PDF (290KB)(PDF provides a complete and accurate display of this text.)Tip?
118th Congress } { Report
HOUSE OF REPRESENTATIVES
2d Session } { 118-488
======================================================================
EMERGENCY MEDICAL SERVICES FOR CHILDREN REAUTHORIZATION ACT OF 2024
_______
May 7, 2024.--Committed to the Committee of the Whole House on the
State of the Union and ordered to be printed
_______
Mrs. Rodgers of Washington, from the Committee on Energy and Commerce,
submitted the following
R E P O R T
[To accompany H.R. 6960]
The Committee on Energy and Commerce, to whom was referred
the bill (H.R. 6960) to amend the Public Health Service Act to
reauthorize the Emergency Medical Services for Children
program, having considered the same, reports favorably thereon
without amendment and recommends that the bill do pass.
CONTENTS
Page
Purpose and Summary.............................................. 1
Background and Need for Legislation.............................. 2
Committee Action................................................. 2
Committee Votes.................................................. 2
Oversight Findings and Recommendations........................... 5
New Budget Authority, Entitlement Authority, and Tax Expenditures 5
Congressional Budget Office Estimate............................. 5
Federal Mandates Statement....................................... 5
Statement of General Performance Goals and Objectives............ 5
Duplication of Federal Programs.................................. 5
Related Committee and Subcommittee Hearings...................... 5
Committee Cost Estimate.......................................... 6
Earmark, Limited Tax Benefits, and Limited Tariff Benefits....... 6
Advisory Committee Statement..................................... 6
Applicability to Legislative Branch.............................. 6
Section-by-Section Analysis of the Legislation................... 6
Changes in Existing Law Made by the Bill, as Reported............ 6
Purpose and Summary
H.R. 6960 reauthorizes the Emergency Medical Services for
Children program for five years.
Background and Need for Legislation
The program reauthorized under the Emergency Medical
Services for Children Reauthorization Act provides support to
states and schools of medicine to expand and improve emergency
care for children.\1\ Recent data suggests that emergency
departments with high pediatric readiness are associated with
lower mortality rates among children with critical illness.\2\
The same study also found that over 1,400 pediatric deaths may
have been avoided (during the study years) had all emergency
departments surveyed been well-prepared.\3\ This legislation
will continue support for this critical program to expand and
improve emergency care for children and help prevent avoidable
pediatric deaths.
---------------------------------------------------------------------------
\1\https://mchb.hrsa.gov/programs-impact/emergency-medical-
services-children-emsc.
\2\Newgard CD, Lin A, Malveau S, Cook JNB, Smith M, Kuppermann N,
Remick KE, Gausche-Hill M, Goldhaber-Fiebert J, Burd RS, Hewes HA,
Salvi A, Xin H, Ames SG, Jenkins PC, Marin J, Hansen M, Glass NE,
Nathens AB, McConnell KJ, Dai M, Carr B, Ford R, Yanez D, Babcock SR,
Lang B, Mann NC; Pediatric Readiness Study Group. Emergency Department
Pediatric Readiness and Short-term and Long-term Mortality Among
Children Receiving Emergency Care. JAMA Netw Open. 2023 Jan
3;6(1):e2250941. doi: 10.1001/jamanetworkopen.2022.50941. Erratum in:
JAMA Netw Open. 2023 Feb 1;6(2):e231365. PMID: 36637819; PMCID:
PMC9857584.
\3\Ibid.
---------------------------------------------------------------------------
Committee Action
On February 14, 2024, the Subcommittee on Health held a
hearing on H.R. 6960. The title of the hearing was
``Legislative Proposals to Support Patients and Caregivers.''
The Subcommittee received testimony from:
Andy Shih, PhD, Chief Science Officer,
Autism Speaks;
Corey Feist, JD, MBA, Co-Founder and CEO,
Dr. Lorna Breen Heroes' Foundation;
Joanne Pike, DrPH, President and CEO,
Alzheimer's Association;
Gordon Tomaselli, MD, Former President,
American Heart Association; Marilyn and Stanley M. Katz
Dean, Emeritus and Professor of Medicine, Albert
Einstein College of Medicine; Adjunct Professor of
Medicine, Johns Hopkins University School of Medicine;
Michelle Whitten, President, CEO, and Co-
Founder, Global Down Syndrome Foundation;
Randy Strozyk, President, American Ambulance
Association; and
Christina Annunziata, MD, PhD, Senior Vice
President of Extramural Discovery Science, American
Cancer Society.
On March 12, 2024, the Subcommittee on Health met in open
markup session and forwarded H.R. 6960, without amendment, to
the full Committee by a record vote of 23 yeas and 0 nays.
On March 20, 2024, the full Committee on Energy and
Commerce met in open markup session and ordered H.R. 6960,
without amendment, favorably reported to the House by a record
vote of 48 yeas and 0 nays.
Committee Votes
Clause 3(b) of rule XIII requires the Committee to list the
record votes on the motion to report legislation and amendments
thereto. The following reflects the record votes taken during
the Committee consideration:
Oversight Findings and Recommendations
Pursuant to clause 2(b)(1) of rule X and clause 3(c)(1) of
rule XIII, the Committee held a hearing and made findings that
are reflected in this report.
New Budget Authority, Entitlement Authority, and Tax Expenditures
Pursuant to clause 3(c)(2) of rule XIII, the Committee
finds that H.R. 6960 would result in no new or increased budget
authority, entitlement authority, or tax expenditures or
revenues.
Congressional Budget Office Estimate
Pursuant to clause 3(c)(3) of rule XIII, at the time this
report was filed, the cost estimate prepared by the Director of
the Congressional Budget Office pursuant to section 402 of the
Congressional Budget Act of 1974 was not available.
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.
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
continue resources to states and schools of medicine to expand
and improve emergency care for children.
Duplication of Federal Programs
Pursuant to clause 3(c)(5) of rule XIII, no provision of
H.R. 6960 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.
Related Committee and Subcommittee Hearings
Pursuant to clause 3(c)(6) of rule XIII, the following
related hearing was used to develop or consider H.R. 6960:
On February 14, 2024, the Subcommittee on
Health held a hearing on H.R. 6960. The title of the
hearing was ``Legislative Proposals to Support Patients
and Caregivers.'' The Subcommittee received testimony
from:
Andy Shih, PhD, Chief Science
Officer, Autism Speaks;
Corey Feist, JD, MBA, Co-Founder
and CEO, Dr. Lorna Breen Heroes' Foundation;
Joanne Pike, DrPH, President and
CEO, Alzheimer's Association;
Gordon Tomaselli, MD, Former
President, American Heart Association; Marilyn
and Stanley M. Katz Dean, Emeritus and
Professor of Medicine, Albert Einstein College
of Medicine; Adjunct Professor of Medicine,
Johns Hopkins University School of Medicine;
Michelle Whitten, President,
CEO, and Co-Founder, Global Down Syndrome
Foundation;
Randy Strozyk, President,
American Ambulance Association; and
Christina Annunziata, MD, PhD,
Senior Vice President of Extramural Discovery
Science, American Cancer Society.
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. At the time this report was
filed, the estimate was not available.
Earmark, 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. 6960 contains no earmarks, limited
tax benefits, or limited tariff benefits.
Advisory Committee Statement
No advisory committees within the meaning of section 5(b)
of the Federal Advisory Committee Act were created by this
legislation.
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.
Section-by-Section Analysis of the Legislation
Section 1. Short title
Section 1 provides that the Act may be cited as the
``Emergency Medical Services for Children Reauthorization Act
of 2024''.
Section 2. Reauthorization of grants for emergency medical services for
children
Section 2 reauthorizes Section 1910 of the Public Health
Service Act for five fiscal years.
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 italics, 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, $20,213,000 for each of
fiscal years 2015 through 2019, [and $22,334,000 for each of
fiscal years 2020 through 2024] $22,334,000 for each of fiscal
years 2020 through 2024, and $24,334,000 for each of fiscal
years 2025 through 2029.
* * * * * * *
