HR 2464 RFS 
of hospitals have available all the pediatric supplies 
deemed essential by the American Academy of Pedi-
atrics and the American College of Emergency Phy-
sicians for managing pediatric emergencies, while 
about half of hospitals have at least 85 percent of 
those supplies. 
(6) Providers must be educated and trained to 
manage children’s unique physical and psychological 
needs in emergency situations, and emergency sys-
tems must be equipped with the resources needed to 
care for this especially vulnerable population. 
(7) Systems of care must be continually main-
tained, updated, and improved to ensure that re-
search is translated into practice, best practices are 
adopted, training is current, and standards and pro-
tocols are appropriate. 
(8) The Emergency Medical Services for Chil-
dren (EMSC) Program under section 1910 of the 
Public Health Service Act (42 U.S.C. 300w–9) is 
the only Federal program that focuses specifically on 
improving the pediatric components of emergency 
medical care. 
(9) The EMSC Program promotes the nation-
wide exchange of pediatric emergency medical care 
knowledge and collaboration by those with an inter-
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HR 2464 RFS 
est in such care and is depended upon by Federal 
agencies and national organizations to ensure that 
this exchange of knowledge and collaboration takes 
place. 
(10) The EMSC Program also supports a 
multi-institutional network for research in pediatric 
emergency medicine, thus allowing providers to rely 
on evidence rather than anecdotal experience when 
treating ill or injured children. 
(11) The Institute of Medicine stated in its 
2006 report, ‘‘Emergency Care for Children: Grow-
ing Pains’’, that the EMSC Program ‘‘boasts many 
accomplishments . . . and the work of the program 
continues to be relevant and vital’’. 
(12) The EMSC Program has proven effective 
over two decades in driving key improvements in 
emergency medical services to children, and should 
continue its mission to reduce child and youth mor-
bidity and mortality by supporting improvements in 
the quality of all emergency medical and emergency 
surgical care children receive. 
(b) PURPOSE.—It is the purpose of this Act to reduce 
child and youth morbidity and mortality by supporting im-
provements in the quality of all emergency medical care 
children receive. 
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HR 2464 RFS 
SEC. 3. REAUTHORIZATION OF EMERGENCY MEDICAL 
SERVICES FOR CHILDREN PROGRAM. 
Section 1910 of the Public Health Service Act (42 
U.S.C. 300w–9) is amended— 
(1) in subsection (a), by striking ‘‘3-year period 
(with an optional 4th year’’ and inserting ‘‘4-year 
period (with an optional 5th year’’; 
(2) in subsection (d)— 
(A) by striking ‘‘and such sums’’ and in-
serting ‘‘such sums’’; and 
(B) by inserting before the period the fol-
lowing: ‘‘, $25,000,000 for fiscal year 2009, 
$26,250,000 for fiscal year 2010, $27,562,500 
for fiscal year 2011, $28,940,625 for fiscal year 
2012, and $30,387,656 for fiscal year 2013’’; 
(3) by redesignating subsections (b) through (d) 
as subsections (c) through (e), respectively; and 
(4) by inserting after subsection (a) the fol-
lowing: 
‘‘(b)(1) The purpose of the program established 
under this section is to reduce child and youth morbidity 
and mortality by supporting improvements in the quality 
of all emergency medical care children receive, through the 
promotion of projects focused on the expansion and im-
provement of such services, including those in rural areas 
and those for children with special healthcare needs. In 
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