Adoption of triage criteria based on CDC standards, adoption of American College of Surgeons (ACS) Resources for Optimal Care of the Inured Patient 2014 (6th edition), updates to apportionment of Trauma Centers within a Trauma Service Area (TSA), adoption of new NTDB standards and clarity on reporting requirements, decreased trauma data reporting requirements for acute care hospitals, insertion of 10-mile “halo” around existing trauma centers, trauma center application requirements, trauma center application reviews by regional trauma agencies, submission of letters of community support, revisions to provide clarity on the relationship between funding and reporting requirements.