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

Summary

The Secretary must set how much each eligible trauma center can get in grants based on the share of their unpaid patient care costs. Category A centers can get 100% of those uncompensated care costs. Category B centers can get up to 75%. Category C centers can get up to 50%. When giving core mission grants, the Secretary must hold back 25% for Level III and IV centers and 25% for large urban Level I and II centers that meet three rules: they have at least one trauma-related fellowship with demand higher than supply; they either have more than $10,000,000 in yearly uncompensated care or at least 20% of ER visits are charity, self-pay, or Medicaid; and they are not already eligible for the larger uncompensated care grants. For emergency grants, the Secretary must favor centers in areas where trauma care is shrinking or would shrink if the center closed or demand outpaces capacity, and any unused emergency grant money must be moved to the significant uncompensated care award program.

Title 42, §300d–42

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

(a)(1)The Secretary shall establish an award basis for each eligible trauma center for grants under section 300d–41(a)(1) of this title according to the percentage described in paragraph (2), subject to the requirements of section 300d–41(b)(3) of this title.

(2)The applicable percentages are as follows:

(A)With respect to a category A trauma center, 100 percent of the uncompensated care costs.

(B)With respect to a category B trauma center, not more than 75 percent of the uncompensated care costs.

(C)With respect to a category C trauma center, not more than 50 percent of the uncompensated care costs.

(b)(1)In awarding grants under section 300d–41(a)(2) of this title, the Secretary shall—

(A)reserve 25 percent of the amount allocated for core mission awards for Level III and Level IV trauma centers; and

(B)reserve 25 percent of the amount allocated for core mission awards for large urban Level I and II trauma centers—

(i)that have at least 1 graduate medical education fellowship in trauma or trauma related specialties for which demand is exceeding supply;

(ii)for which—

(I)annual uncompensated care costs exceed $10,000,000; or

(II)at least 20 percent of emergency department visits are charity or self-pay or Medicaid patients; and

(iii)that are not eligible for substantial uncompensated care awards under section 300d–41(a)(1) of this title.

(c)In awarding grants under section 300d–41(a)(3) of this title, the Secretary shall—

(1)give preference to any application submitted by a trauma center that provides trauma care in a geographic area in which the availability of trauma care has significantly decreased or will significantly decrease if the center is forced to close or downgrade service or growth in demand for trauma services exceeds capacity; and

(2)reallocate any emergency awards funds not obligated due to insufficient, or a lack of qualified, applications to the significant uncompensated care award program.

Notes & Related Subsidiaries

Editorial Notes

Amendments

2010—Pub. L. 111–148 added subsecs. (a) to (c) and struck out former subsecs. (a) and (b) which related to preferences in making grants and preferences for certain applications.

Statutory Notes and Related Subsidiaries

Effective Date

Section effective July 10, 1992, with programs making awards providing financial assistance in fiscal year 1993 and subsequent years effective for awards made on or after Oct. 1, 1992, see section 801(b), (d)(1) of Pub. L. 102–321, set out as an

Effective Date

of 1992 Amendment note under section 236 of this title.

§300d–42 Preferences in making grants

Summary

Title 42, §300d–42

Notes & Related Subsidiaries

Editorial Notes

Amendments

Statutory Notes and Related Subsidiaries

Effective Date

Effective Date

Citations & Metadata