Stroke Treatment and Ongoing Prevention Act

Bill: 108-hr-3658
Sponsor: Rep. Capps, Lois [D-CA-23]
Introduced: 2003-12-08 in the House
Policy area: Health
Subjects: Access to health care
Clinics
Communication in medicine
Congress
Congressional reporting requirements
Continuing education
Data banks
Disabled
Economics and Public Finance
Education
Emergency Management
Emergency medicine
Federal aid to education
Federal aid to health facilities
Government Operations and Politics
Governmental investigations
Health education
Higher education
Hospital care
Housing and Community Development
Medical centers
Medical education
Medical residents
Performance measurement
Preventive medicine
Public service advertising
Quality of care
Rehabilitation of the disabled
Rural health
Science, Technology, Communications
Stroke
Telemedicine
Trauma care
Urban affairs

Summary:
action_date: 2003-12-08
text: 
Stroke Treatment and Ongoing Prevention Act - Amends the Public Health Service Act to direct the Secretary of Health and Human Services to: (1) carry out a national education and information campaign to promote stroke prevention and increase the number of stroke patients who seek immediate treatment; and (2) maintain the Paul Coverdell National Acute Stroke Registry and Clearinghouse by collecting specific data points and benchmarks for stroke care analysis, and compiling and disseminating information on State, local, and private care system achievements and problems.
 
Defines &quot;stroke&quot; as an attack in which blood flow to the brain is interrupted, or in which a blood vessel or aneurysm in the brain breaks or ruptures.
 
Includes stroke and traumatic injury prevention, diagnosis, and treatment within the grant program for emergency medicine residency training.
 
Authorizes the Secretary, through the Administrator of the Health Resources and Services Administration, to make grants to qualified entities for health care professionals education programs in the use of diagnostic approaches, technologies, and therapies for stroke and traumatic injury prevention, diagnosis, treatment, and rehabilitation. Gives preference to areas with a significant incidence of stroke or traumatic injuries.
 
Authorizes the Secretary, through the Office for the Advancement of Telehealth, to make up to seven grants to States and to consortia of public and private entities in any non-grantee State to conduct a five-year pilot project (not to extend beyond FY 2009) to improve and coordinate stroke-related health care through telehealth networks.

action_date: 2004-03-30
text: 
Stroke Treatment and Ongoing Prevention Act - (Sec. 2) Amends the Public Health Service Act to direct the Secretary of Health and Human Services to carry out an education and information campaign to promote stroke prevention and to increase the number of stroke patients who seek immediate treatment. Allows the Secretary to: (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 prevent stroke and the effectiveness of stroke treatment; and (3) consult with organizations and individuals with expertise in stroke prevention, diagnosis, treatment, and rehabilitation (treatment). Requires the Secretary to evaluate the campaign and measure its impact every two years.
 
Requires the Secretary, acting through the Centers for Disease Control (CDC), to maintain the Paul Coverdell National Acute Stroke Registry and Clearinghouse by: (1) collecting specific data points and benchmarks for stroke care analysis; (2) compiling and disseminating information on State, local, and private care system achievements and problems; and (3) carrying out activities to reflect the latest advances in all forms of stroke care.
 
Includes developing and enhancing training for health professions to improve stroke and traumatic injury prevention, diagnosis, and treatment within the the purposes of the grant program for emergency medicine residency training.
 
Authorizes the Secretary, through the Administrator of the Health Resources and Services Administration, to make grants to qualified entities for health care professionals education programs in the use of diagnostic approaches, technologies, and therapies for stroke and traumatic injury treatment. Gives preference to areas with a significant incidence of stroke or traumatic injuries. Requires qualified entities to include with a grant application a plan for the rigorous evaluation of activities carried out. Sets forth reporting requirements. Authorizes appropriations for FY 2005 through 2009.
 
(Sec. 3) Authorizes the Secretary, through the Director of the Office for the Advancement of Telehealth, to make up to seven grants to States and to consortia of public and private entities in any non-grantee State to conduct a five-year pilot project to improve patient outcomes by coordinating health care through telehealth networks. Requires the Secretary to consult with officials responsible for other Federal programs involving stroke research and care and with organizations and individuals with expertise in stroke treatment.
 
Requires States to use the grants to: (1) identify entities with expertise in the delivery of high-quality stroke treatment; (2) work with those entities to establish or improve telehealth networks to provide stroke treatment assistance and resources; (3) inform emergency medical systems of the location of entities to facilitate the transport of individuals with stroke symptoms; (4) establish networks to coordinate collaborative activities for stroke treatment; (5) improve access to high-quality stroke care, especially for populations with a shortage of stroke care specialists or with a high incidence of stroke; and (6) conduct performance and quality evaluations to identify activities that improve clinical outcomes for stroke patients. Requires States to establish a consortium of public and private entities, including universities and academic medical centers, to carry out these activities. Prohibits the Secretary from making a grant to a State, or a consortium within a State, with an existing telehealth network for improving stroke treatment unless the State or consortium agrees to use the existing telehealth network to achieve the purpose of the grant. Gives priority to any applicant that submits a plan demonstrating how the applicant will use the grant to improve access to high-quality stroke care for target populations.
 
Limits the award of grants to periods of three years, or periods that do not extend beyond FY 2009. Requires an application to outline how the State or consortium will establish baseline measures and benchmarks to evaluate program outcomes. Authorizes appropriations for FY 2005 through 2009. Requires a report that includes: (1) an evaluation of the grant program outcomes; (2) recommendations on how to promote stroke networks in ways that improve access to clinical care in rural and urban areas and reduce the incidence of stroke and resulting complications; (3) recommendations on whether similar telehealth grant programs could be used to improve patient outcomes in other public health areas.

action_date: 2004-06-14
text: 

(This measure has not been amended since it was reported to the House on March 30, 2004. The summary of that version is repeated here.)

 
Stroke Treatment and Ongoing Prevention Act - (Sec. 2) Amends the Public Health Service Act to direct the Secretary of Health and Human Services to carry out an education and information campaign to promote stroke prevention and to increase the number of stroke patients who seek immediate treatment. Allows the Secretary to: (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 prevent stroke and the effectiveness of stroke treatment; and (3) consult with organizations and individuals with expertise in stroke prevention, diagnosis, treatment, and rehabilitation (treatment). Requires the Secretary to evaluate the campaign and measure its impact every two years.
 
Requires the Secretary, acting through the Centers for Disease Control (CDC), to maintain the Paul Coverdell National Acute Stroke Registry and Clearinghouse by: (1) collecting specific data points and benchmarks for stroke care analysis; (2) compiling and disseminating information on State, local, and private care system achievements and problems; and (3) carrying out activities to reflect the latest advances in all forms of stroke care.
 
Includes developing and enhancing training for health professions to improve stroke and traumatic injury prevention, diagnosis, and treatment within the the purposes of the grant program for emergency medicine residency training.
 
Authorizes the Secretary, through the Administrator of the Health Resources and Services Administration, to make grants to qualified entities for health care professionals education programs in the use of diagnostic approaches, technologies, and therapies for stroke and traumatic injury treatment. Gives preference to areas with a significant incidence of stroke or traumatic injuries. Requires qualified entities to include with a grant application a plan for the rigorous evaluation of activities carried out. Sets forth reporting requirements. Authorizes appropriations for FY 2005 through 2009.
 
(Sec. 3) Authorizes the Secretary, through the Director of the Office for the Advancement of Telehealth, to make up to seven grants to States and to consortia of public and private entities in any non-grantee State to conduct a five-year pilot project to improve patient outcomes by coordinating health care through telehealth networks. Requires the Secretary to consult with officials responsible for other Federal programs involving stroke research and care and with organizations and individuals with expertise in stroke treatment.
 
Requires States to use the grants to: (1) identify entities with expertise in the delivery of high-quality stroke treatment; (2) work with those entities to establish or improve telehealth networks to provide stroke treatment assistance and resources; (3) inform emergency medical systems of the location of entities to facilitate the transport of individuals with stroke symptoms; (4) establish networks to coordinate collaborative activities for stroke treatment; (5) improve access to high-quality stroke care, especially for populations with a shortage of stroke care specialists or with a high incidence of stroke; and (6) conduct performance and quality evaluations to identify activities that improve clinical outcomes for stroke patients. Requires States to establish a consortium of public and private entities, including universities and academic medical centers, to carry out these activities. Prohibits the Secretary from making a grant to a State, or a consortium within a State, with an existing telehealth network for improving stroke treatment unless the State or consortium agrees to use the existing telehealth network to achieve the purpose of the grant. Gives priority to any applicant that submits a plan demonstrating how the applicant will use the grant to improve access to high-quality stroke care for target populations.
 
Limits the award of grants to periods of three years, or periods that do not extend beyond FY 2009. Requires an application to outline how the State or consortium will establish baseline measures and benchmarks to evaluate program outcomes. Authorizes appropriations for FY 2005 through 2009. Requires a report that includes: (1) an evaluation of the grant program outcomes; (2) recommendations on how to promote stroke networks in ways that improve access to clinical care in rural and urban areas and reduce the incidence of stroke and resulting complications; (3) recommendations on whether similar telehealth grant programs could be used to improve patient outcomes in other public health areas.


Legislative actions:
action_date: 2004-06-15
text: Received in the Senate and Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
action_date: 2004-06-14
text: Motion to reconsider laid on the table Agreed to without objection.
action_date: 2004-06-14
text: On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H3893-3894)
action_date: 2004-06-14
text: Passed/agreed to in House: On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote.(text: CR H3893-3894)
action_date: 2004-06-14
text: DEBATE - The House proceeded with forty minutes of debate on H.R. 3658.
action_date: 2004-06-14
text: Considered under suspension of the rules. (consideration: CR H3893-3896)
action_date: 2004-06-14
text: Mr. Pickering moved to suspend the rules and pass the bill, as amended.
action_date: 2004-03-30
text: Placed on the Union Calendar, Calendar No. 260.
action_date: 2004-03-30
text: Reported (Amended) by the Committee on Energy and Commerce. H. Rept. 108-453.
action_date: 2004-03-30
text: Reported (Amended) by the Committee on Energy and Commerce. H. Rept. 108-453.
action_date: 2004-03-03
text: Ordered to be Reported by Voice Vote.
action_date: 2004-03-03
text: Committee Consideration and Mark-up Session Held.
action_date: 2004-01-28
text: Forwarded by Subcommittee to Full Committee (Amended) by Voice Vote.
action_date: 2004-01-28
text: Subcommittee Consideration and Mark-up Session Held.
action_date: 2003-12-17
text: Referred to the Subcommittee on Health.
action_date: 2003-12-08
text: Referred to the House Committee on Energy and Commerce.
action_date: 2003-12-08
text: Introduced in House
action_date: 2003-12-08
text: Introduced in House