| 1 | 1 | | I |
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| 2 | 2 | | 119THCONGRESS |
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| 3 | 3 | | 1 |
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| 4 | 4 | | STSESSION H. R. 1493 |
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| 5 | 5 | | To reauthorize and make improvements to Federal programs relating to |
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| 6 | 6 | | the prevention, detection, and treatment of traumatic brain injuries, |
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| 7 | 7 | | and for other purposes. |
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| 8 | 8 | | IN THE HOUSE OF REPRESENTATIVES |
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| 9 | 9 | | FEBRUARY21, 2025 |
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| 10 | 10 | | Mr. P |
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| 11 | 11 | | ALLONE(for himself, Mr. BACON, Mr. MENENDEZ, and Mr. CRENSHAW) |
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| 12 | 12 | | introduced the following bill; which was referred to the Committee on En- |
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| 13 | 13 | | ergy and Commerce |
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| 14 | 14 | | A BILL |
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| 15 | 15 | | To reauthorize and make improvements to Federal programs |
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| 16 | 16 | | relating to the prevention, detection, and treatment of |
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| 17 | 17 | | traumatic brain injuries, and for other purposes. |
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| 18 | 18 | | Be it enacted by the Senate and House of Representa-1 |
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| 19 | 19 | | tives of the United States of America in Congress assembled, 2 |
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| 20 | 20 | | SECTION 1. PROGRAMS TO PREVENT, DETECT, AND TREAT 3 |
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| 21 | 21 | | TRAUMATIC BRAIN INJURIES. 4 |
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| 22 | 22 | | (a) T |
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| 23 | 23 | | HEBILLPASCRELL, JR., NATIONALPROGRAM 5 |
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| 24 | 24 | | FORTRAUMATICBRAININJURYSURVEILLANCE AND 6 |
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| 25 | 25 | | R |
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| 26 | 26 | | EGISTRIES.— 7 |
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| 28 | 28 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 2 |
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| 29 | 29 | | •HR 1493 IH |
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| 30 | 30 | | (1) PREVENTION OF TRAUMATIC BRAIN IN -1 |
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| 31 | 31 | | JURY.—Section 393B of the Public Health Service 2 |
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| 32 | 32 | | Act (42 U.S.C. 280b–1c) is amended— 3 |
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| 33 | 33 | | (A) in subsection (a), by inserting ‘‘and 4 |
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| 34 | 34 | | prevalence’’ after ‘‘incidence’’; 5 |
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| 35 | 35 | | (B) in subsection (b)— 6 |
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| 36 | 36 | | (i) in paragraph (1), by inserting 7 |
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| 37 | 37 | | ‘‘and reduction of associated injuries and 8 |
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| 38 | 38 | | fatalities’’ before the semicolon; 9 |
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| 39 | 39 | | (ii) in paragraph (2), by inserting 10 |
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| 40 | 40 | | ‘‘and related risk factors’’ before the semi-11 |
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| 41 | 41 | | colon; and 12 |
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| 42 | 42 | | (iii) in paragraph (3)— 13 |
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| 43 | 43 | | (I) in the matter preceding sub-14 |
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| 44 | 44 | | paragraph (A), by striking ‘‘2020’’ 15 |
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| 45 | 45 | | each place it appears and inserting 16 |
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| 46 | 46 | | ‘‘2030’’; and 17 |
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| 47 | 47 | | (II) in subparagraph (A)— 18 |
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| 48 | 48 | | (aa) in clause (i), by striking 19 |
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| 49 | 49 | | ‘‘; and’’ and inserting ‘‘of trau-20 |
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| 50 | 50 | | matic brain injury;’’; 21 |
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| 51 | 51 | | (bb) by redesignating clause 22 |
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| 52 | 52 | | (ii) as clause (iv); 23 |
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| 53 | 53 | | (cc) by inserting after clause 24 |
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| 54 | 54 | | (i) the following: 25 |
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| 56 | 56 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 3 |
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| 57 | 57 | | •HR 1493 IH |
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| 58 | 58 | | ‘‘(ii) populations at higher risk of 1 |
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| 59 | 59 | | traumatic brain injury, including popu-2 |
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| 60 | 60 | | lations whose increased risk is due to occu-3 |
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| 61 | 61 | | pational or circumstantial factors; 4 |
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| 62 | 62 | | ‘‘(iii) causes of, and risk factors for, 5 |
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| 63 | 63 | | traumatic brain injury; and’’; and 6 |
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| 64 | 64 | | (dd) in clause (iv), as so re-7 |
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| 65 | 65 | | designated, by striking ‘‘arising 8 |
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| 66 | 66 | | from traumatic brain injury’’ and 9 |
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| 67 | 67 | | inserting ‘‘, which may include 10 |
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| 68 | 68 | | related mental health and other 11 |
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| 69 | 69 | | conditions, arising from trau-12 |
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| 70 | 70 | | matic brain injury, including’’; 13 |
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| 71 | 71 | | and 14 |
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| 72 | 72 | | (C) in subsection (c), by inserting ‘‘, and 15 |
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| 73 | 73 | | other relevant Federal departments and agen-16 |
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| 74 | 74 | | cies’’ before the period at the end. 17 |
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| 75 | 75 | | (2) N |
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| 76 | 76 | | ATIONAL PROGRAM FOR TRAUMATIC 18 |
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| 77 | 77 | | BRAIN INJURY SURVEILLANCE AND REGISTRIES .— 19 |
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| 78 | 78 | | Section 393C of the Public Health Service Act (42 20 |
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| 79 | 79 | | U.S.C. 280b–1d) is amended— 21 |
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| 80 | 80 | | (A) by amending the section heading to 22 |
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| 81 | 81 | | read as follows: ‘‘ |
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| 82 | 82 | | THE BILL PASCRELL , JR., 23 |
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| 83 | 83 | | NATIONAL PROGRAM FOR TRAUMATIC 24 |
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| 85 | 85 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 4 |
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| 86 | 86 | | •HR 1493 IH |
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| 87 | 87 | | BRAIN INJURY SURVEILLANCE AND REG -1 |
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| 88 | 88 | | ISTRIES’’; 2 |
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| 89 | 89 | | (B) in subsection (a)— 3 |
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| 90 | 90 | | (i) in the matter preceding paragraph 4 |
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| 91 | 91 | | (1), by inserting ‘‘to identify populations 5 |
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| 92 | 92 | | that may be at higher risk for traumatic 6 |
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| 93 | 93 | | brain injuries, to collect data on the causes 7 |
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| 94 | 94 | | of, and risk factors for, traumatic brain in-8 |
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| 95 | 95 | | juries,’’ after ‘‘related disability,’’; 9 |
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| 96 | 96 | | (ii) in paragraph (1), by inserting ‘‘, 10 |
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| 97 | 97 | | including the occupation of the individual, 11 |
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| 98 | 98 | | when relevant to the circumstances sur-12 |
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| 99 | 99 | | rounding the injury’’ before the semicolon; 13 |
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| 100 | 100 | | and 14 |
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| 101 | 101 | | (iii) in paragraph (4), by inserting 15 |
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| 102 | 102 | | ‘‘short- and long-term’’ before ‘‘outcomes’’; 16 |
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| 103 | 103 | | (C) by striking subsection (b); 17 |
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| 104 | 104 | | (D) by redesignating subsection (c) as sub-18 |
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| 105 | 105 | | section (b); 19 |
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| 106 | 106 | | (E) in subsection (b), as so redesignated, 20 |
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| 107 | 107 | | by inserting ‘‘and evidence-based practices to 21 |
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| 108 | 108 | | identify and address concussion’’ before the pe-22 |
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| 109 | 109 | | riod at the end; and 23 |
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| 110 | 110 | | (F) by adding at the end the following: 24 |
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| 113 | 113 | | •HR 1493 IH |
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| 114 | 114 | | ‘‘(c) AVAILABILITY OF INFORMATION.—The Sec-1 |
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| 115 | 115 | | retary, acting through the Director of the Centers for Dis-2 |
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| 116 | 116 | | ease Control and Prevention, shall make publicly available 3 |
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| 117 | 117 | | aggregated information on traumatic brain injury and 4 |
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| 118 | 118 | | concussion described in this section, including on the 5 |
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| 119 | 119 | | website of the Centers for Disease Control and Prevention. 6 |
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| 120 | 120 | | Such website, to the extent feasible, shall include aggre-7 |
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| 121 | 121 | | gated information on populations that may be at higher 8 |
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| 122 | 122 | | risk for traumatic brain injuries and strategies for pre-9 |
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| 123 | 123 | | venting or reducing risk of traumatic brain injury that are 10 |
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| 124 | 124 | | tailored to such populations.’’. 11 |
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| 125 | 125 | | (3) A |
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| 126 | 126 | | UTHORIZATION OF APPROPRIATIONS .— 12 |
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| 127 | 127 | | Section 394A of the Public Health Service Act (42 13 |
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| 128 | 128 | | U.S.C. 280b–3) is amended— 14 |
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| 129 | 129 | | (A) in subsection (a), by striking ‘‘1994, 15 |
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| 130 | 130 | | and’’ and inserting ‘‘1994,’’; and 16 |
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| 131 | 131 | | (B) in subsection (b), by striking ‘‘2020 17 |
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| 132 | 132 | | through 2024’’ and inserting ‘‘2026 through 18 |
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| 133 | 133 | | 2030’’. 19 |
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| 134 | 134 | | (b) S |
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| 135 | 135 | | TATEGRANTPROGRAMS.— 20 |
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| 136 | 136 | | (1) S |
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| 137 | 137 | | TATE GRANTS FOR PROJECTS REGARDING 21 |
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| 138 | 138 | | TRAUMATIC BRAIN INJURY .—Section 1252 of the 22 |
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| 139 | 139 | | Public Health Service Act (42 U.S.C. 300d–52) is 23 |
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| 140 | 140 | | amended— 24 |
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| 141 | 141 | | (A) in subsection (b)(2)— 25 |
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| 144 | 144 | | •HR 1493 IH |
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| 145 | 145 | | (i) by inserting ‘‘, taking into consid-1 |
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| 146 | 146 | | eration populations that may be at higher 2 |
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| 147 | 147 | | risk for traumatic brain injuries’’ after 3 |
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| 148 | 148 | | ‘‘outreach programs’’; and 4 |
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| 149 | 149 | | (ii) by inserting ‘‘Tribal,’’ after 5 |
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| 150 | 150 | | ‘‘State,’’; 6 |
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| 151 | 151 | | (B) in subsection (c), by adding at the end 7 |
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| 152 | 152 | | the following: 8 |
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| 153 | 153 | | ‘‘(3) M |
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| 154 | 154 | | AINTENANCE OF EFFORT .—With respect 9 |
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| 155 | 155 | | to activities for which a grant awarded under sub-10 |
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| 156 | 156 | | section (a) is to be expended, a State or American 11 |
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| 157 | 157 | | Indian consortium shall agree to maintain expendi-12 |
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| 158 | 158 | | tures of non-Federal amounts for such activities at 13 |
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| 159 | 159 | | a level that is not less than the level of such expendi-14 |
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| 160 | 160 | | tures maintained by the State or American Indian 15 |
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| 161 | 161 | | consortium for the fiscal year preceding the fiscal 16 |
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| 162 | 162 | | year for which the State or American Indian consor-17 |
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| 163 | 163 | | tium receives such a grant. 18 |
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| 164 | 164 | | ‘‘(4) W |
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| 165 | 165 | | AIVER.—The Secretary may, upon the 19 |
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| 166 | 166 | | request of a State or American Indian consortium, 20 |
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| 167 | 167 | | waive not more than 50 percent of the matching 21 |
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| 168 | 168 | | fund amount under paragraph (1), if the Secretary 22 |
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| 169 | 169 | | determines that such matching fund amount would 23 |
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| 170 | 170 | | result in an inability of the State or American In-24 |
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| 171 | 171 | | dian consortium to carry out the purposes under 25 |
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| 173 | 173 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 7 |
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| 174 | 174 | | •HR 1493 IH |
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| 175 | 175 | | subsection (a). A waiver provided by the Secretary 1 |
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| 176 | 176 | | under this paragraph shall apply only to the fiscal 2 |
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| 177 | 177 | | year involved.’’; 3 |
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| 178 | 178 | | (C) in subsection (e)(3)(B)— 4 |
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| 179 | 179 | | (i) by striking ‘‘(such as third party 5 |
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| 180 | 180 | | payers, State agencies, community-based 6 |
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| 181 | 181 | | providers, schools, and educators)’’; and 7 |
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| 182 | 182 | | (ii) by inserting ‘‘(such as third party 8 |
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| 183 | 183 | | payers, State agencies, community-based 9 |
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| 184 | 184 | | providers, schools, and educators)’’ after 10 |
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| 185 | 185 | | ‘‘professionals’’; 11 |
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| 186 | 186 | | (D) in subsection (h), by striking para-12 |
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| 187 | 187 | | graphs (1) and (2) and inserting the following: 13 |
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| 188 | 188 | | ‘‘(1) A |
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| 189 | 189 | | MERICAN INDIAN CONSORTIUM ; STATE.— 14 |
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| 190 | 190 | | The terms ‘American Indian consortium’ and ‘State’ 15 |
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| 191 | 191 | | have the meanings given such terms in section 1253. 16 |
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| 192 | 192 | | ‘‘(2) T |
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| 193 | 193 | | RAUMATIC BRAIN INJURY .— 17 |
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| 194 | 194 | | ‘‘(A) I |
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| 195 | 195 | | N GENERAL.—Subject to subpara-18 |
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| 196 | 196 | | graph (B), the term ‘traumatic brain injury’— 19 |
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| 197 | 197 | | ‘‘(i) means an acquired injury to the 20 |
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| 198 | 198 | | brain; 21 |
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| 199 | 199 | | ‘‘(ii) may include— 22 |
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| 200 | 200 | | ‘‘(I) brain injuries caused by an-23 |
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| 201 | 201 | | oxia due to trauma; and 24 |
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| 204 | 204 | | •HR 1493 IH |
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| 205 | 205 | | ‘‘(II) damage to the brain from 1 |
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| 206 | 206 | | an internal or external source that re-2 |
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| 207 | 207 | | sults in infection, toxicity, surgery, or 3 |
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| 208 | 208 | | vascular disorders not associated with 4 |
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| 209 | 209 | | aging; and 5 |
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| 210 | 210 | | ‘‘(iii) does not include brain dysfunc-6 |
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| 211 | 211 | | tion caused by congenital or degenerative 7 |
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| 212 | 212 | | disorders, or birth trauma. 8 |
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| 213 | 213 | | ‘‘(B) R |
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| 214 | 214 | | EVISIONS TO DEFINITION .—The 9 |
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| 215 | 215 | | Secretary may revise the definition of the term 10 |
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| 216 | 216 | | ‘traumatic brain injury’ under this paragraph, 11 |
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| 217 | 217 | | as the Secretary determines necessary, after 12 |
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| 218 | 218 | | consultation with States and other appropriate 13 |
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| 219 | 219 | | public or nonprofit private entities.’’; and 14 |
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| 220 | 220 | | (E) in subsection (i), by striking ‘‘2020 15 |
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| 221 | 221 | | through 2024’’ and inserting ‘‘2026 through 16 |
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| 222 | 222 | | 2030’’. 17 |
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| 223 | 223 | | (2) S |
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| 224 | 224 | | TATE GRANTS FOR PROTECTION AND AD -18 |
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| 225 | 225 | | VOCACY SERVICES.—Section 1253(l) of the Public 19 |
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| 226 | 226 | | Health Service Act (42 U.S.C. 300d–53(l)) is 20 |
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| 227 | 227 | | amended by striking ‘‘2020 through 2024’’ and in-21 |
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| 228 | 228 | | serting ‘‘2026 through 2030’’. 22 |
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| 229 | 229 | | (c) R |
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| 230 | 230 | | EPORT TOCONGRESS.—Not later than 2 years 23 |
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| 231 | 231 | | after the date of enactment of this Act, the Secretary of 24 |
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| 232 | 232 | | Health and Human Services (referred to in this Act as 25 |
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| 235 | 235 | | •HR 1493 IH |
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| 236 | 236 | | the ‘‘Secretary’’) shall submit to the Committee on 1 |
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| 237 | 237 | | Health, Education, Labor, and Pensions of the Senate and 2 |
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| 238 | 238 | | the Committee on Energy and Commerce of the House 3 |
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| 239 | 239 | | of Representatives a report that contains— 4 |
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| 240 | 240 | | (1) an overview of populations who may be at 5 |
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| 241 | 241 | | higher risk for traumatic brain injury, such as indi-6 |
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| 242 | 242 | | viduals affected by domestic violence or sexual as-7 |
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| 243 | 243 | | sault and public safety officers as defined in section 8 |
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| 244 | 244 | | 1204 of the Omnibus Crime Control and Safe 9 |
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| 245 | 245 | | Streets Act of 1968 (34 U.S.C. 10284); 10 |
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| 246 | 246 | | (2) an outline of existing surveys and activities 11 |
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| 247 | 247 | | of the Centers for Disease Control and Prevention 12 |
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| 248 | 248 | | on traumatic brain injuries and any steps the agency 13 |
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| 249 | 249 | | has taken to address gaps in data collection related 14 |
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| 250 | 250 | | to such higher risk populations, which may include 15 |
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| 251 | 251 | | leveraging surveys such as the National Intimate 16 |
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| 252 | 252 | | Partner and Sexual Violence Survey to collect data 17 |
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| 253 | 253 | | on traumatic brain injuries; 18 |
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| 254 | 254 | | (3) an overview of any outreach or education ef-19 |
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| 255 | 255 | | forts to reach such higher risk populations; and 20 |
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| 256 | 256 | | (4) any challenges associated with reaching 21 |
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| 257 | 257 | | such higher risk populations. 22 |
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| 258 | 258 | | (d) S |
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| 259 | 259 | | TUDY ONLONG-TERMSYMPTOMS OR CONDI-23 |
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| 260 | 260 | | TIONSRELATED TOTRAUMATICBRAININJURY.— 24 |
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| 263 | 263 | | •HR 1493 IH |
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| 264 | 264 | | (1) IN GENERAL.—The Secretary, in consulta-1 |
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| 265 | 265 | | tion with stakeholders and the heads of other rel-2 |
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| 266 | 266 | | evant Federal departments and agencies, as appro-3 |
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| 267 | 267 | | priate, shall conduct, either directly or through a 4 |
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| 268 | 268 | | contract with a nonprofit private entity, a study to— 5 |
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| 269 | 269 | | (A) examine the incidence and prevalence 6 |
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| 270 | 270 | | of long-term or chronic symptoms or conditions 7 |
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| 271 | 271 | | in individuals who have experienced a traumatic 8 |
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| 272 | 272 | | brain injury; 9 |
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| 273 | 273 | | (B) examine the evidence base of research 10 |
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| 274 | 274 | | related to the chronic effects of traumatic brain 11 |
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| 275 | 275 | | injury across the lifespan; 12 |
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| 276 | 276 | | (C) examine any correlations between trau-13 |
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| 277 | 277 | | matic brain injury and increased risk of other 14 |
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| 278 | 278 | | conditions, such as dementia and mental health 15 |
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| 279 | 279 | | conditions; 16 |
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| 280 | 280 | | (D) assess existing services available for 17 |
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| 281 | 281 | | individuals with such long-term or chronic 18 |
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| 282 | 282 | | symptoms or conditions; and 19 |
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| 283 | 283 | | (E) identify any gaps in research related to 20 |
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| 284 | 284 | | such long-term or chronic symptoms or condi-21 |
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| 285 | 285 | | tions of individuals who have experienced a 22 |
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| 286 | 286 | | traumatic brain injury. 23 |
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| 289 | 289 | | •HR 1493 IH |
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| 290 | 290 | | (2) PUBLIC REPORT.—Not later than 2 years 1 |
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| 291 | 291 | | after the date of enactment of this Act, the Sec-2 |
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| 292 | 292 | | retary shall— 3 |
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| 293 | 293 | | (A) submit to the Committee on Energy 4 |
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| 294 | 294 | | and Commerce of the House of Representatives 5 |
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| 295 | 295 | | and the Committee on Health, Education, 6 |
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| 296 | 296 | | Labor, and Pensions of the Senate a report de-7 |
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| 297 | 297 | | tailing the findings, conclusions, and rec-8 |
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| 298 | 298 | | ommendations of the study described in para-9 |
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| 299 | 299 | | graph (1); and 10 |
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| 300 | 300 | | (B) in the case that such study is con-11 |
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| 301 | 301 | | ducted directly by the Secretary, make the re-12 |
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| 302 | 302 | | port described in subparagraph (A) publicly 13 |
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| 303 | 303 | | available on the website of the Department of 14 |
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| 304 | 304 | | Health and Human Services. 15 |
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| 305 | 305 | | Æ |
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