,,ii  #aag? ,,congress  #b;d ,session   
,s4 #ceff  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,febru>y #b1 #bjbb,mr4 
,re$ 7= himself & ,mr4 ,moran7 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 ) respect to trauma c>e4   
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,improv+ ,trauma ,sy/ems & ,em]g5cy   
,c>e ,act4  #b4 ,trauma c>e             
reau?orization  7a7 ,9 g5]al ,section   
#abja ( ! ,public ,heal? ,s]vice ,act   
7#db ,u4,s4,c4 #cjj;d7 is am5d$-- 7#a7 9
 subsection 7a7-- 7,a7 9 p>agraph 7#c7--
 7i7 by ins]t+ analyze1 aft] compile12 &
  7ii7 by ins]t+ & m$ically und]s]v$    
areas be=e ! semicolon2  7,b7 9 p>agraph
 7#d71 by add+ & aft] ! semicolon2  7,c7
 by /rik+ p>agraph 7#e72 &  7,d7 by     
r$esignat+ p>agraph 7#f7 z p>agraph     
7#e72  7#b7 by r$esignat+ subsection 7b7
 z subsection 7c72 &  7#c7 by ins]t+    
aft] subsection 7a7 ! foll[+3  7b7      

,trauma c>e read9ess & coord9ation ,!   
,secret>y1 act+ ?r\gh ! ,assi/ant       
,secret>y = ,prep>$ness & ,response1    
%all support ! ef=ts ( ,/ates &         
consortia ( ,/ates to coord9ate &       
improve em]g5cy m$ical s]vices & trauma 
c>e dur+ a public heal? em]g5cy decl>$  
by ! ,secret>y pursuant to section #cai 
or a major disa/] or em]g5cy decl>$ by !
 ,presid5t "u section #dja or #eja1     
respectively1 ( ! ,rob]t ,t4 ,/af=d     
,disa/] ,relief & ,em]g5cy ,assi/ance   
,act4 ,su* support may include-- 7#a7   
develop+1 issu+1 & updat+ guidance1 z   
appropriate1 to support ! coord9at$     
m$ical triage & evacuation to           
appropriate m$ical in/itutions bas$ on  
pati5t m$ical ne$1 tak+ into acc\nt     
regionaliz$ sy/ems ( c>e2  7#b7         
dissem9at+1 z appropriate1 in=mation on 
evid5ce-bas$ or evid5ce-in=m$ trauma c>e
 practices1 tak+ into consid]ation      
em]g5cy m$ical s]vices & trauma c>e     
sy/ems1 includ+ su* practices id5tifi$  
?r\gh activities conduct$ "u subsection 

7a7 & :i* may include ! id5tification & 
dissem9ation ( p]=mance metrics1 z      
applicable & appropriate2 &  7#c7 o!r   
activities1 z appropriate1 to optimize a
 coord9at$ & flexible approa* to !      
em]g5cy response & m$ical surge capacity
 ( hospitals1 o!r heal? c>e facilities1 
critical c>e1 & em]g5cy m$ical sy/ems4  
4  7b7 ,grants ,to improve trauma c>e 9 
rural areas ,section #abjb ( ! ,public  
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#cjj;d-#c7 is am5d$-- 7#a7 by am5d+ !   
section head+ to read z foll[s3 ,grants 
to improve trauma c>e 9 rural areas2    
7#b7 by am5d+ subsections 7a7 & 7b7 to  
read z foll[s3  7a7 ,9 g5]al ,!         
,secret>y %all aw>d grants to eligible  
entities = ! purpose ( c>ry+ out rese>* 
& demon/ration projects to support !    
improvem5t ( em]g5cy m$ical s]vices &   
trauma c>e 9 rural areas ?r\gh !        
developm5t ( innovative uses (          
te*nology1 tra9+ & education1           
transportation ( s]i\sly injur$ pati5ts 
= ! purposes ( receiv+ su* em]g5cy      

m$ical s]vices1 access to prehospital   
c>e1 evaluation ( protocols = ! purposes
 ( improvem5t ( outcomes & dissem9ation 
( any relat$ be/ practices1 activities  
to facilitate cl9ical rese>*1 z         
applicable & appropriate1 & increas+    
communication & coord9ation ) applicable
 ,/ate or ,tribal trauma sy/ems4  7b7   
,eligible entities  7#a7 ,9 g5]al ,to be
 eligible to receive a grant "u ?is     
section1 an entity %all be a public or  
private entity t provides trauma c>e 9 a
 rural area4  7#b7 ,priority ,9 aw>d+   
grants "u ?is section1 ! ,secret>y %all 
give priority to eligible entities t w  
provide s]vices "u ! grant 9 any rural  
area id5tifi$ by a ,/ate "u section     
#abad7;d77#a74  2 &  7#c7 by add+ at !  
end ! foll[+3  7d7 ,reports ,an entity t
 receives a grant "u ?is section %all   
submit to ! ,secret>y su* reports z !   
,secret>y may require to in=m           
adm9i/ration ( ! program "u ?is section4
  4  7c7 ,pilot grants = trauma c5t]s   
,section #abjd ( ! ,public ,heal?       

,s]vice ,act 7#db ,u4,s4,c4 #cjj;d-#f7  
is am5d$-- 7#a7 by am5d+ ! section head+
 to read z foll[s3 ,pilot grants =      
trauma c5t]s2  7#b7 9 subsection 7a7--  
7,a7 by /rik+ n few] ?an #d & ins]t+    
#aj2  7,b7 by /rik+ t design1 implem5t1 
& evaluate & ins]t+ to design1 implem5t1
 & evaluate new or exi/+2  7,c7 by /rik+
 em]g5cy c>e & ins]t+ em]g5cy m$ical2 & 
7,d7 by ins]t+ 1 & improve access to    
trauma c>e )9 su* sy/ems be=e ! p]iod2  
7#c7 9 subsection 7b77#a71 by /rik+     
subp>agraphs 7,a7 & 7,b7 & ins]t+ !     
foll[+3  7,a7 a ,/ate or consortia (    
,/ates2  7,b7 an ,indian ,tribe or      
,tribal organization 7z def9$ 9 section 
#d ( ! ,indian ,self-,det]m9ation &     
,education ,assi/ance ,act72  7,c7 a    
consortium ( level ,i1 ,,ii1 or ,,iii   
trauma c5t]s designat$ by applicable    
,/ate or local ag5cies )9 an applicable 
,/ate or region1 &1 z applicable1 o!r   
em]g5cy s]vices provid]s2 or  7,d7 a    
consortium or p>tn]%ip ( nonpr(it       
,indian ,heal? ,s]vice1 ,indian ,tribal1

 & urban ,indian trauma c5t]s4  2  7#d7 
9 subsection 7c7-- 7,a7 9 ! matt] prec$+
 p>agraph 7#a7-- 7i7 by /rik+ t proposes
 a pilot project2 &  7ii7 by /rik+ an   
em]g5cy m$ical & trauma sy/em t-- &     
ins]t+ a new or exi/+ em]g5cy m$ical &  
trauma sy/em4 ,su* eligible entity %all 
use am\nts aw>d$ "u ?is subsection to   
c>ry out #b or m ( ! foll[+ activities32
  7,b7 9 p>agraph 7#a7-- 7i7 by /rik+   
coord9ates & ins]t+ ,/r5g!n+ coord9ation
 & communication2 &  7ii7 by /rik+ an   
approa* to em]g5cy m$ical & trauma sy/em
 access ?r\gh\t ! region1 includ+ #i-a-a
 ,public ,safety ,answ]+ ,po9ts &       
em]g5cy m$ical dispat*2 & ins]t+        
approa*es to improve situational aw>5ess
 & em]g5cy m$ical & trauma sy/em access1
 includ+ di/ribution ( pati5ts dur+ a   
mass casualty incid5t1 ?r\gh\t !        
region42  7,c7 9 p>agraph 7#b7-- 7i7 by 
/rik+ includes & ins]t+ ,provid+2  7ii7 
by ins]t+ support pati5t movem5t to aft]
 region to2 &  7iii7 by /rik+ !         
semicolon & ins]t+ a p]iod2  7,d7 9     

p>agraph 7#c7-- 7i7 by /rik+ all[s = &  
ins]t+ ,improv+2 &  7ii7 by /rik+ 2 & & 
ins]t+ a p]iod2  7,e7 9 p>agraph 7#d71  
by /rik+ includes a consi/5t & ins]t+   
,support+ a consi/5t2 &  7,f7 by add+ at
 ! end ! foll[+3  7#e7 ,e/abli%+1       
implem5t+1 & dissem9at+1 or utiliz+     
exi/+1 z applicable1 evid5ce-bas$ or    
evid5ce-in=m$ practices across          
facilities )9 su* em]g5cy m$ical &      
trauma sy/em to improve heal? outcomes1 
includ+ su* practices relat$ to         
managem5t ( injuries1 & ! ability ( su* 
facilities to surge4  7#f7 ,conduct+    
activities to facilitate cl9ical rese>*1
 z applicable & appropriate4  2  7#e7 9 
subsection 7d77#b7-- 7,a7 9 subp>agraph 
7,a7-- 7i7 9 ! matt] prec$+ clause 7i71 
by /rik+ ! propos$ & ins]t+ ! applicable
 em]g5cy m$ical & trauma sy/em2  7ii7 9 
clause 7i71 by ins]t+ or ,tribal entity 
aft] equival5t ,/ate (fice2 &  7iii7 9  
clause 7vi71 by /rik+ 2 & & ins]t+ a    
semicolon2  7,b7 by r$esignat+          
subp>agraph 7,b7 z subp>agraph 7,c72 &  

7,c7 by ins]t+ aft] subp>agraph 7,a7 !  
foll[+3  7,b7 = eligible entities       
describ$ 9 subp>agraph 7,c7 or 7,d7 (   
subsection 7b77#a71 a description (1 &  
evid5ce (1 coord9ation ) ! applicable   
,/ate ,(fice ( ,em]g5cy ,m$ical ,s]vices
 7or equival5t ,/ate ,(fice7 or         
applicable su* (fice = a ,tribe or      
,tribal organization2 &  2  7#f7 9      
subsection 7e7-- 7,a7 9 p>agraph 7#a71  
by /rik+ #a = ea* #c & ins]t+ #a = ea*  
#e2 &  7,b7 by add+ at ! end ! foll[+3  
7#c7 ,waiv] ,! ,secret>y may waive all  
or "p ( ! mat*+ requirem5t describ$ 9   
p>agraph 7#a7 = any fiscal ye> = a      
,/ate1 consortia ( ,/ates1 ,indian      
,tribe or ,tribal organization1 or      
trauma c5t]1 if ! ,secret>y det]m9es t  
apply+ su* mat*+ requirem5t w\ld result 
9 s]i\s h>d%ip or an inability to c>ry  
out ! purposes ( ! pilot program4  2    
7#g7 9 subsection 7f71 by /rik+         
population 9 a m$ically und]s]v$ area & 
ins]t+ m$ically und]s]v$ population2    
7#h7 9 subsection 7g7-- 7,a7 9 ! matt]  

prec$+ p>agraph 7#a71 by /rik+ describ$ 
92  7,b7 9 p>agraph 7#b71 by /rik+ !    
sy/em *>act]i/ics t contribute to &     
ins]t+ opportunities = improvem5t1      
includ+ recomm5dations = h[ to improve2 
7,c7 by /rik+ p>agraph 7#d72  7,d7 by   
r$esignat+ p>agraphs 7#e7 & 7#f7 z      
p>agraphs 7#d7 & 7#e71 respectively2    
7,e7 9 p>agraph 7#d71 z s r$esignat$1 by
 /rik+ 2 & & ins]t+ a semicolon2  7,f7 9
 p>agraph 7#e71 z s r$esignat$1 by /rik+
 ! p]iod & ins]t+ 2 &2 &  7,g7 by add+  
at ! end ! foll[+3  7#f7 any            
evid5ce-bas$ or evid5ce-in=m$ /rategies 
develop$ or utiliz$ pursuant to         
subsection 7c77#e74  2 &  7#i7 by am5d+ 
subsection 7h7 to read z foll[s3  7h7   
,dissem9ation ( f9d+s ,n lat] ?an #a ye>
 aft] ! completion ( ! f9al project "u  
subsection 7a71 ! ,secret>y %all submit 
to ! ,committee on ,heal?1 ,education1  
,labor1 & ,p5sions ( ! ,s5ate & !       
,committee on ,en]gy & ,comm]ce ( !     
,h\se ( ,repres5tatives a report        
describ+ ! in=mation conta9$ 9 ea*      

report submitt$ pursuant to subsection  
7g7 & any additional actions plann$ by !
 ,secret>y relat$ to regionaliz$ em]g5cy
 c>e & trauma sy/ems4  4  7d7 ,program  
fund+ ,section #abcb7;a7 ( ! ,public    
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#cjj;d-#cb7;a77 is am5d$ by /rik+ #bjaj 
?r\gh #bjad & ins]t+ #bjbc ?r\gh #bjbg4