Who is funding your trauma system?

By Hassan R. Mir, MD

Over the past few decades, trauma systems have been developed in several states and have improved patient access to timely care. The importance of trauma systems in expediting patient care and transport cannot be overstated; however, a great deal of variability exists in the funding available to support their continued development and implementation.

State funding
According to a September 2010 report by the American College of Surgeons (ACS), 42 states have established statewide trauma systems, 24 of which are funded or partially funded by the state. States use a variety of methods to collect and allocate these funds. Examples include fines and fees on moving violations, fees on motor vehicle registrations, fees on license plates, fees on driver’s license renewals, taxes on cigarette sales, fees from criminal penalties, and funds from general revenues.

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