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Mission Zero Act


In January 2019, the House passed H.R. 269, the Pandemic and All-Hazards Preparedness and Advancing Innovation Act (PAHPA) of 2019 which includes the MISSION ZERO Act and authorizes funding to implement the program.


The Military Injury Surgical Systems Integrated Operationally Nationwide to Achieve ZERO Preventable Deaths Act, called the MISSION Zero Act for short, would assign U.S. Department of Defense (DoD) trauma surgeons to levels I, II and III civilian trauma centers to help fill a gap in care examined by the National Academies of Sciences, Engineering and Medicine. The legislation also will address variations in care methods that exist while providing military surgeons with additional training. 


The legislation also creates the Military and Civilian Partnership for Trauma Readiness Grant Program, which would develop two grant programs, where recipients of each must also allow providers to be deployed by DoD for military operations, training or in response to a mass casualty incident.


Lastly, H.R. 269 includes an initiative developed by the Assistant Secretary for Preparedness and Response (ASPR) called the Regional Health Care Emergency Preparedness and Response System which would help create regional systems of trauma centers, hospitals, and other public and private entities to respond to public health emergencies. TCAA is looking forward to continuing to work with ASPR on implementing this important initiative.


TCAA joined over 50 organizations in expressing support for the bill which will strengthen national preparedness and response for public health emergencies, optimize state and local all hazards preparedness and response and accelerate medical countermeasure advanced research and development. TCAA led the Trauma Coalition in its efforts to build support for the legislation by meeting with Members of Congress in Washington, DC, sending letters to House and Senate leadership and facilitating conversations between TCAA members and their representatives.


In early May 2019, the Senate introduced and quickly passed its version of the bill, S. 1379. The version in the Senate was combined with the over-the-counter medicines regulation legislation. On June 4th, the House voted unanimously to approve the Senate version, and on June 24th, the President signed the bill into law. Next steps include appropriating funding for the bill. TCAA will continue to provide updates as things progress. Click here for the press release issued by TCAA. 


Strengthening Our National Trauma System


On Tuesday, July 12, 2016 witnesses testified before the House Energy and Commerce Subcommittee on Health on H.R. 4365, Protecting Patient Access to Emergency Medications Act of 2016 and a proposed bill to facilitate the assignment of military trauma teams to civilian trauma centers to ensure military trauma readiness. The hearing commenced with opening statements from various members including Representative Hudson (R-NC) and Representative Butterfield (D-NC). Hudson and Butterfield launched the Pediatric Trauma Caucus in May. Attendees also heard statements from Representative Burgess (R-TX) and Representative Green (D-TX). The two recently published the op-ed regarding the importance of strengthening access to trauma care drafted by the TCAA advocacy team. 









Jorie Klein, BSN, RN on behalf of TCAA before the   Subcommittee on Health 











Jorie Klein, Director, Trauma Program, Rees-Jones Trauma Center at Parkland led with testimony on behalf of TCAA followed by testimony from others members of the NASEM Committee on Military Trauma Care's Health System including Dr. David Marcozzi MD and Dr. C. William Schwab MD, FACS. In addition, the Subcommittee heard testimony from Dr. Craig Manifold DO, FACEP, Committee Chair, American College of Emergency Physicians and Dr. Brent Myers MD, MPH, FACE, President-Elect, National Association of EMS Physicians.

Click here for video from the hearing and other supporting documents. 







L-R Marcozzi, Schwab, Manifold and Myers before the Subcommittee on Health 









TCAA has been working on developing an innovative concept around modernizing trauma center

reimbursement. Under the conceptual framework, reimbursement for trauma services provided by trauma centers for hospital services would be replaced with an episode based payment model, in which reimbursement to the trauma center would promote the delivery of high quality and value based care to all trauma patients through quality measures specifically designed for the unique and unpredictable nature of trauma care.

  • Click here for TCAA's conceptual paper on development of longer term reimbursement methodology for trauma centers

CMS released the Calendar Year (CY) 2014 Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System proposed rule. The substantial changes

discussed in the proposed rule would affect outpatient services furnished by hospital outpatient

departments (HOPDs) and ASCs. TCAA has serious concerns with the agency's proposal to collapse five levels of outpatient visit codes, replacing them with a single health care common procedure coding system (HCPCS) code for each unique type of outpatient hospital visit, including clinic and emergency

department visits.

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