Skip to main content

Main menu

  • Latest content
    • Latest content
  • Archive
  • About the journal
    • About the journal
    • Editorial board
    • Information for authors
    • FAQs
    • Thank you to our reviewers
    • The American Association for the Surgery of Trauma
  • Submit a paper
    • Online submission site
    • Information for authors
  • Email alerts
    • Email alerts
  • Help
    • Contact us
    • Feedback form
    • Reprints
    • Permissions
    • Advertising
  • BMJ Journals

User menu

  • Login

Search

  • Advanced search
  • BMJ Journals
  • Login
  • Facebook
  • Twitter
TSACO

Advanced Search

  • Latest content
    • Latest content
  • Archive
  • About the journal
    • About the journal
    • Editorial board
    • Information for authors
    • FAQs
    • Thank you to our reviewers
    • The American Association for the Surgery of Trauma
  • Submit a paper
    • Online submission site
    • Information for authors
  • Email alerts
    • Email alerts
  • Help
    • Contact us
    • Feedback form
    • Reprints
    • Permissions
    • Advertising
Open Access

Trauma system funding: implications for the surgeon health policy advocate

Saunders Lin, Christian Johnson, Frank Opelka, Amy Liepert
DOI: 10.1136/tsaco-2020-000615 Published 30 November 2020
Saunders Lin
1Surgery, Oregon Health and Science University, Portland, Oregon, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for Saunders Lin
Christian Johnson
2Division of Advocacy and Health Policy, American College of Surgeons, Washington, DC, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Frank Opelka
3Division of Advocacy and Health Policy, American College of Surgeons, New Orleans, Louisiana, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Amy Liepert
4Surgery, UC San Diego School of Medicine, San Diego, California, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for Amy Liepert
  • Article
  • Figures & Data
  • eLetters
  • Info & Metrics
  • PDF
Loading

Article Figures & Data

Figures

  • Tables
  • Supplementary Materials
  • Additional Files
  • Figure 1
    • Download figure
    • Open in new tab
    • Download powerpoint
    Figure 1

    Contact approaches to state offices. FOIA, Freedom of Information Act, MI, Michigan; VT, Vermont.

  • Figure 2
    • Download figure
    • Open in new tab
    • Download powerpoint
    Figure 2

    Categories of trauma system funding, by state.

Tables

  • Figures
  • Supplementary Materials
  • Additional Files
  • Table 1

    Categorization of trauma funding sources

    Categories of trauma system fundingStatesPercentage of all statesState specific examples
    General appropriationsAL, AR, CA, CT, IL, LA, MD, MN, MO, MS, NM, OR, PA, SC, TN, WI, WY34AR: House Bill (HB) 1168 benchmarks an appropriation of $25 899 450 for the Arkansas Trauma System.
    Fines
    Traffic violationsFL, GA, KY, MS, OK, TX, VA, WA16TX: Texas Health and Safety Code (THSC) §780.001 through 780.003 requires the Department of Public Safety to remit surcharges collected under the driver responsibility program (Texas Transportation Code §708) to the comptroller, who then must distribute 49.5% of the funds into the Trauma Facility and Emergency Medical Services Account.
    Illegal drug citationsVA2VA: $50 fine that must be paid by persons with repeat convictions for drug and alcohol offenses, generating about $200 000 per year.
    Bailed person feesOH2OH: §4513.263(E) requires that the trauma and emergency medical services fund be satisfied with monies from (1) “(a)pplication fees for certificates of accreditation, certificates of approval, certificates to teach, and certificates to practice”; funds from fees and fines assessed as part of the fire service training program; fees and fines assessed for operation of emergency medical, fire, transportation, and ambulance services; as well as “(f)orty-five per cent of the fines collected from or moneys arising from bail forfeited by persons apprehended or arrested by state highway patrol troopers…”.
    Fees
    CigarettesAZ, HI, MS, OK8MS: The legislature passed House Bill (HB)1511 in the 2017 Regular Session. This bill restored up to $7 023 197 of fees collected from moving violations to the trauma system, but will reduce spending on Trauma Fiscal Year 2018 Mississippi Trauma System of Care Plan.
    Vehicle registrationsCA, CO, NE6CO: $1 surcharge on motor vehicle registrations to support emergency medical and trauma services state-wide.
    No funding sourcesNY2NY: State does not provide trauma-specific funding.
    UnknownAK, DE, ID, IN, IA, KS, ME, MA, MI, MT, NV, NH, NJ, NC, ND, RI, SD, UT, VT, WV40
    • AK, Alaska; AL, Alabama; AR, Arkansas; AZ, Arizona; CA, California; CO, Colorado; CT, Connecticut; DE, Delaware; FL, Florida; GA, Georgia; HI, Hawaii; IA, Iowa; ID, Idaho; IL, Illinois; IN, Indiana; KS, Kansas; KY, Kentucky; LA, Louisiana; MA, Massachusetts; MD, Maryland; ME, Maine; MI, Michigan; MN, Minnesota; MO, Missouri; MS, Mississippi; MT, Montana; NC, North Carolina; ND, North Dakota; NE, Nebraska; NH, New Hampshire; NJ, New Jersey; NM, New Mexico; NV, Nevada; NY, New York; OH, Ohio; OK, Oklahoma; OR, Oregon; PA, Pennsylvania; RI, Rhode Island; SC, South Carolina; SD, South Dakota; TN, Tennessee; TX, Texas; UT, Utah; VA, Virginia; VT, Vermont; WA, Washington; WI, Wisconsin; WV, West Virginia; WY, Wyoming.

Supplementary Materials

  • Figures
  • Tables
  • Additional Files
  • Supplementary data

    [tsaco-2020-000615supp001.pdf]

Additional Files

  • Figures
  • Tables
  • Supplementary Materials
  • Supplementary Data

    This web only file has been produced by the BMJ Publishing Group from an electronic file supplied by the author(s) and has not been edited for content.

    • Data supplement 1
PreviousNext
Back to top
Email

Thank you for your interest in spreading the word on TSACO.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Trauma system funding: implications for the surgeon health policy advocate
(Your Name) has sent you a message from TSACO
(Your Name) thought you would like to see the TSACO web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Print
Alerts
Sign In to Email Alerts with your Email Address
Citation Tools
Trauma system funding: implications for the surgeon health policy advocate
Saunders Lin, Christian Johnson, Frank Opelka, Amy Liepert
Trauma Surg Acute Care Open Nov 2020, 5 (1) e000615; DOI: 10.1136/tsaco-2020-000615

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Cite This
  • APA
  • Chicago
  • Endnote
  • MLA
Loading
Trauma system funding: implications for the surgeon health policy advocate
Saunders Lin, Christian Johnson, Frank Opelka, Amy Liepert
Trauma Surg Acute Care Open Nov 2020, 5 (1) e000615; DOI: 10.1136/tsaco-2020-000615
Download PDF

Share
Trauma system funding: implications for the surgeon health policy advocate
Saunders Lin, Christian Johnson, Frank Opelka, Amy Liepert
Trauma Surgery & Acute Care Open Nov 2020, 5 (1) e000615; DOI: 10.1136/tsaco-2020-000615
Reddit logo Twitter logo Facebook logo Mendeley logo
Respond to this article
  • Tweet Widget
  • Facebook Like
  • Google Plus One
  • Article
    • Abstract
    • Introduction
    • Methods
    • Results
    • Discussion
    • Conclusion
    • Footnotes
    • References
  • Figures & Data
  • eLetters
  • Info & Metrics
  • PDF

Related Articles

Cited By...

More in this TOC Section

  • Psychiatric comorbidity in emergency general surgery patients: a prospective observational study
  • Subcutaneous and visceral fat are associated with worse outcomes in gunshot injuries but not stab injuries to the torso
  • Combined computed tomography and C-arm resuscitation room system (CTCARM) is associated with decreased time to definitive hemostasis and reduces preperitoneal pelvic packing maneuvers in severe pelvic trauma
Show more Original research

Similar Articles

 
 

CONTENT

  • Latest content
  • Archive
  • eLetters
  • Sign up for email alerts
  • RSS

JOURNAL

  • About the journal
  • Editorial board
  • Thank you to our reviewers
  • The American Association for the Surgery of Trauma

AUTHORS

  • Information for authors
  • Submit a paper
  • Track your article
  • Open Access at BMJ

HELP

  • Contact us
  • Reprints
  • Permissions
  • Advertising
  • Feedback form

©Copyright 2023 The American Association for the Surgery of Trauma