[Congressional Bills 114th Congress]
[From the U.S. Government Publishing Office]
[S. 3407 Introduced in Senate (IS)]

<DOC>






114th CONGRESS
  2d Session
                                S. 3407

  To amend the Public Health Service Act to facilitate assignment of 
 military trauma care providers to civilian trauma centers in order to 
maintain military trauma readiness and to support such centers, and for 
                            other purposes.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                           September 28, 2016

  Mr. Kirk (for himself, Mr. Isakson, and Mr. Cornyn) introduced the 
 following bill; which was read twice and referred to the Committee on 
                 Health, Education, Labor, and Pensions

_______________________________________________________________________

                                 A BILL


 
  To amend the Public Health Service Act to facilitate assignment of 
 military trauma care providers to civilian trauma centers in order to 
maintain military trauma readiness and to support such centers, and for 
                            other purposes.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Military Injury Surgical Systems 
Integrated Operationally Nationwide to Achieve ZERO Preventable Deaths 
Act'' or the ``MISSION ZERO Act''.

SEC. 2. MILITARY AND CIVILIAN PARTNERSHIP FOR TRAUMA READINESS GRANT 
              PROGRAM.

    Title XII of the Public Health Service Act (42 U.S.C. 300d et seq.) 
is amended by adding at the end the following new part:

``PART I--MILITARY AND CIVILIAN PARTNERSHIP FOR TRAUMA READINESS GRANT 
                                PROGRAM

``SEC. 1291. MILITARY AND CIVILIAN PARTNERSHIP FOR TRAUMA READINESS 
              GRANT PROGRAM.

    ``(a) Military Trauma Team Placement Program.--
            ``(1) In general.--The Secretary, acting through the 
        Assistant Secretary for Preparedness and Response and in 
        consultation with the Secretary of Defense, shall award grants 
        to not more than 20 eligible high acuity trauma centers to 
        enable military trauma teams to provide, on a full-time basis, 
        trauma care and related acute care at such trauma centers.
            ``(2) Limitations.--In the case of a grant awarded under 
        paragraph (1) to an eligible high acuity trauma center, such 
        grant--
                    ``(A) shall be for a period of not fewer than 3 
                fiscal years and not more than 5 fiscal years (and may 
                be renewed at the end of such period); and
                    ``(B) shall be in an amount that does not exceed 
                $1,000,000 per fiscal year.
    ``(b) Military Trauma Care Provider Placement Program.--
            ``(1) In general.--The Secretary, acting through the 
        Assistant Secretary for Preparedness and Response and in 
        consultation with the Secretary of Defense, shall award grants 
        to eligible trauma centers to enable military trauma care 
        providers to provide trauma care and related acute care at such 
        trauma centers.
            ``(2) Limitations.--In the case of a grant awarded under 
        paragraph (1) to an eligible trauma center, such grant--
                    ``(A) shall be for a period of at least 1 fiscal 
                year and not more than 3 fiscal years (and may be 
                renewed at the end of such period);
                    ``(B) shall be in an amount that does not exceed, 
                in a fiscal year--
                            ``(i) $100,000 for each military trauma 
                        care provider that is a physician at such 
                        eligible trauma center; and
                            ``(ii) $50,000 for each other military 
                        trauma care provider at such eligible trauma 
                        center.
    ``(c) Grant Requirements.--
            ``(1) Deployment.--As a condition of receipt of a grant 
        under this section, a grant recipient shall agree to allow 
        military trauma care providers providing care pursuant to such 
        grant to be deployed by the Secretary of Defense for military 
        operations, for training, or for response to a mass casualty 
        incident.
            ``(2) Use of funds.--Grants awarded under this section to 
        an eligible trauma center may be used to train and incorporate 
        military trauma care providers into such trauma center, 
        including expenditures for malpractice insurance, office space, 
        information technology, specialty education and supervision, 
        trauma programs, and State license fees for such military 
        trauma care providers.
    ``(d) Reporting Requirements.--
            ``(1) Report to the secretary and the secretary of 
        defense.--Each eligible trauma center or eligible high acuity 
        trauma center awarded a grant under subsection (a) or (b) for a 
        fiscal year shall submit to the Secretary and the Secretary of 
        Defense a report for such fiscal year that includes information 
        on--
                    ``(A) the number and types of trauma cases managed 
                by military trauma teams or military trauma care 
                providers pursuant to such grant during such fiscal 
                year;
                    ``(B) the financial impact of such grant on the 
                trauma center;
                    ``(C) the educational impact on resident trainees 
                in centers where military trauma teams are assigned;
                    ``(D) any research conducted during such fiscal 
                year supported by such grant; and
                    ``(E) any other information required by the 
                Secretaries for the purpose of evaluating the effect of 
                such grant.
            ``(2) Report to congress.--Not less than once every 2 
        fiscal years, the Secretary, in consultation with the Secretary 
        of Defense, shall submit a report to Congress that includes 
        information on the effect of placing military trauma care 
        providers in trauma centers awarded grants under this section 
        on--
                    ``(A) maintaining readiness of military trauma care 
                providers for battlefield injuries;
                    ``(B) providing health care to civilian trauma 
                patients;
                    ``(C) the capability to respond to surges in trauma 
                cases, including as a result of a large scale event; 
                and
                    ``(D) the financial State of the trauma centers.
    ``(e) Definitions.--For purposes of this part:
            ``(1) Eligible trauma center.--The term `eligible trauma 
        center' means a Level I, II, or III trauma center that 
        satisfies each of the following:
                    ``(A) Such trauma center has an agreement with the 
                Secretary of Defense to enable military trauma care 
                providers to provide trauma care and related acute care 
                at such trauma center.
                    ``(B) Such trauma center utilizes a risk-adjusted 
                benchmarking system to measure performance and 
                outcomes, such as the Trauma Quality Improvement 
                Program of the American College of Surgeons.
                    ``(C) Such trauma center demonstrates a need for 
                integrated military trauma care providers to maintain 
                or improve the trauma clinical capability of such 
                trauma center.
            ``(2) Eligible high acuity trauma center.--The term 
        `eligible high acuity trauma center' means a Level I trauma 
        center that satisfies each of the following:
                    ``(A) Such trauma center has an agreement with the 
                Secretary of Defense to enable military trauma teams to 
                provide trauma care and related acute care at such 
                trauma center.
                    ``(B) At least 20 percent of patients of such 
                trauma center in the most recent 3-month period for 
                which data is available are treated for a major trauma 
                at such trauma center.
                    ``(C) Such trauma center utilizes a risk-adjusted 
                benchmarking system to measure performance and 
                outcomes, such as the Trauma Quality Improvement 
                Program of the American College of Surgeons.
                    ``(D) Such trauma center is an academic training 
                center--
                            ``(i) affiliated with a medical school;
                            ``(ii) that maintains residency programs 
                        and fellowships in critical trauma specialties 
                        and subspecialties, and provides education and 
                        supervision of military trauma team members 
                        according to those specialties and 
                        subspecialties; and
                            ``(iii) that undertakes research in the 
                        prevention and treatment of traumatic injury.
                    ``(E) Such trauma center serves as a disaster 
                response leader for its community, such as by 
                participating in a partnership for State and regional 
                hospital preparedness established under section 319C-2.
            ``(3) Major trauma.--The term `major trauma' means an 
        injury that is greater than or equal to 15 on the injury 
        severity score.
            ``(4) Military trauma team.--The term `military trauma 
        team' means a complete military trauma team consisting of 
        military trauma care providers.
            ``(5) Military trauma care provider.--The term `military 
        trauma care provider' means a member of the Armed Forces who 
        furnishes emergency, critical care, and other trauma acute 
        care, including a physician, military surgeon, physician 
        assistant, nurse, respiratory therapist, flight paramedic, 
        combat medic, or enlisted medical technician.
    ``(f) Authorization of Appropriations.--For each of fiscal years 
2017 through 2021, there are authorized to be appropriated--
            ``(1) $20,000,000 for carrying out subsection (a); and
            ``(2) $20,000,000 for carrying out subsection (b).''.
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