Summary: H.R.3658 — 108th Congress (2003-2004)All Information (Except Text)

Bill summaries are authored by CRS.

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Passed House amended (06/14/2004)

(This measure has not been amended since it was reported to the House on March 30, 2004. The summary of that version is repeated here.)

Stroke Treatment and Ongoing Prevention Act - (Sec. 2) Amends the Public Health Service Act to direct the Secretary of Health and Human Services to carry out an education and information campaign to promote stroke prevention and to increase the number of stroke patients who seek immediate treatment. Allows the Secretary to: (1) make public service announcements about the warning signs of stroke and the importance of treating stroke as a medical emergency; (2) provide education regarding ways to prevent stroke and the effectiveness of stroke treatment; and (3) consult with organizations and individuals with expertise in stroke prevention, diagnosis, treatment, and rehabilitation (treatment). Requires the Secretary to evaluate the campaign and measure its impact every two years.

Requires the Secretary, acting through the Centers for Disease Control (CDC), to maintain the Paul Coverdell National Acute Stroke Registry and Clearinghouse by: (1) collecting specific data points and benchmarks for stroke care analysis; (2) compiling and disseminating information on State, local, and private care system achievements and problems; and (3) carrying out activities to reflect the latest advances in all forms of stroke care.

Includes developing and enhancing training for health professions to improve stroke and traumatic injury prevention, diagnosis, and treatment within the the purposes of the grant program for emergency medicine residency training.

Authorizes the Secretary, through the Administrator of the Health Resources and Services Administration, to make grants to qualified entities for health care professionals education programs in the use of diagnostic approaches, technologies, and therapies for stroke and traumatic injury treatment. Gives preference to areas with a significant incidence of stroke or traumatic injuries. Requires qualified entities to include with a grant application a plan for the rigorous evaluation of activities carried out. Sets forth reporting requirements. Authorizes appropriations for FY 2005 through 2009.

(Sec. 3) Authorizes the Secretary, through the Director of the Office for the Advancement of Telehealth, to make up to seven grants to States and to consortia of public and private entities in any non-grantee State to conduct a five-year pilot project to improve patient outcomes by coordinating health care through telehealth networks. Requires the Secretary to consult with officials responsible for other Federal programs involving stroke research and care and with organizations and individuals with expertise in stroke treatment.

Requires States to use the grants to: (1) identify entities with expertise in the delivery of high-quality stroke treatment; (2) work with those entities to establish or improve telehealth networks to provide stroke treatment assistance and resources; (3) inform emergency medical systems of the location of entities to facilitate the transport of individuals with stroke symptoms; (4) establish networks to coordinate collaborative activities for stroke treatment; (5) improve access to high-quality stroke care, especially for populations with a shortage of stroke care specialists or with a high incidence of stroke; and (6) conduct performance and quality evaluations to identify activities that improve clinical outcomes for stroke patients. Requires States to establish a consortium of public and private entities, including universities and academic medical centers, to carry out these activities. Prohibits the Secretary from making a grant to a State, or a consortium within a State, with an existing telehealth network for improving stroke treatment unless the State or consortium agrees to use the existing telehealth network to achieve the purpose of the grant. Gives priority to any applicant that submits a plan demonstrating how the applicant will use the grant to improve access to high-quality stroke care for target populations.

Limits the award of grants to periods of three years, or periods that do not extend beyond FY 2009. Requires an application to outline how the State or consortium will establish baseline measures and benchmarks to evaluate program outcomes. Authorizes appropriations for FY 2005 through 2009. Requires a report that includes: (1) an evaluation of the grant program outcomes; (2) recommendations on how to promote stroke networks in ways that improve access to clinical care in rural and urban areas and reduce the incidence of stroke and resulting complications; (3) recommendations on whether similar telehealth grant programs could be used to improve patient outcomes in other public health areas.