104 STAT. 2922 PUBLIC LAW 101-590—NOV. 16, 1990 gency Physicians and the American Academy of Pediatrics, in adopting standards under this subsection; or "(B) in the case of payments for fiscal year 1992 and subsequent fiscal years, the State has not, in adopting such standards, taken into account the model plan developed under subsection (c). "(c) MODEL TRAUMA CARE PLAN. —Not later than 1 year after the date of the enactment of the Trauma Care Systems Planning and Development Act of 1990, the Secretary shall develop a model plan for the designation of trauma centers and for triage, transfer and transportation policies that may be adopted for guidance by the State. Such plan shall— "(1) take into account national standards, including those of the American CloUege of Surgeons, American CoUege of Emergency Physicians and the American Academy of Pediatrics; "(2) take into account existing State plans; "(3) be developed in consultation with medical, surgical, and nursing speciality groups, hospital associations, emergency medical services State directors and associations, and other interested parties; and "(4) include standards for the designation of rural health facilities and hospitals best able to receive, stabilize, and transfer trauma patients to the nearest appropriate designated trauma center, and for triage, transfer, and transportation policies as they relate to rural areas. Rural areas. Standards described in paragraph (4) shall be applicable to all rural aresis in the State, including both non-metropolitan areas and frontier areas that have populations of less than 6,000 per square mile. " (d) RULE OF CONSTRUCTION WITH RESPECT TO NUMBER OF DES- IGNATED TRAUMA CENTERS.—With respect to compliance with subsection (a) as a condition of the receipt of a grant under section 1211(a), such subsection may not be construed to specify the number of trauma care centers designated pursuant to such subsection. 42 USC 300d-14 "SEC. 1214. REQUIREMENT OF SUBMISSION TO SECRETARY OF TRAUMA PLAN AND CERTAIN INFORMATION. "(a) TRAUMA PLAN. — "(1) IN GENERAL.—For fiscal year 1991 and subsequent fiscal years, the Secretary may not make payments under section 1211(a) unless, subject to paragraph (2), the State involved submits to the Secretary the trauma care component of the State plan for the provision of emergency medical services. "(2) INTERIM PLAN OR DESCRIPTION OF EFFORTS. —For fiscal year 1991, if a State has not completed the trauma care component of the State plan described in paragraph (1), the State may provide, in lieu of a completed such component, an interim component or a description of efforts made toward the completion of the component. " (b) INFORMATION RECEIVED BY STATE REPORTING AND ANALYSIS SYSTEM.—The Secretary may not make payments under section 1211(a) for a fiscal year unless the State involved agrees that the State will, not less than once each year, provide to the Secretary the information received by the State pursuant to section 1213(a)(7). "(c) AVAILABILITY OF EMERGENCY MEDICAL SERVICES IN RURAL AREAS.— The Secretary may not make pa3mients under section 1211(a) for a fiscal year unless—
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