124 STAT. 527 PUBLIC LAW 111–148—MAR. 23, 2010 ‘‘(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). ‘‘(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 subpara- graphs (A) and (B) of section 1241(b)(3). ‘‘(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). ‘‘(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 Sec- retary shall divide such funding evenly among all States. ‘‘SEC. 1282. AUTHORIZATION OF APPROPRIATIONS. ‘‘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.’’. SEC. 3506. PROGRAM TO FACILITATE SHARED DECISIONMAKING. 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: ‘‘SEC. 936. PROGRAM TO FACILITATE SHARED DECISIONMAKING. ‘‘(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. ‘‘(b) DEFINITIONS.—In this section: ‘‘(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 evi- dence, circumstances, beliefs, and preferences. ‘‘(2) PREFERENCE SENSITIVE CARE.—The term ‘preference sensitive care’ means medical care for which the clinical evi- dence 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. ‘‘(c) ESTABLISHMENT OF INDEPENDENT STANDARDS FOR PATIENT DECISION AIDS FOR PREFERENCE SENSITIVE CARE.— ‘‘(1) CONTRACT WITH ENTITY TO ESTABLISH STANDARDS AND CERTIFY PATIENT DECISION AIDS.— 42 USC 299b–36. 42 USC 300d–82.
