[Congressional Bills 115th Congress]
[From the U.S. Government Publishing Office]
[H.R. 880 Engrossed in House (EH)]

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115th CONGRESS
  2d Session
                                H. R. 880

_______________________________________________________________________

                                 AN ACT


 
  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 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 at least 3 years and 
                not more than 5 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 year.
            ``(3) Availability of funds after performance period.--
        Notwithstanding section 1552 of title 31, United States Code, 
        or any other provision of law, funds available to the Secretary 
        for obligation for a grant under this subsection shall remain 
        available for expenditure for 100 days after the last day of 
        the performance period of such grant.
    ``(b) Military Trauma Care Provider Placement Program.--
            ``(1) In general.--The Secretary 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 year and 
                not more than 3 years (and may be renewed at the end of 
                such period); and
                    ``(B) shall be in an amount that does not exceed, 
                in a 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, research, and State license fees for such 
        military trauma care providers.
    ``(d) Rule of Construction.--Nothing in this section shall be 
construed to affect the extent to which State licensing requirements 
for health care professionals are preempted by other Federal law from 
applying to military trauma care providers.
    ``(e) 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 
        year shall submit to the Secretary and the Secretary of Defense 
        a report for such 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 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 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 
        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 in both urban and rural settings;
                    ``(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.
    ``(f) 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.
    ``(g) Authorization of Appropriations.--There are authorized to be 
appropriated to carry out this section--
            ``(1) $7,000,000 for fiscal year 2018, of which--
                    ``(A) $4,500,000 shall be for carrying out 
                subsection (a); and
                    ``(B) $2,500,000 shall be for carrying out 
                subsection (b);
            ``(2) $12,000,000 for fiscal year 2019, of which--
                    ``(A) $8,000,000 shall be for carrying out 
                subsection (a); and
                    ``(B) $4,000,000 shall be for carrying out 
                subsection (b); and
            ``(3) $15,000,000 for each of fiscal years 2020 through 
        2022, of which--
                    ``(A) $10,000,000 shall be for carrying out 
                subsection (a); and
                    ``(B) $5,000,000 shall be for carrying out 
                subsection (b).''.

SEC. 3. CUT-GO COMPLIANCE.

    Subsection (f) of section 319D of the Public Health Service Act (42 
U.S.C. 247d-4) is amended by striking ``through 2018'' and inserting 
``through 2017, and $75,300,000 for fiscal year 2018''.

            Passed the House of Representatives February 26, 2018.

            Attest:

                                                                 Clerk.
115th CONGRESS

  2d Session

                               H. R. 880

_______________________________________________________________________

                                 AN ACT

  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.