rienced by, State and local agencies and private enti-
ties in developing and implementing emergency med-
ical systems and hospital-based quality of care inter-
ventions; and 
‘‘(3) carrying out any other activities the Sec-
retary determines to be useful to maintain the Paul 
Coverdell National Acute Stroke Registry and Clear-
inghouse to reflect the latest advances in all forms of 
stroke care. 
‘‘SEC. 399CC. STROKE DEFINITION. 
‘‘For purposes of this part, the term ‘stroke’ means a 
‘brain attack’ in which blood flow to the brain is inter-
rupted or in which a blood vessel or aneurysm in the brain 
breaks or ruptures. 
‘‘SEC. 399DD. AUTHORIZATION OF APPROPRIATIONS. 
‘‘There is authorized to be appropriated to carry out 
this part $5,000,000 for each of fiscal years 2005 through 
2009.’’. 
(b) EMERGENCY MEDICAL PROFESSIONAL DEVELOP-
MENT.—Section 1251 of the Public Health Service Act (42 
U.S.C. 300d–51) is amended to read as follows:
‘‘SEC. 1251. MEDICAL PROFESSIONAL DEVELOPMENT IN AD-
VANCED STROKE AND TRAUMATIC INJURY 
TREATMENT AND PREVENTION. 
‘‘(a) RESIDENCY AND OTHER PROFESSIONAL TRAIN-
ING.—The Secretary may make grants to public and non-
profit entities for the purpose of planning, developing, and 
enhancing approved residency training programs and other 
professional training for appropriate health professions in 
emergency medicine, including emergency medical services 
professionals, to improve stroke and traumatic injury pre-
vention, diagnosis, treatment, and rehabilitation. 
‘‘(b) CONTINUING EDUCATION ON STROKE AND TRAU-
MATIC INJURY.—
‘‘(1) GRANTS.—The Secretary, acting through 
the Administrator of the Health Resources and Serv-
ices Administration, may make grants to qualified 
entities for the development and implementation of 
education programs for appropriate health care pro-
fessionals in the use of newly developed diagnostic ap-
proaches, technologies, and therapies for health profes-
sionals involved in the prevention, diagnosis, treat-
ment, and rehabilitation of stroke or traumatic in-
jury. 
‘‘(2) DISTRIBUTION OF GRANTS.—In awarding 
grants under this subsection, the Secretary shall give 
preference to qualified entities that will train health
care professionals that serve areas with a significant 
incidence of stroke or traumatic injuries. 
‘‘(3) APPLICATION.—A qualified entity desiring 
a grant under this subsection shall submit to the Sec-
retary an application at such time, in such manner, 
and containing such information as the Secretary 
may require, including a plan for the rigorous eval-
uation of activities carried out with amounts received 
under the grant. 
‘‘(4) DEFINITIONS.—For purposes of this sub-
section: 
‘‘(A) The term ‘qualified entity’ means a 
consortium of public and private entities, such 
as universities, academic medical centers, hos-
pitals, and emergency medical systems that are 
coordinating education activities among pro-
viders serving in a variety of medical settings.
‘‘(B) The term ‘stroke’ means a ‘brain at-
tack’ in which blood flow to the brain is inter-
rupted or in which a blood vessel or aneurysm 
in the brain breaks or ruptures. 
‘‘(c) REPORT.—Not later than 1 year after the alloca-
tion of grants under this section, the Secretary shall submit 
to the Committee on Health, Education, Labor, and Pen-
sions of the Senate and the Committee on Energy and Com-
merce of the House of Representatives a report on the results 
of activities carried out with amounts received under this 
section. 
‘‘(d) AUTHORIZATION OF APPROPRIATIONS.—There is 
authorized to be appropriated to carry out this section 
$4,000,000 for each of fiscal years 2005 through 2009. The 
Secretary shall equitably allocate the funds authorized to 
be appropriated under this section between efforts to address 
stroke and efforts to address traumatic injury.’’. 
SEC. 3. PILOT PROJECT ON TELEHEALTH STROKE TREAT-
MENT. 
(a) ESTABLISHMENT.—Part D of title III of the Public 
Health Service Act (42 U.S.C. 254b et seq.) is amended by 
inserting after section 330L the following: 
‘‘SEC. 330M. TELEHEALTH STROKE TREATMENT GRANT 
PROGRAM. 
‘‘(a) GRANTS.—The Secretary may make grants to 
States, and to consortia of public and private entities lo-
cated in any State that is not a grantee under this section, 
to conduct a 5-year pilot project over the period of fiscal 
years 2005 through 2009 to improve stroke patient outcomes 
by coordinating health care delivery through telehealth net-
works.
‘‘(b) ADMINISTRATION.—The Secretary shall admin-
ister this section through the Director of the Office for the 
Advancement of Telehealth. 
‘‘(c) CONSULTATION.—In carrying out this section, for 
the purpose of better coordinating program activities, the 
Secretary shall consult with—
‘‘(1) officials responsible for other Federal pro-
grams involving stroke research and care, including 
such programs established by the Stroke Treatment 
and Ongoing Prevention Act; and 
‘‘(2) organizations and individuals with exper-
tise in stroke prevention, diagnosis, treatment, and 
rehabilitation. 
‘‘(d) USE OF FUNDS.—
‘‘(1) IN GENERAL.—The Secretary may not make 
a grant to a State or a consortium under this section 
unless the State or consortium agrees to use the grant 
for the purpose of—
‘‘(A) identifying entities with expertise in 
the delivery of high-quality stroke prevention, di-
agnosis, treatment, and rehabilitation; 
‘‘(B) working with those entities to establish 
or improve telehealth networks to provide stroke 
treatment assistance and resources to health care
professionals, hospitals, and other individuals 
and entities that serve stroke patients; 
‘‘(C) informing emergency medical systems 
of the location of entities identified under sub-
paragraph (A) to facilitate the appropriate 
transport of individuals with stroke symptoms; 
‘‘(D) establishing networks to coordinate 
collaborative activities for stroke prevention, di-
agnosis, treatment, and rehabilitation; 
‘‘(E) improving access to high-quality stroke 
care, especially for populations with a shortage 
of stroke care specialists and populations with a 
high incidence of stroke; and 
‘‘(F) conducting ongoing performance and 
quality evaluations to identify collaborative ac-
tivities that improve clinical outcomes for stroke 
patients.
‘‘(2) ESTABLISHMENT
OF
CONSORTIUM.—The 
Secretary may not make a grant to a State under 
this section unless the State agrees to establish a con-
sortium of public and private entities, including uni-
versities and academic medical centers, to carry out 
the activities described in paragraph (1). 
‘‘(3) PROHIBITION.—The Secretary may not 
make a grant under this section to a State that has