Calendar No. 93

103D CONGRESS

1ST SESSION S. 1113

A BILL

To amend title XII of the Public Health Service

and for other purposes.Act to revise and extend trauma care programs,

JUNE 15, 1993

Read twice and ordered placed on the calendar
II

Calendar No. 93

103D CONGRESS

1ST SESSION S. 1113

To amend title XII of the Public Health Service Act to revise and extend

trauma care programs, and for other purposes.

IN THE SENATE OF THE UNITED STATES

JUNE 15, 1993

Mr. KENNEDY (for himself, Mrs. KASSEBAUM, Mr. RIEGLE, and Mr. LEVIN)

introduced the following bill; which was read twice and ordered placed on

the calendar

A BILL

To amend title XII of the Public Health Service Act to

revise and extend trauma care programs, and for other

purposes.

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 title may be cited as the ‘‘Trauma Care Amend5 ments Act of 1993’’.

6 SEC. 2. ADVISORY COUNCIL ON TRAUMA CARE SYSTEMS.

7 (a) MEMBERSHIP.—Section 1202(c) of the Public

8 Health Service Act (42 U.S.C. 300d–1(c)) is amended—
2

•S 1113 PCS

1 (1) in paragraph (1)—

2 (A) in the matter preceding subparagraph

3 (A), by striking ‘‘12’’ and inserting ‘‘13’’;

4 (B) in subparagraph (D), by striking

5 ‘‘and’’ at the end thereof;

6 (C) in subparagraph (E), by striking the

7 period and inserting ‘‘; and’’; and

8 (D) by adding at the end thereof the fol9 lowing new subparagraph:

10 ‘‘(F) 1 shall be an individual who has been

11 a trauma patient at a designated trauma cen12 ter.’’; and

13 (2) in paragraphs (3), by striking ‘‘25 percent’’

14 and inserting ‘‘at least 4’’.

15 (b) TERMS.—Section 1202(d) of such Act (42 U.S.C.

16 300d–1(d)) is amended by adding at the end thereof the

17 following new paragraph:

18 ‘‘(3) TRAUMA PATIENT.—A member appointed

19 to serve on the Council under subsection (c)(1)(F),

20 including the initial member appointed under such

21 subsection, shall be appointed for a term of 4

22 years.’’.

23 (c) MEETINGS.—Section 1202(g) of such Act (42

24 U.S.C. 300d–1(g)) is amended to read as follows:
3

•S 1113 PCS

1 ‘‘(g) MEETINGS.—The Council shall meet not less

2 than once each year, and if the Chair determines nec3 essary, up to four times each year.’’.

4 SEC. 3. REQUIREMENTS.

5 Section 1213(a)(11) of the Public Health Service Act

6 (42 U.S.C. 300d–13(a)(11)) is amended by striking ‘‘any

7 standard metropolitan statistical area’’ and inserting ‘‘a

8 border, with respect to State areas in which logical geo9 graphic groupings across State borders would be appro10 priate to carry out the purposes of this title’’.

11 SEC. 4. FUNDING.

12 Section 1232(a) of the Public Health Service Act (42

13 U.S.C. 300d–32(a)) is amended—

14 (1) by striking ‘‘$60,000,000 for fiscal year

15 1991’’ and inserting ‘‘$25,000,000 for fiscal year

16 1994’’; and

17 (2) by striking ‘‘1992 and 1993’’ and inserting

18 ‘‘1995, 1996, and 1997.’’.

19 SEC. 5. TECHNICAL AMENDMENTS.

20 Title XII of the Public Health Service Act is amend21 ed—

22 (1) in section 1212(a)(2)(A) (42 U.S.C. 300d–

23 12(a)(2)(A)), by striking ‘‘1211(c)’’ and inserting

24 ‘‘1211(b)’’;
4

•S 1113 PCS

1 (2) in section 1213(a) (42 U.S.C. 300d–

2 13(a))—

3 (A) by striking ‘‘to provide’’ in paragraphs

4 (8) and (9) and inserting ‘‘provides’’; and

5 (B) by striking ‘‘to conduct’’ in paragraph

6 (10) and inserting ‘‘conducts’’;

7 (3) in section 1213(c) (42 U.S.C. 300d–13(c)),

8 by striking ‘‘6,000’’ in the matter following para9 graph (4) and inserting ‘‘6’’; and

10 (4) in section 1231(3) (42 U.S.C. 300d–31), by

11 striking ‘‘Puerto Rico;’’ and inserting ‘‘Puerto

12 Rico,’’.

13 SEC. 6. STUDY CONCERNING FEDERAL DUPLICATION OF

14 EMS AND TRAUMA CARE ACTIVITIES.

15 (a) STUDY.—The General Accounting Office shall

16 conduct a study to determine the extent and desirability

17 of the duplication of Federal emergency medical services

18 and trauma care activities. Within such study the General

19 Accounting Office shall—

20 (1) describe existing emergency medical service

21 and trauma care programs located within—

22 (A) the Federal Emergency Management

23 Agency;

24 (B) the General Services Administration;

25 (C) the Department of Agriculture;
5

•S 1113 PCS

1 (D) the Department of Defense;

2 (E) the Department of Health and Human

3 Services;

4 (F) the Department of Transportation;

5 (G) the Department of Veterans Affairs;

6 (H) the Federal Interagency Committee on

7 Emergency Medical Services; or

8 (I) any other relevant entities;

9 with respect to the purpose of each program, the

10 amount of resources allocated for each program and

11 its respective grant or contract programs for State,

12 local, or nonprofit entities;

13 (2) examine each program described in para14 graph (1) to determine if there is a duplication of

15 emergency medical service and trauma care pro16 grams resulting in economic and service inefficien17 cies;

18 (3) develop recommendations on the feasibility

19 of consolidating all programs described in paragraph

20 (1) into one Federal department or a smaller num21 ber of entities to limit the duplication of such pro22 grams and enhance financial and service efficiency

23 for Federal emergency medical service and trauma

24 care programs;
6

•S 1113 PCS

1 (4) develop recommendations, if a consolidation

2 described in paragraph (3) is warranted, concerning

3 which emergency medical service and trauma care

4 programs should continue and the appropriate entity

5 or entities to administer each such program based

6 upon the mission and expertise of such entity or

7 entities;

8 (5) develop recommendations concerning which

9 Federal entity should be the lead agency for emer10 gency medical service and trauma care programs in

11 the Federal Government, to be responsible for—

12 (A) administering programs for emergency

13 medical service and trauma care programs;

14 (B) acting as the first point of Federal

15 contact for all local, nonprofit and State entities

16 in regard to all Federal emergency medical

17 service and trauma care programs;

18 (C) administering the emergency medical

19 service and trauma care information clearing20 house for the use of all Federal, State, local,

21 and nonprofit entities;

22 (D) coordinating all Federal emergency

23 medical service and trauma care programs;

24 (E) serving as the Chair of an interagency

25 committee on emergency medical service, in the
7

•S 1113 PCS

1 event such an entity is recommended to exist

2 for the consolidated emergency medical service

3 and trauma care programs; and

4 (F) assuming other roles relevant to a lead

5 agency as determined appropriate by the Gen6 eral Accounting Office; and

7 (6) develop recommendations for mechanisms to

8 ensure that the lead Federal entity described in

9 paragraph (5) has power sufficient to coordinate and

10 prevent the duplication of Federal emergency medi11 cal service and trauma care programs.

12 (b) REPORT.—Not later than 1 year after the date

13 of enactment of this Act, the General Accounting Office

14 shall prepare and submit to the appropriate committees

15 of Congress a report concerning the study conducted

16 under subsection (a) and the recommendations made

17 under such study.