IV 
118TH CONGRESS 
2D SESSION 
H. RES. 984 
Expressing support for the designation of January 30, 2024, as CTE (chronic 
traumatic encephalopathy) and RHI (repeated head impacts) Awareness Day. 
IN THE HOUSE OF REPRESENTATIVES 
JANUARY 30, 2024 
Mr. FITZPATRICK (for himself, Mr. DESAULNIER, and Mr. LANGWORTHY) 
submitted the following resolution; which was referred to the Committee 
on Energy and Commerce 
RESOLUTION 
Expressing support for the designation of January 30, 2024, 
as CTE (chronic traumatic encephalopathy) and RHI 
(repeated head impacts) Awareness Day. 
Whereas chronic traumatic encephalopathy, or CTE, is a pro-
gressive degenerative brain disease which appears in per-
sons with a history of repeated head injury sustained 
over a period of years; 
Whereas, after decades of advancement in research related to 
repeated head injuries, in October 2022, the National In-
stitutes of Health (NIH) formally acknowledged that 
there is a causal link between repeated blows to the head 
and CTE; 
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Whereas researchers have found that in brains with CTE, 
there is buildup of an abnormal protein, tau, in the brain 
leading to brain atrophy; 
Whereas tau buildup is also found in Alzheimer’s disease and 
other forms of dementia, and people with CTE may show 
signs of another neurodegenerative disease, including Alz-
heimer’s, amyotrophic lateral sclerosis (ALS), Lewy body 
disease (LBD), and Parkinson’s disease; 
Whereas the risk of developing CTE is greatest with athletes 
and military veterans, who frequently endure repeated 
subconcussive blows to the head from playing contact 
sports or suffer traumatic injury from military training 
or blasting, but it has also appeared in survivors of do-
mestic abuse and those with epilepsy; 
Whereas symptoms associated with CTE and RHI, such as 
memory loss, tremors, addictions, progressive dementia, 
depression, suicidal thoughts, impaired judgment, and 
paranoia, most often are present years or decades after 
the brain trauma or hits stop, but have been found in a 
patient as young as 17 years old; 
Whereas, currently, CTE can only be definitively diagnosed 
after death through postmortem neuropathological anal-
ysis; 
Whereas advocacy organizations, health care providers, and 
institutional researchers are dedicated to studying the 
causes and symptoms of CTE in order to enable parents 
and families to make informed decisions regarding the 
best interests of their children in youth sports and to de-
velop an earlier diagnostic tool so patients may address 
these symptoms as early as possible; and 
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Whereas the Patrick Risha CTE Awareness Foundation, the 
Chandler Kimball Foundation, the Mac Parkman Foun-
dation, the Matthew Benedict’s One Last Goal founda-
tion, the Zac Easter’s CTE Hope foundation, and many 
other organizations celebrate CTE and RHI Awareness 
Day across the United States in order to reflect on those 
lost to CTE and RHI, how to help those suffering with 
the disease, and most importantly how to stop the dis-
ease: Now, therefore, be it 
Resolved, That the House of Representatives— 
(1) supports the designation of CTE and RHI 
Awareness Day; 
(2) recognizes the doctors and researchers who 
advance the study of CTE (chronic traumatic 
encephalopathy) and RHI (repeated head impacts); 
(3) recognizes persons and their families and 
caregivers who may be suffering from symptoms of 
CTE and RHI; 
(4) encourages the Centers for Disease Control 
and Prevention (CDC) and the National Institutes 
of Health (NIH) to publish information on CTE and 
RHI, in concussion education materials, and educate 
the public on the symptoms and potential contrib-
uting factors; and 
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(5) encourages the people of the United States 
to observe the day with appropriate ceremonies and 
activities that promote awareness of CTE and RHI. 
Æ 
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