119-s2898

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[S. 2898 Introduced in Senate

    (IS) ]

<DOC>

119th CONGRESS
 1st Session
 S. 2898

 To reauthorize the Traumatic Brain Injury program.

_______________________________________________________________________

 IN THE SENATE OF THE UNITED STATES

 September 18 (legislative day, September 16), 2025

 Mr. Mullin (for himself, Mr. Kim, Mr. Cornyn, Mr. Padilla, and Ms. 
 Cortez Masto) introduced the following bill; which was read twice and 
 referred to the Committee on Health, Education, Labor, and Pensions

_______________________________________________________________________

 A BILL

 To reauthorize the Traumatic Brain Injury program.

 Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

 This Act may be cited as the ``Dennis John Benigno Traumatic Brain 
Injury Program Reauthorization Act of 2025''.

SEC. 2. THE BILL PASCRELL, JR., NATIONAL PROGRAM FOR TRAUMATIC BRAIN 
 INJURY SURVEILLANCE AND REGISTRIES.

    (a) Prevention of Traumatic Brain Injury.--

Section 393B of the 
Public Health Service Act (42 U.S.C. 280b-1c) is amended--

    (1) in subsection

    (a) , by inserting ``and prevalence'' 
 after ``incidence'';

    (2) in subsection

    (b) --
        (A) in paragraph

    (1) , by inserting ``and reduction 
 of associated injuries and fatalities'' before the 
 semicolon;
        (B) in paragraph

    (2) , by inserting ``and related 
 risk factors'' before the semicolon; and
            (C) in paragraph

    (3) --
            (i) in the matter preceding subparagraph
        (A) , by striking ``2020'' each place it appears 
 and inserting ``2030''; and
            (ii) in subparagraph
        (A) --
            (I) in clause
            (i) , by striking ``; 
 and'' and inserting a semicolon;
            (II) by redesignating clause
            (ii) as clause
            (iv) ;
            (III) by inserting after clause
            (i) the following:
 ``
            (ii) populations at higher risk of 
 traumatic brain injury, including populations 
 whose increased risk is due to occupational or 
 circumstantial factors;
 ``
            (iii) causes of, and risk factors for, 
 traumatic brain injury; and''; and
            (IV) in clause
            (iv) , as so 
 redesignated, by striking ``arising 
 from traumatic brain injury'' and 
 inserting ``, which may include related 
 mental health and other conditions, 
 arising from traumatic brain injury, 
 including''; and

    (3) in subsection
            (c) , by inserting ``, and other relevant 
 Federal departments and agencies'' before the period at the 
 end.

    (b) National Program for Traumatic Brain Injury Surveillance and 
Registries.--

Section 393C of the Public Health Service Act (42 U.S.C. 
280b-1d) is amended--

    (1) by amending the section heading to read as follows: 
 ``the bill pascrell, jr., national program for traumatic brain 
 injury surveillance and registries'';

    (2) in subsection

    (a) --
        (A) in the matter preceding paragraph

    (1) , by 
 inserting ``to identify populations that may be at 
 higher risk for traumatic brain injuries, to collect 
 data on the causes of, and risk factors for, traumatic 
 brain injuries,'' after ``related disability,'';
        (B) in paragraph

    (1) , by inserting ``, including 
 the occupation of the individual, when relevant to the 
 circumstances surrounding the injury'' before the 
 semicolon; and
            (C) in paragraph

    (4) , by inserting ``short- and 
 long-term'' before ``outcomes'';

    (3) by striking subsection

    (b) ;

    (4) by redesignating subsection
            (c) as subsection

    (b) ;

    (5) in subsection

    (b) , as so redesignated, by inserting 
 ``and evidence-based practices to identify and address 
 concussion'' before the period at the end; and

    (6) by adding at the end the following:
 ``
            (c) Availability of Information.--The Secretary, acting through 
the Director of the Centers for Disease Control and Prevention, shall 
make publicly available aggregated information on traumatic brain 
injury and concussion described in this section, including on the 
website of the Centers for Disease Control and Prevention. Such 
website, to the extent feasible, 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 populations.''.
            (c) Authorization of Appropriations.--

Section 394A of the Public 
Health Service Act (42 U.S.C. 280b-3) is amended--

    (1) in subsection

    (a) , by striking ``1994, and'' and 
 inserting ``1994,''; and

    (2) in subsection

    (b) , by striking ``2020 through 2024'' 
 and inserting ``2026 through 2030''.

SEC. 3. STATE GRANT PROGRAMS.

    (a) State Grants for Projects Regarding Traumatic Brain Injury.--

Section 1252 of the Public Health Service Act (42 U.S.C. 300d-52) is 
amended--

    (1) in subsection

    (b)

    (2) --
        (A) by inserting ``, taking into consideration 
 populations that may be at higher risk for traumatic 
 brain injuries'' after ``outreach programs''; and
        (B) by inserting ``Tribal,'' after ``State,'';

    (2) in subsection
            (c) , by adding at the end the following:
 ``

    (3) Maintenance of effort.--With respect to activities 
 for which a grant awarded under subsection

    (a) is to be 
 expended, a State or American Indian consortium shall agree to 
 maintain expenditures of non-Federal amounts for such 
 activities at a level that is not less than the level of such 
 expenditures maintained by the State or American Indian 
 consortium for the fiscal year preceding the fiscal year for 
 which the State or American Indian consortium receives such a 
 grant.
 ``

    (4) Waiver.--The Secretary may, upon the request of a 
 State or American Indian consortium, waive not more than 50 
 percent of the matching fund amount under paragraph

    (1) , if the 
 Secretary determines that such matching fund amount would 
 result in an inability of the State or American Indian 
 consortium to carry out the purposes under subsection

    (a) . A 
 waiver provided by the Secretary under this paragraph shall 
 apply only to the fiscal year involved.'';

    (3) in subsection

    (e)

    (3)
        (B) --
        (A) by striking ``(such as third party payers, 
 State agencies, community-based providers, schools, and 
 educators)''; and
        (B) by inserting ``(such as third party payers, 
 State agencies, community-based providers, schools, and 
 educators)'' after ``professionals'';

    (4) in subsection

    (h) , by striking paragraphs

    (1) and

    (2) and inserting the following:
 ``

    (1) American indian consortium; state.--The terms 
 `American Indian consortium' and `State' have the meanings 
 given such terms in 

section 1253.
 ``

    (2) Traumatic brain injury.--
 ``
        (A) In general.--Subject to subparagraph
        (B) , the 
 term `traumatic brain injury'--
 ``
            (i) means an acquired injury to the 
 brain;
 ``
            (ii) may include--
 ``
            (I) brain injuries caused by 
 anoxia due to trauma; and
 ``
            (II) damage to the brain from an 
 internal or external source that 
 results in infection, toxicity, 
 surgery, or vascular disorders not 
 associated with aging; and
 ``
            (iii) does not include brain dysfunction 
 caused by congenital or degenerative disorders, 
 or birth trauma.
 ``
        (B) Revisions to 

=== definition. ===
-The Secretary may 
 revise the definition of the term `traumatic brain 
 injury' under this paragraph, as the Secretary 
 determines necessary, after consultation with States 
 and other appropriate public or nonprofit private 
 entities.''; and

    (5) in subsection
            (i) , by striking ``2020 through 2024'' 
 and inserting ``2026 through 2030''.

    (b) State Grants for Protection and Advocacy Services.--

Section 1253
            (l) of the Public Health Service Act (42 U.S.C. 300d-53
            (l) ) is 
amended by striking ``2020 through 2024'' and inserting ``2026 through 
2030''.

SEC. 4. REPORT TO CONGRESS.

 Not later than 2 years after the date of enactment of this Act, the 
Secretary of Health and Human Services (referred to in this Act as the 
``Secretary'') shall submit to the Committee on Health, Education, 
Labor, and Pensions of the Senate and the Committee on Energy and 
Commerce of the House of Representatives a report that contains--

    (1) an overview of populations who may be at higher risk 
 for traumatic brain injury, such as individuals affected by 
 domestic violence or sexual assault and public safety officers, 
 as defined in 

section 1204 of the Omnibus Crime Control and 
 Safe Streets Act of 1968 (34 U.S.C. 10284);

    (2) 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 populations, which 
 may include leveraging surveys such as the National Intimate 
 Partner and Sexual Violence Survey to collect data on traumatic 
 brain injuries;

    (3) an overview of any outreach or education efforts to 
 reach such higher risk populations; and

    (4) any challenges associated with reaching such higher 
 risk populations.

SEC. 5. STUDY ON LONG-TERM SYMPTOMS OR CONDITIONS RELATED TO TRAUMATIC 
 BRAIN INJURY.

    (a) In General.--The Secretary, in consultation with stakeholders 
and the heads of other relevant Federal departments and agencies, as 
appropriate, shall conduct, either directly or through a contract with 
a nonprofit private entity, a study to--

    (1) examine the incidence and prevalence of long-term or 
 chronic symptoms or conditions in individuals who have 
 experienced a traumatic brain injury;

    (2) examine the evidence base of research related to the 
 chronic effects of traumatic brain injury across the lifespan;

    (3) examine any correlations between traumatic brain injury 
 and increased risk of other conditions, such as dementia and 
 mental health conditions;

    (4) assess existing services available for individuals with 
 such long-term or chronic symptoms or conditions; and

    (5) identify any gaps in research related to such long-term 
 or chronic symptoms or conditions of individuals who have 
 experienced a traumatic brain injury.

    (b) Public Report.--Not later than 2 years after the date of 
enactment of this Act, the Secretary shall--

    (1) submit to the Committee on Health, Education, Labor, 
 and Pensions of the Senate and the Committee on Energy and 
 Commerce of the House of Representatives a report detailing the 
 findings, conclusions, and recommendations of the study 
 described in subsection

    (a) ; and

    (2) in the case that such study is conducted directly by 
 the Secretary, make the report described in paragraph

    (1) publicly available on the website of the Department of Health 
 and Human Services.
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