103D CONGRESS

1ST SESSION H. R. 2205

AMENDMENT
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:

1 SECTION 1. SHORT TITLE.

2 This title may be cited as the ‘‘Trauma Care Amend3 ments Act of 1993’’.

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

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

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

7 (1) in paragraph (1)—

8 (A) in the matter preceding subparagraph

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

10 (B) in subparagraph (D), by striking ‘‘and’’

11 at the end thereof;

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

13 period and inserting ‘‘; and’’; and

14 (D) by adding at the end thereof the follow15 ing new subparagraph:
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1 ‘‘(F) 1 shall be an individual who has been

2 a trauma patient at a designated trauma cen3 ter.’’; and

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

5 and inserting ‘‘at least 4’’.

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

7 300d–1(d)) is amended by adding at the end thereof the

8 following new paragraph:

9 ‘‘(3) TRAUMA PATIENT.—A member appointed to

10 serve on the Council under subsection (c)(1)(F), in11 cluding the initial member appointed under such sub12 section, shall be appointed for a term of 4 years.’’.

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

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

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

16 once each year, and if the Chair determines necessary, up

17 to four times each year.’’.

18 SEC. 3. REQUIREMENTS.

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

20 (42 U.S.C. 300d–13(a)(11)) is amended by striking ‘‘any

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

22 border, with respect to State areas in which logical geo23 graphic groupings across State borders would be appro24 priate to carry out the purposes of this title’’.
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1 SEC. 4. FUNDING.

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

3 U.S.C. 300d–32(a)) is amended—

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

5 1991’’ and inserting ‘‘$25,000,000 for fiscal year

6 1994’’; and

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

8 ‘‘1995, 1996, and 1997.’’.

9 SEC. 5. TECHNICAL AMENDMENTS.

10 Title XII of the Public Health Service Act is amend11 ed—

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

13 12(a)(2)(A)), by striking ‘‘1211(c)’’ and inserting

14 ‘‘1211(b)’’;

15 (2) in section 1213(a) (42 U.S.C. 300d–13(a))—

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

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

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

19 (10) and inserting ‘‘conducts’’;

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

21 striking ‘‘6,000’’ in the matter following paragraph

22 (4) and inserting ‘‘6’’; and

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

24 striking ‘‘Puerto Rico;’’ and inserting ‘‘Puerto Rico,’’.
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1 SEC. 6. STUDY CONCERNING FEDERAL DUPLICATION OF

2 EMS AND TRAUMA CARE ACTIVITIES.

3 (a) STUDY.—The General Accounting Office shall con4 duct a study to determine the extent and desirability of the

5 duplication of Federal emergency medical services and

6 trauma care activities. Within such study the General Ac7 counting Office shall—

8 (1) describe existing emergency medical service

9 and trauma care programs located within—

10 (A) the Federal Emergency Management

11 Agency;

12 (B) the General Services Administration;

13 (C) the Department of Agriculture;

14 (D) the Department of Defense;

15 (E) the Department of Health and Human

16 Services;

17 (F) the Department of Transportation;

18 (G) the Department of Veterans Affairs;

19 (H) the Federal Interagency Committee on

20 Emergency Medical Services; or

21 (I) any other relevant entities;

22 with respect to the purpose of each program, the

23 amount of resources allocated for each program and

24 its respective grant or contract programs for State,

25 local, or nonprofit entities;
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1 (2) examine each program described in para2 graph (1) to determine if there is a duplication of

3 emergency medical service and trauma care programs

4 resulting in economic and service inefficiencies;

5 (3) develop recommendations on the feasibility of

6 consolidating all programs described in paragraph

7 (1) into one Federal department or a smaller number

8 of entities to limit the duplication of such programs

9 and enhance financial and service efficiency for Fed10 eral emergency medical service and trauma care pro11 grams;

12 (4) develop recommendations, if a consolidation

13 described in paragraph (3) is warranted, concerning

14 which emergency medical service and trauma care

15 programs should continue and the appropriate entity

16 or entities to administer each such program based

17 upon the mission and expertise of such entity or

18 entities;

19 (5) develop recommendations concerning which

20 Federal entity should be the lead agency for emer21 gency medical service and trauma care programs in

22 the Federal Government, to be responsible for—

23 (A) administering programs for emergency

24 medical service and trauma care programs;
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1 (B) acting as the first point of Federal con2 tact for all local, nonprofit and State entities in

3 regard to all Federal emergency medical service

4 and trauma care programs;

5 (C) administering the emergency medical

6 service and trauma care information clearing7 house for the use of all Federal, State, local, and

8 nonprofit entities;

9 (D) coordinating all Federal emergency

10 medical service and trauma care programs;

11 (E) serving as the Chair of an interagency

12 committee on emergency medical service, in the

13 event such an entity is recommended to exist for

14 the consolidated emergency medical service and

15 trauma care programs; and

16 (F) assuming other roles relevant to a lead

17 agency as determined appropriate by the General

18 Accounting Office; and

19 (6) develop recommendations for mechanisms to

20 ensure that the lead Federal entity described in para21 graph (5) has power sufficient to coordinate and pre22 vent the duplication of Federal emergency medical

23 service and trauma care programs.

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

25 enactment of this Act, the General Accounting Office shall
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1 prepare and submit to the appropriate committees of Con2 gress a report concerning the study conducted under sub3 section (a) and the recommendations made under such

4 study.

Attest:

Secretary.