Page:United States Statutes at Large Volume 124.djvu/548

 124 STAT. 522 PUBLIC LAW 111–148—MAR. 23, 2010 SEC. 3505. TRAUMA CARE CENTERS AND SERVICE AVAILABILITY. (a) TRAUMA CARE CENTERS.— (1) GRANTS FOR TRAUMA CARE CENTERS.—Section 1241 of the Public Health Service Act (42 U.S.C. 300d–41) is amended by striking subsections (a) and (b) and inserting the following: ‘‘(a) IN GENERAL.—The Secretary shall establish 3 programs to award grants to qualified public, nonprofit Indian Health Service, Indian tribal, and urban Indian trauma centers— ‘‘(1) to assist in defraying substantial uncompensated care costs; ‘‘(2) to further the core missions of such trauma centers, including by addressing costs associated with patient stabiliza- tion and transfer, trauma education and outreach, coordination with local and regional trauma systems, essential personnel and other fixed costs, and expenses associated with employee and non-employee physician services; and ‘‘(3) to provide emergency relief to ensure the continued and future availability of trauma services. ‘‘(b) MINIMUM QUALIFICATIONS OF TRAUMA CENTERS.— ‘‘(1) PARTICIPATION IN TRAUMA CARE SYSTEM OPERATING UNDER CERTAIN PROFESSIONAL GUIDELINES.—Except as provided in paragraph (2), the Secretary may not award a grant to a trauma center under subsection (a) unless the trauma center is a participant in a trauma system that substantially complies with section 1213. ‘‘(2) EXEMPTION.—Paragraph (1) shall not apply to trauma centers that are located in States with no existing trauma care system. ‘‘(3) QUALIFICATION FOR SUBSTANTIAL UNCOMPENSATED CARE COSTS.—The Secretary shall award substantial uncompen- sated care grants under subsection (a)(1) only to trauma centers meeting at least 1 of the criteria in 1 of the following 3 cat- egories: ‘‘(A) CATEGORY A.—The criteria for category A are as follows: ‘‘(i) At least 40 percent of the visits in the emer- gency department of the hospital in which the trauma center is located were charity or self-pay patients. ‘‘(ii) At least 50 percent of the visits in such emer- gency department were Medicaid (under title XIX of the Social Security Act (42 U.S.C. 1396 et seq.)) and charity and self-pay patients combined. ‘‘(B) CATEGORY B.—The criteria for category B are as follows: ‘‘(i) At least 35 percent of the visits in the emer- gency department were charity or self-pay patients. ‘‘(ii) At least 50 percent of the visits in the emer- gency department were Medicaid and charity and self- pay patients combined. ‘‘(C) CATEGORY C.—The criteria for category C are as follows: ‘‘(i) At least 20 percent of the visits in the emer- gency department were charity or self-pay patients. ‘‘(ii) At least 30 percent of the visits in the emer- gency department were Medicaid and charity and self- pay patients combined.