‘‘(C) the adequacy of existing measures of 
outcomes and knowledge of factors influencing 
differential outcomes. 
‘‘(3) Developing practice guidelines for the re-
habilitation of traumatic brain injury at such time 
as appropriate scientific research becomes available. 
‘‘(b) DATES CERTAIN FOR REPORTS.—Not later than 
3 years after the date of the enactment of the Traumatic 
Brain Injury Act of 2006, the Secretary shall submit to 
the Congress a report describing findings made as a result 
of carrying out subsection (a). 
‘‘(c) DEFINITION.—For purposes of this section, the 
term ‘traumatic brain injury’ means an acquired injury 
to the brain. Such term does not include brain dysfunction 
caused by congenital or degenerative disorders, nor birth 
trauma, but may include brain injuries caused by anoxia 
due to near drowning. The Secretary may revise the defi-
nition of such term as the Secretary determines necessary. 
‘‘(d) AUTHORIZATION OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this section 
such sums as may be necessary for each of the fiscal years 
2006 through 2010.’’. 
(b) CONFORMING AMENDMENT.—Public Law 104– 
166 (42 U.S.C. 300d–61 note) is amended by striking sec-
tion 4. 
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SEC. 5. PROGRAMS OF HEALTH RESOURCES AND SERVICES 
ADMINISTRATION. 
(a) STATE GRANTS
FOR PROJECTS REGARDING 
TRAUMATIC BRAIN INJURY.—Section 1252 of the Public 
Health Service Act (42 U.S.C. 300d–52) is amended— 
(1) in subsection (a)— 
(A) by striking ‘‘may make grants to 
States’’ and inserting ‘‘may make grants to 
States and American Indian consortia’’; and 
(B) by striking ‘‘health and other services’’ 
and inserting ‘‘rehabilitation and other serv-
ices’’; 
(2) in subsection (b)— 
(A) 
in 
paragraphs 
(1), 
(3)(A)(i), 
(3)(A)(iii), and (3)(A)(iv), by striking the term 
‘‘State’’ each place such term appears and in-
serting the term ‘‘State or American Indian 
consortium’’; and 
(B) in paragraph (2), by striking ‘‘rec-
ommendations to the State’’ and inserting ‘‘rec-
ommendations to the State or American Indian 
consortium’’; 
(3) in subsection (c)— 
(A) in paragraph (1), by striking ‘‘$1 for 
each $2 of Federal funds’’ and inserting ‘‘$1 
for each $5 of Federal funds’’; and 
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(B) by striking the term ‘‘State’’ each 
place such term appears and inserting ‘‘State or 
American Indian consortium’’; 
(4) in subsection (e), by striking ‘‘A State that 
received’’ and all that follows through the period and 
inserting ‘‘A State or American Indian consortium 
that received a grant under this section prior to the 
date of the enactment of the Traumatic Brain In-
jury Act of 2006 may complete the activities funded 
by the grant.’’; 
(5) in subsection (f)— 
(A) in the subsection heading, by inserting 
‘‘AND AMERICAN INDIAN CONSORTIUM’’ after 
‘‘STATE’’; 
(B) in paragraph (1) in the matter pre-
ceding subparagraph (A), paragraph (1)(E), 
paragraph (2)(A), paragraph (2)(B), paragraph 
(3) in the matter preceding subparagraph (A), 
paragraph (3)(E), and paragraph (3)(F), by 
striking the term ‘‘State’’ each place such term 
appears and inserting ‘‘State or American In-
dian consortium’’; 
(C) in clause (ii) of paragraph (1)(A), by 
striking ‘‘children and other individuals’’ and 
inserting ‘‘children, youth, and adults’’; and 
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(D) in subsection (h)— 
(i) by striking ‘‘Not later than 2 years 
after the date of the enactment of this sec-
tion, the Secretary’’ and inserting ‘‘Not 
less than bi-annually, the Secretary’’; and 
(ii) by inserting ‘‘section 1253, and 
section 1254,’’ after ‘‘programs established 
under this section,’’; 
(6) by amending subsection (i) to read as fol-
lows: 
‘‘(i) DEFINITIONS.—For purposes of this section: 
‘‘(1) The terms ‘American Indian consortium’ 
and ‘State’ have the meanings given to those terms 
in section 1253. 
‘‘(2) The term ‘traumatic brain injury’ means 
an acquired injury to the brain. Such term does not 
include brain dysfunction caused by congenital or 
degenerative disorders, nor birth trauma, but may 
include brain injuries caused by anoxia due to trau-
ma. The Secretary may revise the definition of such 
term as the Secretary determines necessary, after 
consultation with States and other appropriate pub-
lic or nonprofit private entities.’’; and 
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(7) in subsection (j), by inserting ‘‘, and such 
sums as may be necessary for each of the fiscal 
years 2006 through 2010’’ before the period. 
(b) STATE GRANTS FOR PROTECTION AND ADVO-
CACY SERVICES.—Section 1253 of the Public Health Serv-
ice Act (42 U.S.C. 300d–53) is amended— 
(1) in subsections (d) and (e), by striking the 
term ‘‘subsection (i)’’ each place such term appears 
and inserting ‘‘subsection (l)’’; 
(2) in subsection (g), by inserting ‘‘each fiscal 
year not later than October 1,’’ before ‘‘the Adminis-
trator shall pay’’; 
(3) by redesignating subsections (i) and (j) as 
subsections (l) and (m), respectively; 
(4) by inserting after subsection (h) the fol-
lowing: 
‘‘(i) DATA COLLECTION.—The Administrator of the 
Health Resources and Services Administration and the 
Commissioner of the Administration on Developmental 
Disabilities shall enter into an agreement to coordinate the 
collection of data by the Administrator and the Commis-
sioner regarding protection and advocacy services. 
‘‘(j) TRAINING AND TECHNICAL ASSISTANCE.— 
‘‘(1) GRANTS.—For any fiscal year for which 
the amount appropriated to carry out this section is 
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$6,000,000 or greater, the Administrator shall use 2 
percent of such amount to make a grant to an eligi-
ble national association for providing for training 
and technical assistance to protection and advocacy 
systems. 
‘‘(2) DEFINITION.—In this subsection, the term 
‘eligible national association’ means a national asso-
ciation with demonstrated experience in providing 
training and technical assistance to protection and 
advocacy systems. 
‘‘(k) SYSTEM AUTHORITY.—In providing services 
under this section, a protection and advocacy system shall 
have the same authorities, including access to records, as 
such system would have for purposes of providing services 
under subtitle C of the Developmental Disabilities Assist-
ance and Bill of Rights Act of 2000.’’; and 
(5) in subsection (l) (as redesignated by this 
subsection)— 
(A) by striking ‘‘and’’ after ‘‘fiscal year 
2001,’’ ; and 
(B) by inserting ‘‘and such sums as may 
be necessary for each of the fiscal years 2006 
through 2010’’. 
(c) NATIONAL GRANTS OF SIGNIFICANCE.—Part E 
of title XII of the Public Health Service Act (42 
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U.S.C.300d–52 et seq.) is amended by adding at end the 
following: 
‘‘SEC. 1254. NATIONAL GRANTS OF SIGNIFICANCE. 
‘‘(a) IN GENERAL.—The Secretary, acting through 
the Administrator of the Health Resources and Services 
Administration, may make grants to, or enter into con-
tracts or cooperative agreements with, nonprofit organiza-
tions, education institutions, States, and other such enti-
ties for projects of national significance that— 
‘‘(1) support the development of national and 
State policies that reinforce and promote self-deter-
mination, independence, productivity, integration, 
and inclusion in all facets of community life for indi-
viduals with traumatic brain injury; 
‘‘(2) hold promise to improve or expand oppor-
tunities for such individuals, including projects or 
initiatives significant in scope that— 
‘‘(A) improve access to services and sys-
tems of care and support that reflect best prac-
tices that can be demonstrated and replicated 
through technical assistance, training, and edu-
cation; 
‘‘(B) assist States in developing service ca-
pacity such as community living options and 
housing; programs and services that address 
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challenging behaviors of individuals with trau-
matic brain injury and individuals with dual di-
agnosis, such as substance abuse; case manage-
ment; respite; information and referral; and 
family and community supports; 
‘‘(C) improve the capability of systems to 
monitor and evaluate quality of rehabilitation, 
long-term care, community services and sup-
ports; and 
‘‘(D) address emerging needs such as 
aging caregivers, aging individuals with trau-
matic brain injury, and servicemen, service-
women and veterans with traumatic brain in-
jury; v. address trends and issues in State serv-
ice delivery through data collection and report-
ing of funding, policies, and services on a peri-
odic basis. 
‘‘(b) DEFINITIONS.—For purposes of this section, the 
term ‘traumatic brain injury’ means an acquired injury 
to the brain. Such term does not include brain dysfunction 
caused by congenital or degenerative disorders, nor birth 
trauma, but may include brain injuries caused by anoxia 
due to trauma. The Secretary may revise the definition 
of such term as the Secretary determines necessary, after 
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consultation with States and other appropriate public or 
nonprofit private entities. 
‘‘(c) AUTHORIZATION OF APPROPRIATIONS.—For the 
purpose of carrying out this section, there are authorized 
to be appropriated such sums as may be necessary for 
each of the fiscal years 2006 through 2010.’’. 
Æ 
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