Page:United States Statutes at Large Volume 104 Part 4.djvu/604

 104 STAT. 2920 PUBLIC LAW 101-590 —NOV. 16, 1990 "(A) the costs of providing trauma care in the State; and "(B) the costs of improving the quality and availability of emergency medical services in rural areas of the State. 42 USC 300d-13. "SEC. 1213. REQUIREMENTS WITH RESPECT TO CARRYING OUT PURPOSE OF ALLOTMENTS. "(a) TRAUMA CARE MODIFICATIONS TO STATE PLAN FOR EMERGENCY MEDICAL SERVICES.— With respect to the trauma care component of a State plan for the provision of emergency medical services, the modifications referred to in section 1211(b) are such modifications to the State plan as may be necessary for the State involved to ensure that the plan provides for access to the highest possible quality of trauma care, and that the plan— "(1) specifies that the modifications required pursuant to paragraphs (2) through (10) will be implemented by the principal State agency with respect to emergency medical services or by the designee of such agency; "(2) specifies any public or private entity that will designate trauma care regions and trauma centers in the State; "(3) subject to subsection (b), contains standards and requirements for the designation of level I and level II trauma centers, and in the case of rural areas level III trauma centers (including trauma centers with specified capabilities and expertise in the care of the pediatric trauma patient), by such entity, including standards and requirements for— "(A) the number and types of trauma patients for whom such centers must provide care in order to ensure that such centers will have sufficient experience and expertise to be able to provide quality care for victims of injury; "(B) the resources and equipment needed by such centers; and "(C) the availability of rehabilitation services for trauma patients; "(4) subject to subsection (b), contains standards and requirements for the implementation of regional trauma care systems, including standards and guidelines (consistent with the provisions of section 1867 of the Social Security Act for medically directed triage and transportation of trauma patients (including patients injured in rural areas) prior to care in designated trauma centers; "(5) subject to subsection (b), contains standards and requirements for medically directed triage and transport of severely injured children to designated trauma centers with specified capabilities and expertise in the care of the pediatric trauma patient; "(6) specifies procedures for the evaluation of designated trauma centers (including trauma centers described in paragraph (5)) and trauma care systems; "(7) provides for the establishment and collection of data from each designated trauma center in the State of a central data reporting and analysis system— "(A) to identify the number of severely injured trauma patients within regional trauma care systems in the State; "(B) to identify the cause of the injury and any factors contributing to the injury; "(C) to identify the nature and severity of the injury;

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