HR 727 RDS
areas and frontier areas that have populations of 
less than 6,000 per square mile. 
‘‘(d) RULE OF CONSTRUCTION WITH RESPECT TO 
NUMBER OF DESIGNATED TRAUMA CENTERS.—With re-
spect to compliance with subsection (a) as a condition of 
the receipt of a grant under section 1211(a), such sub-
section may not be construed to specify the number of 
trauma care centers designated pursuant to such sub-
section.’’. 
SEC. 8. REQUIREMENT OF SUBMISSION TO SECRETARY OF 
TRAUMA PLAN AND CERTAIN INFORMATION. 
Section 1214 of the Public Health Service Act (42 
U.S.C. 300d–14) is amended to read as follows: 
‘‘SEC. 1214. REQUIREMENT OF SUBMISSION TO SECRETARY 
OF TRAUMA PLAN AND CERTAIN INFORMA-
TION. 
‘‘(a) IN GENERAL.—For each fiscal year, the Sec-
retary may not make payments to a State under section 
1211(a) unless, subject to subsection (b), the State sub-
mits to the Secretary the trauma care component of the 
State plan for the provision of emergency medical services, 
including any changes to the trauma care component and 
any plans to address deficiencies in the trauma care com-
ponent. 
VerDate Aug 31 2005 
03:51 Mar 31, 2007
Jkt 059200
PO 00000
Frm 00018
Fmt 6652
Sfmt 6201
E:\BILLS\H727.RDS
H727
bajohnson on PROD1PC77 with BILLS
HR 727 RDS
‘‘(b) INTERIM
PLAN
OR
DESCRIPTION
OF
EF-
FORTS.—For each fiscal year, if a State has not completed 
the trauma care component of the State plan described 
in subsection (a), the State may provide, in lieu of such 
completed component, an interim component or a descrip-
tion of efforts made toward the completion of the compo-
nent. 
‘‘(c) INFORMATION RECEIVED BY STATE REPORTING 
AND ANALYSIS SYSTEM.—The Secretary may not make 
payments to a State under section 1211(a) unless the 
State agrees that the State will, not less than once each 
year, provide to the Secretary the information received by 
the State pursuant to section 1213(a)(7). 
‘‘(d) AVAILABILITY OF EMERGENCY MEDICAL SERV-
ICES IN RURAL AREAS.—The Secretary may not make 
payments to a State under section 1211(a) unless— 
‘‘(1) the State identifies any rural area in the 
State for which— 
‘‘(A) there is no system of access to emer-
gency medical services through the telephone 
number 911; 
‘‘(B) there is no basic life-support system; 
or 
‘‘(C) there is no advanced life-support sys-
tem; and 
VerDate Aug 31 2005 
03:51 Mar 31, 2007
Jkt 059200
PO 00000
Frm 00019
Fmt 6652
Sfmt 6201
E:\BILLS\H727.RDS
H727
bajohnson on PROD1PC77 with BILLS
HR 727 RDS
‘‘(2) the State submits to the Secretary a list 
of rural areas identified pursuant to paragraph (1) 
or, if there are no such areas, a statement that there 
are no such areas.’’. 
SEC. 9. RESTRICTIONS ON USE OF PAYMENTS. 
Section 1215 of the Public Health Service Act (42 
U.S.C. 300d–15) is amended to read as follows: 
‘‘SEC. 1215. RESTRICTIONS ON USE OF PAYMENTS. 
‘‘(a) IN GENERAL.—The Secretary may not, except 
as provided in subsection (b), make payments under sec-
tion 1211(a) for a fiscal year unless the State involved 
agrees that the payments will not be expended— 
‘‘(1) for any purpose other than developing, im-
plementing, and monitoring the modifications re-
quired by section 1211(b) to be made to the State 
plan for the provision of emergency medical services; 
‘‘(2) to make cash payments to intended recipi-
ents of services provided pursuant to this section; 
‘‘(3) to purchase or improve real property 
(other than minor remodeling of existing improve-
ments to real property); 
‘‘(4) to satisfy any requirement for the expendi-
ture of non-Federal funds as a condition for the re-
ceipt of Federal funds; or 
VerDate Aug 31 2005 
03:51 Mar 31, 2007
Jkt 059200
PO 00000
Frm 00020
Fmt 6652
Sfmt 6201
E:\BILLS\H727.RDS
H727
bajohnson on PROD1PC77 with BILLS
HR 727 RDS
‘‘(5) to provide financial assistance to any enti-
ty other than a public or nonprofit private entity. 
‘‘(b) WAIVER.—The Secretary may waive a restric-
tion under subsection (a) only if the Secretary determines 
that the activities outlined by the State plan submitted 
under section 1214(a) by the State involved cannot other-
wise be carried out.’’. 
SEC. 10. REQUIREMENTS OF REPORTS BY STATES. 
The Public Health Service Act (42 U.S.C. 201 et 
seq.) is amended by striking section 1216. 
SEC. 11. REPORT BY SECRETARY. 
Section 1222 of the Public Health Service Act (42 
U.S.C. 300d–22) is amended to read as follows: 
‘‘SEC. 1222. REPORT BY SECRETARY. 
‘‘Not later than October 1, 2008, the Secretary shall 
report to the appropriate committees of Congress on the 
activities of the States carried out pursuant to section 
1211. Such report shall include an assessment of the ex-
tent to which Federal and State efforts to develop systems 
of trauma care and to designate trauma centers have re-
duced the incidence of mortality, and the incidence of per-
manent disability, resulting from trauma. Such report 
may include any recommendations of the Secretary for ap-
propriate administrative and legislative initiatives with re-
spect to trauma care.’’. 
VerDate Aug 31 2005 
03:51 Mar 31, 2007
Jkt 059200
PO 00000
Frm 00021
Fmt 6652
Sfmt 6201
E:\BILLS\H727.RDS
H727
bajohnson on PROD1PC77 with BILLS
HR 727 RDS
SEC. 12. FUNDING. 
Section 1232 of the Public Health Service Act (42 
U.S.C. 300d–32) is amended to read as follows: 
‘‘SEC. 1232. FUNDING. 
‘‘(a) AUTHORIZATION OF APPROPRIATIONS.—For the 
purpose of carrying out parts A and B, subject to sub-
sections (b) and (c), there are authorized to be appro-
priated $12,000,000 for fiscal year 2008, $10,000,000 for 
fiscal year 2009, and $8,000,000 for each of the fiscal 
years 2010 through 2012. 
‘‘(b) RESERVATION OF FUNDS.—If the amount ap-
propriated under subsection (a) for a fiscal year is equal 
to or less than $1,000,000, such appropriation is available 
only for the purpose of carrying out part A. If the amount 
so appropriated is greater than $1,000,000, 50 percent 
of such appropriation shall be made available for the pur-
pose of carrying out part A and 50 percent shall be made 
available for the purpose of carrying out part B. 
‘‘(c) ALLOCATION
OF PART A FUNDS.—Of the 
amounts appropriated under subsection (a) for a fiscal 
year to carry out part A— 
‘‘(1) 10 percent of such amounts for such year 
shall be allocated for administrative purposes; and 
‘‘(2) 10 percent of such amounts for such year 
shall be allocated for the purpose of carrying out 
section 1202.’’. 
VerDate Aug 31 2005 
03:51 Mar 31, 2007
Jkt 059200
PO 00000
Frm 00022
Fmt 6652
Sfmt 6201
E:\BILLS\H727.RDS
H727
bajohnson on PROD1PC77 with BILLS