IB 
Union Calendar No. 349 
110TH CONGRESS 
2D SESSION 
H. R. 1418 
[Report No. 110–567] 
To provide for the expansion and improvement of traumatic brain injury 
programs. 
IN THE HOUSE OF REPRESENTATIVES 
MARCH 8, 2007 
Mr. PASCRELL (for himself and Mr. PLATTS) introduced the following bill; 
which was referred to the Committee on Energy and Commerce 
APRIL 8, 2008 
Additional sponsors: Mr. HOLT, Mr. CROWLEY, Mr. MARSHALL, Mr. WILSON 
of South Carolina, Mr. WOLF, Mrs. WILSON of New Mexico, Mr. PAYNE, 
Mr. FERGUSON, Mr. LOBIONDO, Mr. FORTUN˜O, Mrs. BOYDA of Kansas, 
Mr. CARNEY, Mrs. CHRISTENSEN, Mr. SMITH of New Jersey, Mr. PICK-
ERING, Ms. HERSETH SANDLIN, Mr. THOMPSON of California, Mr. 
HAYES, Mr. BISHOP of Georgia, Mr. CAPUANO, Mr. SESSIONS, Mr. RYAN 
of Ohio, Mr. FILNER, Mr. TERRY, Mr. SESTAK, Ms. NORTON, Mr. HIN-
CHEY, Ms. DEGETTE, Mr. DONNELLY, Mr. HOLDEN, Mr. ABERCROMBIE, 
Mr. MCNULTY, Ms. ZOE LOFGREN of California, Mr. HINOJOSA, Mr. 
WAXMAN, Ms. SHEA-PORTER, Mr. GORDON of Tennessee, Mr. ROTHMAN, 
Mr. ROGERS of Alabama, Mr. EMANUEL, Mr. TIM MURPHY of Pennsyl-
vania, Mr. ALTMIRE, Mr. GOODE, Mr. WYNN, Mr. COHEN, and Mr. 
GRIJALVA 
APRIL 8, 2008 
Reported with an amendment, committed to the Committee of the Whole 
House on the State of the Union, and ordered to be printed 
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[Strike out all after the enacting clause and insert the part printed in italic] 
[For text of introduced bill, see copy of bill as introduced on March 8, 2007] 
A BILL 
To provide for the expansion and improvement of traumatic 
brain injury programs. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Traumatic Brain Injury 
Act of 2008’’. 
SEC. 2. CONFORMING AMENDMENTS RELATING TO RE-
STRUCTURING. 
Part J of title III of the Public Health Service Act 
(42 U.S.C. 280b et seq.) is amended— 
(1) by redesignating the section 393B (42 U.S.C. 
280b–1c) relating to the use of allotments for rape 
prevention education, as section 393A and moving 
such section so that it follows section 393; 
(2) by redesignating existing section 393A (42 
U.S.C. 280b–1b) relating to prevention of traumatic 
brain injury, as section 393B; and 
(3) by redesignating the section 393B (42 U.S.C. 
280b–1d) relating to traumatic brain injury reg-
istries, as section 393C. 
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SEC. 3. TRAUMATIC BRAIN INJURY PROGRAMS OF THE CEN-
TERS FOR DISEASE CONTROL AND PREVEN-
TION. 
(a) PREVENTION
OF TRAUMATIC BRAIN INJURY.— 
Clause (ii) of section 393B(b)(3)(A) of the Public Health 
Service Act, as so redesignated, (42 U.S.C. 280b–1b) is 
amended by striking ‘‘from hospitals and trauma centers’’ 
and inserting ‘‘from hospitals and emergency departments’’. 
(b) NATIONAL PROGRAM FOR TRAUMATIC BRAIN IN-
JURY SURVEILLANCE AND REGISTRIES.—Section 393C of 
the Public Health Service Act, as so redesignated, (42 
U.S.C. 280b et seq.) is amended— 
(1) in the section heading, by inserting ‘‘SUR-
VEILLANCE
AND’’ after ‘‘NATIONAL
PROGRAM
FOR 
TRAUMATIC BRAIN INJURY’’; and 
(2) in subsection (a), in the matter preceding 
paragraph (1), by striking ‘‘may make grants’’ and 
all that follows through ‘‘to collect data concerning— 
’’ and inserting ‘‘may make grants to States or their 
designees to develop or operate the State’s traumatic 
brain injury surveillance system or registry to deter-
mine the incidence and prevalence of traumatic brain 
injury and related disability, to ensure the uni-
formity of reporting under such system or registry, to 
link individuals with traumatic brain injury to serv-
ices and supports, and to link such individuals with 
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academic institutions to conduct applied research that 
will support the development of such surveillance sys-
tems and registries as may be necessary. A surveil-
lance system or registry under this section shall pro-
vide for the collection of data concerning—’’. 
(c) REPORT.—Section 393C of the Public Health Serv-
ice Act (as so redesignated) is amended by adding at the 
end the following: 
‘‘(b) Not later than 18 months after the date of enact-
ment of the Traumatic Brain Injury Act of 2008, the Sec-
retary, acting through the Director of the Centers for Dis-
ease Control and Prevention and the Director of the Na-
tional Institutes of Health and in consultation with the Sec-
retary of Defense and the Secretary of Veterans Affairs, 
shall submit to the relevant committees of Congress a report 
that contains the findings derived from an evaluation con-
cerning activities and procedures that can be implemented 
by the Centers for Disease Control and Prevention to im-
prove the collection and dissemination of compatible epide-
miological studies on the incidence and prevalence of trau-
matic brain injury in those with traumatic brain injury 
who were formerly in the military. The report shall include 
recommendations on the manner in which such agencies can 
further collaborate on the development and improvement of 
traumatic brain injury diagnostic tools and treatments.’’. 
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SEC. 4. STUDY ON TRAUMATIC BRAIN INJURY. 
Part J of title III of the Public Health Service Act 
(42 U.S.C. 280b et seq.) is amended by inserting after sec-
tion 393C, as so redesignated, the following: 
‘‘SEC. 393C–1. STUDY ON TRAUMATIC BRAIN INJURY. 
‘‘(a) STUDY.—The Secretary, acting through the Direc-
tor of the Centers for Disease Control and Prevention with 
respect to paragraph (1) and in consultation with the Di-
rector of the National Institutes of Health and other appro-
priate entities with respect to paragraphs (2), (3), and (4), 
may conduct a study with respect to traumatic brain injury 
for the purpose of carrying out the following: 
‘‘(1) In collaboration with appropriate State and 
local health-related agencies— 
‘‘(A) determining the incidence of traumatic 
brain injury and prevalence of traumatic brain 
injury related disability and the clinical aspects 
of the disability in all age groups and racial and 
ethnic minority groups in the general population 
of the United States, including institutional set-
tings, such as nursing homes, correctional facili-
ties, psychiatric hospitals, child care facilities, 
and residential institutes for people with devel-
opmental disabilities; and 
‘‘(B) reporting national trends in traumatic 
brain injury. 
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‘‘(2) Identifying common therapeutic interven-
tions which are used for the rehabilitation of individ-
uals with such injuries, and, subject to the avail-
ability of information, including an analysis of— 
‘‘(A) the effectiveness of each such interven-
tion in improving the functioning, including re-
turn to work or school and community partici-
pation, of individuals with brain injuries; 
‘‘(B) the comparative effectiveness of inter-
ventions employed in the course of rehabilitation 
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) Identifying interventions and therapies that 
can prevent or remediate the development of sec-
ondary neurologic conditions related to traumatic 
brain injury. 
‘‘(4) Developing practice guidelines for the reha-
bilitation of traumatic brain injury at such time as 
appropriate scientific research becomes available. 
‘‘(b) DATES CERTAIN FOR REPORTS.—If the study is 
conducted under subsection (a), the Secretary shall, not 
later than 3 years after the date of the enactment of the 
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