H. R. 727—8
‘‘(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 section 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, implementing, 
and monitoring the modifications required 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 recipients of serv-
ices provided pursuant to this section; 
‘‘(3) to purchase or improve real property (other than minor 
remodeling of existing improvements to real property); 
‘‘(4) to satisfy any requirement for the expenditure of non-
Federal funds as a condition for the receipt of Federal funds; 
or 
‘‘(5) to provide financial assistance to any entity other 
than a public or nonprofit private entity. 
‘‘(b) WAIVER.—The Secretary may waive a restriction 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 otherwise 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 extent to which Federal and State 
efforts to develop systems of trauma care and to designate trauma 
centers have reduced the incidence of mortality, and the incidence 
of permanent disability, resulting from trauma. Such report may 
include any recommendations of the Secretary for appropriate 
administrative and legislative initiatives with respect to trauma 
care.’’. 
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 subsections (b) and (c), 
there are authorized to be appropriated $12,000,000 for fiscal year
H. R. 727—9
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 appropriated 
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 purpose 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 appro-
priated 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.’’. 
SEC. 13. RESIDENCY TRAINING PROGRAMS IN EMERGENCY MEDICINE. 
Section 1251 of the Public Health Service Act (42 U.S.C. 300d–
51) is amended to read as follows: 
‘‘SEC. 1251. RESIDENCY TRAINING PROGRAMS IN EMERGENCY MEDI-
CINE. 
‘‘(a) IN GENERAL.—The Secretary may make grants to public 
and nonprofit private entities for the purpose of planning and 
developing approved residency training programs in emergency 
medicine. 
‘‘(b) IDENTIFICATION AND REFERRAL OF DOMESTIC VIOLENCE.—
The Secretary may make a grant under subsection (a) only if 
the applicant involved agrees that the training programs under 
subsection (a) will provide education and training in identifying 
and referring cases of domestic violence. 
‘‘(c) AUTHORIZATION OF APPROPRIATIONS.—For the purpose of 
carrying out this section, there is authorized to be appropriated 
$400,000 for each of the fiscal years 2008 though 2012.’’.
H. R. 727—10
SEC. 14. STATE GRANTS FOR CERTAIN PROJECTS. 
Section 1252 of the Public Health Service Act (42 U.S.C. 300d–
52) is amended in the section heading by striking ‘‘DEMONSTRA-
TION’’.
Speaker of the House of Representatives.
Vice President of the United States and
President of the Senate.