| Home > 105th Congressional Bills > H.R. 3999 (rfs) To designate the United States Postal Service building located at 5209 Greene Street, Philadelphia, Pennsylvania, as the ``David P. Richardson, Jr., Post Office Building''. ...
H.R. 3999 (rfs) To designate the United States Postal Service building located at 5209 Greene Street, Philadelphia, Pennsylvania, as the ``David P. Richardson, Jr., Post Office Building''. ...
108th CONGRESS 2d Session H. R. 3999 To amend the Public Health Service Act with respect to trauma care, and for other purposes. _______________________________________________________________________ IN THE HOUSE OF REPRESENTATIVES March 18, 2004 Mr. Greenwood (for himself, Mr. Green of Texas, Mr. Bilirakis, and Mr. Brown of Ohio) introduced the following bill; which was referred to the Committee on Energy and Commerce _______________________________________________________________________ A BILL To amend the Public Health Service Act with respect to trauma care, and for other purposes. Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, SECTION 1. SHORT TITLE. This Act may be cited as the ``Trauma Research and Access to Urgent Medical Attention Act of 2004'' or the ``TRAUMA Act of 2004''. SEC. 2. AMENDMENT TO TITLE XII OF PUBLIC HEALTH SERVICE ACT. Title XII of the Public Health Service Act (42 U.S.C. 300d et seq.) is amended-- (1) by striking part D; and (2) by amending parts A, B, and C to read as follows: ``PART A--GENERAL AUTHORITY ``SEC. 1201. GENERAL AUTHORITY AND DUTIES OF THE SECRETARY. ``(a) In General.--The Secretary may, with respect to trauma care-- ``(1) conduct and support research, training, evaluations, and demonstration projects; ``(2) foster the development of appropriate, modern systems of trauma care through the sharing of information among agencies and individuals involved in the study and provision of such care; ``(3) provide to State and local agencies technical assistance, including the development of a model plan for the designation of trauma centers and for triage, transfer, and transportation policies; and ``(4) sponsor workshops and conferences. ``(b) Consultation.--In carrying out this section, the Secretary shall consult with appropriate State and professional organizations. ``SEC. 1202. DATA COLLECTION. ``(a) In General.--The Director of the Centers for Disease Control and Prevention, directly or through grants or contracts, may establish and provide for the operation of information systems and provide for the collection, coordination, and exchange of information related to trauma system development or operation. ``(b) Consultation.--In carrying out this section, the Director of the Centers for Disease Control and Prevention shall consult with the Administrator of the Health Resources and Services Administration and such other persons outside of the Centers as the Director deems appropriate. ``SEC. 1203. GRANTS TO STATES TO IMPROVE TRAUMA CARE SYSTEMS. ``(a) In General.--The Secretary, acting through the Administrator of the Health Resources and Services Administration, shall make a grant, in the amount referred to in section 1208(c), to each State that submits an application and agrees to comply with the requirements of this section, for the purpose of improving access to and enhancing the development of trauma care systems. ``(b) Requirements.--The Secretary may make a grant to a State under this section only if the State has developed a plan that-- ``(1) specifies a public or private entity that will designate trauma care regions and trauma centers in the State; ``(2) contains, for the designation of level I, level II, and level III trauma centers, standards and requirements developed by-- ``(A) taking into account standards developed by professional organizations and any guidelines or model plans developed by the Secretary with the goal of ensuring the greatest possible access to trauma care and providing the highest quality of trauma care; ``(B) consulting with medical, surgical, and nursing speciality groups, hospital associations, emergency medical services State and local directors, concerned advocates, and other interested parties; and ``(C) conducting public hearings on the proposed standards after providing adequate notice to the public concerning such hearings; ``(3) contains standards and requirements for the implementation of regional trauma care systems, including standards and guidelines (consistent with the provisions of section 1867 of the Social Security Act) for medically directed triage and transportation of trauma patients (including patients injured in rural areas) prior to care in designated trauma centers; ``(4) contains standards and requirements for medically directed triage and transport of severely injured children to designated trauma centers with specified capabilities and expertise in the care of the pediatric trauma patient; ``(5) utilizes a program with procedures for the evaluation of designated trauma centers (including trauma centers described in paragraph (4)) and trauma care systems; ``(6) provides for the establishment and collection of data from each designated trauma center in the State of a central data reporting and analysis system (to be transmitted to the Secretary in accordance with section 1202)-- ``(A) to identify the number of severely injured trauma patients and the number of deaths from trauma within trauma care systems in the State; ``(B) to identify the cause of the injury and any factors contributing to the injury; ``(C) to identify the nature and severity of the injury; ``(D) to monitor trauma patient care (including prehospital care) in each designated trauma center within regional trauma care systems in the State (including relevant emergency-department discharges and rehabilitation information) for the purpose of evaluating the diagnosis, treatment, and treatment outcome of such trauma patients; ``(E) to identify the total amount of uncompensated trauma care expenditures for each fiscal year by each designated trauma center in the State; and ``(F) to identify patients transferred within a regional trauma system, including reasons for such transfer and the outcomes of such patients; ``(7) provides for the use of procedures by paramedics and emergency medical technicians to assess the severity of the injuries incurred by trauma patients; ``(8) provides for appropriate transportation and transfer policies to ensure the delivery of patients to designated trauma centers and other facilities within and outside of the jurisdiction of such system, including policies to ensure that only individuals appropriately identified as trauma patients are transferred to designated trauma centers, and to provide periodic reviews of the transfers and the auditing of such transfers that are determined to be appropriate; ``(9) conducts public education activities concerning injury prevention and obtaining access to trauma care; ``(10) with respect to the requirements established in this subsection, provides for coordination and cooperation between the State and any other State with which the State shares any standard metropolitan statistical area; and ``(11) coordinates planning for trauma systems with State disaster emergency planning and bioterrorism hospital preparedness planning. ``(c) Trauma Plan.-- ``(1) In general.--For each fiscal year, the Secretary may not make payments to a State under this section unless, subject to paragraph (2), the State submits to the Secretary the trauma care component of the State plan for the provision of emergency medical services, including any changes to the trauma care component and any plans to address deficiencies in the trauma care component. ``(2) Interim plan or description of efforts.--For each fiscal year, if a State has not completed the trauma care component of the State plan described in paragraph (1), the State may provide, in lieu of such completed component, an interim component or a description of efforts made toward the completion of the component. ``(3) Information received by state reporting and analysis system.--The Secretary may not make payments to a State under this section unless the State agrees that the State will, not less than once each year, provide to the Secretary the information received by the State pursuant to subsection (b)(6). ``(4) Availability of emergency medical services in rural areas.--The Secretary may not make payments to a State under this section unless-- ``(A) the State identifies any rural area in the State for which-- ``(i) there is no system of access to emergency medical services through the telephone number 911; ``(ii) there is no basic life-support system; or ``(iii) there is no advanced life-support system; and ``(B) the State submits to the Secretary a list of rural areas identified pursuant to subparagraph (A) or, if there are no such areas, a statement that there are no such areas. ``(d) Requirement of Matching Funds.-- ``(1) Non-federal contributions.-- ``(A) In general.--The Secretary may not make a grant to a State under this section unless the State agrees, with respect to the costs of carrying out the grant, to make available non-Federal contributions (in cash or in kind under paragraph (2)(A)) toward such costs in an amount equal to-- ``(i) for the first and second fiscal year of payments under this section to the State after the date of the enactment of the Trauma Research and Access to Urgent Medical Attention Act of 2004, not less than $1 for each $1 of Federal funds provided in such payments for such fiscal year; and ``(ii) for any subsequent fiscal year of such payments to the State, not less than $2 for each $1 of Federal funds provided in such payments for such fiscal year. ``(2) Determination of amount of non-federal contribution.--With respect to compliance with paragraph (1)-- ``(A) a State may make the non-Federal contributions in cash or in kind, fairly evaluated, including plant, equipment, or staff services; and ``(B) the Secretary may not, in making a determination of the amount of non-Federal contributions, include amounts provided by the Federal Government or services assisted or subsidized to any significant extent by the Federal Government. ``(e) Restrictions.-- ``(1) In general.--The Secretary may not make payments to a State under this section unless the State agrees that the payments will not be expended-- ``(A) to make cash payments to intended recipients of services provided pursuant to this section; ``(B) to purchase or improve real property (other than minor remodeling of existing improvements to real property); or ``(C) to satisfy any requirement for the expenditure of non-Federal funds as a condition for the receipt of Federal funds. ``(2) Waiver.--The Secretary may waive a restriction under paragraph (1) only if the Secretary determines that the activities outlined by the State plan submitted under subsection (c)(1) by the State involved cannot otherwise be carried out. ``(f) Application.--To seek a grant under this section, a State shall submit to the Secretary an application in such form, in such manner, and containing such information and assurances as the Secretary may require. ``(g) Reports by States.--A grant may be made to a State under this section only if the State agrees that, promptly after the end of the fiscal year for which the grant is made, the State will submit to the Secretary a report that describes the activities of the State under the grant. ``SEC. 1204. GRANTS FOR THE IMPROVEMENT OF TRAUMA CARE. ``(a) In General.--The Secretary, acting through the Administrator of the Health Resources and Services Administration, may make grants to States, political subdivisions, consortia of States or political subdivisions, and accredited schools of medicine for the purpose of improving access to and enhancing the development of trauma care systems. ``(b) Use of Funds.--The Secretary may make a grant under this section only if-- ``(1) in the case of an application by a State, political subdivision, or consortium, the applicant agrees to use the grant-- ``(A) to integrate and broaden the reach of a trauma care system, such as by developing innovative protocols to increase access to prehospital care and equipment necessary for the transportation of seriously injured patients to the appropriate facilities; ``(B) to strengthen, develop, and improve an existing trauma care system; ``(C) to expand and improve emergency medical services for children who need treatment for trauma or critical care; ``(D) to expand communications between the trauma care system and emergency medical services through improved equipment or a telemedicine system; ``(E) to improve data collection and retention; or ``(F) to increase education, training, and technical assistance opportunities, such as training and continuing education in the management of emergency medical services accessible to emergency medical personnel in rural areas through telehealth, home studies, and other methods; or ``(2) in the case of an application by an accredited school of medicine, the applicant agrees to use the grant to expand and improve emergency medical services for children who need treatment for trauma or critical care. ``(c) Preference.--In selecting among States, political subdivisions, and consortia of States or political subdivisions (but not accredited schools of medicine) for purposes of making grants under this section, the Secretary shall give preference to applicants that--
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