I 
114TH CONGRESS 
2D SESSION 
H. R. 6229 
To amend the Public Health Service Act to facilitate assignment 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. 
IN THE HOUSE OF REPRESENTATIVES 
SEPTEMBER 28, 2016 
Mr. BURGESS (for himself, Mr. GENE GREEN of Texas, Mr. HUDSON, and Ms. 
CASTOR of Florida) introduced the following bill; which was referred to 
the Committee on Energy and Commerce 
A BILL 
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, 
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’’. 
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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, acting 
through the Assistant Secretary for Preparedness 
and Response and in consultation with the Secretary 
of Defense, shall award grants to not more than 20 
eligible high acuity trauma centers to enable military 
trauma teams to provide, on a full-time basis, trau-
ma care and related acute care at such trauma cen-
ters. 
‘‘(2) LIMITATIONS.—In the case of a grant 
awarded under paragraph (1) to an eligible high 
acuity trauma center, such grant— 
‘‘(A) shall be for a period of not fewer 
than 3 fiscal years and not more than 5 fiscal 
years (and may be renewed at the end of such 
period); and 
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‘‘(B) shall be in an amount that does not 
exceed $1,000,000 per fiscal year. 
‘‘(b) MILITARY TRAUMA CARE PROVIDER PLACE-
MENT PROGRAM.— 
‘‘(1) IN
GENERAL.—The Secretary, acting 
through the Assistant Secretary for Preparedness 
and Response and in consultation with the Secretary 
of Defense, 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 fis-
cal year and not more than 3 fiscal years (and 
may be renewed at the end of such period); and 
‘‘(B) shall be in an amount that does not 
exceed, in a fiscal 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. 
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‘‘(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, and State license fees for 
such military trauma care providers. 
‘‘(d) 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 fiscal year 
shall submit to the Secretary and the Secretary of 
Defense a report for such fiscal year that includes 
information on— 
‘‘(A) the number and types of trauma 
cases managed by military trauma teams or 
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military trauma care providers pursuant to such 
grant during such fiscal 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 
fiscal 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. 
‘‘(2) REPORT
TO
CONGRESS.—Not less than 
once every 2 fiscal years, the Secretary, in consulta-
tion 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; 
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‘‘(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. 
‘‘(e) 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. 
‘‘(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’ 
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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 three- 
month period for which data is available are 
treated for a major trauma at such trauma cen-
ter. 
‘‘(C) 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. 
‘‘(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 
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‘‘(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 
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. 
‘‘(f) AUTHORIZATION
OF
APPROPRIATIONS.—For 
each of fiscal years 2017 through 2021, there are author-
ized to be appropriated— 
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‘‘(1) $20,000,000 for carrying out subsection 
(a); and 
‘‘(2) $20,000,000 for carrying out subsection 
(b).’’. 
Æ 
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