Part A - General Authority and Duties of Secretary

42 USC 300d - Establishment

(a) In general 
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, 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;
(4) provide to State and local agencies technical assistance to enhance each States capability to develop, implement, and sustain the trauma care component of each States plan for the provision of emergency medical services;
(5) sponsor workshops and conferences; and
(6) promote the collection and categorization of trauma data in a consistent and standardized manner.
(b) Grants, cooperative agreements, and contracts 
The Secretary may make grants, and enter into cooperative agreements and contracts, for the purpose of carrying out subsection (a).

42 USC 300d1 - Repealed. Pub. L. 103183, title VI, 601(b)(1), Dec. 14, 1993, 107 Stat. 2238; Pub. L. 105392, title IV, 401(a)(1)(A), Nov. 13, 1998, 112 Stat. 3587

Section, act July 1, 1944, ch. 373, title XII, 1202, as added Nov. 16, 1990, Pub. L. 101–590, § 3, 104 Stat. 2916, provided for establishment, membership, duties, etc., of Advisory Council on Trauma Care Systems. A prior section 300d–1, act July 1, 1944, ch. 373, title XII, 1202, as added Nov. 16, 1973, Pub. L. 93–154, § 2(a), 87 Stat. 595; amended Oct. 21, 1976, Pub. L. 94–573, § 3, 90 Stat. 2709; Dec. 12, 1979, Pub. L. 96–142, title I, § 103, 93 Stat. 1067, set forth provisions relating to grants and contracts for feasibility studies and planning, 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.

42 USC 300d2 - Repealed. Pub. L. 11023, 3(1), May 3, 2007, 121 Stat. 90

Section, act July 1, 1944, ch. 373, title XII, 1202, formerly 1203, as added Pub. L. 101–590, § 3, Nov. 16, 1990, 104 Stat. 2917; renumbered 1202, Pub. L. 103–183, title VI, § 601(b)(2), Dec. 14, 1993, 107 Stat. 2238; amended Pub. L. 105–392, title IV, § 401(a)(1)(A), Nov. 13, 1998, 112 Stat. 3587, required the Secretary to provide for the establishment and operation of a National Clearinghouse on Trauma Care and Emergency Medical Services. A prior section 300d–2, act July 1, 1944, ch. 373, title XII, 1203, as added Nov. 16, 1973, Pub. L. 93–154, § 2(a), 87 Stat. 596; amended Oct. 21, 1976, Pub. L. 94–573, § 4, 90 Stat. 2710; Nov. 10, 1978, Pub. L. 95–626, title II, § 210(a), 92 Stat. 3588; July 10, 1979, Pub. L. 96–32, § 7(l), 93 Stat. 84, set forth provisions relating to grants and contracts for establishing and initial operation of emergency medical services systems, 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.

42 USC 300d3 - Establishment of programs for improving trauma care in rural areas

(a) In general 
The Secretary may make grants to public and nonprofit">nonprofit private entities for the purpose of carrying out research and demonstration projects with respect to improving the availability and quality of emergency medical services in rural areas
(1) by developing innovative uses of communications technologies and the use of new communications technology;
(2) by developing model curricula, such as advanced trauma life support, for training emergency medical services personnel, including first responders, emergency medical technicians, emergency nurses and physicians, and paramedics
(A) in the assessment, stabilization, treatment, preparation for transport, and resuscitation of seriously injured patients, with special attention to problems that arise during long transports and to methods of minimizing delays in transport to the appropriate facility; and
(B) in the management of the operation of the emergency medical services system;
(3) by making training for original certification, and continuing education, in the provision and management of emergency medical services more accessible to emergency medical personnel in rural areas through telecommunications, home studies, providing teachers and training at locations accessible to such personnel, and other methods;
(4) by developing innovative protocols and agreements to increase access to prehospital care and equipment necessary for the transportation of seriously injured patients to the appropriate facilities;
(5) by evaluating the effectiveness of protocols with respect to emergency medical services and systems; and
(6) by increasing communication and coordination with State trauma systems.
(b) Special consideration for certain rural areas 
In making grants under subsection (a), the Secretary shall give special consideration to any applicant for the grant that will provide services under the grant in any rural area identified by a State under section 300d–14 (d)(1) of this title.
(c) Requirement of application 
The Secretary may not make a grant under subsection (a) unless an application for the grant is submitted 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 section.

42 USC 300d4 - Emergency medical services

(a)  1 Federal Interagency Committee on Emergency Medical Services 

(1) Establishment 
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) Membership 
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) Purposes 
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 911 systems.
(B) To identify State, local, tribal, or regional emergency medical services and 911 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 911.
(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) Administration 
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) Leadership 
The members of the Interagency Committee shall select a chairperson of the Committee each year.
(6) Meetings 
The Interagency Committee shall meet as frequently as is determined necessary by the chairperson of the Committee.
(7) Annual reports 
The Interagency Committee shall prepare an annual report to Congress regarding the Committees activities, actions, and recommendations.
[1] So in original. No subsec. (b) has been enacted.

42 USC 300d5 - Competitive grants for the improvement of trauma care

(a) In general 
The Secretary, acting through the Administrator of the Health Resources and Services Administration, may make grants to States, political subdivisions, or consortia of States or political subdivisions for the purpose of improving access to and enhancing the development of trauma care systems.
(b) Use of funds 
The Secretary may make a grant under this section only if the applicant agrees to use the grant
(1) to integrate and broaden the reach of a trauma care system, such as by developing innovative protocols to increase access to prehospital care;
(2) to strengthen, develop, and improve an existing trauma care system;
(3) to expand communications between the trauma care system and emergency medical services through improved equipment or a telemedicine system;
(4) to improve data collection and retention; or
(5) to increase education, training, and technical assistance opportunities, such as training and continuing education in the management of emergency medical services accessible to emergency medical personnel in rural areas through telehealth, home studies, and other methods.
(c) Preference 
In selecting among States, political subdivisions, and consortia of States or political subdivisions for purposes of making grants under this section, the Secretary shall give preference to applicants that
(1) have developed a process, using national standards, for designating trauma centers;
(2) recognize protocols for the delivery of seriously injured patients to trauma centers;
(3) implement a process for evaluating the performance of the trauma system; and
(4) agree to participate in information systems described in section 300d–3 of this title by collecting, providing, and sharing information.
(d) Priority 
In making grants under this section, the Secretary shall give priority to applicants that will use the grants to focus on improving access to trauma care systems.
(e) Special consideration 
In awarding grants under this section, the Secretary shall give special consideration to projects that demonstrate strong State or local support, including availability of non-Federal contributions.