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US Laws | Affordable Health Care Act (HR3950F)
TITLE III--IMPROVING THE QUALITY AND EFFICIENCY OF HEALTH CARE
Subtitle F--Health Care Quality Improvements

"(d) Use of Funds- The recipient of a grant under subsection (b) shall carry out 1 or more of the following activities consistent with subsection (b): (6275)

"(1) Providing trauma centers with funding to support physician compensation in trauma-related physician specialties where shortages exist in the region involved, with priority provided to safety net trauma centers described in subsection (c)(1)(A)(ii). (6276)

"(2) Providing for individual safety net trauma center fiscal stability and costs related to having service that is available 24 hours a day, 7 days a week, with priority provided to safety net trauma centers described in subsection (c)(1)(A)(ii) located in urban, border, and rural areas. (6277)

"(3) Reducing trauma center overcrowding at specific trauma centers related to throughput of trauma patients. (6278)

"(4) Establishing new trauma services in underserved areas as defined by the State. (6279)

"(5) Enhancing collaboration between trauma centers and other hospitals and emergency medical services personnel related to trauma service availability. (6280)

"(6) Making capital improvements to enhance access and expedite trauma care, including providing helipads and associated safety infrastructure. (6281)

"(7) Enhancing trauma surge capacity at specific trauma centers. (6282)

"(8) Ensuring expedient receipt of trauma patients transported by ground or air to the appropriate trauma center. (6283)

"(9) Enhancing interstate trauma center collaboration. (6284)

"(e) Limitation- (6285)

"(1) IN GENERAL- A State may use not more than 20 percent of the amount available to the State under this part for a fiscal year for administrative costs associated with awarding grants and related costs. (6286)

"(2) MAINTENANCE OF EFFORT- The Secretary may not provide funding to a State under this part unless the State agrees that such funds will be used to supplement and not supplant State funding otherwise available for the activities and costs described in this part. (6287)

"(f) Distribution of Funds- The following shall apply with respect to grants provided in this part: (6288)

"(1) LESS THAN $10,000,000- If the amount of appropriations for this part in a fiscal year is less than $10,000,000, the Secretary shall divide such funding evenly among only those States that have 1 or more trauma centers eligible for funding under section 1241(b)(3)(A). (6289)

"(2) LESS THAN $20,000,000- If the amount of appropriations in a fiscal year is less than $20,000,000, the Secretary shall divide such funding evenly among only those States that have 1 or more trauma centers eligible for funding under subparagraphs (A) and (B) of section 1241(b)(3). (6290)

"(3) LESS THAN $30,000,000- If the amount of appropriations for this part in a fiscal year is less than $30,000,000, the Secretary shall divide such funding evenly among only those States that have 1 or more trauma centers eligible for funding under section 1241(b)(3). (6291)

"(4) $30,000,000 OR MORE- If the amount of appropriations for this part in a fiscal year is $30,000,000 or more, the Secretary shall divide such funding evenly among all States. (6292)

SEC. 1282. AUTHORIZATION OF APPROPRIATIONS. (6293)

"For the purpose of carrying out this part, there is authorized to be appropriated $100,000,000 for each of fiscal years 2010 through 2015.". (6294)

SEC. 3506. PROGRAM TO FACILITATE SHARED DECISIONMAKING. (6295)(Text)

Part D of title IX of the Public Health Service Act, as amended by section 3503, is further amended by adding at the end the following: (6296)

SEC. 936. PROGRAM TO FACILITATE SHARED DECISIONMAKING. (6297)

"(a) Purpose- The purpose of this section is to facilitate collaborative processes between patients, caregivers or authorized representatives, and clinicians that engages the patient, caregiver or authorized representative in decisionmaking, provides patients, caregivers or authorized representatives with information about trade-offs among treatment options, and facilitates the incorporation of patient preferences and values into the medical plan. (6298)

"(b) Definitions- In this section: (6299)

"(1) PATIENT DECISION AID- The term "patient decision aid" means an educational tool that helps patients, caregivers or authorized representatives understand and communicate their beliefs and preferences related to their treatment options, and to decide with their health care provider what treatments are best for them based on their treatment options, scientific evidence, circumstances, beliefs, and preferences. (6300)

"(2) PREFERENCE SENSITIVE CARE- The term "preference sensitive care" means medical care for which the clinical evidence does not clearly support one treatment option such that the appropriate course of treatment depends on the values of the patient or the preferences of the patient, caregivers or authorized representatives regarding the benefits, harms and scientific evidence for each treatment option, the use of such care should depend on the informed patient choice among clinically appropriate treatment options. (6301)

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