Traumatic Brain Injury State Demonstration Grant Program

To improve access to health and other services for individuals with TBI and their families.

Related Programs

Examples of Funded Projects

New York State Traumatic Brain Injury (TBI) Program for Culturally Competent TBI Services in NY City, Arizona KIDS with TBI, Oregon TBI Link Improving Access to Services for Individuals with TBI and Alabama an Interactive Community Based Model for Children with TBI.

Agency - Department of Health and Human Services

The Department of Health and Human Services is the Federal government's principal agency for protecting the health of all Americans and providing essential human services, especially to those who are least able to help themselves.

Office - Janie Martin-Heppel, Project Director, Division of Services for Children with Special Health Care Needs, Maternal and Child Health Bureau, Health Resources and Services Administration, Department of Health and Human Services, Room 18A-18, 5600 Fishers Lane, Rockville, MD 20857.

Telephone: (301) 443-2370, E-mail:
Website Address

Program Accomplishments

In FY 06, 42 total projects were funded. Six projects were added in FY 07 and two additional projects were supported in FY 08. The goal of the TBI State grant program is to assure all States and Territories have a solid and supportive TBI infrastructure.

Uses and Use Restrictions

Project grants to States to improve access to health and other TBI-related services for people of all ages are established within HRSA.

Any State seeking TBI grant funds is required to agree to establish or have an advisory board within the appropriate health department of the State or within another department as designated by the Chief Executive Officer of the State.

The Board's composition as specified must include representatives of the involved State agencies; public and nonprofit private health related organizations; disability advisory or planning groups; members of an organization or foundation representing individuals with TBI; State and local injury control programs if they exist, and a substantial number of individuals with TBI and/or their family members.

The grants are called "Implementation Partnership Grants." These grants are to be used in building a statewide system to assure access to comprehensive and coordinated TBI services.

Grants can address a wide range of activities and should reflect gaps or needed system change identified through the statewide TBI needs assessment.

Eligibility Requirements

Applicant Eligibility

Only State governments are eligible to apply for funding under the TBI grant program.

The application for Implementation Partnership funds may only come from the State agency designated as the lead for TBI services.

The State maternal and child health program is expected to be involved in the program.

Only one application from each State may enter the review process and be considered for an award under this program.

Beneficiary Eligibility

Individuals with TBI and their families, including those in high risk groups, such as children and youth, the elderly, Native Americans and Alaska natives, military service members and veterans.


Applicants should review the individual HRSA Guidance documents issued under this CFDA program for any required proof or certifications which must be submitted prior to or simultaneous with submission of an application package.

Aplication and Award Process

Preapplication Coordination

This program is eligible for coverage under E.O.

12372, "Intergovernmental Review of Federal Programs." An applicant should consult the office of the official designated as the single point of contact in his or her State for more information on the process the State requires to be followed in applying for assistance, if the State has selected the program for review.

Application Procedures

Grant applications and required forms for this program can be obtained from Please visit the Web site at to both find and apply for all Federal grant opportunities. All qualified applications will be forwarded to an objective review committee which will make funding recommendations to the Associate Administrator for the Bureau of Maternal and Child Health. The Associate Administrator has the authority to make final selections for awards.

Award Procedures

Applications are reviewed by a peer review committee of experts and persons with TBI or their family members who are generally nongovernmental. Applications are reviewed based on their merit and ranked according to a point score. Final decisions are made by the Associate Administrator for Maternal and Child Health.



Public Health Service Act, Section 1252, as amended, Public Law 104-166, 42 U.S.C. 300d-52.

Range of Approval/Disapproval Time

Final decisions are made approximately two to three months after receipt of applications.




No renewals; grants are approved for up to three years for Implementation Grants.

Assistance Considerations

Formula and Matching Requirements

States must make available nonfederal cash or in-kind matching funds in an amount that is not less than $1 for each $2 of Federal funds provided under the grant.

Length and Time Phasing of Assistance

Awards are made annually in accordance with the project period method of awarding grants. Payments are made through a Letter of Credit or Cash Demand System. Project periods are for one, two or three years.

Post Assistance Requirements


Annual program reports, financial status reports, program service reports, and special reports must be submitted as required.


In accordance with the provisions of OMB Circular No. A-133 (Revised, June 27, 2003), Audits of States, Local Governments, and Non-Profit Organizations, nonfederal entities that expend financial assistance of $500,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Nonfederal entities that expend less than $500,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in Circular No. A-133.


All records must be maintained until expiration of 3 years from the date of submission of the final expenditure report. If questions remain following the 3-uear period, such as those raised as a result of an audit or an on-going enforcement action, recipients must retain records until the matter is completely resolved.

Financial Information

Account Identification



(Grants) FY 07 $5,403,053; FY 08 est $5,314,680; and FY 09 est not available.

Range and Average of Financial Assistance

$70,000-$200,000 $107,879.

Regulations, Guidelines, and Literature

This program is subject to the provisions of 45 CFR Part 92 for State, local and tribal governments and 45 CFR Part 74 for institutions of higher education, hospitals, other nonprofit organizations and commercial organizations, as applicable.

Information Contacts

Regional or Local Office

Janie Martin-Heppel, Project Director, Division of Services for Children with Special Health Care Needs, Maternal and Child Health Bureau, Health Resources and Services Administration, Department of Health and Human Services, Room 18A-18, 5600 Fishers Lane, Rockville, MD 20857. Telephone: (301) 443-2370, E-mail:

Headquarters Office

Grants Management Office: Rick Goodman, Director, Division of Grants Management Operations, Health Resources and Services Administration, Department of Health and Human Services, 5600 Fishers Lane, Room 11A-16. Health Services Branch: 301-443-2385; Research and Training Branch: Telephone: (301) 443-3099; Government and Special Focus Branch: Telephone: (301) 443-3288.

Criteria for Selecting Proposals

Applications are reviewed by nonfederal consultants who make recommendations to the Secretary of the Department. The Secretary will approve projects which best promote the purposes of TBI grants. Review criteria: The following review criteria apply to the State implementation grant: (1) the adequacy of the State's proposed method for linking its Statewide TBI Action Plan to the findings of the statewide needs assessment; (2) the extent to which the proposal reflects the involvement of necessary public/private organizations and agencies to assure a comprehensive approach and the necessary support to aid sustainability (3) the qualifications, experience, and commitment to the program as indicated by time that will be devoted to the program, of the designated lead person for TBI within the State; (4) the extent to which the proposed plan addresses those groups within the State that are at highest risk of sustaining a TBI, including, these groups, identified by the CDC: Children from 0-4, Adolescents from 15-19, the elderly, Native Americans, and other underserved populations. In addition, there should be a plan to assist veterans and service members and their families who request assistance. (5) reasonableness of the proposed budget, and effectiveness of the proposed plan to accomplish the goals and objectives the State has for its TBI program.

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