,,ii #aai? ,,congress #b;d ,session ,s4 #ebfj ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,augu/ #e1 #bjbf,mr4 ,lujn 7= himself1 ,mr4 ,s*um]1 ,mr4 ,b5net1 ,mr4 ,fett]man1 ,mrs4 ,%ahe51 ,mr4 ,he9ri*1 ,mr4 ,s*iff1 ,mr4 ,padilla1 ,mr4 ,hick5loop]1 ,ms4 ,smi?1 & ,ms4 ,ros57 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ,a ,,bill ,to require ! ,secret>y ( ,heal? & ,human ,s]vices to c>ry out rese>* & data collection to improve ! quality ( /roke c>e1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,/roke ,act4 #b4 ,f9d+s ,congress makes ! foll[+ f9d+s3 7#a7 ,e #dj seconds1 someone 9 ! ,unit$ ,/ates has a /roke4 7#b7 ,/roke is a lead+ cause ( s]i\s long-t]m disability & ! fif?-lead+ cause ( dea? 9 ! ,unit$ ,/ates1 caus+ m ?an #afj1jjj dea?s ea* ye>4 7#c7 ,9 #bjbc1 /roke acc\nt$ = approximately #a ( e #ai dea?s 9 ! ,unit$ ,/ates4 7#d7 ,/roke caus$ #aff1heb dea?s 9 ! ,unit$ ,/ates 9 #bjbd4 7#e7 ,ne>ly half ( adults 9 ! ,unit$ ,/ates h high blood pressure1 :i* is a lead+ cause & controllable risk factor = /roke4 7#f7 ,quick id5tification & treatm5t = /roke results 9 a high] *ance ( survival & r$uces recov]y "t = individuals exp]i5c+ a /roke4 7#g7 ,treatm5t dep5ds on ! type ( /roke someone is hav+1 :i* mu/ be diagnos$ by a heal? c>e pr(essional4 7#h7 ,:5 deal+ ) a "t-s5sitive m$ical em]g5cy s]vices l a /roke1 ! "r c>e1 at ! "r "t1 at ! "r facility1 is ( ! utmo/ importance4 7#i7 ,a sy/em ( c>e all[s = sci5tifically prov5 measures to be appli$ to e pati5t1 e "t4 #c4 ,rese>* relat+ to ! deliv]y ( /roke c>e 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices 7ref]r$ to 9 ?is ,act z ! ,secret>y71 9 consultation ) ! ,national ,in/itute ( ,neurological ,disord]s & ,/roke1 may conduct or support rese>* relat+ to ! deliv]y ( /roke c>e1 includ+ rese>* relat+ to-- 7#a7 inconsi/5cies 9 inpati5t & pre-hospital c>e2 7#b7 ob/acles to /roke rese>* p>ticipation & communication ( rese>* f9d+s2 7#c7 public education ab\t /roke & /roke symptoms2 7#d7 access to hyp]acute & acute /roke c>e & quality /roke rehabilitation2 7#e7 discrepancies 9 /roke rehabilitation ref]ral patt]ns2 7#f7 diff]5ces 9 ! use ( inpati5t proc$ures2 & 7#g7 demographic v>iations 9 diagno/ic proc$ures & second>y /roke prev5tion m$ication4 7b7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section #c1jjj1jjj = ea* ( fiscal ye>s #bjbg ?r\gh #bjcb4 #d4 ,grants = data collection relat+ to /roke c>e 7a7 ,9 g5]al ,! ,secret>y1 act+ ?r\gh ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 may aw>d grants to1 or ent] into coop]ative agreem5ts )1 public or private nonpr(it entities-- 7#a7 to support ! expansion1 ma9t5ance1 & enhancem5t ( a national /roke regi/ry t collects /&>diz$ data on /roke c>e & outcomes across ! ,unit$ ,/ates2 & 7#b7 to enc\rage ! p>ticipation 9 su* regi/ry (-- 7,a7 compreh5sive /roke c5t]s2 7,b7 ?rombectomy-capable /roke c5t]s or ! equival5t t (f] me*anical endovascul> !rapies2 7,c7 prim>y /roke c5t]s2 & 7,d7 acute /roke-ready hospitals4 7b7 ,requirem5ts ,a national /roke regi/ry support$ "u subsection 7a7 %all-- 7#a7 collect & report /&>diz$ data on /roke c>e1 treatm5t1 quality measures1 & pati5t outcomes f p>ticipat+ hospitals across ! ,unit$ ,/ates2 7#b7 build ^u exi/+ national /roke regi/ry infra/ructure to m9imize duplication & maximize hospital p>ticipation2 7#c7 support quality improvem5t1 b5*m>k+1 & rese>* activities to improve /roke c>e & pati5t outcomes nationally2 7#d7 facilitate data %>+ & report+ ) ,/ate1 t]ritorial1 ,tribal1 & local public heal? ag5cies1 z appropriate2 & 7#e7 ma9ta9 applicable pati5t privacy1 security1 & confid5tiality /&>ds4 7c7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section #aj1jjj1jjj = ea* ( fiscal ye>s #bjbg ?r\gh #bjcb4 #e4 ,grants to /r5g!n sy/ems ( /roke c>e 7a7 ,9 g5]al ,! ,secret>y1 act+ ?r\gh ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 may aw>d grants to public or nonpr(it entities to c>ry out activities to improve ! quality ( /roke c>e across ! cont9uum ( c>e4 7b7 ,requirem5ts ,an entity t receives a grant "u subsection 7a7 may use ! grant funds-- 7#a7 to coord9ate & dissem9ate /roke messag+ & education )9 communities & cl9ical sett+s2 7#b7 to provide tra9+ to em]g5cy m$ical s]vices p]sonnel1 p>am$ics1 & em]g5cy m$ical te*nicians on1 & to enc\rage ! adoption (1 be/ practices & protocols relat+ to ! transport (1 & pre-hospital c>e =1 individuals suspect$ ( hav+ a /roke2 7#c7 to improve ! coord9ation & provision ( po/-/roke c>e & rehabilitation s]vices across community & cl9ical sett+s & across diff]5t types ( heal? c>e cov]age2 7#d7 to coord9ate1 develop1 & implem5t pr(essional & work=ce developm5t opportunities to improve evid5ce-bas$ k = /roke c>e1 recognition ( inconsi/5cies 9 /roke c>e1 & implem5tation ( activities to address su* inconsi/5cies2 & 7#e7 to provide tra9+ & te*nical assi/ance to increase ! use ( tele/roke c>e = /roke pati5ts 9 facilities locat$ 9 regions 9 ne$ ( m$ical res\rces4 7c7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section #aj1jjj1jjj = ea* ( fiscal ye>s #bjbg ?r\gh #bjcb4 #f4 ,grants = /roke prev5tion & education campaign 7a7 ,9 g5]al ,! ,secret>y1 act+ ?r\gh ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 may aw>d grants to1 or ent] into coop]ative agreem5ts )1 public or private nonpr(it entities to c>ry out a national education & in=mation campaign to promote /roke prev5tion & to increase ! numb] ( /roke pati5ts :o seek imm$iate treatm5t4 7b7 ,requirem5t ,! ,secret>y %all ensure t ! campaign c>ri$ out pursuant to subsection 7a7 does n duplicate exi/+ /roke education ef=ts c>ri$ out by o!r ,f$]al ag5cies4 7c7 ,consultation ,9 c>ry+ out ?is section1 ! ,secret>y may consult ) national & local organizations t are d$icat$ to increas+ public aw>5ess ( /rokes1 consum]s ( /roke aw>5ess products1 & provid]s ( /roke c>e4 7d7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section #b1jjj1jjj = ea* ( fiscal ye>s #bjbg ?r\gh #bjcb4