IB
Union Calendar No. 349
110th CONGRESS
2d Session
H. R. 1418
[Report No. 110–567]
IN THE HOUSE OF REPRESENTATIVES
March 8, 2007
Mr. Pascrell (for himself and Mr. Platts) introduced the following bill; which was referred to the Committee on Energy and Commerce
April 8, 2008
Additional sponsors: Mr. Holt, Mr. Crowley, Mr. Marshall, Mr. Wilson of South Carolina, Mr. Wolf, Mrs. Wilson of New Mexico, Mr. Payne, Mr. Ferguson, Mr. LoBiondo, Mr. Fortuño, Mrs. Boyda of Kansas, Mr. Carney, Mrs. Christensen, Mr. Smith of New Jersey, Mr. Pickering, Ms. Herseth Sandlin, Mr. Thompson of California, Mr. Hayes, Mr. Bishop of Georgia, Mr. Capuano, Mr. Sessions, Mr. Ryan of Ohio, Mr. Filner, Mr. Terry, Mr. Sestak, Ms. Norton, Mr. Hinchey, Ms. DeGette, Mr. Donnelly, Mr. Holden, Mr. Abercrombie, Mr. McNulty, Ms. Zoe Lofgren of California, Mr. Hinojosa, Mr. Waxman, Ms. Shea-Porter, Mr. Gordon of Tennessee, Mr. Rothman, Mr. Rogers of Alabama, Mr. Emanuel, Mr. Tim Murphy of Pennsylvania, Mr. Altmire, Mr. Goode, Mr. Wynn, Mr. Cohen, and Mr. Grijalva
April 8, 2008
Reported with an amendment, committed to the Committee of the Whole House on the State of the Union, and ordered to be printed
Strike out all after the enacting clause and insert the part printed in italic
For text of introduced bill, see copy of bill as introduced on March 8, 2007
A BILL
To provide for the expansion and improvement of traumatic brain injury programs.
Short title
This Act may be cited as the
Traumatic Brain Injury Act of
2008
.
Conforming amendments relating to restructuring
Part J of title III of the Public Health Service Act (42 U.S.C. 280b et seq.) is amended—
by redesignating the section 393B (42 U.S.C. 280b–1c) relating to the use of allotments for rape prevention education, as section 393A and moving such section so that it follows section 393;
by redesignating existing section 393A (42 U.S.C. 280b–1b) relating to prevention of traumatic brain injury, as section 393B; and
by redesignating the section 393B (42 U.S.C. 280b–1d) relating to traumatic brain injury registries, as section 393C.
Traumatic brain injury programs of the centers for Disease Control and Prevention
Prevention of Traumatic Brain Injury
Clause (ii) of section 393B(b)(3)(A) of the
Public Health Service Act, as so
redesignated, (42 U.S.C. 280b–1b) is amended by striking from hospitals
and trauma centers
and inserting from hospitals and emergency
departments
.
National Program for Traumatic Brain Injury Surveillance and Registries
Section 393C of the Public Health Service Act, as so redesignated, (42 U.S.C. 280b et seq.) is amended—
in the section heading,
by inserting surveillance and
after
national program for
traumatic brain injury
; and
in subsection (a), in the
matter preceding paragraph (1), by striking may make grants
and
all that follows through to collect data concerning—
and
inserting may make grants to States or their designees to develop or
operate the State’s traumatic brain injury surveillance system or registry to
determine the incidence and prevalence of traumatic brain injury and related
disability, to ensure the uniformity of reporting under such system or
registry, to link individuals with traumatic brain injury to services and
supports, and to link such individuals with academic institutions to conduct
applied research that will support the development of such surveillance systems
and registries as may be necessary. A surveillance system or registry under
this section shall provide for the collection of data
concerning—
.
Report
Section 393C of the Public Health Service Act (as so redesignated) is amended by adding at the end the following:
Not later than 18 months after the date of enactment of the Traumatic Brain Injury Act of 2008, the Secretary, acting through the Director of the Centers for Disease Control and Prevention and the Director of the National Institutes of Health and in consultation with the Secretary of Defense and the Secretary of Veterans Affairs, shall submit to the relevant committees of Congress a report that contains the findings derived from an evaluation concerning activities and procedures that can be implemented by the Centers for Disease Control and Prevention to improve the collection and dissemination of compatible epidemiological studies on the incidence and prevalence of traumatic brain injury in those with traumatic brain injury who were formerly in the military. The report shall include recommendations on the manner in which such agencies can further collaborate on the development and improvement of traumatic brain injury diagnostic tools and treatments.
.
Study on traumatic brain injury
Part J of title III of the Public Health Service Act (42 U.S.C. 280b et seq.) is amended by inserting after section 393C, as so redesignated, the following:
Study on traumatic brain injury
Study
The Secretary, acting through the Director of the Centers for Disease Control and Prevention with respect to paragraph (1) and in consultation with the Director of the National Institutes of Health and other appropriate entities with respect to paragraphs (2), (3), and (4), may conduct a study with respect to traumatic brain injury for the purpose of carrying out the following:
In collaboration with appropriate State and local health-related agencies—
determining the incidence of traumatic brain injury and prevalence of traumatic brain injury related disability and the clinical aspects of the disability in all age groups and racial and ethnic minority groups in the general population of the United States, including institutional settings, such as nursing homes, correctional facilities, psychiatric hospitals, child care facilities, and residential institutes for people with developmental disabilities; and
reporting national trends in traumatic brain injury.
Identifying common therapeutic interventions which are used for the rehabilitation of individuals with such injuries, and, subject to the availability of information, including an analysis of—
the effectiveness of each such intervention in improving the functioning, including return to work or school and community participation, of individuals with brain injuries;
the comparative effectiveness of interventions employed in the course of rehabilitation of individuals with brain injuries to achieve the same or similar clinical outcome; and
the adequacy of existing measures of outcomes and knowledge of factors influencing differential outcomes.
Identifying interventions and therapies that can prevent or remediate the development of secondary neurologic conditions related to traumatic brain injury.
Developing practice guidelines for the rehabilitation of traumatic brain injury at such time as appropriate scientific research becomes available.
Dates Certain for Reports
If the study is conducted under subsection (a), the Secretary shall, not later than 3 years after the date of the enactment of the Traumatic Brain Injury Act of 2008, submit to Congress a report describing findings made as a result of carrying out such subsection (a).
Definition
For purposes of this section, the term traumatic brain injury means an acquired injury to the brain. Such term does not include brain dysfunction caused by congenital or degenerative disorders, nor birth trauma, but may include brain injuries caused by anoxia due to trauma including near drowning. The Secretary may revise the definition of such term as the Secretary determines necessary.
.
Traumatic brain injury programs of the national institutes of health
Section 1261 of the Public Health Service Act (42 U.S.C. 300d–61) is amended—
in subsection (b)(2), by striking
Labor and Human Resources
and inserting Health,
Education, Labor, and Pensions
;
in subparagraph (D) of
subsection (d)(4), by striking head brain injury
and inserting
brain injury
; and
in subsection (i), by
inserting , and such sums as may be necessary for each of the fiscal
years 2009 through 2012
before the period at the end.
Traumatic brain injury programs of the health resources and services administration
State Grants for Demonstration Projects Regarding Traumatic Brain Injury
Section 1252 of the Public Health Service Act (42 U.S.C. 300d–52) is amended—
in subsection (a)—
by striking may
make grants to States
and inserting may make grants to States
and American Indian consortia
; and
by striking health
and other services
and inserting rehabilitation and other
services
;
in subsection (b)—
in paragraphs (1), (3)(A)(i), (3)(A)(iii), and (3)(A)(iv), by striking the term State each place such term appears and inserting the term State or American Indian consortium; and
in paragraph (2), by
striking recommendations to the State
and inserting
recommendations to the State or American Indian
consortium
;
in subsection (c)(1), by
striking the term State each place such term appears and inserting
State or American Indian consortium
;
in subsection (e), by
striking A State that received
and all that follows through the
period and inserting A State or American Indian consortium that received
a grant under this section prior to the date of the enactment of the Traumatic
Brain Injury Act of 2008 may complete the activities funded by the
grant.
;
in subsection (f)—
in the subsection
heading, by inserting and American
Indian Consortium
after State
;
in paragraph (1) in the matter preceding
subparagraph (A), paragraph (1)(E), paragraph (2)(A), paragraph (2)(B),
paragraph (3) in the matter preceding subparagraph (A), paragraph (3)(E), and
paragraph (3)(F), by striking the term State each place such term
appears and inserting State or American Indian consortium
;
and
in clause (ii) of
paragraph (1)(A), by striking children and other individuals
and
inserting children, youth, and adults
;
in subsection (h)—
by striking Not
later than 2 years after the date of the enactment of this section, the
Secretary
and inserting Not less than biennially, the
Secretary
;
by striking
Commerce of the House of Representatives, and to the Committee on Labor
and Human Resources
and inserting Energy and Commerce of the
House of Representatives, and to the Committee on Health, Education, Labor, and
Pensions
; and
by inserting and
section 1253
after programs established under this
section,
;
by amending subsection (i) to read as follows:
Definitions
For purposes of this section:
The terms American Indian consortium and State have the meanings given to those terms in section 1253.
The term traumatic brain injury means an acquired injury to the brain. Such term does not include brain dysfunction caused by congenital or degenerative disorders, nor birth trauma, but may include brain injuries caused by anoxia due to trauma. The Secretary may revise the definition of such term as the Secretary determines necessary, after consultation with States and other appropriate public or nonprofit private entities.
; and
in subsection (j), by
inserting , and such sums as may be necessary for each of the fiscal
years 2009 through 2012
before the period.
State Grants for Protection and Advocacy Services
Section 1253 of the Public Health Service Act (42 U.S.C. 300d–53) is amended—
in subsections (d) and
(e), by striking the term subsection (i) each place such term
appears and inserting subsection (l)
;
in subsection (g), by
inserting each fiscal year not later than October 1,
before
the Administrator shall pay
;
by redesignating subsections (i) and (j) as subsections (l) and (m), respectively;
by inserting after subsection (h) the following:
Data Collection
The Administrator of the Health Resources and Services Administration and the Commissioner of the Administration on Developmental Disabilities shall enter into an agreement to coordinate the collection of data by the Administrator and the Commissioner regarding protection and advocacy services.
Training and Technical Assistance
Grants
For any fiscal year for which the amount appropriated to carry out this section is $6,000,000 or greater, the Administrator shall use 2 percent of such amount to make a grant to an eligible national association for providing for training and technical assistance to protection and advocacy systems.
Definition
In this subsection, the term eligible national association means a national association with demonstrated experience in providing training and technical assistance to protection and advocacy systems.
System Authority
In providing services under this section, a protection and advocacy system shall have the same authorities, including access to records, as such system would have for purposes of providing services under subtitle C of the Developmental Disabilities Assistance and Bill of Rights Act of 2000.
; and
in subsection (l) (as
redesignated by this subsection) by striking 2002 through 2005
and inserting 2009 through 2012
.
April 8, 2008
Reported with an amendment, committed to the Committee of the Whole House on the State of the Union, and ordered to be printed