II 

117TH CONGRESS 

2D SESSION S. 4286 

To direct the Attorney General to develop crisis intervention training tools 

for use by first responders related to interacting with persons who 

have a traumatic brain injury, another form of acquired brain injury, 

or post-traumatic stress disorder, and for other purposes. 

IN THE SENATE OF THE UNITED STATES 

MAY 19 (legislative day, MAY 17), 2022 

Mr. OSSOFF (for himself, Mr. GRASSLEY, and Mr. KENNEDY) introduced the 

following bill; which was read twice and referred to the Committee on the 

Judiciary 

A BILL 

To direct the Attorney General to develop crisis intervention 

training tools for use by first responders related to interacting with persons who have a traumatic brain injury, 

another form of acquired brain injury, or post-traumatic 

stress disorder, 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 and Post-Traumatic Stress Disorder Law Enforce6 ment Training Act’’ or the ‘‘TBI and PTSD Law Enforce7 ment Training Act’’. 


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1 SEC. 2. FINDINGS. 

2 Congress finds the following: 

3 (1) According to the Centers for Disease Con4 trol and Prevention, approximately 2,900,000 emer5 gency department visits, hospitalizations, and deaths 

6 were related to traumatic brain injury in the United 

7 States in 2014. 

8 (2) Effects of traumatic brain injury (referred 

9 to in this section as ‘‘TBI’’) can be short-term or 

10 long-term, and include impaired thinking or mem11 ory, movement, vision or hearing, or emotional func12 tioning, such as personality changes or depression. 

13 (3) As of the date of enactment of this Act, be14 tween 3,200,000 and 5,300,000 persons are living 

15 with a TBI-related disability in the United States. 

16 (4) About 7 or 8 percent of individuals in the 

17 United States will experience post-traumatic stress 

18 disorder (referred to in this section as ‘‘PTSD’’) at 

19 some point in their lives, and about 8,000,000 adults 

20 have PTSD during the course of a given year. 

21 (5) TBI and PTSD have been recognized as the 

22 signature injuries of the wars in Iraq and Afghani23 stan. 

24 (6) According to the Department of Defense, 

25 383,000 men and women deployed to Iraq and AfVerDate Sep 11 2014 17:43 May 31, 2022 Jkt 029200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\S4286.IS S4286

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1 ghanistan sustained a brain injury while in the line 

2 of duty between 2000 and 2018. 

3 (7) Approximately 13.5 percent of veterans of 

4 Operation Iraqi Freedom and Operation Enduring 

5 Freedom screen positive for PTSD, according to the 

6 Department of Veterans Affairs. 

7 (8) About 12 percent of Gulf War veterans have 

8 PTSD in a given year, while about 30 percent of 

9 Vietnam veterans have had PTSD in their lifetime. 

10 (9) Physical signs of TBI can include motor im11 pairment, dizziness or poor balance, slurred speech, 

12 impaired depth perception, or impaired verbal mem13 ory, while physical signs of PTSD can include agita14 tion, irritability, hostility, hypervigilance, self-de15 structive behavior, fear, severe anxiety, or mistrust. 

16 (10) Physical signs of TBI and PTSD often 

17 overlap with physical signs of alcohol or drug im18 pairment, which complicate a first responder’s abil19 ity to quickly and effectively identify an individual’s 

20 condition. 

21 SEC. 3. CREATION OF A TBI AND PTSD TRAINING FOR 

22 FIRST RESPONDERS. 

23 Part HH of title I of the Omnibus Crime Control and 

24 Safe Streets Act of 1968 (34 U.S.C. 10651 et seq.) is 

25 amended— 


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1 (1) in section 2991 (34 U.S.C. 10651)— 

2 (A) in subsection (h)(1)(A), by inserting 

3 before the period at the end the following: ‘‘, in4 cluding the training developed under section 

5 2993’’; and 

6 (B) in subsection (o), by striking para7 graph (1) and inserting the following: 

8 ‘‘(1) IN GENERAL.—There is authorized to be 

9 appropriated to the Department of Justice to carry 

10 out this section $54,000,000 for each of fiscal years 

11 2023 through 2027.’’; and 

12 (2) by adding at the end the following: 

13 ‘‘SEC. 2993. CREATION OF TBI AND PTSD TRAINING FOR 

14 FIRST RESPONDERS. 

15 ‘‘(a) IN GENERAL.—Not later than 1 year after the 

16 date of enactment of this section, the Attorney General, 

17 acting through the Director of the Bureau of Justice As18 sistance, in consultation with the Director of the Centers 

19 for Disease Control and Prevention and the Assistant Sec20 retary for Mental Health and Substance Use, shall— 

21 ‘‘(1) solicit best practices regarding techniques 

22 to interact with persons who have a traumatic brain 

23 injury, an acquired brain injury, or post-traumatic 

24 stress disorder from first responder, brain injury, 

25 veteran, and mental health organizations, health 


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1 care and mental health providers, hospital emer2 gency departments, and other relevant stakeholders; 

3 and 

4 ‘‘(2) develop crisis intervention training tools 

5 for use by first responders (as that term is defined 

6 in section 3025) that provide— 

7 ‘‘(A) information on the conditions and 

8 symptoms of a traumatic brain injury, an ac9 quired brain injury, and post-traumatic stress 

10 disorder; 

11 ‘‘(B) techniques to interact with persons 

12 who have a traumatic brain injury, an acquired 

13 brain injury, or post-traumatic stress disorder; 

14 and 

15 ‘‘(C) information on how to recognize per16 sons who have a traumatic brain injury, an ac17 quired brain injury, or post-traumatic stress 

18 disorder. 

19 ‘‘(b) USE OF TRAINING TOOLS AT LAW ENFORCE20 MENT-MENTAL HEALTH LEARNING SITES.—The Attor21 ney General shall ensure that not less than 1 Law En22 forcement-Mental Health Learning Site designated by the 

23 Director of the Bureau of Justice Assistance uses the 

24 training tools developed under subsection (a)(2). 


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1 ‘‘(c) POLICE MENTAL HEALTH COLLABORATION

2 TOOLKIT.—The Attorney General shall make the training 

3 tools developed under subsection (a)(2) available as part 

4 of the Police-Mental Health Collaboration Toolkit pro5 vided by the Bureau of Justice Assistance.’’. 

6 SEC. 4. SURVEILLANCE AND REPORTING FOR FIRST RE7 SPONDERS WITH TBI. 

8 Section 393C of the Public Health Service Act (42 

9 U.S.C. 280b–1d) is amended by adding at the end the fol10 lowing: 

11 ‘‘(d) LAW ENFORCEMENT AND FIRST RESPONDER

12 SURVEILLANCE.— 

13 ‘‘(1) IN GENERAL.—The Secretary, acting 

14 through the Director of the Centers for Disease 

15 Control and Prevention, shall implement concussion 

16 data collection and analysis to determine the preva17 lence and incidence of concussion among first re18 sponders (as such term is defined in section 3025 of 

19 title I of the Omnibus Crime Control and Safe 

20 Street Act of 1968 (34 U.S.C. 10705)). 

21 ‘‘(2) REPORT.—Not later than 18 months after 

22 the date of the enactment of this subsection, the 

23 Secretary, acting through the Director of the Cen24 ters for Disease Control and Prevention and the Di25 rector of the National Institutes of Health and in 


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1 consultation with the Secretary of Defense and the 

2 Secretary of Veterans Affairs, shall submit to the 

3 relevant committees of Congress a report that con4 tains the findings of the surveillance conducted 

5 under paragraph (1). The report shall include sur6 veillance data and recommendations for resources 

7 for first responders who have experienced traumatic 

8 brain injury.’’. 

Æ 


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