State grant programs

(a) State grants for projects regarding traumatic brain injury Section 1252 of the Public Health Service Act (42 U.S.C. 300d–52) is amended— (1) in subsection (b)(2)— (A) by inserting, taking into consideration populations that may be at higher risk for traumatic brain injuries after outreach programs; and (B) by inserting Tribal, after State,; (2) in subsection (c), by adding at the end the following: (3) Maintenance of effort With respect to activities for which a grant awarded under subsection (a) is to be expended, a State or American Indian consortium shall agree to maintain expenditures of non-Federal amounts for such activities at a level that is not less than the level of such expenditures maintained by the State or American Indian consortium for the fiscal year preceding the fiscal year for which the State or American Indian consortium receives such a grant. (4) Waiver The Secretary may, upon the request of a State or American Indian consortium, waive not more than 50 percent of the matching fund amount under paragraph (1), if the Secretary determines that such matching fund amount would result in an inability of the State or American Indian consortium to carry out the purposes under subsection (a). A waiver provided by the Secretary under this paragraph shall apply only to the fiscal year involved.; (3) in subsection (e)(3)(B)— (A) by striking (such as third party payers, State agencies, community-based providers, schools, and educators); and (B) by inserting (such as third party payers, State agencies, community-based providers, schools, and educators) after professionals; (4) in subsection (h), by striking paragraphs (1) and (2) and inserting the following: (1) American Indian consortium; State The terms American Indian consortium and State have the meanings given such terms in section 1253. (2) Traumatic brain injury (A) In general Subject to subparagraph (B), the term traumatic brain injury — (i) means an acquired injury to the brain; (ii) may include— (I) brain injuries caused by anoxia due to trauma; and (II) damage to the brain from an internal or external source that results in infection, toxicity, surgery, or vascular disorders not associated with aging; and (iii) does not include brain dysfunction caused by congenital or degenerative disorders, or birth trauma. (B) Revisions to definition The Secretary may revise the definition of the term traumatic brain injury under this paragraph, as the Secretary determines necessary, after consultation with States and other appropriate public or nonprofit private entities.; and (5) in subsection (i), by striking 2020 through 2024 and inserting 2026 through 2030. (b) State grants for protection and advocacy services Section 1253(l) of the Public Health Service Act (42 U.S.C. 300d–53(l)) is amended by striking 2020 through 2024 and inserting 2026 through 2030.