text: SECTION 1. SHORT TITLE.
  
      This Act may be cited as the ``Military Injury Surgical Systems 
  Integrated Operationally Nationwide to Achieve ZERO Preventable Deaths 
  Act'' or the ``MISSION ZERO Act''.
  
  SEC. 2. MILITARY AND CIVILIAN PARTNERSHIP FOR TRAUMA READINESS GRANT 
                PROGRAM.
  
      Title XII of the Public Health Service Act (42 U.S.C. 300d et seq.) 
  is amended by adding at the end the following new part:
  
  ``PART I--MILITARY AND CIVILIAN PARTNERSHIP FOR TRAUMA READINESS GRANT 
                                  PROGRAM
  
  ``SEC. 1291. MILITARY AND CIVILIAN PARTNERSHIP FOR TRAUMA READINESS 
                GRANT PROGRAM.
  
      ``(a) Military Trauma Team Placement Program.--
              ``(1) In general.--The Secretary shall award grants to not 
          more than 20 eligible high-acuity trauma centers to enable 
          military trauma teams to provide, on a full-time basis, trauma 
          care and related acute care at such trauma centers.
              ``(2) Limitations.--In the case of a grant awarded under 
          paragraph (1) to an eligible high-acuity trauma center, such 
          grant--
                      ``(A) shall be for a period of at least 3 years and 
                  not more than 5 years (and may be renewed at the end of 
                  such period); and
                      ``(B) shall be in an amount that does not exceed 
                  $1,000,000 per year.
              ``(3) Availability of funds after performance period.--
          Notwithstanding section 1552 of title 31, United States Code, 
          or any other provision of law, funds available to the Secretary 
          for obligation for a grant under this subsection shall remain 
          available for expenditure for 100 days after the last day of 
          the performance period of such grant.
      ``(b) Military Trauma Care Provider Placement Program.--
              ``(1) In general.--The Secretary shall award grants to 
          eligible trauma centers to enable military trauma care 
          providers to provide trauma care and related acute care at such 
          trauma centers.
              ``(2) Limitations.--In the case of a grant awarded under 
          paragraph (1) to an eligible trauma center, such grant--
                      ``(A) shall be for a period of at least 1 year and 
                  not more than 3 years (and may be renewed at the end of 
                  such period); and
                      ``(B) shall be in an amount that does not exceed, 
                  in a year--
                              ``(i) $100,000 for each military trauma 
                          care provider that is a physician at such 
                          eligible trauma center; and
                              ``(ii) $50,000 for each other military 
                          trauma care provider at such eligible trauma 
                          center.
      ``(c) Grant Requirements.--
              ``(1) Deployment.--As a condition of receipt of a grant 
          under this section, a grant recipient shall agree to allow 
          military trauma care providers providing care pursuant to such 
          grant to be deployed by the Secretary of Defense for military 
          operations, for training, or for response to a mass casualty 
          incident.
              ``(2) Use of funds.--Grants awarded under this section to 
          an eligible trauma center may be used to train and incorporate 
          military trauma care providers into such trauma center, 
          including expenditures for malpractice insurance, office space, 
          information technology, specialty education and supervision, 
          trauma programs, research, and State license fees for such 
          military trauma care providers.
      ``(d) Rule of Construction.--Nothing in this section shall be 
  construed to affect the extent to which State licensing requirements 
  for health care professionals are preempted by other Federal law from 
  applying to military trauma care providers.
      ``(e) Reporting Requirements.--
              ``(1) Report to the secretary and the secretary of 
          defense.--Each eligible trauma center or eligible high-acuity 
          trauma center awarded a grant under subsection (a) or (b) for a 
          year shall submit to the Secretary and the Secretary of Defense 
          a report for such year that includes information on--
                      ``(A) the number and types of trauma cases managed 
                  by military trauma teams or military trauma care 
                  providers pursuant to such grant during such year;
                      ``(B) the financial impact of such grant on the 
                  trauma center;
                      ``(C) the educational impact on resident trainees 
                  in centers where military trauma teams are assigned;
                      ``(D) any research conducted during such year 
                  supported by such grant; and
                      ``(E) any other information required by the 
                  Secretaries for the purpose of evaluating the effect of 
                  such grant.
              ``(2) Report to congress.--Not less than once every 2 
          years, the Secretary, in consultation with the Secretary of 
          Defense, shall submit a report to Congress that includes 
          information on the effect of placing military trauma care 
          providers in trauma centers awarded grants under this section 
          on--
                      ``(A) maintaining readiness of military trauma care 
                  providers for battlefield injuries;
                      ``(B) providing health care to civilian trauma 
                  patients in both urban and rural settings;
                      ``(C) the capability to respond to surges in trauma 
                  cases, including as a result of a large scale event; 
                  and
                      ``(D) the financial State of the trauma centers.
      ``(f) Definitions.--For purposes of this part:
              ``(1) Eligible trauma center.--The term `eligible trauma 
          center' means a Level I, II, or III trauma center that 
          satisfies each of the following:
                      ``(A) Such trauma center has an agreement with the 
                  Secretary of Defense to enable military trauma care 
                  providers to provide trauma care and related acute care 
                  at such trauma center.
                      ``(B) Such trauma center utilizes a risk-adjusted 
                  benchmarking system to measure performance and 
                  outcomes, such as the Trauma Quality Improvement 
                  Program of the American College of Surgeons.
                      ``(C) Such trauma center demonstrates a need for 
                  integrated military trauma care providers to maintain 
                  or improve the trauma clinical capability of such 
                  trauma center.
              ``(2) Eligible high-acuity trauma center.--The term 
          `eligible high-acuity trauma center' means a Level I trauma 
          center that satisfies each of the following:
                      ``(A) Such trauma center has an agreement with the 
                  Secretary of Defense to enable military trauma teams to 
                  provide trauma care and related acute care at such 
                  trauma center.
                      ``(B) At least 20 percent of patients of such 
                  trauma center in the most recent 3-month period for 
                  which data is available are treated for a major trauma 
                  at such trauma center.
                      ``(C) Such trauma center utilizes a risk-adjusted 
                  benchmarking system to measure performance and 
                  outcomes, such as the Trauma Quality Improvement 
                  Program of the American College of Surgeons.
                      ``(D) Such trauma center is an academic training 
                  center--
                              ``(i) affiliated with a medical school;
                              ``(ii) that maintains residency programs 
                          and fellowships in critical trauma specialties 
                          and subspecialties, and provides education and 
                          supervision of military trauma team members 
                          according to those specialties and 
                          subspecialties; and
                              ``(iii) that undertakes research in the 
                          prevention and treatment of traumatic injury.
                      ``(E) Such trauma center serves as a disaster 
                  response leader for its community, such as by 
                  participating in a partnership for State and regional 
                  hospital preparedness established under section 319C-2.
              ``(3) Major trauma.--The term `major trauma' means an 
          injury that is greater than or equal to 15 on the injury 
          severity score.
              ``(4) Military trauma team.--The term `military trauma 
          team' means a complete military trauma team consisting of 
          military trauma care providers.
              ``(5) Military trauma care provider.--The term `military 
          trauma care provider' means a member of the Armed Forces who 
          furnishes emergency, critical care, and other trauma acute 
          care, including a physician, military surgeon, physician 
          assistant, nurse, respiratory therapist, flight paramedic, 
          combat medic, or enlisted medical technician.
      ``(g) Authorization of Appropriations.--There are authorized to be 
  appropriated to carry out this section--
              ``(1) $7,000,000 for fiscal year 2018, of which--
                      ``(A) $4,500,000 shall be for carrying out 
                  subsection (a); and
                      ``(B) $2,500,000 shall be for carrying out 
                  subsection (b);
              ``(2) $12,000,000 for fiscal year 2019, of which--
                      ``(A) $8,000,000 shall be for carrying out 
                  subsection (a); and
                      ``(B) $4,000,000 shall be for carrying out 
                  subsection (b); and
              ``(3) $15,000,000 for each of fiscal years 2020 through 
          2022, of which--
                      ``(A) $10,000,000 shall be for carrying out 
                  subsection (a); and
                      ``(B) $5,000,000 shall be for carrying out 
                  subsection (b).''.
  
  SEC. 3. CUT-GO COMPLIANCE.
  
      Subsection (f) of section 319D of the Public Health Service Act (42 
  U.S.C. 247d-4) is amended by striking ``through 2018'' and inserting 
  ``through 2017, and $75,300,000 for fiscal year 2018''.
  
              Passed the House of Representatives February 26, 2018.
  
              Attest:
  
                                                   KAREN L. HAAS,
  
                                                                   Clerk.
target: Military Injury Surgical Systems Integrated Operationally Nationwide to Achieve ZERO Preventable Deaths Act or the MISSION ZERO Act (Sec. 2) This bill amends the Public Health Service Act to require the Department of Health and Human Services to award grants to certain trauma centers to enable military trauma care providers and trauma teams to provide trauma care and related acute care at those trauma centers. Funds may be used to train and incorporate military trauma care providers into the trauma center, including expenditures for malpractice insurance, office space, information technology, specialty education and supervision, trauma programs, and state license fees. Grantees must allow the military trauma care providers to be deployed for military operations, training, or response to a mass casualty incident.
feat_title: Military Injury Surgical Systems Integrated Operationally Nationwide to Achieve ZERO Preventable Deaths Act