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Title 42 — The Public Health and WelfareRelease 119-73

§300d–44 General provisions

Title 42 › Chapter CHAPTER 6A— - PUBLIC HEALTH SERVICE › Subchapter SUBCHAPTER X— - TRAUMA CARE › Part Part D— - Trauma Centers Operating in Areas Severely Affected by Drug-Related Violence › § 300d–44

Last updated Apr 6, 2026|Official source

Summary

Trauma centers must send an application to the Secretary to get a grant. The application must be in the form and way the Secretary requires and must include any promises, assurances, and information the Secretary needs. Grant payments usually cover 3 fiscal years. The Secretary can allow one extra fiscal year in some cases. No grant can be more than $2,000,000 for any one fiscal year. Getting this grant usually does not stop a center from getting other related grants, unless another specific rule says otherwise. Each year’s money is split so 70% goes to big unpaid-care awards, 20% to core mission awards, and 10% to emergency awards. If the yearly money is under $25,000,000, all funds go to the unpaid-care awards. For unpaid-care awards, funds are divided 50% to category A centers, 35% to category B, and 15% to category C, and then shared inside each category based on the program’s award formula. Beginning two years after March 23, 2010, and every two years after that, the Secretary must report to Congress on these grants and on trauma centers’ financial health.

Full Legal Text

Title 42, §300d–44

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

(a)The Secretary may not award a grant to a trauma center under section 300d–41(a) of this title unless such center submits an application for the grant to the Secretary and the application is in such form, is made in such manner, and contains such agreements, assurances, and information as the Secretary determines to be necessary to carry out this part.
(b)The period during which a trauma center receives payments under a grant under section 300d–41(a)(3) of this title shall be for 3 fiscal years, except that the Secretary may waive such requirement for a center and authorize such center to receive such payments for 1 additional fiscal year.
(c)Notwithstanding section 300d–42(a) of this title, a grant under section 300d–41 of this title may not be made in an amount exceeding $2,000,000 for each fiscal year.
(d)Except as provided in section 300d–42(b)(1)(B)(iii) of this title, acquisition of, or eligibility for, a grant under section 300d–41(a) of this title shall not preclude a trauma center from being eligible for other grants described in such section.
(e)Of the total amount appropriated for a fiscal year under section 300d–45 of this title, 70 percent shall be used for substantial uncompensated care awards under section 300d–41(a)(1) of this title, 20 percent shall be used for core mission awards under section 300d–41(a)(2) of this title, and 10 percent shall be used for emergency awards under section 300d–41(a)(3) of this title.
(f)Notwithstanding subsection (e), if the amount appropriated for a fiscal year under section 300d–45 of this title is less than $25,000,000, all available funding for such fiscal year shall be used for substantial uncompensated care awards under section 300d–41(a)(1) of this title.
(g)Notwithstanding section 300d–42(a) of this title, of the amount appropriated for substantial uncompensated care grants for a fiscal year, the Secretary shall—
(1)make available—
(A)50 percent of such funds for category A trauma center grantees;
(B)35 percent of such funds for category B trauma center grantees; and
(C)15 percent of such funds for category C trauma center grantees; and
(2)provide available funds within each category in a manner proportional to the award basis specified in section 300d–42(a)(2) of this title to each eligible trauma center.
(h)Beginning 2 years after March 23, 2010, and every 2 years thereafter, the Secretary shall biennially report to Congress regarding the status of the grants made under section 300d–41 of this title and on the overall financial stability of trauma centers.

Legislative History

Notes & Related Subsidiaries

Editorial Notes

Amendments

2010—Pub. L. 111–148 added subsecs. (a) to (h) and struck out former subsecs. (a) to (c) which related to application for grant, limitation on duration of support, and limitation on amount of grant.

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.

Reference

Citations & Metadata

Citation

42 U.S.C. § 300d–44

Title 42 — The Public Health and Welfare

Last Updated

Apr 6, 2026

Release point: 119-73