Congress Swing TrackerLegislative intelligence Swing vote analysis

H.R. 1493: To reauthorize and make improvements to Federal programs relating to the prevention, detection, and treatment of traumatic brain injuries, and for other purposes. · Congress Swing Tracker

H.R. 1493119th CongressHealth

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

Sponsored by Rep. Frank Pallone (D-NJ) · 6 active : 3 Republicans, 3 Democrats

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

Read the summary

Where it standsPassed House, now in the Senate

Passed House

House: passedJul 20, 2026
Senate: next
President: not yet

9 senators score as swing votes

Summary

, via Congress.gov

Summary on Congress.gov

This bill reauthorizes from FY2026-FY2030 and expands Department of Health and Human Services (HHS) programs relating to traumatic brain injuries. It also requires HHS to conduct a study and report to Congress on traumatic brain injuries.

Specifically, the bill reauthorizes

Centers for Disease Control and Prevention (CDC) grants to states for traumatic brain injury surveillance and registries (renaming the program after the late Representative Bill Pascrell, Jr.),

CDC research and public awareness activities to reduce traumatic brain injuries,

Read full summary

Administration for Community Living (ACL) grants to states and American Indian consortiums for services and support for individuals living with traumatic brain injuries, and

ACL grants for protection and advocacy agencies supporting individuals with traumatic brain injuries.

Also, the bill generally expands the scope and requirements of these programs, including by requiring the CDC to publish information on populations at higher risk for traumatic brain injuries and strategies for preventing such injuries in these populations.

Additionally, HHS must conduct a study on long-term symptoms or conditions in people who experience traumatic brain injuries and report the findings to Congress. HHS must also submit a report to Congress on populations with a higher risk of traumatic brain injuries and outreach efforts for such populations.

Committees and subjects

Committees

House Committee on Energy and Commerce · HouseReported by · Markup by · Referred to
Senate Committee on Health, Education, Labor, and Pensions · SenateReferred to

Subjects

Congressional oversight
Data collection, sharing, protection
Government information and archives
Government studies and investigations
Health programs administration and funding
Health promotion and preventive care
Intergovernmental relations
Neurological disorders
State and local government operations

Senate · 100 House · 433

Model

v3defaultv2

Directional: count only breaks toward the other party Why do scores change?

How the House breaks down

43Swing 70–100
203Middle 30–70
185Entrenched 0–30
2Insufficient data not ranked

Members fall into . 2 representatives don’t have enough data yet and are marked “insufficient data”. Non-voting delegates are not counted. The bill is not before the House right now; these scores show where members would stand.

Key players in the House

Ranked by swing score, 0–100 · swing-v2, directional

: only movement toward the other party counts, so members who sit further from the center than their party no longer score as swing votes.

Bars show each input from 0 to 100: ideology gap, scorecard gap, . is the seat’s partisan lean, and shows how much of the input data a score has.

Similar past votes, House

Earlier behind swing-v3’s input

Similar votes count toward swing-v3 in the House: total similarity weight 9.5 (needs 5.0).

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FailedShared subjects×1.0
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PassedSame policy area×0.5
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PassedSame policy area×0.5
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Show 9 more

H.R. 4531 · Dec 12, 2023 · Roll call 710On Motion to Suspend the Rules and Pass, as AmendedSupport for Patients and Communities Reauthorization Act
PassedSame policy area×0.5
H.R. 5378 · Dec 11, 2023 · Roll call 703On Motion to Suspend the Rules and Pass, as AmendedLower Costs, More Transparency Act
PassedSame policy area×0.5
H.R. 185 · Feb 8, 2023 · Roll call 115On PassageTo terminate the requirement imposed by the Director of the Centers for Disease Control and Prevention for proof of COVID-19 vaccination for foreign travelers, and for other purposes
PassedSame policy area×0.5
H.R. 185 · Feb 8, 2023 · Roll call 113On Agreeing to the Amendment

Cosponsors

6 active

Show all 6 cosponsors

How the swing score works

Ideology gapHow far a member’s DW-NOMINATE voting score sits from their party’s median in the same chamber.

Scorecard gapHow far their Heritage Action and LCV ratings stray from their party’s average, using the groups’ votes on similar bills where available.

Cross-pressureHow strongly their district or state leans toward the other party, from our own computed partisan lean.

Similar votesHow often they voted against their own party on earlier roll calls about this bill or similar ones.

Committee bonusMembers of the committees handling the bill decide whether it moves, so they get a boost.

Cosponsor checkThe sponsor and active cosponsors have already committed, so they drop toward entrenched.