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