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H.R. 1602Became Law

Trauma Care Systems Planning and Development Act of 1990

Trauma Care Systems Planning and Development Act of 1990 - Amends the Public Health Service Act to create a new title on trauma care.

Authorizes the Secretary of Health and Human Services to make grants and enter into cooperative agreements and contracts with respect to trauma care to: (1) conduct and support research, training, evaluations, and demonstration projects; (2) foster development of trauma care systems; (3) provide technical assistance to State and local agencies; and (4) sponsor workshops and conferences.

Directs the Secretary to establish the Advisory Council on Trauma Care Systems. Declares that, notwithstanding provisions of the Federal Advisory Committee Act, the Council shall continue in existence until otherwise provided by law.

Directs the Secretary to provide, by contract, for the establishment and operation of a National Clearinghouse on Trauma Care and Emergency Medical Services. Allows the Clearinghouse to charge fees or assessments.

Authorizes the Secretary to make grants for research and demonstration projects to improve emergency medical services in rural areas.

Directs the Secretary to make an allotment for each State for each fiscal year for developing, implementing, and monitoring modifications to the trauma-care component of the State plan for the provision of emergency medical services. Requires, subject to waiver, non-Federal matching contributions (in cash or in kind) in specified ratios for fiscal years after the first fiscal year of payment. States that such component of the State plan will be modified with regard to: (1) trauma care regions, centers, and systems; (2) triage and transport of children; (3) evaluation; (4) data reporting and analysis systems; (5) procedures for paramedical personnel to assess the severity of injuries; (6) transportation and transfer policies; (7) public education; (8) coordination and cooperation; and (9) other matters.

Requires States to adopt standards for the designation of trauma centers, and for triage, transfer, and transportation policies. Directs the Secretary to develop a model plan for the designation of trauma centers and for triage, transfer, and transportation policies.

Mandates that States: (1) submit to the Secretary the trauma care component of the State plan for the provision of emergency services; (2) submit to the Secretary, at least annually, the information it receives from its data reporting and analysis system; and (3) identify and submit to the Secretary a list of rural areas lacking certain emergency medical services.

Sets forth restrictions on the use of State allotments.

Requires an annual report from each State to the Secretary. Sets forth a formula for determining the amount of allotments. Provides for: (1) repayment and offset for failure to use funds as agreed; (2) criminal penalties for certain false statements; (3) technical assistance and provision of supplies and services by the Secretary in lieu of grant funds; and (4) a report by the Secretary to the Congress.

Authorizes appropriations.

Amends the Public Health Service Act to require that a State, in order to receive preventive health and health services block grants under existing provisions, allow the State officer responsible for the State highway safety program to: (1) participate in the development of any State emergency medical services plan, as the plan relates to highway safety; and (2) review and comment on any State proposal to use any Federal grant or payment for emergency medical services, as the proposal relates to highway safety.

Amends provisions relating to grants to States or schools of medicine for demonstration projects for the expansion and improvement of emergency medical services for children to remove the: (1) limitation on the number of grants; and (2) references to the projects being "in such States." Authorizes appropriations.

Authorizes the Secretary to make a grant to a specified hospital in the District of Columbia for constructing or modernizing a medical facility. Requires: (1) matching non-Federal funds; (2) that the facility constructed or modernized be made available to all persons residing or employed in the area; and (3) that a reasonable volume of services be made available to persons unable to pay for the services. Provides for recovery of expenditures for the construction or modernization under the same circumstances as set forth in existing provisions relating to health resources development. Authorizes appropriations, making the authorization effective only with respect to appropriations made from allocations under specified provisions of the Congressional Budget Act of 1974 for specified subcommittees of the House of Representatives and the Senate.

Became Public Law No: 101-590.

Rep. Bates, Jim [D-CA-44](D-CA)Sponsor
50 cosponsors44 D6 R
50cosponsors2committees54actions2related bills18subjects
  1. PresidentE40000

    Became Public Law No: 101-590.

  2. BecameLaw36000

    Became Public Law No: 101-590.

  3. PresidentE30000

    Signed by President.

  4. BecameLaw36000

    Signed by President.

  5. FloorE20000

    Presented to President.

  6. President28000

    Presented to President.

  7. Floor

    Measure Signed in Senate.

  8. Floor

    Message on Senate action sent to the House.

  9. ResolvingDifferences

    Senate agreed to conference report by Voice Vote.

  10. ResolvingDifferences23000

    Conference report agreed to in Senate: Senate agreed to conference report by Voice Vote.

  11. ResolvingDifferences

    Conference papers: Senate report and managers' statement held at the desk in Senate.

  12. ResolvingDifferences

    Conference papers: message on House action held at the desk in Senate.

  13. ResolvingDifferencesH42510

    On agreeing to the conference report Agreed to by voice vote.

  14. ResolvingDifferencesH42831

    Motion to reconsider laid on the table Agreed to without objection.

  15. ResolvingDifferences21000

    Conference report agreed to in House: On agreeing to the conference report Agreed to by voice vote.

  16. FloorH8D000

    DEBATE - The House proceeded with forty minutes of debate.

  17. ResolvingDifferencesH42120

    Mr. Bilirakis demanded a second on the motion to suspend the rules and agree to the conference report. Without objection a second is ordered.

  18. ResolvingDifferencesH40200

    Mr. Waxman moved to suspend the rules and agree to the conference report, H. Rept. 101-956.

  19. ResolvingDifferencesH25200

    Conference report H. Rept. 101-956 filed.

  20. ResolvingDifferences20900

    Conference report filed: Conference report H. Rept. 101-956 filed.

  21. ResolvingDifferencesH41931

    Motion to reconsider laid on the table Agreed to without objection.

  22. FloorH8D000

    The Chair reserved the right to make further appointments.

  23. ResolvingDifferencesH41800

    The chair appointed conferees: Dingell, Waxman, Bates, Lent, and Madigan.

  24. ResolvingDifferencesH41610

    On motion that the House disagree to the Senate amendment, and agree to a conference Agreed to without objection.

  25. ResolvingDifferencesH40100

    Mr. Waxman asked unanimous consent that the House disagree to the Senate amendment, and agree to a conference.

  26. Floor

    Message on Senate action sent to the House.

  27. ResolvingDifferences

    Senate insists on its amendments, asks for a conference, appoints conferees Kennedy; Pell; Hatch.

  28. Floor

    Passed Senate with an amendment by Voice Vote.

  29. Floor17000

    Passed/agreed to in Senate: Passed Senate with an amendment by Voice Vote.

  30. Floor

    Senate struck all after the Enacting Clause and substituted the language of S. 15 amended.

  31. Floor

    Measure laid before Senate by unanimous consent.

  32. Discharge

    Senate Committee on Labor and Human Resources discharged by Unanimous Consent.

    Health, Education, Labor, and Pensions Committee
  33. Committee14500

    Senate Committee on Labor and Human Resources discharged by Unanimous Consent.

    Health, Education, Labor, and Pensions Committee
  34. IntroReferral

    Read twice and referred to the Committee on Labor and Human Resources.

    Health, Education, Labor, and Pensions Committee
  35. IntroReferral

    Received in the Senate.

  36. FloorH38310

    Motion to reconsider laid on the table Agreed to without objection.

  37. FloorH37300

    On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote.

  38. Floor8000

    Passed/agreed to in House: On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote.

  39. FloorH8D000

    DEBATE - The House proceeded with forty minutes of debate.

  40. FloorH30321

    On ordering a second Agreed to without objection.

  41. FloorH30000

    Considered under suspension of the rules.

  42. FloorH30320

    Mr. Bilirakis demanded a second on the motion to suspend the rules.

  43. FloorH30300

    Mr. Waxman moved to suspend the rules and pass the bill, as amended.

  44. CalendarsH12410

    Placed on the Union Calendar, Calendar No. 212.

  45. CommitteeH12200

    Reported (Amended) by the Committee on Energy and Commerce. H. Rept. 101-346.

    Energy and Commerce Committee
  46. Committee5000

    Reported (Amended) by the Committee on Energy and Commerce. H. Rept. 101-346.

    Energy and Commerce Committee
  47. CommitteeH15000-B

    Committee Consideration and Mark-up Session Held.

    Energy and Commerce Committee
  48. CommitteeH19000

    Ordered to be Reported (Amended).

    Energy and Commerce Committee
  49. CommitteeH22000

    Subcommittee Consideration and Mark-up Session Held.

    Health and Environment Subcommittee
  50. CommitteeH23000

    Forwarded by Subcommittee to Full Committee (Amended).

    Health and Environment Subcommittee
  51. CommitteeH11000

    Referred to the Subcommittee on Health and the Environment.

    Health and Environment Subcommittee
  52. IntroReferralH11100

    Referred to the House Committee on Energy and Commerce.

    Energy and Commerce Committee
  53. IntroReferralIntro-H

    Introduced in House

  54. IntroReferral1000

    Introduced in House

Oct 26, 199048

Trauma Care Systems Planning and Development Act of 1990 - Amends the Public Health Service Act to create a new title on trauma care.

Authorizes the Secretary of Health and Human Services to make grants and enter into cooperative agreements and contracts with respect to trauma care to: (1) conduct and support research, training, evaluations, and demonstration projects; (2) foster development of trauma care systems; (3) provide technical assistance to State and local agencies; and (4) sponsor workshops and conferences.

Directs the Secretary to establish the Advisory Council on Trauma Care Systems. Declares that, notwithstanding provisions of the Federal Advisory Committee Act, the Council shall continue in existence until otherwise provided by law.

Directs the Secretary to provide, by contract, for the establishment and operation of a National Clearinghouse on Trauma Care and Emergency Medical Services. Allows the Clearinghouse to charge fees or assessments.

Authorizes the Secretary to make grants for research and demonstration projects to improve emergency medical services in rural areas.

Directs the Secretary to make an allotment for each State for each fiscal year for developing, implementing, and monitoring modifications to the trauma-care component of the State plan for the provision of emergency medical services. Requires, subject to waiver, non-Federal matching contributions (in cash or in kind) in specified ratios for fiscal years after the first fiscal year of payment. States that such component of the State plan will be modified with regard to: (1) trauma care regions, centers, and systems; (2) triage and transport of children; (3) evaluation; (4) data reporting and analysis systems; (5) procedures for paramedical personnel to assess the severity of injuries; (6) transportation and transfer policies; (7) public education; (8) coordination and cooperation; and (9) other matters.

Requires States to adopt standards for the designation of trauma centers, and for triage, transfer, and transportation policies. Directs the Secretary to develop a model plan for the designation of trauma centers and for triage, transfer, and transportation policies.

Mandates that States: (1) submit to the Secretary the trauma care component of the State plan for the provision of emergency services; (2) submit to the Secretary, at least annually, the information it receives from its data reporting and analysis system; and (3) identify and submit to the Secretary a list of rural areas lacking certain emergency medical services.

Sets forth restrictions on the use of State allotments.

Requires an annual report from each State to the Secretary. Sets forth a formula for determining the amount of allotments. Provides for: (1) repayment and offset for failure to use funds as agreed; (2) criminal penalties for certain false statements; (3) technical assistance and provision of supplies and services by the Secretary in lieu of grant funds; and (4) a report by the Secretary to the Congress.

Authorizes appropriations.

Amends the Public Health Service Act to require that a State, in order to receive preventive health and health services block grants under existing provisions, allow the State officer responsible for the State highway safety program to: (1) participate in the development of any State emergency medical services plan, as the plan relates to highway safety; and (2) review and comment on any State proposal to use any Federal grant or payment for emergency medical services, as the proposal relates to highway safety.

Amends provisions relating to grants to States or schools of medicine for demonstration projects for the expansion and improvement of emergency medical services for children to remove the: (1) limitation on the number of grants; and (2) references to the projects being "in such States." Authorizes appropriations.

Authorizes the Secretary to make a grant to a specified hospital in the District of Columbia for constructing or modernizing a medical facility. Requires: (1) matching non-Federal funds; (2) that the facility constructed or modernized be made available to all persons residing or employed in the area; and (3) that a reasonable volume of services be made available to persons unable to pay for the services. Provides for recovery of expenditures for the construction or modernization under the same circumstances as set forth in existing provisions relating to health resources development. Authorizes appropriations, making the authorization effective only with respect to appropriations made from allocations under specified provisions of the Congressional Budget Act of 1974 for specified subcommittees of the House of Representatives and the Senate.

Nov 14, 198936

Trauma Care Systems Planning and Development Act of 1989 - Amends the Public Health Service Act to create a new title on trauma care.

Authorizes the Secretary of Health and Human Services to make grants and enter into cooperative agreements and contracts with respect to trauma care to: (1) conduct and support research, training, evaluations, and demonstration projects; (2) foster development of trauma care systems; (3) collect and disseminate information; (4) provide technical assistance to State and local agencies; and (5) sponsor workshops and conferences.

Directs the Secretary to establish the Advisory Council on Trauma Care Systems. Declares that, notwithstanding provisions of the Federal Advisory Committee Act, the Council shall continue in existence until otherwise provided by law.

Authorizes the Secretary to make grants for research and demonstration projects to improve emergency medical services in rural areas.

Directs the Secretary to make an allotment for each State for each fiscal year for developing, implementing, and monitoring the modifications to the trauma-care component of the State plan for the provision of emergency medical services. Requires non-Federal matching contributions (in cash or in kind) in specified ratios for fiscal years after the first fiscal year of payment. States that such component of the State plan will be modified with regard to: (1) trauma care regions, centers, and systems; (2) triage and transport of children; (3) evaluation; (4) data reporting and analysis systems; (5) procedures for paramedical personnel to assess the severity of injuries; (6) transportation and transfer policies; (7) public education; (8) coordination and cooperation; and (9) other matters.

Requires States to adopt guidelines for the designation of trauma centers, and for triage, transfer, and transportation policies, equivalent to the applicable guidelines developed by the American College of Surgeons and by the American College of Emergency Physicians. Authorizes the Secretary, after public notice and an opportunity for comment, to waive the requirement of adoption of such guidelines.

Mandates that States: (1) require each trauma center to provide certain information to the State emergency medical system annually; (2) submit to the Secretary, at least annually, the information it receives from its data reporting and analysis system; and (3) identify and submit to the Secretary a list of rural areas lacking certain emergency medical services.

Sets forth restrictions on the use of State allotments.

Requires an annual report from each State to the Secretary. Sets forth a formula for determining the amount of allotments. Provides for: (1) repayment and offset for failure to use funds as agreed; (2) criminal penalties for certain false statements; (3) technical assistance and provision of supplies and services by the Secretary in lieu of grant funds; and (4) a report by the Secretary to the Congress.

Authorizes appropriations for FY 1990 through 1992.

Directs the Secretary to conduct studies to: (1) identify programs established by States in order to reimburse trauma care centers and other health care providers for the uncompensated provision of health care; and (2) determine the adequacy and appropriateness of the reimbursements provided to trauma centers and ambulance service providers under title XIX (Medicaid) of the Social Security Act.

Mar 23, 198900

Trauma Care Systems Planning and Development Act of 1989 - Amends the Public Health Service Act to create a new title on trauma care.

Authorizes the Secretary of Health and Human Services to make grants and enter into cooperative agreements and contracts with respect to trauma care to: (1) conduct and support research, training, evaluations, and demonstration projects; (2) foster development of trauma care systems; (3) collect and disseminate information; (4) provide technical assistance to State and local agencies; and (5) sponsor workshops and conferences.

Directs the Secretary to establish the Advisory Council on Trauma Care Systems. Declares that, notwithstanding provisions of the Federal Advisory Committee Act, the Council shall continue in existence until otherwise provided by law.

Directs the Secretary to make an allotment for each State for each fiscal year for developing, implementing, and monitoring the modifications to the trauma-care component of the State plan for the provision of emergency medical services. Requires non-Federal matching contributions (in cash or in kind) in specified ratios for fiscal years after the first fiscal year of payments. States that such component of the State plan will be modified with regard to: (1) trauma care regions, centers, and systems; (2) triage and transport of children; (3) accreditation and evaluation; (4) data reporting and analysis systems; (5) procedures for paramedical personnel to assess the severity of injuries; (6) transportation and transfer policies; (7) public education; (8) coordination and cooperation; and (9) other matters.

Requires States to adopt guidelines for the designation of trauma centers, and for triage, transfer, and transportation policies, equivalent to the applicable guidelines developed by the American College of Surgeons and by the American College of Emergency Physicians. Authorizes the Secretary, after public notice and an opportunity for comment, to waive the requirement of adoption of such guidelines.

Mandates that States: (1) require each trauma center to provide certain information to the State emergency medical system annually; (2) submit to the Secretary, at least annually, the information it receives from its data reporting and analysis system; and (3) identify and submit to the Secretary a list of rural areas lacking certain emergency medical services.

Sets forth restrictions on the use of State allotments.

Requires an annual report from each State to the Secretary. Sets forth a formula for determination of the amount of allotments. Provides for: (1) repayment and offset for failure to use funds as agreed; (2) criminal penalties for certain false statements; (3) technical assistance and provision of supplies and services by the Secretary in lieu of grant funds; and (4) a report by the Secretary to the Congress.

Authorizes appropriations for FY 1990 through 1992.

Directs the Secretary of Health and Human Services to conduct studies to: (1) identify programs established by States in order to reimburse trauma care centers and other health care providers for the uncompensated provision of health care; and (2) determine the adequacy and appropriateness of the reimbursements provided to trauma centers and ambulance service providers under title XIX (Medicaid) of the Social Security Act.