[Congressional Bills 103th Congress]
[From the U.S. Government Publishing Office]
[H.R. 2205 Public Print (PP)]
103d CONGRESS
1st Session
H. R. 2205
_______________________________________________________________________
AMENDMENT
June 29 (legislative day, June 22), 1993
Ordered to be printed as passed
June 29 (legislative day, June 22), 1993
Ordered to be printed as passed
In the Senate of the United States,
June 29 (legislative day, June 22), 1993.
Resolved, That the bill from the House of Representatives (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 Amendments 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 following new
subparagraph:
``(F) 1 shall be an individual who has been a
trauma patient at a designated trauma center.''; 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), including the initial
member appointed under such subsection, 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 geographic groupings across State borders would
be appropriate to carry out the purposes of this title''.
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 amended--
(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,''.
SEC. 6. STUDY CONCERNING FEDERAL DUPLICATION OF EMS AND TRAUMA CARE
ACTIVITIES.
(a) Study.--The General Accounting Office shall conduct 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 Accounting 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;
(2) examine each program described in paragraph (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 Federal emergency medical service and trauma
care programs;
(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 emergency 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;
(B) acting as the first point of Federal contact
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 clearinghouse 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 paragraph (5) has power
sufficient to coordinate and prevent 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 prepare and submit to the
appropriate committees of Congress a report concerning the study
conducted under subsection (a) and the recommendations made under such
study.
Attest:
Secretary.