‘‘(2) the State submits to the Secretary a list 
of rural areas identified pursuant to paragraph (1) 
or, if there are no such areas, a statement that there 
are no such areas.’’. 
SEC. 9. RESTRICTIONS ON USE OF PAYMENTS. 
Section 1215 of the Public Health Service Act (42 
U.S.C. 300d–15) is amended to read as follows: 
‘‘SEC. 1215. RESTRICTIONS ON USE OF PAYMENTS. 
‘‘(a) IN GENERAL.—The Secretary may not, except 
as provided in subsection (b), make payments under sec-
tion 1211(a) for a fiscal year unless the State involved 
agrees that the payments will not be expended—
‘‘(1) for any purpose other than developing, im-
plementing, and monitoring the modifications re-
quired by section 1211(b) to be made to the State 
plan for the provision of emergency medical services; 
‘‘(2) to make cash payments to intended recipi-
ents of services provided pursuant to this section; 
‘‘(3) to purchase or improve real property 
(other than minor remodeling of existing improve-
ments to real property); 
‘‘(4) to satisfy any requirement for the expendi-
ture of non-Federal funds as a condition for the re-
ceipt of Federal funds; or
‘‘(5) to provide financial assistance to any enti-
ty other than a public or nonprofit private entity. 
‘‘(b) WAIVER.—The Secretary may waive a restric-
tion under subsection (a) only if the Secretary determines 
that the activities outlined by the State plan submitted 
under section 1214(a) by the State involved cannot other-
wise be carried out.’’. 
SEC. 10. REQUIREMENTS OF REPORTS BY STATES. 
The Public Health Service Act (42 U.S.C. 201 et 
seq.) is amended by striking section 1216. 
SEC. 11. REPORT BY SECRETARY. 
Section 1222 of the Public Health Service Act (42 
U.S.C. 300d–22) is amended to read as follows: 
‘‘SEC. 1222. REPORT BY SECRETARY. 
‘‘Not later than October 1, 2008, the Secretary shall 
report to the appropriate committees of Congress on the 
activities of the States carried out pursuant to section 
1211. Such report shall include an assessment of the ex-
tent to which Federal and State efforts to develop systems 
of trauma care and to designate trauma centers have re-
duced the incidence of mortality, and the incidence of per-
manent disability, resulting from trauma. Such report 
may include any recommendations of the Secretary for ap-
propriate administrative and legislative initiatives with re-
spect to trauma care.’’.
SEC. 12. FUNDING. 
Section 1232 of the Public Health Service Act (42 
U.S.C. 300d–32) is amended to read as follows: 
‘‘SEC. 1232. FUNDING. 
‘‘(a) AUTHORIZATION OF APPROPRIATIONS.—For the 
purpose of carrying out parts A and B, subject to sub-
sections (b) and (c), there are authorized to be appro-
priated $12,000,000 for fiscal year 2008, $10,000,000 for 
fiscal year 2009, and $8,000,000 for each of the fiscal 
years 2010 through 2012. 
‘‘(b) RESERVATION OF FUNDS.—If the amount ap-
propriated under subsection (a) for a fiscal year is equal 
to or less than $1,000,000, such appropriation is available 
only for the purpose of carrying out part A. If the amount 
so appropriated is greater than $1,000,000, 50 percent 
of such appropriation shall be made available for the pur-
pose of carrying out part A and 50 percent shall be made 
available for the purpose of carrying out part B. 
‘‘(c) ALLOCATION
OF PART A FUNDS.—Of the 
amounts appropriated under subsection (a) for a fiscal 
year to carry out part A—
‘‘(1) 10 percent of such amounts for such year 
shall be allocated for administrative purposes; and 
‘‘(2) 10 percent of such amounts for such year 
shall be allocated for the purpose of carrying out 
section 1202.’’.
SEC. 13. RESIDENCY TRAINING PROGRAMS IN EMERGENCY 
MEDICINE. 
Section 1251 of the Public Health Service Act (42 
U.S.C. 300d–51) is amended to read as follows: 
‘‘SEC. 1251. RESIDENCY TRAINING PROGRAMS IN EMER-
GENCY MEDICINE. 
‘‘(a) IN GENERAL.—The Secretary may make grants 
to public and nonprofit private entities for the purpose of 
planning and developing approved residency training pro-
grams in emergency medicine. 
‘‘(b) IDENTIFICATION AND REFERRAL OF DOMESTIC 
VIOLENCE.—The Secretary may make a grant under sub-
section (a) only if the applicant involved agrees that the 
training programs under subsection (a) will provide edu-
cation and training in identifying and referring cases of 
domestic violence. 
‘‘(c) AUTHORIZATION OF APPROPRIATIONS.—For the 
purpose of carrying out this section, there is authorized 
to be appropriated $400,000 for each of the fiscal years 
2008 though 2012.’’.
SEC. 14. STATE GRANTS FOR CERTAIN PROJECTS. 
Section 1252 of the Public Health Service Act (42 
U.S.C. 300d–52) is amended in the section heading by 
striking ‘‘DEMONSTRATION’’. 
Passed the House of Representatives March 27, 
2007. 
Attest:
Clerk.