II 

110TH CONGRESS 

1ST SESSION S. 657 

To amend the Public Health Service Act to add requirements regarding 

trauma care, and for other purposes. 

IN THE SENATE OF THE UNITED STATES 

FEBRUARY 16, 2007 

Mr. REED (for himself, Mr. ROBERTS, Mr. KENNEDY, Mr. BURR, Mrs. MURRAY, Mr. HATCH, Mr. BROWN, Mrs. CLINTON, Mr. ISAKSON, Mr. BINGAMAN, Ms. COLLINS, and Mr. BIDEN) introduced the following bill; which 

was read twice and referred to the Committee on Health, Education, 

Labor, and Pensions 

A BILL 

To amend the Public Health Service Act to add requirements 

regarding trauma care, 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 Act may be cited as the ‘‘Trauma Care Systems 

5 Planning and Development Act of 2007’’. 

6 SEC. 2. ESTABLISHMENT. 

7 Section 1201 of the Public Health Service Act (42 

8 U.S.C. 300d) is amended to read as follows: 


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1 ‘‘SEC. 1201. ESTABLISHMENT. 

2 ‘‘(a) IN GENERAL.—The Secretary shall, with respect 

3 to trauma care— 

4 ‘‘(1) conduct and support research, training, 

5 evaluations, and demonstration projects; 

6 ‘‘(2) foster the development of appropriate, 

7 modern systems of such care through the sharing of 

8 information among agencies and individuals involved 

9 in the study and provision of such care; 

10 ‘‘(3) collect, compile, and disseminate informa11 tion on the achievements of, and problems experi12 enced by, State and local agencies and private enti13 ties in providing trauma care and emergency medical 

14 services and, in so doing, give special consideration 

15 to the unique needs of rural areas; 

16 ‘‘(4) provide to State and local agencies tech17 nical assistance to enhance each State’s capability to 

18 develop, implement, and sustain the trauma care 

19 component of each State’s plan for the provision of 

20 emergency medical services; 

21 ‘‘(5) sponsor workshops and conferences; and 

22 ‘‘(6) promote the collection and categorization 

23 of trauma data in a consistent and standardized 

24 manner. 

25 ‘‘(b) GRANTS, COOPERATIVE AGREEMENTS, AND

26 CONTRACTS.—The Secretary may make grants, and enter 


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1 into cooperative agreements and contracts, for the purpose 

2 of carrying out subsection (a).’’. 

3 SEC. 3. CLEARINGHOUSE ON TRAUMA CARE AND EMER4 GENCY MEDICAL SERVICES. 

5 The Public Health Service Act (42 U.S.C. 201 et 

6 seq.) is amended— 

7 (1) by striking section 1202; and 

8 (2) by redesignating section 1203 as section 

9 1202. 

10 SEC. 4. ESTABLISHMENT OF PROGRAMS FOR IMPROVING 

11 TRAUMA CARE IN RURAL AREAS. 

12 Section 1202 of the Public Health Service Act, as re13 designated by section 3(2), is amended to read as follows: 

14 ‘‘SEC. 1202. ESTABLISHMENT OF PROGRAMS FOR IMPROV15 ING TRAUMA CARE IN RURAL AREAS. 

16 ‘‘(a) IN GENERAL.—The Secretary may make grants 

17 to public and nonprofit private entities for the purpose of 

18 carrying out research and demonstration projects with re19 spect to improving the availability and quality of emer20 gency medical services in rural areas— 

21 ‘‘(1) by developing innovative uses of commu22 nications technologies and the use of new commu23 nications technology; 

24 ‘‘(2) by developing model curricula, such as ad25 vanced trauma life support, for training emergency 


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1 medical services personnel, including first respond2 ers, emergency medical technicians, emergency 

3 nurses and physicians, and paramedics— 

4 ‘‘(A) in the assessment, stabilization, treat5 ment, preparation for transport, and resuscita6 tion of seriously injured patients, with special 

7 attention to problems that arise during long 

8 transports and to methods of minimizing delays 

9 in transport to the appropriate facility; and 

10 ‘‘(B) in the management of the operation 

11 of the emergency medical services system; 

12 ‘‘(3) by making training for original certifi13 cation, and continuing education, in the provision 

14 and management of emergency medical services 

15 more accessible to emergency medical personnel in 

16 rural areas through telecommunications, home stud17 ies, providing teachers and training at locations ac18 cessible to such personnel, and other methods; 

19 ‘‘(4) by developing innovative protocols and 

20 agreements to increase access to prehospital care 

21 and equipment necessary for the transportation of 

22 seriously injured patients to the appropriate facili23 ties; 


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1 ‘‘(5) by evaluating the effectiveness of protocols 

2 with respect to emergency medical services and sys3 tems; and 

4 ‘‘(6) by increasing communication and coordi5 nation with State trauma systems. 

6 ‘‘(b) SPECIAL CONSIDERATION FOR CERTAIN RURAL

7 AREAS.—In making grants under subsection (a), the Sec8 retary shall give special consideration to any applicant for 

9 the grant that will provide services under the grant in any 

10 rural area identified by a State under section 1214(d)(1). 

11 ‘‘(c) REQUIREMENT OF APPLICATION.—The Sec12 retary may not make a grant under subsection (a) unless 

13 an application for the grant is submitted to the Secretary 

14 and the application is in such form, is made in such man15 ner, and contains such agreements, assurances, and infor16 mation as the Secretary determines to be necessary to 

17 carry out this section.’’. 

18 SEC. 5. COMPETITIVE GRANTS. 

19 Part A of title XII of the Public Health Service Act, 

20 as amended by section 3, is amended by adding at the 

21 end the following: 

22 ‘‘SEC. 1203. COMPETITIVE GRANTS FOR THE IMPROVEMENT 

23 OF TRAUMA CARE. 

24 ‘‘(a) IN GENERAL.—The Secretary, acting through 

25 the Administrator of the Health Resources and Services 


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1 Administration, may make grants to States, political sub2 divisions, or consortia of States or political subdivisions 

3 for the purpose of improving access to and enhancing the 

4 development of trauma care systems. 

5 ‘‘(b) USE OF FUNDS.—The Secretary may make a 

6 grant under this section only if the applicant agrees to 

7 use the grant— 

8 ‘‘(1) to integrate and broaden the reach of a 

9 trauma care system, such as by developing innova10 tive protocols to increase access to prehospital care; 

11 ‘‘(2) to strengthen, develop, and improve an ex12 isting trauma care system; 

13 ‘‘(3) to expand communications between the 

14 trauma care system and emergency medical services 

15 through improved equipment or a telemedicine sys16 tem; 

17 ‘‘(4) to improve data collection and retention; 

18 or 

19 ‘‘(5) to increase education, training, and tech20 nical assistance opportunities, such as training and 

21 continuing education in the management of emer22 gency medical services accessible to emergency med23 ical personnel in rural areas through telehealth, 

24 home studies, and other methods. 


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1 ‘‘(c) PREFERENCE.—In selecting among States, po2 litical subdivisions, and consortia of States or political 

3 subdivisions for purposes of making grants under this sec4 tion, the Secretary shall give preference to applicants 

5 that— 

6 ‘‘(1) have developed a process, using national 

7 standards, for designating trauma centers; 

8 ‘‘(2) recognize protocols for the delivery of seri9 ously injured patients to trauma centers; 

10 ‘‘(3) implement a process for evaluating the 

11 performance of the trauma system; and 

12 ‘‘(4) agree to participate in information systems 

13 described in section 1202 by collecting, providing, 

14 and sharing information. 

15 ‘‘(d) PRIORITY.—In making grants under this sec16 tion, the Secretary shall give priority to applicants that 

17 will use the grants to focus on improving access to trauma 

18 care systems. 

19 ‘‘(e) SPECIAL CONSIDERATION.—In awarding grants 

20 under this section, the Secretary shall give special consid21 eration to projects that demonstrate strong State or local 

22 support, including availability of non-Federal contribu23 tions.’’. 


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1 SEC. 6. REQUIREMENT OF MATCHING FUNDS FOR FISCAL 

2 YEARS SUBSEQUENT TO FIRST FISCAL YEAR 

3 OF PAYMENTS. 

4 Section 1212 of the Public Health Service Act (42 

5 U.S.C. 300d–12) is amended to read as follows: 

6 ‘‘SEC. 1212. REQUIREMENT OF MATCHING FUNDS FOR FIS7 CAL YEARS SUBSEQUENT TO FIRST FISCAL 

8 YEAR OF PAYMENTS. 

9 ‘‘(a) NON-FEDERAL CONTRIBUTIONS.— 

10 ‘‘(1) IN GENERAL.—The Secretary may not 

11 make payments under section 1211(a) unless the 

12 State involved agrees, with respect to the costs de13 scribed in paragraph (2), to make available non-Fed14 eral contributions (in cash or in kind under sub15 section (b)(1)) toward such costs in an amount 

16 that— 

17 ‘‘(A) for the second and third fiscal years 

18 of such payments to the State, is not less than 

19 $1 for each $1 of Federal funds provided in 

20 such payments for such fiscal years; and 

21 ‘‘(B) for the fourth and subsequent fiscal 

22 years of such payments to the State, is not less 

23 than $2 for each $1 of Federal funds provided 

24 in such payments for such fiscal years. 

25 ‘‘(2) PROGRAM COSTS.—The costs referred to 

26 in paragraph (1) are— 


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1 ‘‘(A) the costs to be incurred by the State 

2 in carrying out the purpose described in section 

3 1211(b); or 

4 ‘‘(B) the costs of improving the quality 

5 and availability of emergency medical services 

6 in rural areas of the State. 

7 ‘‘(3) INITIAL YEAR OF PAYMENTS.—The Sec8 retary may not require a State to make non-Federal 

9 contributions as a condition of receiving payments 

10 under section 1211(a) for the first fiscal year of 

11 such payments to the State. 

12 ‘‘(b) DETERMINATION OF AMOUNT OF NON-FED13 ERAL CONTRIBUTION.—With respect to compliance with 

14 subsection (a) as a condition of receiving payments under 

15 section 1211(a)— 

16 ‘‘(1) a State may make the non-Federal con17 tributions required in such subsection in cash or in 

18 kind, fairly evaluated, including plant, equipment, or 

19 services; and 

20 ‘‘(2) the Secretary may not, in making a deter21 mination of the amount of non-Federal contribu22 tions, include amounts provided by the Federal Gov23 ernment or services assisted or subsidized to any sig24 nificant extent by the Federal Government.’’. 


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1 SEC. 7. REQUIREMENTS WITH RESPECT TO CARRYING OUT 

2 PURPOSE OF ALLOTMENTS. 

3 Section 1213 of the Public Health Service Act (42 

4 U.S.C. 300d–13) is amended to read as follows: 

5 ‘‘SEC. 1213. REQUIREMENTS WITH RESPECT TO CARRYING 

6 OUT PURPOSE OF ALLOTMENTS. 

7 ‘‘(a) TRAUMA CARE MODIFICATIONS TO STATE PLAN

8 FOR EMERGENCY MEDICAL SERVICES.—With respect to 

9 the trauma care component of a State plan for the provi10 sion of emergency medical services, the modifications re11 ferred to in section 1211(b) are such modifications to the 

12 State plan as may be necessary for the State involved to 

13 ensure that the plan provides for access to the highest pos14 sible quality of trauma care, and that the plan— 

15 ‘‘(1) specifies that the modifications required 

16 pursuant to paragraphs (2) through (11) will be im17 plemented by the principal State agency with respect 

18 to emergency medical services or by the designee of 

19 such agency; 

20 ‘‘(2) specifies a public or private entity that will 

21 designate trauma care regions and trauma centers in 

22 the State; 

23 ‘‘(3) subject to subsection (b), contains national 

24 standards and requirements of the American College 

25 of Surgeons or another appropriate entity for the 

26 designation of level I and level II trauma centers, 


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1 and in the case of rural areas level III trauma cen2 ters (including trauma centers with specified capa3 bilities and expertise in the care of pediatric trauma 

4 patient), by such entity, including standards and re5 quirements for— 

6 ‘‘(A) the number and types of trauma pa7 tients for whom such centers must provide care 

8 in order to ensure that such centers will have 

9 sufficient experience and expertise to be able to 

10 provide quality care for victims of injury; 

11 ‘‘(B) the resources and equipment needed 

12 by such centers; and 

13 ‘‘(C) the availability of rehabilitation serv14 ices for trauma patients; 

15 ‘‘(4) contains standards and requirements for 

16 the implementation of regional trauma care systems, 

17 including standards and guidelines (consistent with 

18 the provisions of section 1867 of the Social Security 

19 Act) for medically directed triage and transportation 

20 of trauma patients (including patients injured in 

21 rural areas) prior to care in designated trauma cen22 ters; 

23 ‘‘(5) subject to subsection (b), contains national 

24 standards and requirements, including those of the 

25 American Academy of Pediatrics and the American 


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1 College of Emergency Physicians, for medically di2 rected triage and transport of severely injured chil3 dren to designated trauma centers with specified ca4 pabilities and expertise in the care of the pediatric 

5 trauma patient; 

6 ‘‘(6) utilizes a program with procedures for the 

7 evaluation of designated trauma centers (including 

8 trauma centers described in paragraph (5)) and 

9 trauma care systems; 

10 ‘‘(7) provides for the establishment and collec11 tion of data in accordance with data collection re12 quirements developed in consultation with surgical, 

13 medical, and nursing specialty groups, State and 

14 local emergency medical services directors, and other 

15 trained professionals in trauma care, from each des16 ignated trauma center in the State of a central data 

17 reporting and analysis system— 

18 ‘‘(A) to identify the number of severely in19 jured trauma patients and the number of 

20 deaths from trauma within trauma care sys21 tems in the State; 

22 ‘‘(B) to identify the cause of the injury 

23 and any factors contributing to the injury; 

24 ‘‘(C) to identify the nature and severity of 

25 the injury; 


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1 ‘‘(D) to monitor trauma patient care (in2 cluding prehospital care) in each designated 

3 trauma center within regional trauma care sys4 tems in the State (including relevant emer5 gency-department discharges and rehabilitation 

6 information) for the purpose of evaluating the 

7 diagnosis, treatment, and treatment outcome of 

8 such trauma patients; 

9 ‘‘(E) to identify the total amount of un10 compensated trauma care expenditures for each 

11 fiscal year by each designated trauma center in 

12 the State; and 

13 ‘‘(F) to identify patients transferred within 

14 a regional trauma system, including reasons for 

15 such transfer and the outcomes of such pa16 tients; 

17 ‘‘(8) provides for the use of procedures by para18 medics and emergency medical technicians to assess 

19 the severity of the injuries incurred by trauma pa20 tients; 

21 ‘‘(9) provides for appropriate transportation 

22 and transfer policies to ensure the delivery of pa23 tients to designated trauma centers and other facili24 ties within and outside of the jurisdiction of such 

25 system, including policies to ensure that only indiVerDate Aug 31 2005 22:25 Feb 22, 2007 Jkt 059200 PO 00000 Frm 00013 Fmt 6652 Sfmt 6201 E:\BILLS\S657.IS S657

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1 viduals appropriately identified as trauma patients 

2 are transferred to designated trauma centers, and to 

3 provide periodic reviews of the transfers and the au4 diting of such transfers that are determined to be 

5 appropriate; 

6 ‘‘(10) conducts public education activities con7 cerning injury prevention and obtaining access to 

8 trauma care; 

9 ‘‘(11) coordinates planning for trauma systems 

10 with State disaster emergency planning and bioter11 rorism hospital preparedness planning; and 

12 ‘‘(12) with respect to the requirements estab13 lished in this subsection, provides for coordination 

14 and cooperation between the State and any other 

15 State with which the State shares any standard met16 ropolitan statistical area. 

17 ‘‘(b) CERTAIN STANDARDS WITH RESPECT TO TRAU18 MA CARE CENTERS AND SYSTEMS.— 

19 ‘‘(1) IN GENERAL.—The Secretary may not 

20 make payments under section 1211(a) for a fiscal 

21 year unless the State involved agrees that, in car22 rying out paragraphs (3) through (5) of subsection 

23 (a), the State will adopt standards for the designa24 tion of trauma centers, and for triage, transfer, and 


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1 transportation policies, and that the State will, in 

2 adopting such standards— 

3 ‘‘(A) take into account national standards 

4 concerning that outline resources for optimal 

5 care of the injured patient; 

6 ‘‘(B) consult with medical, surgical, and 

7 nursing speciality groups, hospital associations, 

8 emergency medical services State and local di9 rectors, concerned advocates and other inter10 ested parties; 

11 ‘‘(C) conduct hearings on the proposed 

12 standards after providing adequate notice to the 

13 public concerning such hearing; and 

14 ‘‘(D) beginning in fiscal year 2008, take 

15 into account the model plan described in sub16 section (c). 

17 ‘‘(2) QUALITY OF TRAUMA CARE.—The highest 

18 quality of trauma care shall be the primary goal of 

19 State standards adopted under this subsection. 

20 ‘‘(3) APPROVAL BY THE SECRETARY.—The Sec21 retary may not make payments under section 

22 1211(a) to a State if the Secretary determines 

23 that— 

24 ‘‘(A) in the case of payments for fiscal 

25 year 2008 and subsequent fiscal years, the 


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1 State has not taken into account national 

2 standards, including those of the American Col3 lege of Surgeons, the American College of 

4 Emergency Physicians, and the American Acad5 emy of Pediatrics, in adopting standards under 

6 this subsection; or 

7 ‘‘(B) in the case of payments for fiscal 

8 year 2008 and subsequent fiscal years, the 

9 State has not, in adopting such standards, 

10 taken into account the model plan developed 

11 under subsection (c). 

12 ‘‘(c) MODEL TRAUMA CARE PLAN.— 

13 ‘‘(1) IN GENERAL.—Not later than 1 year after 

14 the date of the enactment of the Trauma Care Sys15 tems Planning and Development Act of 2007, the 

16 Secretary shall update the model plan for the des17 ignation of trauma centers and for triage, transfer, 

18 and transportation policies that may be adopted for 

19 guidance by the State. Such plan shall— 

20 ‘‘(A) take into account national standards, 

21 including those of the American College of Sur22 geons, American College of Emergency Physi23 cians, and the American Academy of Pediatrics; 

24 ‘‘(B) take into account existing State 

25 plans; 


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1 ‘‘(C) be developed in consultation with 

2 medical, surgical, and nursing speciality groups, 

3 hospital associations, emergency medical serv4 ices State directors and associations, and other 

5 interested parties; and 

6 ‘‘(D) include standards for the designation 

7 of rural health facilities and hospitals best able 

8 to receive, stabilize, and transfer trauma pa9 tients to the nearest appropriate designated 

10 trauma center, and for triage, transfer, and 

11 transportation policies as they relate to rural 

12 areas. 

13 ‘‘(2) APPLICABILITY.—Standards described in 

14 paragraph (1)(D) shall be applicable to all rural 

15 areas in the State, including both non-metropolitan 

16 areas and frontier areas that have populations of 

17 less than 6,000 per square mile. 

18 ‘‘(d) RULE OF CONSTRUCTION WITH RESPECT TO

19 NUMBER OF DESIGNATED TRAUMA CENTERS.—With re20 spect to compliance with subsection (a) as a condition of 

21 the receipt of a grant under section 1211(a), such sub22 section may not be construed to specify the number of 

23 trauma care centers designated pursuant to such sub24 section.’’. 


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1 SEC. 8. REQUIREMENT OF SUBMISSION TO SECRETARY OF 

2 TRAUMA PLAN AND CERTAIN INFORMATION. 

3 Section 1214 of the Public Health Service Act (42 

4 U.S.C. 300d–14) is amended to read as follows: 

5 ‘‘SEC. 1214. REQUIREMENT OF SUBMISSION TO SECRETARY 

6 OF TRAUMA PLAN AND CERTAIN INFORMA7 TION. 

8 ‘‘(a) IN GENERAL.—For each fiscal year, the Sec9 retary may not make payments to a State under section 

10 1211(a) unless, subject to subsection (b), the State sub11 mits to the Secretary the trauma care component of the 

12 State plan for the provision of emergency medical services, 

13 including any changes to the trauma care component and 

14 any plans to address deficiencies in the trauma care com15 ponent. 

16 ‘‘(b) INTERIM PLAN OR DESCRIPTION OF EF17 FORTS.—For each fiscal year, if a State has not completed 

18 the trauma care component of the State plan described 

19 in subsection (a), the State may provide, in lieu of such 

20 completed component, an interim component or a descrip21 tion of efforts made toward the completion of the compo22 nent. 

23 ‘‘(c) INFORMATION RECEIVED BY STATE REPORTING

24 AND ANALYSIS SYSTEM.—The Secretary may not make 

25 payments to a State under section 1211(a) unless the 

26 State agrees that the State will, not less than once each 


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1 year, provide to the Secretary the information received by 

2 the State pursuant to section 1213(a)(7). 

3 ‘‘(d) AVAILABILITY OF EMERGENCY MEDICAL SERV4 ICES IN RURAL AREAS.—The Secretary may not make 

5 payments to a State under section 1211(a) unless— 

6 ‘‘(1) the State identifies any rural area in the 

7 State for which— 

8 ‘‘(A) there is no system of access to emer9 gency medical services through the telephone 

10 number 911; 

11 ‘‘(B) there is no basic life-support system; 

12 or 

13 ‘‘(C) there is no advanced life-support sys14 tem; and 

15 ‘‘(2) the State submits to the Secretary a list 

16 of rural areas identified pursuant to subparagraph 

17 (A) or, if there are no such areas, a statement that 

18 there are no such areas.’’. 

19 SEC. 9. RESTRICTIONS ON USE OF PAYMENTS. 

20 Section 1215 of the Public Health Service Act (42 

21 U.S.C. 300d–15) is amended to read as follows: 

22 ‘‘SEC. 1215. RESTRICTIONS ON USE OF PAYMENTS. 

23 ‘‘(a) IN GENERAL.—The Secretary may not, except 

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1 tion 1211(a) for a fiscal year unless the State involved 

2 agrees that the payments will not be expended— 

3 ‘‘(1) for any purpose other than developing, im4 plementing, and monitoring the modifications re5 quired by section 1211(b) to be made to the State 

6 plan for the provision of emergency medical services; 

7 ‘‘(2) to make cash payments to intended recipi8 ents of services provided pursuant to this section; 

9 ‘‘(3) to purchase or improve real property 

10 (other than minor remodeling of existing improve11 ments to real property); 

12 ‘‘(4) to satisfy any requirement for the expendi13 ture of non-Federal funds as a condition for the re14 ceipt of Federal funds; or 

15 ‘‘(5) to provide financial assistance to any enti16 ty other than a public or nonprofit private entity. 

17 ‘‘(b) WAIVER.—The Secretary may waive a restric18 tion under subsection (a) only if the Secretary determines 

19 that the activities outlined by the State plan submitted 

20 under section 1214(a)(1) by the State involved cannot oth21 erwise be carried out.’’. 

22 SEC. 10. REQUIREMENTS OF REPORTS BY STATES. 

23 The Public Health Service Act (42 U.S.C. 201 et 

24 seq.) is amended by striking section 1216. 


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1 SEC. 11. REPORT BY SECRETARY. 

2 Section 1222 of the Public Health Service Act (42 

3 U.S.C. 300d–22) is amended to read as follows: 

4 ‘‘SEC. 1222. REPORT BY SECRETARY. 

5 ‘‘Not later than October 1, 2008, the Secretary shall 

6 report to the appropriate committees of Congress on the 

7 activities of the States carried out pursuant to section 

8 1211. Such report shall include an assessment of the ex9 tent to which Federal and State efforts to develop systems 

10 of trauma care and to designate trauma centers have re11 duced the incidence of mortality, and the incidence of per12 manent disability, resulting from trauma. Such report 

13 may include any recommendations of the Secretary for ap14 propriate administrative and legislative initiatives with re15 spect to trauma care.’’. 

16 SEC. 12. FUNDING. 

17 Section 1232 of the Public Health Service Act (42 

18 U.S.C. 300d–32) is amended to read as follows: 

19 ‘‘SEC. 1232. FUNDING. 

20 ‘‘(a) AUTHORIZATION OF APPROPRIATIONS.—For the 

21 purpose of carrying out parts A and B, there are author22 ized to be appropriated $12,000,000 for fiscal year 2008, 

23 $10,000,000 for fiscal year 2009, and $8,000,000 for each 

24 of the fiscal years 2010 through 2012. 

25 ‘‘(b) RESERVATION OF FUNDS.—If the amount ap26 propriated under subsection (a) for a fiscal year is equal 


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1 to or less than $1,000,000, such appropriation is available 

2 only for making grants under part A. If the amount so 

3 appropriated is greater than $1,000,000, 50 percent of 

4 such appropriation shall be made available for grants 

5 under part A and 50 percent shall be made available for 

6 grants under part B. 

7 ‘‘(c) ALLOCATION OF FUNDS BY SECRETARY.— 

8 ‘‘(1) GENERAL AUTHORITY.—For the purpose 

9 of carrying out part A, the Secretary shall make 

10 available 10 percent of the amounts appropriated for 

11 a fiscal year under subsection (a). 

12 ‘‘(2) RURAL GRANTS.—For the purpose of car13 rying out section 1202, the Secretary shall make 

14 available 10 percent of the amounts appropriated for 

15 a fiscal year under subsection (a).’’. 

16 SEC. 13. INSTITUTE OF MEDICINE STUDY. 

17 Part E of title XII of the Public Health Service Act 

18 (20 U.S.C. 300d–51 et seq.) is amended by adding at the 

19 end the following: 

20 ‘‘SEC. 1254. INSTITUTE OF MEDICINE STUDY. 

21 ‘‘(a) IN GENERAL.—The Secretary shall enter into 

22 a contract with the Institute of Medicine of the National 

23 Academy of Sciences, or another appropriate entity, to 

24 conduct a study on the state of trauma care and trauma 

25 research. 


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1 ‘‘(b) CONTENT.—The study conducted under sub2 section (a) shall— 

3 ‘‘(1) examine and evaluate the state of trauma 

4 care and trauma systems research (including the 

5 role of Federal entities in trauma research) on the 

6 date of enactment of this section, and identify trau7 ma research priorities; 

8 ‘‘(2) examine and evaluate the clinical effective9 ness of trauma care and the impact of trauma care 

10 on patient outcomes, with special attention to high11 risk groups, such as children, the elderly, and indi12 viduals in rural areas; 

13 ‘‘(3) examine and evaluate trauma systems de14 velopment and identify obstacles that prevent or 

15 hinder the effectiveness of trauma systems and trau16 ma systems development; 

17 ‘‘(4) examine and evaluate alternative strategies 

18 for the organization, financing, and delivery of trau19 ma care within an overall systems approach; and 

20 ‘‘(5) examine and evaluate the role of trauma 

21 systems and trauma centers in preparedness for 

22 mass casualties. 

23 ‘‘(c) REPORT.—Not later than 2 years after the date 

24 of enactment of this section, the Secretary shall submit 

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1 taining the results of the study conducted under this sec2 tion. 

3 ‘‘(d) AUTHORIZATION OF APPROPRIATIONS.—There 

4 is authorized to be appropriated to carry out this section 

5 $750,000 for fiscal year 2008.’’. 

6 SEC. 14. RESIDENCY TRAINING PROGRAMS IN EMERGENCY 

7 MEDICINE. 

8 Section 1251 of the Public Health Service Act (42 

9 U.S.C. 300d–51) is amended to read as follows: 

10 ‘‘SEC. 1251. RESIDENCY TRAINING PROGRAMS IN EMER11 GENCY MEDICINE. 

12 ‘‘(a) IN GENERAL.—The Secretary may make grants 

13 to public and nonprofit private entities for the purpose of 

14 planning and developing approved residency training pro15 grams in emergency medicine. 

16 ‘‘(b) IDENTIFICATION AND REFERRAL OF DOMESTIC

17 VIOLENCE.—The Secretary may make a grant under sub18 section (a) only in the applicant involved agrees that the 

19 training programs under subsection (a) will provide edu20 cation and training in identifying and referring cases of 

21 domestic violence. 

22 ‘‘(c) AUTHORIZATION OF APPROPRIATIONS.—For the 

23 purpose of carrying out this section, there is authorized 

24 to be appropriated $400,000 for each of the fiscal years 

25 2008 though 2012.’’. 


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25 

•S 657 IS

1 SEC. 15. STATE GRANTS FOR CERTAIN PROJECTS. 

2 Section 1252 of the Public Health Service Act (42 

3 U.S.C. 300d–52) is amended in the section heading by 

4 striking ‘‘DEMONSTRATION’’ . 

Æ 


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