Traumatic Brain Injury Act of 2008, submit to Congress 
a report describing findings made as a result of carrying 
out such subsection (a). 
‘‘(c) DEFINITION.—For purposes of this section, the 
term ‘traumatic brain injury’ means an acquired injury 
to the brain. Such term does not include brain dysfunction 
caused by congenital or degenerative disorders, nor birth 
trauma, but may include brain injuries caused by anoxia 
due to trauma including near drowning. The Secretary 
may revise the definition of such term as the Secretary de-
termines necessary.’’. 
SEC. 5. TRAUMATIC BRAIN INJURY PROGRAMS OF THE NA-
TIONAL INSTITUTES OF HEALTH. 
Section 1261 of the Public Health Service Act (42 
U.S.C. 300d–61) is amended— 
(1) in subsection (b)(2), by striking ‘‘Labor and 
Human Resources’’ and inserting ‘‘Health, Edu-
cation, Labor, and Pensions’’; 
(2) in subparagraph (D) of subsection (d)(4), by 
striking ‘‘head brain injury’’ and inserting ‘‘brain in-
jury’’; and 
(3) in subsection (i), by inserting ‘‘, and such 
sums as may be necessary for each of the fiscal years 
2009 through 2012’’ before the period at the end. 
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SEC. 6. TRAUMATIC BRAIN INJURY PROGRAMS OF THE 
HEALTH RESOURCES AND SERVICES ADMIN-
ISTRATION. 
(a) STATE GRANTS FOR DEMONSTRATION PROJECTS 
REGARDING TRAUMATIC BRAIN INJURY.—Section 1252 of 
the Public Health Service Act (42 U.S.C. 300d–52) is 
amended— 
(1) in subsection (a)— 
(A) by striking ‘‘may make grants to 
States’’ and inserting ‘‘may make grants to 
States and American Indian consortia’’; and 
(B) by striking ‘‘health and other services’’ 
and inserting ‘‘rehabilitation and other services’’; 
(2) in subsection (b)— 
(A) 
in 
paragraphs 
(1), 
(3)(A)(i), 
(3)(A)(iii), and (3)(A)(iv), by striking the term 
‘‘State’’ each place such term appears and in-
serting the term ‘‘State or American Indian con-
sortium’’; and 
(B) in paragraph (2), by striking ‘‘rec-
ommendations to the State’’ and inserting ‘‘rec-
ommendations to the State or American Indian 
consortium’’; 
(3) in subsection (c)(1), by striking the term 
‘‘State’’ each place such term appears and inserting 
‘‘State or American Indian consortium’’; 
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(4) in subsection (e), by striking ‘‘A State that 
received’’ and all that follows through the period and 
inserting ‘‘A State or American Indian consortium 
that received a grant under this section prior to the 
date of the enactment of the Traumatic Brain Injury 
Act of 2008 may complete the activities funded by the 
grant.’’; 
(5) in subsection (f)— 
(A) in the subsection heading, by inserting 
‘‘AND
AMERICAN
INDIAN
CONSORTIUM’’ after 
‘‘STATE’’; 
(B) in paragraph (1) in the matter pre-
ceding subparagraph (A), paragraph (1)(E), 
paragraph (2)(A), paragraph (2)(B), paragraph 
(3) in the matter preceding subparagraph (A), 
paragraph (3)(E), and paragraph (3)(F), by 
striking the term ‘‘State’’ each place such term 
appears and inserting ‘‘State or American In-
dian consortium’’; and 
(C) in clause (ii) of paragraph (1)(A), by 
striking ‘‘children and other individuals’’ and 
inserting ‘‘children, youth, and adults’’; 
(6) in subsection (h)— 
(A) by striking ‘‘Not later than 2 years 
after the date of the enactment of this section, the 
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Secretary’’ and inserting ‘‘Not less than bienni-
ally, the Secretary’’; 
(B) by striking ‘‘Commerce of the House of 
Representatives, and to the Committee on Labor 
and Human Resources’’ and inserting ‘‘Energy 
and Commerce of the House of Representatives, 
and to the Committee on Health, Education, 
Labor, and Pensions’’; and 
(C) by inserting ‘‘and section 1253’’ after 
‘‘programs established under this section,’’; 
(7) by amending subsection (i) to read as fol-
lows: 
‘‘(i) DEFINITIONS.—For purposes of this section: 
‘‘(1) The terms ‘American Indian consortium’ 
and ‘State’ have the meanings given to those terms in 
section 1253. 
‘‘(2) The term ‘traumatic brain injury’ means 
an acquired injury to the brain. Such term does not 
include brain dysfunction caused by congenital or de-
generative disorders, nor birth trauma, but may in-
clude brain injuries caused by anoxia due to trauma. 
The Secretary may revise the definition of such term 
as the Secretary determines necessary, after consulta-
tion with States and other appropriate public or non-
profit private entities.’’; and 
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(8) in subsection (j), by inserting ‘‘, and such 
sums as may be necessary for each of the fiscal years 
2009 through 2012’’ before the period. 
(b) STATE GRANTS FOR PROTECTION AND ADVOCACY 
SERVICES.—Section 1253 of the Public Health Service Act 
(42 U.S.C. 300d–53) is amended— 
(1) in subsections (d) and (e), by striking the 
term ‘‘subsection (i)’’ each place such term appears 
and inserting ‘‘subsection (l)’’; 
(2) in subsection (g), by inserting ‘‘each fiscal 
year not later than October 1,’’ before ‘‘the Adminis-
trator shall pay’’; 
(3) by redesignating subsections (i) and (j) as 
subsections (l) and (m), respectively; 
(4) by inserting after subsection (h) the fol-
lowing: 
‘‘(i) DATA COLLECTION.—The Administrator of the 
Health Resources and Services Administration and the 
Commissioner of the Administration on Developmental Dis-
abilities shall enter into an agreement to coordinate the col-
lection of data by the Administrator and the Commissioner 
regarding protection and advocacy services. 
‘‘(j) TRAINING AND TECHNICAL ASSISTANCE.— 
‘‘(1) GRANTS.—For any fiscal year for which the 
amount appropriated to carry out this section is 
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$6,000,000 or greater, the Administrator shall use 2 
percent of such amount to make a grant to an eligible 
national association for providing for training and 
technical assistance to protection and advocacy sys-
tems. 
‘‘(2) DEFINITION.—In this subsection, the term 
‘eligible national association’ means a national asso-
ciation with demonstrated experience in providing 
training and technical assistance to protection and 
advocacy systems. 
‘‘(k) SYSTEM
AUTHORITY.—In providing services 
under this section, a protection and advocacy system shall 
have the same authorities, including access to records, as 
such system would have for purposes of providing services 
under subtitle C of the Developmental Disabilities Assist-
ance and Bill of Rights Act of 2000.’’; and 
(5) in subsection (l) (as redesignated by this sub-
section) by striking ‘‘2002 through 2005’’ and insert-
ing ‘‘2009 through 2012’’. 
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Union Calendar No. 349 
110TH CONGRESS 
2D SESSION 
H. R. 1418 
[Report No. 110–567] 
A BILL 
To provide for the expansion and improvement of 
traumatic brain injury programs. 
APRIL 8, 2008 
Reported with an amendment, committed to the Com-
mittee of the Whole House on the State of the Union, 
and ordered to be printed 
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