,i  #aad? ,,congress  #b;d ,session  ,h4
 ,r4 #facb  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,septemb] #bb1        
#bjaf,ms4 ,duckwor? introduc$ ! foll[+  
bill2 :i* 0 ref]r$ to ! ,committee on   
,en]gy & ,comm]ce1 & 9 addition to !    
,committee on ,arm$ ,s]vices1 = a p]iod 
to be subsequ5tly det]m9$ by ! ,speak]1 
9 ea* case = consid]ation ( su*         
provisions z fall )9 ! jurisdiction ( ! 
committee conc]n$  ,a ,,bill  ,to       
e/abli% a task =ce to develop a national
 trauma c>e sy/em1 to improve ! trauma  
c>e sy/em ( ! ,dep>tm5t ( ,def5se1 & =  
o!r purposes4  #a4 ,%ort title2 f9d+s & 
s5se ( ,congress  7a7 ,%ort title ,?is  
,act may be cit$ z ! ,national ,trauma  
,c>e ,sy/em ,act4  7b7 ,f9d+s ,congress 
f9ds ! foll[+3  7#a7 ,trauma is ! lead+ 
kill] ( ,am]icans "u ! age ( #df 9 !    
,unit$ ,/ates1 kill+ m ?an #aib1jjj     
,am]icans ea* ye>4  7#b7 ,! ,national   
,rese>* ,c\ncil has indicat$ s9ce #aiff 
t ,f$]al fund+ = trauma rese>* 0        
inadequate--lead+ ! ,in/itute ( ,m$ic9e 

9 #aiii to conclude t1 ,! nation's      
curr5t inve/m5t 9 injury trauma rese>*  
is n comm5surate ) ! magnitude ( !      
problem44  7#c7 ,! ,national ,academies 
( ,sci5ces f\nd t betwe5 #bjj1jjj &     
#cjj1jjj ,am]icans may h di$ f          
survivable traumatic injuries betwe5    
#bjja & #bjaa4  7#d7 ,accord+ to !      
,c5t]s = ,disease ,control & ,prev5tion1
 ! economic burd5 ( trauma 0 m ?an      
#fga1jjj1jjj1jjj 9 #bjac & x is "o ( !  
mo/ exp5sive heal? c>e problems 9 !     
c\ntry4  7#e7 ,accord+ to ! ,national   
,trauma ,c5t]1 ! ,national ,in/itutes ( 
,heal? sp5ds less ?an #bjj ea* ye> on   
trauma rese>* = ea* ye> ( pot5tial life 
lo/4  7#f7 ,! ,in/itute ( ,m$ic9e has   
recomm5d$ great] consid]ation ( a       
disease's societal & economic burd5 :5  
allocat+ rese>* fund+4  7#g7 ,ne>ly all 
combat dea?s 9 ! ,arm$ ,=ces are due to 
trauma-relat$ incid5ts1 & betwe5 #bjja &
 #bjaa1 ne>ly #be p]c5t ( battlefield   
dea?s 7 caus$ by survivable injuries4   
7#h7 ,! #ge? ,rang] ,regim5t ( ! ,army  

ne>ly elim9at$ its prev5table fatalities
 by implem5t+ data-driv5 p]=mance       
improvem5t policies & tak+ comm&-own]%ip
 ( treatm5t outcomes4  7#i7 ,milit>y &  
civilian trauma practition]s mu/ be able
 to %>e data1 te*niques1 & proc$ures    
easily s !y c in/itutionalize advances 9
 c>e )9 _! respective organizations4    
7#aj7 ,! ,national ,academy ( ,sci5ces  
conclud$ t a national /rategy & jo9t    
milit>y-civilian approa* = improv+      
trauma c>e is lack+1 plac+ lives        
unnecess>ily at risk ''' t a unifi$ ef=t
 is ne$$ to address ?is gap & ensure !  
deliv]y ( optimal trauma c>e to save !  
lives ( ,am]icans injur$ )9 ! ,unit$    
,/ates & on ! battlefield44  7c7 ,s5se (
 ,congress ,x is ! s5se ( ,congress t-- 
7#a7 ! ,presid5t %\ld e/abli% &         
articulate a goal ( a*iev+ z]o          
prev5table dea?s aft] injury & m9imiz+  
trauma-relat$ disability & direct ef=ts 
t[>ds t end2  7#b7 ! ,f$]al ,gov]nm5t   
%\ld promote ! developm5t ( a le>n+     
heal? sy/em t enables a cont9u\s        

improvem5t ( milit>y & civilian trauma  
sy/ems ?r\gh evid5ce-bas$ initiatives2 &
  7#c7 ! ,f$]al ,gov]nm5t %\ld promote  
great] collaboration betwe51 &          
integration (1 milit>y & civilian trauma
 sy/ems1 includ+ ) respect to ! p]man5t 
assignm5t ( milit>y trauma teams 9      
civilian trauma c5t]s1 to prep>e = mass 
trauma incid5ts 9 ! homel&4  #b4 ,task  
,=ce on ,elim9at+ ,prev5table ,dea?s or 
,disabilities due to ,traumatic         
,injuries  7a7 ,e/abli%m5t ,!re is      
e/abli%$ a task =ce to be kn[n z ! ,task
 ,=ce on ,elim9at+ ,prev5table ,dea?s or
 ,disabilities due to ,traumatic        
,injuries 79 ?is section ref]r$ to z !  
,task ,=ce74  7b7 ,memb]%ip ,! ,task    
,=ce %all be compos$ ( ! foll[+3  7#a7  
,! ,director ( ! ,(fice ( ,managem5t &  
,budget1 :o %all s]ve z ! *airp]son ( ! 
,task ,=ce4  7#b7 ,! ,secret>y (        
,def5se4  7#c7 ,! ,secret>y ( ,heal? &  
,human ,s]vices4  7#d7 ,! ,secret>y (   
,transportation4  7#e7 ,! ,secret>y (   
,vet]ans ,affairs4  7#f7 ,! ,secret>y ( 

,homel& ,security4  7#g7 ,! ,commission]
 ( ,food & ,drugs4  7#h7 ,! ,director ( 
! ,dome/ic ,policy ,c\ncil4  7#i7 ,!    
,director ( ! ,national ,in/itutes (    
,heal?4  7#aj7 ,! ,adm9i/rator ( !      
,c5t]s = ,m$ic>e  ,m$icaid ,s]vices4    
7#aa7 ,! ,director ( ! ,c5t]s = ,disease
 ,control & ,prev5tion4  7#ab7 ,!       
,assi/ant ,secret>y ( ,heal? ( !        
,dep>tm5t ( ,heal? & ,human ,s]vices4   
7#ac7 ,! ,assi/ant ,secret>y (          
,prep>$ness & ,response ( ! ,dep>tm5t ( 
,heal? & ,human ,s]vices4  7#ad7 ,! head
 ( ! ,(fice ( ! ,national ,coord9ator = 
,heal? ,in=mation ,te*nology ( !        
,dep>tm5t ( ,heal? & ,human ,s]vices4   
7#ae7 ,a repres5tative f ! ,national    
,academies ( ,sci5ces1 ,eng9e]+1 &      
,m$ic9e4  7c7 ,plan  7#a7 ,developm5t ,!
 ,task ,=ce %all develop a plan to      
e/abli% a national trauma c>e sy/em to  
facilitate ! ability ( ! ,unit$ ,/ates  
to--  7,a7 elim9ate ! occurr5ce (       
prev5table dea?s relat$ to injuries2    
7,b7 elim9ate ! occurr5ce (             

trauma-relat$ disabilities2 &  7,c7     
respond to mass trauma incid5ts4  7#b7  
,goals ,! ,task ,=ce %all e/abli%       
specific goals & mile/ones1 &           
responsibilities = heads ( dep>tm5ts &  
ag5cies ( ! ,f$]al ,gov]nm5t to meet su*
 goals & mile/ones1 to c>ry out ! plan  
"u p>agraph 7#a74  7#c7 ,elem5ts ,! plan
 "u p>agraph 7#a7 %all include ! foll[+ 
elem5ts3 7,a7 ,e/abli%+ a national      
trauma c>e sy/em capable ( cont9u\s     
le>n+ & improvem5t4  7,b7 ,fo/]+ (      
great] collaboration & uni=mity ( /&>ds 
( c>e4  7,c7 ,promot+ access to         
pati5t-level data f across ! cont9uum ( 
c>e & j-9-"t access to high-quality k = 
trauma c>e teams & p]sonnel :o support  
su* teams4  7d7 ,e/abli%m5t ( national  
trauma c>e sy/em  7#a7 ,gov]nance ,!    
,task ,=ce %all collaborate )           
repres5tatives ( ,/ate & local          
gov]nm5ts1 ! private sector1 & academia 
to--  7,a7 e/abli% ! national trauma c>e
 sy/em pursuant to ! plan develop$ "u   
subsection 7c71 includ+ by develop+ &   

c>ry+ out ! aims1 design1 & gov]nance ( 
! national trauma c>e sy/em2 &  7,b7    
jo9tly def9e a framework = ! national   
trauma c>e sy/em1 includ+ ! designation 
( ! roles1 responsibilities1 au?orities1
 & acc\ntabilities ( /akehold]s4  7#b7  
,crit]ia ,! ,task ,=ce %all ensure !    
foll[+3 7,a7 ,! national trauma c>e     
sy/em describ$ 9 subsection 7c77#c77;,a7
 includes me*anisms = acc\ntability4    
7,b7 ,ea* budget ( ! ,presid5t submitt$ 
to ,congress "u section #aaje7;a7 (     
title #ca1 ,unit$ ,/ates ,code1 reque/s 
fund+ 9 am\nts necess>y to develop &    
support ! national trauma c>e sy/em4    
7,c7 ,! national trauma c>e sy/em       
includes a data-driv5 rese>* ag5da4     
7,d7 ,! national trauma c>e sy/em--  7i7
 ensures milit>y & civilian trauma      
sy/ems collect & %>e common data cov]+ !
 entire cont9uum ( c>e2 &  7ii7 is      
capable ( dissem9at+ data relat$ to     
prev5tion1 mortality1 disability1 m5tal 
heal?1 pati5t exp]i5ce1 & o!r int]m$iate
 & f9al cl9ical & co/ outcomes4  7,e7 ,!

 national trauma c>e sy/em is develop$ &
 c>ri$ out 9 a mann] t r$uces regulatory
 & legal b>ri]s to ! full integration ( 
! trauma cont9uum ( c>e f ! po9t (      
injury1 to acute hospitalization1 &     
?r\gh rehabilitation & recov]y4  7,f7 ,!
 national trauma c>e sy/em is capable ( 
respond+ dome/ically to any int5tional  
or un9t5tional mass casualty incid5t4   
7e7 ,national trauma rese>* action plan 
7#a7 ,9 g5]al ,! ,task ,=ce %all develop
 & implem5t a national trauma rese>*    
action plan to c>ry out a coord9at$     
approa* to trauma c>e rese>* conduct$ by
 ! ,f$]al ,gov]nm5t 7includ+ by !       
,dep>tm5t ( ,def5se1 ! ,dep>tm5t (      
,heal? & ,human ,s]vices1 ! ,dep>tm5t ( 
,vet]ans ,affairs1 & ! ,national        
,in/itutes ( ,heal?7 & academia & o!r   
private in/itutions4  7#b7 ,elem5ts ,!  
plan "u p>agraph 7#a7 %all include !    
foll[+ elem5ts3 7,a7 ,an analysis ( !   
p]=mance gaps ) respect to trauma c>e   
provid$ by ! ,arm$ ,=ces & trauma c>e   
provid$ by civilian heal? c>e provid]s1 

includ+ ) respect to ! full cont9uum (  
c>e & ) respect to ne$s specific to     
int5tional or un9t5tional mass casualty 
incid5ts & specific pati5t populations4 
7,b7 ,requirem5ts-driv5 & pati5t-c5t]$  
rese>* /rategies & priorities = address+
 ! gaps id5tifi$ "u subp>agraph 7,a74   
7,c7 ,an integrat$ /rategy = ! ,arm$    
,=ces & civilians ) %ort1 int]m$iate &  
long-t]m /eps =--  7i7 ensur+ t         
appropriate milit>y & civilian res\rces 
are direct$ t[>d ef=ts to fill ! gaps   
id5tifi$ "u subp>agraph 7,a7 7p>ticul>ly
 betwe5 p]iods 9 :i* ! ,arm$ ,=ces are  
engag$ 9 conflicts or cont+5cy          
op]ations72 &  7ii7 designat+ !         
responsibilities & mile/ones = implem5t+
 ! /rategy by ! ,arm$ ,=ces1 ! ,f$]al   
,gov]nm5t1 & indu/ry /akehold]s4  7,d7  
,! promotion ( milit>y-civilian rese>*  
p>tn]%ips to ensure t k is transf]r$ to 
& f ! ,arm$ ,=ces & t lessons le>n$ f   
combat c be ref9$ dur+ p]iods 9 :i* !   
,arm$ ,=ces are n engag$ 9 conflicts or 
cont+5cy op]ations4  7f7 ,/aff  7#a7    

,detailees ,^u reque/ ( ! *airp]son ( ! 
,task ,=ce1 ! head ( any ,f$]al dep>tm5t
 or ag5cy may detail1 on a reimbursable 
basis1 any ( ! p]sonnel ( t dep>tm5t or 
ag5cy to ! ,task ,=ce to assi/ x 9 c>ry+
 out its duties "u ?is section4  7#b7   
,appo9tm5t ( additional p]sonnel ,) !   
approval ( ! ,task ,=ce1 ! ,*airp]son   
may appo9t & fix ! pay ( additional     
p]sonnel ( ! ,task ,=ce4  7g7 ,reports  
,n lat] ?an #edj days aft] ! date ( !   
enactm5t ( ?is ,act1 & annually !reaft]1
 ! ,task ,=ce %all submit to ,congress a
 report on ! activities ( ! ,task ,=ce1 
includ+--  7#a7 ! plan "u subsection    
7c72  7#b7 ! national trauma rese>*     
action plan "u subsection 7e72 &  7#c7  
any recomm5dations reg>d+ legislative   
action requir$ to fully implem5t su*    
plans & to c>ry out ?is ,act4  7h7      
,trauma c>e sy/em def9$ ,9 ?is section1 
! t]m trauma c>e sy/em means an         
organiz$1 inclusive approa* to          
facilitat+ & coord9at+ a multidiscipl9>y
 sy/em response to sev]ely injur$       

pati5ts t encompasses a cont9uum ( c>e  
provision & inclusive (--  7#a7 injury  
prev5tion & control2  7#b7 public heal?2
  7#c7 em]g5cy m$ical s]vices field     
int]v5tion2  7#d7 em]g5cy dep>tm5t c>e2 
7#e7 surgical int]v5tions2  7#f7        
int5sive & g5]al surgical 9-hospital    
c>e2  7#g7 rehabilitative s]vices2 &    
7#h7 social s]vices & support gr\ps t   
assi/ injur$ p & significant o!rs ( su* 
injur$ p ) return+ to society at ! mo/  
productive level possible4  #c4 ,trauma 
/&>ds & policies = ! ,dep>tm5t ( ,heal? 
& ,human ,s]vices  ,! ,secret>y ( ,heal?
 & ,human ,s]vices %all-- 7#a7 n lat]   
?an #edj days aft] ! date ( ! enactm5t (
 ?is ,act1 develop & publi% /&>ds =     
trauma c>e 9 pre-hospital & hospital    
sett+s2  7#b7 id5tify1 evaluate1 &1 to !
 ext5t practicable1 implem5t policies to
 ensure coord9ation betwe5 prehospital  
trauma c>e & trauma c>e at trauma c5t]s 
& hospitals2  7#c7 "w ) ! ,secret>y (   
,def5se1 ! ,secret>y ( ,vet]ans         
,affairs1 & o!r /akehold]s z ! ,secret>y

 ( ,heal? & ,human ,s]vices det]m9es    
necess>y to facilitate ! collection &   
%>+ ( data among trauma sy/ems ( !      
,f$]al ,gov]nm5t & non-gov]nm5tal trauma
 sy/ems across ! cont9uum ( c>e1 to !   
ext5t practicable pursuant to !         
regulations describ$ 9 p>agraph 7#d72   
7#d7 revise regulations & cl>ify exi/+  
regulations ?r\gh policy /atem5ts to    
cl>ify ! scope & applicability (        
regulations & guidance issu$ pursuant to
 ! ,heal? ,insurance ,portability &     
,acc\ntability ,act ) respect to trauma 
c>e su* t b>ri]s to ! use & disclosure (
 protect$ heal? in=mation across !      
cont9uum ( c>e are m9imiz$2  7#e7 ensure
 ! civilian trauma sy/ems p>ticipate 9 a
 /ructur$ trauma quality improvem5t     
process2  7#f7 n lat] ?an "o ye> aft] ! 
date ( ! enactm5t ( ?is ,act1 submit a  
report to ,congress t id5tifies /atutory
 or regulatory *anges ne$$ to--  7,a7   
ensure t em]g5cy m$ical s]vices are     
appropriately comp5sat$ "u ,f$]al law2  
7,b7 condition reimbursem5t "u ,f$]al   

law ( ambulance s]vices on ! quality (  
c>e provid$2  7,c7 waive or modify !    
requirem5t ( in=m$ cons5t = m9imal-risk 
rese>* 9 ! em]g5cy m$ical s]vice        
context2 &  7,d7 improve data collection
 9 heal? c>e sett+s :]e practical &     
e?ical conc]ns con/ra9 ! use ( r&omiz$  
control trials1 includ+ sett+s 9 :i*    
em]g5cy m$ical s]vices are provid$2 &   
7#g7 9 develop+ ! report 9 p>agraph     
7#f71 consult ) relevant /akehold]s 9 ! 
private & public sectors & provide an   
analysis ( ! effects ( any propos$      
/atutory or regulatory *anges1 includ+--
  7,a7 ! co/s ( deliv]y ( trauma c>e 9  
diff]5t c>e sett+s2 &  7,b7 anticipat$  
*anges 9 treatm5t outcomes = em]g5cy    
m$ical s]vices4  #d4 ,jo9t ,trauma      
,sy/em ( ! ,dep>tm5t ( ,def5se  7a7     
,plan  7#a7 ,9 g5]al ,n lat] ?an #ahj   
days aft] ! date ( ! enactm5t ( ?is     
,act1 ! ,secret>y ( ,def5se %all submit 
to ! ,committees on ,arm$ ,s]vices ( !  
,h\se ( ,repres5tatives & ! ,s5ate an   
implem5tation plan to e/abli% a ,jo9t   

,trauma ,sy/em )9 ! ,def5se ,heal?      
,ag5cy t promotes improv$ trauma c>e to 
memb]s ( ! ,arm$ ,=ces & o!r individuals
 :o are eligible to be treat$ = trauma  
at a milit>y m$ical treatm5t facility4  
7#b7 ,implem5tation ,! ,secret>y %all   
implem5t ! plan "u p>agraph 7#a7 aft] a 
#ij-;day p]iod has elaps$ foll[+ ! date 
on :i* ! ,comptroll] ,g5]al ( ! ,unit$  
,/ates is requir$ to submit to !        
,committees on ,arm$ ,s]vices ( ! ,h\se 
( ,repres5tatives & ! ,s5ate ! review "u
 subsection 7c74 ,9 implem5t+ su* plan1 
! ,secret>y %all take into acc\nt any   
recomm5dation made by ! ,comptroll]     
,g5]al "u su* review4  7b7 ,elem5ts ,!  
,jo9t ,trauma ,sy/em describ$ 9         
subsection 7a77#a7 %all include ! foll[+
 elem5ts3 7#a7 ,s]ve z ! ref]5ce body = 
all trauma c>e provid$ across ! milit>y 
heal? sy/em4  7#b7 ,e/abli% /&>ds ( c>e 
= trauma s]vices provid$ at milit>y     
m$ical treatm5t facilities4  7#c7       
,coord9ate ! translation ( rese>* f !   
c5t]s ( excell5ce ( ! ,dep>tm5t (       

,def5se into /&>ds ( cl9ical trauma c>e4
  7#d7 ,coord9ate ! incorporation (     
lessons le>n$ f ! trauma education &    
tra9+ p>tn]%ips pursuant to section #e  
into cl9ical practice4  7#e7 ,p>ticipate
 9 a /ructur$ trauma quality improvem5t 
process4  7c7 ,review ,n lat] ?an #abj  
days aft] ! date on :i* ! ,secret>y     
submits to ! ,committees on ,arm$       
,s]vices ( ! ,h\se ( ,repres5tatives & !
 ,s5ate ! implem5tation plan "u         
subsection 7a77#a71 ! ,comptroll] ,g5]al
 ( ! ,unit$ ,/ates %all submit to su*   
committees a review ( su* plan to       
det]m9e if ea* elem5t "u subsection 7b7 
is includ$ 9 su* plan4  7d7 ,review (   
milit>y trauma sy/em ,9 e/abli%+ a ,jo9t
 ,trauma ,sy/em1 ! ,secret>y ( ,def5se  
%all seek to ent] into an agreem5t ) a  
non-gov]nm5tal entity ) subject matt]   
exp]ts to--  7#a7 conduct a sy/em-wide  
review ( ! milit>y trauma sy/em2 &  7#b7
 n lat] ?an #ahj days aft] ! date ( !   
enactm5t ( ?is ,act1 make publicly      
available a report conta9+ su* review & 

recomm5dations to e/abli% a compreh5sive
 trauma sy/em = ! ,arm$ ,=ces4  #e4     
,jo9t ,trauma ,education & ,tra9+       
,directorate ( ! ,dep>tm5t ( ,def5se    
7a7 ,e/abli%m5t ,! ,secret>y ( ,def5se  
%all e/abli% a ,jo9t ,trauma ,education 
& ,tra9+ ,directorate 79 ?is section    
ref]r$ to z ! ,directorate7 to ensure t 
! milit>y trauma c>e provid]s ma9ta9    
read9ess & are able to be rapidly       
deploy$ = future arm$ conflicts4 ,!     
,secret>y %all c>ry out ?is section 9   
collaboration ) ! ,secret>ies ( !       
milit>y dep>tm5ts4  7b7 ,duties ,!      
duties ( ! ,directorate are z foll[s3   
7#a7 ,to ent] into & coord9ate !        
p>tn]%ips "u subsection 7c74  7#b7 ,to  
e/abli% ! goals ( su* p>tn]%ips necess>y
 = milit>y trauma teams l$ by milit>y   
trauma c>e provid]s to ma9ta9           
pr(essional compet5cy 9 trauma c>e4     
7#c7 ,to e/abli% metrics = measur+ !    
p]=mance ( su* p>tn]%ips 9 a*iev+ su*   
goals4  7#d7 ,to develop me?ods ( data  
collection & analysis = c>ry+ out       

p>agraph 7#c74  7#e7 ,to communicate &  
coord9ate lessons le>n$ f su* p>tn]%ips 
) ! ,jo9t ,trauma ,sy/em e/abli%$ "u    
section #d4  7c7 ,p>tn]%ips  7#a7 ,9    
g5]al ,! ,secret>y %all ent] into       
p>tn]%ips ) civilian trauma c5t]s4  7#b7
 ,milit>y trauma teams ,"u ! p>tn]%ips  
ent]$ into ) civilian trauma c5t]s "u   
p>agraph 7#a71 milit>y trauma teams l$  
by milit>y trauma c>e provid]s %all emb$
 )9 ! civilian trauma c5t]s on an endur+
 basis4  7#c7 ,selection ,! ,secret>y   
%all select civilian trauma c5t]s to    
ent] into p>tn]%ips "u p>agraph 7#a7    
bas$ on pati5t volume1 acuity1 & o!r    
factors ! ,secret>y det]m9es necess>y to
 ensure t ! milit>y trauma c>e provid]s 
& ! associat$ cl9ical support teams h   
adequate & cont9u\s exposure to         
critically injur$ pati5ts4  7#d7        
,consid]ation ,9 ent]+ into p>tn]%ips "u
 p>agraph 7#a71 ! ,secret>y may consid] 
! exp]i5ces & lessons le>n$ by ! milit>y
 dep>tm5ts t h ent]$ into memor&a (     
und]/&+ ) civilian m$ical c5t]s = trauma

 c>e4  7#e7 ,res]ve compon5ts ,!        
,secret>y %all ensure t ! p>tn]%ips "u  
p>agraph 7#a7 provide opportunities = ! 
p>ticipation ( milit>y trauma c>e       
provid]s & milit>y trauma teams ( !     
res]ve compon5ts ( ! ,arm$ ,=ces4  7d7  
,analysis ,! ,secret>y ( ,def5se %all   
conduct an analysis to det]m9e ! numb] (
 milit>y trauma c>e provid]s1 by        
specialty & compon5t1 t mu/ be ma9ta9$  
)9 ! ,dep>tm5t ( ,def5se to meet !      
requirem5ts ( ! combatant comm&s4  7e7  
,implem5tation plan ,n lat] ?an "o ye>  
aft] ! date ( ! enactm5t ( ?is ,act1 !  
,secret>y %all submit to ! ,committees  
on ,arm$ ,s]vices ( ! ,h\se (           
,repres5tatives & ! ,s5ate an           
implem5tation plan = e/abli%+ ! ,jo9t   
,trauma ,education & ,tra9+ ,directorate
 "u subsection 7a7 & ent]+ into         
p>tn]%ips "u subsection 7c74  7f7       
,def9itions ,9 ?is section3 7#a7 ,! t]m 
milit>y trauma c>e provid] means a memb]
 ( ! ,arm$ ,=ces :o furni%es em]g5cy1   
critical c>e1 & o!r trauma acute c>e1   

includ+ a physician1 milit>y surgeon1   
physician assi/ant1 nurse1 respiratory  
!rapi/1 flight p>am$ic1 combat m$ic1 or 
enli/$ m$ical te*nician4  7#b7 ,! t]m & 
milit>y trauma team means a complete    
milit>y trauma team consi/+ ( milit>y   
trauma c>e provid]s4  #f4 ,evaluation ( 
! ,secret>ial ,designee ,program  7a7 ,9
 g5]al ,n lat] ?an "o ye> aft] ! date ( 
! enactm5t ( ?is ,act1 ! ,secret>y (    
,def5se %all submit to ! ,committees on 
,arm$ ,s]vices ( ! ,h\se (              
,repres5tatives & ! ,s5ate a report on !
 activities ( ! ,secret>ial ,designee   
,program1 includ+--  7#a7 ! numb] (     
applicants admitt$ to ! ,program s9ce ! 
inception ( ! ,program2  7#b7 ! crit]ia 
us$ to grant admittance to ! ,program2  
7#c7 ! admittance rate into ! ,program2 
7#d7 ! co/s associat$ ) adm9i/]+ !      
,program2  7#e7 ! feasibility ( all[+   
private in/itutions & individuals to    
nom9ate applicants = admission to !     
,program2  7#f7 recomm5dations = improv+
 process+ times ( applications = !      

,program2  7#g7 ! curr5t ability ( !    
milit>y heal? sy/em to provide support  
to civil au?orities dur+ a mass casualty
 incid5t2 &  7#h7 an assessm5t ( !      
,program4  7b7 ,/&>diz$ admission       
policies & processes ,! ,secret>y %all  
/&>dize ! admission policies & processes
 ( ! ,secret>ial ,designee ,program )   
respect to ! ,secret>y & ea* ,secret>y  
conc]n$ implem5t+ ! ,program4  7c7      
,def9itions ,9 ?is section3 7#a7 ,! t]m 
,secret>ial ,designee ,program means !  
program "u :i* heal? c>e is provid$ to  
individuals o!r ?an memb]s ( ! uni=m    
s]vices & dep5d5ts ( su* memb]s at      
milit>y m$ical treatm5t facilities1 z   
describ$ 9 ,dep>tm5t ( ,def5se          
,in/ruction #fjbe4bc1 dat$ ,octob] #b1  
#bjac1 & implem5t$ by ! ,(fice ( !      
,secret>y ( ,def5se & ! milit>y         
dep>tm5ts4  7#b7 ,! t]m ,secret>y       
conc]n$ has ! mean+ giv5 t t]m 9 section
 #aja7;a77#i7 ( title #aj1 ,unit$ ,/ates
 ,code4