117TH CONGRESS 

2D SESSION H. R. 2992 

AN ACT 

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. 
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•HR 2992 EH

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’’. 

8 SEC. 2. FINDINGS. 

9 Congress finds the following: 

10 (1) According to the Centers for Disease Con11 trol and Prevention, there were approximately 2.9 

12 million traumatic brain injury-related emergency de13 partment visits, hospitalizations, and deaths in the 

14 United States in 2014. 

15 (2) Effects of traumatic brain injury (TBI) can 

16 be short-term or long-term, and include impaired 

17 thinking or memory, movement, vision or hearing, or 

18 emotional functioning, such as personality changes 

19 or depression. 

20 (3) Currently, between 3.2 million and 5.3 mil21 lion persons are living with a TBI-related disability 

22 in the United States. 

23 (4) About 7 or 8 percent of Americans will ex24 perience post-traumatic stress disorder (PTSD) at 
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1 some point in their lives, and about 8 million adults 

2 have PTSD during the course of a given year. 

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

4 signature injuries of the Wars in Iraq and Afghani5 stan. 

6 (6) According to the Department of Defense, 

7 383,000 men and women deployed to Iraq and Af8 ghanistan sustained a brain injury while in the line 

9 of duty between 2000 and 2018. 

10 (7) Approximately 13.5 percent of Operations 

11 Iraqi Freedom and Enduring Freedom veterans 

12 screen positive for PTSD, according to the Depart13 ment of Veteran Affairs. 

14 (8) About 12 percent of Gulf War Veterans 

15 have PTSD in a given year while about 30 percent 

16 of Vietnam Veterans have had PTSD in their life17 time. 

18 (9) Physical signs of TBI can include motor im19 pairment, dizziness or poor balance, slurred speech, 

20 impaired depth perception, or impaired verbal mem21 ory, while physical signs of PTSD can include agita22 tion, irritability, hostility, hypervigilance, self-de23 structive behavior, fear, severe anxiety, or mistrust. 

24 (10) Physical signs of TBI and PTSD often 

25 overlap with physical signs of alcohol or drug im-
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1 pairment, which complicate a first responder’s abil2 ity to quickly and effectively identify an individual’s 

3 condition. 

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

5 FIRST RESPONDERS. 

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

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

8 amended— 

9 (1) in section 2991— 

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

11 before the period at the end the following: ‘‘, in12 cluding the training developed under section 

13 2993’’; and 

14 (B) in subsection (o), by amending para15 graph (1) to read as follows: 

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

17 appropriated to the Department of Justice to carry 

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

19 2023 through 2027.’’; and 

20 (2) by inserting after section 2992 the following 

21 new section: 

22 ‘‘SEC. 2993. CREATION OF A TBI AND PTSD TRAINING FOR 

23 FIRST RESPONDERS. 

24 ‘‘(a) IN GENERAL.—Not later than one year after the 

25 date of the enactment of this section, the Attorney Gen-
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1 eral, acting through the Director of the Bureau of Justice 

2 Assistance, in consultation with the Director of the Cen3 ters for Disease Control and Prevention and the Assistant 

4 Secretary for Mental Health and Substance Use, shall so5 licit best practices regarding techniques to interact with 

6 persons who have a traumatic brain injury, an acquired 

7 brain injury, or post-traumatic stress disorder from first 

8 responder, brain injury, veteran, and mental health orga9 nizations, health care and mental health providers, hos10 pital emergency departments, and other relevant stake11 holders, and shall develop crisis intervention training tools 

12 for use by first responders (as such term is defined in sec13 tion 3025) that provide— 

14 ‘‘(1) information on the conditions and symp15 toms of a traumatic brain injury, an acquired brain 

16 injury, and post-traumatic stress disorder; 

17 ‘‘(2) techniques to interact with persons who 

18 have a traumatic brain injury, an acquired brain in19 jury, or post-traumatic stress disorder; and 

20 ‘‘(3) information on how to recognize persons 

21 who have a traumatic brain injury, an acquired 

22 brain injury, or post-traumatic stress disorder. 

23 ‘‘(b) USE OF TRAINING TOOLS AT LAW ENFORCE24 MENT MENTAL HEALTH LEARNING SITES.—The Attor25 ney General shall ensure that not less than one Law En-
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1 forcement Mental Health Learning Site designated by the 

2 Director of the Bureau of Justice Assistance uses the 

3 training tools developed under subsection (a). 

4 ‘‘(c) POLICE MENTAL HEALTH COLLABORATION

5 TOOLKIT.—The Attorney General shall make the training 

6 tools developed under subsection (a) available as part of 

7 the Police-Mental Health Collaboration Toolkit provided 

8 by the Bureau of Justice Assistance.’’. 

9 SEC. 4. STUDY ON FIRST RESPONDERS WITH TBI. 

10 Not later than 24 months after the date of the enact11 ment of this Act, the Secretary of Health and Human 

12 Services, acting through the Director of the Centers for 

13 Disease Control and Prevention and the Director of the 

14 National Institutes of Health and in consultation with the 

15 Secretary of Defense and the Secretary of Veterans Af16 fairs, shall conduct a study and submit to the Committee 

17 on Energy and Commerce of the House of Representatives 

18 and the Committee on Health, Education, Labor and Pen19 sions of the Senate a report on the prevalence and inci20 dence of concussion among first responders (as such term 

21 is defined in section 3025 of the Omnibus Crime Control 

22 and Safe Street Act of 1968 (34 U.S.C. 10705)). The re23 port shall include data on the incidence of concussion 

24 among first responders and recommendations for re-
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1 sources for first responders who have experienced trau2 matic brain injury. 

Passed the House of Representatives May 18, 2022. 

Attest: 

Clerk. 
117TH CONGRESS 

2D SESSION H. R. 2992 

AN ACT 

To direct the Attorney General to develop crisis 

disorder, and for other purposes. acquired brain injury, or post-traumatic stress have a traumatic brain injury, another form of sponders related to interacting with persons who intervention training tools for use by first re-