Dennis John Benigno Traumatic Brain Injury Program Reauthorization Act of 2025

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

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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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