As Passed by the House                        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-       11           

     R. MILLER-OGG-VERICH-D. MILLER-TERWILLEGER-MEAD-PATTON-                    

   PERRY-ALLEN-HARRIS-METTLER-TIBERI-CATES-WILSON-ROMAN-EVANS-     12           

 JAMES-FORD-SMITH-BOYD-STEVENS-WIDENER-NETZLEY-GERBERRY-CORBIN-    13           

                 AUSTRIA-GOODING-SALERNO-DePIERO                   14           


_________________________________________________________________   15           

                          A   B I L L                                           

             To enact sections 3701.90, 3701.901, 3701.902,        17           

                3701.903, 3701.904, 3701.905, and 3701.906 of the  18           

                Revised Code to create the Council on Stroke                    

                Prevention and Education.                          19           




BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF OHIO:        21           

      Section 1.  That sections 3701.90, 3701.901, 3701.902,       23           

3701.903, 3701.904, 3701.905, and 3701.906 of the Revised Code be  24           

enacted to read as follows:                                        25           

      Sec. 3701.90.  THERE IS HEREBY CREATED IN THE DEPARTMENT OF  27           

HEALTH THE COUNCIL ON STROKE PREVENTION AND EDUCATION.  THE        28           

DEPARTMENT SHALL, TO THE EXTENT FUNDS ARE AVAILABLE, PROVIDE       30           

OFFICE SPACE AND STAFF ASSISTANCE FOR THE COUNCIL.                              

      Sec. 3701.901.  (A)  THE MEMBERSHIP OF THE COUNCIL ON        32           

STROKE PREVENTION AND EDUCATION SHALL CONSIST OF ONE               33           

REPRESENTATIVE OF EACH OF THE FOLLOWING:                           34           

      (1)  BRAIN INJURY ASSOCIATION OF OHIO;                       36           

      (2)  OHIO ACADEMY OF FAMILY PHYSICIANS;                      38           

      (3)  AMERICAN COLLEGE OF EMERGENCY PHYSICIANS OHIO CHAPTER;  41           

      (4)  OHIO CHAPTER OF THE AMERICAN COLLEGE OF CARDIOLOGY;     44           

      (5)  OHIO STATE NEUROSURGICAL SOCIETY;                       46           

                                                          2      


                                                                 
      (6)  OHIO HEART AND VASCULAR RESEARCH FOUNDATION;            48           

      (7)  OHIO GERIATRICS SOCIETY;                                50           

      (8)  OHIO NURSES ASSOCIATION;                                52           

      (9)  OHIO ASSOCIATION OF REHABILITATION FACILITIES;          54           

      (10)  OHIO HOSPITAL ASSOCIATION;                             56           

      (11)  NORTHEAST OHIO STROKE ASSOCIATION;                     58           

      (12)  AMERICAN HEART ASSOCIATION OHIO VALLEY AFFILIATE;      61           

      (13)  AMERICAN ASSOCIATION OF RETIRED PERSONS OHIO OFFICE;   64           

      (14)  OHIO DEPARTMENT OF HEALTH;                             66           

      (15)  OHIO COMMISSION ON MINORITY HEALTH;                    68           

      (16)  OHIO STATE MEDICAL ASSOCIATION;                        70           

      (17)  OHIO OSTEOPATHIC ASSOCIATION;                          72           

      (18)  A UNIVERSITY RESEARCH FACILITY IN OHIO SPECIALIZING    74           

IN BIOTECHNOLOGY;                                                  75           

      (19)  A HEALTH INSURING CORPORATION, AS DEFINED IN SECTION   77           

1751.01 OF THE REVISED CODE.                                       78           

      (B)  THE DIRECTOR OF HEALTH SHALL APPOINT THE MEMBERS OF     80           

THE COUNCIL.  THE DIRECTOR SHALL REQUEST FROM EACH ENTITY LISTED   81           

IN DIVISION (A) OF THIS SECTION A LIST OF THREE PERSONS QUALIFIED  82           

TO SERVE AS MEMBERS OF THE COUNCIL.  IN MAKING APPOINTMENTS TO     83           

THE COUNCIL, THE DIRECTOR SHALL SELECT ONE MEMBER FROM THE LIST    85           

SUBMITTED BY EACH ENTITY.  IF THE DIRECTOR DOES NOT RECEIVE A      86           

LIST FROM AN ENTITY NOT LATER THAN SIXTY DAYS AFTER MAKING A       87           

REQUEST, THE DIRECTOR SHALL APPOINT A MEMBER TO SERVE AS THE       88           

REPRESENTATIVE OF THAT ENTITY.  THE DIRECTOR SHALL APPOINT AS      89           

MEMBERS OF THE COUNCIL NO FEWER THAN SIX PERSONS WHO ARE           90           

AUTHORIZED UNDER CHAPTER 4731. OF THE REVISED CODE TO PRACTICE                  

MEDICINE AND SURGERY OR OSTEOPATHIC MEDICINE AND SURGERY.          91           

      (C)  THE DIRECTOR OF HEALTH SHALL APPOINT THE CHAIR AND      93           

VICE-CHAIR OF THE COUNCIL FROM AMONG ITS MEMBERS.                  94           

      Sec. 3701.902.  MEMBERS OF THE COUNCIL ON STROKE PREVENTION  96           

AND EDUCATION SHALL SERVE WITHOUT COMPENSATION, BUT SHALL, TO THE  97           

EXTENT FUNDS ARE AVAILABLE, BE REIMBURSED BY THE DEPARTMENT OF     99           

HEALTH FOR THE ACTUAL AND NECESSARY EXPENSES THEY INCUR IN THE     100          

                                                          3      


                                                                 
PERFORMANCE OF THEIR OFFICIAL DUTIES.  A MEMBER MAY SERVE UNTIL A  101          

REPLACEMENT IS APPOINTED BY THE DIRECTOR OF HEALTH.  REPLACEMENT   102          

MEMBERS SHALL BE APPOINTED IN THE SAME MANNER AS THE INITIAL       103          

MEMBERS.                                                                        

      Sec. 3701.903.  (A)  THE COUNCIL ON STROKE PREVENTION AND    105          

EDUCATION SHALL, TO THE EXTENT FUNDS ARE AVAILABLE, DO ALL OF THE  107          

FOLLOWING:                                                                      

      (1)  DEVELOP AND IMPLEMENT A COMPREHENSIVE STATEWIDE PUBLIC  109          

EDUCATION PROGRAM ON STROKE PREVENTION, TARGETED TO HIGH-RISK      110          

POPULATIONS AND TO GEOGRAPHIC AREAS WHERE THERE IS A HIGH          111          

INCIDENCE OF STROKE, INCLUDING INFORMATION DEVELOPED OR COMPILED   112          

BY THE COUNCIL ON ALL OF THE FOLLOWING:                            113          

      (a)  HEALTHY LIFESTYLE PRACTICES THAT REDUCE THE RISK OF     115          

STROKE;                                                            116          

      (b)  SIGNS AND SYMPTOMS OF STROKE AND ACTION TO BE TAKEN     118          

WHEN SIGNS OCCUR;                                                  119          

      (c)  DETERMINANTS OF HIGH-QUALITY HEALTH CARE FOR STROKE;    121          

      (d)  OTHER INFORMATION THE COUNCIL CONSIDERS APPROPRIATE     123          

FOR INCLUSION IN THE PUBLIC EDUCATION PROGRAM.                     124          

      (2)  DEVELOP OR COMPILE FOR PRIMARY CARE PHYSICIANS          126          

PRACTICE GUIDELINES THAT ADDRESS RISK FACTORS FOR STROKE,          128          

APPROPRIATE SCREENING FOR RISK FACTORS, EARLY SIGNS OF STROKE,     129          

AND TREATMENT STRATEGIES;                                                       

      (3)  DEVELOP OR COMPILE FOR PHYSICIANS AND EMERGENCY HEALTH  131          

CARE PROVIDERS PRACTICE GUIDELINES ON THE INITIAL TREATMENT OF     132          

STROKE;                                                                         

      (4)  DEVELOP OR COMPILE FOR PHYSICIANS AND OTHER HEALTH      134          

CARE PROVIDERS GUIDELINES ON THE LONG-TERM TREATMENT OF STROKE;    135          

      (5)  DEVELOP OR COMPILE FOR PHYSICIANS, LONG-TERM CARE       137          

PROVIDERS, AND REHABILITATION PROVIDERS PRACTICE GUIDELINES ON     138          

REHABILITATION OF STROKE PATIENTS;                                 139          

      (6)  TAKE OTHER ACTIONS CONSISTENT WITH THE PURPOSE OF THE   141          

COUNCIL TO ENSURE THAT THE PUBLIC AND HEALTH CARE PROVIDERS ARE    142          

INFORMED WITH REGARD TO THE MOST EFFECTIVE TREATMENT STRATEGIES    143          

                                                          4      


                                                                 
FOR STROKE PREVENTION AND TREATMENT.                               144          

      (B)  THE COUNCIL MAY USE INFORMATION DEVELOPED OR MADE       146          

AVAILABLE BY OTHER PUBLIC OR PRIVATE ENTITIES TO MEET THE          147          

REQUIREMENTS OF DIVISION (A) OF THIS SECTION.                      148          

      (C)  THE DEPARTMENT OF HEALTH SHALL MAKE INFORMATION         150          

DEVELOPED OR COMPILED BY THE COUNCIL AVAILABLE TO THE PUBLIC AND   152          

DISSEMINATE TO THE APPROPRIATE PERSONS THE PRACTICE GUIDELINES     153          

DEVELOPED OR COMPILED BY THE COUNCIL.                                           

      Sec. 3701.904.  (A)  THE COUNCIL ON STROKE PREVENTION AND    155          

EDUCATION SHALL MEET AT THE CALL OF THE CHAIR TO CONDUCT ITS       157          

OFFICIAL BUSINESS.                                                              

      (B)  A MAJORITY OF THE VOTING MEMBERS OF THE COUNCIL         160          

CONSTITUTES A QUORUM.  THE COUNCIL MAY TAKE ACTION ONLY BY         161          

AFFIRMATIVE VOTE OF A MAJORITY OF A QUORUM.                        162          

      Sec. 3701.905.  THE COUNCIL ON STROKE PREVENTION AND         164          

EDUCATION SHALL, TO THE EXTENT FUNDS ARE AVAILABLE, PREPARE A      165          

REPORT DESCRIBING THE ACTIONS THE COUNCIL HAS TAKEN UNDER SECTION  167          

3701.903 OF THE REVISED CODE.  THE REPORT MAY INCLUDE              169          

RECOMMENDATIONS AS THE COUNCIL DEEMS APPROPRIATE.  THE COUNCIL     170          

SHALL SUBMIT THE REPORT TO THE GOVERNOR, THE DIRECTOR OF HEALTH,   171          

THE PRESIDENT AND MINORITY LEADER OF THE SENATE, AND THE SPEAKER   172          

AND MINORITY LEADER OF THE HOUSE OF REPRESENTATIVES NOT LATER      173          

THAN JUNE 1, 2002.                                                              

      Sec. 3701.906.  THE COUNCIL ON STROKE PREVENTION AND         175          

EDUCATION IS EXEMPT FROM THE REQUIREMENTS OF SECTION 101.84 OF     176          

THE REVISED CODE.                                                  177