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include brain injuries caused by anoxia due to near
drowning. The Secretary may revise the definition of
such term as the Secretary determines necessary.’’.
SEC. 3. PROGRAMS OF HEALTH RESOURCES AND SERVICES
ADMINISTRATION.
Part E of title XII of the Public Health Service Act
(42 U.S.C. 300d–51 et seq.) is amended by adding at the
end the following section:
‘‘SEC. 
1252. 
STATE 
GRANTS 
FOR 
DEMONSTRATION
PROJECTS REGARDING TRAUMATIC BRAIN
INJURY.
‘‘(a) IN GENERAL.—The Secretary, acting through
the Administrator of the Health Resources and Services
Administration, may make grants to States for the pur-
pose of carrying out demonstration projects to improve ac-
cess to health and other services regarding traumatic
brain injury.
‘‘(b) STATE ADVISORY BOARD.—
‘‘(1) IN GENERAL.—The Secretary may make a
grant under subsection (a) only if the State involved
agrees to establish an advisory board within the ap-
propriate health department of the State or within
another department as designated by the chief exec-
utive officer of the State.
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‘‘(2) FUNCTIONS.—An advisory board estab-
lished under paragraph (1) shall advise and make
recommendations to the State on ways to improve
services coordination regarding traumatic brain in-
jury. Such advisory boards shall encourage citizen
participation through the establishment of public
hearings and other types of community outreach
programs.
‘‘(3) COMPOSITION.—An advisory board estab-
lished under paragraph (1) shall be composed of—
‘‘(A) representatives of—
‘‘(i) the corresponding State agencies
involved;
‘‘(ii) public and nonprofit private
health related organizations;
‘‘(iii) other disability advisory or plan-
ning groups within the State;
‘‘(iv) members of an organization or
foundation representing traumatic brain
injury survivors in that State; and
‘‘(v) injury control programs at the
State or local level if such programs exist;
and
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‘‘(B) a substantial number of individuals
who are survivors of traumatic brain injury, or
the family members of such individuals.
‘‘(c) MATCHING FUNDS.—
‘‘(1) IN GENERAL.—With respect to the costs to
be incurred by a State in carrying out the purpose
described in subsection (a), the Secretary may make
a grant under such subsection only if the State
agrees to make available, in cash, non-Federal con-
tributions toward such costs in an amount that is
not less than $1 for each $2 of Federal funds pro-
vided under the grant.
‘‘(2) DETERMINATION
OF
AMOUNT
CONTRIB-
UTED.—In determining the amount of non-Federal
contributions in cash that a State has provided pur-
suant to paragraph (1), the Secretary may not in-
clude any amounts provided to the State by the Fed-
eral Government.
‘‘(d) APPLICATION FOR GRANT.—The Secretary may
make a grant under subsection (a) only if an application
for the grant is submitted to the Secretary and the appli-
cation is in such form, is made in such manner, and con-
tains such agreements, assurances, and information as the
Secretary determines to be necessary to carry out this
section.
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‘‘(e) COORDINATION OF ACTIVITIES.—The Secretary
shall ensure that activities under this section are coordi-
nated as appropriate with other agencies of the Public
Health Service that carry out activities regarding trau-
matic brain injury.
‘‘(f) REPORT.—Not later than 2 years after the date
of the enactment of this section, the Secretary shall sub-
mit to the Committee on Energy and Commerce of the
House of Representatives, and to the Committee on Labor
and Human Resources of the Senate, a report describing
the findings and results of the programs established under
this section, including measures of outcomes and
consumer and surrogate satisfaction.
‘‘(g) 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 near drowning. The Secretary may revise the defi-
nition of such term as the Secretary determines necessary.
‘‘(h) AUTHORIZATION OF APPROPRIATIONS.—There
are authorized to be appropriated to carry out this section
such sums as may be necessary for each of the fiscal years
1995 through 1997.’’.
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SEC. 4. STUDY; CONSENSUS CONFERENCE.
(a) STUDY.—
(1) IN GENERAL.—The Secretary of Health and
Human Services (in this section referred to as the
‘‘Secretary’’), acting through the appropriate agen-
cies of the Public Health Service, shall conduct a
study for the purpose of carrying out the following
with respect to traumatic brain injury:
(1) In collaboration with appropriate State and
local health-related agencies—
(A) determine the incidence and prevalence
of traumatic brain injury; and
(B) develop a uniform reporting system
under which States report incidents of trau-
matic brain injury, if the Secretary determines
that such a system is appropriate.
(2) Identify common therapeutic interventions
which are used for the rehabilitation of individuals
with such injuries, and shall, subject to the availabil-
ity of information, include an analysis of—
(A) the effectiveness of each such interven-
tion in improving the functioning of individuals
with brain injuries;
(B) the comparative effectiveness of inter-
ventions employed in the course of rehabilita-
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tion of individuals with brain injuries to achieve
the same or similar clinical outcome; and
(C) the adequacy of existing measures of
outcomes and knowledge of factors influencing
differential outcomes.
(3) Develop practice guidelines for the rehabili-
tation of traumatic brain injury at such time as ap-
propriate scientific research becomes available.
(2) DATES CERTAIN FOR REPORTS.—
(A) Not later than 18 months after the
date of the enactment of this Act, the Secretary
shall submit to the Committee on Energy and
Commerce of the House of Representatives, and
to the Committee on Labor and Human Re-
sources of the Senate, a report describing the
findings made as a result of carrying out para-
graph (1)(A).
(B) Not later than 3 years after the date
of the enactment of this Act, the Secretary shall
submit to the Committees specified in subpara-
graph (A) a report describing the findings made
as a result of carrying out subparagraphs (B)
and (C) of paragraph (1).
(b) CONSENSUS CONFERENCE.—The Secretary, act-
ing through the Director of the National Center for Medi-
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cal Rehabilitation Research within the National Institute
for Child Health and Human Development, shall conduct
a national consensus conference on managing traumatic
brain injury and related rehabilitation concerns.
(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 near drowning. The Secretary may revise the defi-
nition of such term as the Secretary determines necessary.
(d) AUTHORIZATION
OF APPROPRIATIONS.—There
are authorized to be appropriated to carry out this section
such sums as may be necessary for each of the fiscal years
1995 through 1997.
Æ