Secretary at such time, in such manner, and 
containing such information as the Secretary 
shall require. 
‘‘(B) MINIMUM CONTENTS.—The Secretary 
shall require that an application of a State 
under subparagraph (A) contain at a min-
imum— 
‘‘(i) a description of the strategies the 
State will use to disseminate, and ensure 
the implementation by target entities of, the 
guidelines, including coordination with on-
going State-based efforts to implement State 
laws governing youth concussion manage-
ment; and 
‘‘(ii) an agreement by the State to pe-
riodically provide data to the Secretary 
with respect to the incidence of concussions 
and second impact syndrome among school- 
aged children in the State. 
‘‘(3) UTILIZATION OF HIGH SCHOOL SPORTS AS-
SOCIATIONS, YOUTH SPORTS ASSOCIATIONS, ATHLETIC 
TRAINER
ASSOCIATIONS, AND
LOCAL
CHAPTERS
OF 
NATIONAL
BRAIN
INJURY
ORGANIZATIONS.—In dis-
seminating and ensuring the implementation by tar-
get entities of the guidelines pursuant to a grant 
VerDate Mar 15 2010 
21:54 Sep 28, 2010
Jkt 089200
PO 00000
Frm 00005
Fmt 6652
Sfmt 6203
E:\BILLS\H1347.RH
H1347
srobinson on DSKHWCL6B1PROD with BILLS
under this subsection, the Secretary shall require 
States receiving grants under this subsection to uti-
lize, to the extent practicable, applicable expertise and 
services offered by high school sports associations, 
youth sports associations, athletic trainer associa-
tions, and local chapters of national brain injury or-
ganizations in such States. 
‘‘(c) COORDINATION OF ACTIVITIES.—In carrying out 
activities under this section, the Secretary shall coordinate 
in an appropriate manner with the heads of other Federal 
departments and agencies that carry out activities related 
to concussions and other traumatic brain injuries. 
‘‘(d) REPORTS.— 
‘‘(1) ESTABLISHMENT
OF
THE
GUIDELINES.— 
Not later than 2 years after the date of the enactment 
of this section, the Secretary shall submit to the Con-
gress a report on the implementation of subsection 
(a). 
‘‘(2) GRANT PROGRAM AND DATA COLLECTION.— 
Not later than 4 years after the date of the enactment 
of this section, the Secretary shall submit to the Con-
gress a report on the implementation of subsection 
(b), including— 
‘‘(A) the number of States that have adopted 
the guidelines; 
VerDate Mar 15 2010 
21:54 Sep 28, 2010
Jkt 089200
PO 00000
Frm 00006
Fmt 6652
Sfmt 6203
E:\BILLS\H1347.RH
H1347
srobinson on DSKHWCL6B1PROD with BILLS
‘‘(B) the number of target entities that have 
implemented pre-season baseline and post-injury 
testing, including computerized testing, for 
school-aged children; and 
‘‘(C) the data collected with respect to the 
incidence of concussions and second impact syn-
drome among school-aged children. 
‘‘(e) DEFINITIONS.—In this section: 
‘‘(1) The term ‘guidelines’ means the concussion 
management guidelines established under subsection 
(a). 
‘‘(2) The term ‘return to play’ means, with re-
spect to a school-aged child experiencing a concussion, 
the return of such child to participating in the sport 
or other activity related to such concussion. 
‘‘(3) The term ‘school-aged children’ means indi-
viduals who are at least 5 years of age and not more 
than 18 years of age. 
‘‘(4) The term ‘second impact syndrome’ means 
catastrophic or fatal events that occur when an indi-
vidual suffers a concussion while symptomatic and 
healing from a previous concussion. 
‘‘(5) The term ‘Secretary’ means the Secretary of 
Health and Human Services, acting through the Di-
VerDate Mar 15 2010 
21:54 Sep 28, 2010
Jkt 089200
PO 00000
Frm 00007
Fmt 6652
Sfmt 6203
E:\BILLS\H1347.RH
H1347
srobinson on DSKHWCL6B1PROD with BILLS
rector of the Centers for Disease Control and Preven-
tion. 
‘‘(6) The term ‘State’ means each of the 50 
States and the District of Columbia. 
‘‘(7) The term ‘target entity’ means an elemen-
tary school, a secondary school, or a youth sports as-
sociation.’’. 
Amend the title so as to read: ‘‘A bill to amend title 
III of the Public Health Service Act to provide for the 
establishment and implementation of concussion manage-
ment guidelines with respect to school-aged children, and 
for other purposes.’’. 
VerDate Mar 15 2010 
21:54 Sep 28, 2010
Jkt 089200
PO 00000
Frm 00008
Fmt 6652
Sfmt 6201
E:\BILLS\H1347.RH
H1347
srobinson on DSKHWCL6B1PROD with BILLS
VerDate Mar 15 2010 
21:54 Sep 28, 2010
Jkt 089200
PO 00000
Frm 00009
Fmt 6652
Sfmt 6201
E:\BILLS\H1347.RH
H1347
srobinson on DSKHWCL6B1PROD with BILLS
Union Calendar No. 372 
111TH CONGRESS 
2D SESSION 
H. R. 1347 
[Report No. 111–632] 
A BILL 
To amend title III of the Public Health Service Act 
to provide for the establishment and implementa-
tion of concussion management guidelines with 
respect to school-aged children, and for other 
purposes. 
SEPTEMBER 28, 2010 
Reported with amendments, committed to the Committee 
of the Whole House on the State of the Union, and or-
dered to be printed 
VerDate Mar 15 2010 
21:54 Sep 28, 2010
Jkt 089200
PO 00000
Frm 00010
Fmt 6651
Sfmt 6651
E:\BILLS\H1347.RH
H1347
srobinson on DSKHWCL6B1PROD with BILLS