110 HR 2464 RH: Wakefield U.S. House of Representatives 2008-04-08 text/xml EN Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.

IB Union Calendar No. 350 110th CONGRESS 2d Session H. R. 2464 [Report No. 110–568] IN THE HOUSE OF REPRESENTATIVES May 23, 2007 Mr. Matheson (for himself, Mrs. Capps, and Mr. King of New York) introduced the following bill; which was referred to the Committee on Energy and Commerce April 8, 2008 Additional sponsors: Mr. Fortuño, Mr. Engel, Mr. Gordon of Tennessee, Mr. Gene Green of Texas, Mr. Cleaver, Mr. Davis of Illinois, Mr. Young of Florida, Ms. DeGette, Ms. Matsui, Ms. Schakowsky, Mr. Cohen, Mr. Clay, Ms. Herseth Sandlin, Mr. Tim Murphy of Pennsylvania, Ms. Corrine Brown of Florida, Mr. Carnahan, Mr. Hinchey, Mr. McNulty, Mr. Reichert, Mr. Price of North Carolina, Mr. Hinojosa, Mr. Thompson of California, Mr. Marshall, Ms. Slaughter, Mr. Hill, Mr. Hastings of Florida, Mr. Melancon, Mr. Waxman, Mr. Etheridge, Mr. Kuhl of New York, Mr. Bishop of Utah, Ms. Bordallo, Ms. Shea-Porter, Mr. Ehlers, Mr. Holden, Mr. Kind, Ms. Baldwin, Mr. Towns, Mr. Barrow, Mr. David Davis of Tennessee, Ms. Castor, Mr. Upton, Mr. Burgess, Mr. Ferguson, Mr. Doyle, Mr. Ross, Mr. Jefferson, Mr. Rogers of Michigan, Ms. Hooley, Ms. Solis, Ms. Harman, Ms. Eshoo, Mr. Pomeroy, Mr. Inslee, Mr. Udall of New Mexico, Mr. Allen, Mr. Carney, Mr. Weiner, Mr. Cannon, Ms. McCollum of Minnesota, Mr. Butterfield, Mr. Markey, Mrs. Wilson of New Mexico, Mr. Gonzalez, Mr. Boucher, Mrs. Napolitano, Mr. Sestak, Ms. Woolsey, Mr. Wamp, Mr. Buyer, Mr. Welch of Vermont, Mr. Wynn, and Mrs. Bono Mack April 8, 2008 Reported with an amendment, committed to the Committee of the Whole House on the State of the Union, and ordered to be printed Strike out all after the enacting clause and insert the part printed in italic For text of introduced bill, see copy of bill as introduced on May 23, 2007 A BILL To amend the Public Health Service Act to provide a means for continued improvement in emergency medical services for children.

1.

Short title

This Act may be cited as the Wakefield Act.

2.

Findings and purpose

(a)

Findings

Congress makes the following findings: (1)There are 31,000,000 child and adolescent visits to the Nation’s emergency departments every year. (2)Over 90 percent of children requiring emergency care are seen in general hospitals, not in free-standing children’s hospitals, with one-quarter to one-third of the patients being children in the typical general hospital emergency department. (3)Severe asthma and respiratory distress are the most common emergencies for pediatric patients, representing nearly one-third of all hospitalizations among children under the age of 15 years, while seizures, shock, and airway obstruction are other common pediatric emergencies, followed by cardiac arrest and severe trauma. (4)Up to 20 percent of children needing emergency care have underlying medical conditions such as asthma, diabetes, sickle-cell disease, low birth weight, and bronchopulmonary dysplasia. (5)Significant gaps remain in emergency medical care delivered to children. Only about 6 percent of hospitals have available all the pediatric supplies deemed essential by the American Academy of Pediatrics and the American College of Emergency Physicians for managing pediatric emergencies, while about half of hospitals have at least 85 percent of those supplies. (6)Providers must be educated and trained to manage children’s unique physical and psychological needs in emergency situations, and emergency systems must be equipped with the resources needed to care for this especially vulnerable population. (7)Systems of care must be continually maintained, updated, and improved to ensure that research is translated into practice, best practices are adopted, training is current, and standards and protocols are appropriate. (8)The Emergency Medical Services for Children (EMSC) Program under section 1910 of the Public Health Service Act (42 U.S.C. 300w–9) is the only Federal program that focuses specifically on improving the pediatric components of emergency medical care. (9)The EMSC Program promotes the nationwide exchange of pediatric emergency medical care knowledge and collaboration by those with an interest in such care and is depended upon by Federal agencies and national organizations to ensure that this exchange of knowledge and collaboration takes place. (10)The EMSC Program also supports a multi-institutional network for research in pediatric emergency medicine, thus allowing providers to rely on evidence rather than anecdotal experience when treating ill or injured children. (11)The Institute of Medicine stated in its 2006 report, Emergency Care for Children: Growing Pains, that the EMSC Program boasts many accomplishments … and the work of the program continues to be relevant and vital. (12)The EMSC Program has proven effective over two decades in driving key improvements in emergency medical services to children, and should continue its mission to reduce child and youth morbidity and mortality by supporting improvements in the quality of all emergency medical and emergency surgical care children receive. (b)

Purpose

It is the purpose of this Act to reduce child and youth morbidity and mortality by supporting improvements in the quality of all emergency medical care children receive.

3.

Reauthorization of emergency medical services for children program

Section 1910 of the Public Health Service Act (42 U.S.C. 300w–9) is amended— (1)in subsection (a), by striking 3-year period (with an optional 4th year and inserting 4-year period (with an optional 5th year; (2)in subsection (d)— (A)by striking and such sums and inserting such sums; and (B)by inserting before the period the following: , $25,000,000 for fiscal year 2009, $26,250,000 for fiscal year 2010, $27,562,500 for fiscal year 2011, $28,940,625 for fiscal year 2012, and $30,387,656 for fiscal year 2013; (3)by redesignating subsections (b) through (d) as subsections (c) through (e), respectively; and (4)by inserting after subsection (a) the following: (b)(1)The purpose of the program established under this section is to reduce child and youth morbidity and mortality by supporting improvements in the quality of all emergency medical care children receive, through the promotion of projects focused on the expansion and improvement of such services, including those in rural areas and those for children with special healthcare needs. In carrying out this purpose, the Secretary shall support emergency medical services for children by supporting projects that— (A)develop and present scientific evidence; (B)promote existing and innovative technologies appropriate for the care of children; or (C)provide information on health outcomes and effectiveness and cost-effectiveness. (2)The program established under this section shall— (A)strive to enhance the pediatric capability of emergency medical service systems originally designed primarily for adults; and (B)in order to avoid duplication and ensure that Federal resources are used efficiently and effectively, be coordinated with all research, evaluations, and awards related to emergency medical services for children undertaken and supported by the Federal Government. .

April 8, 2008 Reported with an amendment, committed to the Committee of the Whole House on the State of the Union, and ordered to be printed