‘‘(B) MINIMUM CONTENTS.—The Secretary 
shall require that an application of a State 
under subparagraph (A) contain at a min-
imum— 
‘‘(i) a description of the strategies the 
State will use to disseminate, and ensure 
the implementation by target entities of, 
the guidelines, including coordination with 
ongoing State-based efforts to implement 
State laws governing youth concussion 
management; and 
‘‘(ii) an agreement by the State to pe-
riodically provide data to the Secretary 
with respect to the incidence of concussions 
and 
second 
impact 
syndrome 
among 
school-aged children in the State. 
‘‘(3) UTILIZATION
OF
HIGH
SCHOOL
SPORTS 
ASSOCIATIONS, YOUTH SPORTS ASSOCIATIONS, ATH-
LETIC TRAINER ASSOCIATIONS, AND LOCAL CHAP-
TERS
OF
NATIONAL
BRAIN
INJURY
ORGANIZA-
TIONS.—In disseminating and ensuring the imple-
mentation by target entities of the guidelines pursu-
ant to a grant under this subsection, the Secretary 
shall require States receiving grants under this sub-
section to utilize, to the extent practicable, applica-
ble expertise and services offered by high school 
sports associations, youth sports associations, ath-
letic trainer associations, and local chapters of na-
tional brain injury organizations in such States. 
‘‘(c) COORDINATION
OF ACTIVITIES.—In carrying 
out activities under this section, the Secretary shall coordi-
nate in an appropriate manner with the heads of other 
Federal departments and agencies that carry out activities 
related to concussions and other traumatic brain injuries. 
‘‘(d) REPORTS.— 
‘‘(1) ESTABLISHMENT OF THE GUIDELINES.— 
Not later than 2 years after the date of the enact-
ment of this section, the Secretary shall submit to 
the Congress a report on the implementation of sub-
section (a). 
‘‘(2) GRANT
PROGRAM
AND
DATA
COLLEC-
TION.—Not later than 4 years after the date of the 
enactment of this section, the Secretary shall submit 
to the Congress a report on the implementation of 
subsection (b), including— 
‘‘(A) the number of States that have 
adopted the guidelines; 
‘‘(B) the number of target entities that 
have implemented pre-season baseline and post-
injury testing, including computerized testing, 
for school-aged children; and 
‘‘(C) the data collected with respect to the 
incidence of concussions and second impact syn-
drome among school-aged children. 
‘‘(e) DEFINITIONS.—In this section: 
‘‘(1) The term ‘guidelines’ means the concus-
sion management guidelines established under sub-
section (a). 
‘‘(2) The term ‘return to play’ means, with re-
spect to a school-aged child experiencing a concus-
sion, the return of such child to participating in the 
sport or other activity related to such concussion. 
‘‘(3) The term ‘school-aged children’ means in-
dividuals who are at least 5 years of age and not 
more than 18 years of age. 
‘‘(4) The term ‘second impact syndrome’ means 
catastrophic or fatal events that occur when an indi-
vidual suffers a concussion while symptomatic and 
healing from a previous concussion. 
‘‘(5) The term ‘Secretary’ means the Secretary 
of Health and Human Services, acting through the 
Director of the Centers for Disease Control and Pre-
vention.
‘‘(6) The term ‘State’ means each of the 50 
States and the District of Columbia. 
‘‘(7) The term ‘target entity’ means an elemen-
tary school, a secondary school, or a youth sports as-
sociation.’’. 
Passed the House of Representatives September 30 
(legislative day September 29), 2010. 
Attest: 
Clerk.
111TH CONGRESS 
2D SESSION 
H. R. 1347 
AN ACT 
To amend title III of the Public Health Service Act 
to provide for the establishment and implementa-
tion of concussion management guidelines with 
respect to school-aged children, and for other 
purposes.