II 

118TH CONGRESS 

2D SESSION S. 4755 

To reauthorize traumatic brain injury programs, and for other purposes. 

IN THE SENATE OF THE UNITED STATES 

JULY 23, 2024 

Mr. MULLIN (for himself and Mr. CASEY) introduced the following bill; which 

was read twice and referred to the Committee on Health, Education, 

Labor, and Pensions 

A BILL 

To reauthorize traumatic brain injury programs, and for 

other purposes. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Traumatic Brain In5 jury Program Reauthorization Act of 2024’’. 

6 SEC. 2. PREVENTION AND CONTROL OF TRAUMATIC BRAIN 

7 INJURY. 

8 (a) PREVENTION OF TRAUMATIC BRAIN INJURY.— 

9 Section 393B of the Public Health Service Act (42 U.S.C. 

10 280b–1c) is amended— 


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1 (1) in subsection (a), by inserting ‘‘and preva2 lence’’ after ‘‘incidence’’; 

3 (2) in subsection (b)— 

4 (A) in paragraph (1), by inserting ‘‘and re5 duction of associated injuries and fatalities’’ be6 fore the semicolon; 

7 (B) in paragraph (2), by inserting ‘‘and re8 lated risk factors’’ before the semicolon; and 

9 (C) in paragraph (3)— 

10 (i) in the matter preceding subpara11 graph (A), by striking ‘‘2020’’ each place 

12 it appears and inserting ‘‘2030’’; and 

13 (ii) in subparagraph (A)— 

14 (I) in clause (i), by striking ‘‘; 

15 and’’ and inserting a semicolon; 

16 (II) by redesignating clause (ii) 

17 as clause (iv); and 

18 (III) by inserting after clause (i) 

19 the following: 

20 ‘‘(ii) populations at higher risk of 

21 traumatic brain injury; 

22 ‘‘(iii) causes of, and risk factors for, 

23 traumatic brain injury; and’’; and 


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1 (3) in subsection (c), by inserting ‘‘, and other 

2 relevant Federal departments and agencies’’ before 

3 the period at the end. 

4 (b) NATIONAL PROGRAM FOR TRAUMATIC BRAIN IN5 JURY SURVEILLANCE AND REGISTRIES.—Section 393C of 

6 the Public Health Service Act (42 U.S.C. 280b–1d) is 

7 amended— 

8 (1) in subsection (a)— 

9 (A) in the matter preceding paragraph (1), 

10 by inserting ‘‘to identify populations that may 

11 be at higher risk for traumatic brain injuries, to 

12 collect data on the causes of, and risk factors 

13 for, traumatic brain injuries,’’ after ‘‘related 

14 disability,’’; and 

15 (B) in paragraph (4), by inserting ‘‘short16 and long-term’’ before ‘‘outcomes’’; 

17 (2) by striking subsection (b); 

18 (3) by redesignating subsection (c) as sub19 section (b); and 

20 (4) by adding at the end the following: 

21 ‘‘(c) AVAILABILITY OF INFORMATION.—The Sec22 retary, acting through the Director of the Centers for Dis23 ease Control and Prevention, shall make publicly available 

24 aggregated information on traumatic brain injury de25 scribed in this section, including on the website of the CenVerDate Sep 11 2014 22:19 Jul 25, 2024 Jkt 049200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\S4755.IS S4755

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1 ters for Disease Control and Prevention. Such website, to 

2 the extent feasible, shall include aggregated information 

3 on populations that may be at higher risk for traumatic 

4 brain injuries and strategies for preventing or reducing 

5 risk of traumatic brain injury that are tailored to such 

6 populations.’’. 

7 (c) AUTHORIZATION OF APPROPRIATIONS.—Section 

8 394A of the Public Health Service Act (42 U.S.C. 280b– 

9 3) is amended— 

10 (1) in subsection (a), by striking ‘‘1994, and’’ 

11 and inserting ‘‘1994,’’; and 

12 (2) in subsection (b), by striking ‘‘2020 through 

13 2024’’ and inserting ‘‘2025 through 2029’’. 

14 SEC. 3. STATE GRANT PROGRAMS. 

15 (a) STATE GRANTS FOR PROJECTS REGARDING

16 TRAUMATIC BRAIN INJURY.—Section 1252 of the Public 

17 Health Service Act (42 U.S.C. 300d–52) is amended— 

18 (1) in subsection (b)(2)— 

19 (A) by inserting ‘‘, taking into consider20 ation populations that may be at higher risk for 

21 traumatic brain injuries’’ after ‘‘outreach pro22 grams’’; and 

23 (B) by inserting ‘‘Tribal,’’ after ‘‘State,’’; 

24 (2) in subsection (h), by striking paragraphs 

25 (1) and (2) and inserting the following: 


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1 ‘‘(1) AMERICAN INDIAN CONSORTIUM; STATE.— 

2 The terms ‘American Indian consortium’ and ‘State’ 

3 have the meanings given such terms in section 1253. 

4 ‘‘(2) TRAUMATIC BRAIN INJURY.— 

5 ‘‘(A) IN GENERAL.—Subject to subpara6 graph (B), the term ‘traumatic brain injury’— 

7 ‘‘(i) means an acquired injury to the 

8 brain; 

9 ‘‘(ii) may include— 

10 ‘‘(I) brain injuries caused by an11 oxia due to trauma; and 

12 ‘‘(II) damage to the brain from 

13 an internal or external source that re14 sults in infection, toxicity, surgery, or 

15 vascular disorders not associated with 

16 aging; and 

17 ‘‘(iii) does not include brain dysfunc18 tion caused by congenital or degenerative 

19 disorders, or birth trauma. 

20 ‘‘(B) REVISIONS TO DEFINITION.—The 

21 Secretary may revise the definition of the term 

22 ‘traumatic brain injury’ under this paragraph, 

23 as the Secretary determines necessary, after 

24 consultation with States and other appropriate 

25 public or nonprofit private entities.’’; and 


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1 (3) in subsection (i), by striking ‘‘2020 through 

2 2024’’ and inserting ‘‘2025 through 2029’’. 

3 (b) STATE GRANTS FOR PROTECTION AND ADVO4 CACY SERVICES.—Section 1253(l) of the Public Health 

5 Service Act (42 U.S.C. 300d–53(l)) is amended by striking 

6 ‘‘2020 through 2024’’ and inserting ‘‘2025 through 

7 2029’’. 

8 SEC. 4. REPORT TO CONGRESS. 

9 Not later than 1 year after the date of enactment 

10 of this Act, the Secretary of Health and Human Services 

11 shall submit to the Committee on Health, Education, 

12 Labor, and Pensions of the Senate and the Committee on 

13 Energy and Commerce of the House of Representatives 

14 a report that contains— 

15 (1) an overview of populations who may be at 

16 higher risk for traumatic brain injury, such as indi17 viduals affected by domestic violence or sexual as18 sault and public safety officers as defined in section 

19 1204 of the Omnibus Crime Control and Safe 

20 Streets Act of 1968 (34 U.S.C. 10284); 

21 (2) an outline of existing surveys and activities 

22 of the Centers for Disease Control and Prevention 

23 on traumatic brain injuries and any steps the agency 

24 has taken to address gaps in data collection related 

25 to such higher risk populations; 


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1 (3) an overview of any outreach or education ef2 forts to reach such higher risk populations; and 

3 (4) any challenges associated with reaching 

4 such higher risk populations. 

Æ 


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