Page:United States Statutes at Large Volume 124.djvu/549

124 STAT. 523 PUBLIC LAW 111–148—MAR. 23, 2010 ‘‘(4) TRAUMA CENTERS IN 1115 WAIVER STATES.—Notwith- standing 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). ‘‘(5) DESIGNATION.—The Secretary may not award a grant to a trauma center unless such trauma center is verified by the American College of Surgeons or designated by an equiva- lent State or local agency. ‘‘(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 ‘‘(2) has policies in place to assist patients who cannot pay for part or all of the care they receive, including a sliding fee scale, and to ensure fair billing and collection practices.’’. (2) CONSIDERATIONS IN MAKING GRANTS.—Section 1242 of the Public Health Service Act (42 U.S.C. 300d–42) is amended by striking subsections (a) and (b) and inserting the following: ‘‘(a) SUBSTANTIAL UNCOMPENSATED CARE AWARDS.— ‘‘(1) IN GENERAL.—The Secretary shall establish an award basis for each eligible trauma center for grants under section 1241(a)(1) according to the percentage described in paragraph (2), subject to the requirements of section 1241(b)(3). ‘‘(2) PERCENTAGES.—The applicable percentages are as fol- lows: ‘‘(A) With respect to a category A trauma center, 100 percent of the uncompensated care costs. ‘‘(B) With respect to a category B trauma center, not more than 75 percent of the uncompensated care costs. ‘‘(C) With respect to a category C trauma center, not more than 50 percent of the uncompensated care costs. ‘‘(b) CORE MISSION AWARDS.— ‘‘(1) IN GENERAL.—In awarding grants under section 1241(a)(2), the Secretary shall— ‘‘(A) reserve 25 percent of the amount allocated for core mission awards for Level III and Level IV trauma centers; and ‘‘(B) reserve 25 percent of the amount allocated for core mission awards for large urban Level I and II trauma centers— ‘‘(i) that have at least 1 graduate medical education fellowship in trauma or trauma related specialties for which demand is exceeding supply; ‘‘(ii) for which— ‘‘(I) annual uncompensated care costs exceed $10,000,000; or ‘‘(II) at least 20 percent of emergency depart- ment visits are charity or self-pay or Medicaid patients; and ‘‘(iii) that are not eligible for substantial uncompensated care awards under section 1241(a)(1). Plans.