text: SECTION 1. PROGRAMS OF CENTERS FOR DISEASE CONTROL AND PREVENTION.
  
      Part J of title III of the Public Health Service Act (42 U.S.C. 
  280b et seq.) is amended by inserting after section 393 the following 
  section:
  
  
                    ``prevention of traumatic brain injury
  
      ``Sec. 393A. (a) In General.--The Secretary, acting through the 
  Director of the Centers for Disease Control and Prevention, may carry 
  out projects to reduce the incidence of traumatic brain injury. Such 
  projects may be carried out by the Secretary directly or through awards 
  of grants or contracts to public or nonprofit private entities. The 
  Secretary may directly or through such awards provide technical 
  assistance with respect to the planning, development, and operation of 
  such projects.
      ``(b) Certain Activities.--Activities under subsection (a) may 
  include--
          ``(1) the conduct of research into identifying effective 
      strategies for the prevention of traumatic brain injury; and
          ``(2) the implementation of public information and education 
      programs for the prevention of such injury and for broadening the 
      awareness of the public concerning the public health consequences 
      of such injury.
      ``(c) Coordination of Activities.--The Secretary shall ensure that 
  activities under this section are coordinated as appropriate with other 
  agencies of the Public Health Service that carry out activities 
  regarding traumatic brain injury.
      ``(d) Definition.--For purposes of this section, 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 near drowning. The Secretary may 
  revise the definition of such term as the Secretary determines 
  necessary.''.
  
  SEC. 2. PROGRAMS OF NATIONAL INSTITUTES OF HEALTH.
  
      Section 1261 of the Public Health Service Act (42 U.S.C. 300d-61) 
  is amended--
          (1) in subsection (d)--
              (A) in paragraph (2), by striking ``and'' after the 
          semicolon at the end;
              (B) in paragraph (3), by striking the period and inserting 
          ``; and''; and
              (C) by adding at the end the following paragraph:
          ``(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 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; and
              ``(D) the development of programs that increase the 
          participation of academic centers of excellence in head injury 
          treatment and rehabilitation research and training.''; and
          (2) in subsection (h), by adding at the end the following 
      paragraph:
          ``(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 near 
      drowning. The Secretary may revise the definition of such term as 
      the Secretary determines necessary.''.
  
  SEC. 3. PROGRAMS OF HEALTH RESOURCES AND SERVICES ADMINISTRATION.
  
      Part E of title XII of the Public Health Service Act (42 U.S.C. 
  300d-51 et seq.) is amended by adding at the end the following section:
  
  ``SEC. 1252. STATE GRANTS FOR DEMONSTRATION PROJECTS REGARDING 
                TRAUMATIC BRAIN INJURY.
  
      ``(a) In General.--The Secretary, acting through the Administrator 
  of the Health Resources and Services Administration, may make grants to 
  States for the purpose of carrying out demonstration projects to 
  improve access to health and other services regarding traumatic brain 
  injury.
      ``(b) State Advisory Board.--
          ``(1) In general.--The Secretary may make a grant under 
      subsection (a) only if the State involved agrees to establish an 
      advisory board within the appropriate health department of the 
      State or within another department as designated by the chief 
      executive officer of the State.
          ``(2) Functions.--An advisory board established under paragraph 
      (1) shall advise and make recommendations to the State on ways to 
      improve services coordination regarding traumatic brain injury. 
      Such advisory boards shall encourage citizen participation through 
      the establishment of public hearings and other types of community 
      outreach programs. In developing recommendations under this 
      paragraph, such boards shall consult with Federal, State, and local 
      governmental agencies and with citizens groups and other private 
      entities.
          ``(3) Composition.--An advisory board established under 
      paragraph (1) shall be composed of--
              ``(A) representatives of--
                  ``(i) the corresponding State agencies involved;
                  ``(ii) public and nonprofit private health related 
              organizations;
                  ``(iii) other disability advisory or planning groups 
              within the State;
                  ``(iv) members of an organization or foundation 
              representing traumatic brain injury survivors in that 
              State; and
                  ``(v) injury control programs at the State or local 
              level if such programs exist; and
              ``(B) a substantial number of individuals who are survivors 
          of traumatic brain injury, or the family members of such 
          individuals.
      ``(c) Matching Funds.--
          ``(1) In general.--With respect to the costs to be incurred by 
      a State in carrying out the purpose described in subsection (a), 
      the Secretary may make a grant under such subsection only if the 
      State agrees to make available, in cash, non-Federal contributions 
      toward such costs in an amount that is not less than $1 for each $2 
      of Federal funds provided under the grant.
          ``(2) Determination of amount contributed.--In determining the 
      amount of non-Federal contributions in cash that a State has 
      provided pursuant to paragraph (1), the Secretary may not include 
      any amounts provided to the State by the Federal Government.
      ``(d) Application for Grant.--The Secretary may make a grant under 
  subsection (a) only if an application for the grant is submitted to the 
  Secretary and the application is in such form, is made in such manner, 
  and contains such agreements, assurances, and information as the 
  Secretary determines to be necessary to carry out this section.
      ``(e) Coordination of Activities.--The Secretary shall ensure that 
  activities under this section are coordinated as appropriate with other 
  agencies of the Public Health Service that carry out activities 
  regarding traumatic brain injury.
      ``(f) Report.--Not later than 2 years after the date of the 
  enactment of this section, the Secretary shall submit to the Committee 
  on Commerce of the House of Representatives, and to the Committee on 
  Labor and Human Resources of the Senate, a report describing the 
  findings and results of the programs established under this section, 
  including measures of outcomes and consumer and surrogate satisfaction.
      ``(g) Definition.--For purposes of this section, 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 near drowning. The Secretary may 
  revise the definition of such term as the Secretary determines 
  necessary.
      ``(h) Authorization of Appropriations.--For the purpose of carrying 
  out this section, there is authorized to be appropriated $5,000,000 for 
  each of the fiscal years 1997 through 1999.''.
  
  SEC. 4. STUDY; CONSENSUS CONFERENCE.
  
      (a) Study.--
          (1) In general.--The Secretary of Health and Human Services (in 
      this section referred to as the ``Secretary''), acting through the 
      appropriate agencies of the Public Health Service, shall conduct a 
      study for the purpose of carrying out the following with respect to 
      traumatic brain injury:
              (A) In collaboration with appropriate State and local 
          health-related agencies--
                  (i) determine the incidence and prevalence of traumatic 
              brain injury; and
                  (ii) develop a uniform reporting system under which 
              States report incidents of traumatic brain injury, if the 
              Secretary determines that such a system is appropriate.
              (B) Identify common therapeutic interventions which are 
          used for the rehabilitation of individuals with such injuries, 
          and shall, subject to the availability of information, include 
          an analysis of--
                  (i) the effectiveness of each such intervention in 
              improving the functioning of individuals with brain 
              injuries;
                  (ii) the comparative effectiveness of interventions 
              employed in the course of rehabilitation of individuals 
              with brain injuries to achieve the same or similar clinical 
              outcome; and
                  (iii) the adequacy of existing measures of outcomes and 
              knowledge of factors influencing differential outcomes.
              (C) Develop practice guidelines for the rehabilitation of 
          traumatic brain injury at such time as appropriate scientific 
          research becomes available.
          (2) Dates certain for reports.--
              (A) Not later than 18 months after the date of the 
          enactment of this Act, the Secretary shall submit to the 
          Committee on Commerce of the House of Representatives, and to 
          the Committee on Labor and Human Resources of the Senate, a 
          report describing the findings made as a result of carrying out 
          paragraph (1)(A).
              (B) Not later than 3 years after the date of the enactment 
          of this Act, the Secretary shall submit to the Committees 
          specified in subparagraph (A) a report describing the findings 
          made as a result of carrying out subparagraphs (B) and (C) of 
          paragraph (1).
      (b) Consensus Conference.--The Secretary, acting through the 
  Director of the National Center for Medical Rehabilitation Research 
  within the National Institute for Child Health and Human Development, 
  shall conduct a national consensus conference on managing traumatic 
  brain injury and related rehabilitation concerns.
      (c) Definition.--For purposes of this section, 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 near drowning. The Secretary may revise the definition of 
  such term as the Secretary determines necessary.
      (d) Authorizations of Appropriations.--For the purpose of carrying 
  out subsection (a)(1)(A), there is authorized to be appropriated 
  $3,000,000 for each of the fiscal years 1997 through 1999. For the 
  purpose of carrying out the other provisions of this section, there is 
  authorized to be appropriated an aggregate $500,000 for the fiscal 
  years 1997 through 1999. Amounts appropriated for such other provisions 
  remain available until expended.
  
  SEC. 5. TECHNICAL AMENDMENTS.
  
      Title XXVI of the Public Health Service Act (42 U.S.C. 300ff-11 et 
  seq.), as amended by Public Law 104-146 (the Ryan White CARE Act 
  Amendments of 1996), is amended--
          (1) in section 2626--
              (A) in subsection (d), in the first sentence, by striking 
          ``(1) through (5)'' and inserting ``(1) through (4)''; and
              (B) in subsection (f), in the matter preceding paragraph 
          (1), by striking ``(1) through (5)'' and inserting ``(1) 
          through (4)''; and
          (2) in section 2692--
              (A) in subsection (a)(1)(A)--
                  (i) by striking ``title XXVI programs'' and inserting 
              ``programs under this title''; and
                  (ii) by striking ``infection and''; and
              (B) by striking subsection (c) and all that follows and 
          inserting the following:
      ``(c) Authorization of Appropriations.--
          ``(1) Schools; centers.--For the purpose of grants under 
      subsection (a), there are authorized to be appropriated such sums 
      as may be necessary for each of the fiscal years 1996 through 2000.
          ``(2) Dental schools.--For the purpose of grants under 
      subsection (b), there are authorized to be appropriated such sums 
      as may be necessary for each of the fiscal years 1996 through 
      2000.''.
  
                                 Speaker of the House of Representatives.
  
                              Vice President of the United States and    
                                                 President of the Senate.
target: Amends the Public Health Service Act to authorize grants and contracts for research and public information projects to reduce the incidence of traumatic brain injury. 
  (Sec. 2) Requires the National Institutes of Health's trauma research program to include the authority to award grants or contracts for basic and applied traumatic brain injury research. 
  (Sec. 3) Authorizes grants to States for demonstration projects to improve access to health and other services regarding traumatic brain injury.  Requires State establishment of an advisory board.  Authorizes appropriations. 
  (Sec. 4) Mandates a study concerning traumatic brain injuries and a national consensus conference on managing traumatic brain injury and rehabilitation.  Authorizes appropriations.
feat_title: To amend the Public Health Service Act to provide for the conduct of expanded studies and the establishment of innovative programs with respect to traumatic brain injury, and for other purposes.