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Title 42, The Public Health and WelfareRelease 119-110

§300d–44 General Provisions

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

Last updated Sep 22, 2026|Official source

Summary

The Secretary can only give a trauma center a grant if the center sends an application in the required form and gives the agreements, promises, and information the Secretary asks for. Emergency grant payments are limited to 3 fiscal years, though the Secretary can allow one extra year. No grant can be more than $2,000,000 in a fiscal year. Getting this grant does not normally stop a center from getting other grants, except as a separate rule says. Each year’s money is split so 70% goes to big uncompensated-care awards, 20% to core mission awards, and 10% to emergency awards. If less than $25,000,000 is available, all funds go to uncompensated-care awards. Of those uncompensated-care funds, 50% go to category A centers, 35% to B, and 15% to C, and money within each group is given out based on a preset formula. Starting March 23, 2012, and every two years after, the Secretary must report to Congress on the grants and the financial health of trauma centers.

Full Legal Text

Title 42, §300d–44

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

(a)Application
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)Limitation on duration of support
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)Limitation on amount of grant
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)Eligibility
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)Funding distribution
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)Minimum allowance
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)Substantial uncompensated care award distribution and proportional share
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)Report
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

Sep 22, 2026

Release point: 119-110