EMS Trauma Grants

Background Information

The EMS Trauma Grants are used to provide funding to trauma service reginal advisory councils (RACs) for improving emergency management services in trauma areas, per Senate Bill (SB) 8, 87th Legislative Session. The trauma and emergency health care system networking is facilitated within the RAC’s own TSA or among a group of TSAs throughout Texas. 1989’s Texas Legislature led to the formation of 22 Texas TSAs and the creation of 22 RACs, aiming at developing comprehensive regional trauma care systems. The 22 Texas’ TSAs reginal bodies are made up of 254 counties and each TSA is defined and managed independently by its Regional Advisory Council (RAC). Counties’ geographical boundaries are used to define TSAs boundaries, and each TX TSA has to contain at least three counties.

Type of Funds


EMS/County (CO) Funds

To support the reginal efforts of performing activities to develop, implement, and monitor a regional EMS and trauma system plan for the purpose of increasing the number of EMTs, AEMTs and paramedics via funding emergency medical services (EMS) education programs or licensed EMS providers education programs


To assist in the enhancement and delivery of patient care in the EMS and Trauma Service Care System

EMS/ Local Project Grant (LPG) Funds

To support and improve the development of the Texas Emergency Health Care System and increase the availability and quality of emergency pre-hospital health care

CFDA Information

CFDA Number 21.027 Coronavirus State and Local Fiscal Recovery Funds (CSLFRF) established under the American Rescue Plan Act. The fund is established in respond to the public health emergency, COVID-19, or its negative economic impacts, and is distributed to eligible state and local government.

"TX EMS Trauma Federally Funded VS State Funded""Texas EMS Trauma Dollar Value"

Requirements for Grantees

Funds are distributed to eligible emergency Medical Services (EMS) providers in Grantee’s trauma service areas (TSAs). A Texas licensed EMS Provider must meet eligibility/participation requirements to receive funds.



Contract funds are used only by eligible EMS providers for the following expenses:

Contract funds are not used for the following expenses:

  1. EMS Supplies;
  1. EMS operational expenses (to exclude overhead costs, which include rent, utilities, insurance, salaries/wages, leased office equipment [e.g., copier/printer, etc.], and all expenses related to the running of the organization);
  1. EMS education and training;
  2. EMS equipment;
  1. EMS ambulances (other vehicles may be considered upon request and prior approval by DSHS);
  1. EMS communication systems; and
  1. Funds may be used for the cost of meals during overnight travel only if EMS personnel are attending meetings and/or conferences that relate to this EMS/COUNTY Grant Program and technical information is being disseminated. Sub-grantee(s) must have travel policies that specify maximum reimbursement limits for meals, lodging, and the mileage rate. Otherwise, the State of Texas travel regulations are applied;
  1. Administrative costs, such as:
    1. Administrative salaries/wages;
    2. Rent;
    3. Utilities;
    4. Insurance; and
    5. Marketing Costs;
  2. Salary/wages for any Emergency Medical Technician (EMT), paramedic or equivalent;
  1. Buildings or real property, unless Grantee obtains prior written approval from DSHS. Any costs related to the initial acquisition of the buildings or real property are not allowable without written pre-approval;
  2. Land;
  3. Food (besides specified under A(4)(g));
  4. Investments (such as stocks, bonds, or mutual funds); and
  5. Expenses associated with a person or entity that has been hired to affect the outcome of legislation;



Distribution Plan

Submit for approval


EMS Provider Summary Report

Completely and accurately lists all EMS Providers receiving funds, the county in which each provider is located, the distribution amount (as reported on the approved Distribution Plan), and a breakdown of the actual expenditures, etc


EMS Provider Expenditure Report

Completely and accurately report for each EMS provider receiving funds, the distribution amount, the county in which the provider is located, and a breakdown of the actual expenditures for each EMS Provider, etc.


Board Members & Officers Responsibilities Attestation Form

Signed by all members and acknowledges their personal accountability for Contract funds and affirms that they viewed the DSHS “What Every Non-Profit Board Member Needs To Know” training prior to signing the form


Categorical Budget of Anticipated Expenditures

A Narrative outlines the Grantee’s goals during the Contract term to enhance and improve delivery of EMS and trauma patient care in the TSA region served by Grantee

Documents are located at on the EMS forms and resources page

Submit all required reports/deliverables to CMUReg.svcs@dshs.texas.gov and Sunita.Raj@dshs.texas.gov