(7) 
CHAIRPERSON.—The 
Administrator 
of 
NHTSA shall select the Chairperson of NEMSAC 
from its members. 
(d) MEETINGS.—Beginning with the first calendar 
year following the enactment of this Act, NEMSAC shall 
meet at least twice per calendar year. 
(e) PERSONNEL; REIMBURSEMENT FOR SERVICES.— 
(1) DETAIL OF NHTSA PERSONNEL.—The Ad-
ministrator of NHTSA shall detail to NEMSAC, 
without reimbursement, such personnel of NHTSA 
as the Administrator determines necessary to carry 
out this section. 
(2) REIMBURSEMENT
FOR
CERTAIN
SERV-
ICES.—If NEMSAC performs services at the request 
of a Federal agency, such agency shall reimburse 
NHTSA for the actual cost of such services. The 
Administrator of NHTSA shall establish the method 
for calculating and providing reimbursement under 
the preceding sentence. 
(f) FEDERAL ADVISORY COMMITTEE ACT.—Except 
as inconsistent with this section, NEMSAC shall operate 
in accordance with the Federal Advisory Committee Act 
(5 U.S.C. App.). 
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(g) DURATION.—Notwithstanding section 14 of the 
Federal Advisory Committee Act (5 U.S.C. App.), 
NEMSAC shall be of permanent duration. 
(h) FUNCTIONS, PERSONNEL, ASSETS, LIABILITIES, 
AND
ADMINISTRATIVE
ACTIONS.—All functions, per-
sonnel, assets, and liabilities of, and administrative actions 
applicable to, the National Emergency Medical Services 
Advisory Council of the Department of Transportation, as 
in existence on the day before the date of the enactment 
of this Act, shall be transferred to the National Emer-
gency Medical Services Advisory Council established under 
this section. 
(i) ANNUAL REPORTS.—Each year, NEMSAC shall 
submit to NHTSA and FICEMS a report describing 
NEMSAC’s activities, positions, and recommendations. 
The Administrator of NHTSA shall promptly provide each 
such report to the appropriate congressional committees 
of jurisdiction. 
SEC. 12. EMERGENCY CARE COORDINATION. 
(a) IN GENERAL.—Subtitle B of title XXVIII of the 
Public Health Service Act (42 U.S.C. 300hh–10 et seq.) 
is amended by adding at the end the following: 
‘‘SEC. 2816. EMERGENCY CARE COORDINATION. 
‘‘(a) EMERGENCY CARE COORDINATION CENTER.— 
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‘‘(1) ESTABLISHMENT.—The Secretary shall es-
tablish, within the Office of the Assistant Secretary 
for Preparedness and Response, an Emergency Care 
Coordination Center (in this section referred to as 
the ‘Center’), to be headed by a Director. 
‘‘(2) DUTIES.—The Secretary, acting through 
the Director of the Center, in coordination with the 
Federal Interagency Committee on Emergency Med-
ical Services, shall— 
‘‘(A) promote and fund research in emer-
gency medicine and trauma health care; 
‘‘(B) promote regional partnerships and 
more effective emergency medical systems in 
order to enhance appropriate triage, distribu-
tion, and care of routine community patients; 
and 
‘‘(C) promote local, regional, and State 
emergency medical systems’ preparedness for 
and response to public health events. 
‘‘(b) COUNCIL OF EMERGENCY CARE.— 
‘‘(1) ESTABLISHMENT.—The Secretary, acting 
through the Director of the Center, shall establish a 
Council of Emergency Care to provide advice and 
recommendations to the Director on carrying out 
this section. 
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‘‘(2) COMPOSITION.—The Council shall be com-
prised of employees of the departments and agencies 
of the Federal Government who are experts in emer-
gency care and management. 
‘‘(c) REPORT.— 
‘‘(1) SUBMISSION.—Not later than 12 months 
after the date of the enactment of this section, the 
Secretary shall submit to the Congress an annual re-
port on the activities carried out under this section. 
‘‘(2) CONSIDERATIONS.—In preparing a report 
under paragraph (1), the Secretary shall consider 
factors including— 
‘‘(A) emergency department crowding and 
boarding; and 
‘‘(B) delays in care following presen-
tation.’’. 
(b) FUNCTIONS, PERSONNEL, ASSETS, LIABILITIES, 
AND
ADMINISTRATIVE
ACTIONS.—All functions, per-
sonnel, assets, and liabilities of, and administrative actions 
applicable to, the Emergency Care Coordination Center, 
as in existence on the day before the date of the enactment 
of this Act, shall be transferred to the Emergency Care 
Coordination Center established under section 2816(a) of 
the Public Health Service Act, as added by subsection (a). 
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SEC. 13. EMERGENCY MEDICAL SERVICES TRUST FUND. 
(a) DESIGNATION OF INCOME TAX OVERPAYMENTS 
AND
ADDITIONAL
CONTRIBUTIONS
FOR
EMERGENCY 
MEDICAL SERVICES.—Subchapter A of chapter 61 of the 
Internal Revenue Code of 1986 (relating to returns and 
records) is amended by adding at the end the following 
new part: 
‘‘PART IX—DESIGNATION OF INCOME TAX OVER-
PAYMENTS 
AND 
ADDITIONAL 
CONTRIBU-
TIONS FOR EMERGENCY MEDICAL SERVICES 
‘‘SEC. 6097. DESIGNATION BY INDIVIDUALS. 
‘‘(a) IN GENERAL.—Every individual (other than a 
nonresident alien)— 
‘‘(1) may designate that a specified portion of 
any overpayment of tax for a taxable year, and 
‘‘(2) may designate that an amount in addition 
to any payment of tax for such taxable year and any 
designation under paragraph (1), 
shall be used to fund the Emergency Medical Services 
Trust Fund. Designations under the preceding sentence 
shall be in an amount not less than $1 and the Secretary 
shall provide for elections in amounts of $1, $5, $10, or 
such other amount as the taxpayer designates. 
‘‘(b) ADJUSTED INCOME TAX LIABILITY.—For pur-
poses of this section, the term ‘adjusted income tax liabil-
ity’ means income tax liability (as defined in section 
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