42 U.S.C. § 300d41 - Grants for certain trauma centers

42 USC 300d41 - Grants for certain trauma centers

(a) In general 
The Secretary may make grants for the purpose of providing for the operating expenses of trauma centers that have incurred substantial uncompensated costs in providing trauma care in geographic areas with a significant incidence of violence arising directly or indirectly from illicit trafficking in drugs. Grants under this subsection may be made only to such trauma centers.
(b) Minimum qualifications of centers 

(1) Significant incidence of treating certain patients 

(A) The Secretary may not make a grant under subsection (a) of this section to a trauma center unless the population of patients that has been served by the center for the period specified in subparagraph (B) includes a significant number of patients who were treated for
(i) trauma resulting from the penetration of the skin by knives, bullets, or any other implement that can be used as a weapon; or
(ii) trauma that the center reasonably believes results from violence arising directly or indirectly from illicit trafficking in drugs.
(B) The period specified in this subparagraph is the 2-year period preceding the fiscal year for which the trauma center involved is applying to receive a grant under subsection (a) of this section.
(2) Participation in trauma care system operating under certain professional guidelines 
The Secretary may not make a grant under subsection (a) of this section unless the trauma center involved is a participant in a system that
(A) provides comprehensive medical care to victims of trauma in the geographic area in which the trauma center is located;
(B) is established by the State or political subdivision in which such center is located; and
(C) 
(i) has adopted guidelines for the designation of trauma centers, and for triage, transfer, and transportation policies, equivalent to (or more protective than) the applicable guidelines developed by the American College of Surgeons or utilized in the model plan established under section 300d–13 (c) of this title; or
(ii) agrees that such guidelines will be adopted by the system not later than 6 months after the date on which the trauma center submits to the Secretary the application for the grant.
(3) Submission and approval of long-term plan 
The Secretary may not make a grant under subsection (a) of this section unless the trauma center involved
(A) submits to the Secretary a plan satisfactory to the Secretary that
(i) is developed on the assumption that the center will continue to incur substantial uncompensated costs in providing trauma care; and
(ii) provides for the long-term continued operation of the center with an acceptable standard of medical care, notwithstanding such uncompensated costs; and
(B) agrees to implement the plan according to a schedule approved by the Secretary.

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