I
109th CONGRESS
2d Session
H. R. 5555
IN THE HOUSE OF REPRESENTATIVES
June 8, 2006
Mr. Burgess (for himself and Mr. Gene Green of Texas) introduced the following bill; which was referred to the Committee on Energy and Commerce
A BILL
To amend the Public Health Service Act to add requirements regarding trauma care, and for other purposes.
Short title
This Act may be cited as the
Trauma Care Systems Planning and
Development Act of 2006
.
Findings
Congress makes the following findings:
The Federal Government and State governments have established a history of cooperation in the development, implementation, and monitoring of integrated, comprehensive systems for the provision of emergency medical services.
Trauma is the leading cause of death of Americans between the ages of 1 and 44 years and is the third leading cause of death in the general population of the United States.
In 1995, the total direct and indirect cost of traumatic injury in the United States was estimated at $260,000,000,000.
There are 40,000 fatalities and 5,000,000 nonfatal injuries each year from motor vehicle-related trauma, resulting in an aggregate annual cost of $230,000,000,000 in medical expenses, insurance, lost wages, and property damage.
Barriers to the receipt of prompt and appropriate emergency medical services exist in many areas of the United States.
The number of deaths from trauma can be reduced by improving the systems for the provision of emergency medical services in the United States.
Trauma care systems are an important part of the emergency preparedness system needed for homeland defense.
Amendments
Establishment
Section 1201 of the Public Health Service Act (42 U.S.C. 300d) is amended—
in subsection (a)—
in the matter
preceding paragraph (1), by inserting , acting through the Administrator
of the Health Resources and Services Administration,
after
Secretary
;
by redesignating paragraphs (3) and (4) as paragraphs (4) and (5), respectively;
by inserting after paragraph (2) the following:
collect, compile, and disseminate information on the achievements of, and problems experienced by, State and local agencies and private entities in providing trauma care and emergency medical services and, in so doing, give special consideration to the unique needs of rural areas;
;
in paragraph (4), as redesignated by subparagraph (B)—
by
inserting to enhance each State’s capability to develop, implement, and
sustain the trauma care component of each State’s plan for the provision of
emergency medical services
after assistance
; and
by
striking and
after the semicolon;
in paragraph (5),
as redesignated by subparagraph (B), by striking the period at the end and
inserting ; and
; and
by adding at the end the following:
promote the collection and categorization of trauma data in a consistent and standardized manner.
;
in subsection (b),
by inserting , acting through the Administrator of the Health Resources
and Services Administration,
after Secretary
; and
by striking subsection (c).
Clearinghouse on Trauma Care and Emergency Medical Services
The Public Health Service Act (42 U.S.C. 201 et seq.) is amended—
by striking section 1202; and
by redesignating section 1203 as section 1202.
Establishment of Programs for Improving Trauma Care in Rural Areas
Section 1202(a) of the Public Health Service Act, as such section was redesignated by subsection (b), is amended—
in paragraph (2),
in the matter preceding subparagraph (A), by inserting , such as
advanced trauma life support,
after model
curricula
;
in paragraph (4),
by striking and
after the semicolon;
in paragraph (5),
by striking the period and inserting ; and
; and
by adding at the end the following:
by increasing communication and coordination with State trauma systems.
.
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—
in subsection (a)(1)—
in subparagraph
(A), by striking and
after the semicolon; and
by striking subparagraph (B) and inserting the following:
for the third fiscal year of such payments to the State, not less than $1 for each $1 of Federal funds provided in such payments for such fiscal year;
for the fourth fiscal year of such payments to the State, not less than $2 for each $1 of Federal funds provided in such payments for such fiscal year; and
for the fifth fiscal year of such payments to the State, not less than $2 for each $1 of Federal funds provided in such payments for such fiscal year.
; and
in subsection (b)—
in paragraph (1),
by adding and
after the semicolon;
in paragraph (2),
by striking ; and
and inserting a period; and
by striking paragraph (3).
Requirements With Respect to Carrying Out Purpose of Allotments
Section 1213 of the Public Health Service Act (42 U.S.C. 300d–13) is amended—
in subsection (a)—
in paragraph (3),
in the matter preceding subparagraph (A), by inserting nationally
recognized
after contains
;
in paragraph (5),
by inserting nationally recognized
after
contains
;
in paragraph (6),
by striking specifies procedures for the evaluation of
designated
and inserting utilizes a program with procedures for
the evaluation of
;
in paragraph (7)—
in
the matter preceding subparagraph (A), by inserting in accordance with
data collection requirements developed in consultation with surgical, medical,
and nursing specialty groups, State and local emergency medical services
directors, and other trained professionals in trauma care
after
collection of data
;
in
subparagraph (A), by inserting and the number of deaths from
trauma
after trauma patients
; and
in
subparagraph (F), by inserting and the outcomes of such patients
after for such transfer
;
by redesignating paragraphs (10) and (11) as paragraphs (11) and (12), respectively; and
by inserting after paragraph (9) the following:
coordinates planning for trauma systems with State disaster emergency planning and bioterrorism hospital preparedness planning;
;
in subsection (b)—
in paragraph (1)—
in
subparagraph (A), by striking concerning such
and inserting
that outline resources for optimal care of the injured patient
;
and
in
subparagraph (D), by striking 1992
and inserting
2007
; and
in paragraph (3)—
in
subparagraph (A), by striking 1991
and inserting
2007
; and
in
subparagraph (B), by striking 1992
and inserting
2007
; and
in subsection (c),
by striking 1990, the Secretary shall develop a model plan
and
inserting 2006, the Secretary shall update the model
plan
.
Requirement of Submission to Secretary of Trauma Plan and Certain Information
Section 1214(a) of the Public Health Service Act (42 U.S.C. 300d–14(a)) is amended—
in paragraph (1)—
by striking
1991
and inserting 2007
; and
by inserting
that includes changes and improvements made and plans to address
deficiencies identified
after medical services
;
and
in paragraph (2),
by striking 1991
and inserting 2007
.
Restrictions on Use of Payments
Section 1215(a)(1) of the Public Health Service Act (42 U.S.C. 300d–15(a)(1)) is amended by striking the period at the end and inserting a semicolon.
Requirements of Reports by States
The Public Health Service Act (42 U.S.C. 201 et seq.) is amended by striking section 1216 and inserting the following:
[reserved]
.
Report by the Secretary
Section 1222 of the Public Health Service Act (42 U.S.C. 300d–22)
is amended by striking 1995
and inserting
2008
.
Funding
Section 1232(a) of the Public Health Service Act (42 U.S.C. 300d–32(a)) is amended to read as follows:
Authorization of Appropriations
For the purpose of carrying out parts A and B, there are authorized to be appropriated $12,000,000 for fiscal year 2007, $10,000,000 for fiscal year 2008, and $8,000,000 for each of the fiscal years 2009 through 2011.
.
Conforming Amendment
Section 1232(b)(2) of the
Public Health Service Act (42 U.S.C.
300d–32(b)(2)) is amended by striking 1204
and inserting
1202
.
Institute of Medicine Study
Part E of title XII of the Public Health Service Act (20 U.S.C. 300d–51 et seq.) is amended—
by striking the part heading and inserting the following:
Miscellaneous Programs
;
and
by adding at the end the following:
Institute of medicine study
In General
The Secretary shall enter into a contract with the Institute of Medicine of the National Academy of Sciences, or another appropriate entity, to conduct a study on the state of trauma care and trauma research.
Content
The study conducted under subsection (a) shall—
examine and evaluate the state of trauma care and trauma systems research (including the role of Federal entities in trauma research) on the date of enactment of this section, and identify trauma research priorities;
examine and evaluate the clinical effectiveness of trauma care and the impact of trauma care on patient outcomes, with special attention to high-risk groups, such as children, the elderly, and individuals in rural areas;
examine and evaluate trauma systems development and identify obstacles that prevent or hinder the effectiveness of trauma systems and trauma systems development;
examine and evaluate alternative strategies for the organization, financing, and delivery of trauma care within an overall systems approach; and
examine and evaluate the role of trauma systems and trauma centers in preparedness for mass casualties.
Report
Not later than 2 years after the date of enactment of this section, the Secretary shall submit to the appropriate committees of Congress a report containing the results of the study conducted under this section.
Authorization of Appropriations
There is authorized to be appropriated to carry out this section $750,000 for each of fiscal years 2007 and 2008.
.
Residency Training Programs in Emergency Medicine
Section 1251(c) of the
Public Health Service Act (42 U.S.C.
300d–51(c)) is amended by striking 1993 through 1995
and
inserting 2007 through 2011
.
State Grants for Projects Regarding Traumatic Brain Injury
Section 1252 of the
Public Health Service Act (42 U.S.C.
300d–52) is amended in the section heading by striking
demonstration
.
Interagency Program for Trauma Research
Section 1261 of the Public Health Service Act (42 U.S.C. 300d–61) is amended—
in subsection (a),
by striking conducting basic
and all that follows through the
period at the end of the second sentence and inserting basic and
clinical research on trauma (in this section referred to as the
;Program
), including the prevention, diagnosis, treatment, and
rehabilitation of trauma-related injuries.
by striking subsection (b) and inserting the following:
Plan for Program
The Director shall establish and implement a plan for carrying out the activities of the Program, taking into consideration the recommendations contained within the report of the NIH Trauma Research Task Force. The plan shall be periodically reviewed, and revised as appropriate.
;
in subsection (d)—
in paragraph
(4)(B), by striking acute head injury
and inserting
traumatic brain injury
; and
in subparagraph
(D), by striking head
and inserting
traumatic
;
by striking subsection (g);
by redesignating subsections (h) and (i) as subsections (g) and (h), respectively; and
in subsection (h),
as redesignated by paragraph (5), by striking 2001 through 2005
and inserting 2007 through 2011
.