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<bill bill-stage="Introduced-in-Senate" bill-type="olc" dms-id="A1" public-private="public"><metadata xmlns:dc="http://purl.org/dc/elements/1.1/"> |
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<dublinCore> |
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<dc:title>115 S1022 IS: Military Injury Surgical Systems Integrated Operationally Nationwide to Achieve ZERO Preventable Deaths Act</dc:title> |
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<dc:publisher>U.S. Senate</dc:publisher> |
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<dc:date>2017-05-03</dc:date> |
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<dc:format>text/xml</dc:format> |
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<dc:language>EN</dc:language> |
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<dc:rights>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.</dc:rights> |
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<distribution-code display="yes">II</distribution-code><congress>115th CONGRESS</congress><session>1st Session</session><legis-num>S. 1022</legis-num><current-chamber>IN THE SENATE OF THE UNITED STATES</current-chamber><action><action-date date="20170503">May 3, 2017</action-date><action-desc><sponsor name-id="S305">Mr. Isakson</sponsor> (for himself, <cosponsor name-id="S386">Ms. Duckworth</cosponsor>, and <cosponsor name-id="S287">Mr. Cornyn</cosponsor>) introduced the following bill; which was read twice and referred to the <committee-name committee-id="SSHR00">Committee on Health, Education, Labor, and Pensions</committee-name></action-desc></action><legis-type>A BILL</legis-type><official-title>To amend the Public Health Service Act to facilitate assignment of military trauma care providers |
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to civilian trauma centers in order to maintain military trauma readiness |
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and to support such centers, and for other purposes. </official-title></form> |
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<legis-body display-enacting-clause="yes-display-enacting-clause" id="HAFABF91F31EB4150B680036C8B0F6C61" style="OLC"> |
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<section id="H19E18761DE79493598C561A9FBE269A7" section-type="section-one"><enum>1.</enum><header>Short title</header><text display-inline="no-display-inline">This Act may be cited as the <quote><short-title>Military Injury Surgical Systems Integrated Operationally Nationwide to Achieve ZERO Preventable Deaths Act</short-title></quote> or the <quote><short-title>MISSION ZERO Act</short-title></quote>.</text> |
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</section><section id="H2225F2ABBBA74D9E9C87B7522C21B0BD"><enum>2.</enum><header>Military and civilian partnership for trauma readiness grant program</header><text display-inline="no-display-inline">Title XII of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/300d">42 U.S.C. 300d</external-xref> et seq.) is amended by adding at the end the following new part:</text> |
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<quoted-block display-inline="no-display-inline" id="HFC2A116074DF424D9169D10686F394AA" style="OLC"> |
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<part id="HB712066C042A48CDB4EC52545A83956E"><enum>I</enum><header>Military and Civilian Partnership for Trauma Readiness Grant Program</header> |
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<section id="H2C0AA872BF9249ADB61DF12C0E5B0CB7"><enum>1291.</enum><header>Military and Civilian Partnership for Trauma Readiness Grant Program</header> |
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<subsection id="H1EFE3692401D40E2A9EB6CE3C22DD11F"><enum>(a)</enum><header>Military trauma team placement program</header> |
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<paragraph id="H5668CDB6EA7344238DD5AE14B37A602A"><enum>(1)</enum><header>In general</header><text display-inline="yes-display-inline">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.</text> |
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</paragraph><paragraph id="H51C2E4B7F9704BD096B0A7187C1ED5F6"><enum>(2)</enum><header>Limitations</header><text>In the case of a grant awarded under paragraph (1) to an eligible high acuity trauma center, such grant—</text> |
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<subparagraph id="HA95E8AEBCB4E45A5BC76F9B50B6DCA86"><enum>(A)</enum><text>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</text> |
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</subparagraph><subparagraph id="HB4AD89BE5C434F47AB5A77E7D2A402B0"><enum>(B)</enum><text>shall be in an amount that does not exceed $1,000,000 per fiscal year.</text> </subparagraph></paragraph></subsection><subsection id="H52D67B24932746AB90A64A0E92CADABA"><enum>(b)</enum><header>Military trauma care provider placement program</header> <paragraph id="H82FF31A34CCE4C34AA761229809F8FE7"><enum>(1)</enum><header>In general</header><text display-inline="yes-display-inline">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.</text> |
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</paragraph><paragraph id="H602186369AC04F75950C8ACF2FE072DD"><enum>(2)</enum><header>Limitations</header><text>In the case of a grant awarded under paragraph (1) to an eligible trauma center, such grant—</text> <subparagraph display-inline="no-display-inline" id="H8F186CD491484B4EAD491D9141206876"><enum>(A)</enum><text>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); and</text> |
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</subparagraph><subparagraph id="H0C5AA080ADA440F3B3346B6ED7DD30F2"><enum>(B)</enum><text>shall be in an amount that does not exceed, in a fiscal year—</text> <clause id="H6A2629344D574010A75370FA94232312"><enum>(i)</enum><text display-inline="yes-display-inline">$100,000 for each military trauma care provider that is a physician at such eligible trauma center; and</text> |
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</clause><clause id="H8A02FBD7175A4A84BFA317B9E644EB01"><enum>(ii)</enum><text display-inline="yes-display-inline">$50,000 for each other military trauma care provider at such eligible trauma center.</text> </clause></subparagraph></paragraph></subsection><subsection id="HCB66554A86BC434E8F62FF58110AD12F"><enum>(c)</enum><header>Grant requirements</header> <paragraph display-inline="no-display-inline" id="H4F72AF260FDB4775BF2F4683445F26C1"><enum>(1)</enum><header>Deployment</header><text display-inline="yes-display-inline">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.</text> |
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</paragraph><paragraph id="HB37BD686ACED4F64B6035BF5E37E025C"><enum>(2)</enum><header>Use of funds</header><text display-inline="yes-display-inline">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.</text> |
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</paragraph></subsection><subsection id="H882021A579F247B6BD00E125B913984B"><enum>(d)</enum><header>Reporting requirements</header> |
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<paragraph id="HF26DDDF0A6564B23943D9ED4D67EE7C7"><enum>(1)</enum><header>Report to the Secretary and the Secretary of Defense</header><text>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—</text> |
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<subparagraph id="H148601EF1C1944AFBFEADEBC80B34228"><enum>(A)</enum><text>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;</text> |
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</subparagraph><subparagraph id="HE6E71211185046BCAACA2912342A9570"><enum>(B)</enum><text>the financial impact of such grant on the trauma center;</text> </subparagraph><subparagraph id="id95ab4920e4134f24847bb8cfae784e76"><enum>(C)</enum><text>the educational impact on resident trainees in centers where military trauma teams are assigned;</text> |
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</subparagraph><subparagraph id="HC3D3D9298A0844DE90AA9C49061E5D20"><enum>(D)</enum><text>any research conducted during such fiscal year supported by such grant; and</text> </subparagraph><subparagraph id="HD249ABBB727447A5B55CA66352F0D6EA"><enum>(E)</enum><text>any other information required by the Secretaries for the purpose of evaluating the effect of such grant.</text> |
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</subparagraph></paragraph><paragraph id="H4830A2E4E95C4020A67CE6B0EF28C1A4"><enum>(2)</enum><header>Report to Congress</header><text>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—</text> |
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<subparagraph id="H8A6FB8219626416580A495A04499BD59"><enum>(A)</enum><text>maintaining readiness of military trauma care providers for battlefield injuries;</text> </subparagraph><subparagraph id="H538E53B3F9634037AE791BB8EC2229DF"><enum>(B)</enum><text>providing health care to civilian trauma patients;</text> |
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</subparagraph><subparagraph id="HA9DD94D161D343D291C97E80CF5470D2"><enum>(C)</enum><text>the capability to respond to surges in trauma cases, including as a result of a large scale event; and</text> |
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</subparagraph><subparagraph id="HBDCC263451BA4824B721D3F9BA4259CC"><enum>(D)</enum><text>the financial state of the trauma centers.</text> </subparagraph></paragraph></subsection><subsection id="HF9515C92ED3142468E251E72459503AF"><enum>(e)</enum><header>Definitions</header><text display-inline="yes-display-inline">For purposes of this part:</text> |
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<paragraph id="H66742E43603A43A28F695AECBF0D72D6"><enum>(1)</enum><header>Eligible trauma center</header><text display-inline="yes-display-inline">The term <quote>eligible trauma center</quote> means a Level I, II, or III trauma center that satisfies each of the following:</text> <subparagraph id="HF610EB1A85F7403AB35D2A30AE6DD6A5"><enum>(A)</enum><text display-inline="yes-display-inline">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.</text> |
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</subparagraph><subparagraph id="H4886EB92BC234AD8B572D7F7ED452264"><enum>(B)</enum><text>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.</text> |
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</subparagraph><subparagraph id="H5C0B599125434027BCF32F24A2EAAE8C"><enum>(C)</enum><text>Such trauma center demonstrates a need for integrated military trauma care providers to maintain or improve the trauma clinical capability of such trauma center.</text> |
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</subparagraph></paragraph><paragraph id="H28263D9AD527488AACE4270A62503CF2"><enum>(2)</enum><header>Eligible high acuity trauma center</header><text display-inline="yes-display-inline">The term <quote>eligible high acuity trauma center</quote> means a Level I trauma center that satisfies each of the following:</text> <subparagraph id="H1D18992640DB4436819E19C5F641A64E"><enum>(A)</enum><text display-inline="yes-display-inline">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.</text> |
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</subparagraph><subparagraph display-inline="no-display-inline" id="H36DC10AABAEF428FA88B29192F596A64"><enum>(B)</enum><text>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.</text> |
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</subparagraph><subparagraph id="H4EDC534F439D48CAAB9E925BE3869E0D"><enum>(C)</enum><text>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.</text> |
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</subparagraph><subparagraph id="H2619F2BEBF074E44992111B47B907295"><enum>(D)</enum><text>Such trauma center is an academic training center—</text> <clause id="H7947CE6ABE8D44BD838E07D2195E9DE5"><enum>(i)</enum><text>affiliated with a medical school;</text> |
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</clause><clause id="HD165B2A08DAC493C8FFDF36958A9D295"><enum>(ii)</enum><text>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</text> |
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</clause><clause id="HEF6D60EE3F904EF2AB0C45C3CFBCA38A"><enum>(iii)</enum><text>that undertakes research in the prevention and treatment of traumatic injury.</text> </clause></subparagraph><subparagraph commented="no" id="H80538EB77E2F4296A31C69C9501BA1C1"><enum>(E)</enum><text display-inline="yes-display-inline">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.</text> |
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</subparagraph></paragraph><paragraph id="H33B6D7E4BD7548AC9448DEA7C9C54E72"><enum>(3)</enum><header>Major trauma</header><text>The term <quote>major trauma</quote> means an injury that is greater than or equal to 15 on the injury severity score.</text> </paragraph><paragraph id="HDB34DB8C69084B24A39AFE997F548842"><enum>(4)</enum><header>Military trauma team</header><text>The term <quote>military trauma team</quote> means a complete military trauma team consisting of military trauma care providers.</text> |
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</paragraph><paragraph display-inline="no-display-inline" id="HE79334447B1849E399AA99E0577BE59E"><enum>(5)</enum><header>Military trauma care provider</header><text display-inline="yes-display-inline">The term <quote>military trauma care provider</quote> 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.</text> |
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</paragraph></subsection><subsection id="H5E7FE7D3EC264BF4BB5669E4145FFA6F"><enum>(f)</enum><header>Authorization of appropriations</header><text>For each of fiscal years 2018 through 2022, there are authorized to be appropriated—</text> <paragraph id="H1E83C9518E4641F5B083B275F81A0ABA"><enum>(1)</enum><text>$20,000,000 for carrying out subsection (a); and</text> |
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</paragraph><paragraph id="HAA185DE44EC6402CB2A21A2C30E869DE"><enum>(2)</enum><text>$20,000,000 for carrying out subsection (b).</text></paragraph></subsection></section></part><after-quoted-block>.</after-quoted-block></quoted-block></section></legis-body></bill> |
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