I 
119TH CONGRESS 
1ST SESSION H. R. 1493 
To reauthorize and make improvements to Federal programs relating to 
the prevention, detection, and treatment of traumatic brain injuries, 
and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
FEBRUARY 21, 2025 
Mr. PALLONE (for himself, Mr. BACON, Mr. MENENDEZ, and Mr. CRENSHAW) 
introduced the following bill; which was referred to the Committee on En-
ergy and Commerce 
A BILL 
To reauthorize and make improvements to Federal programs 
relating to the prevention, detection, and treatment of 
traumatic brain injuries, and for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. PROGRAMS TO PREVENT, DETECT, AND TREAT 
TRAUMATIC BRAIN INJURIES. 
(a) THE BILL PASCRELL, JR., NATIONAL PROGRAM 
FOR TRAUMATIC BRAIN INJURY SURVEILLANCE
AND 
REGISTRIES.— 
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(1) PREVENTION
OF
TRAUMATIC
BRAIN
IN-
JURY.—Section 393B of the Public Health Service 
Act (42 U.S.C. 280b–1c) is amended— 
(A) in subsection (a), by inserting ‘‘and 
prevalence’’ after ‘‘incidence’’; 
(B) in subsection (b)— 
(i) in paragraph (1), by inserting 
‘‘and reduction of associated injuries and 
fatalities’’ before the semicolon; 
(ii) in paragraph (2), by inserting 
‘‘and related risk factors’’ before the semi-
colon; and 
(iii) in paragraph (3)— 
(I) in the matter preceding sub-
paragraph (A), by striking ‘‘2020’’ 
each place it appears and inserting 
‘‘2030’’; and 
(II) in subparagraph (A)— 
(aa) in clause (i), by striking 
‘‘; and’’ and inserting ‘‘of trau-
matic brain injury;’’; 
(bb) by redesignating clause 
(ii) as clause (iv); 
(cc) by inserting after clause 
(i) the following: 
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‘‘(ii) populations at higher risk of 
traumatic brain injury, including popu-
lations whose increased risk is due to occu-
pational or circumstantial factors; 
‘‘(iii) causes of, and risk factors for, 
traumatic brain injury; and’’; and 
(dd) in clause (iv), as so re-
designated, by striking ‘‘arising 
from traumatic brain injury’’ and 
inserting ‘‘, which may include 
related mental health and other 
conditions, arising from trau-
matic brain injury, including’’; 
and 
(C) in subsection (c), by inserting ‘‘, and 
other relevant Federal departments and agen-
cies’’ before the period at the end. 
(2) NATIONAL
PROGRAM
FOR
TRAUMATIC 
BRAIN INJURY SURVEILLANCE AND REGISTRIES.— 
Section 393C of the Public Health Service Act (42 
U.S.C. 280b–1d) is amended— 
(A) by amending the section heading to 
read as follows: ‘‘THE BILL PASCRELL, JR., 
NATIONAL
PROGRAM
FOR
TRAUMATIC 
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BRAIN INJURY SURVEILLANCE AND REG-
ISTRIES’’; 
(B) in subsection (a)— 
(i) in the matter preceding paragraph 
(1), by inserting ‘‘to identify populations 
that may be at higher risk for traumatic 
brain injuries, to collect data on the causes 
of, and risk factors for, traumatic brain in-
juries,’’ after ‘‘related disability,’’; 
(ii) in paragraph (1), by inserting ‘‘, 
including the occupation of the individual, 
when relevant to the circumstances sur-
rounding the injury’’ before the semicolon; 
and 
(iii) in paragraph (4), by inserting 
‘‘short- and long-term’’ before ‘‘outcomes’’; 
(C) by striking subsection (b); 
(D) by redesignating subsection (c) as sub-
section (b); 
(E) in subsection (b), as so redesignated, 
by inserting ‘‘and evidence-based practices to 
identify and address concussion’’ before the pe-
riod at the end; and 
(F) by adding at the end the following: 
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‘‘(c) AVAILABILITY
OF INFORMATION.—The Sec-
retary, acting through the Director of the Centers for Dis-
ease Control and Prevention, shall make publicly available 
aggregated information on traumatic brain injury and 
concussion described in this section, including on the 
website of the Centers for Disease Control and Prevention. 
Such website, to the extent feasible, shall include aggre-
gated information on populations that may be at higher 
risk for traumatic brain injuries and strategies for pre-
venting or reducing risk of traumatic brain injury that are 
tailored to such populations.’’. 
(3) AUTHORIZATION
OF
APPROPRIATIONS.— 
Section 394A of the Public Health Service Act (42 
U.S.C. 280b–3) is amended— 
(A) in subsection (a), by striking ‘‘1994, 
and’’ and inserting ‘‘1994,’’; and 
(B) in subsection (b), by striking ‘‘2020 
through 2024’’ and inserting ‘‘2026 through 
2030’’. 
(b) STATE GRANT PROGRAMS.— 
(1) STATE GRANTS FOR PROJECTS REGARDING 
TRAUMATIC
BRAIN
INJURY.—Section 1252 of the 
Public Health Service Act (42 U.S.C. 300d–52) is 
amended— 
(A) in subsection (b)(2)— 
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(i) by inserting ‘‘, taking into consid-
eration populations that may be at higher 
risk for traumatic brain injuries’’ after 
‘‘outreach programs’’; and 
(ii) 
by 
inserting 
‘‘Tribal,’’ 
after 
‘‘State,’’; 
(B) in subsection (c), by adding at the end 
the following: 
‘‘(3) MAINTENANCE OF EFFORT.—With respect 
to activities for which a grant awarded under sub-
section (a) is to be expended, a State or American 
Indian consortium shall agree to maintain expendi-
tures of non-Federal amounts for such activities at 
a level that is not less than the level of such expendi-
tures maintained by the State or American Indian 
consortium for the fiscal year preceding the fiscal 
year for which the State or American Indian consor-
tium receives such a grant. 
‘‘(4) WAIVER.—The Secretary may, upon the 
request of a State or American Indian consortium, 
waive not more than 50 percent of the matching 
fund amount under paragraph (1), if the Secretary 
determines that such matching fund amount would 
result in an inability of the State or American In-
dian consortium to carry out the purposes under 
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subsection (a). A waiver provided by the Secretary 
under this paragraph shall apply only to the fiscal 
year involved.’’; 
(C) in subsection (e)(3)(B)— 
(i) by striking ‘‘(such as third party 
payers, State agencies, community-based 
providers, schools, and educators)’’; and 
(ii) by inserting ‘‘(such as third party 
payers, State agencies, community-based 
providers, schools, and educators)’’ after 
‘‘professionals’’; 
(D) in subsection (h), by striking para-
graphs (1) and (2) and inserting the following: 
‘‘(1) AMERICAN INDIAN CONSORTIUM; STATE.— 
The terms ‘American Indian consortium’ and ‘State’ 
have the meanings given such terms in section 1253. 
‘‘(2) TRAUMATIC BRAIN INJURY.— 
‘‘(A) IN
GENERAL.—Subject to subpara-
graph (B), the term ‘traumatic brain injury’— 
‘‘(i) means an acquired injury to the 
brain; 
‘‘(ii) may include— 
‘‘(I) brain injuries caused by an-
oxia due to trauma; and 
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‘‘(II) damage to the brain from 
an internal or external source that re-
sults in infection, toxicity, surgery, or 
vascular disorders not associated with 
aging; and 
‘‘(iii) does not include brain dysfunc-
tion caused by congenital or degenerative 
disorders, or birth trauma. 
‘‘(B) REVISIONS
TO
DEFINITION.—The 
Secretary may revise the definition of the term 
‘traumatic brain injury’ under this paragraph, 
as the Secretary determines necessary, after 
consultation with States and other appropriate 
public or nonprofit private entities.’’; and 
(E) in subsection (i), by striking ‘‘2020 
through 2024’’ and inserting ‘‘2026 through 
2030’’. 
(2) STATE GRANTS FOR PROTECTION AND AD-
VOCACY SERVICES.—Section 1253(l) of the Public 
Health Service Act (42 U.S.C. 300d–53(l)) is 
amended by striking ‘‘2020 through 2024’’ and in-
serting ‘‘2026 through 2030’’. 
(c) REPORT TO CONGRESS.—Not later than 2 years 
after the date of enactment of this Act, the Secretary of 
Health and Human Services (referred to in this Act as 
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the ‘‘Secretary’’) shall submit to the Committee on 
Health, Education, Labor, and Pensions of the Senate and 
the Committee on Energy and Commerce of the House 
of Representatives a report that contains— 
(1) an overview of populations who may be at 
higher risk for traumatic brain injury, such as indi-
viduals affected by domestic violence or sexual as-
sault and public safety officers as defined in section 
1204 of the Omnibus Crime Control and Safe 
Streets Act of 1968 (34 U.S.C. 10284); 
(2) an outline of existing surveys and activities 
of the Centers for Disease Control and Prevention 
on traumatic brain injuries and any steps the agency 
has taken to address gaps in data collection related 
to such higher risk populations, which may include 
leveraging surveys such as the National Intimate 
Partner and Sexual Violence Survey to collect data 
on traumatic brain injuries; 
(3) an overview of any outreach or education ef-
forts to reach such higher risk populations; and 
(4) any challenges associated with reaching 
such higher risk populations. 
(d) STUDY ON LONG-TERM SYMPTOMS OR CONDI-
TIONS RELATED TO TRAUMATIC BRAIN INJURY.— 
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(1) IN GENERAL.—The Secretary, in consulta-
tion with stakeholders and the heads of other rel-
evant Federal departments and agencies, as appro-
priate, shall conduct, either directly or through a 
contract with a nonprofit private entity, a study to— 
(A) examine the incidence and prevalence 
of long-term or chronic symptoms or conditions 
in individuals who have experienced a traumatic 
brain injury; 
(B) examine the evidence base of research 
related to the chronic effects of traumatic brain 
injury across the lifespan; 
(C) examine any correlations between trau-
matic brain injury and increased risk of other 
conditions, such as dementia and mental health 
conditions; 
(D) assess existing services available for 
individuals with such long-term or chronic 
symptoms or conditions; and 
(E) identify any gaps in research related to 
such long-term or chronic symptoms or condi-
tions of individuals who have experienced a 
traumatic brain injury. 
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