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HEHS-95-105R 1 (1995-04-11)

handle is hein.gao/gaobackug0001 and id is 1 raw text is: An United States A -IL% General Accounting Office Washington, D.C. 20548 Health, Education and Human Services Division B-257793 April 11, 1995 The Honorable Nancy L. Kassebaum Chairman The Honorable Edward M. Kennedy Ranking Minority Member Committee on Labor and Human Resources United States Senate The Honorable Thomas J. Bliley, Jr. Chairman The Honorable John D. Dingell Ranking Minority Member Committee on Commerce House of Representatives Trauma--severe bodily injury--is the leading cause of death in Americans between the ages of 1 and 44, and the third-leading cause of death in the United States. Physical trauma is also expensive, resulting in an annual cost of $180 billion in medical expenses, insurance, lost wages, and property damage. The Congress, recognizing that the number of deaths from such incidents can be substantially reduced by improving the trauma-care components of the emergency medical services (EMS) systems across the country, passed the Trauma Care Systems Planning and Development Act of 1990.1 The act authorized the Department of Health and Human Services (HHS) through the Health Resources and Services Administration (HRSA) to make grants to states for trauma systems planning and development. The act also required that we evaluate state trauma grant expenditures to determine whether the federal funds spent are consistent with the requirements of the law. We also examined whether states are making their required matching contributions. To evaluate compliance with the act, we visited four states--Colorado, Montana, New Mexico, and Washington-- that were awarded, through fiscal year 1994, a total of 'The Trauma Care Systems Planning and Development Act of 1990 (P. L. 101-590, Nov. 16, 1990) added title XII to the Public Health Service Act to promote the establishment of organized-systems of trauma care. GAO/HEHS-95-105R State Trauma Grants

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