taxable year) specified in regulations prescribed by 
the Secretary. 
Such designation shall be made in such manner as the 
Secretary prescribes by regulations except that, if such 
designation is made at the time of filing the return of the 
tax imposed by chapter 1 for such taxable year, such des-
ignation shall be made either on the first page of the re-
turn or on the page bearing the signature of the tax-
payer.’’. 
(b) 
EMERGENCY
MEDICAL
SERVICES
TRUST 
FUND.—Subchapter A of chapter 98 of the Internal Rev-
enue Code of 1986 is amended by adding at the end the 
following new section: 
‘‘SEC. 9512. EMERGENCY MEDICAL SERVICES TRUST FUND. 
‘‘(a) CREATION OF TRUST FUND.—There is estab-
lished in the Treasury of the United States a trust fund 
to be known as the ‘Emergency Medical Services Trust 
Fund’, consisting of such amounts as may be credited or 
paid to such trust fund as provided in section 6097. 
‘‘(b) TRANSFERS TO TRUST FUND.—There are here-
by appropriated to the Emergency Medical Services Trust 
Fund amounts equivalent to the amounts of the overpay-
ments of tax to which designations under section 6097 
apply. 
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‘‘(c) EXPENDITURES FROM TRUST FUND.—Amounts 
in the Emergency Medical Services Trust Fund shall be 
available, as provided in appropriation Acts, only for car-
rying out the provisions for which amounts are authorized 
to be appropriated under subsections (a) and (b) of section 
12 of the Field EMS Quality, Innovation, and Cost Effec-
tiveness Improvements Act of 2013.’’. 
(c) CLERICAL AMENDMENTS.— 
(1) CLERICAL
AMENDMENT.—The table of 
parts for subchapter A of chapter 61 of the Internal 
Revenue Code of 1986 is amended by adding at the 
end the following new item: 
‘‘PART IX. DESIGNATION OF INCOME TAX OVERPAYMENTS AND ADDITIONAL 
CONTRIBUTIONS FOR EMERGENCY MEDICAL SERVICES.’’. 
(2) The table of sections for subchapter A of 
chapter 98 of such Code is amended by adding at 
the end the following new item: 
‘‘Sec. 9512. Emergency Medical Services Trust Fund.’’. 
(d) EFFECTIVE DATE.—The amendments made by 
this section shall apply to taxable years beginning after 
December 31, 2013. 
SEC. 12. AUTHORIZATION OF APPROPRIATIONS. 
(a) IN GENERAL.—Out of amounts in the Emergency 
Medical Services Trust Fund, there are authorized to be 
appropriated— 
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(1) $12,000,000 shall be for carrying out sec-
tions 4 (excluding the provisions of law listed in sub-
section (b)(3) of such section), 7, 9(a), 9(c), and 11 
of this Act for each of fiscal years 2014 through 
2017; 
(2) $200,000,000 shall be for carrying out sec-
tion 5 of this Act for each of fiscal years 2014 
through 2017; 
(3) $50,000,000 shall be for carrying out sec-
tion 6 of this Act for each of fiscal years 2014 
through 2017; 
(4) $4,000,000 shall be for carrying out section 
7(c)(1) of this Act for each of fiscal years 2014 
through 2017; 
(5) $15,000,000 shall be for carrying out sec-
tion 8 of this Act for each of fiscal years 2014 
through 2017; and 
(6) $40,000,000 shall be for carrying out sec-
tions 498D(c) and 938 of the Public Health Service 
Act, as added by subsections (b) and (c) of section 
10 of this Act, for each of fiscal years 2014 through 
2017. 
(b) EXCESS AMOUNTS.—If, for any fiscal year, 
amounts in the Emergency Medical Services Trust Fund 
exceed the maximum amount authorized to be appro-
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priated under subsection (a), such excess amounts are au-
thorized to be appropriated to carry out section 330J, sec-
tion 498D, and parts A, B, C, D, and H of title XII of 
the Public Health Service Act (42 U.S.C. 254c–15, 289g– 
4, 300d et seq., 300d–11 et seq., 300d–31 et seq., and 
300d–81 et seq.). 
(c) START-UP FUNDING.— 
(1) IN
GENERAL.—Out of the discretionary 
funds available to the Secretary of Health and 
Human Services for each of fiscal years 2014 and 
2015, $40,000,000 shall be for carrying out the pro-
visions listed in subsection (a) or (b). 
(2) RELATION TO OTHER FUNDS.—The amount 
of discretionary funds allocated under paragraph (1) 
for the purpose of carrying out the provisions listed 
in subsection (a) or (b) shall be in addition to, not 
in lieu of, the amount of discretionary funds that 
would otherwise be available for such purpose. 
(d) ADMINISTRATIVE EXPENSES.—Of the amounts 
made available under subsection (a), (b), or (c) to carry 
out each of the provisions listed in subsection (a), not 
more than 5 percent of each such amount may be used 
for Federal administrative expenses. 
Æ 
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