 03:52 Mar 13, 2025 Jkt 059200 PO 00000 Frm 00001 Fmt 6652 Sfmt 6201 E:\BILLS\H1493.IH H1493
kjohnson on DSK7ZCZBW3PROD with $$_JOB 2
•HR 1493 IH
(1) PREVENTION OF TRAUMATIC BRAIN IN -1
JURY.—Section 393B of the Public Health Service 2
Act (42 U.S.C. 280b–1c) is amended— 3
(A) in subsection (a), by inserting ‘‘and 4
prevalence’’ after ‘‘incidence’’; 5
(B) in subsection (b)— 6
(i) in paragraph (1), by inserting 7
‘‘and reduction of associated injuries and 8
fatalities’’ before the semicolon; 9
(ii) in paragraph (2), by inserting 10
‘‘and related risk factors’’ before the semi-11
colon; and 12
(iii) in paragraph (3)— 13
(I) in the matter preceding sub-14
paragraph (A), by striking ‘‘2020’’ 15
each place it appears and inserting 16
‘‘2030’’; and 17
(II) in subparagraph (A)— 18
(aa) in clause (i), by striking 19
‘‘; and’’ and inserting ‘‘of trau-20
matic brain injury;’’; 21
(bb) by redesignating clause 22
(ii) as clause (iv); 23
(cc) by inserting after clause 24
(i) the following: 25
VerDate Sep 11 2014 03:52 Mar 13, 2025 Jkt 059200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\H1493.IH H1493
kjohnson on DSK7ZCZBW3PROD with $$_JOB 3
•HR 1493 IH
‘‘(ii) populations at higher risk of 1
traumatic brain injury, including popu-2
lations whose increased risk is due to occu-3
pational or circumstantial factors; 4
‘‘(iii) causes of, and risk factors for, 5
traumatic brain injury; and’’; and 6
(dd) in clause (iv), as so re-7
designated, by striking ‘‘arising 8
from traumatic brain injury’’ and 9
inserting ‘‘, which may include 10
related mental health and other 11
conditions, arising from trau-12
matic brain injury, including’’; 13
and 14
(C) in subsection (c), by inserting ‘‘, and 15
other relevant Federal departments and agen-16
cies’’ before the period at the end. 17
(2) N
ATIONAL PROGRAM FOR TRAUMATIC 18
BRAIN INJURY SURVEILLANCE AND REGISTRIES .— 19
Section 393C of the Public Health Service Act (42 20
U.S.C. 280b–1d) is amended— 21
(A) by amending the section heading to 22
read as follows: ‘‘
THE BILL PASCRELL , JR., 23
NATIONAL PROGRAM FOR TRAUMATIC 24
VerDate Sep 11 2014 03:52 Mar 13, 2025 Jkt 059200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\H1493.IH H1493
kjohnson on DSK7ZCZBW3PROD with $$_JOB 4
•HR 1493 IH
BRAIN INJURY SURVEILLANCE AND REG -1
ISTRIES’’; 2
(B) in subsection (a)— 3
(i) in the matter preceding paragraph 4
(1), by inserting ‘‘to identify populations 5
that may be at higher risk for traumatic 6
brain injuries, to collect data on the causes 7
of, and risk factors for, traumatic brain in-8
juries,’’ after ‘‘related disability,’’; 9
(ii) in paragraph (1), by inserting ‘‘, 10
including the occupation of the individual, 11
when relevant to the circumstances sur-12
rounding the injury’’ before the semicolon; 13
and 14
(iii) in paragraph (4), by inserting 15
‘‘short- and long-term’’ before ‘‘outcomes’’; 16
(C) by striking subsection (b); 17
(D) by redesignating subsection (c) as sub-18
section (b); 19
(E) in subsection (b), as so redesignated, 20
by inserting ‘‘and evidence-based practices to 21
identify and address concussion’’ before the pe-22
riod at the end; and 23
(F) by adding at the end the following: 24
VerDate Sep 11 2014 03:52 Mar 13, 2025 Jkt 059200 PO 00000 Frm 00004 Fmt 6652 Sfmt 6201 E:\BILLS\H1493.IH H1493
kjohnson on DSK7ZCZBW3PROD with $$_JOB 5
•HR 1493 IH
‘‘(c) AVAILABILITY OF INFORMATION.—The Sec-1
retary, acting through the Director of the Centers for Dis-2
ease Control and Prevention, shall make publicly available 3
aggregated information on traumatic brain injury and 4
concussion described in this section, including on the 5
website of the Centers for Disease Control and Prevention. 6
Such website, to the extent feasible, shall include aggre-7
gated information on populations that may be at higher 8
risk for traumatic brain injuries and strategies for pre-9
venting or reducing risk of traumatic brain injury that are 10
tailored to such populations.’’. 11
(3) A
UTHORIZATION OF APPROPRIATIONS .— 12
Section 394A of the Public Health Service Act (42 13
U.S.C. 280b–3) is amended— 14
(A) in subsection (a), by striking ‘‘1994, 15
and’’ and inserting ‘‘1994,’’; and 16
(B) in subsection (b), by striking ‘‘2020 17
through 2024’’ and inserting ‘‘2026 through 18
2030’’. 19
(b) S
TATEGRANTPROGRAMS.— 20
(1) S
TATE GRANTS FOR PROJECTS REGARDING 21
TRAUMATIC BRAIN INJURY .—Section 1252 of the 22
Public Health Service Act (42 U.S.C. 300d–52) is 23
amended— 24
(A) in subsection (b)(2)— 25
VerDate Sep 11 2014 03:52 Mar 13, 2025 Jkt 059200 PO 00000 Frm 00005 Fmt 6652 Sfmt 6201 E:\BILLS\H1493.IH H1493
kjohnson on DSK7ZCZBW3PROD with $$_JOB 6
•HR 1493 IH
(i) by inserting ‘‘, taking into consid-1
eration populations that may be at higher 2
risk for traumatic brain injuries’’ after 3
‘‘outreach programs’’; and 4
(ii) by inserting ‘‘Tribal,’’ after 5
‘‘State,’’; 6
(B) in subsection (c), by adding at the end 7
the following: 8
‘‘(3) M
AINTENANCE OF EFFORT .—With respect 9
to activities for which a grant awarded under sub-10
section (a) is to be expended, a State or American 11
Indian consortium shall agree to maintain expendi-12
tures of non-Federal amounts for such activities at 13
a level that is not less than the level of such expendi-14
tures maintained by the State or American Indian 15
consortium for the fiscal year preceding the fiscal 16
year for which the State or American Indian consor-17
tium receives such a grant. 18
‘‘(4) W
AIVER.—The Secretary may, upon the 19
request of a State or American Indian consortium, 20
waive not more than 50 percent of the matching 21
fund amount under paragraph (1), if the Secretary 22
determines that such matching fund amount would 23
result in an inability of the State or American In-24
dian consortium to carry out the purposes under 25
VerDate Sep 11 2014 03:52 Mar 13, 2025 Jkt 059200 PO 00000 Frm 00006 Fmt 6652 Sfmt 6201 E:\BILLS\H1493.IH H1493
kjohnson on DSK7ZCZBW3PROD with $$_JOB 7
•HR 1493 IH
subsection (a). A waiver provided by the Secretary 1
under this paragraph shall apply only to the fiscal 2
year involved.’’; 3
(C) in subsection (e)(3)(B)— 4
(i) by striking ‘‘(such as third party 5
payers, State agencies, community-based 6
providers, schools, and educators)’’; and 7
(ii) by inserting ‘‘(such as third party 8
payers, State agencies, community-based 9
providers, schools, and educators)’’ after 10
‘‘professionals’’; 11
(D) in subsection (h), by striking para-12
graphs (1) and (2) and inserting the following: 13
‘‘(1) A
MERICAN INDIAN CONSORTIUM ; STATE.— 14
The terms ‘American Indian consortium’ and ‘State’ 15
have the meanings given such terms in section 1253. 16
‘‘(2) T
RAUMATIC BRAIN INJURY .— 17
‘‘(A) I
N GENERAL.—Subject to subpara-18
graph (B), the term ‘traumatic brain injury’— 19
‘‘(i) means an acquired injury to the 20
brain; 21
‘‘(ii) may include— 22
‘‘(I) brain injuries caused by an-23
oxia due to trauma; and 24
VerDate Sep 11 2014 03:52 Mar 13, 2025 Jkt 059200 PO 00000 Frm 00007 Fmt 6652 Sfmt 6201 E:\BILLS\H1493.IH H1493
kjohnson on DSK7ZCZBW3PROD with $$_JOB 8
•HR 1493 IH
‘‘(II) damage to the brain from 1
an internal or external source that re-2
sults in infection, toxicity, surgery, or 3
vascular disorders not associated with 4
aging; and 5
‘‘(iii) does not include brain dysfunc-6
tion caused by congenital or degenerative 7
disorders, or birth trauma. 8
‘‘(B) R
EVISIONS TO DEFINITION .—The 9
Secretary may revise the definition of the term 10
‘traumatic brain injury’ under this paragraph, 11
as the Secretary determines necessary, after 12
consultation with States and other appropriate 13
public or nonprofit private entities.’’; and 14
(E) in subsection (i), by striking ‘‘2020 15
through 2024’’ and inserting ‘‘2026 through 16
2030’’. 17
(2) S
TATE GRANTS FOR PROTECTION AND AD -18
VOCACY SERVICES.—Section 1253(l) of the Public 19
Health Service Act (42 U.S.C. 300d–53(l)) is 20
amended by striking ‘‘2020 through 2024’’ and in-21
serting ‘‘2026 through 2030’’. 22
(c) R
EPORT TOCONGRESS.—Not later than 2 years 23
after the date of enactment of this Act, the Secretary of 24
Health and Human Services (referred to in this Act as 25
VerDate Sep 11 2014 03:52 Mar 13, 2025 Jkt 059200 PO 00000 Frm 00008 Fmt 6652 Sfmt 6201 E:\BILLS\H1493.IH H1493
kjohnson on DSK7ZCZBW3PROD with $$_JOB 9
•HR 1493 IH
the ‘‘Secretary’’) shall submit to the Committee on 1
Health, Education, Labor, and Pensions of the Senate and 2
the Committee on Energy and Commerce of the House 3
of Representatives a report that contains— 4
(1) an overview of populations who may be at 5
higher risk for traumatic brain injury, such as indi-6
viduals affected by domestic violence or sexual as-7
sault and public safety officers as defined in section 8
1204 of the Omnibus Crime Control and Safe 9
Streets Act of 1968 (34 U.S.C. 10284); 10
(2) an outline of existing surveys and activities 11
of the Centers for Disease Control and Prevention 12
on traumatic brain injuries and any steps the agency 13
has taken to address gaps in data collection related 14
to such higher risk populations, which may include 15
leveraging surveys such as the National Intimate 16
Partner and Sexual Violence Survey to collect data 17
on traumatic brain injuries; 18
(3) an overview of any outreach or education ef-19
forts to reach such higher risk populations; and 20
(4) any challenges associated with reaching 21
such higher risk populations. 22
(d) S
TUDY ONLONG-TERMSYMPTOMS OR CONDI-23
TIONSRELATED TOTRAUMATICBRAININJURY.— 24
VerDate Sep 11 2014 03:52 Mar 13, 2025 Jkt 059200 PO 00000 Frm 00009 Fmt 6652 Sfmt 6201 E:\BILLS\H1493.IH H1493
kjohnson on DSK7ZCZBW3PROD with $$_JOB 10
•HR 1493 IH
(1) IN GENERAL.—The Secretary, in consulta-1
tion with stakeholders and the heads of other rel-2
evant Federal departments and agencies, as appro-3
priate, shall conduct, either directly or through a 4
contract with a nonprofit private entity, a study to— 5
(A) examine the incidence and prevalence 6
of long-term or chronic symptoms or conditions 7
in individuals who have experienced a traumatic 8
brain injury; 9
(B) examine the evidence base of research 10
related to the chronic effects of traumatic brain 11
injury across the lifespan; 12
(C) examine any correlations between trau-13
matic brain injury and increased risk of other 14
conditions, such as dementia and mental health 15
conditions; 16
(D) assess existing services available for 17
individuals with such long-term or chronic 18
symptoms or conditions; and 19
(E) identify any gaps in research related to 20
such long-term or chronic symptoms or condi-21
tions of individuals who have experienced a 22
traumatic brain injury. 23
VerDate Sep 11 2014 03:52 Mar 13, 2025 Jkt 059200 PO 00000 Frm 00010 Fmt 6652 Sfmt 6201 E:\BILLS\H1493.IH H1493
kjohnson on DSK7ZCZBW3PROD with $$_JOB 11
•HR 1493 IH
(2) PUBLIC REPORT.—Not later than 2 years 1
after the date of enactment of this Act, the Sec-2
retary shall— 3
(A) submit to the Committee on Energy 4
and Commerce of the House of Representatives 5
and the Committee on Health, Education, 6
Labor, and Pensions of the Senate a report de-7
tailing the findings, conclusions, and rec-8
ommendations of the study described in para-9
graph (1); and 10
(B) in the case that such study is con-11
ducted directly by the Secretary, make the re-12
port described in subparagraph (A) publicly 13
available on the website of the Department of 14
Health and Human Services. 15
Æ
VerDate Sep 11 2014 03:52 Mar 13, 2025 Jkt 059200 PO 00000 Frm 00011 Fmt 6652 Sfmt 6301 E:\BILLS\H1493.IH H1493
kjohnson on DSK7ZCZBW3PROD with $$_JOB