IIB 
114TH CONGRESS 
1ST SESSION 
H. R. 647 
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 ‘‘Access to Life-Saving 
Trauma Care for All Americans Act’’. 
SEC. 2. REAUTHORIZATION OF TRAUMA AND EMERGENCY 
CARE PROGRAMS. 
(a) TRAUMA CENTER CARE GRANTS.—Section 1245 
of the Public Health Service Act (42 U.S.C. 300d–45) is 
amended in the first sentence— 
(1) by striking ‘‘2009, and such’’ and inserting 
‘‘2009, such’’; and 
(2) by inserting before the period at the end the 
following: ‘‘, and $100,000,000 for each of fiscal 
years 2016 through 2020’’. 
(b) TRAUMA SERVICE AVAILABILITY GRANTS.—Sec-
tion 1282 of the Public Health Service Act (42 U.S.C. 
300d–82) is amended by striking ‘‘2015’’ and inserting 
‘‘2020’’. 
SEC. 3. ALIGNMENT OF PROGRAMS UNDER ASSISTANT SEC-
RETARY 
FOR 
PREPAREDNESS 
AND 
RE-
SPONSE. 
Section 2811(c)(2)(F) of the Public Health Service 
Act (42 U.S.C. 300hh–10(c)(2)(F)) is amended by strik-
ing ‘‘trauma care under parts A through C of title XII’’ 
and inserting ‘‘trauma care under parts A through D of 
title XII and part H of such title’’. 
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SEC. 4. TECHNICAL CORRECTIONS RELATING TO TRAUMA 
CENTER GRANTS. 
(a) CLARIFICATION
ON ELIGIBLE TRAUMA CEN-
TERS.—Section 1241(a) of the Public Health Service Act 
(42 U.S.C. 300d–41(a)) is amended by striking ‘‘qualified 
public, nonprofit Indian Health Service, Indian tribal, and 
urban Indian trauma centers’’ and inserting ‘‘qualified 
public trauma centers, qualified nonprofit trauma centers, 
and qualified Indian Health Service, Indian tribal, and 
urban Indian trauma centers’’. 
(b) TRAUMA CENTER GRANTS QUALIFICATIONS FOR 
SUBSTANTIAL UNCOMPENSATED CARE COSTS.—Section 
1241(b)(3)(B) of the Public Health Service Act (42 
U.S.C. 300d–41(b)(3)(B)) is amended— 
(1) in clause (i), by striking ‘‘35’’ and inserting 
‘‘30’’; and 
(2) in clause (ii), by striking ‘‘50’’ and inserting 
‘‘40’’. 
(c) CLARIFICATION RELATING TO TRAUMA CENTER 
GRANTS.—The heading for part D of title XII of the 
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Public Health Service Act (42 U.S.C. 300d–41 et seq.) 
is amended to read as follows: 
‘‘PART D—TRAUMA CENTERS’’. 
Passed the House of Representatives March 16, 
2015. 
Attest: 
KAREN L. HAAS, 
Clerk. 
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