Sponsors (5)
Introduced September 18, 2025 by Markwayne Mullin · Last progress September 18, 2025
The bill strengthens federal TBI surveillance, research, reporting, and continued support for state and tribal programs—improving prevention, care, and targeting of services—while creating modest-to‑meaningful privacy risks, administrative and fiscal costs, and state budget/flexibility constraints that may not be fully funded.
State governments, American Indian consortia, and people with traumatic brain injury will keep federal program funding through 2026–2030 and gain temporary matching‑flexibility (up to a 50% waiver), helping preserve services and avoid program disruptions.
Patients, clinicians, public health officials, and policymakers will gain improved CDC surveillance and publicly aggregated TBI/concussion data (including occupation when relevant), enabling better identification of causes, high‑risk groups, and targeted prevention efforts.
People with prior TBIs, clinicians, health systems, and researchers will receive a publicly available, evidence‑based review of long‑term TBI effects across the lifespan, improving diagnosis, care planning, and guiding federal research priorities.
Taxpayers and the federal budget will face increased costs from expanded surveillance, mandated reports, and contracted studies, potentially diverting federal funds or increasing spending pressures through 2026–2030.
People in small or sensitive subgroups (e.g., survivors of domestic/sexual violence, some disability populations, veterans) may face privacy and re‑identification risks if aggregated or targeted data are not carefully de‑identified.
State and local governments may be constrained by maintenance‑of‑effort requirements to keep non‑Federal spending at prior levels, forcing budget reallocations or cuts to other programs; the waiver is limited in scope and duration.
Based on analysis of 5 sections of legislative text.
Reauthorizes and updates federal TBI programs: expands prevention/surveillance, requires CDC data publication, adds state grant MOE and waiver rules, and mandates reports and a 2‑year TBI outcomes study.
Updates and extends federal programs on traumatic brain injury (TBI) by expanding prevention and surveillance rules, requiring the CDC to publish aggregated TBI and concussion data (including information on higher‑risk groups), and extending program authorization through 2026–2030. It adds new conditions for State and tribal grant recipients (including a maintenance‑of‑effort requirement and a limited waiver of matching funds), requires HHS reports on higher‑risk populations and CDC activities, and directs a 2‑year study and report on long‑term or chronic symptoms following TBI.