Rural Medical Emergencies Air Transport Act of 1991 - Amends the Public Health Service Act to direct the Secretary of Health and Human Services to make grants to at least seven States to assist in the creation or enhancement of air medical transport systems that provide victims of medical emergencies in rural areas with access to treatments.
Requires: (1) preference for States with plans to integrate the proposed air medical system into a comprehensive network or plan for regional or statewide emergency medical services; and (2) the grant to be administered by the State agency responsible for medical emergency or trauma services programs. Allows the State to award grant funds to public and private entities.
Authorizes appropriations.
S 480 IS 102d CONGRESS 1st Session S. 480 To amend the Public Health Service Act to provide grants to States for the creation or enhancement of systems for the air transport of rural victims of medical emergencies, and for other purposes. IN THE SENATE OF THE UNITED STATES February 26 (legislative day, FEBRUARY 6), 1991 Mrs. KASSEBAUM introduced the following bill; which was read twice and referred to the Committee on Labor and Human Resources A BILL To amend the Public Health Service Act to provide grants to States for the creation or enhancement of systems for the air transport of rural victims of medical emergencies, and for other purposes. Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, SECTION 1. SHORT TITLE. This act may be cited as the `Rural Medical Emergencies Air Transport Act of 1991'. SEC. 2. GRANTS TO STATES REGARDING AIRCRAFT FOR TRANSPORTING RURAL VICTIMS OF MEDICAL EMERGENCIES. Title XII of the Public Health Service Act (42 U.S.C. 300d et seq.) is amended by adding at the end thereof the following new part: `Part D--Miscellaneous Grant Programs and Requirements `SEC. 1241. GRANTS FOR SYSTEMS TO TRANSPORT RURAL VICTIMS OF MEDICAL EMERGENCIES. `(a) IN GENERAL- The Secretary shall make grants to States to assist such States in the creation or enhancement of air medical transport systems that provide victims of medical emergencies in rural areas with access to treatments for the injuries or other conditions resulting from such emergencies. `(b) APPLICATION AND PLAN- `(1) APPLICATION- To be eligible to receive a grant under subsection (a), a State shall prepare and submit to the Secretary an application in such form, made in such manner, and containing such agreements, assurances, and information, including a State plan as required in paragraph (2), as the Secretary determines to be necessary to carry out this section. `(2) STATE PLAN- An application submitted under paragraph (1) shall contain a State plan that shall-- `(A) describe the intended uses of the grant proceeds and the geographic areas to be served; `(B) demonstrate that the geographic areas to be served, as described under subparagraph (A), are rural in nature; `(C) demonstrate that there is a lack of facilities available and equipped to deliver advanced levels of medical care in the geographic areas to be served; `(D) demonstrate that in utilizing the grant proceeds for the establishment or enhancement of air medical services the State would be making a cost-effective improvement to existing ground-based or air emergency medical service systems; `(E) demonstrate that the State will not utilize the grant proceeds to duplicate the capabilities of existing air medical systems that are effectively meeting the emergency medical needs of the populations they serve; `(F) demonstrate that in utilizing the grant proceeds the State is likely to achieve a reduction in the morbidity and mortality rates of the areas to be served, as determined by the Secretary; `(G) demonstrate that the State, in utilizing the grant proceeds, will-- `(i) maintain the expenditures of the State for air and ground medical transport systems at a level equal to not less than the level of such expenditures maintained by the State for the fiscal year preceding the fiscal year for which the grant is received; and `(ii) ensure that recipients of direct financial assistance from the State under such grant will maintain the expenditures of such recipients for such systems at a level at least equal to the level of such expenditures maintained by such recipients for the fiscal year preceding the fiscal year for which the financial assistance is received; `(H) demonstrate that persons experienced in the field of air medical service delivery were consulted in the preparation of the State plan; `(I) contain such other information as the Secretary may determine appropriate. `(c) CONSIDERATIONS IN AWARDING GRANTS- In determining whether to award a grant to a State under this section, the Secretary shall-- `(1) consider the rural nature of the areas to be served with the grant proceeds and the services to be provided with such proceeds, as identified in the State plan submitted under subsection (b); and `(2) give preference to States with State plans that demonstrate an effective integration of the proposed air medical transport systems into a comprehensive network or plan for regional or statewide emergency medical service delivery. `(d) STATE ADMINISTRATION AND USE OF GRANT- `(1) IN GENERAL- The Secretary may not make a grant to a State under subsection (a) unless the State agrees that such grant will be administered by the State agency with principal responsibility for carrying out programs regarding the provision of medical services to victims of medical emergencies or trauma. `(2) PERMITTED USES- A State may use amounts received under a grant awarded under this section to award subgrants to public and private entities operating within the State. `(3) OPPORTUNITY FOR PUBLIC COMMENT- The Secretary may not make a grant to a State under subsection (a) unless that State agrees that, in developing and carrying out the State plan under subsection (b)(2), the State will provide public notice with respect to the plan (including any revisions thereto) and facilitate comments from interested persons. `(e) NUMBER OF GRANTS- The Secretary shall award grants under this section to not less than 7 States. `(f) REPORTS- `(1) REQUIREMENT- A State that receives a grant under this section shall annually (during each year in which the grant proceeds are used) prepare and submit to the Secretary a report that shall contain-- `(A) a description of the manner in which the grant proceeds were utilized; `(B) a description of the effectiveness of the air medical transport programs assisted with grant proceeds; and `(C) such other information as the Secretary may require. `(2) TERMINATION OF FUNDING- In reviewing reports submitted under paragraph (1), if the Secretary determines that a State is not using amounts provided under a grant awarded under this section in accordance with the State plan submitted by the State under subsection (b), the Secretary may terminate the payment of amounts under such grant to the State until such time as the Secretary determines that the State comes into compliance with such plan. `(g) DEFINITION- As used in this section, the term `rural areas' means geographic areas that are located outside of standard metropolitan statistical areas, as identified by the Secretary. `(h) AUTHORIZATION OF APPROPRIATIONS- There are authorized to be appropriated to make grants under this section, $15,000,000 for fiscal year 1992, and such sums as may be necessary for each of the fiscal years 1993 and 1994.'.
Introduced in Senate
Read twice and referred to the Committee on Labor and Human Resources.
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