BRAIN INJURY ASSOCIATION OF MARYLAND
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A Look at TBI Trust Fund Programs


2012  - A Look at TBI Trust Fund Programs
​

What are TBI Trust Funds?

Trust funds are accounts established by law and earmarked for specific purposes. As State revenue sources become more difficult to obtain, TBI trust funds offer an additional way to serve individuals who have sustained a traumatic brain injury.

The earliest TBI trust fund legislation occurred in 1985 in Pennsylvania. Today, twenty-two states have trust funds, ten of which also benefit individuals with spinal cord injuries.

While all the programs are not specifically called “trust funds,” they do share these similarities: 
  • They are established by legislation and dedicated for activities benefiting individuals with brain injury.
  • They are supported by revenues from a fee, fine, or surcharge.
  • Revenue is placed in an interest-bearing, non-reverting account.

How do they work?

Despite the fact that a trust fund is an account dedicated for a specific purpose, many States require legislative approval to use TBI funds. Gaining this approval involves establishing an annual budget and presenting it before a budget or finance committee in the General Assembly. 
Estimated revenue varies widely for established programs, from less than $1 million to $22 million. The average is between $1 million and $4 million annually.

The sources of revenue are most often tied to traffic-related issues or offenses. Here are some examples:
  • Penalty assessments on infractions such as DUI, speeding, reckless driving, accidents causing bodily injury or death
  • Assessments on violations of child safety restraint laws, helmet laws
  • Surcharges on motorcycle or motor vehicle license tag fees
  • Surcharges on vehicle registration fees, driver’s license reinstatement fees
  • Penalty assessments on criminal or civil infractions

Just as revenue for trust funds varies, so do their uses. Many programs provide funding for individual consumer needs while others devote funds to projects selected through a request for proposal (RFP) process. Some combine trust fund monies with general revenue or other sources to expand their capacity to provide services. The following list demonstrates the diversity in uses of trust funds:
  • Acute care
  • Inpatient, outpatient, and post-acute rehabilitation
  • Community-based services
  • Case management
  • Resource facilitation
  • Information and Referral
  • Registry
  • Research
  • Education and Training
  • Public Awareness
  • Prevention
  • Medicaid match
  • Funds to match the HRSA federal TBI grants
  • Support to the advisory council
  • Grants for demonstration projects

While there may be no direct relationship between the HRSA Federal TBI Grant Program and
the evolution of TBI trust fund programs, the increase in exchange of information between States
has most likely stimulated interest in their development. For some States, the Federal program
also provides for the continued presence of an individual or advisory body able to initiate
development of such a fund when the time is right.

Click HERE for a PDF version of the complete report. ​

News & Events

March is Brain Injury Awareness Month
#Blue4BrainInjuryMD

Getting Help

  • Brain Injury 101
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Get involved

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The Legal STUFF  

  • Legal Notices

public Policy

  • A Resource Guide for Decision Makers - Violence & Injury Prevention
  • ​Who are My Elected Officials
  • Track a Maryland Bill during the General Assembly
  • Maryland Traumatic Brain Injury Advisory Board Report 
Address: 2200 Kernan Drive Baltimore, MD 21207
Phone: 1.800.221.6443
Copyright © 2016 Brain Injury Association of Maryland.
​All rights reserved!
Disclaimer: This website is provided for informational purposes only and does not constitute endorsement of treatments, individuals, or programs which appear herein. Any external links on the website are provided for the visitor’s convenience; once you click on any of these links you are leaving the BIAMD website. BIAMD has no control over and is not responsible for the nature, content, and availability of those sites. 
  • Home
    • About Us >
      • Our Organization
      • Staff & Board Members
      • Membership
  • Events
    • 2023 BIAMD Annual Conference
    • BIAMD's 40th Birthday Bash
    • Comprehensive Calendar
    • Send Us Your Event!
  • RESOURCES/EDUCATION
    • Request a Training
    • Brain Injury Wavier Program
    • ABI Supports and Resources
    • Additional TBI Resources
    • Financial Information for ABI Survivors and Families
    • Trainings, Webinars, Studies, and more
    • Your Brain Map
    • Local Resources
    • Legal Resources
    • Vocational Resources
    • Home Safety Resources
    • Planning Now: A Futures and Estate Planning Guidebook
    • A Look At TBI Trust Fund Programs
  • COVID-19 RESOURCES
    • COVID-19 and Brain Injury
    • COVID -19 and Behavioral Health and Well-Being
    • COVID-19 and the LGBTQ Community
    • Financial Assistance and Community Services
  • #5ThoughtsFridays
  • Maryland Brain Injury Trust Fund
  • Unmasking Brain Injury 2.0
  • Brain Injury
    • Ask The Expert
    • Support Groups >
      • Baltimore Area
      • Northern MD
      • Eastern MD
      • Central MD
      • Montgomery/PG/DC Area
      • Southern MD
      • Western MD
      • Outside Maryland >
        • Delaware
        • West Virginia
      • For Veterans and Families
      • Online Support Groups
    • Understanding Brain Injury >
      • Interactive Brain Map
      • Living With Brain Injury
      • Traumatic Brain Injury
      • Your Brain Map
    • Research
    • BIAMD - Telling Your Story
    • CDC HEADS UP
    • Legal Notices
  • Concussion
    • Maryland Concussion Clinics and Resources
    • Concussion Information for Parents
    • Concussion Information for Athletes
    • Concussion Information for Coaches
    • Counseling After a Concussion
  • Media
    • BIAMD Blog
    • HEADWAY eNewsletter
    • Podcasts
    • Videos
    • BIAMD App is Live!
  • How to Give
    • Donate >
      • Matching Gift Programs
      • Automatic Payroll Contribution Campaigns
      • Gifts which can be made without giving money now
  • BIAMD BOARD
  • PCORI Brain Injury Network
  • BIAMD Member Portal
  • #5ThoughtsFridays
  • Legal Notices
  • Filling the Knowledge Gap: Brain Injury Training for Educators
  • Brain Injury Training for Skilled Nursing Facilities
  • Brain Injury Waiver Provider Resource Page