of the consortia and the submission of the reports to 
the Director. 
(4) ORGANIZATION OF CONSORTIA.—Each con-
sortium under paragraph (1) may use the facilities 
of a single lead institution, or be formed from sev-
eral cooperating institutions, meeting such require-
ments as may be prescribed by the Director. 
(c) PUBLIC INPUT.—The Director may provide for a 
mechanism to educate and disseminate information on the 
existing and planned programs and research activities of 
the National Institutes of Health with respect to paralysis 
and through which the Director can receive comments 
from the public regarding such programs and activities. 
TITLE II—PARALYSIS REHABILI-
TATION RESEARCH AND CARE 
SEC. 201. ACTIVITIES OF THE NATIONAL INSTITUTES OF 
HEALTH WITH RESPECT TO RESEARCH WITH 
IMPLICATIONS FOR ENHANCING DAILY FUNC-
TION FOR PERSONS WITH PARALYSIS. 
(a) IN GENERAL.—The Director, pursuant to the 
general authority of the Director, may make awards of 
grants to public or private entities to pay all or part of 
the costs of planning, establishing, improving, and pro-
viding basic operating support to multicenter networks of 
clinical sites that will collaborate to design clinical reha-
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bilitation intervention protocols and measures of outcomes 
on one or more forms of paralysis that result from central 
nervous system trauma, disorders, or stroke, or any com-
bination of such conditions. 
(b) RESEARCH.—A multicenter network of clinical 
sites funded through this section may— 
(1) focus on areas of key scientific concern, in-
cluding— 
(A) improving functional mobility; 
(B) promoting behavioral adaptation to 
functional losses, especially to prevent sec-
ondary complications; 
(C) assessing the efficacy and outcomes of 
medical rehabilitation therapies and practices 
and assisting technologies; 
(D) developing improved assistive tech-
nology to improve function and independence; 
and 
(E) understanding whole body system re-
sponses to physical impairments, disabilities, 
and societal and functional limitations; and 
(2) replicate the findings of network members 
or other researchers for scientific and translation 
purposes. 
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(c) COORDINATION OF CLINICAL TRIALS NETWORKS; 
REPORTS.—The Director may, as appropriate, provide for 
the coordination of information among networks funded 
through this section and ensure regular communication 
among members of the networks, and may require the 
periodic preparation of reports on the activities of the net-
works and submission of reports to the Director. 
TITLE III—IMPROVING QUALITY 
OF LIFE FOR PERSONS WITH 
PARALYSIS AND OTHER PHYS-
ICAL DISABILITIES 
SEC. 301. PROGRAMS TO IMPROVE QUALITY OF LIFE FOR 
PERSONS 
WITH 
PARALYSIS 
AND 
OTHER 
PHYSICAL DISABILITIES. 
(a) IN GENERAL.—The Secretary of Health and 
Human Services (in this title referred to as the ‘‘Sec-
retary’’) may study the unique health challenges associ-
ated with paralysis and other physical disabilities and 
carry out projects and interventions to improve the quality 
of life and long-term health status of persons with paral-
ysis and other physical disabilities. The Secretary may 
carry out such projects directly and through awards of 
grants or contracts. 
(b) CERTAIN
ACTIVITIES.—Activities under sub-
section (a) may include— 
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(1) the development of a national paralysis and 
physical disability quality of life action plan, to pro-
mote health and wellness in order to enhance full 
participation, independent living, self-sufficiency, 
and equality of opportunity in partnership with vol-
untary health agencies focused on paralysis and 
other physical disabilities, to be carried out in co-
ordination with the State-based Disability and 
Health Program of the Centers for Disease Control 
and Prevention; 
(2) support for programs to disseminate infor-
mation involving care and rehabilitation options and 
quality of life grant programs supportive of commu-
nity-based programs and support systems for per-
sons with paralysis and other physical disabilities; 
(3) in collaboration with other centers and na-
tional voluntary health agencies, the establishment 
of a population-based database that may be used for 
longitudinal and other research on paralysis and 
other disabling conditions; and 
(4) the replication and translation of best prac-
tices and the sharing of information across States, 
as well as the development of comprehensive, unique, 
and innovative programs, services, and demonstra-
tions within existing State-based disability and 
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health programs of the Centers for Disease Control 
and Prevention which are designed to support and 
advance quality of life programs for persons living 
with paralysis and other physical disabilities focus-
ing on— 
(A) caregiver education; 
(B) promoting proper nutrition, increasing 
physical activity, and reducing tobacco use; 
(C) education and awareness programs for 
health care providers; 
(D) prevention of secondary complications; 
(E) home- and community-based interven-
tions; 
(F) coordinating services and removing 
barriers that prevent full participation and inte-
gration into the community; and 
(G) recognizing the unique needs of under-
served populations. 
(c) GRANTS.—The Secretary may award grants in ac-
cordance with the following: 
(1) To State and local health and disability 
agencies for the purpose of— 
(A) establishing a population-based data-
base that may be used for longitudinal and 
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other research on paralysis and other disabling 
conditions; 
(B) developing comprehensive paralysis 
and other physical disability action plans and 
activities focused on the items listed in sub-
section (b)(4); 
(C) assisting State-based programs in es-
tablishing and implementing partnerships and 
collaborations that maximize the input and sup-
port of people with paralysis and other physical 
disabilities and their constituent organizations; 
(D) coordinating paralysis and physical 
disability activities with existing State-based 
disability and health programs; 
(E) providing education and training op-
portunities and programs for health profes-
sionals and allied caregivers; and 
(F) developing, testing, evaluating, and 
replicating effective intervention programs to 
maintain or improve health and quality of life. 
(2) To private health and disability organiza-
tions for the purpose of— 
(A) disseminating information to the pub-
lic; 
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