IIB 
115TH CONGRESS 
2D SESSION 
H. R. 880 
IN THE SENATE OF THE UNITED STATES 
FEBRUARY 27, 2018 
Received; read twice and referred to the Committee on Health, Education, 
Labor, and Pensions 
AN ACT 
To amend the Public Health Service Act to facilitate assign-
ment of military trauma care providers to civilian trauma 
centers in order to maintain military trauma readiness 
and to support such centers, and for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
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SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Military Injury Sur-
gical Systems Integrated Operationally Nationwide to 
Achieve ZERO Preventable Deaths Act’’ or the ‘‘MIS-
SION ZERO Act’’. 
SEC. 2. MILITARY AND CIVILIAN PARTNERSHIP FOR TRAU-
MA READINESS GRANT PROGRAM. 
Title XII of the Public Health Service Act (42 U.S.C. 
300d et seq.) is amended by adding at the end the fol-
lowing new part: 
‘‘PART I—MILITARY AND CIVILIAN PARTNERSHIP 
FOR TRAUMA READINESS GRANT PROGRAM 
‘‘SEC. 1291. MILITARY AND CIVILIAN PARTNERSHIP FOR 
TRAUMA READINESS GRANT PROGRAM. 
‘‘(a) MILITARY TRAUMA TEAM PLACEMENT PRO-
GRAM.— 
‘‘(1) IN GENERAL.—The Secretary shall award 
grants to not more than 20 eligible high-acuity trau-
ma centers to enable military trauma teams to pro-
vide, on a full-time basis, trauma care and related 
acute care at such trauma centers. 
‘‘(2) LIMITATIONS.—In the case of a grant 
awarded under paragraph (1) to an eligible high- 
acuity trauma center, such grant— 
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‘‘(A) shall be for a period of at least 3 
years and not more than 5 years (and may be 
renewed at the end of such period); and 
‘‘(B) shall be in an amount that does not 
exceed $1,000,000 per year. 
‘‘(3) AVAILABILITY
OF
FUNDS
AFTER
PER-
FORMANCE PERIOD.—Notwithstanding section 1552 
of title 31, United States Code, or any other provi-
sion of law, funds available to the Secretary for obli-
gation for a grant under this subsection shall remain 
available for expenditure for 100 days after the last 
day of the performance period of such grant. 
‘‘(b) MILITARY TRAUMA CARE PROVIDER PLACE-
MENT PROGRAM.— 
‘‘(1) IN GENERAL.—The Secretary shall award 
grants to eligible trauma centers to enable military 
trauma care providers to provide trauma care and 
related acute care at such trauma centers. 
‘‘(2) LIMITATIONS.—In the case of a grant 
awarded under paragraph (1) to an eligible trauma 
center, such grant— 
‘‘(A) shall be for a period of at least 1 year 
and not more than 3 years (and may be re-
newed at the end of such period); and 
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‘‘(B) shall be in an amount that does not 
exceed, in a year— 
‘‘(i) $100,000 for each military trau-
ma care provider that is a physician at 
such eligible 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, infor-
mation technology, specialty education and super-
vision, 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 
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licensing requirements for health care professionals are 
preempted by other Federal law from applying to military 
trauma care providers. 
‘‘(e) REPORTING REQUIREMENTS.— 
‘‘(1) REPORT
TO
THE
SECRETARY
AND
THE 
SECRETARY
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 De-
fense a report for such year that includes informa-
tion 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 
‘‘(E) any other information required by the 
Secretaries for the purpose of evaluating the ef-
fect of such grant. 
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‘‘(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 Congress that includes information on the effect 
of placing 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 
‘eligible trauma center’ means a Level I, II, or III 
trauma center that satisfies each of the following: 
‘‘(A) Such trauma center has an agree-
ment with the Secretary of Defense to enable 
military trauma care providers to provide trau-
ma care and related acute care at such trauma 
center. 
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‘‘(B) Such trauma center utilizes a risk-ad-
justed benchmarking system to measure per-
formance 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
CEN-
TER.—The term ‘eligible high-acuity trauma center’ 
means a Level I trauma center that satisfies each of 
the following: 
‘‘(A) Such trauma center has an agree-
ment with the Secretary of Defense to enable 
military trauma teams to provide trauma care 
and related 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 per-
formance and outcomes, such as the Trauma 
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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 trau-
ma’ means an injury that is greater than or equal 
to 15 on the injury severity score. 
‘‘(4) MILITARY
TRAUMA
TEAM.—The term 
‘military trauma team’ means a complete military 
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trauma 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, com-
bat medic, or enlisted medical technician. 
‘‘(g) AUTHORIZATION OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this sec-
tion— 
‘‘(1) $7,000,000 for fiscal year 2018, of 
which— 
‘‘(A) $4,500,000 shall be for carrying out 
subsection (a); and 
‘‘(B) $2,500,000 shall be for carrying out 
subsection (b); 
‘‘(2) $12,000,000 for fiscal year 2019, of 
which— 
‘‘(A) $8,000,000 shall be for carrying out 
subsection (a); and 
‘‘(B) $4,000,000 shall be for carrying out 
subsection (b); and 
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‘‘(3) $15,000,000 for each of fiscal years 2020 
through 2022, of which— 
‘‘(A) $10,000,000 shall be for carrying out 
subsection (a); and 
‘‘(B) $5,000,000 shall be for carrying out 
subsection (b).’’. 
SEC. 3. CUT-GO COMPLIANCE. 
Subsection (f) of section 319D of the Public Health 
Service Act (42 U.S.C. 247d–4) is amended by striking 
‘‘through 2018’’ and inserting ‘‘through 2017, and 
$75,300,000 for fiscal year 2018’’. 
Passed the House of Representatives February 26, 
2018. 
Attest: 
KAREN L. HAAS, 
Clerk. 
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