As Reported by the Senate Health, Human Services and Aging      2            

                            Committee                                           

123rd General Assembly                                             5            

   Regular Session                          Sub. H. B. No. 642     6            

      1999-2000                                                    7            


     REPRESENTATIVES CLANCY-BARRETT-BENDER-BRITTON-FLANNERY-       9            

    GRENDELL-HARTNETT-HOLLISTER-JONES-KREBS-METZGER-O'BRIEN-       10           

     PRINGLE-SCHULER-VAN VYVEN-VESPER-WINKLER-BRADING-OLMAN-       12           

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

   PERRY-ALLEN-HARRIS-METTLER-TIBERI-CATES-WILSON-ROMAN-EVANS-     13           

 JAMES-FORD-SMITH-BOYD-STEVENS-WIDENER-NETZLEY-GERBERRY-CORBIN-    14           

      AUSTRIA-GOODING-SALERNO-DePIERO-SENATORS KEARNS-DRAKE        15           


_________________________________________________________________   17           

                          A   B I L L                                           

             To enact sections 3701.90, 3701.901, 3701.902,        19           

                3701.903, 3701.904, 3701.905, 3701.906, and        20           

                3701.907 of the Revised Code to create the                      

                Council on Stroke Prevention and Education.        22           




BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF OHIO:        24           

      Section 1.  That sections 3701.90, 3701.901, 3701.902,       26           

3701.903, 3701.904, 3701.905, 3701.906, and 3701.907 of the        27           

Revised Code be enacted to read as follows:                        28           

      Sec. 3701.90.  THERE IS HEREBY CREATED IN THE DEPARTMENT OF  30           

HEALTH THE COUNCIL ON STROKE PREVENTION AND EDUCATION.  THE        31           

DEPARTMENT SHALL, TO THE EXTENT FUNDS ARE AVAILABLE, PROVIDE       33           

OFFICE SPACE AND STAFF ASSISTANCE FOR THE COUNCIL.                              

      Sec. 3701.901.  (A)  THE MEMBERSHIP OF THE COUNCIL ON        35           

STROKE PREVENTION AND EDUCATION SHALL CONSIST OF ONE               36           

REPRESENTATIVE OF EACH OF THE FOLLOWING:                           37           

      (1)  BRAIN INJURY ASSOCIATION OF OHIO;                       39           

      (2)  OHIO ACADEMY OF FAMILY PHYSICIANS;                      41           

      (3)  AMERICAN COLLEGE OF EMERGENCY PHYSICIANS OHIO CHAPTER;  44           

      (4)  OHIO CHAPTER OF THE AMERICAN COLLEGE OF CARDIOLOGY;     47           

                                                          2      


                                                                 
      (5)  OHIO STATE NEUROSURGICAL SOCIETY;                       49           

      (6)  OHIO HEART AND VASCULAR RESEARCH FOUNDATION;            51           

      (7)  OHIO GERIATRICS SOCIETY;                                53           

      (8)  OHIO NURSES ASSOCIATION;                                55           

      (9)  OHIO ASSOCIATION OF REHABILITATION FACILITIES;          57           

      (10)  OHIO HOSPITAL ASSOCIATION;                             59           

      (11)  NORTHEAST OHIO STROKE ASSOCIATION;                     61           

      (12)  AMERICAN HEART ASSOCIATION OHIO VALLEY AFFILIATE;      64           

      (13)  AMERICAN ASSOCIATION OF RETIRED PERSONS OHIO OFFICE;   67           

      (14)  OHIO DEPARTMENT OF HEALTH;                             69           

      (15)  OHIO COMMISSION ON MINORITY HEALTH;                    71           

      (16)  OHIO STATE MEDICAL ASSOCIATION;                        73           

      (17)  OHIO OSTEOPATHIC ASSOCIATION;                          75           

      (18)  OHIO PHYSICAL THERAPY ASSOCIATION;                     77           

      (19)  A UNIVERSITY RESEARCH FACILITY IN OHIO SPECIALIZING    79           

IN BIOTECHNOLOGY;                                                  80           

      (20)  A HEALTH INSURING CORPORATION, AS DEFINED IN SECTION   82           

1751.01 OF THE REVISED CODE;                                       83           

      (21)  A SMALL EMPLOYER, AS DEFINED IN SECTION 3924.01 OF     85           

THE REVISED CODE;                                                  87           

      (22)  AN EMPLOYER THAT PROVIDES HEALTH BENEFITS TO ITS       89           

EMPLOYEES THROUGH A SELF-INSURANCE PROGRAM, AS DEFINED IN SECTION  90           

3959.01 OF THE REVISED CODE.                                       91           

      (B)  THE DIRECTOR OF HEALTH SHALL APPOINT THE MEMBERS OF     93           

THE COUNCIL.  THE DIRECTOR SHALL REQUEST FROM EACH ENTITY LISTED   94           

IN DIVISION (A) OF THIS SECTION A LIST OF THREE PERSONS QUALIFIED  95           

TO SERVE AS MEMBERS OF THE COUNCIL.  IN MAKING APPOINTMENTS TO     96           

THE COUNCIL, THE DIRECTOR SHALL SELECT ONE MEMBER FROM THE LIST    98           

SUBMITTED BY EACH ENTITY.  IF THE DIRECTOR DOES NOT RECEIVE A      99           

LIST FROM AN ENTITY NOT LATER THAN SIXTY DAYS AFTER MAKING A       100          

REQUEST, THE DIRECTOR SHALL APPOINT A MEMBER TO SERVE AS THE       101          

REPRESENTATIVE OF THAT ENTITY.  THE DIRECTOR SHALL APPOINT AS      102          

MEMBERS OF THE COUNCIL NO FEWER THAN SIX PERSONS WHO ARE           103          

AUTHORIZED UNDER CHAPTER 4731. OF THE REVISED CODE TO PRACTICE                  

                                                          3      


                                                                 
MEDICINE AND SURGERY OR OSTEOPATHIC MEDICINE AND SURGERY.          104          

      (C)  THE DIRECTOR OF HEALTH SHALL APPOINT THE CHAIR AND      106          

VICE-CHAIR OF THE COUNCIL FROM AMONG ITS MEMBERS.                  107          

      Sec. 3701.902.  MEMBERS OF THE COUNCIL ON STROKE PREVENTION  109          

AND EDUCATION SHALL SERVE WITHOUT COMPENSATION, BUT SHALL, TO THE  110          

EXTENT FUNDS ARE AVAILABLE, BE REIMBURSED BY THE DEPARTMENT OF     112          

HEALTH FOR THE ACTUAL AND NECESSARY EXPENSES THEY INCUR IN THE     113          

PERFORMANCE OF THEIR OFFICIAL DUTIES.  A MEMBER MAY SERVE UNTIL A  114          

REPLACEMENT IS APPOINTED BY THE DIRECTOR OF HEALTH.  REPLACEMENT   115          

MEMBERS SHALL BE APPOINTED IN THE SAME MANNER AS THE INITIAL       116          

MEMBERS.                                                                        

      Sec. 3701.903.  (A)  THE COUNCIL ON STROKE PREVENTION AND    118          

EDUCATION SHALL, TO THE EXTENT FUNDS ARE AVAILABLE, DO ALL OF THE  120          

FOLLOWING:                                                                      

      (1)  DEVELOP AND IMPLEMENT A COMPREHENSIVE STATEWIDE PUBLIC  122          

EDUCATION PROGRAM ON STROKE PREVENTION, TARGETED TO HIGH-RISK      123          

POPULATIONS AND TO GEOGRAPHIC AREAS WHERE THERE IS A HIGH          124          

INCIDENCE OF STROKE, INCLUDING INFORMATION DEVELOPED OR COMPILED   125          

BY THE COUNCIL ON ALL OF THE FOLLOWING:                            126          

      (a)  HEALTHY LIFESTYLE PRACTICES THAT REDUCE THE RISK OF     128          

STROKE;                                                            129          

      (b)  SIGNS AND SYMPTOMS OF STROKE AND ACTION TO BE TAKEN     131          

WHEN SIGNS OCCUR;                                                  132          

      (c)  DETERMINANTS OF HIGH-QUALITY HEALTH CARE FOR STROKE;    134          

      (d)  OTHER INFORMATION THE COUNCIL CONSIDERS APPROPRIATE     136          

FOR INCLUSION IN THE PUBLIC EDUCATION PROGRAM.                     137          

      (2)  DEVELOP OR COMPILE FOR PRIMARY CARE PHYSICIANS          139          

RECOMMENDATIONS THAT ADDRESS RISK FACTORS FOR STROKE, APPROPRIATE  141          

SCREENING FOR RISK FACTORS, EARLY SIGNS OF STROKE, AND TREATMENT   142          

STRATEGIES;                                                                     

      (3)  DEVELOP OR COMPILE FOR PHYSICIANS AND EMERGENCY HEALTH  144          

CARE PROVIDERS RECOMMENDATIONS ON THE INITIAL TREATMENT OF         145          

STROKE;                                                                         

      (4)  DEVELOP OR COMPILE FOR PHYSICIANS AND OTHER HEALTH      147          

                                                          4      


                                                                 
CARE PROVIDERS RECOMMENDATIONS ON THE LONG-TERM TREATMENT OF       148          

STROKE;                                                                         

      (5)  DEVELOP OR COMPILE FOR PHYSICIANS, LONG-TERM CARE       150          

PROVIDERS, AND REHABILITATION PROVIDERS RECOMMENDATIONS ON         151          

REHABILITATION OF STROKE PATIENTS;                                 152          

      (6)  TAKE OTHER ACTIONS CONSISTENT WITH THE PURPOSE OF THE   154          

COUNCIL TO ENSURE THAT THE PUBLIC AND HEALTH CARE PROVIDERS ARE    155          

INFORMED WITH REGARD TO THE MOST EFFECTIVE TREATMENT STRATEGIES    156          

FOR STROKE PREVENTION AND TREATMENT.                               157          

      (B)  THE COUNCIL MAY USE INFORMATION DEVELOPED OR MADE       159          

AVAILABLE BY OTHER PUBLIC OR PRIVATE ENTITIES TO MEET THE          160          

REQUIREMENTS OF DIVISION (A) OF THIS SECTION.                      161          

      (C)  THE DEPARTMENT OF HEALTH SHALL MAKE INFORMATION         163          

DEVELOPED OR COMPILED BY THE COUNCIL AVAILABLE TO THE PUBLIC AND   165          

DISSEMINATE TO THE APPROPRIATE PERSONS THE RECOMMENDATIONS         166          

DEVELOPED OR COMPILED BY THE COUNCIL.                                           

      Sec. 3701.904.  (A)  THE COUNCIL ON STROKE PREVENTION AND    168          

EDUCATION SHALL MEET AT THE CALL OF THE CHAIR TO CONDUCT ITS       170          

OFFICIAL BUSINESS.                                                              

      (B)  A MAJORITY OF THE VOTING MEMBERS OF THE COUNCIL         173          

CONSTITUTES A QUORUM.  THE COUNCIL MAY TAKE ACTION ONLY BY         174          

AFFIRMATIVE VOTE OF A MAJORITY OF A QUORUM.                        175          

      Sec. 3701.905.  THE COUNCIL ON STROKE PREVENTION AND         177          

EDUCATION SHALL, TO THE EXTENT FUNDS ARE AVAILABLE, PREPARE A      178          

REPORT DESCRIBING THE ACTIONS THE COUNCIL HAS TAKEN UNDER SECTION  180          

3701.903 OF THE REVISED CODE.  THE REPORT MAY INCLUDE              182          

RECOMMENDATIONS AS THE COUNCIL DEEMS APPROPRIATE.  THE COUNCIL     183          

SHALL SUBMIT THE REPORT TO THE GOVERNOR, THE DIRECTOR OF HEALTH,   184          

THE PRESIDENT AND MINORITY LEADER OF THE SENATE, AND THE SPEAKER   185          

AND MINORITY LEADER OF THE HOUSE OF REPRESENTATIVES NOT LATER      186          

THAN JUNE 1, 2002.                                                              

      Sec. 3701.906.  AFTER THE ISSUANCE OF THE REPORT REQUIRED    190          

BY SECTION 3701.905 OF THE REVISED CODE, THE COUNCIL SHALL MEET    191          

AT LEAST ONCE ANNUALLY, AT THE CALL OF THE CHAIR, TO REVIEW AND    192          

                                                          5      


                                                                 
MAKE AMENDMENTS AS NECESSARY TO THE RECOMMENDATIONS DEVELOPED OR                

COMPILED BY THE COUNCIL UNDER DIVISION (A) OF SECTION 3701.903 OF  193          

THE REVISED CODE.                                                  194          

      Sec. 3701.907.  THE COUNCIL ON STROKE PREVENTION AND         197          

EDUCATION IS EXEMPT FROM THE REQUIREMENTS OF SECTION 101.84 OF     198          

THE REVISED CODE.                                                  199