SEC. 2. FINDINGS. 
(a) FINDINGS.—The Congress finds as follows: 
(1) State data and monitoring systems provide 
reliable data on injury causes and risk factors, iden-
tify trends in the incidence of traumatic brain in-
jury, enable the development of cause-specific pre-
vention strategies focused on populations at greatest 
risk, and monitor the effectiveness of such strate-
gies. 
(2) Since 1995, when the Centers for Disease 
Control and Prevention published Guidelines for 
Surveillance of Central Nervous System Injury, ad-
ditional causes of traumatic brain injury have 
emerged: military-related traumatic brain injuries; 
sports-related concussions; traffic injuries resulting 
from texting while driving; and increasing numbers 
of falls-related traumatic brain injuries among older 
adults. 
(3) In their 2013 report, Sports-Related Con-
cussions in Youth: Improving the Science, Changing 
the Culture, the Institute on Medicine and the Na-
tional Research Council noted that there is currently 
a lack of data to accurately estimate the incidence 
of sports-related concussions across a variety of 
sports and for youth across the pediatric age spec-
trum. The report recommended that the Centers for 
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Disease Control and Prevention establish and over-
see a national surveillance system to accurately de-
termine the incidence of sports-related concussions, 
including those in youth ages 5 to 21, taking into 
account Federal efforts to collect information on 
traumatic brain injury. 
(4) Traumatic brain injury is a substantial pub-
lic health problem among older persons. As the pop-
ulation of older persons continues to grow in the 
United States, the need to design and implement 
proven and cost-effective prevention measures that 
focus on the leading causes of traumatic brain injury 
becomes more urgent. 
(5) In order to implement this Act, the Centers 
for Disease Control and Prevention needs to collabo-
rate with Federal agencies reporting military-related 
traumatic brain injuries, school systems reporting 
traumatic brain injuries, Medicaid and other Federal 
programs, and State agencies. 
SEC. 3. ESTABLISHING REQUIREMENTS TO IMPROVE THE 
RESEARCH AND TREATMENT OF TRAUMATIC 
BRAIN INJURY. 
(a) IN GENERAL.—The Secretary, acting through the 
Director of the Centers for Disease Control and Preven-
tion, shall— 
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(1) evaluate existing surveillance and data col-
lections systems that track the incidence and cir-
cumstances of traumatic brain injury, including con-
cussion; 
(2) not later than 9 months after the date of 
enactment of this Act, submit a report to the Con-
gress outlining the findings of the evaluation under 
paragraph (1); and 
(3) establish a statistically sound, scientifically 
credible, integrated surveillance system regarding 
traumatic brain injury, to be known as the ‘‘Na-
tional Traumatic Brain Injury Surveillance System’’. 
(b) RESEARCH.—The Secretary shall ensure that the 
National Traumatic Brain Injury Surveillance System is 
designed in a manner that facilitates further research on 
brain injury. 
(c) CONTENT.—In carrying out subsection (a), the 
Secretary— 
(1) shall provide for the collection and storage 
of information (excluding personally identifiable in-
formation) on the incidence and prevalence of trau-
matic brain injury, including concussion, in the 
United States across the lifespan; 
(2) to the extent practicable, shall provide for 
the collection and storage of other available informa-
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tion (excluding personally identifiable information) 
on traumatic brain injury, such as information con-
cerning demographics and other information associ-
ated with the incidence of a traumatic brain injury, 
such as— 
(A) age; 
(B) race and ethnicity; 
(C) sex; 
(D) geographic location; 
(E) history of head injury (including injury 
type and the approximate date of injury); 
(F) pre-existing conditions, such as learn-
ing disabilities and attention deficit hyper-
activity disorder; and 
(G) co-occurring issues, such as substance 
abuse or post-traumatic stress disorder; 
(3) to the extent practicable, shall provide for 
the collection and storage of information relevant to 
analysis on traumatic brain injury, such as informa-
tion concerning— 
(A) impact location on the body and na-
ture of the impact; 
(B) qualifications of personnel making the 
traumatic brain injury diagnosis; 
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(C) assessment tool used to make the diag-
nosis; 
(D) signs and symptoms consistent with a 
head injury; 
(E) sport or activity and the level of com-
petition (if a sports-related activity); 
(F) use of protective equipment and im-
pact monitoring devices; and 
(G) severity of the traumatic brain injury; 
and 
(4) may address issues identified during the 
consultation process under subsection (d). 
(d) CONSULTATION.—In carrying out this section, 
the Secretary shall consult with individuals with appro-
priate expertise, including— 
(1) epidemiologists with experience in disease 
surveillance or registries; 
(2) representatives of national health associa-
tions that— 
(A) focus on brain injury; and 
(B) have demonstrated experience in re-
search, care, or patient services; 
(3) State public health agencies; 
(4) health information technology experts or 
other information management specialists; 
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