---
kind: "section"
citation: "42 U.S.C. § 300d–52"
title: "42"
title_heading: "The Public Health and Welfare"
number: "300d–52"
heading: "State grants for projects regarding traumatic brain injury"
release: "119-102"
date: "2026-07-12"
url: "https://uscodex.org/usc/42/300d-52"
units:
  - "Chapter 6A — Public Health Service"
  - "Subchapter X — Trauma Care"
  - "Part E — Miscellaneous Programs"
---

# §300d–52. State grants for projects regarding traumatic brain injury

- (a) **In general—** The [Secretary](/usc/42/201.md?p=c), acting through the [Administrator](/usc/42/4005.md?p=1) for the Administration for Community Living, may make grants to [States](/usc/42/201.md?p=f) and American Indian consortia for the purpose of carrying out [projects](/usc/42/13641.md?p=2) to improve access to rehabilitation and other [services](/usc/42/201.md?p=a) regarding traumatic brain injury.
- (b) **State advisory board—**
  - (1) **In general—** The [Secretary](/usc/42/201.md?p=c) may make a grant under [subsection (a)](#a) only if the [State](/usc/42/201.md?p=f) or American Indian [consortium](/usc/42/17061.md?p=4) involved agrees to establish an advisory board within the appropriate health department of the [State](/usc/42/201.md?p=f) or American Indian [consortium](/usc/42/17061.md?p=4) or within another department as designated by the chief executive officer of the [State](/usc/42/201.md?p=f) or American Indian [consortium](/usc/42/17061.md?p=4).
  - (2) **Functions—** An advisory board established under [paragraph (1)](#b-1) shall advise and make recommendations to the [State](/usc/42/201.md?p=f) or American Indian [consortium](/usc/42/17061.md?p=4) on ways to improve [services](/usc/42/201.md?p=a) 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](/usc/42/274l–1.md?p=4). In developing recommendations under this paragraph, such boards shall consult with Federal, [State](/usc/42/201.md?p=f), and local governmental [agencies](/usc/42/8262.md?p=1) and with citizens groups and other private entities.
  - (3) **Composition—** An advisory board established under [paragraph (1)](#b-1) shall be composed of—
    - (A) representatives of—
      - (i) the corresponding [State](/usc/42/201.md?p=f) or American Indian [consortium](/usc/42/17061.md?p=4) [agencies](/usc/42/8262.md?p=1) involved;
      - (ii) public and [nonprofit](/usc/42/300s–3.md?p=3) private health related organizations;
      - (iii) other disability advisory or planning groups within the [State](/usc/42/201.md?p=f) or American Indian [consortium](/usc/42/17061.md?p=4);
      - (iv) members of an organization or foundation representing individuals with traumatic brain injury in that [State](/usc/42/201.md?p=f) or American Indian [consortium](/usc/42/17061.md?p=4); and
      - (v) injury control [programs](/usc/42/274l–1.md?p=4) at the [State](/usc/42/201.md?p=f) or local level if such [programs](/usc/42/274l–1.md?p=4) exist; and
    - (B) a substantial number of individuals with traumatic brain injury, or the [family members](/usc/42/300gg–91.md?p=d-15) of such individuals.
- (c) **Matching funds—**
  - (1) **In general—** With respect to the costs to be incurred by a [State](/usc/42/201.md?p=f) or American Indian [consortium](/usc/42/17061.md?p=4) in carrying out the purpose described in [subsection (a)](#a), the [Secretary](/usc/42/201.md?p=c) may make a grant under such subsection only if the [State](/usc/42/201.md?p=f) or American Indian [consortium](/usc/42/17061.md?p=4) agrees to make available 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—** Non-Federal contributions under [paragraph (1)](#c-1) may be in cash or in kind, fairly evaluated, including plant, equipment, or [services](/usc/42/201.md?p=a). Amounts provided by the Federal Government, or [services](/usc/42/201.md?p=a) assisted or subsidized to any significant extent by the Federal Government, may not be included in determining the amount of such contributions.
- (d) **Application for grant—** The [Secretary](/usc/42/201.md?p=c) may make a grant under [subsection (a)](#a) only if an application for the grant is submitted to the [Secretary](/usc/42/201.md?p=c) and the application is in such form, is made in such manner, and contains such agreements, assurances, and information as the [Secretary](/usc/42/201.md?p=c) determines to be necessary to carry out this section.
- (e) **Use of State and American Indian consortium grants—**
  - (1) **Community services and supports—** A [State](/usc/42/201.md?p=f) or American Indian [consortium](/usc/42/17061.md?p=4) shall (directly or through awards of contracts to [nonprofit](/usc/42/300s–3.md?p=3) private entities) use amounts received under a grant under this section for the following:
    - (A) To develop, change, or enhance community-based [service](/usc/42/201.md?p=a) delivery systems that include timely access to comprehensive appropriate [services](/usc/42/201.md?p=a) and supports. Such [service](/usc/42/201.md?p=a) and supports—
      - (i) shall promote full participation by individuals with traumatic brain injury and their families in decision making regarding the [services](/usc/42/201.md?p=a) and supports; and
      - (ii) shall be designed for children, youth, and adults with traumatic brain injury.
    - (B) To focus on outreach to underserved and inappropriately served individuals, such as individuals in institutional settings, individuals with low socioeconomic resources, individuals in rural communities, and individuals in culturally and linguistically diverse communities.
    - (C) To award contracts to [nonprofit](/usc/42/300s–3.md?p=3) entities for consumer or family [service](/usc/42/201.md?p=a) access training, consumer support, peer mentoring, and parent to parent [programs](/usc/42/274l–1.md?p=4).
    - (D) To develop individual and family [service](/usc/42/201.md?p=a) coordination or case management systems.
    - (E) To support other needs identified by the advisory board under [subsection (b)](#b) for the [State](/usc/42/201.md?p=f) or American Indian [consortium](/usc/42/17061.md?p=4) involved.
  - (2) **Best practices—**
    - (A) **In general—** [State](/usc/42/201.md?p=f) or American Indian [consortium](/usc/42/17061.md?p=4) [services](/usc/42/201.md?p=a) and supports provided under a grant under this section shall reflect the best [practices](/usc/42/17061.md?p=19) in the field of traumatic brain injury, shall be in compliance with title II of the Americans with Disabilities Act of 1990 [[42 U.S.C. 12131](/usc/42/12131.md) et seq.], and shall be supported by quality assurance measures as well as [state](/usc/42/201.md?p=f)-of-the-art health care and integrated community supports, regardless of the severity of injury.
    - (B) **Demonstration by State agency—** The [State](/usc/42/201.md?p=f) or American Indian [consortium](/usc/42/17061.md?p=4) [agency](/usc/42/8262.md?p=1) responsible for administering amounts received under a grant under this section shall demonstrate that it has obtained knowledge and expertise of traumatic brain injury and the unique needs associated with traumatic brain injury.
  - (3) **State capacity building—** A [State](/usc/42/201.md?p=f) or American Indian [consortium](/usc/42/17061.md?p=4) may use amounts received under a grant under this section to—
    - (A) educate consumers and families;
    - (B) train professionals in public and private sector financing (such as third party payers, [State agencies](/usc/42/300s–3.md?p=12), community-based [providers](/usc/42/299b–21.md?p=8), [schools](/usc/42/300j–21.md?p=6), and educators);
    - (C) develop or improve case management or [service](/usc/42/201.md?p=a) coordination systems;
    - (D) develop best [practices](/usc/42/17061.md?p=19) in areas such as family or consumer support, return to work, housing or supportive living personal assistance [services](/usc/42/201.md?p=a), assistive technology and devices, behavioral health [services](/usc/42/201.md?p=a), [substance abuse services](/usc/42/290cc–34.md?p=4), and traumatic brain injury [treatment](/usc/42/11851.md?p=11) and rehabilitation;
    - (E) tailor existing [State](/usc/42/201.md?p=f) or American Indian [consortium](/usc/42/17061.md?p=4) systems to provide accommodations to the needs of individuals with traumatic brain injury (including systems administered by the [State](/usc/42/201.md?p=f) or American Indian [consortium](/usc/42/17061.md?p=4) departments responsible for health, mental health, labor/employment, education, intellectual disabilities or developmental disorders, transportation, and correctional systems);
    - (F) improve data sets coordinated across systems and other needs identified by a [State](/usc/42/201.md?p=f) or American Indian [consortium](/usc/42/17061.md?p=4) plan supported by its [advisory council](/usc/42/274l–1.md?p=1); and
    - (G) develop capacity within targeted communities.
- (f) **Coordination of activities—** The [Secretary](/usc/42/201.md?p=c) shall ensure that activities under this section are coordinated as appropriate with other Federal [agencies](/usc/42/8262.md?p=1) that carry out activities regarding traumatic brain injury.
- (g) **Report—** Not less than biennially, the [Secretary](/usc/42/201.md?p=c) shall submit to the Committee on Energy and Commerce of the House of Representatives, and to the Committee on Health, Education, Labor, and Pensions of the Senate, a report describing the findings and results of the [programs](/usc/42/274l–1.md?p=4) established under this section and [section 300d–53 of this title](/usc/42/300d–53.md), including measures of outcomes and consumer and surrogate satisfaction.
- (h) **Definitions—** For purposes of this section:
  - (1) The terms “American Indian [consortium](/usc/42/17061.md?p=4)” and “[State](/usc/42/201.md?p=f)” have the meanings given to those terms in [section 300d–53 of this title](/usc/42/300d–53.md).
  - (2) 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](/usc/42/300d–31.md?p=4), but may include brain injuries caused by anoxia due to [trauma](/usc/42/300d–31.md?p=4). The [Secretary](/usc/42/201.md?p=c) may revise the definition of such term as the [Secretary](/usc/42/201.md?p=c) determines necessary, after consultation with [States](/usc/42/201.md?p=f) and other appropriate public or [nonprofit](/usc/42/300s–3.md?p=3) private entities.
- (i) **Authorization of appropriations—** For the purpose of carrying out this section, there are authorized to be appropriated $7,321,000 for each of fiscal years 2020 through 2024.

## Source credit

(July 1, 1944, ch. 373, title XII, § 1252, as added Pub. L. 104–166, § 3, July 29, 1996, 110 Stat. 1446; amended Pub. L. 106–310, div. A, title XIII, § 1304, Oct. 17, 2000, 114 Stat. 1139; Pub. L. 110–23, § 14, May 3, 2007, 121 Stat. 99; Pub. L. 110–206, § 6(a), Apr. 28, 2008, 122 Stat. 716; Pub. L. 111–256, § 2(f)(6), Oct. 5, 2010, 124 Stat. 2644; Pub. L. 113–196, § 3, Nov. 26, 2014, 128 Stat. 2052; Pub. L. 115–377, § 3, Dec. 21, 2018, 132 Stat. 5114.)

## Notes

### Editorial Notes

### References in Text

The Americans with Disabilities Act of 1990, referred to in subsec. (e)(2)(A), is Pub. L. 101–336, July 26, 1990, 104 Stat. 327. Title II of the Act is classified generally to subchapter II (§ 12131 et seq.) of chapter 126 of this title. For complete classification of this Act to the Code, see Short Title note set out under section 12101 of this title and Tables.

### Amendments

2018—Subsec. (a). Pub. L. 115–377, § 3(1), inserted “, acting through the Administrator for the Administration for Community Living,” after “The Secretary”.

Subsecs. (e) to (j). Pub. L. 115–377, § 3(2)–(4), redesignated subsecs. (f) to (j) as (e) to (i), respectively, in subsec. (i), substituted “$7,321,000 for each of fiscal years 2020 through 2024” for “$5,500,000 for each of the fiscal years 2015 through 2019”, and struck out subsec. (e) which provided for continuation of previously awarded demonstration projects.

2014—Subsec. (a). Pub. L. 113–196, § 3(1), struck out “, acting through the Administrator of the Health Resources and Services Administration,” after “The Secretary”.

Subsec. (f)(1)(A)(i), (3)(E). Pub. L. 113–196, § 3(2), substituted “traumatic brain injury” for “brain injury”.

Subsec. (h). Pub. L. 113–196, § 3(3), substituted “under this section and section 300d–53 of this title, including” for “under this section, and section 300d–53 of this title including”.

Subsec. (j). Pub. L. 113–196, § 3(4), substituted “$5,500,000 for each of the fiscal years 2015 through 2019” for “such sums as may be necessary for each of the fiscal years 2001 through 2005, and such sums as may be necessary for each of the fiscal years 2009 through 2012”.

2010—Subsec. (f)(3)(E). Pub. L. 111–256 substituted “intellectual disabilities or developmental disorders,” for “mental retardation/developmental disorders,”.

2008—Subsec. (a). Pub. L. 110–206, § 6(a)(1), substituted “may make grants to States and American Indian consortia” for “may make grants to States” and “rehabilitation and other services” for “health and other services”.

Subsec. (b)(1). Pub. L. 110–206, § 6(a)(2)(A), substituted “State or American Indian consortium” for “State” wherever appearing.

Subsec. (b)(2). Pub. L. 110–206, § 6(a)(2)(B), substituted “recommendations to the State or American Indian consortium” for “recommendations to the State”.

Subsec. (b)(3)(A)(i), (iii), (iv). Pub. L. 110–206, § 6(a)(2)(A), substituted “State or American Indian consortium” for “State”.

Subsec. (c)(1). Pub. L. 110–206, § 6(a)(3), substituted “State or American Indian consortium” for “State” in two places.

Subsec. (e). Pub. L. 110–206, § 6(a)(4), added text of subsec. (e) and struck out former text of subsec. (e) which read as follows: “A State that received a grant under this section prior to October 17, 2000, may compete for new project grants under this section after October 17, 2000.”

Subsec. (f). Pub. L. 110–206, § 6(a)(5)(A), (B), inserted “and American Indian consortium” after “State” in heading and substituted in text “State or American Indian consortium” for “State” wherever appearing, except in par. (3)(B).

Subsec. (f)(1)(A)(ii). Pub. L. 110–206, § 6(a)(5)(C), substituted “children, youth, and adults” for “children and other individuals”.

Subsec. (h). Pub. L. 110–206, § 6(a)(6), substituted “Not less than biennially, the Secretary” for “Not later than 2 years after July 29, 1996, the Secretary” and “Energy and Commerce of the House of Representatives, and to the Committee on Health, Education, Labor, and Pensions” for “Commerce of the House of Representatives, and to the Committee on Labor and Human Resources” and inserted “and section 300d–53 of this title” after “programs established under this section,”.

Subsec. (i). Pub. L. 110–206, § 6(a)(7), amended subsec. (i) generally. Prior to amendment, text read as follows: “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 trauma. The Secretary may revise the definition of such term as the Secretary determines necessary, after consultation with States and other appropriate public or nonprofit private entities.”

Subsec. (j). Pub. L. 110–206, § 6(a)(8), inserted “, and such sums as may be necessary for each of the fiscal years 2009 through 2012” before period at end.

2007—Pub. L. 110–23, which directed amendment of section by striking “demonstration” in section catchline, could not be executed because the word “demonstration” did not appear after amendment by Pub. L. 106–310, § 1304(1). See 2000 Amendment note below.

2000—Pub. L. 106–310, § 1304(1), struck out “demonstration” before “projects” in section catchline.

Subsec. (a). Pub. L. 106–310, § 1304(2), struck out “demonstration” before “projects”.

Subsec. (b)(3)(A)(iv). Pub. L. 106–310, § 1304(3)(A), substituted “representing individuals with traumatic brain injury” for “representing traumatic brain injury survivors”.

Subsec. (b)(3)(B). Pub. L. 106–310, § 1304(3)(B), substituted “with traumatic brain injury” for “who are survivors of traumatic brain injury”.

Subsec. (c)(1). Pub. L. 106–310, § 1304(4)(A), struck out “, in cash,” before “non-Federal contributions”.

Subsec. (c)(2). Pub. L. 106–310, § 1304(4)(B), reenacted heading without change and amended text generally. Prior to amendment, text read as follows: “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.”

Subsecs. (e), (f). Pub. L. 106–310, § 1304(6), added subsecs. (e) and (f). Former subsecs. (e) and (f) redesignated (g) and (h), respectively.

Subsec. (g). Pub. L. 106–310, § 1304(5), (7), redesignated subsec. (e) as (g) and substituted “Federal agencies” for “agencies of the Public Health Service”. Former subsec. (g) redesignated (i).

Subsec. (h). Pub. L. 106–310, § 1304(5), redesignated subsec. (f) as (h). Former subsec. (h) redesignated (j).

Subsec. (i). Pub. L. 106–310, § 1304(5), (8), redesignated subsec. (g) as (i), substituted “anoxia due to trauma” for “anoxia due to near drowning” in second sentence, and inserted before period at end “, after consultation with States and other appropriate public or nonprofit private entities”.

Subsec. (j). Pub. L. 106–310, § 1304(9), reenacted heading without change and amended text generally. Prior to amendment, text read as follows: “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.”

Pub. L. 106–310, § 1304(5), redesignated subsec. (h) as (j).

### Statutory Notes and Related Subsidiaries

### Definitions

For meaning of references to an intellectual disability and to individuals with intellectual disabilities in provisions amended by section 2 of Pub. L. 111–256, see section 2(k) of Pub. L. 111–256, set out as a note under section 1400 of Title 20, Education.