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. RUTHER-
FORD) introduced the following bill; which was referred to the Committee 
on the Judiciary, and in addition to the Committee on Energy and Com-
merce, for a period to be subsequently determined by the Speaker, in 
each case for consideration of such provisions as fall within the jurisdic-
tion 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 inter-
acting 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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02:11 May 19, 2022
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Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Traumatic Brain Injury 
and Post-Traumatic Stress Disorder Law Enforcement 
Training Act’’ or the ‘‘TBI and PTSD Law Enforcement 
Training Act’’. 
SEC. 2. FINDINGS. 
Congress finds the following: 
(1) According to the Centers for Disease Control 
and Prevention, there were approximately 2.9 million 
traumatic brain injury-related emergency department 
visits, hospitalizations, and deaths in the United 
States in 2014. 
(2) Effects of traumatic brain injury (TBI) can 
be short-term or long-term, and include impaired 
thinking or memory, movement, vision or hearing, or 
emotional functioning, such as personality changes or 
depression. 
(3) Currently, between 3.2 million and 5.3 mil-
lion persons are living with a TBI-related disability 
in the United States. 
(4) About 7 or 8 percent of Americans will expe-
rience post-traumatic stress disorder (PTSD) at some 
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point in their lives, and about 8 million adults have 
PTSD during the course of a given year. 
(5) TBI and PTSD have been recognized as the 
signature injuries of the Wars in Iraq and Afghani-
stan. 
(6) According to the Department of Defense, 
383,000 men and women deployed to Iraq and Af-
ghanistan sustained a brain injury while in the line 
of duty between 2000 and 2018. 
(7) Approximately 13.5 percent of Operations 
Iraqi Freedom and Enduring Freedom veterans 
screen positive for PTSD, according to the Depart-
ment of Veteran Affairs. 
(8) About 12 percent of Gulf War Veterans have 
PTSD in a given year while about 30 percent of Viet-
nam Veterans have had PTSD in their lifetime. 
(9) Physical signs of TBI can include motor im-
pairment, dizziness or poor balance, slurred speech, 
impaired depth perception, or impaired verbal mem-
ory, while physical signs of PTSD can include agita-
tion, irritability, hostility, hypervigilance, self-de-
structive behavior, fear, severe anxiety, or mistrust. 
(10) Physical signs of TBI and PTSD often 
overlap with physical signs of alcohol or drug impair-
ment, which complicate a first responder’s ability to 
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quickly and effectively identify an individual’s condi-
tion. 
SEC. 3. CREATION OF A TBI AND PTSD TRAINING FOR FIRST 
RESPONDERS. 
Part HH of title I of the Omnibus Crime Control and 
Safe Streets Act of 1968 (34 U.S.C. 10651 et seq.) is amend-
ed— 
(1) in section 2991— 
(A) in subsection (h)(1)(A), by inserting be-
fore the period at the end the following: ‘‘, in-
cluding the training developed under section 
2993’’; and 
(B) in subsection (o), by amending para-
graph (1) to read as follows: 
‘‘(1) IN GENERAL.—There is authorized to be ap-
propriated to the Department of Justice to carry out 
this section $54,000,000 for each of fiscal years 2023 
through 2027.’’; and 
(2) by inserting after section 2992 the following 
new section: 
‘‘SEC. 2993. CREATION OF A TBI AND PTSD TRAINING FOR 
FIRST RESPONDERS. 
‘‘(a) IN GENERAL.—Not later than one year after the 
date of the enactment of this section, the Attorney General, 
acting through the Director of the Bureau of Justice Assist-
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the Bureau of Justice Assistance uses the training tools de-
veloped under subsection (a). 
‘‘(c) POLICE MENTAL HEALTH COLLABORATION TOOL-
KIT.—The Attorney General shall make the training tools 
developed under subsection (a) available as part of the Po-
lice-Mental Health Collaboration Toolkit provided by the 
Bureau of Justice Assistance.’’. 
SEC. 4. SURVEILLANCE AND REPORTING FOR FIRST RE-
SPONDERS WITH TBI. 
Section 393C of the Public Health Service Act (42 
U.S.C. 280b–1d) is amended by adding at the end the fol-
lowing: 
‘‘(d) LAW ENFORCEMENT
AND FIRST RESPONDER 
SURVEILLANCE.— 
‘‘(1) 
IN
GENERAL.—The 
Secretary, 
acting 
through the Director of the Centers for Disease Con-
trol and Prevention, shall implement concussion data 
collection and analysis to determine the prevalence 
and incidence of concussion among first responders 
(as such term is defined in section 3025 of the Omni-
bus Crime Control and Safe Street Act of 1968 (34 
U.S.C. 10705)). 
‘‘(2) REPORT.—Not later than 18 months after 
the date of the enactment of this subsection, the Sec-
retary, acting through the Director of the Centers for 
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Disease Control and Prevention and the Director of 
the National Institutes of Health and in consultation 
with the Secretary of Defense and the Secretary of 
Veterans Affairs, shall submit to the relevant commit-
tees of Congress a report that contains the findings of 
the surveillance conducted under paragraph (1). The 
report shall include surveillance data and rec-
ommendations for resources for first responders who 
have experienced traumatic brain injury.’’. 
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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 
intervention training tools for use by first re-
sponders 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. 
MAY 18, 2022 
Reported from the Committee on the Judiciary with an 
amendment 
MAY 18, 2022 
Committee on Energy and Commerce discharged; com-
mitted to the Committee of the Whole House on the 
State of the Union and ordered to be printed 
VerDate Sep 11 2014 
02:11 May 19, 2022
Jkt 029200
PO 00000
Frm 00010
Fmt 6651
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E:\BILLS\H2992.RH
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