‘‘(c) DEFINITION.—In this section: 
‘‘(1) The term ‘Center’ means the Field EMS 
Evidence-Based Practice Center established under 
subsection (a). 
‘‘(2) The term ‘field EMS’ has the meaning 
given to such term in section 3 of the Field EMS 
Quality, Innovation, and Cost Effectiveness Improve-
ments Act of 2011.’’. 
(d) LIMITATIONS
ON
CERTAIN
USES
OF
RE-
SEARCH.—Section 1182 of the Social Security Act (42 
U.S.C. 1320e–1) is amended by striking ‘‘section 1181’’ 
each place it appears and inserting ‘‘section 1181 of this 
Act or section 498D(c) or 938 of the Public Health Serv-
ice Act’’. 
(e) REGULATORY BARRIERS.—For the purposes of 
research conducted pursuant to this section or any other 
research funded by the Department of Health and Human 
Services related to emergency medical services in the field 
in which informed consent is required but may not be at-
tainable, the Secretary of Health and Human Services 
shall— 
(1) evaluate and consider the patient and re-
search issues involved; and 
(2) address regulatory barriers to such research 
related to the need for informed consent in a man-
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ner that ensures adequate patient safety and notifi-
cation, and submit recommendations to Congress for 
any changes to Federal statutes necessary to ad-
dress such barriers. 
SEC. 11. 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 
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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 
6096(b)) reduced by any amount designated under section 
6096 (relating to designation of income tax payments to 
Presidential Election Campaign Fund). 
‘‘(c) OVERPAYMENTS TREATED AS REFUNDED.—For 
purposes of this title, any portion of an overpayment of 
tax designated under subsection (a) shall be treated as— 
‘‘(1) being refunded to the taxpayer as of the 
last date prescribed for filing the return of tax im-
posed by chapter 1 (determined without regard to 
extensions) or, if later, the date the return is filed, 
and 
‘‘(2) a contribution made by such taxpayer on 
such date to the United States. 
‘‘(d) MANNER AND TIME OF DESIGNATION.—A des-
ignation under subsection (a) may be made with respect 
to any taxable year— 
‘‘(1) at the time of filing the return of the tax 
imposed by chapter 1 for such taxable year, or 
‘‘(2) at any other time (after the time of filing 
the return of the tax imposed by chapter 1 for such 
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taxable year) specified in regulations prescribed by 
the Secretary. 
Such designation shall be made in such manner as the 
Secretary prescribes by regulations except that, if such 
designation is made at the time of filing the return of the 
tax imposed by chapter 1 for such taxable year, such des-
ignation shall be made either on the first page of the re-
turn or on the page bearing the signature of the tax-
payer.’’. 
(b) 
EMERGENCY
MEDICAL
SERVICES
TRUST 
FUND.—Subchapter A of chapter 98 of the Internal Rev-
enue Code of 1986 is amended by adding at the end the 
following new section: 
‘‘SEC. 9512. EMERGENCY MEDICAL SERVICES TRUST FUND. 
‘‘(a) CREATION OF TRUST FUND.—There is estab-
lished in the Treasury of the United States a trust fund 
to be known as the ‘Emergency Medical Services Trust 
Fund’, consisting of such amounts as may be credited or 
paid to such trust fund as provided in section 6097. 
‘‘(b) TRANSFERS TO TRUST FUND.—There are here-
by appropriated to the Emergency Medical Services Trust 
Fund amounts equivalent to the amounts of the overpay-
ments of tax to which designations under section 6097 
apply. 
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‘‘(c) EXPENDITURES FROM TRUST FUND.—Amounts 
in the Emergency Medical Services Trust Fund shall be 
available, as provided in appropriation Acts, only for car-
rying out the provisions for which amounts are authorized 
to be appropriated under subsections (a) and (b) of section 
12 of the Field EMS Quality, Innovation, and Cost Effec-
tiveness Improvements Act of 2011.’’. 
(c) CLERICAL AMENDMENTS.— 
(1) CLERICAL
AMENDMENT.—The table of 
parts for subchapter A of chapter 61 of the Internal 
Revenue Code of 1986 is amended by adding at the 
end the following new item: 
‘‘PART IX. DESIGNATION OF INCOME TAX OVERPAYMENTS AND ADDITIONAL 
CONTRIBUTIONS FOR EMERGENCY MEDICAL SERVICES.’’. 
(2) The table of sections for subchapter A of 
chapter 98 of such Code is amended by adding at 
the end the following new item: 
‘‘Sec. 9512. Emergency Medical Services Trust Fund.’’. 
(d) EFFECTIVE DATE.—The amendments made by 
this section shall apply to taxable years beginning after 
December 31, 2011. 
SEC. 12. AUTHORIZATION OF APPROPRIATIONS. 
(a) IN GENERAL.—Out of amounts in the Emergency 
Medical Services Trust Fund, there are authorized to be 
appropriated— 
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(1) $12,000,000 shall be for carrying out sec-
tions 4 (excluding the provisions of law listed in sub-
section (b)(3) of such section), 7, 9(a), 9(c), and 11 
of this Act for each of fiscal years 2013 through 
2016; 
(2) $200,000,000 shall be for carrying out sec-
tion 5 of this Act for each of fiscal years 2013 
through 2016; 
(3) $50,000,000 shall be for carrying out sec-
tion 6 of this Act for each of fiscal years 2013 
through 2016; 
(4) $4,000,000 shall be for carrying out section 
7(c)(1) of this Act for each of fiscal years 2013 
through 2016; 
(5) $15,000,000 shall be for carrying out sec-
tion 8 of this Act for each of fiscal years 2013 
through 2016; and 
(6) $40,000,000 shall be for carrying out sec-
tions 498D(c) and 938 of the Public Health Service 
Act, as added by subsections (b) and (c) of section 
10 of this Act, for each of fiscal years 2013 through 
2016. 
(b) EXCESS AMOUNTS.—If, for any fiscal year, 
amounts in the Emergency Medical Services Trust Fund 
exceed the maximum amount authorized to be appro-
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priated under subsection (a), such excess amounts are au-
thorized to be appropriated to carry out section 330J, sec-
tion 498D, and parts A, B, C, D, and H of title XII of 
the Public Health Service Act (42 U.S.C. 254c–15, 289g– 
4, 300d et seq., 300d–11 et seq., 300d–31 et seq., and 
300d–81 et seq.). 
(c) START-UP FUNDING.— 
(1) IN
GENERAL.—Out of the discretionary 
funds available to the Secretary of Health and 
Human Services for each of fiscal years 2012 
through 2013, $40,000,000 shall be for carrying out 
the provisions listed in subsection (a) or (b). 
(2) RELATION TO OTHER FUNDS.—The amount 
of discretionary funds allocated under paragraph (1) 
for the purpose of carrying out the provisions listed 
in subsection (a) or (b) shall be in addition to, not 
in lieu of, the amount of discretionary funds that 
would otherwise be available for such purpose. 
(d) ADMINISTRATIVE EXPENSES.—Of the amounts 
made available under subsection (a), (b), or (c) to carry 
out each of the provisions listed in subsection (a), not 
more than 5 percent of each such amount may be used 
for Federal administrative expenses. 
Æ 
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