,,ii  #aad? ,,congress  #b;d ,session   
,s4 #cdjg  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,septemb] #bh1         
#bjaf,mr4 ,kirk 7= himself1 ,mr4        
,isakson1 & ,mr4 ,cornyn7 introduc$ !   
foll[+ bill2 :i* 0 read twice & ref]r$  
to ! ,committee on ,heal?1 ,education1  
,labor1 & ,p5sions  ,a ,,bill  ,to am5d 
! ,public ,heal? ,s]vice ,act to        
facilitate assignm5t ( milit>y trauma   
c>e provid]s to civilian trauma c5t]s 9 
ord] to ma9ta9 milit>y trauma read9ess &
 to support su* c5t]s1 & = o!r purposes4
  #a4 ,%ort title ,?is ,act may be cit$ 
z ! ,milit>y ,injury ,surgical ,sy/ems  
,integrat$ ,op]ationally ,nationwide to 
,a*ieve ,,z]o ,prev5table ,dea?s ,act or
 ! ,,mission ,,z]o ,act4  #b4 ,milit>y &
 civilian p>tn]%ip = trauma read9ess    
grant program ,title ,,xii ( ! ,public  
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#cjj;d et seq47 is am5d$ by add+ at !   
end ! foll[+ new "p3  ,i ,milit>y &     
,civilian ,p>tn]%ip = ,trauma ,read9ess 
,grant ,program  #abia4 ,milit>y &      

,civilian ,p>tn]%ip = ,trauma ,read9ess 
,grant ,program  7a7 ,milit>y trauma    
team placem5t program  7#a7 ,9 g5]al ,! 
,secret>y1 act+ ?r\gh ! ,assi/ant       
,secret>y = ,prep>$ness & ,response & 9 
consultation ) ! ,secret>y ( ,def5se1   
%all aw>d grants to n m ?an #bj eligible
 high acuity trauma c5t]s to enable     
milit>y trauma teams to provide1 on a   
full-"t basis1 trauma c>e & relat$ acute
 c>e at su* trauma c5t]s4  7#b7         
,limitations ,9 ! case ( a grant aw>d$  
"u p>agraph 7#a7 to an eligible high    
acuity trauma c5t]1 su* grant--  7,a7   
%all be = a p]iod ( n few] ?an #c fiscal
 ye>s & n m ?an #e fiscal ye>s 7& may be
 r5ew$ at ! end ( su* p]iod72 &  7,b7   
%all be 9 an am\nt t does n exce$       
#a1jjj1jjj p] fiscal ye>4  7b7 ,milit>y 
trauma c>e provid] placem5t program     
7#a7 ,9 g5]al ,! ,secret>y1 act+ ?r\gh !
 ,assi/ant ,secret>y = ,prep>$ness &    
,response & 9 consultation ) ! ,secret>y
 ( ,def5se1 %all aw>d grants to eligible
 trauma c5t]s to enable milit>y trauma  

c>e provid]s to provide trauma c>e &    
relat$ acute c>e at su* trauma c5t]s4   
7#b7 ,limitations ,9 ! case ( a grant   
aw>d$ "u p>agraph 7#a7 to an eligible   
trauma c5t]1 su* grant-- 7,a7 %all be = 
a p]iod ( at lea/ #a fiscal ye> & n m   
?an #c fiscal ye>s 7& may be r5ew$ at ! 
end ( su* p]iod72  7,b7 %all be 9 an    
am\nt t does n exce$1 9 a fiscal ye>--  
7i7 #ajj1jjj = ea* milit>y trauma c>e   
provid] t is a physician at su* eligible
 trauma c5t]2 &  7ii7 #ej1jjj = ea* o!r 
milit>y trauma c>e provid] at su*       
eligible trauma c5t]4  7c7 ,grant       
requirem5ts  7#a7 ,deploym5t ,z a       
condition ( receipt ( a grant "u ?is    
section1 a grant recipi5t %all agree to 
all[ milit>y trauma c>e provid]s provid+
 c>e pursuant to su* grant to be deploy$
 by ! ,secret>y ( ,def5se = milit>y     
op]ations1 = tra9+1 or = response to a  
mass casualty incid5t4  7#b7 ,use (     
funds ,grants aw>d$ "u ?is section to an
 eligible trauma c5t] may be us$ to tra9
 & incorporate milit>y trauma c>e       

provid]s into su* trauma c5t]1 includ+  
exp5ditures = malpractice insurance1    
(fice space1 in=mation te*nology1       
specialty education & sup]vision1 trauma
 programs1 & ,/ate lic5se fees = su*    
milit>y trauma c>e provid]s4  7d7       
,report+ requirem5ts  7#a7 ,report to ! 
,secret>y & ! ,secret>y ( ,def5se ,ea*  
eligible trauma c5t] or eligible high   
acuity trauma c5t] aw>d$ a grant "u     
subsection 7a7 or 7b7 = a fiscal ye>    
%all submit to ! ,secret>y & ! ,secret>y
 ( ,def5se a report = su* fiscal ye> t  
includes in=mation on--  7,a7 ! numb] & 
types ( trauma cases manag$ by milit>y  
trauma teams or milit>y trauma c>e      
provid]s pursuant to su* grant dur+ su* 
fiscal ye>2  7,b7 ! f9ancial impact (   
su* grant on ! trauma c5t]2  7,c7 !     
educational impact on resid5t tra9ees 9 
c5t]s :]e milit>y trauma teams are      
assign$2  7,d7 any rese>* conduct$ dur+ 
su* fiscal ye> support$ by su* grant2 & 
7,e7 any o!r in=mation requir$ by !     
,secret>ies = ! purpose ( evaluat+ !    

effect ( su* grant4  7#b7 ,report to    
,congress ,n less ?an once e #b fiscal  
ye>s1 ! ,secret>y1 9 consultation ) !   
,secret>y ( ,def5se1 %all submit a      
report to ,congress t includes in=mation
 on ! effect ( plac+ milit>y trauma c>e 
provid]s 9 trauma c5t]s aw>d$ grants "u 
?is section on--  7,a7 ma9ta9+ read9ess 
( milit>y trauma c>e provid]s =         
battlefield injuries2  7,b7 provid+     
heal? c>e to civilian trauma pati5ts2   
7,c7 ! capability to respond to surges 9
 trauma cases1 includ+ z a result ( a   
l>ge scale ev5t2 &  7,d7 ! f9ancial     
,/ate ( ! trauma c5t]s4  7e7 ,def9itions
 ,= purposes ( ?is "p3  7#a7 ,eligible  
trauma c5t] ,! t]m eligible trauma c5t] 
means a ,level ,i1 ,,ii1 or ,,iii trauma
 c5t] t satisfies ea* ( ! foll[+3 7,a7  
,su* trauma c5t] has an agreem5t ) !    
,secret>y ( ,def5se to enable milit>y   
trauma c>e provid]s to provide trauma   
c>e & relat$ acute c>e at su* trauma    
c5t]4  7,b7 ,su* trauma c5t] utilizes a 
risk-adju/$ b5*m>k+ sy/em to measure    

p]=mance & outcomes1 su* z ! ,trauma    
,quality ,improvem5t ,program ( !       
,am]ican ,college ( ,surgeons4  7,c7    
,su* trauma c5t] demon/rates a ne$ =    
integrat$ milit>y trauma c>e provid]s to
 ma9ta9 or improve ! trauma cl9ical     
capability ( su* trauma c5t]4  7#b7     
,eligible high acuity trauma c5t] ,! t]m
 eligible high acuity trauma c5t] means 
a ,level ,i trauma c5t] t satisfies ea* 
( ! foll[+3 7,a7 ,su* trauma c5t] has an
 agreem5t ) ! ,secret>y ( ,def5se to    
enable milit>y trauma teams to provide  
trauma c>e & relat$ acute c>e at su*    
trauma c5t]4  7,b7 ,at lea/ #bj p]c5t ( 
pati5ts ( su* trauma c5t] 9 ! mo/ rec5t 
#c-mon? p]iod = :i* data is available   
are treat$ = a major trauma at su*      
trauma c5t]4  7,c7 ,su* trauma c5t]     
utilizes a risk-adju/$ b5*m>k+ sy/em to 
measure p]=mance & outcomes1 su* z !    
,trauma ,quality ,improvem5t ,program ( 
! ,am]ican ,college ( ,surgeons4  7,d7  
,su* trauma c5t] is an academic tra9+   
c5t]-- 7i7 affiliat$ ) a m$ical s*ool2  

7ii7 t ma9ta9s resid5cy programs &      
fell[%ips 9 critical trauma specialties 
& subspecialties1 & provides education &
 sup]vision ( milit>y trauma team memb]s
 accord+ to ^? specialties &            
subspecialties2 &  7iii7 t und]takes    
rese>* 9 ! prev5tion & treatm5t (       
traumatic injury4  7,e7 ,su* trauma c5t]
 s]ves z a disa/] response lead] = its  
community1 su* z by p>ticipat+ 9 a      
p>tn]%ip = ,/ate & regional hospital    
prep>$ness e/abli%$ "u section          
#cai;,c-#b4  7#c7 ,major trauma ,! t]m  
major trauma means an injury t is great]
 ?an or equal to #ae on ! injury sev]ity
 score4  7#d7 ,milit>y trauma team ,!   
t]m milit>y trauma team means a complete
 milit>y trauma team consi/+ ( milit>y  
trauma c>e provid]s4  7#e7 ,milit>y     
trauma c>e provid] ,! 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$ical te*nician4  7f7 ,au?orization (  
appropriations ,= ea* ( fiscal ye>s     
#bjag ?r\gh #bjba1 !re are au?oriz$ to  
be appropriat$-- 7#a7 #bj1jjj1jjj =     
c>ry+ out subsection 7a72 &  7#b7       
#bj1jjj1jjj = c>ry+ out subsection 7b74 
4