,i #aac? ,,congress #a/ ,session ,h4 ,r4 #caac ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,septemb] #ag1 #bjac,mr4 ,pascrell 7= himself & ,mr4 ,rooney7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce ,a ,,bill ,to am5d title ,,iii ( ! ,public ,heal? ,s]vice ,act to provide = ! e/abli%m5t & implem5tation ( guidel9es on be/ practices = diagnosis1 treatm5t1 & managem5t ( mild traumatic bra9 injuries 7,m,t,b,is7 9 s*ool-ag$ *ildr51 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,concussion ,treatm5t & ,c>e ,tools ,act ( #bjac or ! ,con,t,a,c,t ,act ( #bjac4 #b4 ,f9d+s ,congress f9ds ! foll[+3 7#a7 ,concussions are mild traumatic bra9 injuries1 ! long-t]m effects ( :i* are n well und]/ood4 7#b7 ,accord+ to ! ,c5t]s = ,disease ,control & ,prev5tion 7,,cdc71 ea* ye> ,unit$ ,/ates em]g5cy dep>tm5ts treat an e/imat$ #agc1bhe sports- & recreation-relat$ mild traumatic bra9 injuries 7,m,t,b,is71 includ+ concussions1 among *ildr5 & adolesc5ts1 f bir? to #ai ye>s ( age4 ,h[ev]1 ?is numb] does n capture ! total numb]1 z _m ,m,t,b,is g undiagnos$4 7#c7 ,!re is an increas$ risk = subsequ5t bra9 injuries among p]sons :o h _h at lea/ "o previ\s bra9 injury4 7#d7 ,a repeat concussion1 "o t occurs be=e ! bra9 recov]s f a previ\s concussion1 c sl[ recov]y or increase ! likelihood ( hav+ long-t]m problems4 7#e7 ,9 r>e cases1 repeat concussions c result 9 second impact syndrome1 :i* c be m>k$ by bra9 swell+1 p]man5t bra9 damage1 & dea?4 7#f7 ,recurr5t bra9 injuries & second impact syndrome are highly prev5table4 7#g7 ,_m ,/ates h adopt$ concussion managem5t rules & regulations1 b _m s*ools lack ! res\rces to implem5t be/ practices 9 concussion diagnosis & managem5t4 #c4 ,guidel9es on be/ practices = diagnosis1 treatm5t1 & managem5t ( mild traumatic bra9 injuries 9 s*ool-ag$ *ildr5 ,"p ,b ( title ,,iii ( ! ,public ,heal? ,s]vice ,act #f 7#db ,u4,s4,c4 #bdc et seq47 is am5d$ by ins]t+ aft] section #cag,t ! foll[+3 #cag,u4 ,guidel9es on be/ practices = diagnosis1 treatm5t1 & managem5t ( mild traumatic bra9 injuries 9 s*ool-ag$ *ildr5 7a7 ,guidel9es 7#a7 ,by ,secret>y ,n lat] ?an #ij days aft] issuance ( ! f9al report "u p>agraph 7#b71 ! ,secret>y %all e/abli% guidel9es = ,/ates on ! implem5tation ( be/ practices = diagnosis1 treatm5t1 & managem5t ( ,m,t,b,is 9 s*ool-ag$ *ildr54 7#b7 ,by ,panel ,n lat] ?an ,m>* #ae1 #bjae1 ! ,p$iatric ,,mtbi ,guidel9e ,exp]t ,panel ( ! ,c5t]s = ,disease ,control & ,prev5tion %all issue a f9al report on be/ practices = diagnosis1 treatm5t1 & managem5t ( ,m,t,b,is 9 s*ool-ag$ *ildr54 7#c7 ,/ud5t a?letes return+ to play ,! guidel9es "u p>agraph 7#a7 & ! report "u p>agraph 7#b7 %all address be/ practices = diagnosis1 treatm5t1 & managem5t ( ,m,t,b,is 9 /ud5t a?letes return+ to play aft] an ,,mtbi4 7b7 ,grants to ,/ates 7#a7 ,9 g5]al ,aft] e/abli%+ ! guidel9es "u subsection 7a77#a71 ! ,secret>y may make grants to ,/ates = purposes (-- 7,a7 adopt+ su* guidel9es1 & dissem9at+ su* guidel9es to elem5t>y & second>y s*ools2 & 7,b7 ensur+ t elem5t>y & second>y s*ools-- 7i7 implem5t su* guidel9es2 7ii7 are adequately /aff$ ) a?letic tra9]s & o!r m$ical pr(essionals necess>y to implem5t su* guidel9es2 & 7iii7 implem5t comput]iz$ pre-season basel9e & po/-injury neuropsy*ological te/+ = /ud5t a?letes4 7#b7 ,grant applications 7,a7 ,9 g5]al ,to be eligible to receive a grant "u ?is section1 a ,/ate %all submit an application to ! ,secret>y at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may require4 7,b7 ,m9imum cont5ts ,! ,secret>y %all require t an application ( a ,/ate "u subp>agraph 7,a7 conta9 at a m9imum-- 7i7 a description ( ! /rategies ! ,/ate w use to dissem9ate ! guidel9es "u subsection 7a77#a7 to elem5t>y & second>y s*ools1 & to ensure implem5tation ( su* guidel9es by su* s*ools1 includ+ any /rategic p>tn]%ips t ! ,/ate w =m2 & 7ii7 an agreem5t by ! ,/ate to p]iodically provide data ) respect to ! incid5ce ( ,m,t,b,is & second impact syndrome among /ud5t a?letes 9 ! ,/ate4 7#c7 ,utilization ( high s*ool sports associations & local *apt]s ( national bra9 injury organizations ,! ,secret>y %all require ,/ates receiv+ grants "u ?is section to utilize1 to ! ext5t practicable1 applicable exp]tise & s]vices (f]$ by high s*ool sports associations & local *apt]s ( national bra9 injury organizations 9 su* ,/ates4 7c7 ,coord9ation ( activities ,9 c>ry+ out ?is section1 ! ,secret>y %all coord9ate 9 an appropriate mann] ) ! heads ( o!r ,f$]al dep>tm5ts & ag5cies t c>ry out activities relat$ to ,m,t,b,is4 7d7 ,report to ,congress ,n lat] ?an #d ye>s aft] ! date ( ! enactm5t ( ?is section1 ! ,secret>y %all submit to ,congress a report on ! implem5tation ( subsection 7b7 & %all include 9 su* report-- 7#a7 ! numb] ( ,/ates t h adopt$ ! guidel9es "u subsection 7a77#a72 7#b7 ! numb] ( elem5t>y & second>y s*ools t h implem5t$ comput]iz$ pre-season basel9e & po/-injury neuro-psy*ological te/+ = /ud5t a?letes2 & 7#c7 ! data collect$ ) respect to ! incid5ce ( ,m,t,b,is & second impact syndrome among /ud5t a?letes4 7e7 ,def9itions ,9 ?is section1 ! foll[+ def9itions apply3 7#a7 ,! t]m ,,mtbi means a mild traumatic bra9 injury4 7#b7 ,! t]m s*ool-ag$ *ild means an individual 9 ! range ( #e ?r\gh #ah ye>s ( age4 7#c7 ,! t]m second impact syndrome means cata/rophic or fatal ev5ts t occur :5 an individual suff]s an ,,mtbi :ile symptomatic & heal+ f a previ\s ,,mtbi4 7#d7 ,! t]m ,secret>y means ! ,secret>y ( ,heal? & ,human ,s]vices1 act+ ?r\gh ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion4 7#e7 ,! t]m ,/ate means ea* ( ! #ej ,/ates & ! ,di/rict ( ,columbia4 7#f7 ,! t]m /ud5t a?lete means a s*ool-ag$ *ild 9 any ( ! grades #f? ?r\gh #ab? :o p>ticipates 9 a sport ?r\gh su* *ild's elem5t>y or second>y s*ool4 7f7 ,au?orization ( appropriations ,to c>ry out ?is section1 !re are au?oriz$ to be appropriat$ #e1jjj1jjj = fiscal ye> #bjaf & su* sums z may be necess>y = ea* ( fiscal ye>s #bjag ?r\gh #bjbj4 4