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[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[S. 4755 Reported in Senate (RS)]

<DOC>

                                                       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.

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

<DELETED>SECTION 1. SHORT TITLE.</DELETED>

<DELETED>    This Act may be cited as the ``Traumatic Brain Injury 
Program Reauthorization Act of 2024''.</DELETED>

<DELETED>SEC. 2. PREVENTION AND CONTROL OF TRAUMATIC BRAIN 
              INJURY.</DELETED>

<DELETED>    (a) Prevention of Traumatic Brain Injury.--Section 393B of 
the Public Health Service Act (42 U.S.C. 280b-1c) is amended--
</DELETED>
        <DELETED>    (1) in subsection (a), by inserting ``and 
        prevalence'' after ``incidence'';</DELETED>
        <DELETED>    (2) in subsection (b)--</DELETED>
                <DELETED>    (A) in paragraph (1), by inserting ``and 
                reduction of associated injuries and fatalities'' 
                before the semicolon;</DELETED>
                <DELETED>    (B) in paragraph (2), by inserting ``and 
                related risk factors'' before the semicolon; 
                and</DELETED>
                <DELETED>    (C) in paragraph (3)--</DELETED>
                        <DELETED>    (i) in the matter preceding 
                        subparagraph (A), by striking ``2020'' each 
                        place it appears and inserting ``2030''; 
                        and</DELETED>
                        <DELETED>    (ii) in subparagraph (A)--
                        </DELETED>
                                <DELETED>    (I) in clause (i), by 
                                striking ``; and'' and inserting a 
                                semicolon;</DELETED>
                                <DELETED>    (II) by redesignating 
                                clause (ii) as clause (iv); 
                                and</DELETED>
                                <DELETED>    (III) by inserting after 
                                clause (i) the following:</DELETED>
                        <DELETED>    ``(ii) populations at higher risk 
                        of traumatic brain injury;</DELETED>
                        <DELETED>    ``(iii) causes of, and risk 
                        factors for, traumatic brain injury; and''; 
                        and</DELETED>
        <DELETED>    (3) in subsection (c), by inserting ``, and other 
        relevant Federal departments and agencies'' before the period 
        at the end.</DELETED>
<DELETED>    (b) National Program for Traumatic Brain Injury 
Surveillance and Registries.--Section 393C of the Public Health Service 
Act (42 U.S.C. 280b-1d) is amended--</DELETED>
        <DELETED>    (1) in subsection (a)--</DELETED>
                <DELETED>    (A) 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,''; 
                and</DELETED>
                <DELETED>    (B) in paragraph (4), by inserting 
                ``short- and long-term'' before ``outcomes'';</DELETED>
        <DELETED>    (2) by striking subsection (b);</DELETED>
        <DELETED>    (3) by redesignating subsection (c) as subsection 
        (b); and</DELETED>
        <DELETED>    (4) by adding at the end the following:</DELETED>
<DELETED>    ``(c) Availability of Information.--The Secretary, acting 
through the Director of the Centers for Disease Control and Prevention, 
shall make publicly available aggregated information on traumatic brain 
injury 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.''.</DELETED>
<DELETED>    (c) Authorization of Appropriations.--Section 394A of the 
Public Health Service Act (42 U.S.C. 280b-3) is amended--</DELETED>
        <DELETED>    (1) in subsection (a), by striking ``1994, and'' 
        and inserting ``1994,''; and</DELETED>
        <DELETED>    (2) in subsection (b), by striking ``2020 through 
        2024'' and inserting ``2025 through 2029''.</DELETED>

<DELETED>SEC. 3. STATE GRANT PROGRAMS.</DELETED>

<DELETED>    (a) State Grants for Projects Regarding Traumatic Brain 
Injury.--Section 1252 of the Public Health Service Act (42 U.S.C. 300d-
52) is amended--</DELETED>
        <DELETED>    (1) in subsection (b)(2)--</DELETED>
                <DELETED>    (A) by inserting ``, taking into 
                consideration populations that may be at higher risk 
                for traumatic brain injuries'' after ``outreach 
                programs''; and</DELETED>
                <DELETED>    (B) by inserting ``Tribal,'' after 
                ``State,'';</DELETED>
        <DELETED>    (2) in subsection (h), by striking paragraphs (1) 
        and (2) and inserting the following:</DELETED>
        <DELETED>    ``(1) American indian consortium; state.--The 
        terms `American Indian consortium' and `State' have the 
        meanings given such terms in section 1253.</DELETED>
        <DELETED>    ``(2) Traumatic brain injury.--</DELETED>
                <DELETED>    ``(A) In general.--Subject to subparagraph 
                (B), the term `traumatic brain injury'--</DELETED>
                        <DELETED>    ``(i) means an acquired injury to 
                        the brain;</DELETED>
                        <DELETED>    ``(ii) may include--</DELETED>
                                <DELETED>    ``(I) brain injuries 
                                caused by anoxia due to trauma; 
                                and</DELETED>
                                <DELETED>    ``(II) damage to the brain 
                                from an internal or external source 
                                that results in infection, toxicity, 
                                surgery, or vascular disorders not 
                                associated with aging; and</DELETED>
                        <DELETED>    ``(iii) does not include brain 
                        dysfunction caused by congenital or 
                        degenerative disorders, or birth 
                        trauma.</DELETED>
                <DELETED>    ``(B) Revisions to definition.--The 
                Secretary may revise the definition of the term 
                `traumatic brain injury' under this paragraph, as the 
                Secretary determines necessary, after consultation with 
                States and other appropriate public or nonprofit 
                private entities.''; and</DELETED>
        <DELETED>    (3) in subsection (i), by striking ``2020 through 
        2024'' and inserting ``2025 through 2029''.</DELETED>
<DELETED>    (b) State Grants for Protection and Advocacy Services.--
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 ``2025 
through 2029''.</DELETED>

<DELETED>SEC. 4. REPORT TO CONGRESS.</DELETED>

<DELETED>    Not later than 1 year after the date of enactment of this 
Act, the Secretary of Health and Human Services 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--</DELETED>
        <DELETED>    (1) an overview of populations who may be at 
        higher risk for traumatic brain injury, such as individuals 
        affected by domestic violence or sexual assault and public 
        safety officers as defined in section 1204 of the Omnibus Crime 
        Control and Safe Streets Act of 1968 (34 U.S.C. 
        10284);</DELETED>
        <DELETED>    (2) an outline of existing surveys and activities 
        of the Centers for Disease Control and Prevention on traumatic 
        brain injuries and any steps the agency has taken to address 
        gaps in data collection related to such higher risk 
        populations;</DELETED>
        <DELETED>    (3) an overview of any outreach or education 
        efforts to reach such higher risk populations; and</DELETED>
        <DELETED>    (4) any challenges associated with reaching such 
        higher risk populations.</DELETED>

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Traumatic Brain Injury Program 
Reauthorization Act of 2024''.

SEC. 2. PREVENTION AND CONTROL OF TRAUMATIC BRAIN INJURY.

    (a) Prevention of Traumatic Brain Injury.--Section 393B of the 
Public Health Service Act (42 U.S.C. 280b-1c) is amended--
            (1) in subsection (a), by inserting ``and prevalence'' 
        after ``incidence'';
            (2) in subsection (b)--
                    (A) in paragraph (1), by inserting ``and reduction 
                of associated injuries and fatalities'' before the 
                semicolon;
                    (B) in paragraph (2), by inserting ``and related 
                risk factors'' before the semicolon; and
                    (C) in paragraph (3)--
                            (i) in the matter preceding subparagraph 
                        (A), by striking ``2020'' each place it appears 
                        and inserting ``2030''; and
                            (ii) in subparagraph (A)--
                                    (I) in clause (i), by striking ``; 
                                and'' and inserting a semicolon;
                                    (II) by redesignating clause (ii) 
                                as clause (iv);
                                    (III) by inserting after clause (i) 
                                the following:
                            ``(ii) populations at higher risk of 
                        traumatic brain injury, including populations 
                        whose increased risk is due to occupational or 
                        circumstantial factors;
                            ``(iii) causes of, and risk factors for, 
                        traumatic brain injury; and''; and
                                    (IV) 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
            (3) in subsection (c), by inserting ``, and other relevant 
        Federal departments and agencies'' before the period at the 
        end.
    (b) National Program for Traumatic Brain Injury Surveillance and 
Registries.--Section 393C of the Public Health Service Act (42 U.S.C. 
280b-1d) is amended--
            (1) in subsection (a)--
                    (A) 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,'';
                    (B) in paragraph (1), by inserting ``, including 
                the occupation of the individual, when relevant to the 
                circumstances surrounding the injury'' before the 
                semicolon; and
                    (C) in paragraph (4), by inserting ``short- and 
                long-term'' before ``outcomes'';
            (2) by striking subsection (b);
            (3) by redesignating subsection (c) as subsection (b);
            (4) in subsection (b), as so redesignated, by inserting 
        ``and evidence-based practices to identify and address 
        concussion'' before the period at the end; and
            (5) by adding at the end the following:
    ``(c) Availability of Information.--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.''.
    (c) Authorization of Appropriations.--Section 394A of the Public 
Health Service Act (42 U.S.C. 280b-3) is amended--
            (1) in subsection (a), by striking ``1994, and'' and 
        inserting ``1994,''; and
            (2) in subsection (b), by striking ``2020 through 2024'' 
        and inserting ``2025 through 2029''.

SEC. 3. STATE GRANT PROGRAMS.

    (a) State Grants for Projects Regarding Traumatic Brain Injury.--
Section 1252 of the Public Health Service Act (42 U.S.C. 300d-52) is 
amended--
            (1) in subsection (b)(2)--
                    (A) by inserting ``, taking into consideration 
                populations that may be at higher risk for traumatic 
                brain injuries'' after ``outreach programs''; and
                    (B) by inserting ``Tribal,'' after ``State,'';
            (2) in subsection (e)(3)(B)--
                    (A) by striking ``(such as third party payers, 
                State agencies, community-based providers, schools, and 
                educators)''; and
                    (B) by inserting ``(such as third party payers, 
                State agencies, community-based providers, schools, and 
                educators'' after ``professionals'';
            (3) in subsection (h), by striking paragraphs (1) and (2) 
        and inserting the following:
            ``(1) American indian consortium; state.--The terms 
        `American Indian consortium' and `State' have the meanings 
        given such terms in section 1253.
            ``(2) Traumatic brain injury.--
                    ``(A) In general.--Subject to subparagraph (B), the 
                term `traumatic brain injury'--
                            ``(i) means an acquired injury to the 
                        brain;
                            ``(ii) may include--
                                    ``(I) brain injuries caused by 
                                anoxia due to trauma; and
                                    ``(II) damage to the brain from an 
                                internal or external source that 
                                results in infection, toxicity, 
                                surgery, or vascular disorders not 
                                associated with aging; and
                            ``(iii) does not include brain dysfunction 
                        caused by congenital or degenerative disorders, 
                        or birth trauma.
                    ``(B) Revisions to definition.--The Secretary may 
                revise the definition of the term `traumatic brain 
                injury' under this paragraph, as the Secretary 
                determines necessary, after consultation with States 
                and other appropriate public or nonprofit private 
                entities.''; and
            (4) in subsection (i), by striking ``2020 through 2024'' 
        and inserting ``2025 through 2029''.
    (b) State Grants for Protection and Advocacy Services.--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 ``2025 through 
2029''.

SEC. 4. REPORT TO CONGRESS.

    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--
            (1) an overview of populations who may be at higher risk 
        for traumatic brain injury, such as individuals affected by 
        domestic violence or sexual assault and public safety officers 
        as defined in section 1204 of the Omnibus Crime Control and 
        Safe Streets Act of 1968 (34 U.S.C. 10284);
            (2) an outline of existing surveys and activities of the 
        Centers for Disease Control and Prevention on traumatic brain 
        injuries and any steps the agency has taken to address gaps in 
        data collection related to such higher risk populations, which 
        may include leveraging surveys such as the National Intimate 
        Partner and Sexual Violence Survey to collect data on traumatic 
        brain injuries;
            (3) an overview of any outreach or education efforts to 
        reach such higher risk populations; and
            (4) any challenges associated with reaching such higher 
        risk populations.

SEC. 5. STUDY ON LONG-TERM SYMPTOMS OR CONDITIONS RELATED TO TRAUMATIC 
              BRAIN INJURY.

    (a) In General.--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--
            (1) examine the incidence and prevalence of long-term 
        symptoms or conditions in individuals who have experienced a 
        traumatic brain injury;
            (2) examine any correlations between traumatic brain injury 
        and increased risk of other conditions, such as dementia and 
        mental health conditions;
            (3) assess existing services available for individuals with 
        such long-term symptoms or conditions; and
            (4) identify any gaps in research related to such long-term 
        symptoms or conditions of individuals who have experienced a 
        traumatic brain injury.
    (b) Public Report.--Not later than 2 years after the date of 
enactment of this Act, the Secretary shall make publicly available a 
report on the study conducted under subsection (a).
                                                       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
```