IB 

Union Calendar No. 253 

117TH CONGRESS 

2D SESSION H. R. 2992 

[Report No. 117–336, Part I] 

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 HOUSE OF REPRESENTATIVES 

MAY 4, 2021 

Mr. PASCRELL (for himself, Mr. BACON, Mrs. DEMINGS, and Mr. RUTHERFORD) introduced the following bill; which was referred to the Committee 

on the Judiciary, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in 

each case for consideration of such provisions as fall within the jurisdiction of the committee concerned 

MAY 18, 2022 

Additional sponsors: Ms. NORTON, Ms. BASS, Ms. LOFGREN, Mr. VAN DREW, 

Ms. JACKSON LEE, Mr. CICILLINE, Mr. O’HALLERAN, Mr. PAPPAS, Mr. 

SUOZZI, and Mr. GOTTHEIMER

MAY 18, 2022 

Reported from the Committee on the Judiciary with an amendment 

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


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MAY 18, 2022 

Committee on Energy and Commerce discharged; committed to the Committee 

of the Whole House on the State of the Union and ordered to be printed 

[For text of introduced bill, see copy of bill as introduced on May 4, 2021] 

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. 


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•HR 2992 RH

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 Injury 

5 and Post-Traumatic Stress Disorder Law Enforcement 

6 Training Act’’ or the ‘‘TBI and PTSD Law Enforcement 

7 Training Act’’. 

8 SEC. 2. FINDINGS. 

9 Congress finds the following: 

10 (1) According to the Centers for Disease Control 

11 and Prevention, there were approximately 2.9 million 

12 traumatic brain injury-related emergency department 

13 visits, hospitalizations, and deaths in the United 

14 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 or 

19 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 expe24 rience post-traumatic stress disorder (PTSD) at some 


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1 point in their lives, and about 8 million adults have 

2 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 have 

15 PTSD in a given year while about 30 percent of Viet16 nam Veterans have had PTSD in their lifetime. 

17 (9) Physical signs of TBI can include motor im18 pairment, dizziness or poor balance, slurred speech, 

19 impaired depth perception, or impaired verbal mem20 ory, while physical signs of PTSD can include agita21 tion, irritability, hostility, hypervigilance, self-de22 structive behavior, fear, severe anxiety, or mistrust. 

23 (10) Physical signs of TBI and PTSD often 

24 overlap with physical signs of alcohol or drug impair25 ment, which complicate a first responder’s ability to 


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1 quickly and effectively identify an individual’s condi2 tion. 

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

4 RESPONDERS. 

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

6 Safe Streets Act of 1968 (34 U.S.C. 10651 et seq.) is amend7 ed— 

8 (1) in section 2991— 

9 (A) in subsection (h)(1)(A), by inserting be10 fore the period at the end the following: ‘‘, in11 cluding the training developed under section 

12 2993’’; and 

13 (B) in subsection (o), by amending para14 graph (1) to read as follows: 

15 ‘‘(1) IN GENERAL.—There is authorized to be ap16 propriated to the Department of Justice to carry out 

17 this section $54,000,000 for each of fiscal years 2023 

18 through 2027.’’; and 

19 (2) by inserting after section 2992 the following 

20 new section: 

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

22 FIRST RESPONDERS. 

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

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

25 acting through the Director of the Bureau of Justice AssistVerDate Sep 11 2014 02:11 May 19, 2022 Jkt 029200 PO 00000 Frm 00005 Fmt 6652 Sfmt 6203 E:\BILLS\H2992.RH H2992

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1 ance, in consultation with the Director of the Centers for 

2 Disease Control and Prevention and the Assistant Secretary 

3 for Mental Health and Substance Use, shall solicit best 

4 practices regarding techniques to interact with persons who 

5 have a traumatic brain injury, an acquired brain injury, 

6 or post-traumatic stress disorder from first responder, brain 

7 injury, veteran, and mental health organizations, health 

8 care and mental health providers, hospital emergency de9 partments, and other relevant stakeholders, and shall de10 velop crisis intervention training tools for use by first re11 sponders (as such term is defined in section 3025) that pro12 vide— 

13 ‘‘(1) information on the conditions and symp14 toms of a traumatic brain injury, an acquired brain 

15 injury, and post-traumatic stress disorder; 

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

17 have a traumatic brain injury, an acquired brain in18 jury, or post-traumatic stress disorder; and 

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

20 who have a traumatic brain injury, an acquired 

21 brain injury, or post-traumatic stress disorder. 

22 ‘‘(b) USE OF TRAINING TOOLS AT LAW ENFORCEMENT

23 MENTAL HEALTH LEARNING SITES.—The Attorney Gen24 eral shall ensure that not less than one Law Enforcement 

25 Mental Health Learning Site designated by the Director of 


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1 the Bureau of Justice Assistance uses the training tools de2 veloped under subsection (a). 

3 ‘‘(c) POLICE MENTAL HEALTH COLLABORATION TOOL4 KIT.—The Attorney General shall make the training tools 

5 developed under subsection (a) available as part of the Po6 lice-Mental Health Collaboration Toolkit provided by the 

7 Bureau of Justice Assistance.’’. 

8 SEC. 4. SURVEILLANCE AND REPORTING FOR FIRST RE9 SPONDERS WITH TBI. 

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

11 U.S.C. 280b–1d) is amended by adding at the end the fol12 lowing: 

13 ‘‘(d) LAW ENFORCEMENT AND FIRST RESPONDER

14 SURVEILLANCE.— 

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

16 through the Director of the Centers for Disease Con17 trol and Prevention, shall implement concussion data 

18 collection and analysis to determine the prevalence 

19 and incidence of concussion among first responders 

20 (as such term is defined in section 3025 of the Omni21 bus Crime Control and Safe Street Act of 1968 (34 

22 U.S.C. 10705)). 

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

24 the date of the enactment of this subsection, the Sec25 retary, acting through the Director of the Centers for 


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1 Disease Control and Prevention and the Director of 

2 the National Institutes of Health and in consultation 

3 with the Secretary of Defense and the Secretary of 

4 Veterans Affairs, shall submit to the relevant commit5 tees of Congress a report that contains the findings of 

6 the surveillance conducted under paragraph (1). The 

7 report shall include surveillance data and rec8 ommendations for resources for first responders who 

9 have experienced traumatic brain injury.’’. 


kjohnson on DSK79L0C42PROD with BILLS

kjohnson on DSK79L0C42PROD with BILLS
Union Calendar No. 253 

117TH CONGRESS 

2D SESSION H. R. 2992 

[Report No. 117–336, Part I] 

A BILL 

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 reMAY 18, 2022 

Reported from the Committee on the Judiciary with an 

amendment 

MAY 18, 2022 

Committee on Energy and Commerce discharged; comState of the Union and ordered to be printed mitted to the Committee of the Whole House on the 


kjohnson on DSK79L0C42PROD with BILLS