,,ii  #aaith ,,congress  #b;d ,session  
,s4 #ebfj  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,august #e1    
#bjbf,mr4 ,lujn 7for himself1 ,mr4      
,schumer1 ,mr4 ,bennet1 ,mr4 ,fetterman1
 ,mrs4 ,shaheen1 ,mr4 ,heinrich1 ,mr4   
,schiff1 ,mr4 ,padilla1 ,mr4            
,hickenlooper1 ,ms4 ,smith1 and ,ms4    
,rosen7 introduced the following bill2  
which was read twice and referred to the
 ,committee on ,health1 ,education1     
,labor1 and ,pensions  ,a ,,bill  ,to   
require the ,secretary of ,health and   
,human ,services to carry out research  
and data collection to improve the      
quality of stroke care1 and for other   
purposes4  #a4 ,short title ,this ,act  
may be cited as the ,stroke ,act4  #b4  
,findings ,congress makes the following 
findings3 7#a7 ,every #dj seconds1      
someone in the ,united ,states has a    
stroke4  7#b7 ,stroke is a leading cause
 of serious long-term disability and the
 fifth-leading cause of death in the    
,united ,states1 causing more than      

#afj1jjj deaths each year4  7#c7 ,in    
#bjbc1 stroke accounted for             
approximately #a of every #ai deaths in 
the ,united ,states4  7#d7 ,stroke      
caused #aff1heb deaths in the ,united   
,states in #bjbd4  7#e7 ,nearly half of 
adults in the ,united ,states have high 
blood pressure1 which is a leading cause
 and controllable risk factor for       
stroke4  7#f7 ,quick identification and 
treatment for stroke results in a higher
 chance of survival and reduces recovery
 time for individuals experiencing a    
stroke4  7#g7 ,treatment depends on the 
type of stroke someone is having1 which 
must be diagnosed by a health care      
professional4  7#h7 ,when dealing with a
 time-sensitive medical emergency       
services like a stroke1 the right care1 
at the right time1 at the right         
facility1 is of the utmost importance4  
7#i7 ,a system of care allows for       
scientifically proven measures to be    
applied to every patient1 every time4   
#c4 ,research relating to the delivery  

of stroke care  7a7 ,in general ,the    
,secretary of ,health and ,human        
,services 7referred to in this ,act as  
the ,secretary71 in consultation with   
the ,national ,institute of             
,neurological ,disorders and ,stroke1   
may conduct or support research relating
 to the delivery of stroke care1        
including research relating to-- 7#a7   
inconsistencies in inpatient and        
pre-hospital care2  7#b7 obstacles to   
stroke research participation and       
communication of research findings2     
7#c7 public education about stroke and  
stroke symptoms2  7#d7 access to        
hyperacute and acute stroke care and    
quality stroke rehabilitation2  7#e7    
discrepancies in stroke rehabilitation  
referral patterns2  7#f7 differences in 
the use of inpatient procedures2 and    
7#g7 demographic variations in          
diagnostic procedures and secondary     
stroke prevention medication4  7b7      
,authorization of appropriations ,there 
is authorized to be appropriated to     

carry out this section #c1jjj1jjj for   
each of fiscal years #bjbg through      
#bjcb4  #d4 ,grants for data collection 
relating to stroke care  7a7 ,in general
 ,the ,secretary1 acting through the    
,director of the ,centers for ,disease  
,control and ,prevention1 may award     
grants to1 or enter into cooperative    
agreements with1 public or private      
nonprofit entities-- 7#a7 to support the
 expansion1 maintenance1 and enhancement
 of a national stroke registry that     
collects standardized data on stroke    
care and outcomes across the ,united    
,states2 and  7#b7 to encourage the     
participation in such registry of-- 7,a7
 comprehensive stroke centers2  7,b7    
thrombectomy-capable stroke centers or  
the equivalent that offer mechanical    
endovascular therapies2  7,c7 primary   
stroke centers2 and  7,d7 acute         
stroke-ready hospitals4  7b7            
,requirements ,a national stroke        
registry supported under subsection 7a7 
shall-- 7#a7 collect and report         

standardized data on stroke care1       
treatment1 quality measures1 and patient
 outcomes from participating hospitals  
across the ,united ,states2  7#b7 build 
upon existing national stroke registry  
infrastructure to minimize duplication  
and maximize hospital participation2    
7#c7 support quality improvement1       
benchmarking1 and research activities to
 improve stroke care and patient        
outcomes nationally2  7#d7 facilitate   
data sharing and reporting with ,state1 
territorial1 ,tribal1 and local public  
health agencies1 as appropriate2 and    
7#e7 maintain applicable patient        
privacy1 security1 and confidentiality  
standards4  7c7 ,authorization of       
appropriations ,there is authorized to  
be appropriated to carry out this       
section #aj1jjj1jjj for each of fiscal  
years #bjbg through #bjcb4  #e4 ,grants 
to strengthen systems of stroke care    
7a7 ,in general ,the ,secretary1 acting 
through the ,director of the ,centers   
for ,disease ,control and ,prevention1  

may award grants to public or nonprofit 
entities to carry out activities to     
improve the quality of stroke care      
across the continuum of care4  7b7      
,requirements ,an entity that receives a
 grant under subsection 7a7 may use the 
grant funds-- 7#a7 to coordinate and    
disseminate stroke messaging and        
education within communities and        
clinical settings2  7#b7 to provide     
training to emergency medical services  
personnel1 paramedics1 and emergency    
medical technicians on1 and to encourage
 the adoption of1 best practices and    
protocols relating to the transport of1 
and pre-hospital care for1 individuals  
suspected of having a stroke2  7#c7 to  
improve the coordination and provision  
of post-stroke care and rehabilitation  
services across community and clinical  
settings and across different types of  
health care coverage2  7#d7 to          
coordinate1 develop1 and implement      
professional and workforce development  
opportunities to improve evidence-based 

knowledge for stroke care1 recognition  
of inconsistencies in stroke care1 and  
implementation of activities to address 
such inconsistencies2 and  7#e7 to      
provide training and technical          
assistance to increase the use of       
telestroke care for stroke patients in  
facilities located in regions in need of
 medical resources4  7c7 ,authorization 
of appropriations ,there is authorized  
to be appropriated to carry out this    
section #aj1jjj1jjj for each of fiscal  
years #bjbg through #bjcb4  #f4 ,grants 
for stroke prevention and education     
campaign  7a7 ,in general ,the          
,secretary1 acting through the ,director
 of the ,centers for ,disease ,control  
and ,prevention1 may award grants to1 or
 enter into cooperative agreements with1
 public or private nonprofit entities to
 carry out a national education and     
information campaign to promote stroke  
prevention and to increase the number of
 stroke patients who seek immediate     
treatment4  7b7 ,requirement ,the       

,secretary shall ensure that the        
campaign carried out pursuant to        
subsection 7a7 does not duplicate       
existing stroke education efforts       
carried out by other ,federal agencies4 
7c7 ,consultation ,in carrying out this 
section1 the ,secretary may consult with
 national and local organizations that  
are dedicated to increasing public      
awareness of strokes1 consumers of      
stroke awareness products1 and providers
 of stroke care4  7d7 ,authorization of 
appropriations ,there is authorized to  
be appropriated to carry out this       
section #b1jjj1jjj for each of fiscal   
years #bjbg through #bjcb4