of the Social Security Act (42 U.S.C. 1395 et seq.; 
1396 et seq.; 1397aa et seq.). 
SEC. 7. ENHANCING EVIDENCE-BASED CARE IN FIELD EMS. 
(a) 
FIELD
EMS 
EMERGENCY
MEDICAL
RE-
SEARCH.— 
(1) IN GENERAL.—The Secretary of Health and 
Human Services (referred to in this subsection as 
the ‘‘Secretary’’) shall undertake a comprehensive 
evaluation of the extent to which research and eval-
uation relating to field EMS is conducted by the Na-
tional 
Institutes 
of 
Health, 
the 
Agency 
for 
Healthcare Research Quality, the Center for Medi-
care & Medicaid Innovation, the Health Resources 
and Services Administration, the Centers for Disease 
Control and Prevention, and the Patient-Centered 
Outcomes Research Institute, and any other agen-
cies or departments within the Department of 
Health and Human Services, as the Secretary deter-
mines appropriate. 
(2) REPORT TO CONGRESS.—Not later than 1 
year after the date of enactment of this Act, the 
Secretary shall submit to Congress a report that in-
cludes— 
(A) information related to the extent of 
federally sponsored research in field EMS; 
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(B) identification of any impediments to 
enhancing research in emergency medicine to 
improve patient outcomes; and 
(C) opportunities to enhance such research 
within existing funding levels. 
(3) DEFINITION.—In this subsection, the term 
‘‘field EMS’’ has the meaning given such term in 
section 1291 of the Public Health Service Act, as 
added by section 4. 
(b) FIELD EMS CENTER OF EXCELLENCE.—Sub-
part II of part D of title IX of the Public Health Service 
Act (42 U.S.C. 299b–33 et seq.) is amended by adding 
at the end the following: 
‘‘SEC. 938. FIELD EMS CENTER OF EXCELLENCE. 
‘‘(a) ESTABLISHMENT.—The Director shall establish 
within the Office of Planning, Research & Evaluation a 
Field EMS Evidence-Based Center of Excellence (referred 
to in this section as the ‘Center’). 
‘‘(b) PURPOSE.—The purpose of the Center is to con-
duct or support research to promote the highest quality 
of emergency medical care in field EMS and the most ef-
fective delivery system for the provision of such care, in-
cluding— 
‘‘(1) comparative safety and effectiveness re-
search, especially with regard to the highest cost and 
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most prevalent emergency medical conditions with 
the greatest opportunity to improve patient out-
comes and lower costs by care provided in the field; 
‘‘(2) other appropriate clinical or systems re-
search on the effectiveness of existing and potential 
treatments provided in the field that translate into 
improved quality, outcomes, and patient satisfaction; 
‘‘(3) specific research topics designed to save 
lives, lower costs, and improve outcomes for patients 
with emergency medical conditions, including— 
‘‘(A) the clinical value and benefit of crit-
ical care ground and air transport, including 
the potential for bidirectional care that fills 
gaps in rural and other underserved geographic 
regions, especially where hospitals have closed; 
‘‘(B) the application of lessons learned in 
military field medicine in the delivery of emer-
gency medical care in field EMS; 
‘‘(C) the ability to intervene clinically in 
the early onset of an emergency medical condi-
tion that will improve patient outcomes; 
‘‘(D) specific treatment modalities and pro-
tocols that are cost-effective and produce better 
outcomes, such as 12-lead electrocardiograms 
and continuous positive airway pressure; and 
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‘‘(E) medical conditions most conducive to 
regionalization of emergency care that will be 
most effective in improving service delivery, out-
comes, and cost-effectiveness; and 
‘‘(4) support research being conducted by aca-
demic medical centers, particularly those with cen-
ters of excellence formed around EMS research. 
‘‘(c) DEFINITION.—In this section, the term ‘field 
EMS’ has the meaning given such term in section 1291.’’. 
(c) LIMITATIONS
ON
CERTAIN
USES
OF
RE-
SEARCH.—Section 1182 of the Social Security Act (42 
U.S.C. 1320e–1) is amended by striking ‘‘section 1181’’ 
each place it appears and inserting ‘‘section 1181 of this 
Act, section 938 of the Public Health Service Act, or sec-
tion 7(a) of the Field EMS Modernization and Innovation 
Act’’. 
(d) REGULATORY BARRIERS.—For the purposes of 
research 
conducted 
pursuant 
to 
section 
1115A(b)(2)(D)(iv) of the Social Security Act (as added 
by section 3(a)(2)), subsection (a) of this section, section 
938 of the Public Health Service Act (as added by sub-
section (b)), or any other research funded by the Depart-
ment of Health and Human Services related to emergency 
medical services in the field in which informed consent is 
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required but may not be attainable, the Secretary of 
Health and Human Services shall— 
(1) evaluate and consider the patient and re-
search issues involved; and 
(2) address regulatory barriers to such research 
related to the need for informed consent in a man-
ner that ensures adequate patient safety and notifi-
cation, and submit recommendations to Congress for 
any changes to Federal statutes necessary to ad-
dress such barriers. 
SEC. 8. EMERGENCY MEDICAL SERVICES TRUST FUND. 
(a) DESIGNATION OF INCOME TAX OVERPAYMENTS 
AND
ADDITIONAL
CONTRIBUTIONS
FOR
EMERGENCY 
MEDICAL SERVICES.—Subchapter A of chapter 61 of the 
Internal Revenue Code of 1986 is amended by adding at 
the end the following new part: 
‘‘PART IX—DESIGNATION OF INCOME TAX OVER- 
PAYMENTS 
AND 
ADDITIONAL 
CONTRIBU-
TIONS FOR EMERGENCY MEDICAL SERVICES 
‘‘Sec. 6097. Designation by individuals. 
‘‘SEC. 6097. DESIGNATION BY INDIVIDUALS. 
‘‘(a) IN GENERAL.—Every individual (other than a 
nonresident alien) may designate that— 
‘‘(1) a specified portion of any overpayment of 
tax for a taxable year, and 
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‘‘(2) any amount contributed in addition to any 
payment of tax for such taxable year and any des-
ignation under paragraph (1), 
shall be used to fund the Emergency Medical Services 
Trust Fund. Designations under the preceding sentence 
shall be in an amount not less than $1, and the Secretary 
shall provide for elections in amounts of $1, $5, $10, or 
such other amount as the taxpayer designates. 
‘‘(b) OVERPAYMENTS TREATED
AS REFUNDED.— 
For purposes of this title, any portion of an overpayment 
of tax designated under subsection (a) shall be treated 
as— 
‘‘(1) being refunded to the taxpayer as of the 
last date prescribed for filing the return of tax im-
posed by chapter 1 (determined without regard to 
extensions) or, if later, the date the return is filed, 
and 
‘‘(2) a contribution made by such taxpayer on 
such date to the United States. 
‘‘(c) MANNER AND TIME OF DESIGNATION.—A des-
ignation under subsection (a) may be made with respect 
to any taxable year— 
‘‘(1) at the time of filing the return of the tax 
imposed by chapter 1 for such taxable year, or 
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‘‘(2) at any other time (after the time of filing 
the return of the tax imposed by chapter 1 for such 
taxable year) specified in regulations prescribed by 
the Secretary. 
Such designation shall be made in such manner as the 
Secretary prescribes by regulations except that, if such 
designation is made at the time of filing the return of the 
tax imposed by chapter 1 for such taxable year, such des-
ignation shall be made either on the first page of the re-
turn or on the page bearing the signature of the tax-
payer.’’. 
(b) 
EMERGENCY
MEDICAL
SERVICES
TRUST 
FUND.—Subchapter A of chapter 98 of the Internal Rev-
enue Code of 1986 is amended by adding at the end the 
following new section: 
‘‘SEC. 9512. EMERGENCY MEDICAL SERVICES TRUST FUND. 
‘‘(a) CREATION OF TRUST FUND.—There is estab-
lished in the Treasury of the United States a trust fund 
to be known as the ‘Emergency Medical Services Trust 
Fund’, consisting of such amounts as may be credited or 
paid to such trust fund as provided in subsection (b). 
‘‘(b) TRANSFERS TO TRUST FUND.—There are here-
by appropriated to the Emergency Medical Services Trust 
Fund amounts equivalent to the amounts of the overpay-
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ments of tax to which designations under section 6097 
apply. 
‘‘(c) EXPENDITURES FROM TRUST FUND.—Amounts 
in the Emergency Medical Services Trust Fund shall be 
available, as provided in appropriation Acts, only for car-
rying out the provisions for which amounts are authorized 
to be appropriated under subsections (a) and (b) of section 
10 of the Field EMS Innovation Act.’’. 
(c) CLERICAL AMENDMENTS.— 
(1) CLERICAL
AMENDMENT.—The table of 
parts for subchapter A of chapter 61 of the Internal 
Revenue Code of 1986 is amended by adding at the 
end the following new item: 
‘‘PART IX. DESIGNATION OF INCOME TAX OVER-PAYMENTS AND ADDITIONAL 
CONTRIBUTIONS FOR EMERGENCY MEDICAL SERVICES’’. 
(2) The table of sections for subchapter A of 
chapter 98 of such Code is amended by adding at 
the end the following new item: 
‘‘Sec. 9512. Emergency Medical Services Trust Fund.’’. 
(d) EFFECTIVE DATE.—The amendments made by 
this section shall apply to taxable years beginning after 
December 31, 2015. 
SEC. 9. GAO STUDY TO IDENTIFY IMPEDIMENTS TO QUAL-
ITY IMPROVEMENT IN FIELD EMS. 
(a) IN GENERAL.—The Comptroller General of the 
United States shall complete a study on impediments to 
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the ability of field EMS practitioners, physician medical 
directors, and agencies to improve the quality of medical 
care provided to patients including— 
(1) medical and administrative liability issues 
that may impede— 
(A) medical oversight provided by physi-
cians directly regarding specific patients and 
medical oversight provided by physicians in es-
tablishing medical protocols, procedures, and 
other activities related to the provision of emer-
gency medical care in field EMS; and 
(B) the highest quality emergency medical 
care in field EMS provided by personnel other 
than physicians, such as emergency medical 
technicians and paramedics; 
(2) the types and levels of reimbursement nec-
essary to ensure the highest quality of care overseen 
by physician medical directors, including— 
(A) the actual costs of all components of 
medical oversight in high-performing EMS sys-
tems with demonstrated improvement in out-
comes, such as those evidenced by cardiac rates 
and traumatic injury survival rates; 
(B) the costs of medical oversight for part- 
time or volunteer medical directors; 
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(C) recommended payment model options 
for medical oversight that will enhance quality 
of care; and 
(D) the sufficiency, or lack of sufficiency, 
of reimbursement under the Medicare program 
under title XVIII of the Social Security Act (42 
U.S.C. 1395 et seq.) to providers and suppliers 
of ambulance services to enable high-quality 
and appropriate medical oversight; 
(3) issues that may adversely impact the ability 
of field EMS practitioners to deliver high-quality 
care including— 
(A) issues affecting the direct patient care 
provided by field EMS practitioners such as 
personal and patient safety, fatigue, and train-
ing; and 
(B) issues affecting the ability to recruit 
and maintain a highly qualified field EMS prac-
titioner workforce such as salary, hours, and 
benefits; and 
(4) such other issues as the Comptroller Gen-
eral determines appropriate relating to improving 
the quality and medical oversight of emergency med-
ical care in field EMS. 
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(b) REPORT
TO CONGRESS.—Not later than 18 
months after the date of the enactment of this Act, the 
Comptroller General of the United States shall complete 
the study under subsection (a) and submit a report to 
Congress on the results of such study, including any rec-
ommendations. 
(c) DEFINITIONS.—In this subsection, the terms 
‘‘emergency medical care’’ and ‘‘field EMS’’ have the 
meanings given such terms in section 1291 of the Public 
Health Service Act (as added by section 4). 
SEC. 10. FUNDING. 
(a) IN GENERAL.—Out of amounts in the Emergency 
Medical Services Trust Fund, there are authorized to be 
transferred to the Secretary of Health and Human Serv-
ices— 
(1) $12,000,000 for each of fiscal years 2016 
through 2021, for the purpose of carrying out the 
additional duties required under part I of the Public 
Health Service Act (as added by section 4); 
(2) $200,000,000 for each of fiscal years 2016 
through 2021, for the purpose of carrying out sec-
tion 1292 of the Public Health Service Act, as added 
by section 4; 
(3) $15,000,000 for each of fiscal years 2016 
through 2021, for the purpose of carrying out sec-
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tion 1295 of the Public Health Service Act, as added 
by section 4; 
(4) $40,000,000 for each of fiscal years 2016 
through 2021, for the purpose of carrying out sec-
tion 7(a) of this Act and 938 of the Public Health 
Service Act, as added by section 7(b); and 
(5) $4,000,000 for each of fiscal years 2016 
through 2021, for the purpose of carrying out sec-
tion 3001(c)(9) of the Public Health Service Act 
with respect to the National EMS Information Sys-
tem, as added by section 5(a)(2). 
(b) EXCESS AMOUNTS.—If, for any fiscal year, 
amounts in the Emergency Medical Services Trust Fund 
exceed the maximum amount authorized to be transferred 
under subsection (a), the Secretary of Health and Human 
Services may transfer such excess amounts for the purpose 
of carrying out section 330J, section 498D, section 7(a), 
and parts A, B, C, D, and H of title XII of the Public 
Health Service Act (42 U.S.C. 254c–15, 289g–4, 300d et 
seq., 300d–11 et seq., 300d–31 et seq., and 300d–81 et 
seq.). 
(c) START-UP FUNDING.— 
(1) IN
GENERAL.—Out of the discretionary 
funds available to the Secretary of Health and 
Human Services for each of fiscal years 2016 and 
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2017, up to $40,000,000 may be used for carrying 
out the amendments made by sections 3 and 4. 
(2) RELATION TO OTHER FUNDS.—The amount 
of discretionary funds allocated under paragraph (1) 
shall be in addition to, not in lieu of, the amount of 
discretionary funds that would otherwise be available 
for such purposes. 
(d) ADMINISTRATIVE EXPENSES.—Not more than 5 
percent of each amount made available under paragraphs 
(1) through (5) of subsection (a) may be used for adminis-
trative expenses. 
SEC. 11. STATUTORY CONSTRUCTION. 
Nothing in this Act, including the amendments made 
by this Act, shall be construed to supersede any statutory 
authority of any Federal agency that is not within the De-
partment of Health and Human Services. 
Æ 
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