IB 

Union Calendar No. 240 

115TH CONGRESS 

1ST SESSION H. R. 880 

[Report No. 115–330] 

To amend the Public Health Service Act to facilitate assignment of military 

trauma care providers to civilian trauma centers in order to maintain 

military trauma readiness and to support such centers, and for other 

purposes. 

IN THE HOUSE OF REPRESENTATIVES 

FEBRUARY 6, 2017 

Mr. BURGESS (for himself, Mr. GENE GREEN of Texas, Mr. HUDSON, and Ms. 

CASTOR of Florida) introduced the following bill; which was referred to 

the Committee on Energy and Commerce 

SEPTEMBER 25, 2017 

Additional sponsors: Mr. RUPPERSBERGER, Mr. GUTHRIE, Mr. KILMER, Mr. 

NORCROSS, Mr. POCAN, Ms. SHEA-PORTER, Mr. COHEN, Mr. HECK, Mr. 

DEFAZIO, Mr. VELA, Mr. WALZ, Mr. BARR, Mr. PASCRELL, Mr. HARPER, Mr. SENSENBRENNER, Mr. HILL, Ms. JAYAPAL, Ms. MATSUI, Mr. 

BILIRAKIS, Ms. JENKINS of Kansas, Mr. WALBERG, and Mr. KINZINGER

SEPTEMBER 25, 2017 

Reported with an amendment, committed to the Committee of the Whole 

House on the State of the Union, and ordered to be printed 

[Strike out all after the enacting clause and insert the part printed in italic] 

[For text of introduced bill, see copy of bill as introduced on February 6, 2017] 


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A BILL 

To amend the Public Health Service Act to facilitate assignment of military trauma care providers to civilian trauma 

centers in order to maintain military trauma readiness 

and to support such centers, and for other purposes. 


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1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Military Injury Surgical 

5 Systems Integrated Operationally Nationwide to Achieve 

6 ZERO Preventable Deaths Act’’ or the ‘‘MISSION ZERO 

7 Act’’. 

8 SEC. 2. MILITARY AND CIVILIAN PARTNERSHIP FOR TRAU9 MA READINESS GRANT PROGRAM. 

10 Title XII of the Public Health Service Act (42 U.S.C. 

11 300d et seq.) is amended by adding at the end the following 

12 new part: 

13 ‘‘PART I—MILITARY AND CIVILIAN PARTNERSHIP 

14 FOR TRAUMA READINESS GRANT PROGRAM 

15 ‘‘SEC. 1291. MILITARY AND CIVILIAN PARTNERSHIP FOR 

16 TRAUMA READINESS GRANT PROGRAM. 

17 ‘‘(a) MILITARY TRAUMA TEAM PLACEMENT PRO18 GRAM.— 

19 ‘‘(1) IN GENERAL.—The Secretary shall award 

20 grants to not more than 20 eligible high-acuity trau21 ma centers to enable military trauma teams to pro22 vide, on a full-time basis, trauma care and related 

23 acute care at such trauma centers. 


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1 ‘‘(2) LIMITATIONS.—In the case of a grant 

2 awarded under paragraph (1) to an eligible high-acu3 ity trauma center, such grant— 

4 ‘‘(A) shall be for a period of at least 3 years 

5 and not more than 5 years (and may be renewed 

6 at the end of such period); and 

7 ‘‘(B) shall be in an amount that does not 

8 exceed $1,000,000 per year. 

9 ‘‘(3) AVAILABILITY OF FUNDS AFTER PERFORM10 ANCE PERIOD.—Notwithstanding section 1552 of title 

11 31, United States Code, or any other provision of law, 

12 funds available to the Secretary for obligation for a 

13 grant under this subsection shall remain available for 

14 expenditure for 100 days after the last day of the per15 formance period of such grant. 

16 ‘‘(b) MILITARY TRAUMA CARE PROVIDER PLACEMENT

17 PROGRAM.— 

18 ‘‘(1) IN GENERAL.—The Secretary shall award 

19 grants to eligible trauma centers to enable military 

20 trauma care providers to provide trauma care and re21 lated acute care at such trauma centers. 

22 ‘‘(2) LIMITATIONS.—In the case of a grant 

23 awarded under paragraph (1) to an eligible trauma 

24 center, such grant— 


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1 ‘‘(A) shall be for a period of at least 1 year 

2 and not more than 3 years (and may be renewed 

3 at the end of such period); and 

4 ‘‘(B) shall be in an amount that does not 

5 exceed, in a year— 

6 ‘‘(i) $100,000 for each military trauma 

7 care provider that is a physician at such el8 igible trauma center; and 

9 ‘‘(ii) $50,000 for each other military 

10 trauma care provider at such eligible trau11 ma center. 

12 ‘‘(c) GRANT REQUIREMENTS.— 

13 ‘‘(1) DEPLOYMENT.—As a condition of receipt of 

14 a grant under this section, a grant recipient shall 

15 agree to allow military trauma care providers pro16 viding care pursuant to such grant to be deployed by 

17 the Secretary of Defense for military operations, for 

18 training, or for response to a mass casualty incident. 

19 ‘‘(2) USE OF FUNDS.—Grants awarded under 

20 this section to an eligible trauma center may be used 

21 to train and incorporate military trauma care pro22 viders into such trauma center, including expendi23 tures for malpractice insurance, office space, informa24 tion technology, specialty education and supervision, 


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1 trauma programs, research, and State license fees for 

2 such military trauma care providers. 

3 ‘‘(d) RULE OF CONSTRUCTION.—Nothing in this sec4 tion shall be construed to affect the extent to which State 

5 licensing requirements for health care professionals are pre6 empted by other Federal law from applying to military 

7 trauma care providers. 

8 ‘‘(e) REPORTING REQUIREMENTS.— 

9 ‘‘(1) REPORT TO THE SECRETARY AND THE SEC10 RETARY OF DEFENSE.—Each eligible trauma center 

11 or eligible high-acuity trauma center awarded a grant 

12 under subsection (a) or (b) for a year shall submit to 

13 the Secretary and the Secretary of Defense a report 

14 for such year that includes information on— 

15 ‘‘(A) the number and types of trauma cases 

16 managed by military trauma teams or military 

17 trauma care providers pursuant to such grant 

18 during such year; 

19 ‘‘(B) the financial impact of such grant on 

20 the trauma center; 

21 ‘‘(C) the educational impact on resident 

22 trainees in centers where military trauma teams 

23 are assigned; 

24 ‘‘(D) any research conducted during such 

25 year supported by such grant; and 


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1 ‘‘(E) any other information required by the 

2 Secretaries for the purpose of evaluating the ef3 fect of such grant. 

4 ‘‘(2) REPORT TO CONGRESS.—Not less than once 

5 every 2 years, the Secretary, in consultation with the 

6 Secretary of Defense, shall submit a report to Con7 gress that includes information on the effect of plac8 ing military trauma care providers in trauma centers 

9 awarded grants under this section on— 

10 ‘‘(A) maintaining readiness of military 

11 trauma care providers for battlefield injuries; 

12 ‘‘(B) providing health care to civilian trau13 ma patients in both urban and rural settings; 

14 ‘‘(C) the capability to respond to surges in 

15 trauma cases, including as a result of a large 

16 scale event; and 

17 ‘‘(D) the financial State of the trauma cen18 ters. 

19 ‘‘(f) DEFINITIONS.—For purposes of this part: 

20 ‘‘(1) ELIGIBLE TRAUMA CENTER.—The term ‘eli21 gible trauma center’ means a Level I, II, or III trau22 ma center that satisfies each of the following: 

23 ‘‘(A) Such trauma center has an agreement 

24 with the Secretary of Defense to enable military 


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1 trauma care providers to provide trauma care 

2 and related acute care at such trauma center. 

3 ‘‘(B) Such trauma center utilizes a risk-ad4 justed benchmarking system to measure perform5 ance and outcomes, such as the Trauma Quality 

6 Improvement Program of the American College 

7 of Surgeons. 

8 ‘‘(C) Such trauma center demonstrates a 

9 need for integrated military trauma care pro10 viders to maintain or improve the trauma clin11 ical capability of such trauma center. 

12 ‘‘(2) ELIGIBLE HIGH-ACUITY TRAUMA CENTER.— 

13 The term ‘eligible high-acuity trauma center’ means 

14 a Level I trauma center that satisfies each of the fol15 lowing: 

16 ‘‘(A) Such trauma center has an agreement 

17 with the Secretary of Defense to enable military 

18 trauma teams to provide trauma care and re19 lated acute care at such trauma center. 

20 ‘‘(B) At least 20 percent of patients of such 

21 trauma center in the most recent 3-month period 

22 for which data is available are treated for a 

23 major trauma at such trauma center. 

24 ‘‘(C) Such trauma center utilizes a risk-ad25 justed benchmarking system to measure performVerDate Sep 11 2014 21:36 Sep 25, 2017 Jkt 069200 PO 00000 Frm 00008 Fmt 6652 Sfmt 6203 E:\BILLS\H880.RH H880

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1 ance and outcomes, such as the Trauma Quality 

2 Improvement Program of the American College 

3 of Surgeons. 

4 ‘‘(D) Such trauma center is an academic 

5 training center— 

6 ‘‘(i) affiliated with a medical school; 

7 ‘‘(ii) that maintains residency pro8 grams and fellowships in critical trauma 

9 specialties and subspecialties, and provides 

10 education and supervision of military trau11 ma team members according to those spe12 cialties and subspecialties; and 

13 ‘‘(iii) that undertakes research in the 

14 prevention and treatment of traumatic in15 jury. 

16 ‘‘(E) Such trauma center serves as a dis17 aster response leader for its community, such as 

18 by participating in a partnership for State and 

19 regional hospital preparedness established under 

20 section 319C–2. 

21 ‘‘(3) MAJOR TRAUMA.—The term ‘major trauma’ 

22 means an injury that is greater than or equal to 15 

23 on the injury severity score. 

24 ‘‘(4) MILITARY TRAUMA TEAM.—The term ‘mili25 tary trauma team’ means a complete military trauVerDate Sep 11 2014 21:36 Sep 25, 2017 Jkt 069200 PO 00000 Frm 00009 Fmt 6652 Sfmt 6203 E:\BILLS\H880.RH H880

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1 ma team consisting of military trauma care pro2 viders. 

3 ‘‘(5) MILITARY TRAUMA CARE PROVIDER.—The 

4 term ‘military trauma care provider’ means a mem5 ber of the Armed Forces who furnishes emergency, 

6 critical care, and other trauma acute care, including 

7 a physician, military surgeon, physician assistant, 

8 nurse, respiratory therapist, flight paramedic, combat 

9 medic, or enlisted medical technician. 

10 ‘‘(g) AUTHORIZATION OF APPROPRIATIONS.—For each 

11 of fiscal years 2018 through 2022, there are authorized to 

12 be appropriated— 

13 ‘‘(1) $10,000,000 for carrying out subsection (a); 

14 and 

15 ‘‘(2) $5,000,000 for carrying out subsection (b).’’. 


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Union Calendar No. 240 

115TH CONGRESS 

1ST SESSION H. R. 880 

[Report No. 115–330] 

A BILL 

To amend the Public Health Service Act to faciliport such centers, and for other purposes. maintain military trauma readiness and to sup- viders to civilian trauma centers in order to tate assignment of military trauma care proSEPTEMBER 25, 2017 

Reported with an amendment, committed to the Comand ordered to be printed mittee of the Whole House on the State of the Union, 


ethrower on DSK3G9T082PROD with BILLS