II 

Calendar No. 483 

113TH CONGRESS 

2D SESSION S. 2539 

To amend the Public Health Service Act to reauthorize certain programs 

relating to traumatic brain injury and to trauma research. 

IN THE SENATE OF THE UNITED STATES 

JUNE 26, 2014 

Mr. HATCH (for himself, Mr. CASEY, Mr. KIRK, and Mr. HARKIN) introduced 

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

on Health, Education, Labor, and Pensions 

JULY 23, 2014 

Reported by Mr. HARKIN, with an amendment 

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

A BILL 

To amend the Public Health Service Act to reauthorize certain programs relating to traumatic brain injury and 

to trauma research. 

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 Reauthorization Act of 2014’’. 


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1 SEC. 2. CDC PROGRAMS FOR PREVENTION AND SURVEIL2 LANCE OF TRAUMATIC BRAIN INJURY. 

3 (a) IN GENERAL.—Section 394A of the Public 

4 Health Service Act (42 U.S.C. 280b–3) is amended— 

5 (1) by striking the section heading and all that 

6 follows through ‘‘For the purpose’’ and inserting the 

7 following: 

8 ‘‘SEC. 394A. AUTHORIZATION OF APPROPRIATIONS. 

9 ‘‘(a) IN GENERAL.—For the purpose’’; and 

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

11 ‘‘(b) TRAUMATIC BRAIN INJURY.—To carry out sec12 tions 393B and 393C, there are authorized to be appro13 priated $6,564,000 for each of fiscal years 2015 through 

14 2019.’’. 

15 (b) TECHNICAL CORRECTION.—Section 393B(b)(3) 

16 of the Public Health Service Act (42 U.S.C. 280b– 

17 1c(b)(3)) is amended ‘‘2010, commonly referred to as 

18 Healthy People 2010’’ and inserting ‘‘2020, commonly re19 ferred to as Healthy People 2020’’. 

20 SEC. 3. STATE GRANTS FOR PROJECTS REGARDING TRAU21 MATIC BRAIN INJURY. 

22 Section 1252(j) of the Public Health Service Act (42 

23 U.S.C. 300d–52(j)) is amended, by striking ‘‘such sums 

24 as may be necessary for each of the fiscal years 2001 

25 through 2005, and such sums as may be necessary for 

26 each of the fiscal years 2009 through 2012’’ and inserting 


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1 ‘‘$5,500,000 for each of the fiscal years 2015 through 

2 2019’’. 

3 SEC. 4. STATE GRANTS FOR PROTECTION AND ADVOCACY 

4 SERVICES. 

5 Section 1253 of the Public Health Service Act (42 

6 U.S.C. 300d–53) is amended— 

7 (1) in subsection (l), by striking ‘‘$5,000,000 

8 for fiscal year 2001, and such sums as may be nec9 essary for each the fiscal years 2009 through 2012’’ 

10 and inserting ‘‘$3,100,000 for each of the fiscal 

11 years 2015 through 2019’’; 

12 (2) in subsection (k), by striking ‘‘subtitle C’’ 

13 and inserting ‘‘subtitle C of title I’’; and 

14 (3) in subsection (m), by striking ‘‘subtitle C’’ 

15 each place that such appears in paragraphs (1) and 

16 (2), and inserting ‘‘subtitle C of title I’’. 

17 SEC. 5. TRAUMATIC BRAIN INJURY COORDINATION PLAN. 

18 (a) DEVELOPMENT OF PLAN.—Not later than 1 year 

19 after the date of enactment of this Act, the Secretary of 

20 Health and Human Services shall develop a plan for im21 proved coordination of Federal activities with respect to 

22 traumatic brain injury. Such plan shall— 

23 (1) review existing interagency coordination ef24 forts with respect to Federal activities related to 


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1 traumatic brain injury, including services for individ2 uals with traumatic brain injury; 

3 (2) identify areas for improved coordination be4 tween relevant Federal agencies and programs, in5 cluding agencies and programs with a focus on serv6 ing individuals with disabilities; and 

7 (3) incorporate, as appropriate, stakeholder 

8 feedback, including feedback from individuals with 

9 traumatic brain injury and their caregivers. 

10 (b) SUBMISSION TO CONGRESS.—The Secretary of 

11 Health and Human Services shall submit the plan devel12 oped under subsection (a) to the Committee on Health, 

13 Education, Labor, and Pensions of the Senate and the 

14 Committee on Energy and Commerce of the House of 

15 Representatives. 

16 SEC. 6. STUDY OF BRAIN INJURY MANAGEMENT IN CHIL17 DREN. 

18 The Director of the Centers for Disease Control and 

19 Prevention, in consultation with the Director of the Na20 tional Institutes of Health, shall conduct a review of the 

21 scientific evidence related to brain injury management in 

22 children, such as the restriction or prohibition of children 

23 from attending school or participating in athletic activities 

24 following a head injury, and identify ongoing and potential 

25 further opportunities for research. Not later than 2 years 


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1 after the date of enactment of this Act, the Director of 

2 the Centers for Disease Control and Prevention shall sub3 mit to the Committee on Health, Education, Labor, and 

4 Pensions of the Senate and the Committee on Energy and 

5 Commerce of the House of Representatives a report con6 cerning the results of such review. 

7 SECTION 1. SHORT TITLE. 

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

9 Reauthorization Act of 2014’’. 

10 SEC. 2. CDC PROGRAMS FOR PREVENTION AND SURVEIL11 LANCE OF TRAUMATIC BRAIN INJURY. 

12 (a) PREVENTION OF TRAUMATIC BRAIN INJURY.—Sec13 tion 393B(b)(3) of the Public Health Service Act (42 U.S.C. 

14 280b–1c(b)(3)) is amended by striking ‘‘2010, commonly re15 ferred to as Healthy People 2010’’ and inserting ‘‘2020, 

16 commonly referred to as Healthy People 2020’’. 

17 (b) AUTHORIZATION OF APPROPRIATIONS.—Section 

18 394A of the Public Health Service Act (42 U.S.C. 280b– 

19 3) is amended— 

20 (1) by striking the section heading and all that 

21 follows through ‘‘For the purpose’’ and inserting the 

22 following: 

23 ‘‘SEC. 394A. AUTHORIZATION OF APPROPRIATIONS. 

24 ‘‘(a) IN GENERAL.—For the purpose’’; 

25 (2) by striking the second period; and 


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1 (3) by adding at the end the following: 

2 ‘‘(b) TRAUMATIC BRAIN INJURY.—To carry out sec3 tions 393B and 393C, there are authorized to be appro4 priated $6,564,000 for each of fiscal years 2015 through 

5 2019.’’. 

6 SEC. 3. STATE GRANTS FOR PROJECTS REGARDING TRAU7 MATIC BRAIN INJURY. 

8 Section 1252 of the Public Health Service Act (42 

9 U.S.C. 300d–52) is amended— 

10 (1) in subsection (a), by striking ‘‘, acting 

11 through the Administrator of the Health Resources 

12 and Services Administration,’’; 

13 (2) in paragraphs (1)(A)(i) and (3)(E) of sub14 section (f), by striking ‘‘brain injury’’ and inserting 

15 ‘‘traumatic brain injury’’; 

16 (3) in subsection (h), by striking ‘‘under this sec17 tion, and section 1253 including’’ and inserting 

18 ‘‘under this section and section 1253, including’’; and 

19 (4) in subsection (j), by striking ‘‘such sums as 

20 may be necessary for each of the fiscal years 2001 

21 through 2005, and such sums as may be necessary for 

22 each of the fiscal years 2009 through 2012’’ and in23 serting ‘‘$5,500,000 for each of the fiscal years 2015 

24 through 2019’’. 


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1 SEC. 4. STATE GRANTS FOR PROTECTION AND ADVOCACY 

2 SERVICES. 

3 Section 1253 of the Public Health Service Act (42 

4 U.S.C. 300d–53) is amended— 

5 (1) in subsection (a), by striking ‘‘, acting 

6 through the Administrator of the Health Resources 

7 and Services Administration (referred to in this sec8 tion as the ‘Administrator’),’’; 

9 (2) in subsections (c), (d)(1), (e)(1), (e)(4), (g), 

10 (h), and (j)(1), by striking ‘‘Administrator’’ each 

11 place it appears and inserting ‘‘Secretary’’; 

12 (3) in subsection (h)— 

13 (A) by striking the subsection heading and 

14 inserting ‘‘REPORTING’’; 

15 (B) by striking ‘‘Each protection and advo16 cacy system’’ and inserting the following: 

17 ‘‘(1) REPORTS BY SYSTEMS.—Each protection 

18 and advocacy system’’; and 

19 (C) by adding at the end the following: 

20 ‘‘(2) REPORT BY SECRETARY.—Not later than 1 

21 year after the date of enactment of the Traumatic 

22 Brain Injury Reauthorization Act of 2014, the Sec23 retary shall prepare and submit to the appropriate 

24 committees of Congress a report describing the serv25 ices and activities carried out under this section durVerDate Mar 15 2010 01:04 Jul 24, 2014 Jkt 039200 PO 00000 Frm 00007 Fmt 6652 Sfmt 6203 E:\BILLS\S2539.RS S2539

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1 ing the period for which the report is being pre2 pared.’’; 

3 (4) in subsection (i), by striking ‘‘The Adminis4 trator of the Health Resources’’ and all that follows 

5 through ‘‘regarding’’ and inserting ‘‘The Secretary 

6 shall facilitate agreements to coordinate the collection 

7 of data by agencies within the Department of Health 

8 and Human Services regarding’’; 

9 (5) in subsection (k), by striking ‘‘subtitle C of 

10 the Developmental Disabilities Assistance and Bill of 

11 Rights Act of 2000’’ and inserting ‘‘subtitle C of title 

12 I of the Developmental Disabilities Assistance and 

13 Bill of Rights Act of 2000 (42 U.S.C. 15041 et seq.)’’; 

14 (6) in subsection (l), by striking ‘‘$5,000,000 for 

15 fiscal year 2001, and such sums as may be necessary 

16 for each the fiscal years 2009 through 2012’’ and in17 serting ‘‘$3,100,000 for each of the fiscal years 2015 

18 through 2019’’; and 

19 (7) in subsection (m)— 

20 (A) in paragraph (1), by striking ‘‘part C 

21 of the Developmental Disabilities Assistance Bill 

22 of Rights Act (42 U.S.C. 6042 et seq.)’’ and in23 serting ‘‘subtitle C of title I of the Developmental 

24 Disabilities Assistance and Bill of Rights Act of 

25 2000 (42 U.S.C. 15041 et seq.)’’; and 


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1 (B) in paragraph (2), by striking ‘‘part C 

2 of the Developmental Disabilities Assistance and 

3 Bill of Rights Act (42 U.S.C. 6042 et seq.)’’ and 

4 inserting ‘‘subtitle C of title I of the Develop5 mental Disabilities Assistance and Bill of Rights 

6 Act of 2000 (42 U.S.C. 15041 et seq.)’’. 

7 SEC. 5. TRAUMATIC BRAIN INJURY COORDINATION PLAN. 

8 (a) DEVELOPMENT OF PLAN.—Not later than 18 

9 months after the date of enactment of this Act, the Secretary 

10 of Health and Human Services shall develop a plan for im11 proved coordination of Federal activities with respect to 

12 traumatic brain injury. Such plan shall— 

13 (1) review existing interagency coordination ef14 forts with respect to Federal activities related to trau15 matic brain injury, including services for individuals 

16 with traumatic brain injury; 

17 (2) identify areas for improved coordination be18 tween relevant Federal agencies and programs, in19 cluding agencies and programs with a focus on serv20 ing individuals with disabilities; 

21 (3) identify each recommendation in the report 

22 required by section 393C(b) of the Public Health 

23 Service Act (42 U.S.C. 280b–1d(b)) that has been 

24 adopted and each such recommendation that has not 

25 been adopted, and describe any planned activities to 


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1 address each such recommendation that has not been 

2 adopted; and 

3 (4) incorporate, as appropriate, stakeholder feed4 back, including feedback from individuals with trau5 matic brain injury and their caregivers. 

6 (b) SUBMISSION TO CONGRESS.—The Secretary of 

7 Health and Human Services shall submit the plan devel8 oped under subsection (a) to the Committee on Health, Edu9 cation, Labor, and Pensions of the Senate and the Com10 mittee on Energy and Commerce of the House of Represent11 atives. 

12 SEC. 6. REVIEW OF BRAIN INJURY MANAGEMENT IN CHIL13 DREN. 

14 The Director of the Centers for Disease Control and 

15 Prevention, in consultation with the Director of the Na16 tional Institutes of Health, shall conduct a review of the 

17 scientific evidence related to brain injury management in 

18 children, such as the restriction or prohibition of children 

19 from attending school or participating in athletic activities 

20 following a head injury, and identify ongoing and potential 

21 further opportunities for research. Not later than 2 years 

22 after the date of enactment of this Act, the Director of the 

23 Centers for Disease Control and Prevention shall submit to 

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


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1 of the Senate and the Committee on Energy and Commerce 

2 of the House of Representatives the results of such review. 


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Calendar No. 483 

113TH CONGRESS 

2D SESSION S. 2539 

A BILL 

To amend the Public Health Service Act to reaubrain injury and to trauma research. thorize certain programs relating to traumatic 

JULY 23, 2014 

Reported with an amendment 


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