Emergency Medical Services and Trauma Care Improvement Act of 1990

openUnited States· United States Congress· EN

Introduced

25 January 1989

Last action

19 October 1990 · Floor

Status

Senate incorporated this measure in H.R. 1602 as an amendment.

Summary

Emergency Medical Services and Trauma Care Improvement Act of 1989 - Amends the Public Health Service Act to create a new title on trauma care. Directs the Secretary of Health and Human Services to provide for the establishment and operation of a National Clearinghouse on Emergency Medical Services and Trauma Care. Authorizes appropriations for FY 1990 through 1992 or for the first three fiscal years for which funds are appropriated. Authorizes the Secretary to make grants and enter into cooperative agreements and contracts with respect to emergency medical services and trauma care systems to: (1) conduct and support research, training, evaluations, and demonstration projects; (2) provide technical assistance to State and local agencies; and (3) establish guidelines for the development of uniform State data reporting systems. Directs the Secretary to make an allotment for each State for each fiscal year, mandating that at least 35 percent, subject to adjustment, be used for planning, implementing, monitoring, and evaluating the operation of county, regional, or State trauma care systems. Sets forth requirements for such systems. Requires States to use at least 35 percent of the amount available to them for a fiscal year to reimburse designated trauma centers for uncompensated trauma care expenditures. Requires non-Federal matching contributions (in cash or in kind) in a specified ratio for fiscal years after FY 1990. Requires each State, for each fiscal year beginning with FY 1990, to submit the trauma care component of the State emergency medical services plan (State plan) to the Secretary. Sets forth requirements for the State plan. Requires that hospital emergency departments, within their capability, if an individual appears and requests examination and treatment: (1) examine for the existence of an emergency medical condition or active labor and, if such a condition or labor exists, treat the individual until stable, subject to exception; and (2) transfer such individual to other facilities only according to stated criteria. Requires States to adopt guidelines for the designation of trauma centers, and for triage, transfer, and transportation policies, at least as stringent as the applicable guidelines developed by the American College of Surgeons and by the American College of Emergency Physicians. Mandates that States: (1) require each trauma center to provide certain information to the State central data reporting system annually; (2) submit, to the Secretary at least annually, the information it receives from its data reporting and analysis system; and (3) identify and submit to the Secretary a list of rural areas lacking certain emergency medical services. Sets forth restrictions on the use of State allotments. Requires an annual report from each State to the Secretary. Sets forth a formula for determination of the amount of allotments. Provides for: (1) repayment and offset for failure to use funds as agreed; (2) criminal penalties for certain false statements; (3) technical assistance and provision of supplies and services by the Secretary in lieu of grant funds; and (4) a report by the Secretary to the Congress. Authorizes appropriations for FY 1990 through 1992. Directs the Secretary of Health and Human Services to conduct studies: (1) to determine the adequacy and appropriateness of the reimbursements provided to trauma centers under title XIX (Medicaid) of the Social Security Act; and (2) of the long-term economic effects of trauma. Amends the Public Health Service Act to revise the application procedure for Preventive Health and Health Services Block Grants to provide the State officer responsible for the administration of the State highway safety program an opportunity to participate in the development of any plan relating to emergency medical services as such plan relates to highway safety. Allows the State official responsible for the provision of emergency medical services the opportunity to participate in the development of the State highway safety program as such program relates to emergency medical services. Amends the Public Health Service Act and the Consolidated Farm and Rural Development Act to allow certain grant allotments to be used for the purchase of communications equipment. Requires the Federal Communications Commission to: (1) study the availability of radio frequency channels for emergency medical services communications; (2) establish a plan to ensure that the needs of emergency medical services communications are provided for in the allocations of frequencies for public safety; and (3) submit a report to committees of the Congress containing such study and plan.

This text is taken from the official record. PoliticalRepo does not editorialize.

Timeline

25 January 1989
Introduced
Read twice and referred to the Committee on Labor and Human Resources.
Source: IntroReferral
25 January 1989
Introduced
Introduced in Senate
Source: IntroReferral
14 February 1989
Committee
Committee on Labor and Human Resources requested executive comment from Office of Management and Budget, Department of Health and Human Services, and General Accounting Office.
Source: Committee
25 July 1989
Committee
Committee on Labor and Human Resources. Hearings held. Hearings printed: S.Hrg. 101-374.
Source: Committee
11 January 1990
Committee
Committee on Labor and Human Resources received executive comment from Department of Health and Human Services. Unfavorable.
Source: Committee
28 February 1990
Reported
Committee on Labor and Human Resources. Ordered to be reported with an amendment in the nature of a substitute favorably.
Source: Committee
15 May 1990
Calendars
Placed on Senate Legislative Calendar under General Orders. Calendar No. 551.
Source: Calendars
15 May 1990
Reported
Committee on Labor and Human Resources. Reported to Senate by Senator Kennedy with an amendment in the nature of a substitute. With written report No. 101-292.
Source: Committee
15 May 1990
Reported
Committee on Labor and Human Resources. Reported to Senate by Senator Kennedy with an amendment in the nature of a substitute. With written report No. 101-292.
Source: Committee
23 July 1990
Introduced
Referred to the Committee on Commerce by unanimous consent for 24 hours for consideration of Sections 5 and 6(b).
Source: IntroReferral
24 July 1990
Discharge
Senate Committee on Commerce discharged by Unanimous Consent. Pursuant to the order of July 23, 1990.
Source: Discharge
24 July 1990
Calendars
Placed on Senate Legislative Calendar under General Orders. Calendar No. 714.
Source: Calendars
24 July 1990
Committee
Senate Committee on Commerce discharged by Unanimous Consent. Pursuant to the order of July 23, 1990.
Source: Committee
18 October 1990
Passed
Passed/agreed to in Senate: Passed Senate with an amendment by Voice Vote.
Source: Floor
18 October 1990
Floor
Held at the desk.
Source: Floor
18 October 1990
Floor
Measure laid before Senate by unanimous consent.
Source: Floor
18 October 1990
Floor
Received in the House.
Source: Floor
19 October 1990
Floor
Senate incorporated this measure in H.R. 1602 as an amendment.
Source: Floor

Votes

No vote records are attached yet.

Versions

Engrossed in Senate · — · Download file
Introduced in Senate · — · Download file
Placed on Calendar Senate · — · Download file
Reported to Senate · — · Download file

Documents

7 official files

Reported to Senate (text)

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Reported to Senate (text)
Reported to Senate · EN
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Placed on Calendar Senate (text)
Placed on Calendar Senate · EN
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Introduced in Senate (text)
Introduced in Senate · EN
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Engrossed in Senate (text)
Engrossed in Senate · EN
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Passed Senate amended
summary · EN · 18 October 1990
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Reported to Senate with amendment(s)
summary · EN · 15 May 1990
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Introduced in Senate
summary · EN · 25 January 1989
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Related records

related to → Trauma Care Systems Planning and Development Act of 1990
amends ← To revise provisions relating to rural emergency medical services and trauma care.
amends ← To provide funding to support emergency medical services in rural areas.

Sources

PoliticalRepo is an index and interpretation layer, not the authoritative legal source.

Official source: https://www.congress.gov/bill/101st-congress/senate-bill/15
Open data entity: https://api.congress.gov/v3/bill/101/s/15
us · 101-s-15 · source updated 21 April 2025