Emergency Medical Services Systems Act
PL 93-154 (S.2410), enacted 11/16/1973

594 
PUBLIC LAW 93-154-NOV. 16, 1973 
[87 STAT. 
44 use 3508. 
Regulations. 
^Af^^^'^^^o' 
'n^) SiH'tiou :).")0<s(a) of this chapter dealiii<i- with unlawful dis-
closure of information shall apply to the use of information by inde-
pendent regulatory agencies. 
"(f) Tlie Comptroller General may promulgate rules and regula-
tions ne«'essary to carry out this chapter." 
KQl'ITABLE -ALLOCATION OF NORTH SLOPE CRUDE OIL 
SEC. 410. The Congress declares that the crude oil on the North Slope 
of Alaska is an important part of the Nation's oil resources, and that 
the benefits of such crude oil should be equitably shared, directly or 
indirectly, by all regions of the country. The President shall use any 
authority he may have to insure an equitable allocation of available 
North Slope and other crude oil resources and petroleum products 
among all regions and all of the several States. 
SEPARABILITY 
S>X'. 411. If any provision of this Act or the applicability thereof 
is held invalid the remainder of this Act shall not be aifected thereby. 
Approved November 16, 1973. 
Public Law 93-154 
November 16, 1973 
AN AC i 
[s. 2410] 
fp,, jimeiid the Public Health Service Act to provide assistance and encourage-
ment for the development of comprehensive area emergency medical services 
systems. 
Be it enacted 
by the Senate 
and House 
of Repr-esentatives 
of the 
Emergency Med- Ignited Stotes of Anwrica 
in Congress 
assembled, 
ical Services Sys-
tems Act of 1973. 
SHORT TITLE 
SECTION 1. This Act may be cited as the "Emergency Medical Serv-
ices Systems Act of 1973". 
EMERGENCY MEDICAL SERVICES SYSTEMS 
o/L^!^*i'/-7^^' 
SEC. 2. (a) The Public Health Service Act is amended by adding at 
BO b t a t . 1 3 / . 
1 
1 
(. 
1 
(» 11 
• 
j_*j_i 
42 use 201 
the end thereoi the lollowmg new title: 
note. 
"TITLE XII—EMERGENCY MEDICAL SERVI(1^:S 
SYSTEMS 
'DEFINITIONS 
" S E C . 1201. For purposes of this title: 
''(1) The term 'emergency medical services system' means a 
system which provides for the arrangement of personnel, facili-
ties, and equipment for the effective and coordinated delivery, in 
84 Stat. 340, 
304. 
87 STAT. ] 
PUBLIC LAW 93-154-NOV. 16, 1973 
595 
an appropriate geographical area of health care services under 
emergency conditions (occurring either as a result of the patient's 
condition or of natural disasters or similar situations) and which 
is administered by a public or nonprofit private entity which has 
the authority and the resources to provide effective administration 
of the system. 
"(2) The term 'State' includes the District of Columbia, the 
Commonwealth of Puerto Rico, the Virgin Islands, Guam, 
American Samoa, and the Trust Territory of the Pacific Islands. 
"(3) The term 'modernization' means the alteration, major 
repair (to the extent permitted by regulations), remodeling, and 
renovation of existing buildings (including initial equipment 
thereof), and replacement of obsolete, built-in (as determined 
in accordance with regulations) equipment of existing buildings. 
"(4) The term 'section 314(a) State health planning agency' 
means the agency of a State which administers or supervises the 
administration of a State's health planning functions under a 
State plan approved under section 314(a). 
so stat. nsi; 
" (5) The term 'section 314(b) areawide health planning agency' ^^2*usc ^245'. 
means a public or nonprofit private agency or organization which 
has developed a comprehensive regional, metropolitan, or other 
local area plan or plans referred to in section 314(b), and the j 
term 'section 314(b) plan' means a comprehensive regional, metro-
politan, or other local area plan or plans referred to in section 
314(b). 
"(iK.VXTS A X n CONTRACTS FOR FEASIBILITY STIDIES AND P L A X X I N G 
"SEC. l'20'2. (a) The Secretary may make grants to and enter into 
contracts with eligible entities (as defined in section 1206(a)) for 
^os^, p. 598. 
I)rojects which include both (1) studying the feasibility of establishing 
(through expansion or improvement of existing services or other-
wise) and operating an emergency medical services system, and (2) 
planning the establishment and operation of such a system. 
"(b) If the Secretary makes a grant or enters into a contract under 
Geographical 
tliis section for a study and planning project respecting an emergency ^'•^^' iin^itation, 
medical services system for a particular geographical area, the Secre-
tary may not make any other grant or enter into any other contract 
under this section for such project, and he may not make a grant or 
enter into a contract under this section for any other study and 
planning project respecting an emergency medical services system for 
tlie same area or for an area which includes (in whole or substantial 
part) such area. 
"(c) Reports of the results of any study and planning project 
Reports. 
assisted under this section shall be submitted to the Secretary and 
the Interagency Committee on Emergency Medical Services at such 
intervals as the Secretary may prescribe, and a final report of such 
results shall be submitted to the Secretary and such Committee not 
hiter than one year from the date the grant was made or the contract 
entered into, as the case may be. 
596 
PUBLIC LAW 93-154-NOV. 16, 1973 
[87 STAT. 
Application re-
quirements. 
'* (d) An application for a grant or contract under this section shall— 
"(1) demonstrate to the satisfaction of the Secretary the need 
of the area for which the study and planning will be done for an 
emergency medical services system; 
"(2) contain assurances satisfactory to the Secretary that the 
applicant is qualified to plan an emergency medical services 
system for such area; and 
"(3) contain assurances satisfactory to the Secretary that the 
planning will be conducted in cooperation (A) with each section 
314(b) area 
wide health planning agency whose section 314(b) 
plan covers (in whole or in part) such area, and (B) with any 
emergency medical services council or other entity responsible 
for review and evaluation of the provision of emergency medical 
services in such area. 
"(e) The amount of any grant under this section shall be deter-
mined by the Secretary. 
Contracts with 
eligible entities. 
Post, 
p. 598. 
Coordination 
with state-wide 
system. 
Emergency facil-
ities, moderniza-
tion. 
Additional grant 
or contract. 
Limitation. 
Cost limitation. 
"GRANTS AND CONTRACTS FOR ESTABLISHING AND INITIAL OPERATION 
•'SEC. 1203. (a) The Secretary may make grants to and enter into 
contracts with eligible entities (as defined in section 1206(a)) for the 
establishment and initial operation of emergency medical services 
.systems. 
"(b) Special consideration shall be given to applications for grants 
and contracts for systems which will coordinate with statewide emer-
gency medical services system. 
"(c) (1) Grants and contracts under this section may be used for 
the modernization of facilities for emergency medical services systems 
and other costs of establishment and initial operation. 
"(2) Each grant or contract under this section shall be made for 
costs of establishment and operation in the year for which the grant or 
contract is made. If a grant or contract is made under this section for 
a system, the Secretary may make one additional grant or contract for 
that system if he determines, after a review of the first nine months' 
activities of the applicant carried out under the first grant or contract, 
that the applicant is satisfactorily progressing in the establishment 
and operation of the system in accordance with the plan contained in 
his application (pursuant to section 1206(b) (4)) for the first grant 
or contract. 
"(3) No grant or contract may be made under this section for the 
fiscal year ending June 30, 1976, to an entity which did not receive a 
iii'ant or contract under this section for the preceding fiscal year. 
"(4) Subject to section 1206 (f ) — 
"(A) the amount of the first grant or contract under this sec-
tion for an emergency medical services system may not exceed 
(i) 50 per centum of the establishment and operation costs (as 
determined pursuant to regulations of the Secretary) of the 
system for the year for which the grant or contract is made, or 
(ii) in the case of applications which demonstrate an exceptional 
need for financial assistance, 75 per centum of such costs for such 
year; and 
87 STAT. ] 
PUBLIC LAW 93-154-NOV. 16, 1973 
597 
"(B) the amount of the second grant or contract under this 
section for a system may not exceed (i) 25 per centum of the 
establishment and operation costs (as determined pursuant to 
regulations of the Seci'etary) of the system for the year for which 
the grant or contract is made, or (ii) in the case of applications 
which demonstraite an exceptional need for financial assistance, 
50 per centum of such costs for such year. 
"(5) In considering applications which demonstrate exceptional t^^s'^^^^a^'^ai^' 
need for financial assistance, the Secretary shall give special consider- assistance. ' 
ation to applications submitted for emergency medical services sys-
tems for rural areas (as defined in regulations of the Secretary). 
"GRANTS AND CONTRACTS FOR EXPANSION AND IMPROVEMENT 
r 
"SEC. 1204. (a) The Secretary may make grants to and enter into 
contracts with eligible entities (as defined in section 1206(a)) for 
Post, p. 598. 
projects for the expansion and improvement of emergency medical 
services systems, including the acquisition of equipment and facilities, 
the modernization of facilities, and other projects to expand and 
improve such systems. 
"(b) Subject to section 1206(f), the amount of any grant or con- 
^°^* limitation. 
tract under this section for a project shall not exceed (i) 50 per centum 
of the cost of that project (as determined pursuant to regulations of 
the Secretary), or (ii) in the case of applications which demonstrate 
an exceptional need for financial assistance, 75 per centum of such 
costs. 
"GRANTS AND CONTRACTS FOR RESEARCH 
"SEC. 1205. (a) The Secretary may make grants to public or private 
^ 
nonprofit entities, and enter into contracts with private entities and 
individuals, for the support of research in emergency medical tech-
niques, methods, devices, and delivery. The Secretary shall give special 
^urai area sys-
consideration to applications for grants or contracts for research relat- *^'"^' '•®^^^'•''^• 
ing to the delivery of emergency medical services in rural areas. 
"(b) Xo grant may be made or contract entered into under this 
cost limitation. 
section for amounts in excess of $35,000 unless the application therefor 
has been recommended for approval by an appropriate peer review 
panel designated or established by the Secretary. Any application for 
a grant or contract under this section shall be submitted in such 
form and manner, and contain such information, as the Secretary 
shall prescribe in regulations. 
"(c) The recipient of a grant or contract under this section shall 
Reports to HEW. 
make such reports to the Secretary as the Secretary may require. 
598 
PUBLIC LAW 93-154-NOV. 16, 1973 
[87 STAT. 
"GEXERAL PROVISIONS RESPECTING GRANTS AND CONTRACTS 
"Eligible 
"SEC. 1206. (a) For purposes of sections 1202, 1203, and 1204, the 
^"*'*^• 
term 'eligible entity' means— 
^ Ante. pp. 595- 
u^^) a State, 
" (2) a unit of general local government, 
"(3) a public entity administering a compact or other regional 
arrangement or consortium, or 
"(4) any other public entity and any nonprofit private entity. 
"(b) (1) No grant or contract may be made under this title unless 
an application therefor has been submitted to, and approved by, the 
Secretary. 
Priority con- 
"(2) lu cousideriug applications submitted under this title, the 
era ion. 
Secretary shall give priority to applications submitted by the entities 
described in clauses (1), (2), and (3) of subsection (a). 
"(3) No application for a grant or contract under section 1202 may 
be approved unless— 
" (A) the application meets the application requirements of such 
section; 
"(B) in the case of an application submitted by a public entity 
administering a compact or other regional arrangement or con-
sortium, the compact or other regional arrangement or consortium 
includes each unit of general local government of each standard 
metropolitan statistical area (as determined by the Office of Man-
agement and Budget) located (in whole or in part) in the service 
area of the emergency medical services system for which the 
application is submitted; 
"(C) in the case of an application submitted by an entity 
described in clause (4) of subsection (a), such entity has pro-
vided a copy of its application to each entity described in clauses 
(1), (2), and (3) of such subsection which is located (in whole 
or in part) in the service area of the emergency medical services 
system for which the application is submitted and has provided 
each such entity a reasonable opportunity to submit to the Secre-
tary comments on the application; 
"(D)the— 
"(i) section 314(a) State health planning agency of each 
State in which the service area of the emergency medical 
services system for which the application is submitted will 
be located, and 
"(ii) section 314(b) areawide health planning agency (if 
any) whose section 314(b) plan covers (in whole or in part) 
the service area of such system, 
have had not less than thirty days (measured from the date a 
copy of the application was submitted to the agency by the 
applicant) in which to comment on the application; 
re^oTtrfo iiEw^' 
"(E) ^hc applicant agrees to maintain such records and make 
such reports to the Secretary as the Secretary determines are 
necessary to carry out the provisions of this title; and 
Grant or con-
tract period. 
87 STAT. ] 
PUBLIC LAW 93-154-NOV. 16, 1973 
599 
" (F) the application is submitted in such form and such manner 
and contains such information (inchiding specification of appli-
cable provisions of law or regulations which restrict the full 
utilization of the training and skills of health professions and 
allied and other health personnel in the provision of health care 
services in such a system) as the Secretary shall prescribe in 
regulations. 
"(4) (A) An application for a grant or contract under section 1203 ^'°^^^''^°''^-
or 1204 may not be approved by the Secretary unless (i) the applica- gg"^"^*' PP- ^^s-
tion meets the requirements of subparagraphs (B) through (F) of 
paragraph (3), and (ii) except as provided in subparagraph (B) (ii), 
the applicant (I) demonstrates to the satisfaction of the Secretary 
that the emergency medical services system for which the application 
is submitted will, within the period specified in subparagraph (B) (i), 
meet each of the emergency medical services system requirements 
specified in subparagraph (C), and (II) provides in the application 
a plan satisfactory to the Secretary for the system to meet each such 
requirement within such period. 
"(B) (i) The period within which an emergency medical services 
system must meet each of the requirements specified in subparagraph 
(A) is the period of the grant or contract for which application is 
made; except that if the applicant demonstrates to the satisfaction of 
the Secretary the inability of the applicant's emergency medical serv-
ices system to meet one or more of such requirements within such 
period, the period (or periods) within which the system must meet 
such requirement (or requirements) is such period (or periods) as 
the Secretary may require. 
"(ii) If an applicant submits an application for a grant or con- submu'tat'^o'HEvi^. 
tract under section 1203 or 1204 and demonstrates to the satisfaction 
of the Secretary the inability of the system for which the application 
is submitted to meet one or more of the requirements specified in 
subparagraph (C) within any specific period of time, the demonstra-
tion and plan prerequisites prescribed by clause (ii) of subparagraph 
(A) shall not apply with respect to such requirement (or require-
ments) and the applicant shall provide in his application a plan, 
satisfactory to the Secretary, for achieving appropriate alternatives 
to such requirement (or requirements). 
"(C) An emergency medical services system shall— 
c^^llltcelT"-' 
"(i) include an adequate number of health professions, allied tem requirements. 
health professions, and other health personnel with appropriate 
training and experience; 
"(ii) provide for its personnel appropriate training (including 
clinical training) and continuing education programs which (I) 
are coordinated with other programs in the system's service area 
which provide similar training and education, and (II) emphasize 
recruitment and necessary training of veterans of the Armed 
Forces with military training and experience in health care fields 
and of appropriate public safetv personnel in such area; 
"(iii) join the personnel, facilities, and equipment of the system 
by a central communications system so that requests for emer-
gency health care services will be handled by a communications 
facility which (I) utilizes emergency medical telephonic screen-
ing, (II) utilizes or, within such period as the Secretary prescribes 
will utilize, the universal emergency telephone number 911, and 
(III) will have direct communication connections and intercon-
nections with the personnel, facilities, and equipment of the system 
and with other appropriate emergency medical services systems; 
600 
PUBLIC LAW 93-154-NOV. 16, 1973 
[87 STAT. 
*'(iv) include an adequate number of necessary ground, air, 
and water vehicles and other transportation facilities to meet the 
individual characteristics of the system's service area— 
''(I) which vehicles and facilities meet appropriate stand-
ards relating to location, design, performance, and equipment, 
and 
" (II) the operators and other personnel for which vehicles 
and facilities meet appropriate training and experience 
requirements; 
" (v) include an adequate number of easily accessible emergency 
medical services facilities which are collectively capable of pro-
viding services on a continuous basis, which have appropriate 
nonduplicative and categorized capabilities, which meet appro-
priate standards relating to capacity, location, personnel, and 
equipment, and which are coordinated with other health care 
facilities of the system; 
"(vi) provide access (including appropriate transportation) to 
specialized critical medical care units in the system's service area, 
or, if there are no such units or an inadequate number of them in 
such area, provide access to such units in neighboring areas if 
access to such units is feasible in terms of time and distance; 
"(vii) provide for the effective utilization of the appropriate 
personnel, facilities, and equipment of each public safety agency 
providing emergency services in the system's service area; 
"(viii) be organized in a manner that provides persons who 
reside in the system's service area and who have no professional 
training or financial interest in the provision of health care with 
an adequate opportunity to participate in the making of policy 
for the system; 
"(ix) provide, without prior inquiry as to ability to pay, nec-
essary emergency medical services to all patients requiring such 
services; 
" (x) provide for transfer of patients to facilities and programs 
which offer such followup care and rehabilitation as is necessary 
to effect the maximum recovery of the patient; 
"(xi) provide for a standardized patient recordkeeping system 
meeting appropriate standards established by the Secretary, which 
records shall cover the treatment of the patient from initial entry 
into the system through his discharge from it, and shall be con-
sistent with ensuing patient records used in followup care and 
rehabilitation of the patient; 
"(xii) provide programs of public education and information 
in the system's service area (taking into account the needs of 
visitors to, as well as residents of, that area to know or be able to 
learn immediately the means of obtaining emergency medical 
services) which programs stress the general dissemination of 
information regarding appropriate methods of medical self-help 
and first-aid and regarding the availability of first-aid training 
programs in the area; 
"(xiii) provide for (I) periodic, comprehensive, and inde-
pendent review and evaluation of the extent and quality of the 
emergency health care services provided in the system's service 
area, and (II) submission to the Secretary of the reports of each 
such review and evaluation; 
"(xiv) have a plan to assure that the system will be capable of 
providing emergency medical services in the system's service area 
during mass casualties, natural disasters, or national emergencies; 
and 
Ante, 
pp. 595-
597. 
87 STAT. ] 
PUBLIC LAW 93-154-NOV. 16, 1973 
601 
"(xv) 
provide for the establishment of appropriate arrange-
ments with emeroency medical services systems or similar entities 
serving neighboring areas for the provision of emergency medical 
services on a reciprocal basis where access to such services would 
be more appropriate and effective in terms of the services avail-
able, time, and distance. 
The Secretary shall by regulations prescribe standards and criteria 
for the requirements prescribed by this subparagraph. In prescribing 
such standards and criteria, the Secretary shall consider relevant 
standards and criteria prescribed by other public agencies and by 
private organizations. 
"(o) The Secretary shall provide technical assistance, as appropri-
ate, to eligible entities as necessary for the purpose of their preparing 
applications or otherwise qualifying for or carrying out grants or con-
tracts under sections 1202,1203, or 1204, with special consideration for 
applicants in rural areas. 
''(c) Payments under grants and contracts under this title may be 
made in advance or by way of reimbursement and in such installments 
and on such conditions as the Secretary determines will most effec-
tively carry out this title. 
"(d) Contracts may be entered into under this title without regard 
to sections 3648 and 3709 of the Kevised Statutes (31 U.S.C. 529; 41 
U.S.C. 5). 
"(e) Xo funds appropriated under any provision of this Act other 
than section 1207 or title VII may be used to make a new grant or ^^stlT^ei^^' 
contract in any fiscal year for a purpose for which a grant or contract 
42 use 292. 
is authorized by this title unless (1) all the funds authorized to be 
approj^riated by section 1207 for such fiscal year have been appro-
priated and made available for obligation in such fiscal year, and (2) 
such new grant or contract is made in accordance with the require-
ments of this title that would be applicable to such grant or contract 
if it was made under this title. For purposes of this subsection, the 
"New grant or 
. 
, 
,
j
i 
^
i 
j ^ i i » 
contract." 
term 'new giant or contract' means a grant or contract tor a program 
or project for which an application was first submitted after the date 
of the enactment of the Act which makes the first appropriations under 
the authorizations contained in section 1207. 
'•(f)(1) In determining the amount of any grant or contract 
under section 1203 or 1204, the Secretary shall take into consideration 
rlie amount of funds available to the applicant from Federal grant 
or contract programs under laws other than this Act for any activity 
wliich the applicant proposes to undertake in connection with the 
establishment and operation or expansion and improvement of an 
emergency medical services system and for which the Secretary may 
authorize the use of funds under a grant or contract under sections 
1203 and 1204. 
"(2) The Secretary may not authorize the recipient of a grant or 
contract under section 1203 or 1204 to use funds imder such grant or 
contract for any training program in connection with an emergency 
medical services system unless the applicant filed an application (as 
appropriate) under title VII or VIII for a grant or contract for such so^stat^'uae^' 
program and such application was not approved or was approved but 
42 use 296. 
for which no or inadequate funds were made available under such title. 
602 
PUBLIC LAW 93-154~NOV. 16, 1973 
[87 STAT. 
"Ain'MORIZATION OF APrROPRIATlOXS 
"SEC. 1207. (a) (1) For the purpose of making payments pursuant 
Ante, pp. 595- 
J-Q grauts and contracts under sections 1202, 1203, and 1204. there are 
authorized to be appropriated $30,000,000 for the fiscal year ending 
June 30, 1974, and $60,000,000 for the fiscal year ending June 30, 
1975; and for the purpose of making payments pursviant to grants and 
contracts under sections 1203 and 1204 for the fiscal year ending 
June 30, 1976, there are authorized to be appropriated $70,000,000. 
"(2) Of the sums appropriated under paragraph (1) for any fiscal 
year, not less than 20 per centum shall be made available for grants 
and contracts under this title for such fiscal year for emergency 
medical services systems which serve or will serve rural areas (as 
defined in regulations of the Secretary under section 1203(c) (5)). 
"(3) Of the sums appropriated under paragraph (1) for the fiscal 
year ending June 30, 1974, or the succeeding fiscal year— 
"(A) 15 per centum of such sums for each such fiscal year shall 
be made available only for grants and contracts under section 1202 
(relating to feasibility studies and planning) for such fiscal year; 
"(B) 60 per centum of such sums for each such fiscal year shall 
be made available only for grants and contracts under section 1203 
(relating to establishment and initial operation) for such fiscal 
year; and 
"(C) 25 per centum of such sums for each such fiscal year shall 
be made available only for grants and contracts under section 1204 
(relating to expansion and improvement) for such fiscal year. 
"(4) Of the sums appropriated under paragraph (1) for the fiscal 
year ending June 30, 1976— 
"(A) 75 per centum of such sums shall be made available only 
for grants and contracts under section 1203 for such fiscal year, 
and 
"(B) 25 per centum of such sums shall be made available only 
for grants and contracts under section 1204 for such fiscal year. 
"(b) For the purpose of making payments pursuant to grants and 
contracts under section 1205 (relating to research), there are authorized 
to be appropriated $5,000,000 for the fiscal year ending June 30, 1974, 
and for each of the next two fiscal years. 
"ADMINISTRATION 
"SEC. 1208. The Secretary shall administer the program of grants 
and contracts authorized by this title through an identifiable admin-
istrative unit within the Department of Health, Education, and Wel-
fare. Such unit shall also be responsible for collecting, analyzing, 
cataloging, and disseminating all data useful in the development and 
operation of emergency medical services systems, including data 
derived from reviews and evaluations of emergency medical services 
systems assisted under section 1203 or 1204. 
Establishment. 
"INTERAGENCY COMMITTEE ON EMERGENCY MEDICAL SERVICES 
"SEC. 1209. (a) The Secretary shall establish an Interagency Com-
mittee on Emergency Medical Services. The Committee shall evaluate 
the adequacy and technical soundness of all Federal programs and 
activities which relate to emergency medical services and provide for 
87 STAT. ] 
PUBLIC LAW 93-154-NOV. 16, 1973 
603 
the cominmiicatioii and excfiange of information necessary to maintain 
the coordination and effectiveness of such programs and activities, 
and shall make recommendations to the Secretary respecting the 
administration of the program of grants and contracts under this title 
(including the making of regulations for such program). 
''(b) The Secretary or his designee shall serve as Chairman of the 
Membership. 
Committee, the membership of which shall include (1) appropriate 
scientific, medical, or technical representation from the Department of 
Transportation, the Department of Justice, the Department of 
Defense, the Veterans' Administration, the National Science Founda-
tion, the Federal Communications Commission, the National Academy 
of Sciences, and such other Federal agencies and offices (including 
appropriate agencies and offices of the Department of Health, Educa-
tion, and Welfare), as the Secretary determines administer programs 
directly affecting the functions or responsibilities of emergency medical 
services systems, and (2) five individuals from the general public 
appointed by the President from individuals who by virtue of their 
training or experience are particularly qualified to participate in the 
performance of the Committee's functions. The Committee shall meet 
at the call of the Chairman, but not less often than four times a year. 
"(c) Each appointed member of the Committee shall be appointed 
Term. 
for a term of four years, except that— 
"(1) any member appointed to fill a vacancy occurring prior 
vacancies. 
to the expiration of the term for which his predecessor was 
appointed shall be appointed for the remainder of such term; and 
"(2) of the members first appointed, two shall be appointed for 
a term of four years, two shall be appointed for a term of three 
years, and one shall be appointed for a term of one year, as desig-
nated by the President at the time of appointment. 
Appointed members may serve after the expiration of their terms 
until their successors have taken office. 
"(d) Appointed members of the Committee shall receive for each 
Travel ex-
day they are engaged in the performance of the functions of the Com- P^"^^^-
mittee compensation at rates not to exceed the daily equivalent of 
the annual rate in effect for grade GS-18 of the General Schedule, 
^ ^^^ ^^^2-
including traveltime; and all members, while so serving away from 
their homes or regular places of business, may be allowed travel 
expenses, including per diem in lieu of subsistence, in the same manner 
as such expenses are authorized by section 5703 of title 5, United States 
Code, for persons in the Government service employed intermittently. 
^° ^tat. 499; 
"(e) The Secretary shall make available to the Committee such ^^ ^'^*-
staff, information (including copies of reports of reviews and evalua-
tions of emergency medical services systems assisted under section 
1203 or 1204), and other assistance as it may require to carry out its 
activities effectively. 
"ANNUAL REPORT 
"SEC. 1210. The Secretary shall prepare and submit annually to grf/^°''' *° ^°"" 
the Congress a report on the administration of this title. Each report 
shall include an evaluation of the adequacy of the provision of emer-
gency medical services in the United States during the period covered 
by the report, and evaluation of the extent to which the needs for such 
services are being adequately met through assistance provided under 
tliis title, and his recommendations for such legislation as he deter-
mines is required to provide emergency medical services at a level 
604 
PUBLIC LAW 93-154-NOV. 16, 1973 
[87 STAT. 
86 Stat. 137. 
42 u s e 201 
note. 
jidequate to meet such needs. The first report under tliis section shall 
be submitted not later than September 30, 1974, and shall cover the 
fiscal year ending June 80,1974." 
(b)(1) Section 1 of the Public Health Service Act is amended by 
striking- out "titles I to XI'* and inserting in lieu thereof "titles I 
to XII". 
(2) The Act of July 1. 1914 (58 Stat. 682), as amended, is further 
amended by renumbering title X I I (as in effect prior to the date of 
enactment of this Act) as title XIII, and by renumbering sections 1201 
through 1214 (as in effect prior to such date), and references thereto, 
as sections 1801 through 1314, respectively. 
TRATXIXG ASSISTANCE 
Scholarship 
grants. 
85 Stat. 437. 
42 u s e 295f. 
Special project 
grants, contracts. 
85 Stat. 444. 
SEC. B. (a) Part E of title VII of the Public Health Service Act is 
amended by inserting after section 775 the following new section: 
" T R A I N I X G IX EMERGEXCY MEDICAL SERVICES 
"SEC. 776. (a) The Secretary may make grants to and enter into 
contracts with schools of medicine, dentistry, osteopathy, and nursing, 
training centers for allied health professions, and other appropriate 
educational entities to assist in meeting the cost of training programs 
in the techniques and methods of providing emergency medical serv-
ices (including the skills required in connection with the provision of 
ambulance service), especially training programs affording clinical 
experience in emergency medical services systems receiving assistance 
under title X I I of this Act. 
"(b) No grant or contract may be made or entered into under this 
section unless (1) the applicant is a public or nonprofit private entity, 
and (2) an application therefor has been submitted to, and approved 
by, the Secretary. Such application shall be in such form, submitted 
in such manner, and contain such information, as the Secretary shall 
by regulation prescribe. 
"(c) The amount of any grant or contract under this section shall 
be determined by the Secretary. Payments under grants and contracts 
under this section may be made in advance or by way of reimbursement 
and at such intervals and on such conditions as the Secretary finds 
necessary. Grantees and contractees under this section shall make such 
reports at such intervals, and containing such information, as the Sec-
retary may require. 
"(d) Contracts may be entered into under this section without re-
gard to sections 3648 and 3709 of the Revised Statutes (31 IJ.S.C. 529; 
41U.S.C.5). 
"(e) For the purpose of making payments pursuant to grants and 
contracts under this section, there are authorized to be appropriated 
$10,000,000 for the fiscal year ending June 30,1974." 
(b) Section 772(a) of such Act (42U.S.C. 295f-2(a)) is amended— 
(1) by striking out "or" at the end of paragraph (12), 
(2) by striking out the period at the end of paragraph (13) 
and inserting in lieu thereof "; or", and 
(3) by inserting after paragraph (13) the following new para-
graph : 
87 STAT. ] 
PUBLIC LAW 93-155~NOV. 16, 1973 
605 
"(14) cstabJisli and operate programs in the interdisciplinary 
training of health personnel for the provision of emergency 
medical services, with particular emphasis on the establishment 
and operation of training programs affording clinical experience 
in emergency medical services systems receivmg assistance under 
title X I I of this Act." 
(c) Section 774(a)(1)(D) of such Act (42 U.S.C. 295f;4(a)(l) 
(D)) is amended by inserting "(including emergency medical serv- ss stat. 446. 
ices)" after "services" each time it appeai-s. 
STUDY 
(SEC. 4. The Secretary of Health, Education, and Welfare shall con-
duct a study to determine the legal barriers to the effective delivery 
of medical care under emergency conditions. The study shall include 
consideration of the need for a uniform conflict of laws rule prescrib-
ing the law applicable of the provision of emergency medical services 
tx) pei-sons in the course of travels on interstate common carriers. 
Within twelve months of the date of the enactment of this Act, the 
Secretaiy shall report to the Congress the results of such study and 
recommendations for such legislation as may be necessary to over-
come such barriei-s and provide such rule. 
Approved November 16, 1973. 
Report to Con-
gress. 
Public Law 93-155 
AN ACT 
To authorize appropriations during tlie fiscal year 1974 for procurement of 
aircraft, missiles, naval vessels, tracked combat vehicles, torpedoes, and 
other weapons, and research, development, test and evaluation for the Armed 
Forces, and to prescribe the authorized personnel strength for each active 
duty component and of the Selected Reserve of each reserve component of 
the Armed Forces, and the military training student loads, and for other 
puriM)se.s. 
November 16, 1973 
[H. R. 9286] 
Be it enacted hy the Senate and House of Representatives 
of the 
I ^nited States of America in Congress assembled^ 
Department of 
Defense Appro-
priation Authori-
TITLE I—PROCUREMENT 
nation Act, 1974. 
SEC. 101. Funds are hereby authorized to be appropriated during 
the fiscal year 1974 for the use of the Armed Forces of the United 
States for procurement of aircraft, missiles, naval vessels, tracked 
combat vehicles, torpedoes, and other weapons as authorized by law, 
in amounts as follows: 
Aircraft 
For aircraft: for the Army, $168,000,000; for the Navy and the 
Marine Corps, $2,91^^600,000 of which amount not to exceed