‘‘(A) shall be for a period of at least 1 year 
and not more than 3 years (and may be renewed 
at the end of such period); and 
‘‘(B) shall be in an amount that does not 
exceed, in a year— 
‘‘(i) $100,000 for each military trauma 
care provider that is a physician at such el-
igible trauma center; and 
‘‘(ii) $50,000 for each other military 
trauma care provider at such eligible trau-
ma center. 
‘‘(c) GRANT REQUIREMENTS.— 
‘‘(1) DEPLOYMENT.—As a condition of receipt of 
a grant under this section, a grant recipient shall 
agree to allow military trauma care providers pro-
viding care pursuant to such grant to be deployed by 
the Secretary of Defense for military operations, for 
training, or for response to a mass casualty incident. 
‘‘(2) USE
OF
FUNDS.—Grants awarded under 
this section to an eligible trauma center may be used 
to train and incorporate military trauma care pro-
viders into such trauma center, including expendi-
tures for malpractice insurance, office space, informa-
tion technology, specialty education and supervision, 
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trauma programs, research, and State license fees for 
such military trauma care providers. 
‘‘(d) RULE OF CONSTRUCTION.—Nothing in this sec-
tion shall be construed to affect the extent to which State 
licensing requirements for health care professionals are pre-
empted by other Federal law from applying to military 
trauma care providers. 
‘‘(e) REPORTING REQUIREMENTS.— 
‘‘(1) REPORT TO THE SECRETARY AND THE SEC-
RETARY OF DEFENSE.—Each eligible trauma center 
or eligible high-acuity trauma center awarded a grant 
under subsection (a) or (b) for a year shall submit to 
the Secretary and the Secretary of Defense a report 
for such year that includes information on— 
‘‘(A) the number and types of trauma cases 
managed by military trauma teams or military 
trauma care providers pursuant to such grant 
during such year; 
‘‘(B) the financial impact of such grant on 
the trauma center; 
‘‘(C) the educational impact on resident 
trainees in centers where military trauma teams 
are assigned; 
‘‘(D) any research conducted during such 
year supported by such grant; and 
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‘‘(E) any other information required by the 
Secretaries for the purpose of evaluating the ef-
fect of such grant. 
‘‘(2) REPORT TO CONGRESS.—Not less than once 
every 2 years, the Secretary, in consultation with the 
Secretary of Defense, shall submit a report to Con-
gress that includes information on the effect of plac-
ing military trauma care providers in trauma centers 
awarded grants under this section on— 
‘‘(A) maintaining readiness of military 
trauma care providers for battlefield injuries; 
‘‘(B) providing health care to civilian trau-
ma patients in both urban and rural settings; 
‘‘(C) the capability to respond to surges in 
trauma cases, including as a result of a large 
scale event; and 
‘‘(D) the financial State of the trauma cen-
ters. 
‘‘(f) DEFINITIONS.—For purposes of this part: 
‘‘(1) ELIGIBLE TRAUMA CENTER.—The term ‘eli-
gible trauma center’ means a Level I, II, or III trau-
ma center that satisfies each of the following: 
‘‘(A) Such trauma center has an agreement 
with the Secretary of Defense to enable military 
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trauma care providers to provide trauma care 
and related acute care at such trauma center. 
‘‘(B) Such trauma center utilizes a risk-ad-
justed benchmarking system to measure perform-
ance and outcomes, such as the Trauma Quality 
Improvement Program of the American College 
of Surgeons. 
‘‘(C) Such trauma center demonstrates a 
need for integrated military trauma care pro-
viders to maintain or improve the trauma clin-
ical capability of such trauma center. 
‘‘(2) ELIGIBLE HIGH-ACUITY TRAUMA CENTER.— 
The term ‘eligible high-acuity trauma center’ means 
a Level I trauma center that satisfies each of the fol-
lowing: 
‘‘(A) Such trauma center has an agreement 
with the Secretary of Defense to enable military 
trauma teams to provide trauma care and re-
lated acute care at such trauma center. 
‘‘(B) At least 20 percent of patients of such 
trauma center in the most recent 3-month period 
for which data is available are treated for a 
major trauma at such trauma center. 
‘‘(C) Such trauma center utilizes a risk-ad-
justed benchmarking system to measure perform-
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ance and outcomes, such as the Trauma Quality 
Improvement Program of the American College 
of Surgeons. 
‘‘(D) Such trauma center is an academic 
training center— 
‘‘(i) affiliated with a medical school; 
‘‘(ii) that maintains residency pro-
grams and fellowships in critical trauma 
specialties and subspecialties, and provides 
education and supervision of military trau-
ma team members according to those spe-
cialties and subspecialties; and 
‘‘(iii) that undertakes research in the 
prevention and treatment of traumatic in-
jury. 
‘‘(E) Such trauma center serves as a dis-
aster response leader for its community, such as 
by participating in a partnership for State and 
regional hospital preparedness established under 
section 319C–2. 
‘‘(3) MAJOR TRAUMA.—The term ‘major trauma’ 
means an injury that is greater than or equal to 15 
on the injury severity score. 
‘‘(4) MILITARY TRAUMA TEAM.—The term ‘mili-
tary trauma team’ means a complete military trau-
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ma team consisting of military trauma care pro-
viders. 
‘‘(5) MILITARY TRAUMA CARE PROVIDER.—The 
term ‘military trauma care provider’ means a mem-
ber of the Armed Forces who furnishes emergency, 
critical care, and other trauma acute care, including 
a physician, military surgeon, physician assistant, 
nurse, respiratory therapist, flight paramedic, combat 
medic, or enlisted medical technician. 
‘‘(g) AUTHORIZATION OF APPROPRIATIONS.—For each 
of fiscal years 2018 through 2022, there are authorized to 
be appropriated— 
‘‘(1) $10,000,000 for carrying out subsection (a); 
and 
‘‘(2) $5,000,000 for carrying out subsection (b).’’. 
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Union Calendar No. 240 
115TH CONGRESS 
1ST SESSION 
H. R. 880 
[Report No. 115–330] 
A BILL 
To amend the Public Health Service Act to facili-
tate assignment of military trauma care pro-
viders to civilian trauma centers in order to 
maintain military trauma readiness and to sup-
port such centers, and for other purposes. 
SEPTEMBER 25, 2017 
Reported with an amendment, committed to the Com-
mittee of the Whole House on the State of the Union, 
and ordered to be printed 
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