HR 1493
To reauthorize and make improvements to Federal programs relating to the prevention, detection, and treatment of traumatic brain injuries, and for other purposes.
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Bill overview
This bill reauthorizes and updates several federal programs focused on preventing, detecting, and treating traumatic brain injuries (TBIs). It aims to improve surveillance and data collection efforts through a new national program, expands grant opportunities for states and tribal communities, and requires the Centers for Disease Control and Prevention (CDC) to conduct a study on populations at higher risk for TBIs and their long-term effects. The bill also mandates a report to Congress on these findings and strategies for prevention.
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119th CONGRESS — 1st Session
H. R. 1493
IN THE HOUSE OF REPRESENTATIVES
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.
in subsection (a), by inserting and prevalence
after incidence
;
in subsection (b)—
in paragraph (1), by inserting and reduction of associated injuries and fatalities
before the semicolon;
in paragraph (2), by inserting and related risk factors
before the semicolon; and
in paragraph (3)—
in the matter preceding subparagraph (A), by striking 2020
each place it appears and inserting 2030
; and
in subparagraph (A)—
in clause (i), by striking ; and
and inserting of traumatic brain injury;
;
by redesignating clause (ii) as clause (iv);
by inserting after clause (i) the following:
populations at higher risk of traumatic brain injury, including populations whose increased risk is due to occupational or circumstantial factors;
in clause (iv), as so redesignated, by striking arising from traumatic brain injury
and inserting , which may include related mental health and other conditions, arising from traumatic brain injury, including
; and
in subsection (c), by inserting , and other relevant Federal departments and agencies
before the period at the end.
by amending the section heading to read as follows: The Bill Pascrell, Jr., national program for traumatic brain injury surveillance and registries
;
in the matter preceding paragraph (1), by inserting to identify populations that may be at higher risk for traumatic brain injuries, to collect data on the causes of, and risk factors for, traumatic brain injuries,
after related disability,
;
, including the occupation of the individual, when relevant to the circumstances surrounding the injurybefore the semicolon; and
in paragraph (4), by inserting short- and long-term
before outcomes
;
by striking subsection (b);
by redesignating subsection (c) as subsection (b);
in subsection (b), as so redesignated, by inserting and evidence-based practices to identify and address concussion
before the period at the end; and
by adding at the end the following:
The Secretary, acting through the Director of the Centers for Disease Control and Prevention, shall make publicly available aggregated information on traumatic brain injury and concussion described in this section, including on the website of the Centers for Disease Control and Prevention. Such website, to the extent feasible, shall include aggregated information on populations that may be at higher risk for traumatic brain injuries and strategies for preventing or reducing risk of traumatic brain injury that are tailored to such populations.
Section 394A of the Public Health Service Act (42 U.S.C. 280b–3) is amended—
in subsection (a), by striking 1994, and
and inserting 1994,
; and
in subsection (b), by striking 2020 through 2024
and inserting 2026 through 2030
.
in subsection (b)(2)—
by inserting , taking into consideration populations that may be at higher risk for traumatic brain injuries
after outreach programs
; and
by inserting Tribal,
after State,
;
in subsection (c), by adding at the end the following:
With respect to activities for which a grant awarded under subsection (a) is to be expended, a State or American Indian consortium shall agree to maintain expenditures of non-Federal amounts for such activities at a level that is not less than the level of such expenditures maintained by the State or American Indian consortium for the fiscal year preceding the fiscal year for which the State or American Indian consortium receives such a grant.
The Secretary may, upon the request of a State or American Indian consortium, waive not more than 50 percent of the matching fund amount under paragraph (1), if the Secretary determines that such matching fund amount would result in an inability of the State or American Indian consortium to carry out the purposes under subsection (a). A waiver provided by the Secretary under this paragraph shall apply only to the fiscal year involved.
(such as third party payers, State agencies, community-based providers, schools, and educators); and
by inserting (such as third party payers, State agencies, community-based providers, schools, and educators)
after professionals
;
in subsection (h), by striking paragraphs (1) and (2) and inserting the following:
The terms American Indian consortium and State have the meanings given such terms in section 1253.
does not include brain dysfunction caused by congenital or degenerative disorders, or birth trauma.
in subsection (i), by striking 2020 through 2024
and inserting 2026 through 2030
.
Section 1253(l) of the Public Health Service Act (42 U.S.C. 300d–53(l)) is amended by striking 2020 through 2024
and inserting 2026 through 2030
.
Not later than 2 years after the date of enactment of this Act, the Secretary of Health and Human Services (referred to in this Act as the Secretary
) shall submit to the Committee on Health, Education, Labor, and Pensions of the Senate and the Committee on Energy and Commerce of the House of Representatives a report that contains—
The Secretary, in consultation with stakeholders and the heads of other relevant Federal departments and agencies, as appropriate, shall conduct, either directly or through a contract with a nonprofit private entity, a study to—
examine the incidence and prevalence of long-term or chronic symptoms or conditions in individuals who have experienced a traumatic brain injury;
examine the evidence base of research related to the chronic effects of traumatic brain injury across the lifespan;
examine any correlations between traumatic brain injury and increased risk of other conditions, such as dementia and mental health conditions;
assess existing services available for individuals with such long-term or chronic symptoms or conditions; and
identify any gaps in research related to such long-term or chronic symptoms or conditions of individuals who have experienced a traumatic brain injury.
Not later than 2 years after the date of enactment of this Act, the Secretary shall—
submit to the Committee on Energy and Commerce of the House of Representatives and the Committee on Health, Education, Labor, and Pensions of the Senate a report detailing the findings, conclusions, and recommendations of the study described in paragraph (1); and