HR 2992 RFS
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 In-
jury and Post-Traumatic Stress Disorder Law Enforce-
ment Training Act’’ or the ‘‘TBI and PTSD Law Enforce-
ment Training Act’’. 
SEC. 2. FINDINGS. 
Congress finds the following: 
(1) According to the Centers for Disease Con-
trol and Prevention, there were approximately 2.9 
million traumatic brain injury-related emergency de-
partment visits, hospitalizations, 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 mil-
lion persons are living with a TBI-related disability 
in the United States. 
(4) About 7 or 8 percent of Americans will ex-
perience post-traumatic stress disorder (PTSD) at 
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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 Afghani-
stan. 
(6) According to the Department of Defense, 
383,000 men and women deployed to Iraq and Af-
ghanistan 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 Depart-
ment 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 life-
time. 
(9) Physical signs of TBI can include motor im-
pairment, dizziness or poor balance, slurred speech, 
impaired depth perception, or impaired verbal mem-
ory, while physical signs of PTSD can include agita-
tion, irritability, hostility, hypervigilance, self-de-
structive behavior, fear, severe anxiety, or mistrust. 
(10) Physical signs of TBI and PTSD often 
overlap with physical signs of alcohol or drug im-
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pairment, which complicate a first responder’s abil-
ity 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: ‘‘, in-
cluding the training developed under section 
2993’’; and 
(B) in subsection (o), by amending para-
graph (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 Gen-
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eral, acting through the Director of the Bureau of Justice 
Assistance, in consultation with the Director of the Cen-
ters for Disease Control and Prevention and the Assistant 
Secretary for Mental Health and Substance Use, shall so-
licit 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 orga-
nizations, health care and mental health providers, hos-
pital emergency departments, and other relevant stake-
holders, and shall develop crisis intervention training tools 
for use by first responders (as such term is defined in sec-
tion 3025) that provide— 
‘‘(1) information on the conditions and symp-
toms of a traumatic brain injury, an acquired brain 
injury, and post-traumatic stress disorder; 
‘‘(2) techniques to interact with persons who 
have a traumatic brain injury, an acquired brain in-
jury, 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 ENFORCE-
MENT MENTAL HEALTH LEARNING SITES.—The Attor-
ney General shall ensure that not less than one Law En-
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forcement 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 Assistance.’’. 
SEC. 4. STUDY ON FIRST RESPONDERS WITH TBI. 
Not later than 24 months after the date of the enact-
ment of this Act, the Secretary of Health and Human 
Services, acting through the Director of the Centers for 
Disease Control and Prevention and the Director of the 
National Institutes of Health and in consultation with the 
Secretary of Defense and the Secretary of Veterans Af-
fairs, shall conduct a study and submit to the Committee 
on Energy and Commerce of the House of Representatives 
and the Committee on Health, Education, Labor and Pen-
sions of the Senate a report on the prevalence and inci-
dence 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 re-
port shall include data on the incidence of concussion 
among first responders and recommendations for re-
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sources for first responders who have experienced trau-
matic brain injury. 
Passed the House of Representatives May 18, 2022. 
Attest: 
CHERYL L. JOHNSON, 
Clerk. 
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