Sponsors (7)
The bill strengthens TBI surveillance, research, and funding for state/tribal prevention and services—improving data, targeting, and long‑term care planning—while imposing state maintenance‑of‑effort requirements, expanding data collection that raises privacy concerns, and increasing federal budget commitments.
CDC will expand TBI/concussion surveillance and publish aggregated data (including occupation and prevention guidance), improving public access to risk information and enabling more targeted prevention and workplace-safety efforts.
States and tribal consortia that receive TBI grants will have continued federal funding authority through 2026–2030, supporting prevention programs and services for people with brain injuries.
A mandated study of long‑term/chronic TBI outcomes will produce evidence on incidence, links to dementia and mental health, and service gaps to guide future care and policy.
States and tribes must maintain prior-year non‑Federal spending for grant activities (with only limited waiver authority), which could strain state/tribal budgets, reduce fiscal flexibility, and deter some jurisdictions from participating or scaling programs.
Expanded data collection and public reporting (including occupation) increases risk of privacy breaches or re-identification if data are not properly de-identified and managed.
Extending authorization through additional years raises federal fiscal commitments that could increase future budgetary pressures or require offsets, affecting taxpayers and federal budget priorities.
Based on analysis of 2 sections of legislative text.
Expands CDC TBI surveillance and public reporting, updates concussion prevention content, and revises/extends state TBI grant authorization and matching/MOE rules.
Introduced February 21, 2025 by Frank Pallone · Last progress February 21, 2025
Expands the federal traumatic brain injury (TBI) surveillance and registry program by broadening what data CDC must collect and publish, including occupation and risk factors, and by requiring aggregated public-facing concussion/TBI prevention information. It also revises the federal TBI state grant program: extends the authorization period to 2026–2030, adds a requirement that states or American Indian consortia maintain their non‑Federal spending for grant activities at least at the prior year’s level (with a one-year waiver option to reduce matching by up to 50% if necessary), and updates definitions and a few technical provisions. The changes affect the Secretary of HHS and CDC duties, increase the scope and public availability of TBI data and prevention guidance, and impose a new maintenance-of-effort condition on grant recipients while keeping a limited waiver for hardship in one year.