IB 
Union Calendar No. 260
108TH CONGRESS 
2D SESSION 
H. R. 3658
[Report No. 108–453] 
To amend the Public Health Service Act to strengthen education, prevention, 
and treatment programs relating to stroke, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
DECEMBER 8, 2003
Mrs. CAPPS (for herself, Mr. PICKERING, Mr. DINGELL, Mr. BARTON of 
Texas, Mr. BROWN of Ohio, Mr. DEAL of Georgia, Mr. WAXMAN, Mr. 
SHIMKUS, Mr. PALLONE, Mr. GORDON, Mr. ENGEL, Mr. WYNN, Mr. 
GREEN of Texas, Mr. DOYLE, Mr. ALLEN, Ms. SCHAKOWSKY, and Ms. 
SOLIS) introduced the following bill; which was referred to the Committee 
on Energy and Commerce 
MARCH 30, 2004
Additional sponsors: Mr. NORWOOD, Mr. DAVIS OF FLORIDA, Mr. YOUNG of 
Florida, Mr. TOWNS, Mr. ISAKSON, Mr. DAVIS of Illinois, Ms. ESHOO, 
Mr. LEACH, Mr. STARK, Mr. JOHN, Mr. KENNEDY of Rhode Island, Mr. 
FORD, Mr. MCNULTY, Mr. GRIJALVA, Mr. ACEVEDO-VILA´, Ms. KAPTUR, 
Mr. LANTOS, Mr. UDALL of New Mexico, Mr. SNYDER, Mr. KIND, Mr. 
CUMMINGS, Mr. HALL, Mr. WALSH, Mr. TANNER, Mr. WEXLER, Mr. 
TURNER of Texas, Mr. LUCAS of Kentucky, Mr. SMITH of New Jersey, 
Mr. FROST, Mr. TERRY, Mr. LYNCH, Mr. STRICKLAND, Mr. PRICE of 
North Carolina, Mr. MOORE, Mr. SANDLIN, Mr. SCHIFF, Ms. BALDWIN, 
Mr. BURR, Mr. FOSSELLA, Mr. STENHOLM, Mr. LAHOOD, Mr. VAN 
HOLLEN, Mr. RAMSTAD, Mr. NETHERCUTT, Mrs. CHRISTENSEN, Mr. 
QUINN, Mr. FRANK of Massachusetts, Mr. ROTHMAN, Mr. JACKSON of 
Illinois, Mr. BALLANCE, Mr. MATHESON, Ms. MCCOLLUM, Mr. 
HULSHOF, Mr. MEEHAN, Mr. HOLDEN, Mr. WU, Mr. TAYLOR of Mis-
sissippi, Mr. HINCHEY, Mr. GEORGE MILLER of California, Mr. LINDER, 
Mr. KILDEE, Mr. SERRANO, Mrs. NAPOLITANO, Mr. LANGEVIN, Mr. 
WALDEN of Oregon, Ms. WOOLSEY, Mr. EMANUEL, Mr. BOSWELL, Mr. 
ISSA, Mr. KING of New York, Mr. HOEFFEL, Mr. MCDERMOTT, Mr. 
BISHOP of Georgia, Mr. BURNS, Mr. SANDERS, Mr. PUTNAM, Mr. INS-
LEE, Mr. OWENS, Mr. JENKINS, Mr. ROSS, Mr. NADLER, Mr. DOGGETT,
Mr. CLAY, Mr. ROGERS of Michigan, Mr. LOBIONDO, Ms. DELAURO, Mr. 
LEVIN, Ms. MCCARTHY of Missouri, Mr. GONZALEZ, Mr. LARSON of Con-
necticut, Mr. FOLEY, Mr. PAYNE, Mr. HINOJOSA, Mr. HONDA, Mrs. 
TAUSCHER, Mr. FILNER, Mr. SKELTON, Mr. CRAMER, Mr. VISCLOSKY, 
Ms. BERKLEY, Mr. RODRIGUEZ, Mr. SESSIONS, Mr. PETERSON of Min-
nesota, Mr. BOEHLERT, Mr. SPRATT, Mrs. KELLY, Mr. LINCOLN DIAZ-
BALART of Florida, Mrs. DAVIS of California, and Mr. DAVIS of Ten-
nessee 
MARCH 30, 2004 
Reported with an amendment, committed to the Committee of the Whole 
House on the State of the Union, and ordered to be printed 
[Strike out all after the enacting clause and insert the part printed in italic] 
[For text of introduced bill, see copy of bill as introduced on December 8, 2003] 
A BILL 
To amend the Public Health Service Act to strengthen edu-
cation, prevention, and treatment programs relating to 
stroke, and for other purposes.
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled,
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Stroke Treatment and 
Ongoing Prevention Act’’. 
SEC. 2. AMENDMENTS TO PUBLIC HEALTH SERVICE ACT RE-
GARDING STROKE PROGRAMS. 
(a) STROKE EDUCATION
AND INFORMATION PRO-
GRAMS.—Title III of the Public Health Service Act (42 
U.S.C. 241 et seq.) is amended by adding at the end the 
following:
‘‘PART R—STROKE EDUCATION, INFORMATION, 
AND DATA COLLECTION PROGRAMS 
‘‘SEC. 399AA. STROKE PREVENTION AND EDUCATION CAM-
PAIGN. 
‘‘(a) IN GENERAL.—The Secretary shall carry out an 
education and information campaign to promote stroke pre-
vention and increase the number of stroke patients who seek 
immediate treatment. 
‘‘(b) AUTHORIZED ACTIVITIES.—In implementing the 
education and information campaign under subsection (a), 
the Secretary may—
‘‘(1) make public service announcements about 
the warning signs of stroke and the importance of 
treating stroke as a medical emergency; 
‘‘(2) provide education regarding ways to pre-
vent stroke and the effectiveness of stroke treatment; 
and 
‘‘(3) carry out other activities that the Secretary 
determines will promote prevention practices among 
the general public and increase the number of stroke 
patients who seek immediate care. 
‘‘(c) MEASUREMENTS.—In implementing the edu-
cation and information campaign under subsection (a), the 
Secretary shall—
‘‘(1) measure public awareness before the start of 
the campaign to provide baseline data that will be
used to evaluate the effectiveness of the public aware-
ness efforts; 
‘‘(2) establish quantitative benchmarks to meas-
ure the impact of the campaign over time; and 
‘‘(3) measure the impact of the campaign not less 
than once every 2 years or, if determined appropriate 
by the Secretary, at shorter intervals. 
‘‘(d) NO DUPLICATION OF EFFORT.—In carrying out 
this section, the Secretary shall avoid duplicating existing 
stroke education efforts by other Federal Government agen-
cies. 
‘‘(e) CONSULTATION.—In carrying out this section, the 
Secretary may consult with organizations and individuals 
with expertise in stroke prevention, diagnosis, treatment, 
and rehabilitation. 
‘‘SEC. 399BB. PAUL COVERDELL NATIONAL ACUTE STROKE 
REGISTRY AND CLEARINGHOUSE. 
‘‘The Secretary, acting through the Centers for Disease 
Control and Prevention, shall maintain the Paul Coverdell 
National Acute Stroke Registry and Clearinghouse by—
‘‘(1) continuing to develop and collect specific 
data points and appropriate benchmarks for ana-
lyzing care of acute stroke patients; 
‘‘(2) collecting, compiling, and disseminating in-
formation on the achievements of, and problems expe-