HR 1493 United States House · 119th Congress

To reauthorize and make improvements to Federal programs relating to the prevention, detection, and treatment of traumatic brain injuries, and for other purposes.

This bill reauthorizes and improves federal programs focused on preventing, detecting, and treating traumatic brain injuries (TBIs), extending funding through 2030. It updates CDC surveillance to better track high-risk groups (like military personnel, first responders, and those in certain occupations) and requires public sharing of aggregated TBI data. States receiving grants must maintain non-Federal funding levels for TBI programs, with limited waivers allowed. The bill also mandates a congressional report on high-risk populations and a study examining long-term TBI effects, including links to dementia and mental health conditions.

Issues: ✓ Healthcare ✓ Veterans

Bill status passed 3 of 5 stages cleared

Introduction

Feb 2025

Committee Review

Jul 2026

House Passage

Jul 2026

Senate Passage

President

Introduced Feb 21, 2025 Last action Jul 21, 2026

Maddy AI version diff · 1 comparison

What changed between versions

Introduced in House → Engrossed in House · 4 edits · Jul 20, 2026

MODERATE

The engrossed version of HR 1493 makes key funding changes to the traumatic brain injury bill. It adds a specific dollar authorization of $9,250,000 per year for the national TBI surveillance program (FY2026-2030) and replaces separate state grant authorizations with a new consolidated provision (Section 1253A) authorizing $13,118,000 per year for FY2026-2030. The remaining changes are formatting and structural reorganization.

FISCAL

The national TBI surveillance program authorization (Section 394A) now specifies $9,250,000 per year for fiscal years 2026 through 2030, rather than simply extending the existing authorization period.

The individual authorization provisions in Section 1252(i) (state TBI grants) and Section 1253(l) (protection and advocacy services) are struck entirely rather than extended to FY2026-2030.

A new Section 1253A is added, authorizing $13,118,000 per year for fiscal years 2026 through 2030 to carry out both state TBI grant programs (Sections 1252 and 1253) as a consolidated appropriation.

TECHNICAL

A new subsection heading '(a) The Bill Pascrell, Jr., national program for traumatic brain injury surveillance and registries' is added to organize the bill's structure, along with various indentation and blank-line formatting changes throughout.

Floor votes

How they voted

This bill passed the House by voice vote (no roll call recorded).

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Amendments

Jul 21, 2026

Committee

Received in the Senate and Read twice and referred to the Committee on Health, Education, Labor, and Pensions.

upper

Jul 20, 2026

Introduced

On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H4646-4647)

lower

Jul 20, 2026

Lower · Passed

Passed/agreed to in House: On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H4646-4647)

lower

Jul 20, 2026

Introduced

Mr. Guthrie moved to suspend the rules and pass the bill, as amended.

lower

Jul 2, 2026

Lower · Passed

Reported by the Committee on Energy and Commerce. H. Rept. 119-720.

lower

May 21, 2026

Lower · Passed

Committee Consideration and Mark-up Session Held

lower

Feb 21, 2025

Committee

Referred to the House Committee on Energy and Commerce.

lower

Feb 21, 2025

Introduced

Introduced in House

lower

1 primary · 6 co-sponsors