Brain Injury Blog | Traumatic Brain Injury TBI

Progress on appropriations occurred this week in the House of Representatives, as the House Labor, Health and Human Services (HHS), and Education Appropriations Subcommittee marked up, and approved by voice vote, its Fiscal 2009 spending bill on Thursday.

Specific details of the bill, including funding levels for several federal TBI-related programs, were not made public, but are expected to emerge next week when the full House Appropriations Committee considers the bill. Continue Reading »

Also on Wednesday, the House Committee on Veterans Affairs approved H.R. 2818, legislation endorsed by BIAA which would establish Epilepsy Centers of Excellence within the VA. Last week, the Senate passed its version of the legislation as part of a package of veterans’ mental health bills. Continue Reading »

As Congress adjourns for Memorial Day Recess next week, formal appropriations action on federal TBI programs is just around the corner.

Beginning in June, both the House and Senate Appropriations Subcommittees are expected to hold markups on the Fiscal 2009 Labor, Health and Human Services (HHS), and Education Appropriations bill, which provides federal funding for multiple TBI programs. Continue Reading »

BIAA Signs On In Support of National Shaken Baby Syndrome Awareness Week Resolution

BIAA was proud to sign on as a supporter of the National Shaken Baby Syndrome Awareness Week Resolution (S. Res. 518), which passed the Senate on Monday. The Resolution, introduced by Senator Dodd (D-CT), dedicates this week (the week of April 21st through 25th) to raise awareness of Shaken Baby Syndrome and to ultimately eliminate its occurrence.

BIAA was included as a supporter of the resolution in Senator Dodd’s floor statement that was submitted to the Congressional Record when it was introduced on Thursday, April 16, 2008.

BIAA Roots On Servicemembers at Wounded Warrior Soldier Ride White House Kickoff

A representative of BIAA was invited to attend an event hosted by President George W. Bush on Thursday at the White House. BIAA Government Affairs Director Laura Schiebelhut was proud to be part of the inspiring event, which honored a group of wounded warriors as they kicked off the Wounded Warrior Project’s second annual “Soldier Ride: White House to Light House Challenge.”

Soldier Ride, sponsored by the Wounded Warrior Project, is a rehabilitative cycling program for wounded warriors, including individuals with brain injury. For many of these combat-wounded veterans, Soldier Ride provides the first steps in the return to an active lifestyle.

House Overwhelmingly Passes Bill to Delay Harmful Medicaid Regulations

This week the House of Representatives passed by a veto-proof margin H.R. 5613, important legislation which would place a moratorium until March 2009 on seven harmful Medicaid regulations issued by the Department of Health and Human Services. BIAA issued a Legislative Action Alert earlier this week before the vote encouraging advocates to urge their Representative to vote YES on the bill. The fate of the bill is now up to the Senate.

The legislation, which was originally introduced on March 13, 2008, would delay the implementation of seven harmful Medicaid regulations through March 2009, including several rules which would be especially deleterious to individuals with brain injury.

One of these rules would limit rehabilitation services for Medicaid beneficiaries, severely curtailing the ability of people with disabilities – including TBI – to receive rehabilitation services now covered under Medicaid. Access to these rehabilitative services is essential, as in many cases, these services play a vital role in allowing people with TBI to live independently in the community.

As the House considered and passed H.R. 5613 by a vote of 349-62 on Wednesday, Senate Republican leadership began circulating a letter defending the Medicaid regulations and urging colleagues to reject such legislation in the Senate. According to news sources, this letter forms part of a Republican strategy to demonstrate to supporters of H.R. 5613, through the gathering of a sufficient number of signatures, that they will not be able to override a veto in the Senate.

If enough Senators sign on to the Republican leadership letter, effectively backing up the president’s veto threat, there is speculation that the White House could then offer a limited moratorium on only two of the harmful regulations. Unfortunately, these two regulations are not the ones addressing targeted case management and rehabilitative services, which stand to directly impact individuals with brain injury. (CQ Healthbeat News, April 24, 2008, John Reichard).

Without a moratorium, all seven of the regulations would go into effect by June 30 of this year.

BIAA thanks advocates for contacting their Representatives this week, and will shortly issue another Legislative Alert anticipating Senate action on the bill.

A copy of BIAA’s letter endorsing H.R. 5613 can be obtained by visiting BIAA’s website at the following address: http://www.biausa.org/policyissues.htm.

Brain Injury Awareness Fair
10:00 a.m. – 2:00 p.m.
First Floor Foyer of the Rayburn House Office Building

Congressional Briefing on “Traumatic Brain Injury and Community Needs”
3:00 p.m. – 4:00 p.m.
1116 Longworth House Office Building

Congressional Reception Celebrating Brain Injury Awareness Day
5:00 p.m. – 6:30 p.m.
2105 Rayburn House Office Building

Please RSVP by Monday, March 3, 2008, to Hope Mandel in Congressman Bill Pascrell’s office if you wish to attend and/or exhibit materials during the Awareness Fair.  You may also contact Hope at (202) 225-5751 or Becky Wolfkiel in Congressman Platts’ office at (202) 225-5836 with questions or for more information.  In addition, as always, you may contact Laura Schiebelhut, BIAA’s Director of Government Affairs, at lschiebelhut@biausa.org, or 703-761-0750 ext. 637, for further clarification.

The Congressional Brain Injury Task Force is hosting a “2008 Brain Injury Awareness Day,” on Capitol Hill, March 12, 2008.

To celebrate March as Brain Injury Awareness Month, the Congressional Brain Injury Task Force is hosting a “2008 Brain Injury Awareness Day,” on Wednesday, March 12, 2008, on Capitol Hill.

Multiple events are planned, which are designed to educate Members of Congress and their staff about brain injury.  These events include an Awareness Day Fair, which will feature exhibits and informational materials from individuals and organizations working in the field of brain injury.  The day will also include a Congressional Briefing focused on the topic of “Traumatic Brain Injury and Community Needs.”  The end of the day will feature an early-evening Congressional Reception sponsored by various national advocacy organizations, including the National Brain Injury Treatment and Training Foundation (NBIRTT), the Brain Injury Association of America (BIAA), the National Disability Rights Network (NDRN) and the National Association of State Head Injury Administrators (NASHIA).

BIAA invites all advocates to attend “2008 Brain Injury Awareness Day” events, and help educate Members of Congress and their staff.  The Day also represents an important opportunity to network with others interested in helping increase brain injury awareness. click here for more…

Negotiations continued this week over an economic stimulus package, as the House passed its version of the bill, which represents a compromise with the Bush Administration. This version does not include increases in Medicaid payments to states, which BIAA strongly supports.

Last week, BIAA signed on to a coalition letter urging House and Senate leaders to temporarily raise Medicaid reimbursement to states in order to prevent states from being forced to make cutbacks in essential state services. Such essential Medicaid services include health care and long-term services and supports, which are often especially important to individuals with disabilities.

As Senate negotiations go forward next week, BIAA will continue advocating for the inclusion of provisions in the stimulus to raise Medicaid reimbursement rates to states.

President Bush signed the National Defense Authorization Act for Fiscal Year 2008 (H.R. 4986), containing important wounded warrior provisions related to TBI care which BIAA actively lobbied for last year, into law on Monday.

One of BIAA’s policy goals for 2008 will be to monitor the implementation of the important TBI provisions contained in this bill. (The December 14, 2007 edition of Policy Corner contains more detailed information on these TBI provisions. You can access this issue, as well as all other archived issues of Policy Corner, by visiting BIAA’s webpage at http://www.biausa.org/policycorner.htm).

In a related development, Senate Armed Services Chairman Carl Levin (D-Mich.) expressed disappointment that the President did not publicly acknowledge the full implications of the wounded warrior provisions contained in this bill. Hours after signing the bill, in his State of the Union speech, President Bush called on Congress to enact recommendations made by the Dole-Shalala Commission to “improve the system of care for our wounded warriors.” Yet, many of the Commission’s recommendations were addressed in the defense authorization bill.

“It’s kind of surprising, and I think it creates an impression that there’s work that’s still ahead of us, when much of it was done in record time,” Levin said, in a Jan. 30 article in CQ Today.

According to CQ Today, in response to Sen. Levin’s comments, the White House pointed to a major revision of the veterans’ disability system which remains to be acted upon.