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:

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;
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1 (C) in subparagraph (E), by striking the

2 period and inserting ‘‘; and’’; and

3 (D) by adding at the end thereof the follow4 ing new subparagraph:

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

6 a trauma patient at a designated trauma cen7 ter.’’; and

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

9 and inserting ‘‘at least 4’’.

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

11 300d–1(d)) is amended by adding at the end thereof the

12 following new paragraph:

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

14 serve on the Council under subsection (c)(1)(F), in15 cluding the initial member appointed under such sub16 section, shall be appointed for a term of 4 years.’’.

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

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

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

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

21 to four times each year.’’.

22 SEC. 3. REQUIREMENTS.

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

24 (42 U.S.C. 300d–13(a)(11)) is amended by striking ‘‘any

25 standard metropolitan statistical area’’ and inserting ‘‘a
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1 border, with respect to State areas in which logical geo2 graphic groupings across State borders would be appro3 priate to carry out the purposes of this title’’.

4 SEC. 4. FUNDING.

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

6 U.S.C. 300d–32(a)) is amended—

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

8 1991’’ and inserting ‘‘$25,000,000 for fiscal year

9 1994’’; and

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

11 ‘‘1995, 1996, and 1997.’’.

12 SEC. 5. TECHNICAL AMENDMENTS.

13 Title XII of the Public Health Service Act is amend14 ed—

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

16 12(a)(2)(A)), by striking ‘‘1211(c)’’ and inserting

17 ‘‘1211(b)’’;

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

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

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

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

22 (10) and inserting ‘‘conducts’’;

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

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

25 (4) and inserting ‘‘6’’; and
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1 (4) in section 1231(3) (42 U.S.C. 300d–31), by

2 striking ‘‘Puerto Rico;’’ and inserting ‘‘Puerto Rico,’’.

3 SEC. 6. STUDY CONCERNING FEDERAL DUPLICATION OF

4 EMS AND TRAUMA CARE ACTIVITIES.

5 (a) STUDY.—The General Accounting Office shall con6 duct a study to determine the extent and desirability of the

7 duplication of Federal emergency medical services and

8 trauma care activities. Within such study the General Ac9 counting Office shall—

10 (1) describe existing emergency medical service

11 and trauma care programs located within—

12 (A) the Federal Emergency Management

13 Agency;

14 (B) the General Services Administration;

15 (C) the Department of Agriculture;

16 (D) the Department of Defense;

17 (E) the Department of Health and Human

18 Services;

19 (F) the Department of Transportation;

20 (G) the Department of Veterans Affairs;

21 (H) the Federal Interagency Committee on

22 Emergency Medical Services; or

23 (I) any other relevant entities;

24 with respect to the purpose of each program, the

25 amount of resources allocated for each program and
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1 its respective grant or contract programs for State,

2 local, or nonprofit entities;

3 (2) examine each program described in para4 graph (1) to determine if there is a duplication of

5 emergency medical service and trauma care programs

6 resulting in economic and service inefficiencies;

7 (3) develop recommendations on the feasibility of

8 consolidating all programs described in paragraph

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

10 of entities to limit the duplication of such programs

11 and enhance financial and service efficiency for Fed12 eral emergency medical service and trauma care pro13 grams;

14 (4) develop recommendations, if a consolidation

15 described in paragraph (3) is warranted, concerning

16 which emergency medical service and trauma care

17 programs should continue and the appropriate entity

18 or entities to administer each such program based

19 upon the mission and expertise of such entity or

20 entities;

21 (5) develop recommendations concerning which

22 Federal entity should be the lead agency for emer23 gency medical service and trauma care programs in

24 the Federal Government, to be responsible for—
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1 (A) administering programs for emergency

2 medical service and trauma care programs;

3 (B) acting as the first point of Federal con4 tact for all local, nonprofit and State entities in

5 regard to all Federal emergency medical service

6 and trauma care programs;

7 (C) administering the emergency medical

8 service and trauma care information clearing9 house for the use of all Federal, State, local, and

10 nonprofit entities;

11 (D) coordinating all Federal emergency

12 medical service and trauma care programs;

13 (E) serving as the Chair of an interagency

14 committee on emergency medical service, in the

15 event such an entity is recommended to exist for

16 the consolidated emergency medical service and

17 trauma care programs; and

18 (F) assuming other roles relevant to a lead

19 agency as determined appropriate by the General

20 Accounting Office; and

21 (6) develop recommendations for mechanisms to

22 ensure that the lead Federal entity described in para23 graph (5) has power sufficient to coordinate and pre24 vent the duplication of Federal emergency medical

25 service and trauma care programs.
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1 (b) REPORT.—Not later than 1 year after the date of

2 enactment of this Act, the General Accounting Office shall

3 prepare and submit to the appropriate committees of Con4 gress a report concerning the study conducted under sub5 section (a) and the recommendations made under such

6 study.

Attest:

Secretary.