U.S. Code > Title 42 The Public Health and Welfare > CHAPTER 6A—PUBLIC HEALTH SERVICE > SUBCHAPTER X—TRAUMA CARE > Part D—Trauma Centers Operating in Areas Severely Affected by Drug-Related Violence > § 300d-43. Certain agreements

§ 300d-43. Certain agreements

(a) Commitment regarding continued participation in trauma care system
The Secretary may not make a grant under subsection (a) of section 300d–41 of this title unless the trauma center involved agrees that—
(1) the center will continue participation in the system described in subsection (b) of such section throughout the 3-year period beginning on the date that the center first receives payments under the grant; and
(2) if the agreement made pursuant to paragraph (1) is violated by the center, the center will be liable to the United States for an amount equal to the sum of—
(A) the amount of assistance provided to the center under subsection (a) of such section; and
(B) an amount representing interest on the amount specified in subparagraph (A).
(b) Maintenance of financial support
With respect to activities for which a grant under section 300d–41 of this title is authorized to be expended, the Secretary may not make such a grant unless the trauma center involved agrees that, during the period in which the center is receiving payments under the grant, the center will maintain expenditures for such activities at a level that is not less than the level maintained by the center during the fiscal year preceding the first fiscal year for which the center receives such payments.
(c) Trauma care registry
The Secretary may not make a grant under section 300d–41 (a) of this title unless the trauma center involved agrees that—
(1) the center will operate a registry of trauma cases in accordance with the applicable guidelines described in section 300d–41 (b)(2)(C) of this title, and will begin operation of the registry not later than 6 months after the date on which the center submits to the Secretary the application for the grant; and
(2) in carrying out paragraph (1), the center will maintain information on the number of trauma cases treated by the center and, for each such case, the extent to which the center incurs uncompensated costs in providing trauma care.