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Core Policy Mechanism Top 3
Expand TBI surveillance scope and public data availability
Amends the Public Health Service Act to require the Centers for Disease Control and Prevention (CDC) to expand TBI surveillance to cover prevalence, high-risk and occupationally exposed populations, causes, risk factors, and short- and long-term outcomes including related mental health conditions, and to make aggregated TBI and concussion data publicly available on the CDC website.
- Population Scope Medium The expanded surveillance covers high-risk and occupationally exposed populations broadly, and public data availability benefits anyone seeking TBI information, reaching a meaningful but not majority share of the U.S. population.
- Budgetary Magnitude Low No independent funding is authorized or appropriated; expenditures depend on the separate reauthorization provision.
- Legal / Regulatory Depth Medium Creates new statutory mandates on the Centers for Disease Control and Prevention (CDC) to collect additional data categories and publish aggregated results online — procedural and reporting duties that bind agency conduct without establishing a new private right or prohibition across the regulated population.
- Degree of Discretion Granted Low Obligations are framed in mandatory 'shall' language with specific required data categories, leaving CDC little discretion beyond implementation modalities.
- Implementation & Enforcement Burden Low Imposes only an affirmative internal agency compliance obligation — expanded data collection and website publication — with no enforcement infrastructure or penalties.
- Temporal Commitment High The statutory surveillance and public-availability mandates have no expiration date and persist until Congress affirmatively acts to repeal them.
No signal yet
Core Policy Mechanism Top 3
Include tribal entities in state TBI grant programs with maintenance-of-effort
Amends the Public Health Service Act to explicitly include Tribal entities alongside state entities as eligible recipients and partners for TBI outreach and project grants, and adds a maintenance-of-effort requirement obligating state and tribal grant recipients to maintain non-federal spending at least equal to the prior fiscal year, with a waiver allowing up to 50 percent reduction upon request.
- Population Scope Low Directly affects Tribal entities and American Indian consortia as grant recipients — a narrow jurisdictional class representing a small share of U.S. entities and population.
- Budgetary Magnitude Low Does not authorize or appropriate funds; modifies eligibility and matching conditions within the existing grant program funded separately.
- Legal / Regulatory Depth Medium Creates a new enforceable grant condition — the maintenance-of-effort requirement binding recipient spending levels annually — and extends a statutory eligibility right to Tribal entities, both of which alter substantive legal obligations for a defined class.
- Degree of Discretion Granted Medium The Secretary of Health and Human Services (HHS) is granted authority to waive up to 50 percent of the maintenance-of-effort requirement on a case-by-case, fiscal-year basis, a meaningful but bounded discretionary power.
- Implementation & Enforcement Burden Medium The maintenance-of-effort requirement demands recurring annual documentation and federal review of recipient non-federal spending levels, creating ongoing case-by-case compliance adjudication.
- Temporal Commitment High Tribal eligibility and the maintenance-of-effort obligation are permanent statutory changes with no expiration date, persisting until Congress acts to remove them.
No signal yet
Funding / Appropriations Top 3
Reauthorize TBI program funding through fiscal year 2030
Extends the authorization of appropriations for federal TBI prevention, surveillance, and treatment programs from the fiscal years 2020–2024 period to fiscal years 2026–2030, continuing federal funding authority for CDC and related activities.
- Population Scope Medium Sustains funding for TBI prevention, surveillance, and treatment programs serving a broad range of affected individuals and state/tribal entities nationwide, though direct recipients remain a subset of the population.
- Budgetary Magnitude Medium Authorizes discretionary appropriations for a five-year period (FY 2026–2030) covering Centers for Disease Control and Prevention (CDC) and grant programs; no dollar amount is specified in the bill text, making this a recurring but unquantified authorization.
- Legal / Regulatory Depth Low Substitutes a new authorization period for an expired one without altering any substantive mandate, right, or prohibition — a narrow administrative extension of existing legal authority.
- Degree of Discretion Granted Medium Continuing the authorization preserves existing agency discretion over program administration and grant allocation without expanding or narrowing it.
- Implementation & Enforcement Burden Low Creates no new enforcement mechanism; maintains existing program administration within already-established administrative structures.
- Temporal Commitment Low The authorization expires by its own terms at the end of FY 2030, self-terminating within ten years unless Congress affirmatively extends it.
No signal yet
No possible riders have been surfaced for this bill.
Summary
This bill reauthorizes and updates federal programs for traumatic brain injury (TBI) prevention, surveillance, and treatment administered by the Centers for Disease Control and Prevention (CDC). It expands the scope of TBI data collection to include prevalence, high-risk and occupationally exposed populations, and short- and long-term outcomes. The bill also extends eligibility for state grant programs to tribal entities, adds a maintenance-of-effort requirement for grant recipients, mandates public online availability of aggregated TBI data, and reauthorizes program funding through fiscal year 2030.
AI-generated summary, pending human review.
| Version | Event | Date | User support | Your vote | Roll calls |
|---|---|---|---|---|---|
| Original |
Initial publication
Feb 21, 2025
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Feb 21, 2025 | No votes yet | — | — |
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Core Policy Mechanism Top 3
Expand TBI surveillance scope and public data availability
Amends the Public Health Service Act to require the Centers for Disease Control and Prevention (CDC) to expand TBI surveillance to cover prevalence, high-risk and occupationally exposed populations, causes, risk factors, and short- and long-term outcomes including related mental health conditions, and to make aggregated TBI and concussion data publicly available on the CDC website.
- Population Scope Medium The expanded surveillance covers high-risk and occupationally exposed populations broadly, and public data availability benefits anyone seeking TBI information, reaching a meaningful but not majority share of the U.S. population.
- Budgetary Magnitude Low No independent funding is authorized or appropriated; expenditures depend on the separate reauthorization provision.
- Legal / Regulatory Depth Medium Creates new statutory mandates on the Centers for Disease Control and Prevention (CDC) to collect additional data categories and publish aggregated results online — procedural and reporting duties that bind agency conduct without establishing a new private right or prohibition across the regulated population.
- Degree of Discretion Granted Low Obligations are framed in mandatory 'shall' language with specific required data categories, leaving CDC little discretion beyond implementation modalities.
- Implementation & Enforcement Burden Low Imposes only an affirmative internal agency compliance obligation — expanded data collection and website publication — with no enforcement infrastructure or penalties.
- Temporal Commitment High The statutory surveillance and public-availability mandates have no expiration date and persist until Congress affirmatively acts to repeal them.
No signal yet
Core Policy Mechanism
Expand TBI surveillance scope and public data availability
Core Policy Mechanism Top 3
Include tribal entities in state TBI grant programs with maintenance-of-effort
Amends the Public Health Service Act to explicitly include Tribal entities alongside state entities as eligible recipients and partners for TBI outreach and project grants, and adds a maintenance-of-effort requirement obligating state and tribal grant recipients to maintain non-federal spending at least equal to the prior fiscal year, with a waiver allowing up to 50 percent reduction upon request.
- Population Scope Low Directly affects Tribal entities and American Indian consortia as grant recipients — a narrow jurisdictional class representing a small share of U.S. entities and population.
- Budgetary Magnitude Low Does not authorize or appropriate funds; modifies eligibility and matching conditions within the existing grant program funded separately.
- Legal / Regulatory Depth Medium Creates a new enforceable grant condition — the maintenance-of-effort requirement binding recipient spending levels annually — and extends a statutory eligibility right to Tribal entities, both of which alter substantive legal obligations for a defined class.
- Degree of Discretion Granted Medium The Secretary of Health and Human Services (HHS) is granted authority to waive up to 50 percent of the maintenance-of-effort requirement on a case-by-case, fiscal-year basis, a meaningful but bounded discretionary power.
- Implementation & Enforcement Burden Medium The maintenance-of-effort requirement demands recurring annual documentation and federal review of recipient non-federal spending levels, creating ongoing case-by-case compliance adjudication.
- Temporal Commitment High Tribal eligibility and the maintenance-of-effort obligation are permanent statutory changes with no expiration date, persisting until Congress acts to remove them.
No signal yet
Core Policy Mechanism
Include tribal entities in state TBI grant programs with maintenance-of-effort
Funding / Appropriations Top 3
Reauthorize TBI program funding through fiscal year 2030
Extends the authorization of appropriations for federal TBI prevention, surveillance, and treatment programs from the fiscal years 2020–2024 period to fiscal years 2026–2030, continuing federal funding authority for CDC and related activities.
- Population Scope Medium Sustains funding for TBI prevention, surveillance, and treatment programs serving a broad range of affected individuals and state/tribal entities nationwide, though direct recipients remain a subset of the population.
- Budgetary Magnitude Medium Authorizes discretionary appropriations for a five-year period (FY 2026–2030) covering Centers for Disease Control and Prevention (CDC) and grant programs; no dollar amount is specified in the bill text, making this a recurring but unquantified authorization.
- Legal / Regulatory Depth Low Substitutes a new authorization period for an expired one without altering any substantive mandate, right, or prohibition — a narrow administrative extension of existing legal authority.
- Degree of Discretion Granted Medium Continuing the authorization preserves existing agency discretion over program administration and grant allocation without expanding or narrowing it.
- Implementation & Enforcement Burden Low Creates no new enforcement mechanism; maintains existing program administration within already-established administrative structures.
- Temporal Commitment Low The authorization expires by its own terms at the end of FY 2030, self-terminating within ten years unless Congress affirmatively extends it.
No signal yet
Funding / Appropriations
Reauthorize TBI program funding through fiscal year 2030
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