Sec. 1244. GENERAL PROVISIONS

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## SEC. 1244 GENERAL PROVISIONS **[**300d–44**]** ###

(a)Application The Secretary may not award a grant to a trauma center under section 1241(a) unless such center submits an application for the grant to the Secretary and the application is in such form, is made in such manner, and contains such agreements, assurances, and information as the Secretary determines to be necessary to carry out this part. ###

(b)Limitation on Duration of Support The period during which a trauma center receives payments under a grant under section 1241(a)(3) shall be for 3 fiscal years, except that the Secretary may waive such requirement for a center and authorize such center to receive such payments for 1 additional fiscal year. ###

(c)Limitation on Amount of Grant Notwithstanding section 1242(a), a grant under section 1241 may not be made in an amount exceeding $2,000,000 for each fiscal year. ###

(d)Eligibility Except as provided in section 1242(b)(1)(B)(iii), acquisition of, or eligibility for, a grant under section 1241(a) shall not preclude a trauma center from being eligible for other grants described in such section. ###

(e)Funding Distribution Of the total amount appropriated for a fiscal year under section 1245, 70 percent shall be used for substantial uncompensated care awards under section 1241(a)(1), 20 percent shall be used for core mission awards under section 1241(a)(2), and 10 percent shall be used for emergency awards under section 1241(a)(3). ###

(f)Minimum Allowance Notwithstanding subsection (e), if the amount appropriated for a fiscal year under section 1245 is less than $25,000,000, all available funding for such fiscal year shall be used for substantial uncompensated care awards under section 1241(a)(1). ###

(g)Substantial Uncompensated Care Award Distribution and Proportional Share Notwithstanding section 1242(a), of the amount appropriated for substantial uncompensated care grants for a fiscal year, the Secretary shall— ####

(1)make available— #####

(A)50 percent of such funds for category A trauma center grantees; #####

(B)35 percent of such funds for category B trauma center grantees; and #####

(2)provide available funds within each category in a manner proportional to the award basis specified in section 1242(a)(2) to each eligible trauma center. ###

(h)Report Beginning 2 years after the date of enactment of the Patient Protection and Affordable Care Act, and every 2 years thereafter, the Secretary shall biennially report to Congress regarding the status of the grants made under section 1241 and on the overall financial stability of trauma centers.