,,ii #aaeth ,,congress #ast ,session ,s4 #ajbb ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,may #c1 #bjag,mr4 ,isakson 7for himself1 ,ms4 ,duckworth1 and ,mr4 ,cornyn7 introduced the following bill2 which was read twice and referred to the ,committee on ,health1 ,education1 ,labor1 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 centers1 and for other purposes4 #a4 ,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 ,act4 #b4 ,military and civilian partnership for trauma readiness grant program ,title ,,xii of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;d et seq47 is amended by adding at the end the following new part3 ,i ,military and ,civilian ,partnership for ,trauma ,readiness ,grant ,program #abia4 ,military and ,civilian ,partnership for ,trauma ,readiness ,grant ,program 7a7 ,military trauma team placement program 7#a7 ,in general ,the ,secretary1 acting through the ,assistant ,secretary for ,preparedness and ,response and in consultation with the ,secretary of ,defense1 shall award grants to not more than #bj eligible high acuity trauma centers to enable military trauma teams to provide1 on a full-time basis1 trauma care and related acute care at such trauma centers4 7#b7 ,limitations ,in the case of a grant awarded under paragraph 7#a7 to an eligible high acuity trauma center1 such grant-- 7,a7 shall be for a period of not fewer than #c fiscal years and not more than #e fiscal years 7and may be renewed at the end of such period72 and 7,b7 shall be in an amount that does not exceed #a1jjj1jjj per fiscal year4 7b7 ,military trauma care provider placement program 7#a7 ,in general ,the ,secretary1 acting through the ,assistant ,secretary for ,preparedness and ,response and in consultation with the ,secretary of ,defense1 shall award grants to eligible trauma centers to enable military trauma care providers to provide trauma care and related acute care at such trauma centers4 7#b7 ,limitations ,in the case of a grant awarded under paragraph 7#a7 to an eligible trauma center1 such grant-- 7,a7 shall be for a period of at least #a fiscal year and not more than #c fiscal years 7and may be renewed at the end of such period72 and 7,b7 shall be in an amount that does not exceed1 in a fiscal year-- 7i7 #ajj1jjj for each military trauma care provider that is a physician at such eligible trauma center2 and 7ii7 #ej1jjj for each other military trauma care provider at such eligible trauma center4 7c7 ,grant requirements 7#a7 ,deployment ,as a condition of receipt of a grant under this section1 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 operations1 for training1 or for response to a mass casualty incident4 7#b7 ,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 center1 including expenditures for malpractice insurance1 office space1 information technology1 specialty education and supervision1 trauma programs1 and ,state license fees for such military trauma care providers4 7d7 ,reporting requirements 7#a7 ,report to the ,secretary and the ,secretary of ,defense ,each eligible trauma center or eligible high acuity trauma center awarded a grant under subsection 7a7 or 7b7 for a fiscal year shall submit to the ,secretary and the ,secretary of ,defense a report for such fiscal year that includes information on-- 7,a7 the number and types of trauma cases managed by military trauma teams or military trauma care providers pursuant to such grant during such fiscal year2 7,b7 the financial impact of such grant on the trauma center2 7,c7 the educational impact on resident trainees in centers where military trauma teams are assigned2 7,d7 any research conducted during such fiscal year supported by such grant2 and 7,e7 any other information required by the ,secretaries for the purpose of evaluating the effect of such grant4 7#b7 ,report to ,congress ,not less than once every #b fiscal years1 the ,secretary1 in consultation with the ,secretary of ,defense1 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-- 7,a7 maintaining readiness of military trauma care providers for battlefield injuries2 7,b7 providing health care to civilian trauma patients2 7,c7 the capability to respond to surges in trauma cases1 including as a result of a large scale event2 and 7,d7 the financial state of the trauma centers4 7e7 ,definitions ,for purposes of this part3 7#a7 ,eligible trauma center ,the term eligible trauma center means a ,level ,i1 ,,ii1 or ,,iii trauma center that satisfies each of the following3 7,a7 ,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 center4 7,b7 ,such trauma center utilizes a risk-adjusted benchmarking system to measure performance and outcomes1 such as the ,trauma ,quality ,improvement ,program of the ,american ,college of ,surgeons4 7,c7 ,such trauma center demonstrates a need for integrated military trauma care providers to maintain or improve the trauma clinical capability of such trauma center4 7#b7 ,eligible high acuity trauma center ,the term eligible high acuity trauma center means a ,level ,i trauma center that satisfies each of the following3 7,a7 ,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 center4 7,b7 ,at least #bj percent of patients of such trauma center in the most recent #c-month period for which data is available are treated for a major trauma at such trauma center4 7,c7 ,such trauma center utilizes a risk-adjusted benchmarking system to measure performance and outcomes1 such as the ,trauma ,quality ,improvement ,program of the ,american ,college of ,surgeons4 7,d7 ,such trauma center is an academic training center-- 7i7 affiliated with a medical school2 7ii7 that maintains residency programs and fellowships in critical trauma specialties and subspecialties1 and provides education and supervision of military trauma team members according to those specialties and subspecialties2 and 7iii7 that undertakes research in the prevention and treatment of traumatic injury4 7,e7 ,such trauma center serves as a disaster response leader for its community1 such as by participating in a partnership for ,state and regional hospital preparedness established under section #cai;,c-#b4 7#c7 ,major trauma ,the term major trauma means an injury that is greater than or equal to #ae on the injury severity score4 7#d7 ,military trauma team ,the term military trauma team means a complete military trauma team consisting of military trauma care providers4 7#e7 ,military trauma care provider ,the term military trauma care provider means a member of the ,armed ,forces who furnishes emergency1 critical care1 and other trauma acute care1 including a physician1 military surgeon1 physician assistant1 nurse1 respiratory therapist1 flight paramedic1 combat medic1 or enlisted medical technician4 7f7 ,authorization of appropriations ,for each of fiscal years #bjah through #bjbb1 there are authorized to be appropriated-- 7#a7 #bj1jjj1jjj for carrying out subsection 7a72 and 7#b7 #bj1jjj1jjj for carrying out subsection 7b74 4