IB 
Union Calendar No. 43 
110TH CONGRESS 
1ST SESSION 
H. R. 727 
[Report No. 110–77] 
To amend the Public Health Service Act to add requirements regarding 
trauma care, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
JANUARY 30, 2007 
Mr. GENE GREEN of Texas (for himself and Mr. BURGESS) introduced the 
following bill; which was referred to the Committee on Energy and Commerce 
MARCH 27, 2007 
Additional sponsors: Mr. SESSIONS, Mr. MCNULTY, Mrs. CAPPS, Mr. 
MCDERMOTT, Mr. SHAYS, Mr. GRIJALVA, Mr. TOWNS, Mr. LEWIS of 
Kentucky, Mr. JEFFERSON, Mr. PATRICK MURPHY of Pennsylvania, Mr. 
ENGEL, Mr. HOLDEN, Mr. TIM MURPHY of Pennsylvania, Mr. WALDEN 
of Oregon, Mr. MARCHANT, and Mr. BOUSTANY 
MARCH 27, 2007 
Reported with an amendment, committed to the Committee of the Whole 
House on the State of the Union, and ordered to be printed 
[Strike out all after the enacting clause and insert the part printed in italic] 
[For text of introduced bill, see copy of bill as introduced on January 30, 2007] 
A BILL 
To amend the Public Health Service Act to add requirements 
regarding trauma care, and for other purposes. 
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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 ‘‘Trauma Care Systems 
Planning and Development Act of 2007’’. 
SEC. 2. ESTABLISHMENT. 
Section 1201 of the Public Health Service Act (42 
U.S.C. 300d) is amended to read as follows: 
‘‘SEC. 1201. ESTABLISHMENT. 
‘‘(a) IN GENERAL.—The Secretary shall, with respect 
to trauma care— 
‘‘(1) conduct and support research, training, 
evaluations, and demonstration projects; 
‘‘(2) foster the development of appropriate, mod-
ern systems of such care through the sharing of infor-
mation among agencies and individuals involved in 
the study and provision of such care; 
‘‘(3) collect, compile, and disseminate informa-
tion on the achievements of, and problems experienced 
by, State and local agencies and private entities in 
providing trauma care and emergency medical serv-
ices and, in so doing, give special consideration to the 
unique needs of rural areas; 
‘‘(4) provide to State and local agencies technical 
assistance to enhance each State’s capability to de-
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velop, implement, and sustain the trauma care com-
ponent of each State’s plan for the provision of emer-
gency medical services; 
‘‘(5) sponsor workshops and conferences; and 
‘‘(6) promote the collection and categorization of 
trauma data in a consistent and standardized man-
ner. 
‘‘(b) GRANTS, COOPERATIVE AGREEMENTS, AND CON-
TRACTS.—The Secretary may make grants, and enter into 
cooperative agreements and contracts, for the purpose of 
carrying out subsection (a).’’. 
SEC. 3. CLEARINGHOUSE ON TRAUMA CARE AND EMER-
GENCY MEDICAL SERVICES. 
The Public Health Service Act (42 U.S.C. 201 et seq.) 
is amended— 
(1) by striking section 1202; and 
(2) by redesignating section 1203 as section 
1202. 
SEC. 4. ESTABLISHMENT OF PROGRAMS FOR IMPROVING 
TRAUMA CARE IN RURAL AREAS. 
Section 1202 of the Public Health Service Act, as re-
designated by section 3(2), is amended to read as follows: 
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‘‘SEC. 1202. ESTABLISHMENT OF PROGRAMS FOR IMPROV-
ING TRAUMA CARE IN RURAL AREAS. 
‘‘(a) IN GENERAL.—The Secretary may make grants 
to public and nonprofit private entities for the purpose of 
carrying out research and demonstration projects with re-
spect to improving the availability and quality of emer-
gency medical services in rural areas— 
‘‘(1) by developing innovative uses of commu-
nications technologies and the use of new communica-
tions technology; 
‘‘(2) by developing model curricula, such as ad-
vanced trauma life support, for training emergency 
medical services personnel, including first responders, 
emergency medical technicians, emergency nurses and 
physicians, and paramedics— 
‘‘(A) in the assessment, stabilization, treat-
ment, preparation for transport, and resuscita-
tion of seriously injured patients, with special 
attention to problems that arise during long 
transports and to methods of minimizing delays 
in transport to the appropriate facility; and 
‘‘(B) in the management of the operation of 
the emergency medical services system; 
‘‘(3) by making training for original certifi-
cation, and continuing education, in the provision 
and management of emergency medical services more 
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accessible to emergency medical personnel in rural 
areas through telecommunications, home studies, pro-
viding teachers and training at locations accessible to 
such personnel, and other methods; 
‘‘(4) by developing innovative protocols and 
agreements to increase access to prehospital care and 
equipment necessary for the transportation of seri-
ously injured patients to the appropriate facilities; 
‘‘(5) by evaluating the effectiveness of protocols 
with respect to emergency medical services and sys-
tems; and 
‘‘(6) by increasing communication and coordina-
tion with State trauma systems. 
‘‘(b) SPECIAL CONSIDERATION FOR CERTAIN RURAL 
AREAS.—In making grants under subsection (a), the Sec-
retary shall give special consideration to any applicant for 
the grant that will provide services under the grant in any 
rural area identified by a State under section 1214(d)(1). 
‘‘(c) REQUIREMENT OF APPLICATION.—The Secretary 
may not make a grant under subsection (a) unless an appli-
cation for the grant is submitted to the Secretary and the 
application is in such form, is made in such manner, and 
contains such agreements, assurances, and information as 
the Secretary determines to be necessary to carry out this 
section.’’. 
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SEC. 5. COMPETITIVE GRANTS. 
Part A of title XII of the Public Health Service Act, 
as amended by section 3, is amended by adding at the end 
the following: 
‘‘SEC. 1203. COMPETITIVE GRANTS FOR THE IMPROVEMENT 
OF TRAUMA CARE. 
‘‘(a) IN GENERAL.—The Secretary, acting through the 
Administrator of the Health Resources and Services Admin-
istration, may make grants to States, political subdivisions, 
or consortia of States or political subdivisions for the pur-
pose of improving access to and enhancing the development 
of trauma care systems. 
‘‘(b) USE OF FUNDS.—The Secretary may make a 
grant under this section only if the applicant agrees to use 
the grant— 
‘‘(1) to integrate and broaden the reach of a 
trauma care system, such as by developing innovative 
protocols to increase access to prehospital care; 
‘‘(2) to strengthen, develop, and improve an ex-
isting trauma care system; 
‘‘(3) to expand communications between the 
trauma care system and emergency medical services 
through improved equipment or a telemedicine sys-
tem; 
‘‘(4) to improve data collection and retention; or 
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‘‘(5) to increase education, training, and tech-
nical assistance opportunities, such as training and 
continuing education in the management of emer-
gency medical services accessible to emergency medical 
personnel in rural areas through telehealth, home 
studies, and other methods. 
‘‘(c) PREFERENCE.—In selecting among States, polit-
ical subdivisions, and consortia of States or political sub-
divisions for purposes of making grants under this section, 
the Secretary shall give preference to applicants that— 
‘‘(1) have developed a process, using national 
standards, for designating trauma centers; 
‘‘(2) recognize protocols for the delivery of seri-
ously injured patients to trauma centers; 
‘‘(3) implement a process for evaluating the per-
formance of the trauma system; and 
‘‘(4) agree to participate in information systems 
described in section 1202 by collecting, providing, and 
sharing information. 
‘‘(d) PRIORITY.—In making grants under this section, 
the Secretary shall give priority to applicants that will use 
the grants to focus on improving access to trauma care sys-
tems. 
‘‘(e) SPECIAL CONSIDERATION.—In awarding grants 
under this section, the Secretary shall give special consider-
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ation to projects that demonstrate strong State or local sup-
port, including availability of non-Federal contributions.’’. 
SEC. 6. REQUIREMENT OF MATCHING FUNDS FOR FISCAL 
YEARS SUBSEQUENT TO FIRST FISCAL YEAR 
OF PAYMENTS. 
Section 1212 of the Public Health Service Act (42 
U.S.C. 300d–12) is amended to read as follows: 
‘‘SEC. 1212. REQUIREMENT OF MATCHING FUNDS FOR FIS-
CAL YEARS SUBSEQUENT TO FIRST FISCAL 
YEAR OF PAYMENTS. 
‘‘(a) NON-FEDERAL CONTRIBUTIONS.— 
‘‘(1) IN GENERAL.—The Secretary may not make 
payments under section 1211(a) unless the State in-
volved agrees, with respect to the costs described in 
paragraph (2), to make available non-Federal con-
tributions (in cash or in kind under subsection (b)(1)) 
toward such costs in an amount that— 
‘‘(A) for the second and third fiscal years of 
such payments to the State, is not less than $1 
for each $1 of Federal funds provided in such 
payments for such fiscal years; and 
‘‘(B) for the fourth and subsequent fiscal 
years of such payments to the State, is not less 
than $2 for each $1 of Federal funds provided in 
such payments for such fiscal years. 
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‘‘(2) PROGRAM COSTS.—The costs referred to in 
paragraph (1) are— 
‘‘(A) the costs to be incurred by the State in 
carrying out the purpose described in section 
1211(b); or 
‘‘(B) the costs of improving the quality and 
availability of emergency medical services in 
rural areas of the State. 
‘‘(3) INITIAL
YEAR
OF
PAYMENTS.—The Sec-
retary may not require a State to make non-Federal 
contributions as a condition of receiving payments 
under section 1211(a) for the first fiscal year of such 
payments to the State. 
‘‘(b) DETERMINATION OF AMOUNT OF NON-FEDERAL 
CONTRIBUTION.—With respect to compliance with sub-
section (a) as a condition of receiving payments under sec-
tion 1211(a)— 
‘‘(1) a State may make the non-Federal con-
tributions required in such subsection in cash or in 
kind, fairly evaluated, including plant, equipment, or 
services; and 
‘‘(2) the Secretary may not, in making a deter-
mination of the amount of non-Federal contributions, 
include amounts provided by the Federal Government 
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