II 

Calendar No. 317 

110TH CONGRESS 

1ST SESSION S. 793 

[Report No. 110–140] 

To provide for the expansion and improvement of traumatic brain injury 

programs. 

IN THE SENATE OF THE UNITED STATES 

MARCH 7, 2007 

Mr. HATCH (for himself, Mr. KENNEDY, Mr. DURBIN, Mrs. CLINTON, Mr. 

BROWN, Mr. CRAIG, Mr. WHITEHOUSE, Mr. INOUYE, Mr. REED, Mr. 

HARKIN, Mr. DODD, Mr. LAUTENBERG, Mr. OBAMA, Mr. BINGAMAN, Mr. 

JOHNSON, Mrs. MURRAY, Mr. BIDEN, Mr. ENZI, Ms. MIKULSKI, and Mr. 

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

AUGUST 1, 2007 

Reported by Mr. KENNEDY, with an amendment 

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

A BILL 

To provide for the expansion and improvement of traumatic 

brain injury programs. 

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


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1 SECTION 1. SHORT TITLE. 

2 This Act may be cited as the ‘‘Reauthorization of the 

3 Traumatic Brain Injury Act’’. 

4 SEC. 2. CONFORMING AMENDMENTS RELATING TO RE5 STRUCTURING. 

6 Part J of title III of the Public Health Service Act 

7 (42 U.S.C. 280b et seq.) is amended— 

8 (1) by redesignating the section 393B (42 

9 U.S.C. 280b–1c) relating to the use of allotments for 

10 rape prevention education, as section 393A and mov11 ing such section so that it follows section 393; 

12 (2) by redesignating existing section 393A (42 

13 U.S.C. 280b–1b) relating to prevention of traumatic 

14 brain injury, as section 393B; and 

15 (3) by redesignating the section 393B (42 

16 U.S.C. 280b–1d) relating to traumatic brain injury 

17 registries, as section 393C. 

18 SEC. 3. TRAUMATIC BRAIN INJURY PROGRAMS OF THE 

19 CENTERS FOR DISEASE CONTROL AND PRE20 VENTION. 

21 (a) PREVENTION OF TRAUMATIC BRAIN INJURY.— 

22 Clause (ii) of section 393B(b)(3)(A) of the Public Health 

23 Service Act, as so redesignated, (42 U.S.C. 280b–1b) is 

24 amended by striking ‘‘from hospitals and trauma centers’’ 

25 and inserting ‘‘from hospitals and emergency depart26 ments’’. 


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1 (b) NATIONAL PROGRAM FOR TRAUMATIC BRAIN IN2 JURY SURVEILLANCE AND REGISTRIES.—Section 393C of 

3 the Public Health Service Act, as so redesignated, (42 

4 U.S.C. 280b et seq.) is amended— 

5 (1) in the section heading, by inserting ‘‘SUR6 VEILLANCE AND’’ after ‘‘NATIONAL PROGRAM

7 FOR TRAUMATIC BRAIN INJURY’’; 

8 (2) by striking ‘‘(a) IN GENERAL.—’’; and 

9 (3) in the matter preceding paragraph (1), by 

10 striking ‘‘may make grants’’ and all that follows 

11 through ‘‘to collect data concerning—’’ and inserting 

12 ‘‘may make grants to States or their designees to 

13 develop or operate the State’s traumatic brain injury 

14 surveillance system or registry to determine the inci15 dence and prevalence of traumatic brain injury and 

16 related disability, to ensure the uniformity of report17 ing under such system or registry, to link individuals 

18 with traumatic brain injury to services and supports, 

19 and to link such individuals with academic institu20 tions to conduct applied research that will support 

21 the development of such surveillance systems and 

22 registries as may be necessary. A surveillance system 

23 or registry under this section shall provide for the 

24 collection of data concerning—’’. 


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1 SEC. 4. STUDY ON TRAUMATIC BRAIN INJURY. 

2 Part J of title III of the Public Health Service Act 

3 (42 U.S.C. 280b et seq.) is amended by inserting after 

4 section 393C the following: 

5 ‘‘SEC. 393C–1. STUDY ON TRAUMATIC BRAIN INJURY. 

6 ‘‘(a) STUDY.—The Secretary, acting through the Di7 rector of the Centers for Disease Control and Prevention 

8 with respect to paragraph (1) and the Director of the Na9 tional Institutes of Health with respect to paragraphs (2) 

10 and (3), shall conduct a study with respect to traumatic 

11 brain injury for the purpose of carrying out the following: 

12 ‘‘(1) In collaboration with appropriate State 

13 and local health-related agencies— 

14 ‘‘(A) determining the incidence of trau15 matic brain injury and prevalence of traumatic 

16 brain injury related disability and the clinical 

17 aspects of the disability in all age groups and 

18 racial and ethnic minority groups in the general 

19 population of the United States, including insti20 tutional settings, such as nursing homes, cor21 rectional facilities, psychiatric hospitals, child 

22 care facilities, and residential institutes for peo23 ple with developmental disabilities; and 

24 ‘‘(B) reporting national trends in trau25 matic brain injury. 


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1 ‘‘(2) Identifying common therapeutic interven2 tions which are used for the rehabilitation of individ3 uals with such injuries, and, subject to the avail4 ability of information, including an analysis of— 

5 ‘‘(A) the effectiveness of each such inter6 vention in improving the functioning, including 

7 return to work or school and community par8 ticipation, of individuals with brain injuries; 

9 ‘‘(B) the comparative effectiveness of inter10 ventions employed in the course of rehabilita11 tion of individuals with brain injuries to achieve 

12 the same or similar clinical outcome; and 

13 ‘‘(C) the adequacy of existing measures of 

14 outcomes and knowledge of factors influencing 

15 differential outcomes. 

16 ‘‘(3) Identifying interventions and therapies 

17 that can prevent or remediate the development of 

18 secondary neurologic conditions related to traumatic 

19 brain injury. 

20 ‘‘(4) Developing practice guidelines for the re21 habilitation of traumatic brain injury at such time 

22 as appropriate scientific research becomes available. 

23 ‘‘(b) DATES CERTAIN FOR REPORTS.—Not later than 

24 3 years after the date of the enactment of the Reauthor25 ization of the Traumatic Brain Injury Act, the Secretary 


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1 shall submit to the Congress a report describing findings 

2 made as a result of carrying out subsection (a). 

3 ‘‘(c) DEFINITION.—For purposes of this section, the 

4 term ‘traumatic brain injury’ means an acquired injury 

5 to the brain. Such term does not include brain dysfunction 

6 caused by congenital or degenerative disorders, nor birth 

7 trauma, but may include brain injuries caused by anoxia 

8 due to trauma. The Secretary may revise the definition 

9 of such term as the Secretary determines necessary.’’. 

10 SEC. 5. TRAUMATIC BRAIN INJURY PROGRAMS OF THE NA11 TIONAL INSTITUTES OF HEALTH. 

12 Section 1261 of the Public Health Service Act (42 

13 U.S.C. 300d–61) is amended— 

14 (1) in subparagraph (D) of subsection (d)(4), 

15 by striking ‘‘head brain injury’’ and inserting ‘‘brain 

16 injury’’; and 

17 (2) in subsection (i), by inserting ‘‘, and such 

18 sums as may be necessary for each of fiscal years 

19 2008 through 2011’’ before the period at the end. 

20 SEC. 6. TRAUMATIC BRAIN INJURY PROGRAMS OF THE 

21 HEALTH RESOURCES AND SERVICES ADMIN22 ISTRATION. 

23 (a) STATE GRANTS FOR DEMONSTRATION PROJECTS

24 REGARDING TRAUMATIC BRAIN INJURY.—Section 1252 


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1 of the Public Health Service Act (42 U.S.C. 300d–52) is 

2 amended— 

3 (1) in subsection (a)— 

4 (A) by striking ‘‘may make grants to 

5 States’’ and inserting ‘‘may make grants to 

6 States and American Indian consortia’’; and 

7 (B) by striking ‘‘health and other services’’ 

8 and inserting ‘‘rehabilitation and other serv9 ices’’; 

10 (2) in subsection (b)— 

11 (A) in paragraphs (1), (3)(A)(i), 

12 (3)(A)(iii), and (3)(A)(iv), by striking the term 

13 ‘‘State’’ each place such term appears and in14 serting the term ‘‘State or American Indian 

15 consortium’’; and 

16 (B) in paragraph (2), by striking ‘‘rec17 ommendations to the State’’ and inserting ‘‘rec18 ommendations to the State or American Indian 

19 consortium’’; 

20 (3) in subsection (c), by striking the term 

21 ‘‘State’’ each place such term appears and inserting 

22 ‘‘State or American Indian consortium’’; 

23 (4) in subsection (e), by striking ‘‘A State that 

24 received’’ and all that follows through the period and 

25 inserting ‘‘A State or American Indian consortium 


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1 that received a grant under this section prior to the 

2 date of the enactment of the Reauthorization of the 

3 Traumatic Brain Injury Act may complete the ac4 tivities funded by the grant.’’; 

5 (5) in subsection (f)— 

6 (A) in the subsection heading, by inserting 

7 ‘‘AND AMERICAN INDIAN CONSORTIUM’’ after 

8 ‘‘STATE’’; 

9 (B) in paragraph (1) in the matter pre10 ceding subparagraph (A), paragraph (1)(E), 

11 paragraph (2)(A), paragraph (2)(B), paragraph 

12 (3) in the matter preceding subparagraph (A), 

13 paragraph (3)(E), and paragraph (3)(F), by 

14 striking the term ‘‘State’’ each place such term 

15 appears and inserting ‘‘State or American In16 dian consortium’’; 

17 (C) in clause (ii) of paragraph (1)(A), by 

18 striking ‘‘children and other individuals’’ and 

19 inserting ‘‘children, youth, and adults’’; and 

20 (D) in subsection (h)— 

21 (i) by striking ‘‘Not later than 2 years 

22 after the date of the enactment of this sec23 tion, the Secretary’’ and inserting ‘‘Not 

24 less than bi-annually, the Secretary’’; and 


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1 (ii) by inserting ‘‘section 1253, and 

2 section 1254,’’ after ‘‘programs established 

3 under this section,’’; 

4 (6) by amending subsection (i) to read as fol5 lows: 

6 ‘‘(i) DEFINITIONS.—For purposes of this section: 

7 ‘‘(1) The terms ‘American Indian consortium’ 

8 and ‘State’ have the meanings given to those terms 

9 in section 1253. 

10 ‘‘(2) The term ‘traumatic brain injury’ means 

11 an acquired injury to the brain. Such term does not 

12 include brain dysfunction caused by congenital or 

13 degenerative disorders, nor birth trauma, but may 

14 include brain injuries caused by anoxia due to near 

15 drowning. The Secretary may revise the definition of 

16 such term as the Secretary determines necessary, 

17 after consultation with States and other appropriate 

18 public or nonprofit private entities.’’; and 

19 (7) in subsection (j), by inserting ‘‘, and such 

20 sums as may be necessary for each of the fiscal 

21 years 2008 through 2011’’ before the period. 

22 (b) STATE GRANTS FOR PROTECTION AND ADVO23 CACY SERVICES.—Section 1253 of the Public Health Serv24 ice Act (42 U.S.C. 300d–53) is amended— 


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1 (1) in subsections (d) and (e), by striking the 

2 term ‘‘subsection (i)’’ each place such term appears 

3 and inserting ‘‘subsection (l)’’; 

4 (2) in subsection (g), by inserting ‘‘each fiscal 

5 year not later than October 1,’’ before ‘‘the Adminis6 trator shall pay’’; 

7 (3) by redesignating subsections (i) and (j) as 

8 subsections (l) and (m), respectively; 

9 (4) by inserting after subsection (h) the fol10 lowing: 

11 ‘‘(i) DATA COLLECTION.—The Administrator of the 

12 Health Resources and Services Administration and the 

13 Commissioner of the Administration on Developmental 

14 Disabilities shall enter into an agreement to coordinate the 

15 collection of data by the Administrator and the Commis16 sioner regarding protection and advocacy services. 

17 ‘‘(j) TRAINING AND TECHNICAL ASSISTANCE.— 

18 ‘‘(1) GRANTS.—For any fiscal year for which 

19 the amount appropriated to carry out this section is 

20 $6,000,000 or greater, the Administrator shall use 2 

21 percent of such amount to make a grant to an eligi22 ble national association for providing for training 

23 and technical assistance to protection and advocacy 

24 systems. 


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1 ‘‘(2) DEFINITION.—In this subsection, the term 

2 ‘eligible national association’ means a national asso3 ciation with demonstrated experience in providing 

4 training and technical assistance to protection and 

5 advocacy systems. 

6 ‘‘(k) SYSTEM AUTHORITY.—In providing services 

7 under this section, a protection and advocacy system shall 

8 have the same authorities, including access to records, as 

9 such system would have for purposes of providing services 

10 under subtitle C of the Developmental Disabilities Assist11 ance and Bill of Rights Act of 2000.’’; and 

12 (5) in subsection (l) (as redesignated by this 

13 subsection) by striking ‘‘2005’’ and inserting 

14 ‘‘2011’’. 

15 SECTION 1. SHORT TITLE. 

16 This Act may be cited as the ‘‘Reauthorization of the 

17 Traumatic Brain Injury Act’’. 

18 SEC. 2. CONFORMING AMENDMENTS RELATING TO RE19 STRUCTURING. 

20 Part J of title III of the Public Health Service Act 

21 (42 U.S.C. 280b et seq.) is amended— 

22 (1) by redesignating the section 393B (42 U.S.C. 

23 280b–1c) relating to the use of allotments for rape 

24 prevention education, as section 393A and moving 

25 such section so that it follows section 393; 


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1 (2) by redesignating existing section 393A (42 

2 U.S.C. 280b–1b) relating to prevention of traumatic 

3 brain injury, as section 393B; and 

4 (3) by redesignating the section 393B (42 U.S.C. 

5 280b–1d) relating to traumatic brain injury reg6 istries, as section 393C. 

7 SEC. 3. TRAUMATIC BRAIN INJURY PROGRAMS OF THE CEN8 TERS FOR DISEASE CONTROL AND PREVEN9 TION. 

10 (a) PREVENTION OF TRAUMATIC BRAIN INJURY.— 

11 Clause (ii) of section 393B(b)(3)(A) of the Public Health 

12 Service Act, as so redesignated, (42 U.S.C. 280b–1b) is 

13 amended by striking ‘‘from hospitals and trauma centers’’ 

14 and inserting ‘‘from hospitals and emergency departments’’. 

15 (b) NATIONAL PROGRAM FOR TRAUMATIC BRAIN IN16 JURY SURVEILLANCE AND REGISTRIES.—Section 393C of 

17 the Public Health Service Act, as so redesignated, (42 

18 U.S.C. 280b et seq.) is amended— 

19 (1) in the section heading, by inserting ‘‘SUR20 VEILLANCE AND’’ after ‘‘NATIONAL PROGRAM

21 FOR TRAUMATIC BRAIN INJURY’’; and 

22 (2) in subsection (a), in the matter preceding 

23 paragraph (1), by striking ‘‘may make grants’’ and 

24 all that follows through ‘‘to collect data concerning— 

25 ’’ and inserting ‘‘may make grants to States or their 


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1 designees to develop or operate the State’s traumatic 

2 brain injury surveillance system or registry to deter3 mine the incidence and prevalence of traumatic brain 

4 injury and related disability, to ensure the uni5 formity of reporting under such system or registry, to 

6 link individuals with traumatic brain injury to serv7 ices and supports, and to link such individuals with 

8 academic institutions to conduct applied research that 

9 will support the development of such surveillance sys10 tems and registries as may be necessary. A surveil11 lance system or registry under this section shall pro12 vide for the collection of data concerning—’’. 

13 (c) REPORT.—Section 393C of the Public Health Serv14 ice Act (as so redesignated) is amended by adding at the 

15 end the following: 

16 ‘‘(b) Not later than 18 months after the date of enact17 ment of the Reauthorization of the Traumatic Brain Injury 

18 Act, the Secretary, acting through the Director of the Cen19 ters for Disease Control and Prevention and the Director 

20 of the National Institutes of Health and in consultation 

21 with the Secretary of Defense and the Secretary of Veterans 

22 Affairs, shall submit to the relevant committees of Congress 

23 a report that contains the findings derived from an evalua24 tion concerning activities and procedures that can be imple25 mented by the Centers for Disease Control and Prevention, 


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1 the Department of Defense, and the Department of Veterans 

2 Affairs to improve the collection and dissemination of com3 patible epidemiological studies on the incidence and preva4 lence of traumatic brain injury in the military and vet5 erans populations who return to civilian life. The report 

6 shall include recommendations on the manner in which 

7 such agencies can further collaborate on the development 

8 and improvement of traumatic brain injury diagnostic 

9 tools and treatments.’’. 

10 SEC. 4. STUDY ON TRAUMATIC BRAIN INJURY. 

11 Part J of title III of the Public Health Service Act 

12 (42 U.S.C. 280b et seq.) is amended by inserting after sec13 tion 393C the following: 

14 ‘‘SEC. 393C–1. STUDY ON TRAUMATIC BRAIN INJURY. 

15 ‘‘(a) STUDY.—The Secretary, acting through the Direc16 tor of the Centers for Disease Control and Prevention with 

17 respect to paragraph (1) and the Director of the National 

18 Institutes of Health with respect to paragraphs (2) and (3), 

19 shall conduct a study with respect to traumatic brain in20 jury for the purpose of carrying out the following: 

21 ‘‘(1) In collaboration with appropriate State and 

22 local health-related agencies— 

23 ‘‘(A) determining the incidence of traumatic 

24 brain injury and prevalence of traumatic brain 

25 injury related disability and the clinical aspects 


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1 of the disability in all age groups and racial and 

2 ethnic minority groups in the general population 

3 of the United States, including institutional set4 tings, such as nursing homes, correctional facili5 ties, psychiatric hospitals, child care facilities, 

6 and residential institutes for people with devel7 opmental disabilities; and 

8 ‘‘(B) reporting national trends in traumatic 

9 brain injury. 

10 ‘‘(2) Identifying common therapeutic interven11 tions which are used for the rehabilitation of individ12 uals with such injuries, and, subject to the avail13 ability of information, including an analysis of— 

14 ‘‘(A) the effectiveness of each such interven15 tion in improving the functioning, including re16 turn to work or school and community partici17 pation, of individuals with brain injuries; 

18 ‘‘(B) the comparative effectiveness of inter19 ventions employed in the course of rehabilitation 

20 of individuals with brain injuries to achieve the 

21 same or similar clinical outcome; and 

22 ‘‘(C) the adequacy of existing measures of 

23 outcomes and knowledge of factors influencing 

24 differential outcomes. 


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1 ‘‘(3) Identifying interventions and therapies that 

2 can prevent or remediate the development of sec3 ondary neurologic conditions related to traumatic 

4 brain injury. 

5 ‘‘(4) Developing practice guidelines for the reha6 bilitation of traumatic brain injury at such time as 

7 appropriate scientific research becomes available. 

8 ‘‘(b) DATES CERTAIN FOR REPORTS.—Not later than 

9 3 years after the date of the enactment of the Reauthoriza10 tion of the Traumatic Brain Injury Act, the Secretary shall 

11 submit to the Congress a report describing findings made 

12 as a result of carrying out subsection (a). 

13 ‘‘(c) DEFINITION.—For purposes of this section, the 

14 term ‘traumatic brain injury’ means an acquired injury 

15 to the brain. Such term does not include brain dysfunction 

16 caused by congenital or degenerative disorders, nor birth 

17 trauma, but may include brain injuries caused by anoxia 

18 due to trauma including near drowning. The Secretary 

19 may revise the definition of such term as the Secretary de20 termines necessary.’’. 

21 SEC. 5. TRAUMATIC BRAIN INJURY PROGRAMS OF THE NA22 TIONAL INSTITUTES OF HEALTH. 

23 Section 1261 of the Public Health Service Act (42 

24 U.S.C. 300d–61) is amended— 


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1 (1) in subsection (b)(2), by striking ‘‘Labor and 

2 Human Resources’’ and inserting ‘‘Health, Edu3 cation, Labor, and Pensions’’; 

4 (2) in subparagraph (D) of subsection (d)(4), by 

5 striking ‘‘head brain injury’’ and inserting ‘‘brain in6 jury’’; and 

7 (3) in subsection (i), by inserting ‘‘, and such 

8 sums as may be necessary for each of fiscal years 

9 2008 through 2011’’ before the period at the end. 

10 SEC. 6. TRAUMATIC BRAIN INJURY PROGRAMS OF THE 

11 HEALTH RESOURCES AND SERVICES ADMIN12 ISTRATION. 

13 (a) STATE GRANTS FOR DEMONSTRATION PROJECTS

14 REGARDING TRAUMATIC BRAIN INJURY.—Section 1252 of 

15 the Public Health Service Act (42 U.S.C. 300d–52) is 

16 amended— 

17 (1) in subsection (a)— 

18 (A) by striking ‘‘may make grants to 

19 States’’ and inserting ‘‘may make grants to 

20 States and American Indian consortia’’; and 

21 (B) by striking ‘‘health and other services’’ 

22 and inserting ‘‘rehabilitation and other services’’; 

23 (2) in subsection (b)— 

24 (A) in paragraphs (1), (3)(A)(i), 

25 (3)(A)(iii), and (3)(A)(iv), by striking the term 


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1 ‘‘State’’ each place such term appears and in2 serting the term ‘‘State or American Indian con3 sortium’’; and 

4 (B) in paragraph (2), by striking ‘‘rec5 ommendations to the State’’ and inserting ‘‘rec6 ommendations to the State or American Indian 

7 consortium’’; 

8 (3) in subsection (c), by striking the term 

9 ‘‘State’’ each place such term appears and inserting 

10 ‘‘State or American Indian consortium’’; 

11 (4) in subsection (e), by striking ‘‘A State that 

12 received’’ and all that follows through the period and 

13 inserting ‘‘A State or American Indian consortium 

14 that received a grant under this section prior to the 

15 date of the enactment of the Reauthorization of the 

16 Traumatic Brain Injury Act may complete the activi17 ties funded by the grant.’’; 

18 (5) in subsection (f)— 

19 (A) in the subsection heading, by inserting 

20 ‘‘AND AMERICAN INDIAN CONSORTIUM’’ after 

21 ‘‘STATE’’; 

22 (B) in paragraph (1) in the matter pre23 ceding subparagraph (A), paragraph (1)(E), 

24 paragraph (2)(A), paragraph (2)(B), paragraph 

25 (3) in the matter preceding subparagraph (A), 


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1 paragraph (3)(E), and paragraph (3)(F), by 

2 striking the term ‘‘State’’ each place such term 

3 appears and inserting ‘‘State or American In4 dian consortium’’; 

5 (C) in clause (ii) of paragraph (1)(A), by 

6 striking ‘‘children and other individuals’’ and 

7 inserting ‘‘children, youth, and adults’’; and 

8 (D) in subsection (h)— 

9 (i) by striking ‘‘Not later than 2 years 

10 after the date of the enactment of this sec11 tion, the Secretary’’ and inserting ‘‘Not less 

12 than biennially, the Secretary’’; 

13 (ii) by striking ‘‘Commerce of the 

14 House of Representatives, and to the Com15 mittee on Labor and Human Resources’’ 

16 and inserting ‘‘Energy and Commerce of the 

17 House of Representatives, and to the Com18 mittee on Health, Education, Labor, and 

19 Pensions’’; and 

20 (iii) by inserting ‘‘and section 1253’’ 

21 after ‘‘programs established under this sec22 tion,’’; 

23 (6) by amending subsection (i) to read as fol24 lows: 

25 ‘‘(i) DEFINITIONS.—For purposes of this section: 


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1 ‘‘(1) The terms ‘American Indian consortium’ 

2 and ‘State’ have the meanings given to those terms in 

3 section 1253. 

4 ‘‘(2) The term ‘traumatic brain injury’ means 

5 an acquired injury to the brain. Such term does not 

6 include brain dysfunction caused by congenital or de7 generative disorders, nor birth trauma, but may in8 clude brain injuries caused by anoxia due to trauma. 

9 The Secretary may revise the definition of such term 

10 as the Secretary determines necessary, after consulta11 tion with States and other appropriate public or non12 profit private entities.’’; and 

13 (7) in subsection (j), by inserting ‘‘, and such 

14 sums as may be necessary for each of the fiscal years 

15 2008 through 2011’’ before the period. 

16 (b) STATE GRANTS FOR PROTECTION AND ADVOCACY

17 SERVICES.—Section 1253 of the Public Health Service Act 

18 (42 U.S.C. 300d–53) is amended— 

19 (1) in subsections (d) and (e), by striking the 

20 term ‘‘subsection (i)’’ each place such term appears 

21 and inserting ‘‘subsection (l)’’; 

22 (2) in subsection (g), by inserting ‘‘each fiscal 

23 year not later than October 1,’’ before ‘‘the Adminis24 trator shall pay’’; 


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1 (3) by redesignating subsections (i) and (j) as 

2 subsections (l) and (m), respectively; 

3 (4) by inserting after subsection (h) the fol4 lowing: 

5 ‘‘(i) DATA COLLECTION.—The Administrator of the 

6 Health Resources and Services Administration and the 

7 Commissioner of the Administration on Developmental Dis8 abilities shall enter into an agreement to coordinate the col9 lection of data by the Administrator and the Commissioner 

10 regarding protection and advocacy services. 

11 ‘‘(j) TRAINING AND TECHNICAL ASSISTANCE.— 

12 ‘‘(1) GRANTS.—For any fiscal year for which the 

13 amount appropriated to carry out this section is 

14 $6,000,000 or greater, the Administrator shall use 2 

15 percent of such amount to make a grant to an eligible 

16 national association for providing for training and 

17 technical assistance to protection and advocacy sys18 tems. 

19 ‘‘(2) DEFINITION.—In this subsection, the term 

20 ‘eligible national association’ means a national asso21 ciation with demonstrated experience in providing 

22 training and technical assistance to protection and 

23 advocacy systems. 

24 ‘‘(k) SYSTEM AUTHORITY.—In providing services 

25 under this section, a protection and advocacy system shall 


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1 have the same authorities, including access to records, as 

2 such system would have for purposes of providing services 

3 under subtitle C of the Developmental Disabilities Assist4 ance and Bill of Rights Act of 2000.’’; and 

5 (5) in subsection (l) (as redesignated by this sub6 section) by striking ‘‘2005’’ and inserting ‘‘2011’’. 

7 SEC. 7. GAO STUDY WITH RESPECT TO MEMBERS OF THE 

8 ARMED FORCES. 

9 (a) IN GENERAL.—The Comptroller General of the 

10 United States shall conduct a national study regarding 

11 whether, and, if so, to what extent, members of the armed 

12 forces who have acquired a disability from serving in Oper13 ation Enduring Freedom and Operation Iraqi Freedom are 

14 being reintegrated into their communities. Such study shall 

15 specifically include an examination of factors affecting the 

16 reintegration of such members of the armed forces who have 

17 acquired a traumatic brain injury into their communities, 

18 including an analysis of— 

19 (1) the unavailability of suitable employment, 

20 housing, and transportation; 

21 (2) the existence, availability, and capacity of 

22 community care programs; and 

23 (3) the extent to which there is coordination of 

24 benefits for these men and women. 


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1 (b) REPORT.—Not later than 180 days after the date 

2 of enactment of this Act, the Comptroller General of the 

3 United States shall submit to the Committee on Veterans’ 

4 Affairs and the Committee on Health, Education, Labor, 

5 and Pensions of the Senate and the Committee on Veterans’ 

6 Affairs and the Committee on Education and the Workforce 

7 of the House of Representatives, a report summarizing the 

8 results of the study conducted under subsection (a). 


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Calendar No. 317 

110TH CONGRESS 

1ST SESSION S. 793 

[Report No. 110

–140] 

A BILL 

To provide for the expansion and improvement of 

traumatic brain injury programs. 

AUGUST 1, 2007 

Reported with an amendment 


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