The proposed revisions: 1. Delineate the initial process of obtaining local authority to operate and form a trauma agency from the renewal process; and the plan development, submission and approval of the initial and five-year plan updates; 2. Clarify content requirements of the initial and the five-year plan updates; 3. Clarify the trauma agency’s role in the review of trauma center applications from any hospital within the defined geographical area of the trauma agency. 4. Clarify and amends the requirements of the annual performance evaluation and the submission of an annual report on the status of the Trauma agency’s trauma system; and 5. Technical amendments for the purpose of consistency and to update the submission process of the trauma agency plan from hard copy to electronic submission.