H. R. 2992 
One Hundred Seventeenth Congress 
of the 
United States of America 
AT THE SECOND SESSION 
Begun and held at the City of Washington on Monday, 
the third day of January, two thousand and twenty-two 
An Act 
To direct the Attorney General to develop crisis intervention training tools for 
use by first responders related to interacting with persons who have a traumatic 
brain injury, another form of acquired brain injury, or post-traumatic stress 
disorder, and for other purposes. 
Be it enacted by the Senate and House of Representatives of 
the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Traumatic Brain Injury and 
Post-Traumatic Stress Disorder Law Enforcement Training Act’’ 
or the ‘‘TBI and PTSD Law Enforcement Training Act’’. 
SEC. 2. FINDINGS. 
Congress finds the following: 
(1) According to the Centers for Disease Control and 
Prevention, there were approximately 2.9 million traumatic 
brain injury-related emergency department visits, hospitaliza-
tions, and deaths in the United States in 2014. 
(2) Effects of traumatic brain injury (TBI) can be short- 
term or long-term, and include impaired thinking or memory, 
movement, vision or hearing, or emotional functioning, such 
as personality changes or depression. 
(3) Currently, between 3.2 million and 5.3 million persons 
are living with a TBI-related disability in the United States. 
(4) About 7 or 8 percent of Americans will experience 
post-traumatic stress disorder (PTSD) at some point in their 
lives, and about 8 million adults have PTSD during the course 
of a given year. 
(5) TBI and PTSD have been recognized as the signature 
injuries of the Wars in Iraq and Afghanistan. 
(6) According to the Department of Defense, 383,000 men 
and women deployed to Iraq and Afghanistan sustained a brain 
injury while in the line of duty between 2000 and 2018. 
(7) Approximately 13.5 percent of Operations Iraqi Freedom 
and Enduring Freedom veterans screen positive for PTSD, 
according to the Department of Veteran Affairs. 
(8) About 12 percent of Gulf War Veterans have PTSD 
in a given year while about 30 percent of Vietnam Veterans 
have had PTSD in their lifetime. 
(9) Physical signs of TBI can include motor impairment, 
dizziness or poor balance, slurred speech, impaired depth 
perception, or impaired verbal memory, while physical signs 
of 
PTSD 
can 
include 
agitation, 
irritability, 
hostility,
H. R. 2992—2 
hypervigilance, self-destructive behavior, fear, severe anxiety, 
or mistrust. 
(10) Physical signs of TBI and PTSD often overlap with 
physical signs of alcohol or drug impairment, which complicate 
a first responder’s ability to quickly and effectively identify 
an individual’s condition. 
SEC. 3. CREATION OF A TBI AND PTSD TRAINING FOR FIRST 
RESPONDERS. 
Part HH of title I of the Omnibus Crime Control and Safe 
Streets Act of 1968 (34 U.S.C. 10651 et seq.) is amended— 
(1) in section 2991— 
(A) in subsection (h)(1)(A), by inserting before the 
period at the end the following: ‘‘, including the training 
developed under section 2993’’; and 
(B) in subsection (o), by amending paragraph (1) to 
read as follows: 
‘‘(1) IN GENERAL.—There is authorized to be appropriated 
to the Department of Justice to carry out this section 
$54,000,000 for each of fiscal years 2023 through 2027.’’; and 
(2) by inserting after section 2992 the following new section: 
‘‘SEC. 2993. CREATION OF A TBI AND PTSD TRAINING FOR FIRST 
RESPONDERS. 
‘‘(a) IN GENERAL.—Not later than one year after the date of 
the enactment of this section, the Attorney General, acting through 
the Director of the Bureau of Justice Assistance, in consultation 
with the Director of the Centers for Disease Control and Prevention 
and the Assistant Secretary for Mental Health and Substance Use, 
shall solicit best practices regarding techniques to interact with 
persons who have a traumatic brain injury, an acquired brain 
injury, or post-traumatic stress disorder from first responder, brain 
injury, veteran, and mental health organizations, health care and 
mental health providers, hospital emergency departments, and 
other relevant stakeholders, and shall develop crisis intervention 
training tools for use by first responders (as such term is defined 
in section 3025) that provide— 
‘‘(1) information on the conditions and symptoms of a trau-
matic brain injury, an acquired brain injury, and post-traumatic 
stress disorder; 
‘‘(2) techniques to interact with persons who have a trau-
matic brain injury, an acquired brain injury, or post-traumatic 
stress disorder; and 
‘‘(3) information on how to recognize persons who have 
a traumatic brain injury, an acquired brain injury, or post- 
traumatic stress disorder. 
‘‘(b) USE OF TRAINING TOOLS AT LAW ENFORCEMENT MENTAL 
HEALTH LEARNING SITES.—The Attorney General shall ensure that 
not less than one Law Enforcement Mental Health Learning Site 
designated by the Director of the Bureau of Justice Assistance 
uses the training tools developed under subsection (a). 
‘‘(c) POLICE MENTAL HEALTH COLLABORATION TOOLKIT.—The 
Attorney General shall make the training tools developed under 
subsection (a) available as part of the Police-Mental Health 
Collaboration Toolkit provided by the Bureau of Justice Assist-
ance.’’.
H. R. 2992—3 
SEC. 4. STUDY ON FIRST RESPONDERS WITH TBI. 
Not later than 24 months after the date of the enactment 
of this Act, the Secretary of Health and Human Services, acting 
through the Director of the Centers for Disease Control and Preven-
tion and the Director of the National Institutes of Health and 
in consultation with the Secretary of Defense and the Secretary 
of Veterans Affairs, shall conduct a study and submit to the Com-
mittee on Energy and Commerce of the House of Representatives 
and the Committee on Health, Education, Labor and Pensions of 
the Senate a report on the prevalence and incidence of concussion 
among first responders (as such term is defined in section 3025 
of the Omnibus Crime Control and Safe Street Act of 1968 (34 
U.S.C. 10705)). The report shall include data on the incidence 
of concussion among first responders and recommendations for 
resources for first responders who have experienced traumatic brain 
injury. 
Speaker of the House of Representatives. 
Vice President of the United States and
President of the Senate.