As Passed by the Senate                       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-SENATORS KEARNS-DRAKE-SPADA     14           


_________________________________________________________________   16           

                          A   B I L L                                           

             To enact sections 3701.90, 3701.901, 3701.902,        18           

                3701.903, 3701.904, 3701.905, 3701.906, and        19           

                3701.907 of the Revised Code to create the                      

                Council on Stroke Prevention and Education.        21           




BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF OHIO:        23           

      Section 1.  That sections 3701.90, 3701.901, 3701.902,       25           

3701.903, 3701.904, 3701.905, 3701.906, and 3701.907 of the        26           

Revised Code be enacted to read as follows:                        27           

      Sec. 3701.90.  THERE IS HEREBY CREATED IN THE DEPARTMENT OF  29           

HEALTH THE COUNCIL ON STROKE PREVENTION AND EDUCATION.  THE        30           

DEPARTMENT SHALL, TO THE EXTENT FUNDS ARE AVAILABLE, PROVIDE       32           

OFFICE SPACE AND STAFF ASSISTANCE FOR THE COUNCIL.                              

      Sec. 3701.901.  (A)  THE MEMBERSHIP OF THE COUNCIL ON        34           

STROKE PREVENTION AND EDUCATION SHALL CONSIST OF ONE               35           

REPRESENTATIVE OF EACH OF THE FOLLOWING:                           36           

      (1)  BRAIN INJURY ASSOCIATION OF OHIO;                       38           

      (2)  OHIO ACADEMY OF FAMILY PHYSICIANS;                      40           

      (3)  AMERICAN COLLEGE OF EMERGENCY PHYSICIANS OHIO CHAPTER;  43           

      (4)  OHIO CHAPTER OF THE AMERICAN COLLEGE OF CARDIOLOGY;     46           

      (5)  OHIO STATE NEUROSURGICAL SOCIETY;                       48           

                                                          2      


                                                                 
      (6)  OHIO HEART AND VASCULAR RESEARCH FOUNDATION;            50           

      (7)  OHIO GERIATRICS SOCIETY;                                52           

      (8)  OHIO NURSES ASSOCIATION;                                54           

      (9)  OHIO ASSOCIATION OF REHABILITATION FACILITIES;          56           

      (10)  OHIO HOSPITAL ASSOCIATION;                             58           

      (11)  NORTHEAST OHIO STROKE ASSOCIATION;                     60           

      (12)  AMERICAN HEART ASSOCIATION OHIO VALLEY AFFILIATE;      63           

      (13)  AMERICAN ASSOCIATION OF RETIRED PERSONS OHIO OFFICE;   66           

      (14)  OHIO DEPARTMENT OF HEALTH;                             68           

      (15)  OHIO COMMISSION ON MINORITY HEALTH;                    70           

      (16)  OHIO STATE MEDICAL ASSOCIATION;                        72           

      (17)  OHIO OSTEOPATHIC ASSOCIATION;                          74           

      (18)  OHIO PHYSICAL THERAPY ASSOCIATION;                     76           

      (19)  A UNIVERSITY RESEARCH FACILITY IN OHIO SPECIALIZING    78           

IN BIOTECHNOLOGY;                                                  79           

      (20)  A HEALTH INSURING CORPORATION, AS DEFINED IN SECTION   81           

1751.01 OF THE REVISED CODE;                                       82           

      (21)  A SMALL EMPLOYER, AS DEFINED IN SECTION 3924.01 OF     84           

THE REVISED CODE;                                                  86           

      (22)  AN EMPLOYER THAT PROVIDES HEALTH BENEFITS TO ITS       88           

EMPLOYEES THROUGH A SELF-INSURANCE PROGRAM, AS DEFINED IN SECTION  89           

3959.01 OF THE REVISED CODE.                                       90           

      (B)  THE DIRECTOR OF HEALTH SHALL APPOINT THE MEMBERS OF     92           

THE COUNCIL.  THE DIRECTOR SHALL REQUEST FROM EACH ENTITY LISTED   93           

IN DIVISION (A) OF THIS SECTION A LIST OF THREE PERSONS QUALIFIED  94           

TO SERVE AS MEMBERS OF THE COUNCIL.  IN MAKING APPOINTMENTS TO     95           

THE COUNCIL, THE DIRECTOR SHALL SELECT ONE MEMBER FROM THE LIST    97           

SUBMITTED BY EACH ENTITY.  IF THE DIRECTOR DOES NOT RECEIVE A      98           

LIST FROM AN ENTITY NOT LATER THAN SIXTY DAYS AFTER MAKING A       99           

REQUEST, THE DIRECTOR SHALL APPOINT A MEMBER TO SERVE AS THE       100          

REPRESENTATIVE OF THAT ENTITY.  THE DIRECTOR SHALL APPOINT AS      101          

MEMBERS OF THE COUNCIL NO FEWER THAN SIX PERSONS WHO ARE           102          

AUTHORIZED UNDER CHAPTER 4731. OF THE REVISED CODE TO PRACTICE                  

MEDICINE AND SURGERY OR OSTEOPATHIC MEDICINE AND SURGERY.          103          

                                                          3      


                                                                 
      (C)  THE DIRECTOR OF HEALTH SHALL APPOINT THE CHAIR AND      105          

VICE-CHAIR OF THE COUNCIL FROM AMONG ITS MEMBERS.                  106          

      Sec. 3701.902.  MEMBERS OF THE COUNCIL ON STROKE PREVENTION  108          

AND EDUCATION SHALL SERVE WITHOUT COMPENSATION, BUT SHALL, TO THE  109          

EXTENT FUNDS ARE AVAILABLE, BE REIMBURSED BY THE DEPARTMENT OF     111          

HEALTH FOR THE ACTUAL AND NECESSARY EXPENSES THEY INCUR IN THE     112          

PERFORMANCE OF THEIR OFFICIAL DUTIES.  A MEMBER MAY SERVE UNTIL A  113          

REPLACEMENT IS APPOINTED BY THE DIRECTOR OF HEALTH.  REPLACEMENT   114          

MEMBERS SHALL BE APPOINTED IN THE SAME MANNER AS THE INITIAL       115          

MEMBERS.                                                                        

      Sec. 3701.903.  (A)  THE COUNCIL ON STROKE PREVENTION AND    117          

EDUCATION SHALL, TO THE EXTENT FUNDS ARE AVAILABLE, DO ALL OF THE  119          

FOLLOWING:                                                                      

      (1)  DEVELOP AND IMPLEMENT A COMPREHENSIVE STATEWIDE PUBLIC  121          

EDUCATION PROGRAM ON STROKE PREVENTION, TARGETED TO HIGH-RISK      122          

POPULATIONS AND TO GEOGRAPHIC AREAS WHERE THERE IS A HIGH          123          

INCIDENCE OF STROKE, INCLUDING INFORMATION DEVELOPED OR COMPILED   124          

BY THE COUNCIL ON ALL OF THE FOLLOWING:                            125          

      (a)  HEALTHY LIFESTYLE PRACTICES THAT REDUCE THE RISK OF     127          

STROKE;                                                            128          

      (b)  SIGNS AND SYMPTOMS OF STROKE AND ACTION TO BE TAKEN     130          

WHEN SIGNS OCCUR;                                                  131          

      (c)  DETERMINANTS OF HIGH-QUALITY HEALTH CARE FOR STROKE;    133          

      (d)  OTHER INFORMATION THE COUNCIL CONSIDERS APPROPRIATE     135          

FOR INCLUSION IN THE PUBLIC EDUCATION PROGRAM.                     136          

      (2)  DEVELOP OR COMPILE FOR PRIMARY CARE PHYSICIANS          138          

RECOMMENDATIONS THAT ADDRESS RISK FACTORS FOR STROKE, APPROPRIATE  140          

SCREENING FOR RISK FACTORS, EARLY SIGNS OF STROKE, AND TREATMENT   141          

STRATEGIES;                                                                     

      (3)  DEVELOP OR COMPILE FOR PHYSICIANS AND EMERGENCY HEALTH  143          

CARE PROVIDERS RECOMMENDATIONS ON THE INITIAL TREATMENT OF         144          

STROKE;                                                                         

      (4)  DEVELOP OR COMPILE FOR PHYSICIANS AND OTHER HEALTH      146          

CARE PROVIDERS RECOMMENDATIONS ON THE LONG-TERM TREATMENT OF       147          

                                                          4      


                                                                 
STROKE;                                                                         

      (5)  DEVELOP OR COMPILE FOR PHYSICIANS, LONG-TERM CARE       149          

PROVIDERS, AND REHABILITATION PROVIDERS RECOMMENDATIONS ON         150          

REHABILITATION OF STROKE PATIENTS;                                 151          

      (6)  TAKE OTHER ACTIONS CONSISTENT WITH THE PURPOSE OF THE   153          

COUNCIL TO ENSURE THAT THE PUBLIC AND HEALTH CARE PROVIDERS ARE    154          

INFORMED WITH REGARD TO THE MOST EFFECTIVE TREATMENT STRATEGIES    155          

FOR STROKE PREVENTION AND TREATMENT.                               156          

      (B)  THE COUNCIL MAY USE INFORMATION DEVELOPED OR MADE       158          

AVAILABLE BY OTHER PUBLIC OR PRIVATE ENTITIES TO MEET THE          159          

REQUIREMENTS OF DIVISION (A) OF THIS SECTION.                      160          

      (C)  THE DEPARTMENT OF HEALTH SHALL MAKE INFORMATION         162          

DEVELOPED OR COMPILED BY THE COUNCIL AVAILABLE TO THE PUBLIC AND   164          

DISSEMINATE TO THE APPROPRIATE PERSONS THE RECOMMENDATIONS         165          

DEVELOPED OR COMPILED BY THE COUNCIL.                                           

      Sec. 3701.904.  (A)  THE COUNCIL ON STROKE PREVENTION AND    167          

EDUCATION SHALL MEET AT THE CALL OF THE CHAIR TO CONDUCT ITS       169          

OFFICIAL BUSINESS.                                                              

      (B)  A MAJORITY OF THE VOTING MEMBERS OF THE COUNCIL         172          

CONSTITUTES A QUORUM.  THE COUNCIL MAY TAKE ACTION ONLY BY         173          

AFFIRMATIVE VOTE OF A MAJORITY OF A QUORUM.                        174          

      Sec. 3701.905.  THE COUNCIL ON STROKE PREVENTION AND         176          

EDUCATION SHALL, TO THE EXTENT FUNDS ARE AVAILABLE, PREPARE A      177          

REPORT DESCRIBING THE ACTIONS THE COUNCIL HAS TAKEN UNDER SECTION  179          

3701.903 OF THE REVISED CODE.  THE REPORT MAY INCLUDE              181          

RECOMMENDATIONS AS THE COUNCIL DEEMS APPROPRIATE.  THE COUNCIL     182          

SHALL SUBMIT THE REPORT TO THE GOVERNOR, THE DIRECTOR OF HEALTH,   183          

THE PRESIDENT AND MINORITY LEADER OF THE SENATE, AND THE SPEAKER   184          

AND MINORITY LEADER OF THE HOUSE OF REPRESENTATIVES NOT LATER      185          

THAN JUNE 1, 2002.                                                              

      Sec. 3701.906.  AFTER THE ISSUANCE OF THE REPORT REQUIRED    189          

BY SECTION 3701.905 OF THE REVISED CODE, THE COUNCIL SHALL MEET    190          

AT LEAST ONCE ANNUALLY, AT THE CALL OF THE CHAIR, TO REVIEW AND    191          

MAKE AMENDMENTS AS NECESSARY TO THE RECOMMENDATIONS DEVELOPED OR                

                                                          5      


                                                                 
COMPILED BY THE COUNCIL UNDER DIVISION (A) OF SECTION 3701.903 OF  192          

THE REVISED CODE.                                                  193          

      Sec. 3701.907.  THE COUNCIL ON STROKE PREVENTION AND         196          

EDUCATION IS EXEMPT FROM THE REQUIREMENTS OF SECTION 101.84 OF     197          

THE REVISED CODE.                                                  198