Trauma Care Systems Planning and Development Act of 1990

Trauma Care Systems Planning and Development Act of 1990 - 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) provide technical assistance to State and local agencies; and (4) 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 provide, by contract, for the establishment and operation of a National Clearinghouse on Trauma Care and Emergency Medical Services. Allows the Clearinghouse to charge fees or assessments.

Authorizes the Secretary to make grants for research and demonstration projects to improve emergency medical services in rural areas.

Directs the Secretary to make an allotment for each State for each fiscal year for developing, implementing, and monitoring modifications to the trauma-care component of the State plan for the provision of emergency medical services. Requires, subject to waiver, non-Federal matching contributions (in cash or in kind) in specified ratios for fiscal years after the first fiscal year of payment. 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) 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 standards for the designation of trauma centers, and for triage, transfer, and transportation policies. Directs the Secretary to develop a model plan for the designation of trauma centers and for triage, transfer, and transportation policies.

Mandates that States: (1) submit to the Secretary the trauma care component of the State plan for the provision of emergency services; (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 determining 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.

Amends the Public Health Service Act to require that a State, in order to receive preventive health and health services block grants under existing provisions, allow the State officer responsible for the State highway safety program to: (1) participate in the development of any State emergency medical services plan, as the plan relates to highway safety; and (2) review and comment on any State proposal to use any Federal grant or payment for emergency medical services, as the proposal relates to highway safety.

Amends provisions relating to grants to States or schools of medicine for demonstration projects for the expansion and improvement of emergency medical services for children to remove the: (1) limitation on the number of grants; and (2) references to the projects being "in such States." Authorizes appropriations.

Authorizes the Secretary to make a grant to a specified hospital in the District of Columbia for constructing or modernizing a medical facility. Requires: (1) matching non-Federal funds; (2) that the facility constructed or modernized be made available to all persons residing or employed in the area; and (3) that a reasonable volume of services be made available to persons unable to pay for the services. Provides for recovery of expenditures for the construction or modernization under the same circumstances as set forth in existing provisions relating to health resources development. Authorizes appropriations, making the authorization effective only with respect to appropriations made from allocations under specified provisions of the Congressional Budget Act of 1974 for specified subcommittees of the House of Representatives and the Senate.