,i  #aai? ,,congress  #b;d ,session  ,h4
 ,r4 #ajhbd  ,,9 ,,! ,,h\se ,,(         
,,repres5tatives  ,octob] #ae1 #bjbf,mr4
 ,latim] 7= himself1 ,mrs4 ,d+ell1 ,ms4 
,mc,bride1 & ,mr4 ,torres ( ,new ,york7 
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,en]gy & ,comm]ce  ,a  
,,bill  ,to direct ! ,secret>y ( ,heal? 
& ,human ,s]vices to e/abli% a /&>diz$  
/roke education program = em]g5cy m$ical
 s]vices cl9icians1 & = o!r purposes4   
#a4 ,%ort title2 def9itions  7a7 ,%ort  
title ,?is ,act may be cit$ z ! ,/roke  
,education & ,,ems ,c>e ,improvem5t ,act
 ( #bjbf4  7b7 ,def9itions ,9 ?is ,act3 
7#a7 ,secret>y ,! t]m ,secret>y means1  
unless o!rwise specifically provid$1 !  
,secret>y ( ,heal? & ,human ,s]vices4   
7#b7 ,/ate ,! t]m ,/ate means "o ( ! #ej
 ,/ates1 ! ,di/rict ( ,columbia1 ,pu]to 
,rico1 ! ,virg9 ,isl&s1 ,guam1 ,am]ican 
,samoa1 & ! ,commonweal? ( ! ,nor!rn    
,m>iana ,isl&s4  #b4 ,f9d+s ,congress   
f9ds ! foll[+3 7#a7 ,/roke is a lead+   
cause ( dea? & disability 9 ! ,unit$    

,/ates1 ) approximately #gie1jjj p      
exp]i5c+ a /roke annually4  7#b7 ,!     
outcomes ( /roke pati5ts are            
significantly influ5c$ by ! timel9ess & 
appropriat5ess ( pre-hospital c>e       
provid$ by em]g5cy m$ical s]vices4  7#c7
 ,v>iation 9 em]g5cy m$ical s]vices     
7,,ems7 tra9+ & /roke c>e protocols     
across diff]5t regions ( ! ,unit$ ,/ates
 c result 9 delays 9 treatm5t &         
suboptimal pati5t outcomes4  7#d7       
,/&>diz$ ,,ems education 9 /roke c>e w  
ensure t ,,ems pr(essionals are equipp$ 
) ! k & skills ne$$ to recognize /roke  
symptoms1 p]=m timely assessm5ts1 & r\te
 pati5ts to ! appropriate /roke c>e     
c5t]s4  7#e7 ,a nationwide /&>dization (
 /roke education = ,,ems cl9icians is   
critical to improv+ pati5t outcomes &   
address+ heal?c>e disp>ities 9 bo? urban
 & rural communities4  #c4 ,national    
,/&>diz$ ,,ems ,/roke ,education        
,program  7a7 ,e/abli%m5t  7#a7 ,9 g5]al
 ,n lat] ?an #b ye>s aft] ! date (      
enactm5t ( ?is ,act1 ! ,secret>y %all   

e/abli%1 9 accordance ) ! requirem5ts ( 
?is section1 a program to be kn[n z !   
,national ,/&>diz$ ,,ems ,/roke         
,education ,program 79 ?is section      
ref]r$ to z ! program74  7#b7           
,consultation ,9 e/abli%+ ! program1 !  
,secret>y %all consult )--  7,a7 !      
,secret>y ( ,transportation2  7,b7 !    
,f$]al ,int]ag5cy ,committee on ,,ems2  
7,c7 ! ,am]ican ,/roke ,association2    
7,d7 ! ,society = ,vascul> &            
,int]v5tional ,neurology2  7,e7 !       
,national ,association ( ,em]g5cy       
,m$ical ,te*nicians2  7,f7 ,national    
,association ( ,,ems ,educators2  7,g7 !
 ,national ,,ems ,advisory ,c\ncil2 &   
7,h7 o!r relevant /akehold]s designat$  
by ! ,secret>y4  7b7 ,program goals ,!  
goals ( ! program %all be-- 7#a7 to     
develop a /&>diz$1 evid5ce-bas$         
curriculum t cov]s ! recognition ( /roke
 symptoms1 ! pre-hospital managem5t (   
/roke pati5ts1 & appropriate transport  
protocols = diff]5t types ( /rokes2     
7#b7 to ensure national consi/5cy 9     

/roke education across all levels (     
,,ems p]sonnel1 includ+ p>am$ics1       
em]g5cy m$ical te*nicians1 & fir/       
respond]s2 &  7#c7 to address ! specific
 ne$s ( ,,ems ag5cies provid+ s]vices to
 und]s]v$ & rural areas1 ensur+ equal   
access to tra9+ & res\rces4  7c7        
,program activities  7#a7 ,9 g5]al ,9   
c>ry+ out ! program1 ! ,secret>y %all   
provide =-- 7,a7 ! developm5t &         
implem5tation ( a /&>diz$ /roke         
education curriculum2  7,b7 ! tra9+ (   
,,ems cl9icians nationwide1 includ+     
?r\gh grants "u p>agraph 7#b72 &  7,c7 !
 collection & analysis ( data to measure
 ! effectiv5ess ( ! program 9 improv+   
/roke outcomes4  7#b7 ,grants  7,a7 ,9  
g5]al ,to assi/ ) ! implem5tation ( !   
program1 ! ,secret>y may make grants1 on
 a competitive basis1 to ,/ate & local  
,,ems ag5cies4  7,b7 ,di/ribution ,9    
di/ribut+ grants "u subp>agraph 7,a71 ! 
,secret>y %all give priority to ,/ate & 
local ,,ems ag5cies t--  7i7 provide    
s]vices to und]s]v$ & rural areas2 &    

7ii7 face unique *all5ges 9 provid+     
timely /roke c>e4  7#c7 ,/roke c>e      
quality improvem5t measures  7,a7 ,data 
collection & monitor+ ,! ,secret>y %all 
e/abli% a sy/em to track ! effectiv5ess 
( ! program1 includ+ in=mation reg>d+-- 
7i7 ! numb] ( ,,ems cl9icians tra9$ 9 ! 
/&>diz$ /roke curriculum2  7ii7 ! impact
 ( ! program on key /roke c>e outcomes1 
includ+ ! "t to treatm5t1 pati5t        
mortality rates1 & ! numb] ( pati5ts    
transf]r$ to /roke c5t]s2 &  7iii7      
,/ate-by-,/ate v>iations 9 ,,ems /roke  
c>e & h[ ! program is address+          
disp>ities 9 access to /roke c>e4  7,b7 
,annual reports ,n lat] ?an #b ye>s aft]
 ! date ( enactm5t ( ?is ,act1 &        
annually !reaft] dur+ ! t]m on !        
program1 ! ,secret>y %all submit to     
,congress a report t includes-- 7i7 an  
analysis ( ! success ( ! program2 &     
7ii7 recomm5dations = improvem5ts to !  
program1 includ+ pot5tial *anges to !   
curriculum1 deliv]y me?ods1 or fund+    
/ructure4  7#d7 ,curriculum requirem5ts 

,! program %all--  7,a7 include a       
compreh5sive ov]view ( /roke types2     
7,b7 cov] recogniz$ /roke scales to     
assess /roke sev]ity2  7,c7 address !   
importance ( e>ly recognition1 timely   
int]v5tion1 & appropriate r\t+ to       
c]tifi$ /roke c5t]s2 &  7,d7 provide    
int]active case /udies & real-_w sc5>ios
 to enhance practical application4  7d7 
,equity & accessibility consid]ations   
7#a7 ,priority = und]s]v$ areas ,9      
di/ribut+ fund+ = tra9+ & implem5tation 
( ! program1 ! ,secret>y %all give      
priority to und]s]v$ areas & to ^? ,,ems
 ag5cies t face b>ri]s to access+ /roke 
education programs1 includ+-- 7,a7 rural
 ,,ems sy/ems ) limit$ access to tra9+  
res\rces2 &  7,b7 l[-income urban areas 
) high /roke preval5ce b limit$ heal?c>e
 access4  7#b7 ,te*nology access ,!     
,secret>y %all ensure t ! program is    
accessible to ,,ems p]sonnel 9 remote or
 und]s]v$ areas ?r\gh onl9e tra9+       
modules1 telem$ic9e support1 & o!r      
digital tools4  7e7 ,au?orization (     

,f$]al int]ag5cy collaboration  7#a7    
,collaboration ) o!r ag5cies ,!         
,secret>y may collaborate ) o!r ,f$]al  
ag5cies1 includ+ ! ,national ,highway   
,traffic ,safety ,adm9i/ration1 ! ,c5t]s
 = ,m$ic>e  ,m$icaid ,s]vices1 !        
,dep>tm5t ( ,vet]ans ,affairs1 & !      
,f$]al ,em]g5cy ,managem5t ,ag5cy1 to   
coord9ate ef=ts relat$ to /roke         
education1 tra9+1 & heal?c>e deliv]y4   
7#b7 ,cross-ag5cy p>tn]%ips ,! ,secret>y
 %all "w ) national ,,ems organizations 
& pr(essional m$ical societies to ensure
 broad p>ticipation & exp]t input into !
 developm5t ( ! program4  7f7           
,au?orization ( appropriations ,!re are 
au?oriz$ to be appropriat$ to !         
,secret>y to c>ry out ?is section su*   
sums z may be necess>y = ea* ( fiscal   
ye>s #bjbg ?r\gh #bjcb4