IV 
111TH CONGRESS 
1ST SESSION 
H. CON. RES. 198 
Recognizing Pediatric Acquired Brain Injury as the leading cause of death 
and disability in the United States for children and young adults from 
birth until 25 years of age and endorsing the National Pediatric Acquired 
Brain Injury Plan to develop a seamless, standardized, evidence-based 
system of care universally accessible for all of these children, young 
adults, and their families, regardless of where they live in the country. 
IN THE HOUSE OF REPRESENTATIVES 
OCTOBER 13, 2009 
Mr. BUTTERFIELD (for himself, Mr. KENNEDY, Mr. MASSA, Mr. MORAN of 
Virginia, Mr. LEWIS of Georgia, Mr. GRIJALVA, Mr. PAYNE, Ms. BALD-
WIN, Mr. LANCE, Mr. COHEN, Mr. LOEBSACK, Mr. CARNAHAN, Mr. 
MICHAUD, Mr. MEEK of Florida, Ms. CORRINE BROWN of Florida, Mr. 
HASTINGS of Florida, Ms. ROYBAL-ALLARD, Mr. MOORE of Kansas, Mr. 
ROTHMAN of New Jersey, Mr. PASCRELL, Ms. HERSETH SANDLIN, Mr. 
HOLT, Ms. HIRONO, Mr. LINCOLN DIAZ-BALART of Florida, Mrs. 
MALONEY, Mr. WALZ, Mr. LOBIONDO, Mr. BROWN of South Carolina, 
Mr. RYAN of Ohio, Mr. ISRAEL, Mr. MCGOVERN, Mr. MURTHA, Mr. TIM 
MURPHY of Pennsylvania, Mr. SALAZAR, Mr. SCHRADER, Mr. COURTNEY, 
Mr. LYNCH, Mrs. CHRISTENSEN, Mr. MEEKS of New York, Mr. SMITH 
of New Jersey, Mr. ABERCROMBIE, Mrs. BLACKBURN, Ms. FUDGE, Mr. 
SNYDER, Mr. BISHOP of Georgia, Mr. WATT, Mr. AL GREEN of Texas, 
and Mr. CLEAVER) submitted the following concurrent resolution; which 
was referred to the Committee on Energy and Commerce 
CONCURRENT RESOLUTION 
Recognizing Pediatric Acquired Brain Injury as the leading 
cause of death and disability in the United States for 
children and young adults from birth until 25 years 
of age and endorsing the National Pediatric Acquired 
Brain Injury Plan to develop a seamless, standardized, 
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•HCON 198 IH 
evidence-based system of care universally accessible for 
all of these children, young adults, and their families, 
regardless of where they live in the country. 
Whereas Pediatric Acquired Brain Injury (PABI) consists of 
traumatic causes (PTBI) such as falls, motor and non- 
motor vehicle incidents, child abuse, sports concussion, 
blast injury from war, gunshot wounds, and being struck 
by an object and non-traumatic causes such as brain tu-
mors, strokes, epilepsy, substance abuse, infection, poi-
soning, hypoxia, ischemia, pediatric AIDS, and menin-
gitis; 
Whereas The Centers for Disease Control and Prevention 
(CDC) reports that an annual average of 12,535 deaths, 
80,000 hospitalizations, and 643,000 emergency room 
visits are attributable to PTBI for children and young 
adults from birth through age 25 and the Center for In-
jury Research and Policy (CIRP) estimated more than 
$1,000,000,000 in total hospital charges annually are at-
tributable to PTBI up to age 17; 
Whereas the World Health Organization (WHO) reports chil-
dren are 20 times more likely to die from PTBI than 
from asthma, 38 times more likely to die than from cystic 
fibrosis, and there were twice as many children who suf-
fered a PTBI than those who received stitches in 2008; 
Whereas The Sarah Jane Brain Foundation is one of the 
leading organizations in the country dealing with PABI 
and is named after four-year-old Sarah Jane Donohue 
who was shaken by her baby nurse when she was only 
five days old, breaking four ribs, both collarbones, and 
causing a severe brain injury; 
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•HCON 198 IH 
Whereas The National Advisory Board of The Sarah Jane 
Brain Foundation, comprised of the leading experts in 
the country dealing with PABIs, developed the first-ever 
PABI Plan to create a seamless, standardized, evidence- 
based system of care, universally accessible for all PABI 
children, young adults, and their families regardless of 
where they live in the Nation; 
Whereas the PABI Plan called for the identification of one 
State Lead Center of Excellence for each of the 50 States 
in addition to the District of Columbia and Puerto Rico 
to implement the PABI Plan in their respective State 
and/or territory and The Sarah Jane Brain Foundation 
has selected these leading institutions and organizations; 
Whereas the PABI Plan organizes the country into seven re-
gions with seven or eight States and/or territories in each 
region, including the Northeast, Mid-Atlantic, Southeast, 
Mid-central, South-central, Rocky Mountain, and the Pa-
cific; and 
Whereas the PABI Plan identifies seven Categories of Care 
for specialization within the PABI continuum of care 
which include prevention, acute care, reintegration, adult 
transition, mild Traumatic Brain Injury (TBI), rural and 
tele-health, and the Virtual Sarah Jane Brain Family 
Center: Now, therefore, be it 
Resolved by the House of Representatives (the Senate 
concurring), That Congress— 
(1) recognizes that Pediatric Acquired Brain 
Injury (PABI) is the leading cause of death and dis-
ability in the United States for children and young 
adults from birth up to 25 years of age; 
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•HCON 198 IH 
(2) endorses the National Pediatric Acquired 
Brain Injury Plan as the method to prevent future 
PABIs and treat all children and young adults suf-
fering from a PABI while supporting their families; 
and 
(3) encourages all Federal, State, and local gov-
ernments to implement the PABI Plan. 
Æ 
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