retary for Preparedness and Response, shall support the ef-
forts of States and consortia of States to coordinate and 
improve emergency medical services and trauma care dur-
ing a public health emergency declared by the Secretary 
pursuant to section 319 or a major disaster or emergency 
declared by the President under section 401 or 501, respec-
tively, of the Robert T. Stafford Disaster Relief and Emer-
gency Assistance Act. Such support may include— 
‘‘(1) developing, issuing, and updating guidance, 
as appropriate, to support the coordinated medical 
triage and evacuation to appropriate medical institu-
tions based on patient medical need, taking into ac-
count regionalized systems of care; 
‘‘(2) disseminating, as appropriate, information 
on evidence-based or evidence-informed trauma care 
practices, taking into consideration emergency med-
ical services and trauma care systems, including such 
practices identified through activities conducted under 
subsection (a) and which may include the identifica-
tion and dissemination of performance metrics, as 
applicable and appropriate; and 
‘‘(3) other activities, as appropriate, to optimize 
a coordinated and flexible approach to the emergency 
response and medical surge capacity of hospitals, 
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other health care facilities, critical care, and emer-
gency medical systems.’’. 
(b) GRANTS TO IMPROVE TRAUMA CARE IN RURAL 
AREAS.—Section 1202 of the Public Health Service Act (42 
U.S.C. 300d–3) is amended— 
(1) by amending the section heading to read as 
follows: ‘‘GRANTS TO IMPROVE TRAUMA CARE IN 
RURAL AREAS’’; 
(2) by amending subsections (a) and (b) to read 
as follows: 
‘‘(a) IN GENERAL.—The Secretary shall award grants 
to eligible entities for the purpose of carrying out research 
and demonstration projects to support the improvement of 
emergency medical services and trauma care in rural areas 
through the development of innovative uses of technology, 
training and education, transportation of seriously injured 
patients for the purposes of receiving such emergency med-
ical services, access to prehospital care, evaluation of proto-
cols for the purposes of improvement of outcomes and dis-
semination of any related best practices, activities to facili-
tate clinical research, as applicable and appropriate, and 
increasing communication and coordination with applica-
ble State or Tribal trauma systems. 
‘‘(b) ELIGIBLE ENTITIES.— 
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‘‘(1) IN GENERAL.—To be eligible to receive a 
grant under this section, an entity shall be a public 
or private entity that provides trauma care in a 
rural area. 
‘‘(2) PRIORITY.—In awarding grants under this 
section, the Secretary shall give priority to eligible en-
tities that will provide services under the grant in 
any rural area identified by a State under section 
1214(d)(1).’’; and 
(3) by adding at the end the following: 
‘‘(d) REPORTS.—An entity that receives a grant under 
this section shall submit to the Secretary such reports as 
the Secretary may require to inform administration of the 
program under this section.’’. 
(c) PILOT GRANTS FOR TRAUMA CENTERS.—Section 
1204 of the Public Health Service Act (42 U.S.C. 300d– 
6) is amended— 
(1) by amending the section heading to read as 
follows: ‘‘PILOT
GRANTS
FOR
TRAUMA
CEN-
TERS’’; 
(2) in subsection (a)— 
(A) by striking ‘‘not fewer than 4’’ and in-
serting ‘‘10’’; 
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(B) by striking ‘‘that design, implement, 
and evaluate’’ and inserting ‘‘to design, imple-
ment, and evaluate new or existing’’; 
(C) by striking ‘‘emergency care’’ and in-
serting ‘‘emergency medical’’; and 
(D) by inserting ‘‘, and improve access to 
trauma care within such systems’’ before the pe-
riod; 
(3) in subsection (b)(1), by striking subpara-
graphs (A) and (B) and inserting the following: 
‘‘(A) a State or consortia of States; 
‘‘(B) an Indian Tribe or Tribal organiza-
tion (as defined in section 4 of the Indian Self- 
Determination and Education Assistance Act); 
‘‘(C) a consortium of level I, II, or III trau-
ma centers designated by applicable State or 
local agencies within an applicable State or re-
gion, and, as applicable, other emergency services 
providers; or 
‘‘(D) a consortium or partnership of non-
profit Indian Health Service, Indian Tribal, and 
urban Indian trauma centers.’’; 
(4) in subsection (c)— 
(A) in the matter preceding paragraph 
(1)— 
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(i) by striking ‘‘that proposes a pilot 
project’’; and 
(ii) by striking ‘‘an emergency medical 
and trauma system that—’’ and inserting 
‘‘a new or existing emergency medical and 
trauma system. Such eligible entity shall 
use amounts awarded under this subsection 
to carry out 2 or more of the following ac-
tivities:’’; 
(B) in paragraph (1)— 
(i) by striking ‘‘coordinates’’ and in-
serting ‘‘Strengthening coordination and 
communication’’; and 
(ii) by striking ‘‘an approach to emer-
gency medical and trauma system access 
throughout the region, including 9–1–1 
Public Safety Answering Points and emer-
gency medical dispatch;’’ and inserting 
‘‘approaches to improve situational aware-
ness and emergency medical and trauma 
system access.’’; 
(C) in paragraph (2)— 
(i) by striking ‘‘includes’’ and insert-
ing ‘‘Providing’’; 
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(ii) by inserting ‘‘support patient 
movement to’’ after ‘‘region to’’; and 
(iii) by striking the semicolon and in-
serting a period; 
(D) in paragraph (3)— 
(i) by striking ‘‘allows for’’ and insert-
ing ‘‘Improving’’; and 
(ii) by striking ‘‘; and’’ and inserting 
a period; 
(E) in paragraph (4), by striking ‘‘includes 
a consistent’’ and inserting ‘‘Supporting a con-
sistent’’; and 
(F) by adding at the end the following: 
‘‘(5) Establishing, implementing, and dissemi-
nating, or utilizing existing, as applicable, evidence- 
based or evidence-informed practices across facilities 
within such emergency medical and trauma system to 
improve health outcomes, including such practices re-
lated to management of injuries, and the ability of 
such facilities to surge. 
‘‘(6) Conducting activities to facilitate clinical 
research, as applicable and appropriate.’’; 
(5) in subsection (d)(2)— 
(A) in subparagraph (A)— 
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(A) in the matter preceding paragraph (1), 
by striking ‘‘described in’’; 
(B) in paragraph (2), by striking ‘‘the sys-
tem characteristics that contribute to’’ and in-
serting ‘‘opportunities for improvement, includ-
ing recommendations for how to improve’’; 
(C) by striking paragraph (4); 
(D) by redesignating paragraphs (5) and 
(6) as paragraphs (4) and (5), respectively; 
(E) in paragraph (4), as so redesignated, by 
striking ‘‘; and’’ and inserting a semicolon; 
(F) in paragraph (5), as so redesignated, by 
striking the period and inserting ‘‘; and’’; and 
(G) by adding at the end the following: 
‘‘(6) any evidence-based or evidence-informed 
strategies developed or utilized pursuant to subsection 
(c)(5).’’; and 
(8) by amending subsection (h) to read as fol-
lows: 
‘‘(h) DISSEMINATION OF FINDINGS.—Not later than 1 
year after the completion of the final project under sub-
section (a), the Secretary shall submit to the Committee on 
Health, Education, Labor, and Pensions of the Senate and 
the Committee on Energy and Commerce of the House of 
Representatives a report describing the information con-
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tained in each report submitted pursuant to subsection (g) 
and any additional actions planned by the Secretary re-
lated to regionalized emergency care and trauma systems.’’. 
(d) PROGRAM FUNDING.—Section 1232(a) of the Pub-
lic Health Service Act (42 U.S.C. 300d–32(a)) is amended 
by striking ‘‘2010 through 2014’’ and inserting ‘‘2023 
through 2027’’. 
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Union Calendar No. 385 
117TH CONGRESS 
2D SESSION 
H. R. 8163 
[Report No. 117–514] 
A BILL 
To amend the Public Health Service Act with 
respect to trauma care. 
SEPTEMBER 28, 2022 
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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