‘‘SEC. 1225A. AGENCY FOR HEALTH CARE POLICY AND RE-
SEARCH STUDY OF EFFECTIVENESS OF TRAU-
MATIC BRAIN INJURY INTERVENTIONS.
‘‘(a) IN GENERAL.—The Secretary, acting through
the Administrator, shall conduct a study concerning trau-
matic brain injury.
‘‘(b) MAJOR FINDINGS.—The study conducted under
subsection (a) shall seek to—
‘‘(1) identify common therapeutic interventions
which are used for the rehabilitation of individuals
with traumatic brain injuries, and shall include an
analysis of—
‘‘(A) the effectiveness of each such inter-
vention in improving the functioning of individ-
uals with brain injuries; and
‘‘(B) the comparative effectiveness of inter-
ventions employed in the course of rehabilita-
tion of individuals with brain injuries to achieve
the same or similar clinical outcome; and
‘‘(2) develop practice guidelines for the rehabili-
tation of traumatic brain injury.
‘‘(c) REPORTING REQUIREMENTS.—Not later than 4
years after the date of enactment of this part, the Sec-
retary shall prepare and submit to the appropriate com-
mittees of Congress, a report containing the results of the
studies conducted under this section.
‘‘(d) AUTHORIZATION
OF APPROPRIATION.—There
are authorized to be appropriated to carry out this section,
$2,000,000 for fiscal year 1994, and such sums as may
be necessary for each of the fiscal years 1995 through
1996.
‘‘SEC. 1225B. CENTERS FOR DISEASE CONTROL AND PRE-
VENTION STUDY OF TRAUMATIC BRAIN IN-
JURY OCCURRENCE.
‘‘(a) IN GENERAL.—The Secretary, acting through
the Director, and in cooperation with other Public Health
Service agencies as may be necessary, shall conduct stud-
ies concerning traumatic brain injury, and shall establish
a reporting system under subsection (b).
‘‘(b) REPORTING SYSTEM.—To assist in data and in-
formation gathering, the Director shall establish a uniform
reporting system under which hospitals, State and local
health-related agencies will report to the Director on mat-
ters including—
‘‘(1) the occurrence of traumatic brain injuries;
and
‘‘(2) the health insurance status of individuals
with traumatic brain injury.
The reporting system should be established to permit the
Director to make an accurate assessment of resource
needs and long term outcomes.
‘‘(c) SURVEY AND COOPERATIVE AGREEMENTS.—
‘‘(1) SURVEY.—The Director shall determine
which Federal, State, local or other entities collect
data on traumatic brain injury and the means by
which such entities collect such data.
‘‘(2) COOPERATIVE AGREEMENTS.—The Direc-
tor may enter into cooperative agreements with
other agencies, and provide assistance to other enti-
ties with responsibility for data collection, to estab-
lish traumatic brain injury as a specific reportable
condition in existing and future reporting systems.
Any data systems established in conjunction with
such agencies should be compatible with other such
data systems.
‘‘(d) MAJOR FINDINGS OF STUDIES.—The studies
conducted under subsection (a) shall seek to—
‘‘(1) determine the major causes of traumatic
brain injury;
‘‘(2) determine the preventive efforts that are
being used by States and non-profit agencies to re-
duce the occurrence of such injuries;
‘‘(3) determine the number of individuals sur-
viving traumatic brain injuries, and the cost of
treatment and other related costs;
‘‘(4) develop a uniform reporting system to fa-
cilitate the reporting to the Centers for Disease Con-
trol and Prevention concerning the occurrence of
traumatic brain injury;
‘‘(5) identify States and localities that have ap-
proved mandated helmet use laws for bicyclist and
others;
‘‘(6) determine the health insurance status of
individuals with traumatic brain injury; and
‘‘(7) initiate a program of prevention research
to develop effective prevention of traumatic brain in-
jury.
‘‘(e) REPORTING REQUIREMENTS.—Not later than 4
years after the date of enactment of this part, the Sec-
retary shall prepare and submit to the appropriate com-
mittees of Congress, a report containing the results of the
studies conducted under this section.
‘‘(f) BIENNIAL REPORT.—The Secretary shall bienni-
ally prepare a report containing recommendations for the
prevention of traumatic brain injuries. The report shall
also identify States that have mandated helmet laws for
bicyclists and others. Such reports shall be disseminated
to State health officers.
‘‘(g) AUTHORIZATION
OF APPROPRIATION.—There
are authorized to be appropriated to carry out this section,
$2,000,000 for fiscal year 1994, and such sums as may
be necessary for each of the fiscal years 1995 through
1996.
‘‘SEC. 1225C. SPECIAL PREVENTION PROJECTS.
‘‘(a) IN GENERAL.—The Secretary shall cooperate
with, and may provide assistance to, public and private
nonprofit entities to reduce the incidence of traumatic
brain injury through the establishment and effectuation
of prevention projects. In carrying out this section, the
Secretary may award grants to State and local entities,
and to public or non-profit private entities, to support—
‘‘(1) special prevention and public awareness
initiative projects;
‘‘(2) model traumatic brain injury prevention,
research and support programs;
‘‘(3) projects that study the service needs of in-
dividuals with traumatic brain injury; and
‘‘(4) projects involving grants for services co-
ordination.
‘‘(b) REQUIREMENTS.—To be eligible to receive as-
sistance under subsection (a), an entity shall—
‘‘(1) prepare and submit to the Secretary an
application, at such time, in such manner, and con-
taining such information as the Secretary may re-
quire; and
‘‘(2) provide assurances to the Secretary that
any preventive measures implemented under a pre-
vention project funded under this section may in-
clude—
‘‘(A) behavioral and environmental inter-
ventions (such as physical restraints or helmets
for individuals using bicycles, in-line roller
skates, and skateboards);
‘‘(B) the use of innovative and proven
model prevention approaches;
‘‘(C) the promotion of activities that will
minimize brain injury risk in athletes (such as
the use of head protection gear); and
‘‘(D) the improvement of community-level
access to data-base systems to assist in design-
ing, developing, and implementing traumatic
brain injury prevention programs.
‘‘(c) AUTHORIZATION OF APPROPRIATIONS.—There
are authorized to be appropriated to carry out this section,
$4,000,000 for fiscal year 1994, and such sums as may
be necessary for each of the fiscal years 1995 and 1996.
‘‘SEC. 1225D. BASIC AND APPLIED RESEARCH.
‘‘(a) IN GENERAL.—The Secretary, acting through
the Director of the National Institutes of Health, may pro-
vide assistance to public and private nonprofit entities to