Title 42 › CHAPTER 6A — PUBLIC HEALTH SERVICE › SUBCHAPTER X — TRAUMA CARE › Part E — Miscellaneous Programs › § 300d–53
The Secretary, through the Administration for Community Living, must give grants to protection and advocacy systems so they can help people with traumatic brain injury. These systems can use the money to give information, referrals, and advice; to help people and their families with advocacy; to provide legal representation; and to teach people how to speak up for themselves. To get a grant, a system must send an application to the Secretary with the information and promises the Secretary asks for. How much money each system gets depends on how much Congress funds the program. If total funding is under $2,700,000 in a year, the Secretary will make smaller grants from that amount for planning, outreach, and services. If total funding is $2,700,000 or more, each State gets a grant based on its share of the population, with minimums of $20,000 for American Samoa, Guam, the U.S. Virgin Islands, the Northern Mariana Islands, and the American Indian consortium, and $50,000 for other States. If total funding is $5,000,000 or more and increases from the prior year, those minimums rise by the same percentage as the funding increase. Unused grant money can be spent the next year. Each year, by October 1, the Secretary must pay the full grant amount directly unless the grantee asks otherwise. Grantees must send an annual report to the Secretary, and the Secretary had to send a report to Congress no later than one year after November 26, 2014. The Secretary will help coordinate data collection across HHS. If total funding is $6,000,000 or more, 2 percent must fund national training and technical help. Grants must follow the same record-access and authority rules these systems have under subtitle C of title I of the Developmental Disabilities Assistance and Bill of Rights Act. Congress authorized $4,000,000 for each fiscal year 2020 through 2024. Definitions (one line each): American Indian consortium — a tribal consortium under subtitle C of title I of the Developmental Disabilities Assistance and Bill of Rights Act; protection and advocacy system — the state or tribal system established under that subtitle C; State — the 50 States plus DC, Puerto Rico, the U.S. Virgin Islands, Guam, American Samoa, and the Northern Mariana Islands.
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The Public Health and Welfare, Source: USLM XML via OLRC
Legislative History
Reference
Citation
42 U.S.C. § 300d–53
Title 42, The Public Health and Welfare
Last Updated
Sep 23, 2026
Release point: 119-110