[Congressional Bills 103th Congress]
[From the U.S. Government Printing Office]
[H.R. 2205 Public Print (PP)]

103d CONGRESS

  1st Session

                               H. R. 2205

_______________________________________________________________________

                               AMENDMENT

                June 29 (legislative day, June 22), 1993

                    Ordered to be printed as passed
                June 29 (legislative day, June 22), 1993

                    Ordered to be printed as passed






                  In the Senate of the United States,

                              June 29 (legislative day, June 22), 1993.
      Resolved, That the bill from the House of Representatives (H.R. 
2205) entitled ``An Act to amend the Public Health Service Act to 
revise and extend programs relating to trauma care'', do pass with the 
following

                               AMENDMENT:

            Strike out all after the enacting clause and insert:

SECTION 1. SHORT TITLE.

    This title may be cited as the ``Trauma Care Amendments Act of 
1993''.

SEC. 2. ADVISORY COUNCIL ON TRAUMA CARE SYSTEMS.

    (a) Membership.--Section 1202(c) of the Public Health Service Act 
(42 U.S.C. 300d-1(c)) is amended--
            (1) in paragraph (1)--
                    (A) in the matter preceding subparagraph (A), by 
                striking ``12'' and inserting ``13'';
                    (B) in subparagraph (D), by striking ``and'' at the 
                end thereof;
                    (C) in subparagraph (E), by striking the period and 
                inserting ``; and''; and
                    (D) by adding at the end thereof the following new 
                subparagraph:
                    ``(F) 1 shall be an individual who has been a 
                trauma patient at a designated trauma center.''; and
            (2) in paragraphs (3), by striking ``25 percent'' and 
        inserting ``at least 4''.
    (b) Terms.--Section 1202(d) of such Act (42 U.S.C. 300d-1(d)) is 
amended by adding at the end thereof the following new paragraph:
            ``(3) Trauma patient.--A member appointed to serve on the 
        Council under subsection (c)(1)(F), including the initial 
        member appointed under such subsection, shall be appointed for 
        a term of 4 years.''.
    (c) Meetings.--Section 1202(g) of such Act (42 U.S.C. 300d-1(g)) is 
amended to read as follows:
    ``(g) Meetings.--The Council shall meet not less than once each 
year, and if the Chair determines necessary, up to four times each 
year.''.

SEC. 3. REQUIREMENTS.

    Section 1213(a)(11) of the Public Health Service Act (42 U.S.C. 
300d-13(a)(11)) is amended by striking ``any standard metropolitan 
statistical area'' and inserting ``a border, with respect to State 
areas in which logical geographic groupings across State borders would 
be appropriate to carry out the purposes of this title''.

SEC. 4. FUNDING.

    Section 1232(a) of the Public Health Service Act (42 U.S.C. 300d-
32(a)) is amended--
            (1) by striking ``$60,000,000 for fiscal year 1991'' and 
        inserting ``$25,000,000 for fiscal year 1994''; and
            (2) by striking ``1992 and 1993'' and inserting ``1995, 
        1996, and 1997.''.

SEC. 5. TECHNICAL AMENDMENTS.

    Title XII of the Public Health Service Act is amended--
            (1) in section 1212(a)(2)(A) (42 U.S.C. 300d-12(a)(2)(A)), 
        by striking ``1211(c)'' and inserting ``1211(b)'';
            (2) in section 1213(a) (42 U.S.C. 300d-13(a))--
                    (A) by striking ``to provide'' in paragraphs (8) 
                and (9) and inserting ``provides''; and
                    (B) by striking ``to conduct'' in paragraph (10) 
                and inserting ``conducts'';
            (3) in section 1213(c) (42 U.S.C. 300d-13(c)), by striking 
        ``6,000'' in the matter following paragraph (4) and inserting 
        ``6''; and
            (4) in section 1231(3) (42 U.S.C. 300d-31), by striking 
        ``Puerto Rico;'' and inserting ``Puerto Rico,''.

SEC. 6. STUDY CONCERNING FEDERAL DUPLICATION OF EMS AND TRAUMA CARE 
              ACTIVITIES.

    (a) Study.--The General Accounting Office shall conduct a study to 
determine the extent and desirability of the duplication of Federal 
emergency medical services and trauma care activities. Within such 
study the General Accounting Office shall--
            (1) describe existing emergency medical service and trauma 
        care programs located within--
                    (A) the Federal Emergency Management Agency;
                    (B) the General Services Administration;
                    (C) the Department of Agriculture;
                    (D) the Department of Defense;
                    (E) the Department of Health and Human Services;
                    (F) the Department of Transportation;
                    (G) the Department of Veterans Affairs;
                    (H) the Federal Interagency Committee on Emergency 
                Medical Services; or
                    (I) any other relevant entities;
        with respect to the purpose of each program, the amount of 
        resources allocated for each program and its respective grant 
        or contract programs for State, local, or nonprofit entities;
            (2) examine each program described in paragraph (1) to 
        determine if there is a duplication of emergency medical 
        service and trauma care programs resulting in economic and 
        service inefficiencies;
            (3) develop recommendations on the feasibility of 
        consolidating all programs described in paragraph (1) into one 
        Federal department or a smaller number of entities to limit the 
        duplication of such programs and enhance financial and service 
        efficiency for Federal emergency medical service and trauma 
        care programs;
            (4) develop recommendations, if a consolidation described 
        in paragraph (3) is warranted, concerning which emergency 
        medical service and trauma care programs should continue and 
        the appropriate entity or entities to administer each such 
        program based upon the mission and expertise of such entity or 
        entities;
            (5) develop recommendations concerning which Federal entity 
        should be the lead agency for emergency medical service and 
        trauma care programs in the Federal Government, to be 
        responsible for--
                    (A) administering programs for emergency medical 
                service and trauma care programs;
                    (B) acting as the first point of Federal contact 
                for all local, nonprofit and State entities in regard 
                to all Federal emergency medical service and trauma 
                care programs;
                    (C) administering the emergency medical service and 
                trauma care information clearinghouse for the use of 
                all Federal, State, local, and nonprofit entities;
                    (D) coordinating all Federal emergency medical 
                service and trauma care programs;
                    (E) serving as the Chair of an interagency 
                committee on emergency medical service, in the event 
                such an entity is recommended to exist for the 
                consolidated emergency medical service and trauma care 
                programs; and
                    (F) assuming other roles relevant to a lead agency 
                as determined appropriate by the General Accounting 
                Office; and
            (6) develop recommendations for mechanisms to ensure that 
        the lead Federal entity described in paragraph (5) has power 
        sufficient to coordinate and prevent the duplication of Federal 
        emergency medical service and trauma care programs.
    (b) Report.--Not later than 1 year after the date of enactment of 
this Act, the General Accounting Office shall prepare and submit to the 
appropriate committees of Congress a report concerning the study 
conducted under subsection (a) and the recommendations made under such 
study.

            Attest:






                                                             Secretary.
Trauma Care Amendments Act of 1993 - Amends the Public Health Service Act to:  (1) increase (from 12 to 13) the number of members of the Advisory Council on Trauma Care Systems; (2) include on the Council an individual who has been a trauma patient at a designated trauma center, to be appointed for a four-year term; and (3) require that at least four (currently, 25 percent) of the members be knowledgeable concerning rural areas. 
Requires the Council to meet not less than once and, if the Chair determines necessary, up to four times each year (currently, at the call of the Chair and not less than once each three months). 
Includes among requirements for State plans (in order to receive allotments) coordination and cooperation among bordering States with respect to areas in which logical geographic groupings across State borders would be appropriate (currently, among States that share any standard metropolitan statistical area). 
Authorizes appropriations. 
Directs the General Accounting Office to study and report to the appropriate congressional committees on the duplication of Federal emergency medical services and trauma activities.
Trauma Care Amendments Act of 1993