[Congressional Bills 115th Congress]
[From the U.S. Government Publishing Office]
[S. 1022 Introduced in Senate (IS)]
<DOC>
115th CONGRESS
1st Session
S. 1022
To amend the Public Health Service Act to facilitate assignment of
military trauma care providers to civilian trauma centers in order to
maintain military trauma readiness and to support such centers, and for
other purposes.
_______________________________________________________________________
IN THE SENATE OF THE UNITED STATES
May 3, 2017
Mr. Isakson (for himself, Ms. Duckworth, and Mr. Cornyn) introduced the
following bill; which was read twice and referred to the Committee on
Health, Education, Labor, and Pensions
_______________________________________________________________________
A BILL
To amend the Public Health Service Act to facilitate assignment of
military trauma care providers to civilian trauma centers in order to
maintain military trauma readiness and to support such centers, and for
other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Military Injury Surgical Systems
Integrated Operationally Nationwide to Achieve ZERO Preventable Deaths
Act'' or the ``MISSION ZERO Act''.
SEC. 2. MILITARY AND CIVILIAN PARTNERSHIP FOR TRAUMA READINESS GRANT
PROGRAM.
Title XII of the Public Health Service Act (42 U.S.C. 300d et seq.)
is amended by adding at the end the following new part:
``PART I--MILITARY AND CIVILIAN PARTNERSHIP FOR TRAUMA READINESS GRANT
PROGRAM
``SEC. 1291. MILITARY AND CIVILIAN PARTNERSHIP FOR TRAUMA READINESS
GRANT PROGRAM.
``(a) Military Trauma Team Placement Program.--
``(1) In general.--The Secretary, acting through the
Assistant Secretary for Preparedness and Response and in
consultation with the Secretary of Defense, shall award grants
to not more than 20 eligible high acuity trauma centers to
enable military trauma teams to provide, on a full-time basis,
trauma care and related acute care at such trauma centers.
``(2) Limitations.--In the case of a grant awarded under
paragraph (1) to an eligible high acuity trauma center, such
grant--
``(A) shall be for a period of not fewer than 3
fiscal years and not more than 5 fiscal years (and may
be renewed at the end of such period); and
``(B) shall be in an amount that does not exceed
$1,000,000 per fiscal year.
``(b) Military Trauma Care Provider Placement Program.--
``(1) In general.--The Secretary, acting through the
Assistant Secretary for Preparedness and Response and in
consultation with the Secretary of Defense, shall award grants
to eligible trauma centers to enable military trauma care
providers to provide trauma care and related acute care at such
trauma centers.
``(2) Limitations.--In the case of a grant awarded under
paragraph (1) to an eligible trauma center, such grant--
``(A) shall be for a period of at least 1 fiscal
year and not more than 3 fiscal years (and may be
renewed at the end of such period); and
``(B) shall be in an amount that does not exceed,
in a fiscal year--
``(i) $100,000 for each military trauma
care provider that is a physician at such
eligible trauma center; and
``(ii) $50,000 for each other military
trauma care provider at such eligible trauma
center.
``(c) Grant Requirements.--
``(1) Deployment.--As a condition of receipt of a grant
under this section, a grant recipient shall agree to allow
military trauma care providers providing care pursuant to such
grant to be deployed by the Secretary of Defense for military
operations, for training, or for response to a mass casualty
incident.
``(2) Use of funds.--Grants awarded under this section to
an eligible trauma center may be used to train and incorporate
military trauma care providers into such trauma center,
including expenditures for malpractice insurance, office space,
information technology, specialty education and supervision,
trauma programs, and State license fees for such military
trauma care providers.
``(d) Reporting Requirements.--
``(1) Report to the secretary and the secretary of
defense.--Each eligible trauma center or eligible high acuity
trauma center awarded a grant under subsection (a) or (b) for a
fiscal year shall submit to the Secretary and the Secretary of
Defense a report for such fiscal year that includes information
on--
``(A) the number and types of trauma cases managed
by military trauma teams or military trauma care
providers pursuant to such grant during such fiscal
year;
``(B) the financial impact of such grant on the
trauma center;
``(C) the educational impact on resident trainees
in centers where military trauma teams are assigned;
``(D) any research conducted during such fiscal
year supported by such grant; and
``(E) any other information required by the
Secretaries for the purpose of evaluating the effect of
such grant.
``(2) Report to congress.--Not less than once every 2
fiscal years, the Secretary, in consultation with the Secretary
of Defense, shall submit a report to Congress that includes
information on the effect of placing military trauma care
providers in trauma centers awarded grants under this section
on--
``(A) maintaining readiness of military trauma care
providers for battlefield injuries;
``(B) providing health care to civilian trauma
patients;
``(C) the capability to respond to surges in trauma
cases, including as a result of a large scale event;
and
``(D) the financial state of the trauma centers.
``(e) Definitions.--For purposes of this part:
``(1) Eligible trauma center.--The term `eligible trauma
center' means a Level I, II, or III trauma center that
satisfies each of the following:
``(A) Such trauma center has an agreement with the
Secretary of Defense to enable military trauma care
providers to provide trauma care and related acute care
at such trauma center.
``(B) Such trauma center utilizes a risk-adjusted
benchmarking system to measure performance and
outcomes, such as the Trauma Quality Improvement
Program of the American College of Surgeons.
``(C) Such trauma center demonstrates a need for
integrated military trauma care providers to maintain
or improve the trauma clinical capability of such
trauma center.
``(2) Eligible high acuity trauma center.--The term
`eligible high acuity trauma center' means a Level I trauma
center that satisfies each of the following:
``(A) Such trauma center has an agreement with the
Secretary of Defense to enable military trauma teams to
provide trauma care and related acute care at such
trauma center.
``(B) At least 20 percent of patients of such
trauma center in the most recent 3-month period for
which data is available are treated for a major trauma
at such trauma center.
``(C) Such trauma center utilizes a risk-adjusted
benchmarking system to measure performance and
outcomes, such as the Trauma Quality Improvement
Program of the American College of Surgeons.
``(D) Such trauma center is an academic training
center--
``(i) affiliated with a medical school;
``(ii) that maintains residency programs
and fellowships in critical trauma specialties
and subspecialties, and provides education and
supervision of military trauma team members
according to those specialties and
subspecialties; and
``(iii) that undertakes research in the
prevention and treatment of traumatic injury.
``(E) Such trauma center serves as a disaster
response leader for its community, such as by
participating in a partnership for State and regional
hospital preparedness established under section 319C-2.
``(3) Major trauma.--The term `major trauma' means an
injury that is greater than or equal to 15 on the injury
severity score.
``(4) Military trauma team.--The term `military trauma
team' means a complete military trauma team consisting of
military trauma care providers.
``(5) Military trauma care provider.--The term `military
trauma care provider' means a member of the Armed Forces who
furnishes emergency, critical care, and other trauma acute
care, including a physician, military surgeon, physician
assistant, nurse, respiratory therapist, flight paramedic,
combat medic, or enlisted medical technician.
``(f) Authorization of Appropriations.--For each of fiscal years
2018 through 2022, there are authorized to be appropriated--
``(1) $20,000,000 for carrying out subsection (a); and
``(2) $20,000,000 for carrying out subsection (b).''.
<all>