Page:United States Statutes at Large Volume 104 Part 4.djvu/611

 PUBLIC LAW 101-590 —NOV. 16, 1990 104 STAT. 2927 "(4) TRAUMA.— The term 'trauma' means an injury resulting from exposure to a mechanical force. "(5) TRAUMA CARE COMPONENT OF STATE PLAN.— The term 'trauma care component', with respect to components of the State plan for the provision of emergency medical services, means a plan for a comprehensive health care system, within rural and urban areas of the State, for the prompt recognition, prehospital care, emergency medical care, acute surgical and medical care, rehabilitation, and outcome evaluation of seriously injured patients. "SEC. 1232. FUNDING. 42 USC 300d-32. "(a) AUTHORIZATION OF APPROPRIATIONS. — For the purpose of carrying out this title, there are authorized to be appropriated $60,000,000 for fiscal year 1991 and such sums as may be necessary for each of the fiscal years 1992 and 1993. "Go) ALLOCATION OF FUNDS BY SECRETARY.— "(1) GENERAL AUTHORITY. — For the purpose of carrying out part A, the Secretary shall make available 10 percent of the amounts appropriated for a fiscal year under subsection (a). "(2) RURAL GRANTS. — For the purpose of carrying out section 1204, the Secretary shall make available 10 percent of the amounts appropriated for a fiscal year under subsection (a). "(3) FORMULA GRANTS.— "(A) For the purpose of making allotments under section 1211(a), the Secretary shall, subject to subsection (c), make available 80 percent of the amounts appropriated for a - fiscal year pursuant to subsection (a). "(B) Amounts paid to a State under section 1211(a) for a fiscal year shall, for the purposes for which the amounts were paid, remain available for obligation until the end of the fiscal year immediately following the fiscal year for which the amounts were paid. "(c) EFFECT OF INSUFFICIENT APPROPRIATIONS FOR MINIMUM ALLOT- MENTS. — "(1) IN GENERAL. — If the amounts made available under subsection (b)(3)(A) for a fiscal year are insufficient for providing each State with an allotment under section 1211(a) of not less than the applicable amount under section 1218(a)(2), the Secretary shall, from such amounts as are made available under subsection (b)(3)(A), make grants to States described in paragraph (2) for carrying out part B. "(2) EuGiBLE STATES. —'The States referred to in paragraph (1) are States that— "(A) have the greatest need to develop, implement, and maintain trauma care systems; and "(B) demonstrate in their applications under section 1217 the greatest commitment to establishing and maintaining such systems, "(3) RULE OF CONSTRUCTION. —Paragraph (1) may not be construed to require the Secretary to make a grant under such paragraph to each State. "SEC. 1233. WAIVER OF REQUIREMENT REGARDING PURPOSE OF GRANTS. 42 USC 300d-33. "(a) AUTHORITY FOR REIMBURSEMENTS REGARDING UNCOMPEN- SATED COSTS OF TRAUMA CENTERS.—Upon the request of a State described in subsection (b), the Secretary may grant a waiver to the

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