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116th Congress    }                                    {       Report
                        HOUSE OF REPRESENTATIVES
 1st Session      }                                    {      116-176

======================================================================



 
EMERGENCY MEDICAL SERVICES FOR CHILDREN PROGRAM REAUTHORIZATION ACT OF 
                                  2019

                                _______
                                

 July 23, 2019.--Committed to the Committee of the Whole House on the 
              State of the Union and ordered to be printed

                                _______
                                

 Mr. Pallone, from the Committee on Energy and Commerce, submitted the 
                               following

                              R E P O R T

                        [To accompany H.R. 776]

    The Committee on Energy and Commerce, to whom was referred 
the bill (H.R. 776) to amend the Public Health Service Act to 
reauthorize the Emergency Medical Services for Children 
program, having considered the same, report favorably thereon 
without amendment and recommend that the bill do pass.

                                CONTENTS

                                                                   Page
  I. Purpose and Summary..............................................1
 II. Background and Need for the Legislation..........................2
III.  Committee Hearings..............................................2
 IV.  Committee Consideration.........................................2
  V.  Committee Votes.................................................3
 VI. Oversight Findings...............................................3
VII. New Budget Authority, Entitlement Authority, and Tax Expenditures3
VIII.Federal Mandates Statement.......................................3

 IX. Statement of General Performance Goals and Objectives............4
  X. Duplication of Federal Programs..................................4
 XI. Committee Cost Estimate..........................................4
XII. Earmarks, Limited Tax Benefits, and Limited Tariff Benefits......4
XIII.Advisory Committee Statement.....................................4

XIV. Applicability to Legislative Branch..............................4
 XV. Section-by-Section Analysis of the Legislation...................4
XVI. Changes in Existing Law Made by the Bill, as Reported............4

                         I. Purpose and Summary

    H.R. 776, the ``Emergency Medical Services for Children 
Program Reauthorization Act of 2019'' was introduced on January 
24, 2019, by Reps. King (R-NY), Castor (D-FL), Butterfield (D-
NC), and Stewart (R-UT) and referred to the Committee on Energy 
and Commerce. H.R. 776 would reauthorize the Emergency Medical 
Services for Children (EMSC) program at $22.334 million each 
fiscal year 2020 through 2024.

                II. Background and Need for Legislation

    First enacted in 1984 as part of the Preventive Health 
Amendments of 1984,\1\ the EMSC program is the only federal 
grant program specifically focused on addressing needs of 
children in emergency medical systems.\2\ The program consists 
of six main investments: (1) the Pediatric Emergency Care 
Applied Research Network, which conducts research in Emergency 
Department and prehospital Emergency Medical Service (EMS) 
settings to improve health outcomes; (2) the State Partnership, 
which improves a state's capacity for delivery of evidence-
based pediatric emergency care while maintaining best 
practices; (3) the State Partnership Regionalization of Care, 
which develops models of regionalized care for pediatric 
emergency services for children in tribal and rural 
communities; (4) the Targeted Issues initiative, which supports 
investigator-driven research translation into practice; (5) the 
EMSC Data Center, which provides monitoring, data management, 
and other support for Pediatric Emergency Care Applied Research 
Network studies; and (6) the EMSC Innovation and Improvement 
Center, which helps state EMS systems achieve improved health 
outcomes in pediatric emergency care by testing and scaling 
demonstrated improvements.\3\ The current authorization for the 
EMSC program expires at the end of fiscal year 2019.\4\
---------------------------------------------------------------------------
    \1\Pub. L. No. 98-555.
    \2\Health Resources and Services Administration, Child Health (June 
2019) (mchb.hrsa.gov/maternal-child-health-topics/child-health).
    \3\Id.
    \4\42 U.S.C. 300w-9(d).
---------------------------------------------------------------------------

                        III. Committee Hearings

    For the purposes of section 103(i) of H. Res. 6 of the 
116th Congress, the following hearing was used to develop or 
consider H.R. 776:
    The Subcommittee on Health held a legislative hearing on 
June 25, 2019, on H.R. 776, the ``Emergency Medical Services 
for Children Program Reauthorization Act of 2019'' and three 
other bills. The hearing was entitled ``Reauthorizing Vital 
Health Programs for American Families.'' The Subcommittee 
received testimony from:
     Amy Hewitt, Ph.D., Director, Institute on 
Community Integration, University of Minnesota;
     Joseph Bocchini, M.D., Professor, Department of 
Pediatrics, Louisiana State University Health, Shreveport;
     Patricia Kunz Howard, Ph.D., RN, President, 
Emergency Nurses Association, Director, Emergency Services, 
University of Kentucky Healthcare; and
     Jill Kagan, Director, ARCH National Respite 
Network and Resource Center.

                      IV. Committee Consideration

    H.R. 776, the ``Emergency Medical Services for Children 
Program Reauthorization Act of 2019'' was introduced in the 
House on January 24, 2019, by Reps. King (R-NY), Castor (D-FL), 
Butterfield (D-NC), and Stewart (R-UT) and referred to the 
Committee on Energy and Commerce. Subsequently, the bill was 
referred to the Subcommittee on Health on January 25, 2019. 
Following a legislative hearing, the Subcommittee met in open 
markup session, pursuant to notice, on July 11, 2019, for 
consideration of the bill H.R. 776. No amendments were offered 
during consideration of the bill. Subsequently, the 
Subcommittee on Health agreed to a motion by Ms. Eshoo, 
Chairwoman of the Subcommittee, that H.R. 776 be forwarded 
favorably to the full Committee on Energy and Commerce, without 
amendment, by a voice vote.
    On July 17, 2019, the full Committee met in open markup 
session, pursuant to notice, to consider the bill H.R. 776. 
During consideration of the bill, an amendment in the nature of 
a substitute was offered by Mr. Doyle. There were no amendments 
offered during consideration and therefore, the full Committee 
on Energy and Commerce agreed to a motion offered by Mr. 
Pallone, Chairman of the Committee, that H.R. 776 be ordered 
reported favorably to the House, without amendment, by a voice 
vote, a quorum being present.

                           V. Committee Votes

    Clause 3(b) of rule XIII of the Rules of the House of 
Representatives requires the Committee to list each record vote 
on the motion to report legislation and amendments thereto. The 
Committee advises that there were no record votes taken on H.R. 
776.

                         VI. Oversight Findings

    Pursuant to clause 3(c)(1) of rule XIII and clause 2(b)(1) 
of rule X of the Rules of the House of Representatives, the 
Committee's oversight findings and recommendations are 
reflected in the descriptive portion of the report.

           VII. New Budget Authority, Entitlement Authority, 
                          and Tax Expenditures

    Pursuant to 3(c)(2) of rule XIII of the Rules of the House 
of Representatives, the Committee adopts as its own the 
estimate of new budget authority, entitlement authority, or tax 
expenditures or revenues contained in the cost estimate 
prepared by the Director of the Congressional Budget Office 
pursuant to section 402 of the Congressional Budget Act of 
1974.
    The Committee has requested but not received from the 
Director of the Congressional Budget Office a statement as to 
whether this bill contains any new budget authority, spending 
authority, credit authority, or an increase or decrease in 
revenues or tax expenditures.

                    VIII. Federal Mandates Statement

    The Committee adopts as its own the estimate of Federal 
mandates prepared by the Director of the Congressional Budget 
Office pursuant to section 423 of the Unfunded Mandates Reform 
Act.

       IX. Statement of General Performance Goals and Objectives

    Pursuant to clause 3(c)(4) of rule XIII, the general 
performance goal or objective of this legislation is to 
reauthorize the Emergency Medical Services for Children 
program.

                   X. Duplication of Federal Programs

    Pursuant to clause 3(c)(5) of rule XIII, no provision of 
H.R. 776 is known to be duplicative of another Federal program, 
including any program that was included in a report to Congress 
pursuant to section 21 of Public Law 111-139 or the most recent 
Catalog of Federal Domestic Assistance.

                      XI. Committee Cost Estimate

    Pursuant to clause 3(d)(1) of rule XIII, the Committee 
adopts as its own the cost estimate prepared by the Director of 
the Congressional Budget Office pursuant to section 402 of the 
Congressional Budget Act of 1974.

               XII. Earmarks, Limited Tax Benefits, and 
                        Limited Tariff Benefits

    Pursuant to clause 9(e), 9(f), and 9(g) of rule XXI, the 
Committee finds that H.R. 776 contains no earmarks, limited tax 
benefits, or limited tariff benefits.

                   XIII. Advisory Committee Statement

    No advisory committees within the meaning of section 5(b) 
of the Federal Advisory Committee Act were created by this 
legislation.

                XIV. Applicability to Legislative Branch

    The Committee finds that the legislation does not relate to 
the terms and conditions of employment or access to public 
services or accommodations within the meaning of section 
102(b)(3) of the Congressional Accountability Act.

           XV. Section-by-Section Analysis of the Legislation


Section 1. Short title

    Section 1 designates that the short title may be cited as 
the ``Emergency Medical Services for Children Program 
Reauthorization Act of 2019''.

Sec. 2. Reauthorization of the Emergency Medical Service for Children 
        Program

    Section 2 amends the Public Health Service Act to 
reauthorize the Emergency Medical Services for Children program 
at $22.334 million each fiscal year 2020 through 2024.

       XVI. Changes in Existing Law Made by the Bill, as Reported

  In compliance with clause 3(e) of rule XIII of the Rules of 
the House of Representatives, changes in existing law made by 
the bill, as reported, are shown as follows (existing law 
proposed to be omitted is enclosed in black brackets, new 
matter is printed in italic, and existing law in which no 
change is proposed is shown in roman):

                       PUBLIC HEALTH SERVICE ACT




           *       *       *       *       *       *       *
                        TITLE XIX--BLOCK GRANTS


Part A--Preventive Health and Health Services Block Grant

           *       *       *       *       *       *       *



                emergency medical services for children

  Sec. 1910. (a) For activities in addition to the activities 
which may be carried out by States under section 1904(a)(1)(F), 
the Secretary may make grants to States or accredited schools 
of medicine in States to support a program of demonstration 
projects for the expansion and improvement of emergency medical 
services for children who need treatment for trauma or critical 
care. Any grant made under this subsection shall be for not 
more than a 4-year period (with an optional 5th year based on 
performance), subject to annual evaluation by the Secretary. 
Only 3 grants under this subsection may be made in a State (to 
a State or to a school of medicine in such State) in any fiscal 
year.
  (b) The Secretary may renew a grant made under subsection (a) 
for one additional one-year period only if the Secretary 
determines that renewal of such grant will provide significant 
benefits through the collection, analysis, and dissemination of 
information or data which will be useful to States in which 
grants under such subsection have not been made.
  (c) For purposes of this section--
          (1) the term ``school of medicine'' has the same 
        meaning as in section 701(4); and
          (2) the term ``accredited'' has the same meaning as 
        in section 701(5).
  (d) To carry out this section, there are authorized to be 
appropriated $2,000,000 for fiscal year 1985 and for each of 
the two succeeding fiscal years, $3,000,000 for fiscal year 
1989, $4,000,000 for fiscal year 1990, $5,000,000 for each of 
the fiscal years 1991 and 1992, such sums as may be necessary 
for each of the fiscal years 1993 through 2005, $25,000,000 for 
fiscal year 2010, $26,250,000 for fiscal year 2011, $27,562,500 
for fiscal year 2012, $28,940,625 for fiscal year 2013, 
$30,387,656 for fiscal year [2014, and] 2014, $20,213,000 for 
each of fiscal years 2015 through 2019, and $22,334,000 for 
each of fiscal years 2020 through 2024.

           *       *       *       *       *       *       *


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