IIB 
114TH CONGRESS 
1ST SESSION 
H. R. 648 
IN THE SENATE OF THE UNITED STATES 
MARCH 17, 2015 
Received; read twice and referred to the Committee on Health, Education, 
Labor, and Pensions 
AN ACT 
To amend title XII of the Public Health Service Act to 
reauthorize certain trauma care programs, 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 ‘‘Trauma Systems and 
Regionalization of Emergency Care Reauthorization Act’’. 
SEC. 2. REAUTHORIZATION OF CERTAIN TRAUMA CARE 
PROGRAMS. 
Section 1232(a) of the Public Health Service Act (42 
U.S.C. 300d–32(a)) is amended by striking ‘‘2014’’ and 
inserting ‘‘2020’’. 
SEC. 3. IMPROVEMENTS AND CLARIFICATIONS TO CERTAIN 
TRAUMA CARE PROGRAMS. 
(a) ALLOCATION
OF
FUNDS
FOR
COMPETITIVE 
GRANTS FOR REGIONALIZED SYSTEMS FOR EMERGENCY 
CARE RESPONSE.—Section 1232(c) of the Public Health 
Service Act (42 U.S.C. 300d–31(c)) is amended— 
(1) in paragraph (1), by striking ‘‘and’’ at the 
end; 
(2) in paragraph (2), by striking the period at 
the end and inserting ‘‘; and’’; and 
(3) by adding at the end the following new 
paragraph: 
‘‘(3) for a fiscal year after fiscal year 2015, not 
more than 50 percent of such amounts remaining 
for such fiscal year after application of paragraphs 
(1) and (2) shall be allocated for the purpose of car-
rying out section 1204.’’. 
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(b) CLARIFICATIONS UNDER TRAUMA SYSTEMS FOR-
MULA GRANTS REQUIREMENTS RELATING TO THE AMER-
ICAN BURN ASSOCIATION.—Section 1213 of the Public 
Health Service Act (42 U.S.C. 300d–13) is amended— 
(1) in subsection (a)(3), by inserting ‘‘and (for 
a fiscal year after fiscal year 2015) contains national 
standards and requirements of the American Burn 
Association for the designation of verified burn cen-
ters,’’ after ‘‘such entity,’’; 
(2) in subsection (b)(3)(A), by striking ‘‘and 
the American Academy of Pediatrics,’’ and inserting 
‘‘the American Academy of Pediatrics, and (for a 
fiscal year after fiscal year 2015) the American 
Burn Association,’’; and 
(3) in subsection (c)(1)— 
(A) in the matter preceding subparagraph 
(A), by inserting ‘‘and not later than 1 year 
after the date of the enactment of the Trauma 
Systems and Regionalization of Emergency 
Care Reauthorization Act’’ after ‘‘Act of 2007’’; 
and 
(B) in subparagraph (A), by striking ‘‘and 
the American Academy of Pediatrics’’ and in-
serting ‘‘the American Academy of Pediatrics, 
and (with respect to the update pursuant to the 
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Trauma Systems and Regionalization of Emer-
gency Care Reauthorization Act) the American 
Burn Association’’. 
(c) CONFORMING AMENDMENTS.—Part B of title XII 
of the Public Health Service Act is amended— 
(1) in section 1218(c)(2) (42 U.S.C. 300d– 
18(c)(2)), in the matter preceding subparagraph 
(A), by striking ‘‘1232(b)(3)’’ and inserting ‘‘section 
1232(b)’’; and 
(2) in section 1222 (42 U.S.C. 300d–22), by 
striking ‘‘October 1, 2008’’ and inserting ‘‘October 
1, 2017’’. 
Passed the House of Representatives March 16, 
2015. 
Attest: 
KAREN L. HAAS, 
Clerk. 
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