§300d — Title 42 The Public Health and Welfare | U.S. Code

Summary

The Secretary must improve trauma care by funding and running research, training, tests, and pilot projects. The Secretary must share information to help build modern trauma systems, collect and share data on how states and local groups provide care (with special attention to rural and medically underserved areas), give technical help so each state can build and keep the trauma part of its emergency medical plan, and push for consistent, standard trauma data. The Secretary may give grants and make agreements or contracts to do these things. When a public health emergency is declared under section 247d, or a major disaster or emergency is declared under sections 5170 or 5191, the Secretary, through the Assistant Secretary for Preparedness and Response, will help states coordinate and improve emergency medical services and trauma care. That help can include guidance on triage and moving patients to the right hospitals, sharing proven trauma practices and performance measures, and other steps to better coordinate emergency responses and hospital surge capacity.

Title 42, §300d

The Public Health and Welfare — Source: USLM XML via OLRC

(a)The Secretary shall, with respect to trauma care—

(1)conduct and support research, training, evaluations, and demonstration projects;

(2)foster the development of appropriate, modern systems of such care through the sharing of information among agencies and individuals involved in the study and provision of such care;

(3)collect, compile, analyze, and disseminate information on the achievements of, and problems experienced by, State and local agencies and private entities in providing trauma care and emergency medical services and, in so doing, give special consideration to the unique needs of rural areas and medically underserved areas;

(4)provide to State and local agencies technical assistance to enhance each State’s capability to develop, implement, and sustain the trauma care component of each State’s plan for the provision of emergency medical services; and

(5)promote the collection and categorization of trauma data in a consistent and standardized manner.

(b)The Secretary, acting through the Assistant Secretary for Preparedness and Response, shall support the efforts of States and consortia of States to coordinate and improve emergency medical services and trauma care during a public health emergency declared by the Secretary pursuant to section 247d of this title or a major disaster or emergency declared by the President under section 5170 or 5191, respectively, of this title. Such support may include—

(1)developing, issuing, and updating guidance, as appropriate, to support the coordinated medical triage and evacuation to appropriate medical institutions based on patient medical need, taking into account regionalized systems of care;

(2)disseminating, as appropriate, information on evidence-based or evidence-informed trauma care practices, taking into consideration emergency medical services and trauma care systems, including such practices identified through activities conducted under subsection (a) and which may include the identification and dissemination of performance metrics, as applicable and appropriate; and

(3)other activities, as appropriate, to optimize a coordinated and flexible approach to the emergency response and medical surge capacity of hospitals, other health care facilities, critical care, and emergency medical systems.

(c)The Secretary may make grants, and enter into cooperative agreements and contracts, for the purpose of carrying out subsection (a).

Notes & Related Subsidiaries

Editorial Notes

Prior Provisions

A prior section 300d, act

July 1, 1944, ch. 373, title XII, § 1201, as added Nov. 16, 1973, Pub. L. 93–154, § 2(a), 87 Stat. 594; amended Oct. 12, 1976, Pub. L. 94–484, title IX, § 905(b)(1), 90 Stat. 2325; Oct. 21, 1976, Pub. L. 94–573, §§ 2, 14(2), 90 Stat. 2709, 2718, defined terms applicable to this subchapter, prior to repeal by Pub. L. 97–35, title IX, § 902(d)(1), (h), Aug. 13, 1981, 95 Stat. 560, 561, effective Oct. 1, 1981. A prior section 1201 of act

July 1, 1944, ch. 373, title XII, formerly § 1205, as added Nov. 16, 1973, Pub. L. 93–154, § 2(a), 87 Stat. 597, was classified to section 300d–4 of this title prior to repeal by Pub. L. 99–117, § 12(e), Oct. 7, 1985, 99 Stat. 495.

Amendments

2022—Subsec. (a)(3). Pub. L. 117–328, § 2113(a)(1)(A), inserted “analyze,” after “compile,” and “and medically underserved areas” after “rural areas”. Subsec. (a)(5), (6). Pub. L. 117–328, § 2113(a)(1)(B)–(D), redesignated par. (6) as (5) and struck out former par. (5) which read as follows: “sponsor workshops and conferences; and”. Subsecs. (b), (c). Pub. L. 117–328, § 2113(a)(2), (3), added subsec. (b) and redesignated former subsec. (b) as (c). 2007—Pub. L. 110–23 amended section generally. Prior to amendment, section required the Secretary to provide support to trauma care, authorized the Secretary to make grants and enter into agreements for such support, and required the Administrator of the Health Resources and Services Administration to ensure that the Division of Trauma and Emergency Medical Systems administered this subchapter. 1996—Subsec. (a). Pub. L. 104–146, in introductory provisions, substituted “The Secretary shall,” for “The Secretary, acting through the Administrator of the Health Resources and Services Administration, shall,”. 1993—Subsec. (a). Pub. L. 103–183, § 601(a)(1), in introductory provisions inserted “, acting through the Administrator of the Health Resources and Services Administration,” after “Secretary”. Subsec. (c). Pub. L. 103–183, § 601(a)(2), added subsec. (c).

Statutory Notes and Related Subsidiaries

Effective Date

of 1996 AmendmentAmendment by Pub. L. 104–146 effective Oct. 1, 1996, see section 13 of Pub. L. 104–146, set out as a note under section 300ff–11 of this title. Congressional Statement of Findings Pub. L. 101–590, § 2, Nov. 16, 1990, 104 Stat. 2915, provided that: “The Congress finds that— “(1) the Federal Government and the governments of the States have established a history of cooperation in the development, implementation, and monitoring of integrated, comprehensive systems for the provision of emergency medical services throughout the United States; “(2) physical trauma is the leading cause of death of Americans between the ages of 1 and 44 and is the third leading cause of death in the general population of the United States; “(3) physical trauma in the United States results in an aggregate annual cost of $180,000,000,000 in medical expenses, insurance, lost wages, and property damage; “(4) barriers to the provision of prompt and appropriate emergency medical services exist in many areas of the United States; “(5) few States and communities have developed and implemented trauma care systems; “(6) many trauma centers have incurred substantial uncompensated costs in providing trauma care, and such costs have caused many such centers to cease participation in trauma care systems; and “(7) the number of incidents of physical trauma in the United States is a serious medical and social problem, and the number of deaths resulting from such incidents can be substantially reduced by improving the trauma-care components of the systems for the provision of emergency medical services in the United States.”

§300d Establishment