[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[S. 2898 Introduced in Senate (IS)]
<DOC>
119th CONGRESS
1st Session
S. 2898
To reauthorize the Traumatic Brain Injury program.
_______________________________________________________________________
IN THE SENATE OF THE UNITED STATES
September 18 (legislative day, September 16), 2025
Mr. Mullin (for himself, Mr. Kim, Mr. Cornyn, Mr. Padilla, and Ms.
Cortez Masto) introduced the following bill; which was read twice and
referred to the Committee on Health, Education, Labor, and Pensions
_______________________________________________________________________
A BILL
To reauthorize the Traumatic Brain Injury program.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Dennis John Benigno Traumatic Brain
Injury Program Reauthorization Act of 2025''.
SEC. 2. THE BILL PASCRELL, JR., NATIONAL PROGRAM FOR TRAUMATIC BRAIN
INJURY SURVEILLANCE AND REGISTRIES.
(a) Prevention of Traumatic Brain Injury.--Section 393B of the
Public Health Service Act (42 U.S.C. 280b-1c) is amended--
(1) in subsection (a), by inserting ``and prevalence''
after ``incidence'';
(2) in subsection (b)--
(A) in paragraph (1), by inserting ``and reduction
of associated injuries and fatalities'' before the
semicolon;
(B) in paragraph (2), by inserting ``and related
risk factors'' before the semicolon; and
(C) in paragraph (3)--
(i) in the matter preceding subparagraph
(A), by striking ``2020'' each place it appears
and inserting ``2030''; and
(ii) in subparagraph (A)--
(I) in clause (i), by striking ``;
and'' and inserting a semicolon;
(II) by redesignating clause (ii)
as clause (iv);
(III) by inserting after clause (i)
the following:
``(ii) populations at higher risk of
traumatic brain injury, including populations
whose increased risk is due to occupational or
circumstantial factors;
``(iii) causes of, and risk factors for,
traumatic brain injury; and''; and
(IV) in clause (iv), as so
redesignated, by striking ``arising
from traumatic brain injury'' and
inserting ``, which may include related
mental health and other conditions,
arising from traumatic brain injury,
including''; and
(3) in subsection (c), by inserting ``, and other relevant
Federal departments and agencies'' before the period at the
end.
(b) National Program for Traumatic Brain Injury Surveillance and
Registries.--Section 393C of the Public Health Service Act (42 U.S.C.
280b-1d) is amended--
(1) by amending the section heading to read as follows:
``the bill pascrell, jr., national program for traumatic brain
injury surveillance and registries'';
(2) in subsection (a)--
(A) in the matter preceding paragraph (1), by
inserting ``to identify populations that may be at
higher risk for traumatic brain injuries, to collect
data on the causes of, and risk factors for, traumatic
brain injuries,'' after ``related disability,'';
(B) in paragraph (1), by inserting ``, including
the occupation of the individual, when relevant to the
circumstances surrounding the injury'' before the
semicolon; and
(C) in paragraph (4), by inserting ``short- and
long-term'' before ``outcomes'';
(3) by striking subsection (b);
(4) by redesignating subsection (c) as subsection (b);
(5) in subsection (b), as so redesignated, by inserting
``and evidence-based practices to identify and address
concussion'' before the period at the end; and
(6) by adding at the end the following:
``(c) Availability of Information.--The Secretary, acting through
the Director of the Centers for Disease Control and Prevention, shall
make publicly available aggregated information on traumatic brain
injury and concussion described in this section, including on the
website of the Centers for Disease Control and Prevention. Such
website, to the extent feasible, shall include aggregated information
on populations that may be at higher risk for traumatic brain injuries
and strategies for preventing or reducing risk of traumatic brain
injury that are tailored to such populations.''.
(c) Authorization of Appropriations.--Section 394A of the Public
Health Service Act (42 U.S.C. 280b-3) is amended--
(1) in subsection (a), by striking ``1994, and'' and
inserting ``1994,''; and
(2) in subsection (b), by striking ``2020 through 2024''
and inserting ``2026 through 2030''.
SEC. 3. STATE GRANT PROGRAMS.
(a) State Grants for Projects Regarding Traumatic Brain Injury.--
Section 1252 of the Public Health Service Act (42 U.S.C. 300d-52) is
amended--
(1) in subsection (b)(2)--
(A) by inserting ``, taking into consideration
populations that may be at higher risk for traumatic
brain injuries'' after ``outreach programs''; and
(B) by inserting ``Tribal,'' after ``State,'';
(2) in subsection (c), by adding at the end the following:
``(3) Maintenance of effort.--With respect to activities
for which a grant awarded under subsection (a) is to be
expended, a State or American Indian consortium shall agree to
maintain expenditures of non-Federal amounts for such
activities at a level that is not less than the level of such
expenditures maintained by the State or American Indian
consortium for the fiscal year preceding the fiscal year for
which the State or American Indian consortium receives such a
grant.
``(4) Waiver.--The Secretary may, upon the request of a
State or American Indian consortium, waive not more than 50
percent of the matching fund amount under paragraph (1), if the
Secretary determines that such matching fund amount would
result in an inability of the State or American Indian
consortium to carry out the purposes under subsection (a). A
waiver provided by the Secretary under this paragraph shall
apply only to the fiscal year involved.'';
(3) in subsection (e)(3)(B)--
(A) by striking ``(such as third party payers,
State agencies, community-based providers, schools, and
educators)''; and
(B) by inserting ``(such as third party payers,
State agencies, community-based providers, schools, and
educators)'' after ``professionals'';
(4) in subsection (h), by striking paragraphs (1) and (2)
and inserting the following:
``(1) American indian consortium; state.--The terms
`American Indian consortium' and `State' have the meanings
given such terms in section 1253.
``(2) Traumatic brain injury.--
``(A) In general.--Subject to subparagraph (B), the
term `traumatic brain injury'--
``(i) means an acquired injury to the
brain;
``(ii) may include--
``(I) brain injuries caused by
anoxia due to trauma; and
``(II) damage to the brain from an
internal or external source that
results in infection, toxicity,
surgery, or vascular disorders not
associated with aging; and
``(iii) does not include brain dysfunction
caused by congenital or degenerative disorders,
or birth trauma.
``(B) Revisions to definition.--The Secretary may
revise the definition of the term `traumatic brain
injury' under this paragraph, as the Secretary
determines necessary, after consultation with States
and other appropriate public or nonprofit private
entities.''; and
(5) in subsection (i), by striking ``2020 through 2024''
and inserting ``2026 through 2030''.
(b) State Grants for Protection and Advocacy Services.--Section
1253(l) of the Public Health Service Act (42 U.S.C. 300d-53(l)) is
amended by striking ``2020 through 2024'' and inserting ``2026 through
2030''.
SEC. 4. REPORT TO CONGRESS.
Not later than 2 years after the date of enactment of this Act, the
Secretary of Health and Human Services (referred to in this Act as the
``Secretary'') shall submit to the Committee on Health, Education,
Labor, and Pensions of the Senate and the Committee on Energy and
Commerce of the House of Representatives a report that contains--
(1) an overview of populations who may be at higher risk
for traumatic brain injury, such as individuals affected by
domestic violence or sexual assault and public safety officers,
as defined in section 1204 of the Omnibus Crime Control and
Safe Streets Act of 1968 (34 U.S.C. 10284);
(2) an outline of existing surveys and activities of the
Centers for Disease Control and Prevention on traumatic brain
injuries and any steps the agency has taken to address gaps in
data collection related to such higher risk populations, which
may include leveraging surveys such as the National Intimate
Partner and Sexual Violence Survey to collect data on traumatic
brain injuries;
(3) an overview of any outreach or education efforts to
reach such higher risk populations; and
(4) any challenges associated with reaching such higher
risk populations.
SEC. 5. STUDY ON LONG-TERM SYMPTOMS OR CONDITIONS RELATED TO TRAUMATIC
BRAIN INJURY.
(a) In General.--The Secretary, in consultation with stakeholders
and the heads of other relevant Federal departments and agencies, as
appropriate, shall conduct, either directly or through a contract with
a nonprofit private entity, a study to--
(1) examine the incidence and prevalence of long-term or
chronic symptoms or conditions in individuals who have
experienced a traumatic brain injury;
(2) examine the evidence base of research related to the
chronic effects of traumatic brain injury across the lifespan;
(3) examine any correlations between traumatic brain injury
and increased risk of other conditions, such as dementia and
mental health conditions;
(4) assess existing services available for individuals with
such long-term or chronic symptoms or conditions; and
(5) identify any gaps in research related to such long-term
or chronic symptoms or conditions of individuals who have
experienced a traumatic brain injury.
(b) Public Report.--Not later than 2 years after the date of
enactment of this Act, the Secretary shall--
(1) submit to the Committee on Health, Education, Labor,
and Pensions of the Senate and the Committee on Energy and
Commerce of the House of Representatives a report detailing the
findings, conclusions, and recommendations of the study
described in subsection (a); and
(2) in the case that such study is conducted directly by
the Secretary, make the report described in paragraph (1)
publicly available on the website of the Department of Health
and Human Services.
<all>