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<dc:title>119 S5600 ES: Dennis John Benigno Traumatic Brain Injury Program Reauthorization Act of 2026</dc:title>
<dc:publisher>U.S. Senate</dc:publisher>
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<dc:rights>Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.</dc:rights>
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<congress display="yes">119th CONGRESS</congress><session display="yes">2d Session</session><legis-num display="yes">S. 5600</legis-num><current-chamber display="no">IN THE SENATE OF THE UNITED STATES</current-chamber><legis-type display="yes">AN ACT</legis-type><official-title display="yes">To reauthorize the Traumatic Brain Injury program.</official-title></form><legis-body style="OLC" display-enacting-clause="yes-display-enacting-clause"><section id="H31476890E4CF4AB18F25A74CF603D745" section-type="section-one" commented="no" display-inline="no-display-inline"><enum>1.</enum><header display-inline="yes-display-inline">Short title</header><text display-inline="no-display-inline">This Act may be cited as the <quote><short-title>Dennis John Benigno Traumatic Brain Injury Program Reauthorization Act of 2026</short-title></quote>.</text></section><section id="HB94AB2A869784B20903DF0D5E7A35B61" commented="no" display-inline="no-display-inline" section-type="subsequent-section"><enum>2.</enum><header display-inline="yes-display-inline">The Bill Pascrell, Jr., national program for traumatic brain injury surveillance and registries</header><subsection commented="no" display-inline="no-display-inline" id="id53de7a8e49d7479b94d2117fe4eb5527"><enum>(a)</enum><header display-inline="yes-display-inline">Prevention of traumatic brain injury</header><text display-inline="yes-display-inline">Section 393B of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/280b-1c">42 U.S.C. 280b–1c</external-xref>) is amended—</text><paragraph commented="no" display-inline="no-display-inline" id="ida8c47157713141e0a189e9634d9a8fc9"><enum>(1)</enum><text display-inline="yes-display-inline">in subsection (a), by inserting <quote>and prevalence</quote> after <quote>incidence</quote>;</text></paragraph><paragraph commented="no" display-inline="no-display-inline" id="iddd35a122044f450f82fbdb1f31130855"><enum>(2)</enum><text display-inline="yes-display-inline">in subsection (b)—</text><subparagraph commented="no" display-inline="no-display-inline" id="id0954d6b363c444baa42b3a82aa512bc9"><enum>(A)</enum><text display-inline="yes-display-inline">in paragraph (1), by inserting <quote>and reduction of associated injuries and fatalities</quote> before the semicolon;</text></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id28e05da79ec64166892841f0d1ffbb4a"><enum>(B)</enum><text display-inline="yes-display-inline">in paragraph (2), by inserting <quote>and related risk factors</quote> before the semicolon; and</text></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id5a566d5e13e64d50a7b5bcd85599ac2a"><enum>(C)</enum><text display-inline="yes-display-inline">in paragraph (3)—</text><clause commented="no" display-inline="no-display-inline" id="id2ba03561d54b4943b644d0fc284cfa95"><enum>(i)</enum><text display-inline="yes-display-inline">in the matter preceding subparagraph (A), by striking <quote>2020</quote> each place it appears and inserting <quote>2030</quote>; and</text></clause><clause commented="no" display-inline="no-display-inline" id="id8adfa82fc6d148c1ada4b5ce5340b135"><enum>(ii)</enum><text display-inline="yes-display-inline">in subparagraph (A)—</text><subclause commented="no" display-inline="no-display-inline" id="idbaa218f97c014af1b09cd8625846f3bb"><enum>(I)</enum><text display-inline="yes-display-inline">in clause (i), by striking <quote>; and</quote> and inserting a semicolon;</text></subclause><subclause id="id0416d24cf22145448222f4ce4bd2c2f6" commented="no" display-inline="no-display-inline"><enum>(II)</enum><text display-inline="yes-display-inline">by redesignating clause (ii) as clause (iv); </text></subclause><subclause commented="no" display-inline="no-display-inline" id="idfe00de1accae442f94dc343fea6d9fc7"><enum>(III)</enum><text display-inline="yes-display-inline">by inserting after clause (i) the following:</text><quoted-block style="OLC" display-inline="no-display-inline" id="id9A7EF3F3E6964847839402F1D4A25E81"><clause id="idb9fdfbdf3ff642449c0acf20e19e35f9" commented="no" display-inline="no-display-inline"><enum>(ii)</enum><text display-inline="yes-display-inline">populations at higher risk of traumatic brain injury, including populations whose increased risk is due to occupational or circumstantial factors; </text></clause><clause commented="no" display-inline="no-display-inline" id="id8e50935b768d4623aedac4e6a74bcf8f"><enum>(iii)</enum><text display-inline="yes-display-inline">causes of, and risk factors for, traumatic brain injury; and</text></clause><after-quoted-block display="yes">; and</after-quoted-block></quoted-block></subclause><subclause id="id175533dc696b430382d9580f0ba7ef29" commented="no" display-inline="no-display-inline"><enum>(IV)</enum><text display-inline="yes-display-inline">in clause (iv), as so redesignated, by striking <quote>arising from traumatic brain injury</quote> and inserting <quote>, which may include related mental health and other conditions, arising from traumatic brain injury, including</quote>; and</text></subclause></clause></subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="id4d71e51f8e914550b0ced0a4602809fb"><enum>(3)</enum><text display-inline="yes-display-inline">in subsection (c), by inserting <quote>, and other relevant Federal departments and agencies</quote> before the period at the end.</text></paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="idfecde745c5d64993884fa3d1d86fd574"><enum>(b)</enum><header display-inline="yes-display-inline">National program for traumatic brain injury surveillance and registries</header><text display-inline="yes-display-inline">Section 393C of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/280b-1d">42 U.S.C. 280b–1d</external-xref>) is amended—</text><paragraph id="idc4a8c581336a4455891dfa11a90034be" commented="no" display-inline="no-display-inline"><enum>(1)</enum><text display-inline="yes-display-inline">by amending the section heading to read as follows: <quote><header-in-text style="OLC" level="section">The Bill Pascrell, Jr., national program for traumatic brain injury surveillance and registries</header-in-text></quote>;</text></paragraph><paragraph commented="no" display-inline="no-display-inline" id="idd04570da5e9748fa8d0d3016e860be2f"><enum>(2)</enum><text display-inline="yes-display-inline">in subsection (a)—</text><subparagraph commented="no" display-inline="no-display-inline" id="id5b24b667e62049eb91d033c1f020a066"><enum>(A)</enum><text display-inline="yes-display-inline">in the matter preceding paragraph (1), by inserting <quote>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,</quote> after <quote>related disability,</quote>; </text></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id66c7b55411564b8ab2f37cd0bf44fa21"><enum>(B)</enum><text display-inline="yes-display-inline">in paragraph (1), by inserting <quote>, including the occupation of the individual, when relevant to the circumstances surrounding the injury</quote> before the semicolon; and</text></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="idfe5cb6d77ba44e81ad18d286f486bf29"><enum>(C)</enum><text display-inline="yes-display-inline">in paragraph (4), by inserting <quote>short- and long-term</quote> before <quote>outcomes</quote>;</text></subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="id0297f62a598d407a94e039d4b5227731"><enum>(3)</enum><text display-inline="yes-display-inline">by striking subsection (b);</text></paragraph><paragraph commented="no" display-inline="no-display-inline" id="idedada67996bd4b35a515c2c7065ffb59"><enum>(4)</enum><text display-inline="yes-display-inline">by redesignating subsection (c) as subsection (b); </text></paragraph><paragraph commented="no" display-inline="no-display-inline" id="id651FBBAEB737408D8293B7A37CBE3D55"><enum>(5)</enum><text display-inline="yes-display-inline">in subsection (b), as so redesignated, by inserting <quote>and evidence-based practices to identify and address concussion</quote> before the period at the end; and </text></paragraph><paragraph commented="no" display-inline="no-display-inline" id="id9f588dc3cdd642c2b7644fc41210bde3"><enum>(6)</enum><text display-inline="yes-display-inline">by adding at the end the following:</text><quoted-block style="OLC" display-inline="no-display-inline" id="id42E75E8D4E2848F891C38DBF0E9455F6"><subsection id="id042ee26c06084dce9e5e99f80fab1455" commented="no" display-inline="no-display-inline"><enum>(c)</enum><header display-inline="yes-display-inline">Availability of information</header><text display-inline="yes-display-inline">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.</text></subsection><after-quoted-block display="yes">.</after-quoted-block></quoted-block></paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="id7aa3912cca454196bcfc56dd1d4c9446"><enum>(c)</enum><header display-inline="yes-display-inline">Authorization of appropriations</header><text display-inline="yes-display-inline">Section 394A of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/280b-3">42 U.S.C. 280b–3</external-xref>) is amended—</text><paragraph commented="no" display-inline="no-display-inline" id="id6df2cbb47f0f42a293867d5e254fc899"><enum>(1)</enum><text display-inline="yes-display-inline">in subsection (a), by striking <quote>1994, and</quote> and inserting <quote>1994,</quote>; and</text></paragraph><paragraph commented="no" display-inline="no-display-inline" id="id9cf3f940adf540c4a464acbcabc999f2"><enum>(2)</enum><text display-inline="yes-display-inline">in subsection (b), by striking <quote>2020 through 2024</quote> and inserting <quote>2027 through 2031</quote>.</text></paragraph></subsection></section><section id="id8a2e7af450914c90be11772b3d0ac88d" commented="no" display-inline="no-display-inline" section-type="subsequent-section"><enum>3.</enum><header display-inline="yes-display-inline">State grant programs</header><subsection commented="no" display-inline="no-display-inline" id="ida6a979990b3f4c98b026bf39772ee76b"><enum>(a)</enum><header display-inline="yes-display-inline">State grants for projects regarding traumatic brain injury</header><text display-inline="yes-display-inline">Section 1252 of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/300d-52">42 U.S.C. 300d–52</external-xref>) is amended—</text><paragraph commented="no" display-inline="no-display-inline" id="idb553177201ad42ceb68b9af1b3d61358"><enum>(1)</enum><text display-inline="yes-display-inline">in subsection (b)(2)—</text><subparagraph id="idbcf550daa0224c3abdd57244199d2747" commented="no" display-inline="no-display-inline"><enum>(A)</enum><text display-inline="yes-display-inline">by inserting <quote>, taking into consideration populations that may be at higher risk for traumatic brain injuries</quote> after <quote>outreach programs</quote>; and</text></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id9ed8b27772d243188b2ad864d17e61ad"><enum>(B)</enum><text display-inline="yes-display-inline">by inserting <quote>Tribal,</quote> after <quote>State,</quote>;</text></subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="id7050b18a148045b9a31bb3afada0e539"><enum>(2)</enum><text display-inline="yes-display-inline">in subsection (e)(3)(B)—</text><subparagraph commented="no" display-inline="no-display-inline" id="id7a6df814ff7a4964b92ff409d7cc2fe3"><enum>(A)</enum><text display-inline="yes-display-inline">by striking <quote>(such as third party payers, State agencies, community-based providers, schools, and educators)</quote>; and</text></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="idd738ba38126649a5b86c831b5e37553c"><enum>(B)</enum><text display-inline="yes-display-inline">by inserting <quote>(such as third party payers, State agencies, community-based providers, schools, and educators)</quote> after <quote>professionals</quote>;</text></subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="id1d9baf5ed77e491bad554abc4bfbd6bf"><enum>(3)</enum><text display-inline="yes-display-inline">in subsection (h), by striking paragraphs (1) and (2) and inserting the following:</text><quoted-block style="OLC" display-inline="no-display-inline" id="id187DB445AE9F4ABBAE637FB386EE3CD5"><paragraph id="ide997a152361b4512a35b9762abc59e65" commented="no" display-inline="no-display-inline"><enum>(1)</enum><header display-inline="yes-display-inline">American Indian consortium; State</header><text display-inline="yes-display-inline">The terms <term>American Indian consortium</term> and <term>State</term> have the meanings given such terms in section 1253.</text></paragraph><paragraph id="id6c2e3ad07d25430abf801ba931573a3d" commented="no" display-inline="no-display-inline"><enum>(2)</enum><header display-inline="yes-display-inline">Traumatic brain injury</header><subparagraph commented="no" display-inline="no-display-inline" id="id71f5a3abf6a04975aa4dac0b4a135d49"><enum>(A)</enum><header display-inline="yes-display-inline">In general</header><text display-inline="yes-display-inline">Subject to subparagraph (B), the term <term>traumatic brain injury</term>—</text><clause commented="no" display-inline="no-display-inline" id="ida23b9de375e140589638aeef1cb7e1b5"><enum>(i)</enum><text display-inline="yes-display-inline">means an acquired injury to the brain; </text></clause><clause commented="no" display-inline="no-display-inline" id="id7dce48c147984e85abf30caaa1802b7a"><enum>(ii)</enum><text display-inline="yes-display-inline">may include—</text><subclause commented="no" display-inline="no-display-inline" id="idf03424699e2d4553845f2d3c5658dcd5"><enum>(I)</enum><text display-inline="yes-display-inline">brain injuries caused by anoxia due to trauma; and</text></subclause><subclause commented="no" display-inline="no-display-inline" id="id2479ba56923648a885fa807f660f0f33"><enum>(II)</enum><text display-inline="yes-display-inline">damage to the brain from an internal or external source that results in infection, toxicity, surgery, or vascular disorders not associated with aging; and</text></subclause></clause><clause commented="no" display-inline="no-display-inline" id="id8d477ef6adc84f67a3f5ed92668cc47f"><enum>(iii)</enum><text display-inline="yes-display-inline">does not include brain dysfunction caused by congenital or degenerative disorders, or birth trauma.</text></clause></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id58cf717497dd4cd0a8adf1fcfad8c70a"><enum>(B)</enum><header display-inline="yes-display-inline">Revisions to definition</header><text display-inline="yes-display-inline">The Secretary may revise the definition of the term <term>traumatic brain injury</term> under this paragraph, as the Secretary determines necessary, after consultation with States and other appropriate public or nonprofit private entities.</text></subparagraph></paragraph><after-quoted-block display="yes">; and</after-quoted-block></quoted-block></paragraph><paragraph commented="no" display-inline="no-display-inline" id="id90774153bd0649d899c904f7aa8a7527"><enum>(4)</enum><text display-inline="yes-display-inline">in subsection (i), by striking <quote>2020 through 2024</quote> and inserting <quote>2027 through 2031</quote>.</text></paragraph></subsection><subsection id="idce53369c86ec4ab7b40af3e68d1c1912" commented="no" display-inline="no-display-inline"><enum>(b)</enum><header display-inline="yes-display-inline">State grants for protection and advocacy services</header><text display-inline="yes-display-inline">Section 1253(l) of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/300d-53">42 U.S.C. 300d–53(l)</external-xref>) is amended by striking <quote>2020 through 2024</quote> and inserting <quote>2027 through 2031</quote>.</text></subsection></section><section id="ide9004105b5084fdfb9bb41cd349510fd" commented="no" display-inline="no-display-inline" section-type="subsequent-section"><enum>4.</enum><header display-inline="yes-display-inline">Report to Congress</header><text display-inline="no-display-inline">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 <quote>Secretary</quote>) 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—</text><paragraph commented="no" display-inline="no-display-inline" id="id7a35d4d09b0549a0b8845a54d40ea48b"><enum>(1)</enum><text display-inline="yes-display-inline">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 (<external-xref legal-doc="usc" parsable-cite="usc/34/10284">34 U.S.C. 10284</external-xref>);</text></paragraph><paragraph commented="no" display-inline="no-display-inline" id="id5646ea2e0e624e1393f233f43f284916"><enum>(2)</enum><text display-inline="yes-display-inline">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;</text></paragraph><paragraph commented="no" display-inline="no-display-inline" id="id46e5b747309e46798529c8a06afcb6c1"><enum>(3)</enum><text display-inline="yes-display-inline">an overview of any outreach or education efforts to reach such higher risk populations; and</text></paragraph><paragraph commented="no" display-inline="no-display-inline" id="id67bd623ec0624785a1b29fac6e1f8dd6"><enum>(4)</enum><text display-inline="yes-display-inline">any challenges associated with reaching such higher risk populations. </text></paragraph></section><section id="id05ce413b7f9d4809bc4883997b118bce" commented="no" display-inline="no-display-inline" section-type="subsequent-section"><enum>5.</enum><header display-inline="yes-display-inline">Study on long-term symptoms or conditions related to traumatic brain injury</header><subsection id="idb6f8d1c36bd24738985a77d3837010d4" commented="no" display-inline="no-display-inline"><enum>(a)</enum><header display-inline="yes-display-inline">In general</header><text display-inline="yes-display-inline">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—</text><paragraph id="id4e8ee3e6c179488b81c2ad967a01ce00" commented="no" display-inline="no-display-inline"><enum>(1)</enum><text display-inline="yes-display-inline">examine the incidence and prevalence of long-term or chronic symptoms or conditions in individuals who have experienced a traumatic brain injury;</text></paragraph><paragraph id="id3b814f0561a64ac2916d6fc533df0da8" commented="no" display-inline="no-display-inline"><enum>(2)</enum><text display-inline="yes-display-inline">examine the evidence base of research related to the chronic effects of traumatic brain injury across the lifespan;</text></paragraph><paragraph id="idc932437ab523465eabd6c817ecb42380" commented="no" display-inline="no-display-inline"><enum>(3)</enum><text display-inline="yes-display-inline">examine any correlations between traumatic brain injury and increased risk of other conditions, such as dementia and mental health conditions;</text></paragraph><paragraph id="id33e865573cb84cbb86fd3f45e3b7a357" commented="no" display-inline="no-display-inline"><enum>(4)</enum><text display-inline="yes-display-inline">assess existing services available for individuals with such long-term or chronic symptoms or conditions; and</text></paragraph><paragraph id="id66ea3029db8a411cad0fd1e408969c59" commented="no" display-inline="no-display-inline"><enum>(5)</enum><text display-inline="yes-display-inline">identify any gaps in research related to such long-term or chronic symptoms or conditions of individuals who have experienced a traumatic brain injury.</text></paragraph></subsection><subsection id="id3a0ce6ba26e24c3aa9a015115331a5c7" commented="no" display-inline="no-display-inline"><enum>(b)</enum><header display-inline="yes-display-inline">Public report</header><text display-inline="yes-display-inline">Not later than 2 years after the date of enactment of this Act, the Secretary shall—</text><paragraph commented="no" display-inline="no-display-inline" id="id6a387bc680e84bc383816fc4094262c3"><enum>(1)</enum><text display-inline="yes-display-inline">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</text></paragraph><paragraph commented="no" display-inline="no-display-inline" id="id693daaf54b4c4bc4b409a1c620875025"><enum>(2)</enum><text display-inline="yes-display-inline">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. </text></paragraph></subsection></section></legis-body><attestation><attestation-group><attestation-date date="20260929" chamber="Senate">Passed the Senate September 29, 2026.</attestation-date><attestor display="no"></attestor><role>Secretary</role></attestation-group></attestation><endorsement display="yes"></endorsement></bill> 

