,,ii #aaith ,,congress #b;d ,session ,s4 #efjj ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,september #bi1 #bjbf,mr4 ,armstrong 7for himself1 ,mr4 ,kim1 ,mr4 ,cornyn1 and ,ms4 ,cortez ,masto7 introduced the following bill2 which was read twice1 considered1 read the third time1 and passed ,a ,,bill ,to reauthorize the ,traumatic ,brain ,injury program4 #a4 ,short title ,this ,act may be cited as the ,dennis ,john ,benigno ,traumatic ,brain ,injury ,program ,reauthorization ,act of #bjbf4 #b4 ,the ,bill ,pascrell1 ,jr41 national program for traumatic brain injury surveillance and registries 7a7 ,prevention of traumatic brain injury ,section #cic;,b of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bhj;b-#a;c7 is amended-- 7#a7 in subsection 7a71 by inserting and prevalence after incidence2 7#b7 in subsection 7b7-- 7,a7 in paragraph 7#a71 by inserting and reduction of associated injuries and fatalities before the semicolon2 7,b7 in paragraph 7#b71 by inserting and related risk factors before the semicolon2 and 7,c7 in paragraph 7#c7-- 7i7 in the matter preceding subparagraph 7,a71 by striking #bjbj each place it appears and inserting #bjcj2 and 7ii7 in subparagraph 7,a7-- 7,i7 in clause 7i71 by striking 2 and and inserting a semicolon2 7,,ii7 by redesignating clause 7ii7 as clause 7iv72 7,,iii7 by inserting after clause 7i7 the following3 7ii7 populations at higher risk of traumatic brain injury1 including populations whose increased risk is due to occupational or circumstantial factors2 7iii7 causes of1 and risk factors for1 traumatic brain injury2 and 2 and 7,,iv7 in clause 7iv71 as so redesignated1 by striking arising from traumatic brain injury and inserting 1 which may include related mental health and other conditions1 arising from traumatic brain injury1 including2 and 7#c7 in subsection 7c71 by inserting 1 and other relevant ,federal departments and agencies before the period at the end4 7b7 ,national program for traumatic brain injury surveillance and registries ,section #cic;,c of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bhj;b-#a;d7 is amended-- 7#a7 by amending the section heading to read as follows3 ,the ,bill ,pascrell1 ,jr41 national program for traumatic brain injury surveillance and registries2 7#b7 in subsection 7a7-- 7,a7 in the matter preceding paragraph 7#a71 by inserting to identify populations that may be at higher risk for traumatic brain injuries1 to collect data on the causes of1 and risk factors for1 traumatic brain injuries1 after related disability12 7,b7 in paragraph 7#a71 by inserting 1 including the occupation of the individual1 when relevant to the circumstances surrounding the injury before the semicolon2 and 7,c7 in paragraph 7#d71 by inserting short- and long-term before outcomes2 7#c7 by striking subsection 7b72 7#d7 by redesignating subsection 7c7 as subsection 7b72 7#e7 in subsection 7b71 as so redesignated1 by inserting and evidence-based practices to identify and address concussion before the period at the end2 and 7#f7 by adding at the end the following3 7c7 ,availability of information ,the ,secretary1 acting through the ,director of the ,centers for ,disease ,control and ,prevention1 shall make publicly available aggregated information on traumatic brain injury and concussion described in this section1 including on the website of the ,centers for ,disease ,control and ,prevention4 ,such website1 to the extent feasible1 shall include aggregated information on populations that may be at higher risk for traumatic brain injuries and strategies for preventing or reducing risk of traumatic brain injury that are tailored to such populations4 4 7c7 ,authorization of appropriations ,section #cid;,a of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bhj;b-#c7 is amended-- 7#a7 in subsection 7a71 by striking #aiid1 and and inserting #aiid12 and 7#b7 in subsection 7b71 by striking #bjbj through #bjbd and inserting #bjbg through #bjca4 #c4 ,state grant programs 7a7 ,state grants for projects regarding traumatic brain injury ,section #abeb of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;d-#eb7 is amended-- 7#a7 in subsection 7b77#b7-- 7,a7 by inserting 1 taking into consideration populations that may be at higher risk for traumatic brain injuries after outreach programs2 and 7,b7 by inserting ,tribal1 after ,state12 7#b7 in subsection 7e77#c77;,b7-- 7,a7 by striking 7such as third party payers1 ,state agencies1 community-based providers1 schools1 and educators72 and 7,b7 by inserting 7such as third party payers1 ,state agencies1 community-based providers1 schools1 and educators7 after professionals2 7#c7 in subsection 7h71 by striking paragraphs 7#a7 and 7#b7 and inserting the following3 7#a7 ,american ,indian consortium2 ,state ,the terms ,american ,indian consortium and ,state have the meanings given such terms in section #abec4 7#b7 ,traumatic brain injury 7,a7 ,in general ,subject to subparagraph 7,b71 the term traumatic brain injury-- 7i7 means an acquired injury to the brain2 7ii7 may include-- 7,i7 brain injuries caused by anoxia due to trauma2 and 7,,ii7 damage to the brain from an internal or external source that results in infection1 toxicity1 surgery1 or vascular disorders not associated with aging2 and 7iii7 does not include brain dysfunction caused by congenital or degenerative disorders1 or birth trauma4 7,b7 ,revisions to definition ,the ,secretary may revise the definition of the term traumatic brain injury under this paragraph1 as the ,secretary determines necessary1 after consultation with ,states and other appropriate public or nonprofit private entities4 2 and 7#d7 in subsection 7i71 by striking #bjbj through #bjbd and inserting #bjbg through #bjca4 7b7 ,state grants for protection and advocacy services ,section #abec7l7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;d-#ec7l77 is amended by striking #bjbj through #bjbd and inserting #bjbg through #bjca4 #d4 ,report to ,congress ,not later than #b years after the date of enactment of this ,act1 the ,secretary of ,health and ,human ,services 7referred to in this ,act as the ,secretary7 shall submit to the ,committee on ,health1 ,education1 ,labor1 and ,pensions of the ,senate and the ,committee on ,energy and ,commerce of the ,house of ,representatives a report that contains-- 7#a7 an overview of populations who may be at higher risk for traumatic brain injury1 such as individuals affected by domestic violence or sexual assault and public safety officers1 as defined in section #abjd of the ,omnibus ,crime ,control and ,safe ,streets ,act of #aifh 7#cd ,u4,s4,c4 #ajbhd72 7#b7 an outline of existing surveys and activities of the ,centers for ,disease ,control and ,prevention on traumatic brain injuries and any steps the agency has taken to address gaps in data collection related to such higher risk populations1 which may include leveraging surveys such as the ,national ,intimate ,partner and ,sexual ,violence ,survey to collect data on traumatic brain injuries2 7#c7 an overview of any outreach or education efforts to reach such higher risk populations2 and 7#d7 any challenges associated with reaching such higher risk populations4 #e4 ,study on long-term symptoms or conditions related to traumatic brain injury 7a7 ,in general ,the ,secretary1 in consultation with stakeholders and the heads of other relevant ,federal departments and agencies1 as appropriate1 shall conduct1 either directly or through a contract with a nonprofit private entity1 a study to-- 7#a7 examine the incidence and prevalence of long-term or chronic symptoms or conditions in individuals who have experienced a traumatic brain injury2 7#b7 examine the evidence base of research related to the chronic effects of traumatic brain injury across the lifespan2 7#c7 examine any correlations between traumatic brain injury and increased risk of other conditions1 such as dementia and mental health conditions2 7#d7 assess existing services available for individuals with such long-term or chronic symptoms or conditions2 and 7#e7 identify any gaps in research related to such long-term or chronic symptoms or conditions of individuals who have experienced a traumatic brain injury4 7b7 ,public report ,not later than #b years after the date of enactment of this ,act1 the ,secretary shall-- 7#a7 submit to the ,committee on ,health1 ,education1 ,labor1 and ,pensions of the ,senate and the ,committee on ,energy and ,commerce of the ,house of ,representatives a report detailing the findings1 conclusions1 and recommendations of the study described in subsection 7a72 and 7#b7 in the case that such study is conducted directly by the ,secretary1 make the report described in paragraph 7#a7 publicly available on the website of the ,department of ,health and ,human ,services4