PRIA, Government Policy, Made Personal

Summary

Creates a national program at the National Institutes of Health to do basic and clinical research on trauma. It must study diagnosis, treatment, rehabilitation, and overall care. The NIH Director must write and follow a plan for the program with advice from a Trauma Research Interagency Coordinating Committee. The plan must be reviewed and updated as needed. The Director had to send that plan to the House Committee on Energy and Commerce and the Senate Committee on Health, Education, Labor, and Pensions by December 1, 1993, with funding estimates for fiscal years 1994 through 1996. NIH agencies will run, coordinate, and work together on the activities. The Director must make sure there are resources and may give grants to public and nonprofit groups, including designated trauma centers. The program covers research on all parts of trauma care (from before hospital care through surgery, critical care, infection control, wound healing, nutrition, and rehabilitation), studies of the body’s response to injury, work on kids and older adults, and specific grants for traumatic brain injury. Traumatic brain injury research may fund better ways to diagnose and monitor injury, therapies to stop or reverse brain damage and restore function, studies that link acute care with rehabilitation and long-term outcomes, programs to involve academic centers in research and training, and work on cognitive and behavioral recovery (like reading, speech, and reasoning). A coordinating committee made up of the NIH agency directors and other trauma experts will recommend which agencies do which work, how much money they need, and how they should collaborate. Definitions: Director = Director of the NIH; designated trauma center = defined elsewhere; trauma = injury from mechanical force or other external agents (thermal, electrical, chemical, radioactive); traumatic brain injury = an acquired brain injury (not congenital, degenerative, or birth trauma; may include anoxia from trauma). Funds as needed were authorized for fiscal years 2001–2005 and 2009–2012.

Title 42, §300d–61

The Public Health and Welfare, Source: USLM XML via OLRC

(a)In general

The Secretary, acting through the Director of the National Institutes of Health (in this section referred to as the “Director”), shall establish a comprehensive program of conducting basic and clinical research on trauma (in this section referred to as the “Program”). The Program shall include research regarding the diagnosis, treatment, rehabilitation, and general management of trauma.

(b)Plan for Program

(1)In general

The Director, in consultation with the Trauma Research Interagency Coordinating Committee established under subsection (g), shall establish and implement a plan for carrying out the activities of the Program, including the activities described in subsection (d). All such activities shall be carried out in accordance with the plan. The plan shall be periodically reviewed, and revised as appropriate.

(2)Submission to Congress

Not later than December 1, 1993, the Director shall submit the plan required in paragraph (1) to the Committee on Energy and Commerce of the House of Representatives, and to the Committee on Health, Education, Labor, and Pensions of the Senate, together with an estimate of the funds needed for each of the fiscal years 1994 through 1996 to implement the plan.

(c)Participating agencies; coordination and collaboration

The Director— (1)

(2)shall ensure that the activities of the Program are coordinated among such agencies; and

(3)shall, as appropriate, provide for collaboration among such agencies in carrying out such activities.

(d)Certain activities of Program

The Program shall include—

(1)studies with respect to all phases of trauma care, including prehospital, resuscitation, surgical intervention, critical care, infection control, wound healing, nutritional care and support, and medical rehabilitation care;

(2)basic and clinical research regarding the response of the body to trauma and the acute treatment and medical rehabilitation of individuals who are the victims of trauma;

(3)basic and clinical research regarding trauma care for pediatric and geriatric patients; and

(4)the authority to make awards of grants or contracts to public or nonprofit private entities for the conduct of basic and applied research regarding traumatic brain injury, which research may include—

(A)the development of new methods and modalities for the more effective diagnosis, measurement of degree of brain injury, post-injury monitoring and prognostic assessment of head injury for acute, subacute and later phases of care;

(B)the development, modification and evaluation of therapies that retard, prevent or reverse brain damage after acute head injury, that arrest further deterioration following injury and that provide the restitution of function for individuals with long-term injuries;

(C)the development of research on a continuum of care from acute care through rehabilitation, designed, to the extent practicable, to integrate rehabilitation and long-term outcome evaluation with acute care research;

(D)the development of programs that increase the participation of academic centers of excellence in brain injury treatment and rehabilitation research and training; and

(E)carrying out subparagraphs (A) through (D) with respect to cognitive disorders and neurobehavioral consequences arising from traumatic brain injury, including the development, modification, and evaluation of therapies and programs of rehabilitation toward reaching or restoring normal capabilities in areas such as reading, comprehension, speech, reasoning, and deduction.

(e)Mechanisms of support

In carrying out the Program, the Director, acting through the Directors of the agencies referred to in subsection (c)(1), may make grants to public and nonprofit entities, including designated trauma centers.

(f)Resources

The Director shall assure the availability of appropriate resources to carry out the Program, including the plan established under subsection (b) (including the activities described in subsection (d)).

(g)Coordinating Committee

(1)In general

There shall be established a Trauma Research Interagency Coordinating Committee (in this section referred to as the “Coordinating Committee”).

(2)Duties

The Coordinating Committee shall make recommendations regarding—

(A)the activities of the Program to be carried out by each of the agencies represented on the Committee and the amount of funds needed by each of the agencies for such activities; and

(B)effective collaboration among the agencies in carrying out the activities.

(3)Composition

The Coordinating Committee shall be composed of the Directors of each of the agencies that, under subsection (c), have responsibilities under the Program, and any other individuals who are practitioners in the trauma field as designated by the Director of the National Institutes of Health.

(h)Definitions

For purposes of this section: (1)

(2)The term “Director” means the Director of the National Institutes of Health.

(3)The term “trauma” means an injury resulting from exposure to—

(A)a mechanical force; or

(B)another extrinsic agent, including an extrinsic agent that is thermal, electrical, chemical, or radioactive.

(4)The term “traumatic brain injury” means an acquired injury to the brain. Such term does not include brain dysfunction caused by congenital or degenerative disorders, nor birth trauma, but may include brain injuries caused by anoxia due to trauma. The Secretary may revise the definition of such term as the Secretary determines necessary, after consultation with States and other appropriate public or nonprofit private entities.

(i)Authorization of appropriations

For the purpose of carrying out this section, there are authorized to be appropriated such sums as may be necessary for each of the fiscal years 2001 through 2005, and such sums as may be necessary for each of the fiscal years 2009 through 2012.

Notes & Related Subsidiaries

Editorial Notes

Amendments

2014—Subsec. (h)(3). Pub. L. 113–152 amended par. (3) generally. Prior to amendment, text read as follows: “The term ‘trauma’ means any serious injury that could result in loss of life or in significant disability and that would meet pre-hospital triage criteria for transport to a designated trauma center.” 2008—Subsec. (b)(2). Pub. L. 110–206, § 5(1), substituted “Health, Education, Labor, and Pensions” for “Labor and Human Resources”. Subsec. (d)(4)(D). Pub. L. 110–206, § 5(2), substituted “brain injury” for “head brain injury”. Subsec. (i). Pub. L. 110–206, § 5(3), inserted “, and such sums as may be necessary for each of the fiscal years 2009 through 2012” before period at end. 2000—Subsec. (d)(4)(A). Pub. L. 106–310, § 1303(a)(1), substituted “degree of brain injury” for “degree of injury”. Subsec. (d)(4)(B). Pub. L. 106–310, § 1303(a)(2), which directed amendment of subpar. (B) by substituting “acute brain injury” for “acute injury”, could not be executed because the phrase “acute injury” does not appear in text. Subsec. (d)(4)(C). Pub. L. 106–310, § 1303(c)(1), struck out “and” after semicolon at end. Subsec. (d)(4)(D). Pub. L. 106–310, § 1303(a)(3), (c)(2), substituted “brain injury treatment” for “injury treatment” and “; and” for period at end. Subsec. (d)(4)(E). Pub. L. 106–310, § 1303(c)(3), added subpar. (E). Subsec. (h)(4). Pub. L. 106–310, § 1303(b), substituted “anoxia due to trauma” for “anoxia due to near drowning” in second sentence and inserted before period at end “, after consultation with States and other appropriate public or nonprofit private entities”. Subsec. (i). Pub. L. 106–310, § 1303(d), added subsec. (i). 1996—Subsec. (d)(4). Pub. L. 104–166, § 2(1), added par. (4). Subsec. (h)(4). Pub. L. 104–166, § 2(2), added par. (4).

Statutory Notes and Related Subsidiaries

Change of Name

Committee on Energy and Commerce of House of Representatives treated as referring to Committee on Commerce of House of Representatives by section 1(a) of Pub. L. 104–14, set out as a note preceding section 21 of Title 2, The Congress. Committee on Commerce of House of Representatives changed to Committee on Energy and Commerce of House of Representatives, and jurisdiction over matters relating to securities and exchanges and insurance generally transferred to Committee on Financial Services of House of Representatives by House Resolution No. 5, One Hundred Seventh Congress, Jan. 3, 2001. Traumatic Brain Injury Study; Consensus Conference Pub. L. 104–166, § 4,

July 29, 1996, 110 Stat. 1448, as amended by Pub. L. 106–310, div. A, title XIII, § 1302, Oct. 17, 2000, 114 Stat. 1138, required the Secretary of Health and Human Services to conduct a study of traumatic brain injuries, to submit a report to Congress within 18 months of

July 29, 1996 on the findings of such study and a report within 3 years of that date on certain therapeutic interventions and guidelines developed in the study, and to conduct a national consensus conference on managing traumatic brain injury and related rehabilitation concerns.

§300d–61 Establishment of Program