Title 42The Public Health and WelfareRelease 119-73

§300d–4 Emergency medical services

Title 42 › Chapter CHAPTER 6A— - PUBLIC HEALTH SERVICE › Subchapter SUBCHAPTER X— - TRAUMA CARE › Part Part A— - General Authority and Duties of Secretary › § 300d–4

Last updated Apr 6, 2026|Official source

Summary

The Secretaries of Transportation, Health and Human Services, and Homeland Security (using the Under Secretary for Emergency Preparedness and Response) must create a Federal Interagency Committee on Emergency Medical Services. The committee includes officials or their designees from key federal agencies (for example, NHTSA; HHS agencies like HRSA, CDC, and CMS; DHS preparedness offices and the U.S. Fire Administration; the Department of Defense; the Indian Health Service; the FCC wireless office), a State EMS director, and any other federal representatives the Secretaries pick. The group’s job is to help federal and state/local/tribal/regional EMS and 9‑1‑1 systems work together, find needs, recommend new or expanded programs (including grants and better communications like wireless 9‑1‑1), make federal support simpler, help set priorities, and give advice on coordinated state EMS programs. NHTSA, working with HRSA and DHS preparedness, must handle meeting logistics and reports. Members pick a chair each year, meet as the chair decides, and send an annual report to Congress. The Secretary of Transportation must also set up a National Emergency Medical Services Advisory Council with 25 members chosen by that Secretary to represent the whole EMS community. The council advises the Interagency Committee and the Secretary of Transportation on EMS issues. NHTSA provides administrative support. Council members pick a chair each year, meet as needed, and send an annual report to the Secretary of Transportation.

Full Legal Text

Title 42, §300d–4

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

(a)(1)The Secretary of Transportation, the Secretary of Health and Human Services, and the Secretary of Homeland Security, acting through the Under Secretary for Emergency Preparedness and Response, shall establish a Federal Interagency Committee on Emergency Medical Services.
(2)The Interagency Committee shall consist of the following officials, or their designees:
(A)The Administrator, National Highway Traffic Safety Administration.
(B)The Director, Preparedness Division, Directorate of Emergency Preparedness and Response of the Department of Homeland Security.
(C)The Administrator, Health Resources and Services Administration, Department of Health and Human Services.
(D)The Director, Centers for Disease Control and Prevention, Department of Health and Human Services.
(E)The Administrator, United States Fire Administration, Directorate of Emergency Preparedness and Response of the Department of Homeland Security.
(F)The Administrator, Centers for Medicare and Medicaid Services, Department of Health and Human Services.
(G)The Under Secretary of Defense for Personnel and Readiness.
(H)The Director, Indian Health Service, Department of Health and Human Services.
(I)The Chief, Wireless Telecommunications Bureau, Federal Communications Commission.
(J)A representative of any other Federal agency appointed by the Secretary of Transportation or the Secretary of Homeland Security through the Under Secretary for Emergency Preparedness and Response, in consultation with the Secretary of Health and Human Services, as having a significant role in relation to the purposes of the Interagency Committee.
(K)A State emergency medical services director appointed by the Secretary.
(3)The purposes of the Interagency Committee are as follows:
(A)To ensure coordination among the Federal agencies involved with State, local, tribal, or regional emergency medical services and 9–1–1 systems.
(B)To identify State, local, tribal, or regional emergency medical services and 9–1–1 needs.
(C)To recommend new or expanded programs, including grant programs, for improving State, local, tribal, or regional emergency medical services and implementing improved emergency medical services communications technologies, including wireless 9–1–1.
(D)To identify ways to streamline the process through which Federal agencies support State, local, tribal or regional emergency medical services.
(E)To assist State, local, tribal or regional emergency medical services in setting priorities based on identified needs.
(F)To advise, consult, and make recommendations on matters relating to the implementation of the coordinated State emergency medical services programs.
(4)The Administrator of the National Highway Traffic Safety Administration, in cooperation with the Administrator of the Health Resources and Services Administration of the Department of Health and Human Services and the Director of the Preparedness Division, Directorate of Emergency Preparedness and Response of the Department of Homeland Security, shall provide administrative support to the Interagency Committee, including scheduling meetings, setting agendas, keeping minutes and records, and producing reports.
(5)The members of the Interagency Committee shall select a chairperson of the Committee each year.
(6)The Interagency Committee shall meet as frequently as is determined necessary by the chairperson of the Committee.
(7)The Interagency Committee shall prepare an annual report to Congress regarding the Committee’s activities, actions, and recommendations.
(b)(1)The Secretary of Transportation, in coordination with the Secretary of Health and Human Services and the Secretary of Homeland Security, shall establish a National Emergency Medical Services Advisory Council (referred to in this subsection as the “Advisory Council”).
(2)The Advisory Council shall be composed of 25 members, who—
(A)shall be appointed by the Secretary of Transportation; and
(B)shall collectively be representative of all sectors of the emergency medical services community.
(3)The purposes of the Advisory Council are to advise and consult with—
(A)the Federal Interagency Committee on Emergency Medical Services on matters relating to emergency medical services issues; and
(B)the Secretary of Transportation on matters relating to emergency medical services issues affecting the Department of Transportation.
(4)The Administrator of the National Highway Traffic Safety Administration shall provide administrative support to the Advisory Council, including scheduling meetings, setting agendas, keeping minutes and records, and producing reports.
(5)The members of the Advisory Council shall annually select a chairperson of the Advisory Council.
(6)The Advisory Council shall meet as frequently as is determined necessary by the chairperson of the Advisory Council.
(7)The Advisory Council shall prepare an annual report to the Secretary of Transportation regarding the Advisory Council’s actions and recommendations.

Legislative History

Notes & Related Subsidiaries

Editorial Notes

Codification Section was enacted as part of the Safe, Accountable, Flexible, Efficient Transportation Equity Act: A Legacy for Users or SAFETEA–LU, and not as part of the Public Health Service Act which comprises this chapter.

Prior Provisions

A prior section 300d–4, act July 1, 1944, ch. 373, title XII, § 1201, formerly § 1205, as added Nov. 16, 1973, Pub. L. 93–154, § 2(a), 87 Stat. 597; amended Oct. 21, 1976, Pub. L. 94–573, § 6, 90 Stat. 2713, renumbered § 1201 and amended Aug. 13, 1981, Pub. L. 97–35, title IX, § 902(d)(1), (3), 95 Stat. 560, authorized Secretary to make grants and enter into contracts to support research in emergency medical techniques, methods, devices, and delivery, prior to repeal by Pub. L. 99–117, § 12(e), Oct. 7, 1985, 99 Stat. 495.

Amendments

2012—Subsec. (b). Pub. L. 112–141 added subsec. (b).

Statutory Notes and Related Subsidiaries

Effective Date

of 2012 AmendmentAmendment by Pub. L. 112–141 effective Oct. 1, 2012, see section 3(a) of Pub. L. 112–141, set out as an Effective and Termination Dates of 2012 Amendment note under section 101 of Title 23, Highways.

Reference

Citations & Metadata

Citation

42 U.S.C. § 300d–4

Title 42The Public Health and Welfare

Last Updated

Apr 6, 2026

Release point: 119-73