In the Senate of the United States,
June 29 (legislative day, June 22), 1993.
Resolved, That the bill from the House of Representa-
tives (H.R. 2205) entitled ‘‘An Act to amend the Public
Health Service Act to revise and extend programs relating to
trauma care’’, do pass with the following
AMENDMENT:
Strike out all after the enacting clause and insert:
SECTION 1. SHORT TITLE.
This title may be cited as the ‘‘Trauma Care Amend-
ments Act of 1993’’.
SEC. 2. ADVISORY COUNCIL ON TRAUMA CARE SYSTEMS.
(a) MEMBERSHIP.—Section 1202(c) of the Public
Health Service Act (42 U.S.C. 300d–1(c)) is amended—
(1) in paragraph (1)—
(A) in the matter preceding subparagraph
(A), by striking ‘‘12’’ and inserting ‘‘13’’;
(B) in subparagraph (D), by striking ‘‘and’’
at the end thereof;
(C) in subparagraph (E), by striking the
period and inserting ‘‘; and’’; and
(D) by adding at the end thereof the follow-
ing new subparagraph:
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‘‘(F) 1 shall be an individual who has been
a trauma patient at a designated trauma cen-
ter.’’; and
(2) in paragraphs (3), by striking ‘‘25 percent’’
and inserting ‘‘at least 4’’.
(b) TERMS.—Section 1202(d) of such Act (42 U.S.C.
300d–1(d)) is amended by adding at the end thereof the
following new paragraph:
‘‘(3) TRAUMA PATIENT.—A member appointed to
serve on the Council under subsection (c)(1)(F), in-
cluding the initial member appointed under such sub-
section, shall be appointed for a term of 4 years.’’.
(c) MEETINGS.—Section 1202(g) of such Act (42
U.S.C. 300d–1(g)) is amended to read as follows:
‘‘(g) MEETINGS.—The Council shall meet not less than
once each year, and if the Chair determines necessary, up
to four times each year.’’.
SEC. 3. REQUIREMENTS.
Section 1213(a)(11) of the Public Health Service Act
(42 U.S.C. 300d–13(a)(11)) is amended by striking ‘‘any
standard metropolitan statistical area’’ and inserting ‘‘a
border, with respect to State areas in which logical geo-
graphic groupings across State borders would be appro-
priate to carry out the purposes of this title’’.
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SEC. 4. FUNDING.
Section 1232(a) of the Public Health Service Act (42
U.S.C. 300d–32(a)) is amended—
(1) by striking ‘‘$60,000,000 for fiscal year
1991’’ and inserting ‘‘$25,000,000 for fiscal year
1994’’; and
(2) by striking ‘‘1992 and 1993’’ and inserting
‘‘1995, 1996, and 1997.’’.
SEC. 5. TECHNICAL AMENDMENTS.
Title XII of the Public Health Service Act is amend-
ed—
(1) in section 1212(a)(2)(A) (42 U.S.C. 300d–
12(a)(2)(A)), by striking ‘‘1211(c)’’ and inserting
‘‘1211(b)’’;
(2) in section 1213(a) (42 U.S.C. 300d–13(a))—
(A) by striking ‘‘to provide’’ in paragraphs
(8) and (9) and inserting ‘‘provides’’; and
(B) by striking ‘‘to conduct’’ in paragraph
(10) and inserting ‘‘conducts’’;
(3) in section 1213(c) (42 U.S.C. 300d–13(c)), by
striking ‘‘6,000’’ in the matter following paragraph
(4) and inserting ‘‘6’’; and
(4) in section 1231(3) (42 U.S.C. 300d–31), by
striking ‘‘Puerto Rico;’’ and inserting ‘‘Puerto Rico,’’.
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SEC. 6. STUDY CONCERNING FEDERAL DUPLICATION OF
EMS AND TRAUMA CARE ACTIVITIES.
(a) STUDY.—The General Accounting Office shall con-
duct a study to determine the extent and desirability of the
duplication of Federal emergency medical services and
trauma care activities. Within such study the General Ac-
counting Office shall—
(1) describe existing emergency medical service
and trauma care programs located within—
(A) the Federal Emergency Management
Agency;
(B) the General Services Administration;
(C) the Department of Agriculture;
(D) the Department of Defense;
(E) the Department of Health and Human
Services;
(F) the Department of Transportation;
(G) the Department of Veterans Affairs;
(H) the Federal Interagency Committee on
Emergency Medical Services; or
(I) any other relevant entities;
with respect to the purpose of each program, the
amount of resources allocated for each program and
its respective grant or contract programs for State,
local, or nonprofit entities;
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(2) examine each program described in para-
graph (1) to determine if there is a duplication of
emergency medical service and trauma care programs
resulting in economic and service inefficiencies;
(3) develop recommendations on the feasibility of
consolidating all programs described in paragraph
(1) into one Federal department or a smaller number
of entities to limit the duplication of such programs
and enhance financial and service efficiency for Fed-
eral emergency medical service and trauma care pro-
grams;
(4) develop recommendations, if a consolidation
described in paragraph (3) is warranted, concerning
which emergency medical service and trauma care
programs should continue and the appropriate entity
or entities to administer each such program based
upon the mission and expertise of such entity or
entities;
(5) develop recommendations concerning which
Federal entity should be the lead agency for emer-
gency medical service and trauma care programs in
the Federal Government, to be responsible for—
(A) administering programs for emergency
medical service and trauma care programs;
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(B) acting as the first point of Federal con-
tact for all local, nonprofit and State entities in
regard to all Federal emergency medical service
and trauma care programs;
(C) administering the emergency medical
service and trauma care information clearing-
house for the use of all Federal, State, local, and
nonprofit entities;
(D) coordinating all Federal emergency
medical service and trauma care programs;
(E) serving as the Chair of an interagency
committee on emergency medical service, in the
event such an entity is recommended to exist for
the consolidated emergency medical service and
trauma care programs; and
(F) assuming other roles relevant to a lead
agency as determined appropriate by the General
Accounting Office; and
(6) develop recommendations for mechanisms to
ensure that the lead Federal entity described in para-
graph (5) has power sufficient to coordinate and pre-
vent the duplication of Federal emergency medical
service and trauma care programs.
(b) REPORT.—Not later than 1 year after the date of
enactment of this Act, the General Accounting Office shall
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prepare and submit to the appropriate committees of Con-
gress a report concerning the study conducted under sub-
section (a) and the recommendations made under such
study.
Attest:
Secretary.