Skip to content
PoliticalRepoPoliticalRepo

United States · Law · HR

H.R. 1602 (101st)

Trauma Care Systems Planning and Development Act of 1990

enactedUnited States· United States Congress· EN

Introduced

23 March 1989

Last action

16 November 1990 · Became law

Status

Became Public Law No: 101-590.

Sponsors

Rep. Bates, Jim [D-CA-44], Rep. Waxman, Henry A. [D-CA-33], Rep. Collins, Cardiss [D-IL-7], Rep. Walgren, Doug [D-PA-18], Rep. Leland, Mickey [D-TX-18], Sen. Wyden, Ron [D-OR], Rep. Richardson, Bill [D-NM-3], Rep. Bilirakis, Michael [R-FL-9], Rep. McMillen, Thomas [D-MD-4], Rep. Mineta, Norman Y. [D-CA-15], Rep. Espy, Mike [D-MS-2], Rep. Coleman, Ronald D. [D-TX-16], Rep. Garcia, Robert [D-NY-18], Rep. Lipinski, William O. [D-IL-3], Rep. Towns, Edolphus [D-NY-10], Rep. Engel, Eliot L. [D-NY-16], Rep. Conte, Silvio O. [R-MA-1], Rep. Parker, Mike [R-MS-4], Rep. Harris, Claude [D-AL-7], Rep. Evans, Lane [D-IL-17], Rep. Wise, Robert E., Jr. [D-WV-2], Rep. Schroeder, Patricia [D-CO-1], Rep. McNulty, Michael R. [D-NY-23], Rep. Robinson, Tommy F. [D-AR-2], Rep. Erdreich, Ben [D-AL-6], Rep. Brown, George E., Jr. [D-CA-42], Rep. Glickman, Dan [D-KS-4], Sen. Johnson, Tim [D-SD], Rep. Roybal, Edward R. [D-CA-25], Rep. Bonior, David E. [D-MI-10], Rep. LaFalce, John J. [D-NY-29], Rep. Hochbrueckner, George J. [D-NY-1], Rep. Kolter, Joseph P. [D-PA-4], Rep. Boehlert, Sherwood [R-NY-24], Rep. Hayes, Charles A. [D-IL-1], Rep. Solarz, Stephen J. [D-NY-13], Rep. Gejdenson, Sam [D-CT-2], Rep. Walsh, James T. [R-NY-25], Del. Faleomavaega, Eni F. H. [D-AS-At Large], Rep. Lloyd, Marilyn [D-TN-3], Rep. Dwyer, Bernard J. [D-NJ-6], Rep. Pallone, Frank [D-NJ-6], Sen. Boxer, Barbara [D-CA], Rep. Unsoeld, Jolene [D-WA-3], Rep. Sawyer, Tom [D-OH-14], Rep. Jontz, Jim [D-IN-5], Rep. Johnston, Harry [D-FL-19], Rep. Bevill, Tom [D-AL-4]

Subjects

Healthcare, Transport, Taxation, Education

Source updated

3 June 2026

Healthcare · Transport · Taxation · Education

Official sourceDownload fileView documentsShare

Summary

Trauma Care Systems Planning and Development Act of 1989 - Amends the Public Health Service Act to create a new title on trauma care. Authorizes the Secretary of Health and Human Services to make grants and enter into cooperative agreements and contracts with respect to trauma care to: (1) conduct and support research, training, evaluations, and demonstration projects; (2) foster development of trauma care systems; (3) collect and disseminate information; (4) provide technical assistance to State and local agencies; and (5) sponsor workshops and conferences. Directs the Secretary to establish the Advisory Council on Trauma Care Systems. Declares that, notwithstanding provisions of the Federal Advisory Committee Act, the Council shall continue in existence until otherwise provided by law. Directs the Secretary to make an allotment for each State for each fiscal year for developing, implementing, and monitoring the modifications to the trauma-care component of the State plan for the provision of emergency medical services. Requires non-Federal matching contributions (in cash or in kind) in specified ratios for fiscal years after the first fiscal year of payments. States that such component of the State plan will be modified with regard to: (1) trauma care regions, centers, and systems; (2) triage and transport of children; (3) accreditation and evaluation; (4) data reporting and analysis systems; (5) procedures for paramedical personnel to assess the severity of injuries; (6) transportation and transfer policies; (7) public education; (8) coordination and cooperation; and (9) other matters. Requires States to adopt guidelines for the designation of trauma centers, and for triage, transfer, and transportation policies, equivalent to the applicable guidelines developed by the American College of Surgeons and by the American College of Emergency Physicians. Authorizes the Secretary, after public notice and an opportunity for comment, to waive the requirement of adoption of such guidelines. Mandates that States: (1) require each trauma center to provide certain information to the State emergency medical 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 to: (1) identify programs established by States in order to reimburse trauma care centers and other health care providers for the uncompensated provision of health care; and (2) determine the adequacy and appropriateness of the reimbursements provided to trauma centers and ambulance service providers under title XIX (Medicaid) of the Social Security Act.

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

Timeline

  1. 23 March 1989

    Introduced

    Introduced in House

    Source: IntroReferral

  2. 23 March 1989

    Introduced

    Referred to the House Committee on Energy and Commerce.

    Source: IntroReferral

  3. 23 March 1989

    Introduced

    Introduced in House

    Source: IntroReferral

  4. 11 April 1989

    Committee

    Subcommittee Consideration and Mark-up Session Held.

    Source: Committee

  5. 11 April 1989

    Committee

    Forwarded by Subcommittee to Full Committee (Amended).

    Source: Committee

  6. 11 April 1989

    Referred

    Referred to the Subcommittee on Health and the Environment.

    Source: Committee

  7. 24 October 1989

    Committee

    Committee Consideration and Mark-up Session Held.

    Source: Committee

  8. 24 October 1989

    Reported

    Ordered to be Reported (Amended).

    Source: Committee

  9. 13 November 1989

    Calendars

    Placed on the Union Calendar, Calendar No. 212.

    Source: Calendars

  10. 13 November 1989

    Reported

    Reported (Amended) by the Committee on Energy and Commerce. H. Rept. 101-346.

    Source: Committee

  11. 13 November 1989

    Reported

    Reported (Amended) by the Committee on Energy and Commerce. H. Rept. 101-346.

    Source: Committee

  12. 14 November 1989

    Passed

    On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote.

    Source: Floor

  13. 14 November 1989

    Passed

    Passed/agreed to in House: On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote.

    Source: Floor

  14. 14 November 1989

    Floor

    DEBATE - The House proceeded with forty minutes of debate.

    Source: Floor

  15. 14 November 1989

    Passed

    On ordering a second Agreed to without objection.

    Source: Floor

  16. 14 November 1989

    Floor

    Considered under suspension of the rules.

    Source: Floor

  17. 14 November 1989

    Floor

    Mr. Bilirakis demanded a second on the motion to suspend the rules.

    Source: Floor

  18. 14 November 1989

    Floor

    Mr. Waxman moved to suspend the rules and pass the bill, as amended.

    Source: Floor

  19. 14 November 1989

    Passed

    Motion to reconsider laid on the table Agreed to without objection.

    Source: Floor

  20. 15 November 1989

    Introduced

    Received in the Senate.

    Source: IntroReferral

  21. 22 November 1989

    Introduced

    Read twice and referred to the Committee on Labor and Human Resources.

    Source: IntroReferral

  22. 19 October 1990

    ResolvingDifferences

    Senate insists on its amendments, asks for a conference, appoints conferees Kennedy; Pell; Hatch.

    Source: ResolvingDifferences

  23. 19 October 1990

    Passed

    Passed/agreed to in Senate: Passed Senate with an amendment by Voice Vote.

    Source: Floor

  24. 19 October 1990

    Floor

    Measure laid before Senate by unanimous consent.

    Source: Floor

  25. 19 October 1990

    Discharge

    Senate Committee on Labor and Human Resources discharged by Unanimous Consent.

    Source: Discharge

  26. 19 October 1990

    Committee

    Senate Committee on Labor and Human Resources discharged by Unanimous Consent.

    Source: Committee

  27. 22 October 1990

    Passed

    Motion to reconsider laid on the table Agreed to without objection.

    Source: ResolvingDifferences

  28. 22 October 1990

    Floor

    The Chair reserved the right to make further appointments.

    Source: Floor

  29. 22 October 1990

    ResolvingDifferences

    The chair appointed conferees: Dingell, Waxman, Bates, Lent, and Madigan.

    Source: ResolvingDifferences

  30. 22 October 1990

    Passed

    On motion that the House disagree to the Senate amendment, and agree to a conference Agreed to without objection.

    Source: ResolvingDifferences

  31. 22 October 1990

    ResolvingDifferences

    Mr. Waxman asked unanimous consent that the House disagree to the Senate amendment, and agree to a conference.

    Source: ResolvingDifferences

  32. 26 October 1990

    ResolvingDifferences

    Conference papers: message on House action held at the desk in Senate.

    Source: ResolvingDifferences

  33. 26 October 1990

    Passed

    On agreeing to the conference report Agreed to by voice vote.

    Source: ResolvingDifferences

  34. 26 October 1990

    ResolvingDifferences

    Conference report filed: Conference report H. Rept. 101-956 filed.

    Source: ResolvingDifferences

  35. 26 October 1990

    Passed

    Motion to reconsider laid on the table Agreed to without objection.

    Source: ResolvingDifferences

  36. 26 October 1990

    Passed

    Conference report agreed to in House: On agreeing to the conference report Agreed to by voice vote.

    Source: ResolvingDifferences

  37. 26 October 1990

    Floor

    DEBATE - The House proceeded with forty minutes of debate.

    Source: Floor

  38. 26 October 1990

    ResolvingDifferences

    Mr. Bilirakis demanded a second on the motion to suspend the rules and agree to the conference report. Without objection a second is ordered.

    Source: ResolvingDifferences

  39. 26 October 1990

    ResolvingDifferences

    Mr. Waxman moved to suspend the rules and agree to the conference report, H. Rept. 101-956.

    Source: ResolvingDifferences

  40. 26 October 1990

    ResolvingDifferences

    Conference report H. Rept. 101-956 filed.

    Source: ResolvingDifferences

  41. 27 October 1990

    ResolvingDifferences

    Conference papers: Senate report and managers' statement held at the desk in Senate.

    Source: ResolvingDifferences

  42. 27 October 1990

    Floor

    Message on Senate action sent to the House.

    Source: Floor

  43. 27 October 1990

    Passed

    Conference report agreed to in Senate: Senate agreed to conference report by Voice Vote.

    Source: ResolvingDifferences

  44. 9 November 1990

    Floor

    Presented to President.

    Source: Floor

  45. 9 November 1990

    President

    Presented to President.

    Source: President

  46. 9 November 1990

    Floor

    Measure Signed in Senate.

    Source: Floor

  47. 16 November 1990

    Became law

    Signed by President.

    Source: BecameLaw

  48. 16 November 1990

    President

    Signed by President.

    Source: President

  49. 16 November 1990

    Became law

    Became Public Law No: 101-590.

    Source: President

Votes

No vote records are attached yet.

Versions

Documents

11 official files

Reported in House (text)

View fileDownload file

This file cannot be previewed here. Use View or Download.

Leesvertaling

Vertaal dit document naar jouw taal. PoliticalRepo bewaart geen aparte kopie per EU-taal.

Documentvertaling op verzoek met downloadbare PDF (logo + link naar de officiële bron). Het bronbestand blijft leidend.

  • Reported in House (text)

    Reported in House · EN

    ViewDownloadOpen at official source

  • Referred in Senate (text)

    Referred in Senate · EN

    ViewDownloadOpen at official source

    Leesvertaling

    Vertaal dit document naar jouw taal. PoliticalRepo bewaart geen aparte kopie per EU-taal.

    Documentvertaling op verzoek met downloadbare PDF (logo + link naar de officiële bron). Het bronbestand blijft leidend.

  • Introduced in House (text)

    Introduced in House · EN

    ViewDownloadOpen at official source

    Leesvertaling

    Vertaal dit document naar jouw taal. PoliticalRepo bewaart geen aparte kopie per EU-taal.

    Documentvertaling op verzoek met downloadbare PDF (logo + link naar de officiële bron). Het bronbestand blijft leidend.

  • Enrolled Bill (text)

    Enrolled Bill · EN

    ViewDownloadOpen at official source

    Leesvertaling

    Vertaal dit document naar jouw taal. PoliticalRepo bewaart geen aparte kopie per EU-taal.

    Documentvertaling op verzoek met downloadbare PDF (logo + link naar de officiële bron). Het bronbestand blijft leidend.

  • Engrossed in House (text)

    Engrossed in House · EN

    ViewDownloadOpen at official source

    Leesvertaling

    Vertaal dit document naar jouw taal. PoliticalRepo bewaart geen aparte kopie per EU-taal.

    Documentvertaling op verzoek met downloadbare PDF (logo + link naar de officiële bron). Het bronbestand blijft leidend.

  • Engrossed Amendment Senate (text)

    Engrossed Amendment Senate · EN

    ViewDownloadOpen at official source

    Leesvertaling

    Vertaal dit document naar jouw taal. PoliticalRepo bewaart geen aparte kopie per EU-taal.

    Documentvertaling op verzoek met downloadbare PDF (logo + link naar de officiële bron). Het bronbestand blijft leidend.

  • Committee Discharged Senate (text)

    Committee Discharged Senate · EN

    ViewDownloadOpen at official source

    Leesvertaling

    Vertaal dit document naar jouw taal. PoliticalRepo bewaart geen aparte kopie per EU-taal.

    Documentvertaling op verzoek met downloadbare PDF (logo + link naar de officiële bron). Het bronbestand blijft leidend.

  • Public Law (PDF)

    Public Law · EN · 17 November 1990

    ViewDownloadOpen at official source

    Leesvertaling

    Vertaal dit document naar jouw taal. PoliticalRepo bewaart geen aparte kopie per EU-taal.

    Documentvertaling op verzoek met downloadbare PDF (logo + link naar de officiële bron). Het bronbestand blijft leidend.

  • Conference report filed in House

    summary · EN · 26 October 1990

    Open at official source

    Leesvertaling

    Vertaal dit document naar jouw taal. PoliticalRepo bewaart geen aparte kopie per EU-taal.

    Documentvertaling op verzoek met downloadbare PDF (logo + link naar de officiële bron). Het bronbestand blijft leidend.

  • Passed House amended

    summary · EN · 14 November 1989

    Open at official source

    Leesvertaling

    Vertaal dit document naar jouw taal. PoliticalRepo bewaart geen aparte kopie per EU-taal.

    Documentvertaling op verzoek met downloadbare PDF (logo + link naar de officiële bron). Het bronbestand blijft leidend.

  • Introduced in House

    summary · EN · 23 March 1989

    Open at official source

    Leesvertaling

    Vertaal dit document naar jouw taal. PoliticalRepo bewaart geen aparte kopie per EU-taal.

    Documentvertaling op verzoek met downloadbare PDF (logo + link naar de officiële bron). Het bronbestand blijft leidend.

Sponsors

Showing 48 of 53 sponsors and actors.

Related records

Related across the Repo ecosystem

Direct relationships are identifier-backed. Topic context means shared TopicMembership — not a citation and not causation.

Direct relationships

Sources

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