---
kind: "section"
citation: "42 U.S.C. § 300d–43"
title: "42"
title_heading: "The Public Health and Welfare"
number: "300d–43"
heading: "Certain agreements"
release: "119-102"
date: "2026-07-12"
url: "https://uscodex.org/usc/42/300d-43"
units:
  - "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

- (a) **Maintenance of financial support—** The [Secretary](/usc/42/201.md?p=c) may require a [trauma](/usc/42/300d–31.md?p=4) center receiving a grant under [section 300d–41(a) of this title](/usc/42/300d–41.md?p=a) to maintain access to [trauma](/usc/42/300d–31.md?p=4) [services](/usc/42/201.md?p=a) at comparable levels to the prior year during the grant period.
- (b) **Trauma care registry—** The [Secretary](/usc/42/201.md?p=c) may require the [trauma](/usc/42/300d–31.md?p=4) center receiving a grant under [section 300d–41(a) of this title](/usc/42/300d–41.md?p=a) to provide data to a national and centralized registry of [trauma](/usc/42/300d–31.md?p=4) cases, in accordance with guidelines developed by the American College of Surgeons, and as the [Secretary](/usc/42/201.md?p=c) may otherwise require.

## Source credit

(July 1, 1944, ch. 373, title XII, § 1243, as added Pub. L. 102–321, title VI, § 601, July 10, 1992, 106 Stat. 434; amended Pub. L. 111–148, title III, § 3505(a)(3), Mar. 23, 2010, 124 Stat. 524.)

## Notes

### Editorial Notes

### Amendments

2010—Pub. L. 111–148 added subsecs. (a) and (b) and struck out former subsecs. (a) to (c) which related to commitment regarding continued participation in trauma care system, maintenance of financial support, and trauma care registry.

### Statutory Notes and Related Subsidiaries

### Effective Date

Section effective July 10, 1992, with programs making awards providing financial assistance in fiscal year 1993 and subsequent years effective for awards made on or after Oct. 1, 1992, see section 801(b), (d)(1) of Pub. L. 102–321, set out as an Effective Date of 1992 Amendment note under section 236 of this title.