,i  #aac? ,,congress  #b;d ,session  ,h4
 ,r4 #dbea  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,m>* #ad1 #bjad ,mr4  
,pascrell 7= himself & ,mr4 ,rooney7    
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,en]gy & ,comm]ce  ,a  
,,bill  ,to direct ! ,secret>y ( ,heal? 
& ,human ,s]vices1 act+ ?r\gh !         
,director ( ! ,c5t]s = ,disease ,control
 & ,prev5tion1 to e/abli% a surveillance
 sy/em reg>d+ traumatic bra9 injury1 & =
 o!r purposes4  #a4 ,%ort title ,?is    
,act may be cit$ z ! ,national          
,traumatic ,bra9 ,injury ,rese>* &      
,treatm5t ,improvem5t ,act ( #bjad4  #b4
 ,f9d+s  7a7 ,f9d+s ,! ,congress f9ds z 
foll[s3  7#a7 ,/ate data & monitor+     
sy/ems provide reliable data on injury  
causes & risk factors1 id5tify tr5ds 9 !
 incid5ce ( traumatic bra9 injury1      
enable ! developm5t ( cause-specific    
prev5tion /rategies focus$ on           
populations at greate/ risk1 & monitor !
 effectiv5ess ( su* /rategies4  7#b7    
,s9ce #aiie1 :5 ! ,c5t]s = ,disease     

,control & ,prev5tion publi%$ ,guidel9es
 = ,surveillance ( ,c5tral ,n]v\s ,sy/em
 ,injury1 additional causes ( traumatic 
bra9 injury h em]g$3 milit>y-relat$     
traumatic bra9 injuries2 sports-relat$  
concussions2 traffic injuries result+ f 
text+ :ile driv+2 & increas+ numb]s (   
falls-relat$ traumatic bra9 injuries    
among old] adults4  7#c7 ,9 _! #bjac    
report1 ,sports-,relat$ ,concussions 9  
,y\?3 ,improv+ ! ,sci5ce1 ,*ang+ !      
,culture1 ! ,in/itute on ,m$ic9e & !    
,national ,rese>* ,c\ncil not$ t !re is 
curr5tly a lack ( data to accurately    
e/imate ! incid5ce ( sports-relat$      
concussions across a v>iety ( sports & =
 y\? across ! p$iatric age spectrum4 ,! 
report recomm5d$ t ! ,c5t]s = ,disease  
,control & ,prev5tion e/abli% & ov]see a
 national surveillance sy/em to         
accurately det]m9e ! incid5ce (         
sports-relat$ concussions1 includ+ ^? 9 
y\? ages #e to #ba1 tak+ into acc\nt    
,f$]al ef=ts to collect in=mation on    
traumatic bra9 injury4  7#d7 ,traumatic 

bra9 injury is a sub/antial public heal?
 problem among old] p]sons4 ,z !        
population ( old] p]sons cont9ues to gr[
 9 ! ,unit$ ,/ates1 ! ne$ to design &   
implem5t prov5 & co/-effective prev5tion
 measures t focus on ! lead+ causes (   
traumatic bra9 injury becomes m urg5t4  
7#e7 ,9 ord] to implem5t ?is ,act1 !    
,c5t]s = ,disease ,control & ,prev5tion 
ne$s to collaborate ) ,f$]al ag5cies    
report+ milit>y-relat$ traumatic bra9   
injuries1 s*ool sy/ems report+ traumatic
 bra9 injuries1 ,m$icaid & o!r ,f$]al   
programs1 & ,/ate ag5cies4  #c4         
,e/abli%+ requirem5ts to improve !      
rese>* & treatm5t ( traumatic bra9      
injury  7a7 ,9 g5]al ,! ,secret>y1 act+ 
?r\gh ! ,director ( ! ,c5t]s = ,disease 
,control & ,prev5tion1 %all--  7#a7     
evaluate exi/+ surveillance & data      
collections sy/ems t track ! incid5ce & 
circum/ances ( traumatic bra9 injury1   
includ+ concussion2  7#b7 n lat] ?an #i 
mon?s aft] ! date ( enactm5t ( ?is ,act1
 submit a report to ! ,congress outl9+ !

 f9d+s ( ! evaluation "u p>agraph 7#a72 
&  7#c7 e/abli% a /ati/ically s\nd1     
sci5tifically cr$ible1 integrat$        
surveillance sy/em reg>d+ traumatic bra9
 injury1 to be kn[n z ! ,national       
,traumatic ,bra9 ,injury ,surveillance  
,sy/em4  7b7 ,rese>* ,! ,secret>y %all  
ensure t ! ,national ,traumatic ,bra9   
,injury ,surveillance ,sy/em is design$ 
9 a mann] t facilitates fur!r rese>* on 
bra9 injury4  7c7 ,cont5t ,9 c>ry+ out  
subsection 7a71 ! ,secret>y--  7#a7 %all
 provide = ! collection & /orage (      
in=mation 7exclud+ p]sonally id5tifiable
 in=mation7 on ! incid5ce & preval5ce ( 
traumatic bra9 injury1 includ+          
concussion1 9 ! ,unit$ ,/ates across !  
lifespan2  7#b7 to ! ext5t practicable1 
%all provide = ! collection & /orage (  
o!r available in=mation 7exclud+        
p]sonally id5tifiable in=mation7 on     
traumatic bra9 injury1 su* z in=mation  
conc]n+ demographics & o!r in=mation    
associat$ ) ! incid5ce ( a traumatic    
bra9 injury1 su* z--  7,a7 age2  7,b7   

race & e?nicity2  7,c7 sex2  7,d7       
geographic location2  7,e7 hi/ory ( head
 injury 7includ+ injury type & !        
approximate date ( injury72  7,f7       
pre-exi/+ conditions1 su* z le>n+       
disabilities & att5tion deficit         
hyp]activity disord]2 &  7,g7 co-occurr+
 issues1 su* z sub/ance abuse or        
po/-traumatic /ress disord]2  7#c7 to ! 
ext5t practicable1 %all provide = !     
collection & /orage ( in=mation relevant
 to analysis on traumatic bra9 injury1  
su* z in=mation conc]n+--  7,a7 impact  
location on ! body & nature ( ! impact2 
7,b7 qualifications ( p]sonnel mak+ !   
traumatic bra9 injury diagnosis2  7,c7  
assessm5t tool us$ to make ! diagnosis2 
7,d7 signs & symptoms consi/5t ) a head 
injury2  7,e7 sport or activity & !     
level ( competition 7if a sports-relat$ 
activity72  7,f7 use ( protective       
equipm5t & impact monitor+ devices2 &   
7,g7 sev]ity ( ! traumatic bra9 injury2 
&  7#d7 may address issues id5tifi$ dur+
 ! consultation process "u subsection   

7d74  7d7 ,consultation ,9 c>ry+ out ?is
 section1 ! ,secret>y %all consult )    
individuals ) appropriate exp]tise1     
includ+--  7#a7 epidemiologi/s )        
exp]i5ce 9 disease surveillance or      
regi/ries2  7#b7 repres5tatives (       
national heal? associations t--  7,a7   
focus on bra9 injury2 &  7,b7 h         
demon/rat$ exp]i5ce 9 rese>*1 c>e1 or   
pati5t s]vices2  7#c7 ,/ate public heal?
 ag5cies2  7#d7 heal? in=mation         
te*nology exp]ts or o!r in=mation       
managem5t speciali/s2  7#e7 cl9icians ) 
exp]tise 9 bra9 injury2  7#f7 rese>*    
sci5ti/s ) exp]i5ce conduct+ bra9 rese>*
 or utiliz+ surveillance sy/ems =       
sci5tific rese>* purposes2  7#g7 m$ical 
facilities ( ! ,dep>tm5t ( ,vet]ans     
,affairs2 &  7#h7 behavioral heal?      
c5t]s4  7e7 ,grants ,! ,secret>y may    
aw>d grants to1 or ent] into contracts  
or coop]ative agreem5ts )1 public or    
private nonpr(it entities to c>ry out   
activities "u ?is section4  7f7         
,coord9ation ) o!r f$]al ag5cies        

,subject to subsection 7h71 ! ,secret>y 
%all make in=mation & analysis 9 !      
,national ,traumatic ,bra9 ,injury      
,surveillance ,sy/em available1 z       
appropriate1 to ,f$]al dep>tm5ts &      
ag5cies1 su* z ! ,national ,in/itutes ( 
,heal?1 ! ,heal? ,res\rces & ,s]vices   
,adm9i/ration1 ! ,food & ,drug          
,adm9i/ration1 ! ,c5t]s = ,m$ic>e       
,m$icaid ,s]vices1 ! ,ag5cy = ,heal?c>e 
,rese>* & ,quality1 ! ,dep>tm5t (       
,education1 ! ,dep>tm5t ( ,vet]ans      
,affairs1 & ! ,dep>tm5t ( ,def5se4  7g7 
,public access ,subject to subsection   
7h71 ! ,secret>y %all make in=mation &  
analysis 9 ! ,national ,traumatic ,bra9 
,injury ,surveillance ,sy/em available1 
z appropriate1 to ! public1 includ+     
rese>*]s4  7h7 ,privacy ,! ,secret>y    
%all ensure t privacy & security        
protections applicable to ! ,national   
,traumatic ,bra9 ,injury ,surveillance  
,sy/em are at lea/ z /r+5t z ! privacy &
 security protections "u ,,hipaa privacy
 & security law1 includ+ nondisclosure (

 p]sonally id5tifiable in=mation4  7i7  
,report ,n lat] ?an #b ye>s aft] ! date 
( enactm5t ( ?is ,act1 ! ,secret>y %all 
submit a report to ! ,congress conc]n+ !
 implem5tation ( ?is section4 ,su*      
report %all include in=mation on--  7#a7
 ! developm5t & ma9t5ance ( ! ,national 
,traumatic ,bra9 ,injury ,surveillance  
,sy/em2  7#b7 ! type ( in=mation        
collect$ & /or$ 9 ! ,sy/em2  7#c7 ! use 
& availability ( su* in=mation1 includ+ 
guidel9es = su* use2 &  7#d7 ! use &    
coord9ation ( databases t collect or    
ma9ta9 in=mation on traumatic bra9      
injury4  7j7 ,def9ition ,9 ?is ,act3    
7#a7 ,national heal? association ,! t]m 
national heal? association means a      
national nonpr(it organization ) *apt]s1
 o!r affiliat$ organizations1 or        
networks 9 ,/ates ?r\gh\t ! ,unit$      
,/ates4  7#b7 ,,hipaa privacy & security
 law ,! t]m ,,hipaa privacy & security  
law has ! mean+ giv5 to t t]m 9 section 
#cjji ( ! ,public ,heal? ,s]vice ,act   
7#db ,u4,s4,c4 #cjj;jj-#ai74  7#c7      

,p]sonally id5tifiable in=mation ,! t]m 
p]sonally id5tifiable in=mation means   
in=mation :i* c be us$ to di/+ui% or    
trace an individual's id5tity 7su* z _! 
"n1 social security numb]1 or biometric 
records7 ei!r alone or :5 comb9$ ) o!r  
p]sonal or id5tify+ in=mation :i* is    
l9k$ or l9kable to a specific individual
 7su* z date ( bir?1 place ( bir?1 &    
"m's maid5 "n74  7#d7 ,secret>y ,! t]m  
,secret>y means ! ,secret>y ( ,heal? &  
,human ,s]vices4  7#e7 ,surveillance ,! 
t]m surveillance means ! ongo+1         
sy/ematic collection1 analysis1         
int]pretation1 & dissem9ation ( data    
7o!r ?an p]sonally id5tifiable          
in=mation7 reg>d+ a heal?-relat$ ev5t = 
use 9 public heal? action to r$uce      
morbidity & mortality & to improve      
heal?4  7#f7 ,traumatic bra9 injury ,!  
t]m traumatic bra9 injury means an      
injury to ! head aris+ f blunt or       
p5etrat+ trauma or f accel]ation or     
decel]ation =ces associat$ ) "o or m ( !
 foll[+3 decreas$ level ( consci\sness1 

amnesia1 objective neurologic or        
neuropsy*ological abnormalities1 skull  
fractures1 diagnos$ intracranial        
lesions1 or head injury li/$ z a cause (
 dea? 9 ! dea? c]tificate4  7k7         
,au?orization ( appropriations ,to c>ry 
out ?is ,act1 !re are au?oriz$ to be    
appropriat$ su* sums z may be necess>y4