,i  #aac? ,,congress  #b;d ,session  ,h4
 ,r4 #cied  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,janu>y #bh1          
#bjad,mrs4 ,beatty 7= h]self1 ,mrs4     
,wagn]1 ,mr4 ,rangel1 ,mr4 ,cony]s1 ,ms4
 ,kelly ( ,ill9ois1 & ,ms4 ,wilson (    
,florida7 introduc$ ! foll[+ bill2 :i* 0
 ref]r$ to ! ,committee on ,en]gy &     
,comm]ce1 & 9 addition to ! ,committees 
on ,arm$ ,s]vices & ,education & !      
,work=ce1 = a p]iod to be subsequ5tly   
det]m9$ by ! ,speak]1 9 ea* case =      
consid]ation ( su* provisions z fall )9 
! jurisdiction ( ! committee conc]n$  ,a
 ,,bill  ,to provide = sy/emic rese>*1  
surveillance1 treatm5t1 prev5tion1      
aw>5ess1 developm5t ( rules ( play1     
/&>ds1 & dissem9ation ( in=mation )     
respect to sports-relat$ & o!r          
concussions4  #a4 ,%ort title ,?is ,act 
may be cit$ z ! ,concussion ,aw>5ess &  
,education ,act ( #bjad4  #b4 ,table (  
cont5ts ,! table ( cont5ts ( ?is ,act is
 z foll[s3 ,sec4 #a4 ,%ort title4,sec4  
#b4 ,table ( cont5ts4,sec4 #c4 ,f9d+s2  

purposes4,sec4 #d4 ,surveillance (      
sports-relat$ concussions4,sec4 #e4     
,rese>*4,sec4 #f4 ,biological sample    
repository4,sec4 #g4 ,rules ( play4,sec4
 #h4 ,dissem9ation ( in=mation4,sec4 #i4
 ,concussion ,rese>* ,commission4  #c4  
,f9d+s2 purposes  7a7 ,f9d+s ,!         
,congress f9ds z foll[s3 7#a7 ,!re is   
curr5tly no compreh5sive sy/em = acquir+
 accurate data on ! incid5ce ( sports- &
 recreation-relat$ concussions across   
all y\? age gr\ps & sports4  7#b7       
,ov]all1 accord+ to a report entitl$    
,sports-,relat$ ,concussions 9 ,y\?3    
,improv+ ! ,sci5ce1 ,*ang+ ! ,culture1  
issu$ by ! ,national ,academies 9 #bjac1
 ea* ye> 9 ! ,unit$ ,/ates1 !re are     
approximately #a4f to #c4h million      
sports- & recreation-relat$ traumatic   
bra9 injuries1 includ+ concussions & o!r
 head injuries4 ,^! figures are bas$ on 
cons]vative e/imates4  7#c7 ,a review ( 
,national ,collegiate ,a?letic          
,association data = #ae sports %[$ t !  
ov]all report$ concussion rate d\bl$ f  

#a4g to #c4d concussions p] #a1jjj      
a?letic exposures ov] ! pa/ #ae ye>s1   
cov]+ ! #aihh-aihi & #bjjc-bjjd academic
 ye>s4  7#d7 ,betwe5 #bjja & #bjji1 !   
report$ numb] ( our y\? ages #ai & "u   
treat$ = concussion & o!r nonfatal1     
sports- & recreation-relat$ traumatic   
bra9 injuries increas$ f #aej1jjj to    
#bej1jjj4  7#e7 ,ov] ! same "t p]iod    
betwe5 #bjja & #bjji1 ! rate ( em]g5cy  
room visits = concussive injuries       
increas$ by #eg p]c5t4  7#f7 ,yet1      
accord+ to ! ,national ,academies !re   
curr5tly is-- 7,a7 a lack ( data to     
accurately e/imate ! incid5ce (         
sports-relat$ concussions across a      
v>iety ( sports & = y\? across !        
p$iatric age spectrum2 &  7,b7 no       
compreh5sive sy/em = acquir+ accurate   
data on ! incid5ce ( sports- &          
recreation-relat$ concussions across all
 y\? age gr\ps & sports4  7#g7          
,curr5tly1 !re are significant in=mation
 gaps 9 ! prop] protocol = diagnosis &  
treatm5t ( sports-relat$ concussions & m

 rese>* desp]ately is ne$$4  7b7        
,purposes ,! purposes ( ?is ,act are--  
7#a7 to increase aw>5ess & k ab\t       
concussions ?r\gh developm5t (1         
implem5tation (1 & evaluation ( !       
effectiv5ess (1 l>ge-scale collaborative
 ef=ts & rese>* by entities includ+1 b n
 limit$ to1 national sports             
associations1 ,/ate high s*ool          
associations1 tra9]s' associations1     
appropriate ,f$]al entities1 & o!r      
/akehold]s su* z p>5ts1 coa*es1 &       
/ud5ts2 &  7#b7 to *ange ! culture      
7includ+ social norms1 attitudes1 &     
behaviors7 surr\nd+ concussions among   
elem5t>y s*ool ?r\gh college-ag$ y\? &  
_! p>5ts1 coa*es1 sports (ficials1      
educators1 tra9]s1 & heal? c>e          
pr(essionals1 tak+ into acc\nt          
demographic v>iations across population 
gr\ps1 :]e appropriate4  #d4            
,surveillance ( sports-relat$           
concussions ,title ,,iii ( ! ,public    
,heal? ,s]vice ,act is am5d$ by ins]t+  
aft] section #cag,t ( su* ,act 7#db     

,u4,s4,c4 #bdg;b-#bb7 ! foll[+3  #cag,u4
 ,surveillance ( sports-relat$          
concussions  7a7 ,9 g5]al ,! ,secret>y (
 ,heal? & ,human ,s]vices1 act+ ?r\gh ! 
,director ( ! ,c5t]s = ,disease ,control
 & ,prev5tion1 & tak+ into acc\nt o!r   
,f$]al data collection ef=ts1 %all--    
7#a7 e/abli% & ov]see a national sy/em  
to accurately det]m9e ! incid5ce (      
sports-relat$ concussions2 &  7#b7 beg9 
implem5tation ( su* sy/em n lat] ?an #a 
ye> aft] ! date ( enactm5t ( !          
,concussion ,aw>5ess & ,education ,act (
 #bjad4  7b7 ,data ,to ,be ,collect$ ,! 
data collect$ "u subsection 7a7 %all1 to
 ! ext5t feasible1 include ea* ( !      
foll[+3 7#a7 ,! incid5ce ( sports relat$
 concussions 9 individuals #e ?r\gh #ba 
ye>s ( age4  7#b7 ,demographic in=mation
 ( ! injur$ individuals1 includ+ age1   
sex1 race1 & e?nicity4  7#c7 ,pre-exi/+ 
conditions ( ! injur$ individuals1 su* z
 att5tion deficit hyp]activity disord] &
 le>n+ disabilities4  7#d7 ,! concussion
 hi/ory ( ! injur$ individuals1 su* z ! 

numb] & dates ( prior concussions4  7#e7
 ,! use ( protective equipm5t & impact  
monitor+ devices4  7#f7 ,!              
qualifications ( p]sonnel diagnos+ !    
concussions4  7#g7 ,! cause1 nature1 &  
ext5t ( ! concussive injury1 includ+--  
7,a7 ! sport or activity involv$2  7,b7 
! recreational or competitive level ( ! 
sport or activity involv$2  7,c7 ! ev5t 
type involv$1 includ+ :e!r x 0 practice 
or competition2  7,d7 ! impact location 
on ! body2  7,e7 ! impact nature1 su* z 
contact ) a play+ surface1 ano!r play]1 
or equipm5t2 &  7,f7 signs & symptoms   
consi/5t ) a concussion4  4  #e4 ,rese>*
  7a7 ,9 g5]al ,beg9n+ n lat] ?an #a ye>
 aft] ! date ( enactm5t ( ?is ,act1 !   
,director ( ! ,national ,in/itutes (    
,heal? & ! ,secret>y ( ,def5se1 act+ 9  
coord9ation1 %all conduct or support--  
7#a7 rese>* design$ to-- 7,a7 e/abli%   
objective1 s5sitive1 & specific metrics 
& m>k]s ( concussion diagnosis1         
prognosis1 & recov]y 9 y\?2 &  7,b7 in=m
 ! creation ( age-specific1 evid5ce-bas$

 guidel9es = ! managem5t ( %ort- &      
long-t]m sequelae ( concussion 9 y\?2   
7#b7 controll$1 longitud9al1 l>ge-scale 
/udies to assess %ort- & long-t]m       
cognitive1 emotional1 behavioral1       
neurobiological1 & neuropa?ological     
consequ5ces ( concussions & repetitive  
head impacts ov] a life span1 includ+-- 
7,a7 an exam9ation ( ! effects (        
concussions & repetitive head impacts on
 quality ( life & ! activities ( daily  
liv+2 &  7,b7 id5tification ( pr$ictors 
& modifi]s ( outcomes1 includ+ !        
influ5ce ( socioeconomic /atus1 race1   
e?nicity1 sex1 & comorbidities2 &  7#c7 
rese>* on age- & sex-relat$ biome*anical
 det]m9ants ( injury risk = concussion 9
 y\?1 includ+ h[ injury ?re%olds are    
modifi$ by ! numb] ( & "t int]val betwe5
 head impacts & concussions4  7b7       
,sports & physical tra9+ at milit>y     
academies & = milit>y p]sonnel ,beg9n+ n
 lat] ?an #a ye> aft] ! date ( enactm5t 
( ?is ,act1 ! ,secret>y ( ,def5se %all  
conduct a rigor\s sci5tific evaluation (

 ! effectiv5ess ( te*niques1 rules1 &   
play+1 practice1 & tra9+ /&>ds 9 r$uc+  
concussions & sequelae = sports &       
physical tra9+1 includ+ combatives1 at  
milit>y s]vice academies & = milit>y    
p]sonnel4  7c7 ,s5se ( ,congress ,x is !
 s5se ( ! ,congress t ! ,national       
,collegiate ,a?letic ,association1 9    
conjunction ) ! ,national ,f$]ation (   
,/ate ,high ,s*ool ,associations1       
national gov]n+ bodies = y\? sports1 &  
y\? sports organizations1 %\ld und]take 
a rigor\s sci5tific evaluation ( !      
effectiv5ess ( age-appropriate          
te*niques1 rules1 & play+ & practice    
/&>ds 9 r$uc+ sports-relat$ concussions 
& sequelae4  #f4 ,biological sample     
repository  7a7 ,9 g5]al ,to aid rese>* 
"u ?is ,act & any o!r simil> rese>*1 !  
,secret>y ( ,heal? & ,human ,s]vices1   
act+ ?r\gh ! ,director ( ! ,national    
,in/itutes ( ,heal?1 %all ma9ta9 a      
national bra9 tissue & biological sample
 repository to collect1 ar*ive1 &       
di/ribute mat]ial = rese>* on           

concussions4  7b7 ,tim+ ,! ,secret>y    
%all beg9 implem5tation ( ! repository n
 lat] ?an #a ye> aft] ! date ( enactm5t 
( ?is ,act4  #g4 ,rules ( play  7a7     
,developm5t ,! ,director ( ! ,national  
,in/itutes ( ,heal? & ! ,secret>y (     
,def5se1 tak+ into consid]ation !       
results ( rese>*1 %all develop /&>ds1   
be/ practices1 & guidel9es = ! rules (  
play & tra9+1 respectively1 = sports1   
a?letic1 & milit>y tra9+ & engagem5t t--
 7#a7 are design$ to prev5t or r$uce !  
incid5ce ( concussions2 &  7#b7         
include-- 7,a7 /&>ds = effective        
protective equipm5t2 &  7,b7            
recomm5dations on impact-monitor+       
sy/ems4  7b7 ,tim+ ,! ,director ( !     
,national ,in/itutes ( ,heal? & !       
,secret>y ( ,def5se %all-- 7#a7 beg9    
developm5t ( ! rules ( play "u ?is      
section n lat] ?an #a ye> aft] ! date ( 
enactm5t ( ?is ,act2 &  7#b7 aft] su*   
rules ( play are f9aliz$1 p]iodically   
review & update su* rules ( play z      
appropriate4  #h4 ,dissem9ation (       

in=mation  7a7 ,9 g5]al ,! ,secret>y (  
,heal? & ,human ,s]vices1 act+ ?r\gh !  
,director ( ! ,c5t]s = ,disease ,control
 & ,prev5tion1 %all develop & dissem9ate
 to ! public in=mation reg>d+           
concussions4  7b7 ,arrangem5ts ) o!r    
entities ,9 c>ry+ out p>agraph 7#a71 !  
,secret>y may dissem9ate in=mation ?r\gh
 arrangem5ts ) nonpr(it organizations1  
consum] gr\ps1 in/itutions ( high]      
education1 ,f$]al1 ,/ate1 or local      
ag5cies1 or ! m$ia4  #i4 ,concussion    
,rese>* ,commission  7a7 ,e/abli%m5t    
,!re is e/abli%$ a ,concussion ,rese>*  
,commission 7ref]r$ to 9 ?is section z !
 ,commission74  7b7 ,memb]%ip  7#a7     
,appo9tm5t ,! ,commission %all be       
compos$ ( ! foll[+ n9e memb]s3 7,a7     
,five %all be appo9t$ by ! ,presid5t4   
7,b7 ,"o %all be appo9t$ by ! ,speak] ( 
! ,h\se ( ,repres5tatives4  7,c7 ,"o    
%all be appo9t$ by ! m9ority lead] ( !  
,h\se ( ,repres5tatives4  7,d7 ,"o %all 
be appo9t$ by ! majority lead] ( !      
,s5ate4  7,e7 ,"o %all be appo9t$ by !  

m9ority lead] ( ! ,s5ate4  7#b7         
,qualifications ,to be eligible =       
appo9tm5t "u p>agraph 7#a71 an          
individual %all-- 7,a7 h exp]i5ce )     
rese>*1 treatm5t1 & prev5tion ) respect 
to all types ( concussive injuries2 &   
7,b7 be a lead+ m$ical or sci5tific     
exp]t1 or an o!rwise au?oritatively     
qualifi$ exp]t1 9 "o or m relevant      
fields4  7#c7 ,t]ms ,ea* memb] ( !      
,commission %all be appo9t$ = ! life ( !
 ,commission4  7#d7 ,vacancies ,any     
memb] appo9t$ to fill a vacancy occurr+ 
be=e ! expiration ( ! t]m = :i* !       
memb]'s pr$ecessor 0 appo9t$ %all be    
appo9t$ only = ! rema9d] ( t t]m4 ,a    
memb] may s]ve aft] ! expiration ( t    
memb]'s t]m until a successor has tak5  
(fice4 ,a vacancy 9 ! ,commission %all  
be fill$ 9 ! mann] 9 :i* ! orig9al      
appo9tm5t 0 made4  7#e7 ,no pay ,!      
memb]s ( ! ,commission %all s]ve )\t    
pay4 ,memb]s ( ! ,commission :o are     
full-"t (fic]s or employees ( ! ,unit$  
,/ates or ,memb]s ( ,congress may n     

receive additional pay1 all[ances1 or   
b5efits by reason ( _! s]vice on !      
,commission4  7#f7 ,travel exp5ses ,ea* 
memb] ( ! ,commission %all receive      
travel exp5ses1 includ+ p] diem 9 lieu (
 subsi/5ce1 9 accordance ) applicable   
provisions "u sub*apt] ,i ( *apt] #eg ( 
title #e1 ,unit$ ,/ates ,code4  7#g7    
,res\rces ,! ,secret>y %all ensure t    
appropriate p]sonnel1 fund+1 & o!r      
res\rces are provid$ to ! ,committee to 
c>ry out its responsibilities4  7c7     
,meet+s ,! ,commission %all meet at lea/
 #d times ea* ye>4  7d7 ,/aff ( ,f$]al  
ag5cies ,^u reque/ ( ! ,commission1 !   
head ( any ,f$]al dep>tm5t or ag5cy may 
detail1 )\t reimbursem5t1 any ( !       
p]sonnel ( t dep>tm5t or ag5cy to !     
,commission to assi/ 9 c>ry+ out ?is    
section4  7e7 ,/udy ,! ,commission      
%all-- 7#a7 /udy ! programs & activities
 conduct$ pursuant to ?is ,act2 &  7#b7 
bas$ on ! results ( su* programs &      
activities1 =mulate sy/emic             
recomm5dations = fur!r+ ! purposes ( ?is

 ,act1 z describ$ 9 section #c7;b74  7f7
 ,review ( ,national ,academies report  
,! ,commission %all review ! report ( ! 
,national ,academies entitl$            
,sports-,relat$ ,concussions 9 ,y\?3    
,improv+ ! ,sci5ce1 ,*ang+ ! ,culture & 
recomm5d corrections or updates to su*  
report1 z ! ,commission det]m9es        
appropriate4  7g7 ,report+  7#a7 ,int]im
 reports ,e #f mon?s1 ! ,commission %all
 submit to ! appropriate committees (   
,congress an int]im report on !         
,commission's activities4  7#b7 ,f9al   
report ,n lat] ?an #cf mon?s aft] ! date
 ( enactm5t ( ?is ,act1 ! ,commission   
%all submit to ! appropriate committees 
( ,congress1 & make available to !      
public1 a f9al report on ! results ( !  
,commission's /udy "u subsection 7e7 &  
review "u subsection 7f74  7h7          
,t]m9ation ,! ,commission %all t]m9ate  
^u ! date ( submission ( ! f9al report  
requir$ by subsection 7g77#b71 unless ! 
,secret>y ( ,heal? & ,human ,s]vices    
*ooses to ma9ta9 ! ,commission beyond   

su* date4