IB 
Union Calendar No. 340 
113TH CONGRESS 
2D SESSION 
H. R. 4080 
[Report No. 113–459] 
To amend title XII of the Public Health Service Act to reauthorize certain 
trauma care programs, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
FEBRUARY 25, 2014 
Mr. BURGESS (for himself and Mr. GENE GREEN of Texas) introduced the 
following bill; which was referred to the Committee on Energy and Commerce 
MAY 20, 2014 
Additional sponsors: Mr. CUELLAR, Mr. JOHNSON of Ohio, Mr. RUSH, Mr. 
MCDERMOTT, Mr. CASSIDY, Mr. MCKINLEY, Mr. MURPHY of Pennsyl-
vania, Mr. MCGOVERN, Mr. RANGEL, Mr. JOHNSON of Georgia, Mr. 
CONYERS, Ms. BROWN of Florida, Mr. RUPPERSBERGER, Mr. STOCKMAN, 
Mr. BILIRAKIS, Mr. BLUMENAUER, Mr. HONDA, Ms. JACKSON LEE, Mr. 
SHIMKUS, Mr. COHEN, Mr. CA´RDENAS, Mr. RUIZ, Mr. ELLISON, Mr. 
MORAN, Mr. GUTHRIE, Mr. PALLONE, Mr. ROE of Tennessee, Mr. 
GRIMM, Mr. POCAN, Mr. BUTTERFIELD, and Mr. DENT 
MAY 20, 2014 
Reported with an amendment, committed to the Committee of the Whole 
House on the State of the Union, and ordered to be printed 
[Strike out all after the enacting clause and insert the part printed in italic] 
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A BILL 
To amend title XII of the Public Health Service Act to 
reauthorize certain trauma care programs, and for other 
purposes. 
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Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Trauma Systems and 
Regionalization of Emergency Care Reauthorization Act’’. 
SEC. 2. REAUTHORIZATION OF CERTAIN TRAUMA CARE 
PROGRAMS. 
Section 1232(a) of the Public Health Service Act (42 
U.S.C. 300d–32(a)) is amended by striking ‘‘2014’’ and 
inserting ‘‘2019’’. 
SEC. 3. IMPROVEMENTS AND CLARIFICATIONS TO CERTAIN 
TRAUMA CARE PROGRAMS. 
(a)
ALLOCATION
OF
FUNDS
FOR
COMPETITIVE 
GRANTS FOR REGIONALIZED SYSTEMS FOR EMERGENCY 
CARE RESPONSE.—Section 1232(c) of the Public Health 
Service Act (42 U.S.C. 300d–31(c)) is amended— 
(1) in paragraph (1), by striking ‘‘and’’ at the 
end; 
(2) in paragraph (2), by striking the period at 
the end and inserting ‘‘; and’’; and 
(3) by adding at the end the following new 
paragraph: 
‘‘(3) for a fiscal year after fiscal year 2014, not 
more than 50 percent of such amounts remaining 
for such fiscal year after application of paragraphs 
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(1) and (2) shall be allocated for the purpose of car-
rying out section 1204.’’. 
(b) CLARIFICATIONS UNDER TRAUMA SYSTEMS FOR-
MULA GRANTS REQUIREMENTS RELATING TO THE AMER-
ICAN BURN ASSOCIATION.—Section 1213 of the Public 
Health Service Act (42 U.S.C. 300d–13) is amended— 
(1) in subsection (a)(3), by inserting ‘‘and (for 
a fiscal year after fiscal year 2014) contains national 
standards and requirements of the American Burn 
Association for the designation of verified burn cen-
ters,’’ after ‘‘such entity,’’; 
(2) in subsection (b)(3)(A), by striking ‘‘and 
the American Academy of Pediatrics,’’ and inserting 
‘‘the American Academy of Pediatrics, and (for a 
fiscal year after fiscal year 2014) the American 
Burn Association’’; and 
(3) in subsection (c)(1)— 
(A) in the matter preceding subparagraph 
(A), by inserting ‘‘and not later than 1 year 
after the date of the enactment of the Trauma 
Systems
and
Regionalization
of
Emergency 
Care Reauthorization Act’’ after ‘‘Act of 2007’’; 
and 
(B) in subparagraph (A), by striking ‘‘and 
the American Academy of Pediatrics’’ and in-
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serting ‘‘the American Academy of Pediatrics, 
and (with respect to the update pursuant to the 
Trauma Systems and Regionalization of Emer-
gency Care Reauthorization Act) the American 
Burn Association’’. 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Trauma Systems and 
Regionalization of Emergency Care Reauthorization Act’’. 
SEC. 2. REAUTHORIZATION OF CERTAIN TRAUMA CARE 
PROGRAMS. 
Section 1232(a) of the Public Health Service Act (42 
U.S.C. 300d–32(a)) is amended by striking ‘‘2014’’ and in-
serting ‘‘2019’’. 
SEC. 3. IMPROVEMENTS AND CLARIFICATIONS TO CERTAIN 
TRAUMA CARE PROGRAMS. 
(a) ALLOCATION OF FUNDS FOR COMPETITIVE GRANTS 
FOR REGIONALIZED SYSTEMS FOR EMERGENCY CARE RE-
SPONSE.—Section 1232(c) of the Public Health Service Act 
(42 U.S.C. 300d–31(c)) is amended— 
(1) in paragraph (1), by striking ‘‘and’’ at the 
end; 
(2) in paragraph (2), by striking the period at 
the end and inserting ‘‘; and’’; and 
(3) by adding at the end the following new para-
graph: 
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‘‘(3) for a fiscal year after fiscal year 2014, not 
more than 50 percent of such amounts remaining for 
such fiscal year after application of paragraphs (1) 
and (2) shall be allocated for the purpose of carrying 
out section 1204.’’. 
(b) CLARIFICATIONS UNDER TRAUMA SYSTEMS FOR-
MULA GRANTS REQUIREMENTS RELATING TO THE AMER-
ICAN BURN ASSOCIATION.—Section 1213 of the Public 
Health Service Act (42 U.S.C. 300d–13) is amended— 
(1) in subsection (a)(3), by inserting ‘‘and (for 
a fiscal year after fiscal year 2014) contains national 
standards and requirements of the American Burn 
Association for the designation of verified burn cen-
ters,’’ after ‘‘such entity,’’; 
(2) in subsection (b)(3)(A), by striking ‘‘and the 
American Academy of Pediatrics,’’ and inserting ‘‘the 
American Academy of Pediatrics, and (for a fiscal 
year after fiscal year 2014) the American Burn Asso-
ciation,’’; and 
(3) in subsection (c)(1)— 
(A) in the matter preceding subparagraph 
(A), by inserting ‘‘and not later than 1 year 
after the date of the enactment of the Trauma 
Systems and Regionalization of Emergency Care 
Reauthorization Act’’ after ‘‘Act of 2007’’; and 
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Union Calendar No. 340 
113TH CONGRESS 
2D SESSION 
H. R. 4080 
[Report No. 113–459] 
A BILL 
To amend title XII of the Public Health Service 
Act to reauthorize certain trauma care programs, 
and for other purposes. 
MAY 20, 2014 
Reported with an amendment, committed to the Com-
mittee of the Whole House on the State of the Union, 
and ordered to be printed 
VerDate Mar 15 2010 
22:23 May 20, 2014
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