42 U.S. Code § 300d–41 - Grants for certain trauma centers
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(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—
(2) to further the core missions of such trauma centers, including by addressing costs associated with patient stabilization 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
(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 300d–13 of this title.
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 uncompensated care grants under subsection (a)(1) only to trauma centers meeting at least 1 of the criteria in 1 of the following 3 categories:
(A) Category A
The criteria for category A are as follows:
(i) At least 40 percent of the visits in the emergency department of the hospital in which the trauma center is located were charity or self-pay patients.
(B) Category B
The criteria for category B are as follows:
(i) At least 35 percent of the visits in the emergency department were charity or self-pay patients.
(4) Trauma centers in 1115 waiver States
Notwithstanding paragraph (3), the Secretary may award a substantial uncompensated care grant to a trauma center under subsection (a)(1) if the trauma center qualifies for funds under a Low Income Pool or Safety Net Care Pool established through a waiver approved under section 1115 of the Social Security Act (42 U.S.C. 1315).
(c) Additional requirements
The Secretary may not award a grant to a trauma center under subsection (a)(1) unless such trauma center—
(1) submits to the Secretary a plan satisfactory to the Secretary that demonstrates a continued commitment to serving trauma patients regardless of their ability to pay; and
Source(July 1, 1944, ch. 373, title XII, § 1241, as added Pub. L. 102–321, title VI, § 601,July 10, 1992, 106 Stat. 433; amended Pub. L. 111–148, title III, § 3505(a)(1),Mar. 23, 2010, 124 Stat. 522.)
References in Text
The Social Security Act, referred to in subsec. (b)(3)(A)(ii), is act Aug. 14, 1935, ch. 531, 49 Stat. 620. Title XIX of the Act is classified generally to subchapter XIX (§ 1396 et seq.) of chapter 7 of this title. For complete classification of this Act to the Code, see section 1305 of this title and Tables.
2010—Pub. L. 111–148added subsecs. (a) to (c) and struck out former subsecs. (a) and (b) which related to grants for trauma centers in geographic areas with a significant incidence of violence arising from illicit trafficking in drugs and set forth minimum qualifications of such centers.
Part effective July 10, 1992, with programs making awards providing financial assistance in fiscal year 1993 and subsequent years effective for awards made on or after Oct. 1, 1992, see section 801(b), (d)(1) ofPub. L. 102–321, set out as an Effective Date of 1992 Amendment note under section 236 of this title.
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