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119-hr-1493119th CongressWALLET

To reauthorize and make improvements to Federal programs relating to the prevention, detection, and treatment of traumatic brain injuries, and for other purposes.

Sponsored By: Representative Pallone, Frank [D-NJ-6]

Passed House

Summary

Strengthen national traumatic brain injury surveillance and expand funding and state support. This bill would reauthorize and widen federal programs to prevent, detect, and treat traumatic brain injury by improving data, outreach, and grants to states and tribes.

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  • People with TBI and their families would get better information and research. The bill would expand data on causes, risk factors, long‑term or chronic symptoms, and require a public study and report within 2 years.
  • States and Tribal consortia would have expanded access to grants for prevention, treatment, and protection services, with updated eligibility and outreach for higher‑risk populations and a maintenance‑of‑effort rule that the Secretary may waive up to 50 percent in a given year.
  • Federal public health work would be centralized and more transparent. The Bill Pascrell, Jr. National Program would expand surveillance to identify higher‑risk groups, add interagency coordination, require CDC to post aggregated TBI and concussion data online, and move certain prevention baselines from 2020 to 2030.

*If fully funded, this bill would increase federal spending by about $22.4 million per year from 2026 through 2030.*

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Bill Overview

Analyzed Economic Effects

3 provisions identified: 3 benefits, 0 costs, 0 mixed.

Better national data on brain injuries

If enacted, the CDC would collect more detailed data on traumatic brain injuries. It would track higher-risk groups, causes, job risks, and short- and long-term outcomes. The program would also include related mental health and other conditions from TBI. Aggregated data would be posted on the CDC website, with info for higher-risk groups. Program baseline references would be updated to 2030. The bill would authorize $9,250,000 each year from FY2026 to FY2030.

More state and Tribal TBI help

If enacted, the government would provide $13,118,000 each year from FY2026 to FY2030 for state and Tribal TBI programs. Grants would support prevention, detection, treatment, and protection and advocacy services. Outreach would need to include higher-risk groups and Tribal participation. States and American Indian consortia would keep at least last year’s non-Federal spending for these activities. The Secretary could waive up to half of the required match for one year if it blocks the program. The bill would update the TBI definition and let the Secretary revise it after consultation.

Study long-term effects of brain injury

If enacted, HHS would study long-term or chronic problems after a brain injury. The study would measure how common they are and links to dementia or mental health. It would review current services and gaps. HHS would consult stakeholders and other federal agencies. A report with findings and recommendations would be due to Congress within two years. If HHS does the study itself, it would post the report online.

Sponsors & CoSponsors

Sponsor

Pallone, Frank [D-NJ-6]

NJ • D

Cosponsors

  • Rep. Bacon, Don [R-NE-2]

    NE • R

    Sponsored 2/21/2025

  • Rep. Menendez, Robert [D-NJ-8]

    NJ • D

    Sponsored 2/21/2025

  • Rep. Crenshaw, Dan [R-TX-2]

    TX • R

    Sponsored 2/21/2025

  • Rep. Deluzio, Christopher R. [D-PA-17]

    PA • D

    Sponsored 3/25/2025

  • Rep. Rutherford, John H. [R-FL-5]

    FL • R

    Sponsored 7/23/2025

  • Rep. Vindman, Eugene Simon [D-VA-7]

    VA • D

    Sponsored 5/19/2026

Roll Call Votes

No roll call votes available for this bill.

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