As Introduced 1 123rd General Assembly 4 Regular Session H. B. No. 642 5 1999-2000 6 REPRESENTATIVES CLANCY-BARRETT-BENDER-BRITTON-FLANNERY- 8 GRENDELL-HARTNETT-HOLLISTER-JONES-KREBS-METZGER-O'BRIEN- 9 PRINGLE-SCHULER-VAN VYVEN-VESPER-WINKLER 10 _________________________________________________________________ 11 A B I L L To enact sections 3701.90, 3701.901, 3701.902, 13 3701.903, 3701.904, 3701.905, and 3701.906 of the 14 Revised Code to create the Council on Stroke Prevention and Education. 15 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF OHIO: 17 Section 1. That sections 3701.90, 3701.901, 3701.902, 19 3701.903, 3701.904, 3701.905, and 3701.906 of the Revised Code be 20 enacted to read as follows: 21 Sec. 3701.90. THERE IS HEREBY CREATED IN THE DEPARTMENT OF 23 HEALTH THE COUNCIL ON STROKE PREVENTION AND EDUCATION. THE 24 DEPARTMENT SHALL PROVIDE OFFICE SPACE AND STAFF ASSISTANCE FOR 25 THE COUNCIL. Sec. 3701.901. (A) THE MEMBERSHIP OF THE COUNCIL ON 27 STROKE PREVENTION AND EDUCATION SHALL CONSIST OF ONE 28 REPRESENTATIVE OF EACH OF THE FOLLOWING: 29 (1) BRAIN INJURY ASSOCIATION OF OHIO; 31 (2) OHIO ACADEMY OF FAMILY PHYSICIANS; 33 (3) AMERICAN COLLEGE OF EMERGENCY PHYSICIANS OHIO CHAPTER; 36 (4) OHIO CHAPTER OF THE AMERICAN COLLEGE OF CARDIOLOGY; 39 (5) OHIO STATE NEUROSURGICAL SOCIETY; 41 (6) OHIO HEART AND VASCULAR RESEARCH FOUNDATION; 43 (7) OHIO GERIATRICS SOCIETY; 45 (8) OHIO NURSES ASSOCIATION; 47 (9) OHIO ASSOCIATION OF REHABILITATION FACILITIES; 49 2 (10) OHIO HOSPITAL ASSOCIATION; 51 (11) NORTHEAST OHIO STROKE ASSOCIATION; 53 (12) AMERICAN HEART ASSOCIATION OHIO VALLEY AFFILIATE; 56 (13) AMERICAN ASSOCIATION OF RETIRED PERSONS OHIO OFFICE; 59 (14) OHIO DEPARTMENT OF HEALTH; 61 (15) OHIO COMMISSION ON MINORITY HEALTH; 63 (16) OHIO STATE MEDICAL ASSOCIATION; 65 (17) OHIO OSTEOPATHIC ASSOCIATION; 67 (18) A UNIVERSITY RESEARCH FACILITY IN OHIO SPECIALIZING 69 IN BIOTECHNOLOGY; 70 (19) A HEALTH INSURING CORPORATION, AS DEFINED IN SECTION 72 1751.01 OF THE REVISED CODE. 73 (B) THE DIRECTOR OF HEALTH SHALL APPOINT THE MEMBERS OF 75 THE COUNCIL. THE DIRECTOR SHALL REQUEST FROM EACH ENTITY LISTED 76 IN DIVISION (A) OF THIS SECTION A LIST OF THREE PERSONS QUALIFIED 77 TO SERVE AS MEMBERS OF THE COUNCIL. IN MAKING APPOINTMENTS TO 78 THE COUNCIL, THE DIRECTOR SHALL SELECT ONE MEMBER FROM THE LIST 80 SUBMITTED BY EACH ENTITY. IF THE DIRECTOR DOES NOT RECEIVE A 81 LIST FROM AN ENTITY NOT LATER THAN SIXTY DAYS AFTER MAKING A 82 REQUEST, THE DIRECTOR SHALL APPOINT A MEMBER TO SERVE AS THE 83 REPRESENTATIVE OF THAT ENTITY. THE DIRECTOR SHALL APPOINT AS 84 MEMBERS OF THE COUNCIL NO FEWER THAN SIX PERSONS WHO ARE 85 AUTHORIZED UNDER CHAPTER 4731. OF THE REVISED CODE TO PRACTICE MEDICINE AND SURGERY OR OSTEOPATHIC MEDICINE AND SURGERY. 86 (C) THE DIRECTOR OF HEALTH SHALL APPOINT THE CHAIR AND 88 VICE CHAIR OF THE COUNCIL FROM AMONG ITS MEMBERS. 89 Sec. 3701.902. MEMBERS OF THE COUNCIL ON STROKE PREVENTION 91 AND EDUCATION SHALL SERVE WITHOUT COMPENSATION, BUT SHALL BE 92 REIMBURSED BY THE DEPARTMENT OF HEALTH FOR THE ACTUAL AND 93 NECESSARY EXPENSES THEY INCUR IN THE PERFORMANCE OF THEIR 94 OFFICIAL DUTIES. A MEMBER MAY SERVE UNTIL A REPLACEMENT IS 95 APPOINTED BY THE DIRECTOR OF HEALTH. REPLACEMENT MEMBERS SHALL 96 BE APPOINTED IN THE SAME MANNER AS THE INITIAL MEMBERS. 97 Sec. 3701.903. (A) THE COUNCIL ON STROKE PREVENTION AND 99 3 EDUCATION SHALL DO ALL OF THE FOLLOWING: 101 (1) DEVELOP AND IMPLEMENT A COMPREHENSIVE STATEWIDE PUBLIC 103 EDUCATION PROGRAM ON STROKE PREVENTION, TARGETED TO HIGH-RISK 104 POPULATIONS AND TO GEOGRAPHIC AREAS WHERE THERE IS A HIGH 105 INCIDENCE OF STROKE, INCLUDING INFORMATION ON ALL OF THE 106 FOLLOWING: (a) HEALTHY LIFESTYLE PRACTICES THAT REDUCE THE RISK OF 108 STROKE; 109 (b) SIGNS AND SYMPTOMS OF STROKE AND ACTION TO BE TAKEN 111 WHEN SIGNS OCCUR; 112 (c) DETERMINANTS OF HIGH QUALITY HEALTH CARE FOR STROKE; 114 (d) OTHER INFORMATION THE COUNCIL CONSIDERS APPROPRIATE 116 FOR INCLUSION IN THE PUBLIC EDUCATION PROGRAM. 117 (2) DEVELOP FOR PRIMARY CARE PHYSICIANS PRACTICE 119 GUIDELINES THAT ADDRESS RISK FACTORS FOR STROKE, APPROPRIATE 120 SCREENING FOR RISK FACTORS, EARLY SIGNS OF STROKE, AND TREATMENT 121 STRATEGIES; (3) DEVELOP FOR PHYSICIANS AND EMERGENCY HEALTH CARE 123 PROVIDERS PRACTICE GUIDELINES ON THE INITIAL TREATMENT OF STROKE; 124 (4) DEVELOP FOR PHYSICIANS AND OTHER HEALTH CARE PROVIDERS 126 GUIDELINES ON THE LONG-TERM TREATMENT OF STROKE; 127 (5) DEVELOP FOR PHYSICIANS, LONG-TERM CARE PROVIDERS, AND 129 REHABILITATION PROVIDERS PRACTICE GUIDELINES ON REHABILITATION OF 130 STROKE PATIENTS; 131 (6) TAKE OTHER ACTIONS CONSISTENT WITH THE PURPOSE OF THE 133 COUNCIL TO ENSURE THAT THE PUBLIC AND HEALTH CARE PROVIDERS ARE 134 INFORMED WITH REGARD TO THE MOST EFFECTIVE TREATMENT STRATEGIES 135 FOR STROKE PREVENTION AND TREATMENT. 136 (B) THE DEPARTMENT OF HEALTH SHALL MAKE INFORMATION 138 DEVELOPED BY THE COUNCIL AVAILABLE TO THE PUBLIC AND DISSEMINATE 139 TO THE APPROPRIATE PERSONS THE PRACTICE GUIDELINES DEVELOPED BY 140 THE COUNCIL. Sec. 3701.904. (A) THE COUNCIL ON STROKE PREVENTION AND 142 EDUCATION SHALL MEET AT THE CALL OF THE CHAIR TO CONDUCT ITS 144 4 OFFICIAL BUSINESS. (B) A MAJORITY OF THE VOTING MEMBERS OF THE COUNCIL 147 CONSTITUTES A QUORUM. THE COUNCIL MAY TAKE ACTION ONLY BY 148 AFFIRMATIVE VOTE OF A MAJORITY OF A QUORUM. 149 INFORMATION DEVELOPED BY THE COUNCIL AND DISSEMINATED BY 151 THE DEPARTMENT OF HEALTH PURSUANT TO SECTION 3701.903 OF THE 153 REVISED CODE SHALL BE BASED ON A CONSENSUS OF EXPERT OPINION AND 154 ON SCIENTIFIC LITERATURE. ONLY THOSE COUNCIL MEMBERS AUTHORIZED 156 UNDER CHAPTER 4731. OF THE REVISED CODE TO PRACTICE MEDICINE AND SURGERY OR OSTEOPATHIC MEDICINE AND SURGERY MAY VOTE ON MATTERS 158 REGARDING PREVENTION AND TREATMENT. ALL COUNCIL MEMBERS MAY VOTE 159 ON MATTERS CONCERNING PUBLIC EDUCATION, METHODS OF INFORMATION 160 DISSEMINATION, AND OTHER NONMEDICAL MATTERS. 161 Sec. 3701.905. THE COUNCIL ON STROKE PREVENTION AND 163 EDUCATION SHALL PREPARE A REPORT DESCRIBING THE ACTIONS THE 164 COUNCIL HAS TAKEN UNDER SECTION 3701.903 OF THE REVISED CODE. 165 THE REPORT MAY INCLUDE RECOMMENDATIONS AS THE COUNCIL DEEMS 167 APPROPRIATE. THE COUNCIL SHALL SUBMIT THE REPORT TO THE 168 GOVERNOR, THE DIRECTOR OF HEALTH, THE PRESIDENT AND MINORITY 169 LEADER OF THE SENATE, AND THE SPEAKER AND MINORITY LEADER OF THE 170 HOUSE OF REPRESENTATIVES NOT LATER THAN JUNE 1, 2002. 171 Sec. 3701.906. THE COUNCIL ON STROKE PREVENTION AND 173 EDUCATION IS EXEMPT FROM THE REQUIREMENTS OF SECTION 101.84 OF 174 THE REVISED CODE. 175