,i #aafth ,,congress #b;d ,session ,h4 ,r4 #fjjh ,,in ,,the ,,house ,,of ,,representatives ,february #bg1 #bjbj,mr4 ,pascrell 7for himself1 ,mr4 ,bacon1 ,mrs4 ,demings1 ,mr4 ,rutherford1 and ,mr4 ,cox of ,california7 introduced the following bill2 which was referred to the ,committee on the ,judiciary1 and in addition to the ,committee on ,energy and ,commerce1 for a period to be subsequently determined by the ,speaker1 in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned ,a ,,bill ,to direct the ,attorney ,general to develop crisis intervention training tools for use by first responders related to interacting with persons who have a traumatic brain injury1 another form of acquired brain injury1 or post-traumatic stress disorder1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,traumatic ,brain ,injury and ,post-,traumatic ,stress ,disorder ,law ,enforcement ,training ,act or the ,,tbi and ,,ptsd ,law ,enforcement ,training ,act 4 #b4 ,findings ,congress finds the following3 7#a7 ,according to the ,centers for ,disease ,control and ,prevention1 there were approximately #b4i million traumatic brain injury-related emergency department visits1 hospitalizations1 and deaths in the ,united ,states in #bjad4 7#b7 ,effects of traumatic brain injury 7,,tbi7 can be short-term or long-term1 and include impaired thinking or memory1 movement1 vision or hearing1 or emotional functioning1 such as personality changes or depression4 7#c7 ,currently1 between #c4b million and #e4c million persons are living with a ,,tbi-related disability in the ,united ,states4 7#d7 ,about #g or #h percent of ,americans will experience post-traumatic stress disorder 7,,ptsd7 at some point in their lives1 and about #h million adults have ,,ptsd during the course of a given year4 7#e7 ,,tbi and ,,ptsd have been recognized as the signature injuries of the ,wars in ,iraq and ,afghanistan4 7#f7 ,according to the ,department of ,defense1 #chc1jjj men and women deployed to ,iraq and ,afghanistan sustained a brain injury while in the line of duty between #bjjj and #bjah4 7#g7 ,approximately #ac4e percent of ,operations ,iraqi ,freedom and ,enduring ,freedom veterans screen positive for ,,ptsd1 according to the ,department of ,veteran ,affairs4 7#h7 ,about #ab percent of ,gulf ,war ,veterans have ,,ptsd in a given year while about #cj percent of ,vietnam ,veterans have had ,,ptsd in their lifetime4 7#i7 ,physical signs of ,,tbi can include motor impairment1 dizziness or poor balance1 slurred speech1 impaired depth perception1 or impaired verbal memory1 while physical signs of ,,ptsd can include agitation1 irritability1 hostility1 hypervigilance1 self-destructive behavior1 fear1 severe anxiety1 or mistrust4 7#aj7 ,physical signs of ,,tbi and ,,ptsd often overlap with physical signs of alcohol or drug impairment1 which complicate a first responder's ability to quickly and effectively identify an individual's condition4 #c4 ,creation of a ,,tbi and ,,ptsd training for first responders ,part ,,hh of title ,i of the ,omnibus ,crime ,control and ,safe ,streets ,act of #aifh 7#cd ,u4,s4,c4 #ajfea et seq47 is amended-- 7#a7 in section #biia-- 7,a7 in subsection 7h77#a77;,a71 by inserting before the period at the end the following3 1 including the training developed under section #biic2 and 7,b7 in subsection 7o77#a77;,c71 by striking #ej1jjj1jjj and inserting #ed1jjj1jjj2 and 7#b7 by inserting after section #biib the following new section3 #biic4 ,creation of a ,,tbi and ,,ptsd training for first responders 7a7 ,in general ,not later than one year after the date of the enactment of this section1 the ,attorney ,general1 acting through the ,director of the ,bureau of ,justice ,assistance1 in consultation with the ,director of the ,centers for ,disease ,control and ,prevention and the ,assistant ,secretary for ,mental ,health and ,substance ,use1 shall solicit best practices regarding techniques to interact with persons who have traumatic brain injury1 acquired brain injury1 or post-traumatic stress disorder from first responder1 brain injury1 veteran1 and mental health organizations1 health care and mental health providers1 hospital emergency departments1 and other relevant stakeholders1 and shall develop crisis intervention training tools for use by first responders 7as such term is defined in section #cjbe7 that provide-- 7#a7 information on the conditions and symptoms of traumatic brain injury1 acquired brain injury1 and post-traumatic stress disorder2 7#b7 techniques to interact with persons who have a traumatic brain injury1 an acquired brain injury1 or post-traumatic stress disorder2 and 7#c7 information on how to recognize persons who have a traumatic brain injury1 an acquired brain injury1 or post-traumatic stress disorder4 7b7 ,use of training tools at ,law ,enforcement ,mental ,health ,learning ,sites ,the ,attorney ,general shall ensure that not less than one ,law ,enforcement ,mental ,health ,learning ,site designated by the ,director of the ,bureau of ,justice ,assistance1 in consultation with the ,council of ,state ,governments ,justice ,center1 utilizes the training tools developed under subsection 7a74 7c7 ,police mental health collaboration toolkit ,the ,attorney ,general shall make the training tools developed under subsection 7a7 available as part of the ,police-,mental ,health ,collaboration ,toolkit provided by the ,bureau of ,justice ,assistance4 4 #d4 ,surveillance and reporting for first responders with ,,tbi ,section #cic;,c of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bhj;b-#a;d7 is amended by adding at the end the following3 7d7 ,law enforcement and first responder surveillance 7#a7 ,in general ,the ,secretary1 acting through the ,director of the ,centers for ,disease ,control and ,prevention1 shall implement concussion data collection and analysis to determine the prevalence and incidence of concussion among first responders 7as such term is defined in section #cjbe of the ,omnibus ,crime ,control and ,safe ,street ,act of #aifh 7#cd ,u4,s4,c4 #ajgje774 7#b7 ,report ,not later than #ah months after the date of the enactment of this subsection1 the ,secretary1 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 ,affairs1 shall submit to the relevant committees of ,congress a report that contains the findings of the surveillance conducted under paragraph 7#a74 ,the report shall include surveillance data and recommendations for resources for first responders who have experienced traumatic brain injury4 4