‘‘(1) report to the Congress on the status of the 
grants made pursuant to section 1241; 
‘‘(2) evaluate and report to the Congress on the 
overall financial stability of trauma centers in the 
United States; 
‘‘(3) report on the populations using trauma 
care centers and include aggregate patient data on 
income, race, ethnicity, and geography; and 
‘‘(4) evaluate the effectiveness and efficiency of 
trauma care center activities using standard public 
health measures and evaluation methodologies.’’. 
(e) DEFINITION.—Part D of title XII of the Public 
Health Service Act (42 U.S.C. 300d–41 et seq.) is amend-
ed— 
(1) by redesignating section 1245 as section 
1246; and 
(2) by inserting after section 1244 the fol-
lowing: 
‘‘SEC. 1245. UNCOMPENSATED CARE COSTS DEFINED. 
‘‘In this part, the term ‘uncompensated care costs’ 
means, with respect to a hospital, unreimbursed costs of 
the hospital from serving patients for which there is either 
no insurance coverage or other third-party payment or for 
which such coverage or payment is provided only under 
the Medicaid program under title XIX of the Social Secu-
VerDate Aug 31 2005 
05:25 May 02, 2008
Jkt 069200
PO 00000
Frm 00018
Fmt 6652
Sfmt 6201
E:\BILLS\H5942.IH
H5942
erowe on PRODPC61 with BILLS
rity Act, which are attributable to emergency care and 
trauma care in the hospital— 
‘‘(1) including costs related to inpatient admis-
sions to the hospital subsequent to receiving such 
care in the hospital; and 
‘‘(2) excluding payments under section 1923 of 
the Social Security Act.’’. 
(f) AUTHORIZATIONS OF APPROPRIATIONS.—Section 
1246 of the Public Health Service Act, as redesignated 
by subsection (e), is amended to read as follows: 
‘‘SEC. 1246. AUTHORIZATIONS OF APPROPRIATIONS. 
‘‘(a) IN GENERAL.—For the purpose of carrying out 
this part, there are authorized to be appropriated— 
‘‘(1) with respect to grants under paragraphs 
(1), (2), and (3) of section 1241(a), $100,000,000 
for each of fiscal years 2009 through 2014; and 
‘‘(2) with respect to grants under paragraph (4) 
of section 1241(a), $25,000,000 for each of fiscal 
years 2009 through 2014. 
Authorizations of appropriations pursuant to this section 
are in addition to any other authorizations of appropria-
tions available for carrying out this part. 
‘‘(b) FUNDING DISTRIBUTION.—Of the amount ap-
propriated pursuant to subsection (a)(1) for a fiscal year, 
the Secretary shall reserve— 
VerDate Aug 31 2005 
05:25 May 02, 2008
Jkt 069200
PO 00000
Frm 00019
Fmt 6652
Sfmt 6201
E:\BILLS\H5942.IH
H5942
erowe on PRODPC61 with BILLS
‘‘(1) 70 percent for grants under section 
1241(a)(1) (relating to substantial uncompensated 
care costs); 
‘‘(2) 20 percent for grants under section 
1241(a)(2) (relating to the core mission of a trauma 
center); and 
‘‘(3) 10 percent for grants under section 
1241(a)(3) (relating to emergency relief). 
‘‘(c) MINIMUM AMOUNT FOR SUBSTANTIAL UNCOM-
PENSATED
CARE
COSTS.—Notwithstanding subsection 
(b), if the amount appropriated pursuant to subsection 
(a)(1) for a fiscal year is less than $25,000,000, such 
amount shall be used exclusively for grants under section 
1241(a)(1).’’. 
(g) CONFORMING AMENDMENT.—The heading of 
part D of title XII of the Public Health Service Act (42 
U.S.C. 300d–41 et seq.) is amended to read as follows: 
‘‘PART D—GRANTS FOR CERTAIN TRAUMA CENTERS’’. 
Æ 
VerDate Aug 31 2005 
05:25 May 02, 2008
Jkt 069200
PO 00000
Frm 00020
Fmt 6652
Sfmt 6301
E:\BILLS\H5942.IH
H5942
erowe on PRODPC61 with BILLS