delay, by a physician attesting that such a
delay is in the individual’s best interests
with a copy of the treatment plan and any
modifications to the plan being presented
to the individual or the individual’s legal
representative);
‘‘(iv) ensure that each individual’s
treatment plan is regularly updated (based
on consultation with the individual and the
person responsible for the injured individ-
ual) with data and information about
treatments and services provided, as well
as specific measures of the individual’s
current performance or activity relative to
goals previously established;
‘‘(v) assist the individual in obtaining
services necessary to allow the individual to
remain in the community;
‘‘(vi) coordinate home care services
with other services;
‘‘(vii) ensure appropriate, accessible,
and cost-effective services;
‘‘(viii) assist the individual with prob-
lems related to the provision of home care
services;
‘‘(ix) ensure the quality of home care
services;
‘‘(x) assess the individual’s need for
and level of home care services at appro-
priate intervals during the course of the in-
dividual’s treatment under the program;
and
‘‘(xi) explore efforts to include serv-
ices coordination provisions under the
State’s medicaid program under section
1931 of the Social Security Act.
‘‘(3) STATE ADVISORY BOARD.—
‘‘(A) IN GENERAL.—To be eligible to re-
ceive a grant under subsection (a), a State shall
establish an advisory board within the appro-
priate health department of the State or within
another department as designated by the chief
executive officer of the State.
‘‘(B) FUNCTIONS.—An advisory board es-
tablished under subparagraph (A) shall be cog-
nizant of findings and concerns of Federal,
State and local agencies, citizens groups, and
private industry (such as insurance, health care,
automobile, and other industry entities). Such
advisory boards shall encourage citizen partici-
pation through the establishment of public
hearings and other types of community out-
reach programs.
‘‘(C) COMPOSITION.—An advisory board
established under subparagraph (A) shall be
composed of—
‘‘(i) representatives of—
‘‘(I) 
the 
corresponding 
State
agencies involved;
‘‘(II) public and nonprofit private
health related organizations;
‘‘(III) other disability advisory or
planning groups within the State;
‘‘(IV) members of an organiza-
tion or foundation representing trau-
matic brain injury survivors in that
State; and
‘‘(V) injury control programs at
the State or local level if such pro-
grams exist; and
‘‘(ii) a substantial number of individ-
uals who are survivors of traumatic brain
injury, or the family members of such indi-
viduals.
‘‘(d) REPORT.—Not later than 2 years after the date
of enactment of this part, the Secretary shall prepare and
submit to the appropriate committees of Congress a report
concerning the findings and results of the programs estab-
lished under this section, including measures of outcomes
and consumer and surrogate satisfaction.
‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—There
are authorized to be appropriated to carry out this section,
$27,000,000 for fiscal year 1994, and such sums as may
be necessary for each of the fiscal years 1995 and 1996.’’.
SEC. 4. NATIONAL HEAD INJURY AWARENESS MONTH.
The month of October, 1993, is hereby designated as
‘‘National Head Injury Month’’ and the President is re-
quested to issue a proclamation calling on the people of
the United States to observe such month with appropriate
ceremonies and activities.
SEC. 5. EFFECTIVE DATE.
This Act shall become effective on October 1, 1993.
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HR 2606 IH——2