I 
109TH CONGRESS 
2D SESSION 
H. R. 5555 
To amend the Public Health Service Act to add requirements regarding 
trauma care, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
JUNE 8, 2006 
Mr. BURGESS (for himself and Mr. GENE GREEN of Texas) introduced the 
following bill; which was referred to the Committee on Energy and Commerce 
A BILL 
To amend the Public Health Service Act to add requirements 
regarding trauma care, and for other purposes. 
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 Care Systems 
Planning and Development Act of 2006’’. 
SEC. 2. FINDINGS. 
Congress makes the following findings: 
(1) The Federal Government and State govern-
ments have established a history of cooperation in 
the development, implementation, and monitoring of 
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integrated, comprehensive systems for the provision 
of emergency medical services. 
(2) Trauma is the leading cause of death of 
Americans between the ages of 1 and 44 years and 
is the third leading cause of death in the general 
population of the United States. 
(3) In 1995, the total direct and indirect cost 
of traumatic injury in the United States was esti-
mated at $260,000,000,000. 
(4) There are 40,000 fatalities and 5,000,000 
nonfatal injuries each year from motor vehicle-re-
lated trauma, resulting in an aggregate annual cost 
of $230,000,000,000 in medical expenses, insurance, 
lost wages, and property damage. 
(5) Barriers to the receipt of prompt and ap-
propriate emergency medical services exist in many 
areas of the United States. 
(6) The number of deaths from trauma can be 
reduced by improving the systems for the provision 
of emergency medical services in the United States. 
(7) Trauma care systems are an important part 
of the emergency preparedness system needed for 
homeland defense. 
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SEC. 3. AMENDMENTS. 
(a) ESTABLISHMENT.—Section 1201 of the Public 
Health Service Act (42 U.S.C. 300d) is amended— 
(1) in subsection (a)— 
(A) in the matter preceding paragraph (1), 
by inserting ‘‘, acting through the Adminis-
trator of the Health Resources and Services Ad-
ministration,’’ after ‘‘Secretary’’; 
(B) by redesignating paragraphs (3) and 
(4) as paragraphs (4) and (5), respectively; 
(C) by inserting after paragraph (2) the 
following: 
‘‘(3) collect, compile, and disseminate informa-
tion on the achievements of, and problems experi-
enced by, State and local agencies and private enti-
ties in providing trauma care and emergency medical 
services and, in so doing, give special consideration 
to the unique needs of rural areas;’’; 
(D) in paragraph (4), as redesignated by 
subparagraph (B)— 
(i) by inserting ‘‘to enhance each 
State’s capability to develop, implement, 
and sustain the trauma care component of 
each State’s plan for the provision of emer-
gency medical services’’ after ‘‘assistance’’; 
and 
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(ii) by striking ‘‘and’’ after the semi-
colon; 
(E) in paragraph (5), as redesignated by 
subparagraph (B), by striking the period at the 
end and inserting ‘‘; and’’; and 
(F) by adding at the end the following: 
‘‘(6) promote the collection and categorization 
of trauma data in a consistent and standardized 
manner.’’; 
(2) in subsection (b), by inserting ‘‘, acting 
through the Administrator of the Health Resources 
and Services Administration,’’ after ‘‘Secretary’’; 
and 
(3) by striking subsection (c). 
(b) CLEARINGHOUSE ON TRAUMA CARE AND EMER-
GENCY MEDICAL SERVICES.—The Public Health Service 
Act (42 U.S.C. 201 et seq.) is amended— 
(1) by striking section 1202; and 
(2) by redesignating section 1203 as section 
1202. 
(c) ESTABLISHMENT OF PROGRAMS FOR IMPROVING 
TRAUMA CARE IN RURAL AREAS.—Section 1202(a) of the 
Public Health Service Act, as such section was redesig-
nated by subsection (b), is amended— 
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(1) in paragraph (2), in the matter preceding 
subparagraph (A), by inserting ‘‘, such as advanced 
trauma life support,’’ after ‘‘model curricula’’; 
(2) in paragraph (4), by striking ‘‘and’’ after 
the semicolon; 
(3) in paragraph (5), by striking the period and 
inserting ‘‘; and’’; and 
(4) by adding at the end the following: 
‘‘(6) by increasing communication and coordi-
nation with State trauma systems.’’. 
(d) REQUIREMENT OF MATCHING FUNDS FOR FIS-
CAL YEARS SUBSEQUENT TO FIRST FISCAL YEAR OF 
PAYMENTS.—Section 1212 of the Public Health Service 
Act (42 U.S.C. 300d–12) is amended— 
(1) in subsection (a)(1)— 
(A) in subparagraph (A), by striking 
‘‘and’’ after the semicolon; and 
(B) by striking subparagraph (B) and in-
serting the following: 
‘‘(B) for the third fiscal year of such pay-
ments to the State, not less than $1 for each 
$1 of Federal funds provided in such payments 
for such fiscal year; 
‘‘(C) for the fourth fiscal year of such pay-
ments to the State, not less than $2 for each 
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$1 of Federal funds provided in such payments 
for such fiscal year; and 
‘‘(D) for the fifth fiscal year of such pay-
ments to the State, not less than $2 for each 
$1 of Federal funds provided in such payments 
for such fiscal year.’’; and 
(2) in subsection (b)— 
(A) in paragraph (1), by adding ‘‘and’’ 
after the semicolon; 
(B) in paragraph (2), by striking ‘‘; and’’ 
and inserting a period; and 
(C) by striking paragraph (3). 
(e) REQUIREMENTS WITH RESPECT TO CARRYING 
OUT PURPOSE OF ALLOTMENTS.—Section 1213 of the 
Public Health Service Act (42 U.S.C. 300d–13) is amend-
ed— 
(1) in subsection (a)— 
(A) in paragraph (3), in the matter pre-
ceding subparagraph (A), by inserting ‘‘nation-
ally recognized’’ after ‘‘contains’’; 
(B) in paragraph (5), by inserting ‘‘nation-
ally recognized’’ after ‘‘contains’’; 
(C) in paragraph (6), by striking ‘‘specifies 
procedures for the evaluation of designated’’ 
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