Honoring Congressman Pascrell’s Brain Injury Legacy

The House Committee on Energy and Commerce voted 43-0, to advance H.R. 1493 on May 21, 2026. Introduced by Representative Frank Pallone (NJ), alongside a bipartisan list of original co-sponsors Rob Menendez (NJ), Don Bacon (NE), and Dan Crenshaw (TX)*, the bill would both reauthorize and expand important federal programs related to traumatic brain injury and retitle the CDC’s national TBI surveillance and registry program; as proposed, the program would be known as The Bill Pascrell, Jr., national program for traumatic brain injury surveillance and registries.

The naming is fitting. The late New Jersey Congressman Bill Pascrell was a fierce advocate for the brain injury community. Over 20 years, he urged Congress and federal agencies to confront issues related to brain injury, which he frequently described as America’s “silent epidemic”. In 2001, he co-founded the Congressional Brain Injury Task Force.

The unanimous bipartisan vote proves that both parties recognize Pascrell’s irreplaceable contributions to millions of Americans living with brain injuries.

* The bill has since gained an additional 3 bipartisan co-sponsors: Christopher Deluzio (PA), John H. Rutherford (FL), Eugene Simon Vindman (VA).

Congress Seeks to Declare Stroke a National Health Crisis

Stroke emergency awareness infographic with F.A.S.T. signs and emergency contact instructions

“Recognizing stroke as a national health crisis requiring immediate, coordinated Federal action.” – So reads the heading of H.R. 1287, introduced in the U.S. House of Representatives on May 14, 2026, during American Stroke Month. “Whereas time is critical in acute stroke care, and for every minute of treatment delay, nearly 2,000,000 neurons are at risk of permanent damage,” it continues.

Sponsored by Rep. George Latimer (NY), and co-sponsored by Rep. Debbie Dingell (MI), this resolution was promptly referred to the House Committee on Energy and Commerce, where it awaits further action. The Dingell family has a long legislative history related to brain injury. Ms. Dingell’s late husband, Rep. John Dingell, former chair of the Committee on Energy and Commerce, submitted a committee report on the Stroke Treatment and Ongoing Prevention Act to the 110th Congress. That legislation strengthened stroke education, prevention, and treatment programs. Ms. Dingell has since supported the brain-injured community, through such actions as sponsoring the Better Care Better Jobs Act of 2023.

When the Vault Goes Wrong: Pole Vaulting and the Risk of Brain Injury

A student athlete from Eastlake North High School in Ohio is recovering after sustaining a brain injury during a pole vault event at a track meet at Mayfield High School. According to reports and community updates, the student athlete’s pole broke while he was vaulting at maximum height. He fell straight down and struck his head on the vault box, a metal plant box that holds the pole.

Female athlete in a blue and yellow uniform vaulting over a high bar with pole during a track and field event

Outdoor track and field is the most popular sport for girls at the high school level, with 513,808 participants in 2024–25, and participation on the boys’ side surged to 644,235 athletes during that time period. Recently, social media and sports streaming platforms have also enhanced pole vaulting’s visibility, which has attracted new entrants and expanding its base.

Despite its appeal, pole vaulting carries serious risks. A 2001 NIH-indexed study in the American Journal of Sports Medicine reviewed 32 catastrophic pole vault injuries reported between 1982 and 1998, finding that all occurred at an average age of 17.5 years, with 31 being catastrophic head injuries. Three means of injury dominated: athletes landing with their body on the pad but their head striking surrounding hard ground, missing the pad entirely, and prematurely releasing the pole. A 2012 follow-up study, also indexed on PubMed, found that from 2003 to 2011, 19 catastrophic injuries occurred. Averaging 2.1 per year, it was reported that 74% of these injuries involved athletes landing in or around the vault box, with 58% resulting in major head injuries.

Rule changes in 2003 by the NCAA, NFHS [National Federation of State High School Associations], and USA Track and Field – including enlarged landing pad dimensions – led to an 88% reduction in catastrophic injuries, with no fatalities reported since. Still, risks remain. Athletes can reduce injury risk by using properly rated poles, training under certified coaches, and considering ASTM [American Society for Testing and Materials]-certified helmets. Recent 2026 NFHS rule changes also clarified that padding requirements now apply to raised concrete or platform extensions above ground level that pose injury risks during falls.

The Eastlake North case is a reminder that even with two decades of safety improvements, more must be done to protect young athletes who soar.

Shocking Vagus Nerve Stimulation Could Rewire the Injured Brain

Diagram of vagus nerve stimulation therapy including brainstem, vagus nerve, implanted pulse generator, heart, lungs, esophagus, and diaphragm

In 2025, the New York Times reported on a neuroscientist who has likened the vagus nerve to “a brake system in your car.” A May 18, 2026 New York Times piece, though, explored whether vagus nerve stimulation (VNS) can genuinely improve health or is simply a “scam”. This has brought renewed attention to a therapy that researchers have been quietly refining for decades; as the vagus nerve, a sprawling cranial nerve connecting the brain to major organs, has become one of neuroscience’s most compelling therapeutic targets, particularly in brain injury recovery.

Researchers in various institutions have demonstrated a direct connection between the VNS and the brain’s learning centers. Almost 4 years ago, University of Colorado Anschutz Medical Campus findings discovered that this connection may lead to treatments improving cognitive retention in both healthy and injured nervous systems. Senior author Cristin Welle, Ph.D., stated: “We concluded that there is a direct connection between the vagus nerve, the cholinergic system that regulates certain aspects of brain function, and motor cortex neurons that are essential in learning new skills.” A 2025 observational study available in the NIH database, and published in Frontiers in Neurology, found that non-invasive VNS was associated with reduced neuroinflammation and recovery in patients with mild traumatic brain injury experiencing persistent post-concussion symptoms.

VNS is also established as a treatment for drug-resistant epilepsy, a condition that can follow traumatic brain injury. However, a 2026 review drawing on PubMed data found that airway-related side effects such as hoarseness, cough, and shortness of breath were the most common reactions, with most resolving after adjustments to stimulation settings. A 2025 meta-analysis confirmed that complications from implanted VNS are generally mild and transient, with adverse events decreasing over time. Researchers continue urging caution, noting that larger randomized trials are still needed before VNS becomes a standard of care for brain injury rehabilitation.

No Congressional Urge to Move BACK HOME

Inmates in prison uniforms in a common room with correctional officers and a sign reading 'TBI Support Group – 2:00 PM'

An estimated 107,400 veterans are serving time in state or federal prison, many of whom may carry wounds that no one can see. Combat exposure-associated mental and physical consequences including traumatic brain injury, PTSD, and mood disorders, are unfortunately directly linked to a greater likelihood of criminal justice involvement among veterans. Currently, by law, the VA cannot provide hospital or outpatient care to incarcerated veterans because penal institutions are legally obligated to furnish inmate healthcare. Bipartisan legislation aims to break that cycle.

The Get Justice-Involved Veterans Behavioral Assistance and Care for Key Health Outcomes to Maintain Empowerment (BACK HOME) Act, was introduced by Senators Angus King (ME) and Pete Ricketts (NE), along with Representatives Herb Conaway (NJ) and Morgan Luttrell (TX). The bill, S. 4162 and H.R. 8044, would create a VA pilot program to furnish mental health services to incarcerated veterans, prioritizing those with service-connected TBI, PTSD, or military sexual trauma. It would also ensure automatic resumption of disability compensation payments upon a veteran’s release from incarceration.

Logos of veteran associations and psychological associations side by side

“The Get Justice-Involved Veterans BACK HOME Act is about closing a dangerous gap in care by ensuring that justice-involved veterans can still access the mental health services they need to heal, rebuild, and successfully reenter their communities,” said Senator King. Congressman Conaway, a physician himself, added: “The Get Justice-Involved Veterans BACK HOME Act is about closing a dangerous gap in care by ensuring that justice-involved veterans can still access the mental health services they need to heal, rebuild, and successfully reenter their communities.”

The legislation is supported by the American Legion, Vietnam Veterans of America, the American Psychological Association, and the American Psychiatric Association.  Unfortunately, there has been no action on either the Senate or House BACK HOME Acts since their respective  introductions on March 23, 2026, and March 24, 2026.

NE Joins States to Promote Veteran Brain Injury Bill – Congress Has Run Out of Excuses

Legislative Resolution 314 on hyperbaric oxygen therapy with Nebraska Capitol building in background

On April 9, 2026, Nebraska’s Legislature passed Legislative Resolution 293 in a 43-0 vote, making it the 14th state – alongside Oklahoma, Texas, Indiana, Kentucky, Arizona, Florida, North Carolina, Wyoming, Maryland, Virginia, North Dakota, Tennessee and Missouri – to formally urge Congress to expand treatment access for veterans suffering from traumatic brain injury and post-traumatic stress disorder, one of the most pressing issues facing American veterans.

Introduced by Nebraska State Senator Kathleen Kauth, the resolution, “[urges] the United States Congress to swiftly enact legislation to provide for veterans’ access to treatments for traumatic brain injury (TBI) and post-traumatic stress disorder (PTSD).”

In particular, states’ resolutions seek to encourage Congress to move forward on hyperbaric oxygen therapy. “A 4-week course of HBOT may alleviate depressive symptoms in PTSD patients, an effect associated with increased serum BDNF and β-NGF levels,” according to a 2026 study, available to view on the NLM database. The United States loses more than 17 veterans per day to suicide, with TBI and PTSD among the leading contributing factors.

Now that 14 states are aligned behind this legislation, the pressure on Congress to act is mounting.

Recovery Benefits of Golf Par for the Course

Golfer swinging club at tee during 2016 PGA Championship with crowd watching

The 2026 PGA Championship is now underway in Charlotte, North Carolina. This annual event is, “known for having one of the strongest fields in golf,” according to an AI Overview. It also brings attention to the connection between golf and brain injury, as golf can be used for therapeutic means of recovery. Much like every other sport, though, playing golf can also be perilous, increasingly so in recent years, as golf becomes more physically demanding.

On the therapeutic side, golf provides exercise that can be beneficial for hand-eye coordination: bilateral coordination, fine motor grip retraining, postural balance, and visuospatial focus. The option of golf carts as an ambulation asset also provides exercise that can aid with balance deficits. Physical therapists call it, “a great training tool for the brain and the body to rehabilitate.” Programs such as Saving Strokes – launched in Sacramento more than a decade ago and now running at more than twenty sites across the western United States – use the golf swing as a neuroplasticity workout, recruiting both sides of the brain and body to rebuild balance, timing, and grip. Additionally, and just as importantly, it also allows for social engagement, which can reduce depression.

Warning sign about flying golf balls hazard on a golf course path

However, as with every other physical sport, golf can also be dangerous. In October 2025, the New York State Golf Association reported that approximately 5 million rounds of golf were recorded between 2020 and 2023. While the same report found that only “8 patients presented with golf-related neurological injuries to our level 1 trauma center during that same time,” even one is too many. Another study, from 2024 and available to view on PubMed, is titled, and concluded, Golf cart injuries have similar severity to all-terrain vehicle injuries in children. U.S. emergency departments treat roughly 30,000 golf-related injuries each year, with the head and neck the most commonly injured regions. A separate study reports that 156,000-plus golf cart injuries were reported between 2007 and 2017, many involving skull fractures and intracranial bleeds. In early May 2026, for example, a Utah CrossFit gym owner suffered a subdural hematoma and was placed in a medically induced coma after the golf cart she was riding in tipped over. (This accident is now driving a $500,000 GoFundMe, as the woman will face a long road of neurorehabilitation.)

Hidden Price of a Cruise: Hantavirus’ Effect on the Brain

A cruise though the South Atlantic sounds like a dream vacation, but for eighteen Americans, the trip ended as a nightmare. After MV Hondius returned to the United States on May 11, two passengers were placed in biocontainment units because they had developed Andes virus, a strain of the hantavirus. The World Health Organization confirmed this, with eight cases and three deaths reported as of May 8.

In relation to the neurological effects of the virus, hantavirus pulmonary syndrome invades the brain indirectly. Drawing on cases traceable to the 1993 American Southwest outbreak and documented in NLM PubMed literature as far back as 1998, the Journal of the International Neuropsychological Society found that hantavirus pulmonary syndrome survivors exhibited cognitive impairments immediately after acute hospitalization and again at a one-year follow-up, with memory deficits resembling those seen in patients who have suffered brain anoxia, starving the brain of oxygen in a way that mirrors traumatic anoxic injury. Some research also suggests the virus may damage the blood-brain barrier, producing CNS symptoms including headache, insomnia, and vertigo, though this remains incompletely understood. Lasting effects include fatigue, memory loss, and attentional deficits.

Treatment mirrors the approach taken with other forms of acquired brain injury: supportive intensive care, cognitive rehabilitation, and neuropsychological monitoring. A 2024 multicenter cohort study of Andes virus survivors in Chile found that 61.9% reported incomplete recovery at three to six months post-onset, with clustering of both physical and neuropsychological symptoms across patient groups regardless of whether they required extracorporeal membrane oxygenation.

Responding to the 2026 cruise ship outbreak, Admiral Brian Christine, the Department of Health and Human Services’ assistant secretary for health, told reporters, “Let me be crystal clear: the risk of hantavirus to the general public remains very, very low. The Andes variant of this virus does not spread easily.” While the virus can be spread from person-to-person, Andes virus spreads primarily through contact with the urine, saliva, or droppings of infected rodents. Unfortunately, there is currently no approved vaccine for hantavirus pulmonary syndrome in the United States.

Brain Injury Community in Crosshairs of Bipartisan “Claim Sharks” Bill

“We will be suspending your Social Security number because we found some suspicious activities on your Social Security. If you want more information about this case, press 1. Thank you.”

Smartphone screen displaying a scam likely call with decline button being pressed

While the above “Robocall Scam Example”, listed on the Federal Trade Commission’s Consumer Advice webpage, may seem to be an obvious scam when viewed in print, the same may not be said when abruptly faced with the concern – particularly if you already have cognitive disabilities. In response to this reality, a new bipartisan bill targets predatory for-profit companies that use robocall software to harvest veterans’ disability data from federal phone lines Advocates state this practice poses a particular threat to veterans living with traumatic brain injury.

Introduced on March 26, 2026, by Rep. Chris Pappas (NH), the Veterans Benefits Information Protection Act, H.R. 8120, was prompted by a 2025 NPR investigation: Florida-based Trajector Medical “CallBot” auto-dialer program placed tens of thousands of monthly calls to a VA hotline, inputting veterans’ Social Security numbers and birthdays to detect disability rating increases and trigger automated billing both with and without veterans’ knowledge.

In addition to Pappas, H.R.8120 counts a bipartisan list of co-sponsors, including Rep. Don Bacon (NE), a retired Air Force brigadier general and co-chair of the Congressional Brain Injury Task Force.  “Our veterans should never be targeted by bad actors trying to profit off their hard-earned benefits,” says Bacon, adding that the bill, which was referred to the House Committee on Energy and Commerce on March 26,2026, “takes a commonsense approach to crack down on predatory practices and protect veterans from exploitation.”

* Scamming, of course, does not solely refer to robocalls. In recent years, the government has given more attention to cyber scams, and particularly as it relates to the disabled. In 2024, the Journal of International Medical Research addressed cyber scams and acquired brain injury, available to PubMed, noting that, “People with acquired brain injury may be more susceptible to scams owing to postinjury cognitive and psychosocial consequences.”)

Pregnant Brain’s Resilience Comes With Risk

Diagram showing pregnant woman with brain regions labeled for hormone regulation, emotional processing, memory, planning, and neural plasticity, plus uterus and fetus.

As any person who has given birth will confirm, pregnancy transforms nearly every system in the body. The brain is no exception to this change. Much of this neurological alteration is remarkably positive, but, as with other major body occurrences, some of it is genuinely alarming.

Estrogen and progesterone, which surges throughout pregnancy, are now being studied as neuroprotective and neuroregenerative agents in strokes and other brain injuries. Research shows these hormones can reduce the injury cascade by enhancing antioxidant mechanisms, reduce excitotoxicity, and stimulate remyelination. As researchers put it: “Estrogen seems more effective as a prophylactic treatment in females at risk for ischemic brain injury, whereas progesterone appears more helpful in post-injury treatment of both male and female subjects with acute traumatic brain damage.” Additionally, the 2022 Rotterdam Study, available on PubMed, examined 2,835 women over decades, finding that pregnancy and childbirth are associated with a robustly larger global gray matter volume that persists for decades.

The story, though, isn’t all rosy. More recently, contradictory study results have been found. 2025 MRI research published in the International Journal of Molecular Sciences, found on PubMed, showed that pregnancy reduces total cortical gray matter volume by an average of 3%, with losses concentrated in regions linked to social cognition and self-awareness. More acutely, an estimated 7.7 – 15% of all maternal deaths worldwide are caused by stroke, and 30 – 50% of surviving women are left with persistent neurological deficits. “Female stroke survivors were more than twice as likely as their stroke-free counterparts to have another stroke while pregnant and in the six weeks after childbirth,” reported the 2026 American Stroke Association International Stroke Conference.

Ultimately, the pregnant brain endures, often emerging stronger. But, as with every activity that has a significant effect on the body’s function, proper monitoring is required, with even more caution needed for those with a history of brain injury.