As Reported by House Health, Retirement and Aging Committee     1            

123rd General Assembly                                             4            

   Regular Session                          Sub. 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-BRADING-OLMAN- R. MILLER  11           


_________________________________________________________________   12           

                          A   B I L L                                           

             To enact sections 3701.90, 3701.901, 3701.902,        14           

                3701.903, 3701.904, 3701.905, and 3701.906 of the  15           

                Revised Code to create the Council on Stroke                    

                Prevention and Education.                          16           




BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF OHIO:        18           

      Section 1.  That sections 3701.90, 3701.901, 3701.902,       20           

3701.903, 3701.904, 3701.905, and 3701.906 of the Revised Code be  21           

enacted to read as follows:                                        22           

      Sec. 3701.90.  THERE IS HEREBY CREATED IN THE DEPARTMENT OF  24           

HEALTH THE COUNCIL ON STROKE PREVENTION AND EDUCATION.  THE        25           

DEPARTMENT SHALL, TO THE EXTENT FUNDS ARE AVAILABLE, PROVIDE       27           

OFFICE SPACE AND STAFF ASSISTANCE FOR THE COUNCIL.                              

      Sec. 3701.901.  (A)  THE MEMBERSHIP OF THE COUNCIL ON        29           

STROKE PREVENTION AND EDUCATION SHALL CONSIST OF ONE               30           

REPRESENTATIVE OF EACH OF THE FOLLOWING:                           31           

      (1)  BRAIN INJURY ASSOCIATION OF OHIO;                       33           

      (2)  OHIO ACADEMY OF FAMILY PHYSICIANS;                      35           

      (3)  AMERICAN COLLEGE OF EMERGENCY PHYSICIANS OHIO CHAPTER;  38           

      (4)  OHIO CHAPTER OF THE AMERICAN COLLEGE OF CARDIOLOGY;     41           

      (5)  OHIO STATE NEUROSURGICAL SOCIETY;                       43           

      (6)  OHIO HEART AND VASCULAR RESEARCH FOUNDATION;            45           

      (7)  OHIO GERIATRICS SOCIETY;                                47           

      (8)  OHIO NURSES ASSOCIATION;                                49           

      (9)  OHIO ASSOCIATION OF REHABILITATION FACILITIES;          51           

                                                          2      


                                                                 
      (10)  OHIO HOSPITAL ASSOCIATION;                             53           

      (11)  NORTHEAST OHIO STROKE ASSOCIATION;                     55           

      (12)  AMERICAN HEART ASSOCIATION OHIO VALLEY AFFILIATE;      58           

      (13)  AMERICAN ASSOCIATION OF RETIRED PERSONS OHIO OFFICE;   61           

      (14)  OHIO DEPARTMENT OF HEALTH;                             63           

      (15)  OHIO COMMISSION ON MINORITY HEALTH;                    65           

      (16)  OHIO STATE MEDICAL ASSOCIATION;                        67           

      (17)  OHIO OSTEOPATHIC ASSOCIATION;                          69           

      (18)  A UNIVERSITY RESEARCH FACILITY IN OHIO SPECIALIZING    71           

IN BIOTECHNOLOGY;                                                  72           

      (19)  A HEALTH INSURING CORPORATION, AS DEFINED IN SECTION   74           

1751.01 OF THE REVISED CODE.                                       75           

      (B)  THE DIRECTOR OF HEALTH SHALL APPOINT THE MEMBERS OF     77           

THE COUNCIL.  THE DIRECTOR SHALL REQUEST FROM EACH ENTITY LISTED   78           

IN DIVISION (A) OF THIS SECTION A LIST OF THREE PERSONS QUALIFIED  79           

TO SERVE AS MEMBERS OF THE COUNCIL.  IN MAKING APPOINTMENTS TO     80           

THE COUNCIL, THE DIRECTOR SHALL SELECT ONE MEMBER FROM THE LIST    82           

SUBMITTED BY EACH ENTITY.  IF THE DIRECTOR DOES NOT RECEIVE A      83           

LIST FROM AN ENTITY NOT LATER THAN SIXTY DAYS AFTER MAKING A       84           

REQUEST, THE DIRECTOR SHALL APPOINT A MEMBER TO SERVE AS THE       85           

REPRESENTATIVE OF THAT ENTITY.  THE DIRECTOR SHALL APPOINT AS      86           

MEMBERS OF THE COUNCIL NO FEWER THAN SIX PERSONS WHO ARE           87           

AUTHORIZED UNDER CHAPTER 4731. OF THE REVISED CODE TO PRACTICE                  

MEDICINE AND SURGERY OR OSTEOPATHIC MEDICINE AND SURGERY.          88           

      (C)  THE DIRECTOR OF HEALTH SHALL APPOINT THE CHAIR AND      90           

VICE-CHAIR OF THE COUNCIL FROM AMONG ITS MEMBERS.                  91           

      Sec. 3701.902.  MEMBERS OF THE COUNCIL ON STROKE PREVENTION  93           

AND EDUCATION SHALL SERVE WITHOUT COMPENSATION, BUT SHALL, TO THE  94           

EXTENT FUNDS ARE AVAILABLE, BE REIMBURSED BY THE DEPARTMENT OF     96           

HEALTH FOR THE ACTUAL AND NECESSARY EXPENSES THEY INCUR IN THE     97           

PERFORMANCE OF THEIR OFFICIAL DUTIES.  A MEMBER MAY SERVE UNTIL A  98           

REPLACEMENT IS APPOINTED BY THE DIRECTOR OF HEALTH.  REPLACEMENT   99           

MEMBERS SHALL BE APPOINTED IN THE SAME MANNER AS THE INITIAL       100          

MEMBERS.                                                                        

                                                          3      


                                                                 
      Sec. 3701.903.  (A)  THE COUNCIL ON STROKE PREVENTION AND    102          

EDUCATION SHALL, TO THE EXTENT FUNDS ARE AVAILABLE, DO ALL OF THE  104          

FOLLOWING:                                                                      

      (1)  DEVELOP AND IMPLEMENT A COMPREHENSIVE STATEWIDE PUBLIC  106          

EDUCATION PROGRAM ON STROKE PREVENTION, TARGETED TO HIGH-RISK      107          

POPULATIONS AND TO GEOGRAPHIC AREAS WHERE THERE IS A HIGH          108          

INCIDENCE OF STROKE, INCLUDING INFORMATION DEVELOPED OR COMPILED   109          

BY THE COUNCIL ON ALL OF THE FOLLOWING:                            110          

      (a)  HEALTHY LIFESTYLE PRACTICES THAT REDUCE THE RISK OF     112          

STROKE;                                                            113          

      (b)  SIGNS AND SYMPTOMS OF STROKE AND ACTION TO BE TAKEN     115          

WHEN SIGNS OCCUR;                                                  116          

      (c)  DETERMINANTS OF HIGH-QUALITY HEALTH CARE FOR STROKE;    118          

      (d)  OTHER INFORMATION THE COUNCIL CONSIDERS APPROPRIATE     120          

FOR INCLUSION IN THE PUBLIC EDUCATION PROGRAM.                     121          

      (2)  DEVELOP OR COMPILE FOR PRIMARY CARE PHYSICIANS          123          

PRACTICE GUIDELINES THAT ADDRESS RISK FACTORS FOR STROKE,          125          

APPROPRIATE SCREENING FOR RISK FACTORS, EARLY SIGNS OF STROKE,     126          

AND TREATMENT STRATEGIES;                                                       

      (3)  DEVELOP OR COMPILE FOR PHYSICIANS AND EMERGENCY HEALTH  128          

CARE PROVIDERS PRACTICE GUIDELINES ON THE INITIAL TREATMENT OF     129          

STROKE;                                                                         

      (4)  DEVELOP OR COMPILE FOR PHYSICIANS AND OTHER HEALTH      131          

CARE PROVIDERS GUIDELINES ON THE LONG-TERM TREATMENT OF STROKE;    132          

      (5)  DEVELOP OR COMPILE FOR PHYSICIANS, LONG-TERM CARE       134          

PROVIDERS, AND REHABILITATION PROVIDERS PRACTICE GUIDELINES ON     135          

REHABILITATION OF STROKE PATIENTS;                                 136          

      (6)  TAKE OTHER ACTIONS CONSISTENT WITH THE PURPOSE OF THE   138          

COUNCIL TO ENSURE THAT THE PUBLIC AND HEALTH CARE PROVIDERS ARE    139          

INFORMED WITH REGARD TO THE MOST EFFECTIVE TREATMENT STRATEGIES    140          

FOR STROKE PREVENTION AND TREATMENT.                               141          

      (B)  THE COUNCIL MAY USE INFORMATION DEVELOPED OR MADE       143          

AVAILABLE BY OTHER PUBLIC OR PRIVATE ENTITIES TO MEET THE          144          

REQUIREMENTS OF DIVISION (A) OF THIS SECTION.                      145          

                                                          4      


                                                                 
      (C)  THE DEPARTMENT OF HEALTH SHALL MAKE INFORMATION         147          

DEVELOPED OR COMPILED BY THE COUNCIL AVAILABLE TO THE PUBLIC AND   149          

DISSEMINATE TO THE APPROPRIATE PERSONS THE PRACTICE GUIDELINES     150          

DEVELOPED OR COMPILED BY THE COUNCIL.                                           

      Sec. 3701.904.  (A)  THE COUNCIL ON STROKE PREVENTION AND    152          

EDUCATION SHALL MEET AT THE CALL OF THE CHAIR TO CONDUCT ITS       154          

OFFICIAL BUSINESS.                                                              

      (B)  A MAJORITY OF THE VOTING MEMBERS OF THE COUNCIL         157          

CONSTITUTES A QUORUM.  THE COUNCIL MAY TAKE ACTION ONLY BY         158          

AFFIRMATIVE VOTE OF A MAJORITY OF A QUORUM.                        159          

      Sec. 3701.905.  THE COUNCIL ON STROKE PREVENTION AND         161          

EDUCATION SHALL, TO THE EXTENT FUNDS ARE AVAILABLE, PREPARE A      162          

REPORT DESCRIBING THE ACTIONS THE COUNCIL HAS TAKEN UNDER SECTION  164          

3701.903 OF THE REVISED CODE.  THE REPORT MAY INCLUDE              166          

RECOMMENDATIONS AS THE COUNCIL DEEMS APPROPRIATE.  THE COUNCIL     167          

SHALL SUBMIT THE REPORT TO THE GOVERNOR, THE DIRECTOR OF HEALTH,   168          

THE PRESIDENT AND MINORITY LEADER OF THE SENATE, AND THE SPEAKER   169          

AND MINORITY LEADER OF THE HOUSE OF REPRESENTATIVES NOT LATER      170          

THAN JUNE 1, 2002.                                                              

      Sec. 3701.906.  THE COUNCIL ON STROKE PREVENTION AND         172          

EDUCATION IS EXEMPT FROM THE REQUIREMENTS OF SECTION 101.84 OF     173          

THE REVISED CODE.                                                  174