II 

Calendar No. 503 

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, Mr. CASEY, Mr. CORNYN, Ms. CORTEZ MASTO, and 

Ms. ERNST) introduced the following bill; which was read twice and referred to the Committee on Health, Education, Labor, and Pensions 

SEPTEMBER 12, 2024 

Reported by Mr. SANDERS, with an amendment 

[Strike out all after the enacting clause and insert the part printed in italic] 

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’’. 


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1 SEC. 2. PREVENTION AND CONTROL OF TRAUMATIC BRAIN 

2 INJURY. 

3 (a) PREVENTION OF TRAUMATIC BRAIN INJURY.— 

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

5 280b–1c) is amended— 

6 (1) in subsection (a), by inserting ‘‘and preva7 lence’’ after ‘‘incidence’’; 

8 (2) in subsection (b)— 

9 (A) in paragraph (1), by inserting ‘‘and re10 duction of associated injuries and fatalities’’ be11 fore the semicolon; 

12 (B) in paragraph (2), by inserting ‘‘and re13 lated risk factors’’ before the semicolon; and 

14 (C) in paragraph (3)— 

15 (i) in the matter preceding subpara16 graph (A), by striking ‘‘2020’’ each place 

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

18 (ii) in subparagraph (A)— 

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

20 and’’ and inserting a semicolon; 

21 (II) by redesignating clause (ii) 

22 as clause (iv); and 

23 (III) by inserting after clause (i) 

24 the following: 

25 ‘‘(ii) populations at higher risk of 

26 traumatic brain injury; 


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

2 traumatic brain injury; and’’; and 

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

4 relevant Federal departments and agencies’’ before 

5 the period at the end. 

6 (b) NATIONAL PROGRAM FOR TRAUMATIC BRAIN IN7 JURY SURVEILLANCE AND REGISTRIES.—Section 393C of 

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

9 amended— 

10 (1) in subsection (a)— 

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

12 by inserting ‘‘to identify populations that may 

13 be at higher risk for traumatic brain injuries, to 

14 collect data on the causes of, and risk factors 

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

16 disability,’’; and 

17 (B) in paragraph (4), by inserting ‘‘short18 and long-term’’ before ‘‘outcomes’’; 

19 (2) by striking subsection (b); 

20 (3) by redesignating subsection (c) as sub21 section (b); and 

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

23 ‘‘(c) AVAILABILITY OF INFORMATION.—The Sec24 retary, acting through the Director of the Centers for Dis25 ease Control and Prevention, shall make publicly available 


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1 aggregated information on traumatic brain injury de2 scribed in this section, including on the website of the Cen3 ters for Disease Control and Prevention. Such website, to 

4 the extent feasible, shall include aggregated information 

5 on populations that may be at higher risk for traumatic 

6 brain injuries and strategies for preventing or reducing 

7 risk of traumatic brain injury that are tailored to such 

8 populations.’’. 

9 (c) AUTHORIZATION OF APPROPRIATIONS.—Section 

10 394A of the Public Health Service Act (42 U.S.C. 280b– 

11 3) is amended— 

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

13 and inserting ‘‘1994,’’; and 

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

15 2024’’ and inserting ‘‘2025 through 2029’’. 

16 SEC. 3. STATE GRANT PROGRAMS. 

17 (a) STATE GRANTS FOR PROJECTS REGARDING

18 TRAUMATIC BRAIN INJURY.—Section 1252 of the Public 

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

20 (1) in subsection (b)(2)— 

21 (A) by inserting ‘‘, taking into consider22 ation populations that may be at higher risk for 

23 traumatic brain injuries’’ after ‘‘outreach pro24 grams’’; and 

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


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

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

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

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

5 have the meanings given such terms in section 1253. 

6 ‘‘(2) TRAUMATIC BRAIN INJURY.— 

7 ‘‘(A) IN GENERAL.—Subject to subpara8 graph (B), the term ‘traumatic brain injury’— 

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

10 brain; 

11 ‘‘(ii) may include— 

12 ‘‘(I) brain injuries caused by an13 oxia due to trauma; and 

14 ‘‘(II) damage to the brain from 

15 an internal or external source that re16 sults in infection, toxicity, surgery, or 

17 vascular disorders not associated with 

18 aging; and 

19 ‘‘(iii) does not include brain dysfunc20 tion caused by congenital or degenerative 

21 disorders, or birth trauma. 

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

23 Secretary may revise the definition of the term 

24 ‘traumatic brain injury’ under this paragraph, 

25 as the Secretary determines necessary, after 


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1 consultation with States and other appropriate 

2 public or nonprofit private entities.’’; and 

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

4 2024’’ and inserting ‘‘2025 through 2029’’. 

5 (b) STATE GRANTS FOR PROTECTION AND ADVO6 CACY SERVICES.—Section 1253(l) of the Public Health 

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

8 ‘‘2020 through 2024’’ and inserting ‘‘2025 through 

9 2029’’. 

10 SEC. 4. REPORT TO CONGRESS. 

11 Not later than 1 year after the date of enactment 

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

13 shall submit to the Committee on Health, Education, 

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

15 Energy and Commerce of the House of Representatives 

16 a report that contains— 

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

18 higher risk for traumatic brain injury, such as indi19 viduals affected by domestic violence or sexual as20 sault and public safety officers as defined in section 

21 1204 of the Omnibus Crime Control and Safe 

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

23 (2) an outline of existing surveys and activities 

24 of the Centers for Disease Control and Prevention 

25 on traumatic brain injuries and any steps the agency 


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1 has taken to address gaps in data collection related 

2 to such higher risk populations; 

3 (3) an overview of any outreach or education ef4 forts to reach such higher risk populations; and 

5 (4) any challenges associated with reaching 

6 such higher risk populations. 

7 SECTION 1. SHORT TITLE. 

8 This Act may be cited as the ‘‘Traumatic Brain Injury 

9 Program Reauthorization Act of 2024’’. 

10 SEC. 2. PREVENTION AND CONTROL OF TRAUMATIC BRAIN 

11 INJURY. 

12 (a) PREVENTION OF TRAUMATIC BRAIN INJURY.—Sec13 tion 393B of the Public Health Service Act (42 U.S.C. 

14 280b–1c) is amended— 

15 (1) in subsection (a), by inserting ‘‘and preva16 lence’’ after ‘‘incidence’’; 

17 (2) in subsection (b)— 

18 (A) in paragraph (1), by inserting ‘‘and re19 duction of associated injuries and fatalities’’ be20 fore the semicolon; 

21 (B) in paragraph (2), by inserting ‘‘and re22 lated risk factors’’ before the semicolon; and 

23 (C) in paragraph (3)— 


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1 (i) in the matter preceding subpara2 graph (A), by striking ‘‘2020’’ each place it 

3 appears and inserting ‘‘2030’’; and 

4 (ii) in subparagraph (A)— 

5 (I) in clause (i), by striking ‘‘; 

6 and’’ and inserting a semicolon; 

7 (II) by redesignating clause (ii) 

8 as clause (iv); 

9 (III) by inserting after clause (i) 

10 the following: 

11 ‘‘(ii) populations at higher risk of 

12 traumatic brain injury, including popu13 lations whose increased risk is due to occu14 pational or circumstantial factors; 

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

16 traumatic brain injury; and’’; and 

17 (IV) in clause (iv), as so redesig18 nated, by striking ‘‘arising from trau19 matic brain injury’’ and inserting ‘‘, 

20 which may include related mental 

21 health and other conditions, arising 

22 from traumatic brain injury, includ23 ing’’; and 


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

2 relevant Federal departments and agencies’’ before the 

3 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 for, 

13 traumatic brain injuries,’’ after ‘‘related dis14 ability,’’; 

15 (B) in paragraph (1), by inserting ‘‘, in16 cluding the occupation of the individual, when 

17 relevant to the circumstances surrounding the in18 jury’’ before the semicolon; and 

19 (C) in paragraph (4), by inserting ‘‘short20 and long-term’’ before ‘‘outcomes’’; 

21 (2) by striking subsection (b); 

22 (3) by redesignating subsection (c) as subsection 

23 (b); 


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1 (4) in subsection (b), as so redesignated, by in2 serting ‘‘and evidence-based practices to identify and 

3 address concussion’’ before the period at the end; and 

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

5 ‘‘(c) AVAILABILITY OF INFORMATION.—The Secretary, 

6 acting through the Director of the Centers for Disease Con7 trol and Prevention, shall make publicly available aggre8 gated information on traumatic brain injury and concus9 sion described in this section, including on the website of 

10 the Centers for Disease Control and Prevention. Such 

11 website, to the extent feasible, shall include aggregated infor12 mation on populations that may be at higher risk for trau13 matic brain injuries and strategies for preventing or reduc14 ing risk of traumatic brain injury that are tailored to such 

15 populations.’’. 

16 (c) AUTHORIZATION OF APPROPRIATIONS.—Section 

17 394A of the Public Health Service Act (42 U.S.C. 280b– 

18 3) is amended— 

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

20 and inserting ‘‘1994,’’; and 

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

22 2024’’ and inserting ‘‘2025 through 2029’’. 


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1 SEC. 3. STATE GRANT PROGRAMS. 

2 (a) STATE GRANTS FOR PROJECTS REGARDING TRAU3 MATIC BRAIN INJURY.—Section 1252 of the Public Health 

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

5 (1) in subsection (b)(2)— 

6 (A) by inserting ‘‘, taking into consider7 ation populations that may be at higher risk for 

8 traumatic brain injuries’’ after ‘‘outreach pro9 grams’’; and 

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

11 (2) in subsection (e)(3)(B)— 

12 (A) by striking ‘‘(such as third party pay13 ers, State agencies, community-based providers, 

14 schools, and educators)’’; and 

15 (B) by inserting ‘‘(such as third party pay16 ers, State agencies, community-based providers, 

17 schools, and educators’’ after ‘‘professionals’’; 

18 (3) in subsection (h), by striking paragraphs (1) 

19 and (2) and inserting the following: 

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

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

22 have the meanings given such terms in section 1253. 

23 ‘‘(2) TRAUMATIC BRAIN INJURY.— 

24 ‘‘(A) IN GENERAL.—Subject to subpara25 graph (B), the term ‘traumatic brain injury’— 


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

2 brain; 

3 ‘‘(ii) may include— 

4 ‘‘(I) brain injuries caused by an5 oxia due to trauma; and 

6 ‘‘(II) damage to the brain from 

7 an internal or external source that re8 sults in infection, toxicity, surgery, or 

9 vascular disorders not associated with 

10 aging; and 

11 ‘‘(iii) does not include brain dysfunc12 tion caused by congenital or degenerative 

13 disorders, or birth trauma. 

14 ‘‘(B) REVISIONS TO DEFINITION.—The Sec15 retary may revise the definition of the term 

16 ‘traumatic brain injury’ under this paragraph, 

17 as the Secretary determines necessary, after con18 sultation with States and other appropriate pub19 lic or nonprofit private entities.’’; and 

20 (4) in subsection (i), by striking ‘‘2020 through 

21 2024’’ and inserting ‘‘2025 through 2029’’. 

22 (b) STATE GRANTS FOR PROTECTION AND ADVOCACY

23 SERVICES.—Section 1253(l) of the Public Health Service 

24 Act (42 U.S.C. 300d–53(l)) is amended by striking ‘‘2020 

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


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1 SEC. 4. REPORT TO CONGRESS. 

2 Not later than 2 years after the date of enactment of 

3 this Act, the Secretary of Health and Human Services (re4 ferred to in this Act as the ‘‘Secretary’’) shall submit to 

5 the Committee on Health, Education, Labor, and Pensions 

6 of the Senate and the Committee on Energy and Commerce 

7 of the House of Representatives a report that contains— 

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

9 higher risk for traumatic brain injury, such as indi10 viduals affected by domestic violence or sexual assault 

11 and public safety officers as defined in section 1204 

12 of the Omnibus Crime Control and Safe Streets Act 

13 of 1968 (34 U.S.C. 10284); 

14 (2) an outline of existing surveys and activities 

15 of the Centers for Disease Control and Prevention on 

16 traumatic brain injuries and any steps the agency 

17 has taken to address gaps in data collection related 

18 to such higher risk populations, which may include 

19 leveraging surveys such as the National Intimate 

20 Partner and Sexual Violence Survey to collect data on 

21 traumatic brain injuries; 

22 (3) an overview of any outreach or education ef23 forts to reach such higher risk populations; and 

24 (4) any challenges associated with reaching such 

25 higher risk populations. 


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1 SEC. 5. STUDY ON LONG-TERM SYMPTOMS OR CONDITIONS 

2 RELATED TO TRAUMATIC BRAIN INJURY. 

3 (a) IN GENERAL.—The Secretary, in consultation with 

4 stakeholders and the heads of other relevant Federal depart5 ments and agencies, as appropriate, shall conduct, either 

6 directly or through a contract with a nonprofit private enti7 ty, a study to— 

8 (1) examine the incidence and prevalence of 

9 long-term symptoms or conditions in individuals who 

10 have experienced a traumatic brain injury; 

11 (2) examine any correlations between traumatic 

12 brain injury and increased risk of other conditions, 

13 such as dementia and mental health conditions; 

14 (3) assess existing services available for individ15 uals with such long-term symptoms or conditions; 

16 and 

17 (4) identify any gaps in research related to such 

18 long-term symptoms or conditions of individuals who 

19 have experienced a traumatic brain injury. 

20 (b) PUBLIC REPORT.—Not later than 2 years after the 

21 date of enactment of this Act, the Secretary shall make pub22 licly available a report on the study conducted under sub23 section (a). 


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Calendar No. 503 

118TH CONGRESS 

2D SESSION S. 4755 

A BILL 

To reauthorize traumatic brain injury programs, 

and for other purposes. 

SEPTEMBER 12, 2024 

Reported with an amendment 


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