Sec. 2. Trauma care reauthorization
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Section 1201 of the Public Health Service Act ( 42 U.S.C. 300d ) is amended— in subsection (a)— in paragraph (3)— by inserting analyze, after compile, ; and by inserting and medically underserved areas before the semicolon; in paragraph (4), by adding and after the semicolon; by striking paragraph (5); and by redesignating paragraph
(6)as paragraph (5); by redesignating subsection
(b)as subsection (c); and by inserting after subsection
(a)the following: The Secretary, acting through the Assistant Secretary for Preparedness and Response, shall support the efforts of States and consortia of States to coordinate and improve emergency medical services and trauma care during a public health emergency declared by the Secretary pursuant to section 319 or a major disaster or emergency declared by the President under section 401 or 501, respectively, of the Robert T. Stafford Disaster Relief and Emergency Assistance Act. Such support may include— developing, issuing, and updating guidance, as appropriate, to support the coordinated medical triage and evacuation to appropriate medical institutions based on patient medical need, taking into account regionalized systems of care; disseminating, as appropriate, information on evidence-based or evidence-informed trauma care practices, taking into consideration emergency medical services and trauma care systems, including such practices identified through activities conducted under subsection
(a)and which may include the identification and dissemination of performance metrics, as applicable and appropriate; and other activities, as appropriate, to optimize a coordinated and flexible approach to the emergency response and medical surge capacity of hospitals, other health care facilities, critical care, and emergency medical systems. . Section 1202 of the Public Health Service Act ( 42 U.S.C. 300d–3 ) is amended— by amending the section heading to read as follows: ; Grants to improve trauma care in rural areas by amending subsections
(a)and
(b)to read as follows: The Secretary shall award grants to eligible entities for the purpose of carrying out research and demonstration projects to support the improvement of emergency medical services and trauma care in rural areas through the development of innovative uses of technology, training and education, transportation of seriously injured patients for the purposes of receiving such emergency medical services, access to prehospital care, evaluation of protocols for the purposes of improvement of outcomes and dissemination of any related best practices, activities to facilitate clinical research, as applicable and appropriate, and increasing communication and coordination with applicable State or Tribal trauma systems. To be eligible to receive a grant under this section, an entity shall be a public or private entity that provides trauma care in a rural area. In awarding grants under this section, the Secretary shall give priority to eligible entities that will provide services under the grant in any rural area identified by a State under section 1214(d)(1). ; and by adding at the end the following: An entity that receives a grant under this section shall submit to the Secretary such reports as the Secretary may require to inform administration of the program under this section. . Section 1204 of the Public Health Service Act ( 42 U.S.C. 300d–6 ) is amended— by amending the section heading to read as follows: ; Pilot grants for trauma centers in subsection (a)— by striking not fewer than 4 and inserting 10 ; by striking that design, implement, and evaluate and inserting to design, implement, and evaluate new or existing ; by striking emergency care and inserting emergency medical ; and by inserting , and improve access to trauma care within such systems before the period; in subsection (b)(1), by striking subparagraphs
(A)and
(B)and inserting the following: a State or consortia of States; an Indian Tribe or Tribal organization (as defined in section 4 of the Indian Self-Determination and Education Assistance Act); a consortium of level I, II, or III trauma centers designated by applicable State or local agencies within an applicable State or region, and, as applicable, other emergency services providers; or a consortium or partnership of nonprofit Indian Health Service, Indian Tribal, and urban Indian trauma centers. ; in subsection (c)— in the matter preceding paragraph (1)— by striking that proposes a pilot project ; and by striking an emergency medical and trauma system that— and inserting a new or existing emergency medical and trauma system. Such eligible entity shall use amounts awarded under this subsection to carry out 2 or more of the following activities: ; in paragraph (1)— by striking coordinates and inserting Strengthening coordination and communication ; and by striking an approach to emergency medical and trauma system access throughout the region, including 9–1–1 Public Safety Answering Points and emergency medical dispatch; and inserting approaches to improve situational awareness and emergency medical and trauma system access. ; in paragraph (2)— by striking includes and inserting Providing ; by inserting support patient movement to after region to ; and by striking the semicolon and inserting a period; in paragraph (3)— by striking allows for and inserting Improving ; and by striking ; and and inserting a period; in paragraph (4), by striking includes a consistent and inserting Supporting a consistent ; and by adding at the end the following: Establishing, implementing, and disseminating, or utilizing existing, as applicable, evidence-based or evidence-informed practices across facilities within such emergency medical and trauma system to improve health outcomes, including such practices related to management of injuries, and the ability of such facilities to surge. Conducting activities to facilitate clinical research, as applicable and appropriate. ; in subsection (d)(2)— in subparagraph (A)— in the matter preceding clause (i), by striking the proposed and inserting the applicable emergency medical and trauma system ; in clause (i), by inserting or Tribal entity after equivalent State office ; and in clause (vi), by striking ; and and inserting a semicolon; by redesignating subparagraph
(B)as subparagraph (C); and by inserting after subparagraph
(A)the following: for eligible entities described in subparagraph
(C)or
(D)of subsection (b)(1), a description of, and evidence of, coordination with the applicable State Office of Emergency Medical Services (or equivalent State Office) or applicable such office for a Tribe or Tribal organization; and ; in subsection (f), by striking population in a medically underserved area and inserting medically underserved population ; in subsection (g)— in the matter preceding paragraph (1), by striking described in ; in paragraph (2), by striking the system characteristics that contribute to and inserting opportunities for improvement, including recommendations for how to improve ; by striking paragraph (4); by redesignating paragraphs
(5)and
(6)as paragraphs
(4)and (5), respectively; in paragraph (4), as so redesignated, by striking ; and and inserting a semicolon; in paragraph (5), as so redesignated, by striking the period and inserting ; and ; and by adding at the end the following: any evidence-based or evidence-informed strategies developed or utilized pursuant to subsection (c)(5). ; and by amending subsection
(h)to read as follows: Not later than 1 year after the completion of the final project under subsection (a), the Secretary shall submit to the Committee on Health, Education, Labor, and Pensions of the Senate and the Committee on Energy and Commerce of the House of Representatives a report describing the information contained in each report submitted pursuant to subsection
(g)and any additional actions planned by the Secretary related to regionalized emergency care and trauma systems. . Section 1232(a) of the Public Health Service Act ( 42 U.S.C. 300d–32(a) ) is amended by striking 2010 through 2014 and inserting 2023 through 2027 .
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U.S. Code
3 references not yet in our index
- 42 USC 300d–3
- 42 USC 300d–6
- 42 USC 300d–32(a)
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cites case law
Sec. 2
Trauma care reauthorization
Cite42 USC 300d–3
Cite42 USC 300d–6
Cite42 USC 300d–32(a)
Cites 4Cited by 0 across 0 sources