Directs the Secretary to: (1) maintain the Paul Coverdell National Acute Stroke Registry and Clearinghouse, including conducting and/or making available research concerning best practices for prevention, treatment, and rehabilitation; (2) make grants to States to establish statewide stroke prevention, treatment, and rehabilitation systems; and (3) develop a model curriculum for training emergency medical services personnel.
Sets forth requirements for the State grant program, including matching funds, standards for care and facilities, central data reporting and analysis, special consideration for geographic areas with high rates of disability from stroke or significant need, and technical assistance.
Authorizes the Secretary to make grants to develop and implement education programs for appropriate medical personnel with regard to newly developed diagnostics, technologies, and therapies for stroke prevention and treatment.
[Congressional Bills 107th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3431 Introduced in House (IH)]
1st Session
H. R. 3431
To amend the Public Health Service Act to provide programs for the
prevention, treatment, and rehabilitation of stroke.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
December 6, 2001
Mrs. Capps (for herself, Mr. Pickering, Mr. Dingell, Mr. Greenwood, Mr.
Brown of Ohio, Mr. Shimkus, Mr. Waxman, Mr. Foley, Mr. Stark, Mr.
Norwood, Mr. Rangel, Ms. Dunn of Washington, Mr. Towns, Mr. Wicker, Mr.
Kennedy of Rhode Island, Mr. Platts, Mr. Farr of California, Mr. Baker,
Mr. Engel, Mr. Cunningham, Mr. Green of Texas, Mr. Calvert, Mrs.
McCarthy of New York, Mr. Wamp, Mr. Serrano, Mr. Wolf, Mr. Gutierrez,
Mr. Thune, Mrs. Meek of Florida, Mr. Dicks, Mr. Lantos, Mr. Wynn, Mr.
Jefferson, Mr. McGovern, Mr. McNulty, Ms. McCollum, Mr. Ackerman, Mr.
Baldacci, Mr. Pallone, Mr. Markey, Mr. Israel, Mrs. Christensen, Ms.
Watson of California, Mr. Holt, Mr. Matsui, Mr. Lipinski, Ms. Carson of
Indiana, Mr. Price of North Carolina, Ms. Lee, Mr. Kind, Mr. Moore, Ms.
Eshoo, Ms. Harman, Mr. Filner, Mr. Stenholm, Mr. Frost, Mr. Jackson of
Illinois, Ms. Schakowsky, Mr. Pascrell, Mrs. Tauscher, Ms. McKinney,
Mr. Oberstar, Mr. Udall of New Mexico, Mr. Inslee, Mr. Davis of
Florida, Ms. DeGette, Mr. Hall of Texas, Mr. Davis of Illinois, Mr.
Abercrombie, Mr. Gordon, Mr. Pomeroy, and Mr. Rush) introduced the
following bill; which was referred to the Committee on Energy and
Commerce
_______________________________________________________________________
A BILL
To amend the Public Health Service Act to provide programs for the
prevention, treatment, and rehabilitation of stroke.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Stroke Treatment and Ongoing
Prevention Act of 2001''.
SEC. 2. FINDINGS AND GOAL.
(a) Findings.--Congress makes the following findings:
(1) Stroke is the third leading cause of death in the
United States. Each year over 750,000 Americans suffer a new or
recurrent stroke and 160,000 Americans die from stroke.
(2) Stroke costs the United States $28,000,000,000 in
direct costs and $17,400,000,000 in indirect costs, each year.
(3) Stroke is one of the leading causes of adult disability
in the United States. Between 15 percent and 30 percent of
stroke survivors are permanently disabled. Presently, there are
4,400,000 stroke survivors living in the United States.
(4) Members of the general public have difficulty
recognizing the symptoms of stroke and are unaware that stroke
is a medical emergency. Fifty-eight percent of all stroke
patients wait 24 hours or more before presenting at the
emergency room. Forty-two percent of individuals over the age
of 50 do not recognize numbness or paralysis in the face, arm,
or leg as a sign of stroke and 17 percent of them cannot name a
single stroke symptom.
(5) Recent advances in stroke treatment can significantly
improve the outcome for stroke patients, but these therapies
must be administered properly and promptly. Only 3 percent of
stroke patients who are candidates for acute stroke intravenous
thrombolytic drug therapy receive the appropriate medication.
(6) New technologies, therapies, and diagnostic approaches
are currently being developed that will extend the therapeutic
timeframe and result in greater treatment efficacy for stroke
patients.
(7) Few States and communities have developed and
implemented stroke awareness programs, prevention programs, or
comprehensive stroke care systems.
(8) The degree of disability resulting from stroke can be
reduced substantially by educating the general public about
stroke and by improving the systems for the provision of stroke
care in the United States.
(b) Goal.--It is the goal of this Act to improve the provision of
stroke care in every State and territory and in the District of
Columbia, and to increase public awareness about the prevention,
detection, and treatment of stroke.
SEC. 3. SYSTEMS FOR STROKE PREVENTION, TREATMENT, AND REHABILITATION.
The Public Health Service Act (42 U.S.C. 201 et seq.) is amended by
adding at the end the following:
``TITLE XXVIII--SYSTEMS FOR STROKE PREVENTION, TREATMENT, AND
REHABILITATION
``Part A--Stroke Prevention and Education Campaign
``SEC. 2801. STROKE PREVENTION AND EDUCATION CAMPAIGN.
``(a) In General.--The Secretary shall carry out a national
education and information campaign to promote stroke prevention and
increase the number of stroke patients who seek immediate treatment. In
implementing such education and information campaign, the Secretary
shall avoid duplicating existing stroke education efforts by other
Federal Government agencies and may consult with national and local
associations that are dedicated to increasing the public awareness of
stroke, consumers of stroke awareness products, and providers of stroke
care.
``(b) Use of Funds.--The Secretary may use amounts appropriated to
carry out the campaign described in subsection (a)--
``(1) to make public service announcements about the
warning signs of stroke and the importance of treating stroke
as a medical emergency;
``(2) to provide education regarding ways to prevent stroke
and the effectiveness of stroke treatment;
``(3) to purchase media time and space;
``(4) to pay for out-of-pocket advertising production
costs;
``(5) to test and evaluate advertising and educational
materials for effectiveness, especially among groups at high
risk for stroke, including women, older adults, and African-
Americans;
``(6) to develop alternative campaigns that are targeted to
unique communities, including rural and urban communities, and
communities in the `Stroke Belt';
``(7) to measure public awareness prior to the start of the
campaign on a national level and in targeted communities to
provide baseline data that will be used to evaluate the
effectiveness of the public awareness efforts; and
``(8) to carry out other activities that the Secretary
determines will promote prevention practices among the general
public and increase the number of stroke patients who seek
immediate care.
``(c) Authorization of Appropriations.--There is authorized to be
appropriated to carry out subsection (b), $40,000,000 for fiscal year
2002, and such sums as may be necessary for each of fiscal years 2003
through 2006.
``Part B--General Authorities and Duties of the Secretary
``SEC. 2811. ESTABLISHMENT.
``(a) In General.--The Secretary shall, with respect to stroke
care--
``(1) make available, support, and evaluate a grant program
to enable a State to develop statewide stroke care systems;
``(2) foster the development of appropriate, modern systems
of stroke care through the sharing of information among
agencies and individuals involved in the study and provision of
such care; and
``(3) provide to State and local agencies technical
assistance.
``(b) Grants, Cooperative Agreements, and Contracts.--The Secretary
may make grants, and enter into cooperative agreements and contracts,
for the purpose of carrying out subsection (a).
``SEC. 2812. PAUL COVERDELL NATIONAL ACUTE STROKE REGISTRY AND
CLEARINGHOUSE.
``(a) In General.--The Secretary shall maintain the Paul Coverdell
National Acute Stroke Registry and Clearinghouse by--
``(1) continuing to develop and collect specific data
points as well as appropriate benchmarks for analyzing care of
acute stroke patients;
``(2) continuing to design and pilot test prototypes that
will measure the delivery of care to patients with acute stroke
in order to provide real-time data and analysis to reduce death
and disability from stroke and improve the quality of life for
acute stroke survivors;
``(3) fostering the development of effective, modern stroke
care systems (including the development of policies related to
emergency services systems) through the sharing of information
among agencies and individuals involved in planning,
furnishing, and studying such systems;
``(4) collecting, compiling, and disseminating information
on the achievements of, and problems experienced by, State and
local agencies and private entities in developing and
implementing stroke care systems and, in carrying out this
paragraph, giving special consideration to the unique needs of
rural facilities and those facilities with inadequate resources
for providing quality prevention, acute treatment, post-acute
treatment, and rehabilitation services for stroke patients;
``(5) providing technical assistance relating to stroke
care systems to State and local agencies; and
``(6) carrying out any other activities the Secretary
determines to be useful to fulfill the purposes of the Paul
Coverdell National Acute Stroke Registry and Clearinghouse.
``(b) Research on Stroke.--The Secretary shall, not earlier than 1
year after the date of enactment of the Stroke Treatment and Ongoing
Prevention Act of 2001, ensure the availability of published research
on stroke or, where necessary, conduct research concerning--
``(1) best practices in the prevention, diagnosis,
treatment, and rehabilitation of stroke;
``(2) barriers to access to currently approved stroke
prevention, treatment, and rehabilitation services;
``(3) barriers to access to newly developed diagnostic
approaches, technologies, and therapies for stroke patients;
``(4) the effectiveness of existing public awareness
campaigns regarding stroke; and
``(5) disparities in the prevention, diagnosis, treatment,
and rehabilitation of stroke among different populations.
``(c) Certain Research Activities.--In carrying out the activities
described in subsection (b), the Secretary may conduct--
``(1) studies with respect to all phases of stroke care,
including prehospital, acute, post-acute and rehabilitation
care;
``(2) studies with respect to patient access to currently
approved and newly developed stroke prevention and treatment
services, including a review of the effect of coverage, coding,
and reimbursement practices on access;
``(3) studies with respect to the effect of existing public
awareness campaigns on stroke; and
``(4) any other studies that the Secretary determines are
necessary or useful to conduct a thorough and effective
research program regarding stroke.
``(d) Mechanisms of Support.--In carrying out the activities
described in subsection (b), the Secretary may make grants to public
and private non-profit entities.
``(e) Coordination of Effort.--The Secretary shall ensure the
adequate coordination of the activities carried out under this section.
``(f) Authorization of Appropriations.--There is authorized to be
appropriated such sums as may be necessary for each of fiscal years
2002 through 2006 to carry out this section.
``Part C--Grants With Respect to State Stroke Care Systems
``SEC. 2821. ESTABLISHMENT OF PROGRAM FOR IMPROVING STROKE CARE.
``(a) Grants.--The Secretary shall award grants to States for the
purpose of establishing statewide stroke prevention, treatment, and
rehabilitation systems.
``(b) Use of Funds.--
``(1) In general.--The Secretary shall make available
grants under subsection (a) for the development and
implementation of statewide stroke care systems that provide
stroke prevention services and quality acute, post-acute, and
rehabilitation care for stroke patients through the development
of sufficient resources and infrastructure, including personnel
with appropriate training, acute stroke teams, equipment, and
procedures necessary to prevent stroke and to treat and
rehabilitate stroke patients. In developing and implementing
statewide stroke care systems, each State that is awarded such
a grant shall--
``(A) oversee the design and implementation of the
statewide stroke care system;
``(B) enhance, develop, and implement model
curricula for training emergency medical services
personnel, including dispatchers, first responders,
emergency medical technicians, and paramedics in the
identification, assessment, stabilization, and
prehospital treatment of stroke patients;
``(C) ensure that stroke patients in the State have
access to quality care that is consistent with the
standards established by the Secretary under section
2823(c);
``(D) establish a support network to provide
assistance to facilities with smaller populations of
stroke patients or less advanced on-site stroke
treatment resources; and
``(E) carry out any other activities that the
State-designated agency determines are useful or
necessary for the implementation of the statewide
stroke care system.
``(2) Access to care.--A State may meet the requirement of
paragraph (1)(C) by--
``(A) identifying acute stroke centers with
personnel, equipment, and procedures adequate to
provide quality treatment to patients in the acute
phase of stroke consistent with the standards
established by the Secretary under section 2823(c);
``(B) identifying comprehensive stroke centers with
advanced personnel, equipment, and procedures to
prevent stroke and to treat stroke patients in the
acute and post-acute phases of stroke and to provide
assistance to area facilities with less advanced stroke
treatment resources;
``(C) identifying stroke rehabilitation centers
with personnel, equipment, and procedures to provide
quality rehabilitative care to stroke patients
consistent with the standards established by the
Secretary under section 2823(c); or
``(D) carrying out any other activities that the
designated State agency determines are necessary or
useful.
``(3) Support network.--A facility that provides care to
stroke patients and that receives support through a support
network established under paragraph (1)(E) shall meet the
standards and requirements outlined by the State application
under paragraphs (4), (5), (6), (7), and (8) of section
2823(a). The support network may include--
``(A) the use of telehealth technology connecting
facilities described in such paragraph to more advanced
stroke care facilities;
``(B) the provision of neuroimaging, lab, and any
other equipment necessary to facilitate the
establishment of a telehealth network;
``(C) the use of phone consultation, where useful;
``(D) the use of referral links when a patient
needs more advanced care than is available at the
facility providing initial care; and
``(E) any other assistance determined appropriate
by the State.
``(c) Planning Grants.--
``(1) In general.--The Secretary may award a grant to a
State to assist such State in formulating a plan to develop a
statewide stroke care system or in otherwise meeting the
conditions described in subsection (b) with respect to a grant
under this section.
``(2) Submission to secretary.--The governor of a State
that receives a grant under paragraph (1) shall submit to the
Secretary a copy of the plan developed using the amounts
provided under such grant. Such plan shall be submitted to the
Secretary as soon as practicable after the plan has been
developed.
``(3) Single grant limitation.--To be eligible to receive a
grant under paragraph (1), a State shall not have previously
received a grant under such paragraph.
``(d) Model Curriculum.--
``(1) Development.--The Secretary shall develop a model
curriculum for training emergency medical services personnel,
including dispatchers, first responders, emergency medical
technicians, and paramedics in the identification, assessment,
stabilization, and prehospital treatment of stroke patients.
``(2) Implementation.--The model curriculum developed under
paragraph (1) may be implemented by a State to fulfill the
requirements of subsection (b)(1)(B).
``SEC. 2822. REQUIREMENT OF MATCHING FUNDS FOR FISCAL YEARS SUBSEQUENT
TO FIRST FISCAL YEAR OF PAYMENTS.
``(a) Non-Federal Contributions.--
``(1) In general.--The Secretary may not award grants under
section 2821(a) unless the State involved agrees, with respect
to the costs described in paragraph (2), to make available for
each year during which the State receives funding under such
section, non-Federal contributions (in cash or in kind under
subsection (b)(1)) toward such costs in an amount equal to--
``(A) for the second and third fiscal years of such
payments to the State, not less than $1 for each $3 of
Federal funds provided in such payments for each such
fiscal year;
``(B) for the fourth fiscal year of such payments
to the State, not less than $1 for each $2 of Federal
funds provided in such payments for such fiscal year;
and
``(C) for any subsequent fiscal year of such
payments to the State, not less than $1 for each $1 of
Federal funds provided in such payments for such fiscal
year.
``(2) Program costs.--The costs referred to in paragraph
(1) are the costs to be incurred by the State in carrying out
the purpose described in section 2821(b).
``(3) Initial year of payments.--The Secretary may not
require a State to make non-Federal contributions as a
condition of receiving payments under section 2821(a) for the
first fiscal year of such payments to the State.
``(b) Determination of Amount of Non-Federal Contributions.--With
respect to compliance under subsection (a) as a condition of receiving
payments under section 2811(a)--
``(1) a State may make the non-Federal contributions
required in such subsection in cash or in kind, fairly
evaluated, including plant, equipment, or services; and
``(2) the Secretary may not, in making a determination of
the amount of non-Federal contributions, include amounts
provided by the Federal Government or services assisted or
subsidized by a significant extent by the Federal Government.
``SEC. 2823. APPLICATION REQUIREMENTS.
``(a) Requirement of Application.--The Secretary may not award a
grant to a State under section 2821(b) unless an application for the
grant is submitted by the State to the Secretary.
``(b) Application Process and Guidelines.--The Secretary shall
provide for an application process and develop guidelines to assist
States in submitting an application under this section that--
``(1) outlines the stroke care system and explains how such
system will ensure that stroke patients throughout the State
have access to quality care in all phases of stroke, consistent
with the standards established by the Secretary under
subsection (c);
``(2) contains standards and requirements for facilities in
the State that provide basic preventive services, advanced
preventive services, acute stroke care, post-acute stroke care,
and rehabilitation services to stroke patients; and
``(3) provides for the establishment of a central data
reporting and analysis system and for the collection of data
from each facility that will provide direct care to stroke
patients in the State--
``(A) to identify the number of stroke patients
treated in the State;
``(B) to monitor patient care in the State for
stroke patients at all phases of stroke for the purpose
of evaluating the diagnosis, treatment, and treatment
outcome of such stroke patients;
``(C) to identify the total amount of uncompensated
and under-compensated stroke care expenditures for each
fiscal year by each stroke care facility in the State;
``(D) to identify the number of acute stroke
patients who receive advanced drug therapy;
``(E) to identify patients transferred within the
statewide stroke care system, including reasons for
such transfer; and
``(F) to communicate to the greatest extent
practicable with the Paul Coverdell National Acute
Stroke Registry and Clearinghouse.
``(b) Certain Standards With Respect to Statewide Stroke Care
System.--
``(1) In general.--The Secretary may not award a grant to a
State under section 2821(a) for a fiscal year unless the State
agrees that, in carrying out paragraphs (2) and (3), the State
will--
``(A) adopt standards of care for stroke patients
in the acute, post-acute, and rehabilitation phases of
stroke; and
``(B) in adopting the standards described in
subparagraph (A)--
``(i) consult with medical, surgical, and
nursing specialty groups, hospital
associations, voluntary health organizations,
State offices of rural health, emergency
medical services State and local directors,
experts in the use of telecommunications
technology to provide stroke care, concerned
advocates, and other interested parties;
``(ii) conduct hearings on the proposed
standards providing adequate notice to the
public concerning such hearing; and
``(iii) beginning in fiscal year 2004, take
into account the national standards of care.
``(2) Quality of stroke care.--The highest quality of
stroke care shall be the primary goal of the State standards
adopted under this subsection.
``(3) Approval by secretary.--The Secretary may not make
payments to a State under section 2821(a) if the Secretary
determines that--
``(A) the State has not taken into account national
standards in adopting standards under this subsection;
``(B) in the case of payments for fiscal year 2004
and subsequent fiscal years, the State has not, in
adopting such standards, taken into account the
national standards of care and the model system plan
developed under subsection (c); or
``(C) in the case of payments for fiscal year 2004
and subsequent fiscal years, the State has not provided
to the Secretary the information received by the State
pursuant to paragraphs (9) and (10) of subsection (a).
``(c) Model Stroke Care System Plan.--Not later than 1 year after
the date of enactment of the Stroke Treatment and Ongoing Prevention
Act of 2001, the Secretary shall develop standards of care for stroke
patients in all phases of stroke that may be adopted for guidance by
the State and a model plan for the establishment of statewide stroke
care systems. Such plan shall--
``(1) take into account national standards;
``(2) take into account existing State systems and plans;
and
``(3) take into account the unique needs of urban and rural
communities, different regions of the Nation, and States with
varying degrees of established stroke care infrastructures;
``SEC. 2824. REQUIREMENT OF SUBMISSION OF APPLICATION CONTAINING
CERTAIN AGREEMENTS AND ASSURANCES.
``The Secretary may not award grants under section 2821(a) to a
State for a fiscal year unless--
``(1) the State submits an application for the payments
containing agreements in accordance with this part;
``(2) the agreements are made through certification from
the chief executive officer of the State;
``(3) with respect to such agreements, the application
provides assurances of compliance satisfactory to the
Secretary;
``(4) the application contains the plan provisions and the
information required to be submitted to the Secretary pursuant
to section 2823; and
``(5) the application otherwise is in such form, is made in
such manner, and contains such agreements, assurances, and
information as the Secretary determines to be necessary to
carry out this part.
``SEC. 2825. RESTRICTIONS ON USE OF PAYMENTS.
``(a) In General.--The Secretary may not, except as provided in
subsection (b), make payments to a State under section 2821(a) for a
fiscal year unless the State involved agrees that the payments will not
be expended--
``(1) to make cash payments to intended recipients of
services provided pursuant to such section;
``(2) to satisfy any requirement for the expenditure of
non-Federal funds as a condition for the receipt of Federal
funds; or
``(3) to provide financial assistance to any entity other
than a public or nonprofit private entity.
``(b) Exception.--If the Secretary finds that the purpose described
in section 2821(b) cannot otherwise be carried out, the Secretary may,
with respect to an otherwise qualified State, waive the restriction
established in subsection (a)(3).
``SEC. 2826. FAILURE TO COMPLY WITH AGREEMENTS.
``(a) Repayment of Payments.--
``(1) Requirement.--The Secretary may, in accordance with
subsection (b), require a State to repay any payments received
by the State pursuant to section 2821(a) that the Secretary
determines were not expended by the State in accordance with
the agreements required to be made by the State as a condition
of the receipt of payments under such section.
``(2) Offset of amounts.--If a State fails to make a
repayment required in paragraph (1), the Secretary may offset
the amount of the repayment against any amount due to be paid
to the State under section 2821(a).
``(b) Opportunity for a Hearing.--Before requiring repayment of
payments under subsection (a)(1), the Secretary shall provide to the
State an opportunity for a hearing.
``SEC. 2827. SPECIAL CONSIDERATION.
``In awarding grants under this part, the Secretary shall give
special consideration to any State that has submitted an application
for carrying out programs under such a grant--
``(1) in geographic areas in which there is--
``(A) a substantial rate of disability resulting
from stroke; or
``(B) a substantial incidence of stroke; or
``(2) that demonstrates a significant need for assistance
in establishing a comprehensive stroke care system.
``SEC. 2828. TECHNICAL ASSISTANCE AND PROVISION BY SECRETARY OF
SUPPLIES AND SERVICES IN LIEU OF GRANT FUNDS.
``(a) Technical Assistance.--The Secretary shall, without charge to
a State receiving payments under section 2821(a), provide to the State
(or to any public or nonprofit entity designated by the State)
technical assistance with respect to the planning, development, and
operation of any program carried out pursuant to section 2821(b). The
Secretary may provide such technical assistance directly, through
contract, or through grants.
``(b) Provision by Secretary of Supplies and Services in Lieu of
Grant Funds.--
``(1) In general.--Upon the request of a State receiving
payments under section 2821(a), the Secretary may, subject to
paragraph (2), provide supplies, equipment, and services for
the purpose of aiding the State in carrying out section 2821(b)
and, for such purpose, may detail to the State any officer or
employee of the Department of Health and Human Services.
``(2) Reduction in payments.--With respect to a request
described in paragraph (1), the Secretary shall reduce the
amount of payments to the State under section 2821(a) by an
amount equal to the costs of detailing personnel and the fair
market value of any supplies, equipment, or services provided
by the Secretary. The Secretary shall, for the payment of
expenses incurred in complying with such request, expend the
amounts withheld.
``SEC. 2829. REPORT BY SECRETARY.
``Not later than 3 years after the date of enactment of the Stroke
Treatment and Ongoing Prevention Act of 2001, the Secretary shall
report to the appropriate committees of Congress on the activities of
the States carried out pursuant to section 2821. Such report shall
include an assessment of the extent to which Federal and State efforts
to develop stroke care systems, including the establishment of support
networks and the identification of acute, comprehensive, and
rehabilitation stroke centers, where applicable, have increased the
number of stroke patients who have received acute stroke consultation
or therapy within the appropriate timeframe and reduced the level of
disability due to stroke. Such report may include any recommendations
of the Secretary for appropriate administrative and legislative
initiatives with respect to stroke care.
``SEC. 2830. FUNDING.
``(a) Authorization of Appropriations.--There is authorized to be
appropriated to carry out this part, $50,000,000 for fiscal year 2002,
$75,000,000 for fiscal year 2003, $75,000,000 for fiscal year 2004,
$100,000,000 for fiscal year 2005, and $125,000,000 for fiscal year
2006.
``(b) Limitation on Administrative Expenses.--A State may use not
to exceed 10 percent of amounts received under a grant awarded under
section 2821(a) for administrative expenses.
``Part D--Miscellaneous Programs
``SEC. 2831. MEDICAL PROFESSIONAL DEVELOPMENT IN ADVANCED STROKE
TREATMENT AND PREVENTION.
``(a) In General.--The Secretary may make grants to public and non-
profit private entities for the development and implementation of
education programs for appropriate medical personnel including medical
students, emergency physicians, primary care providers, neurologists,
neurosurgeons, and physical therapists in the use of newly developed
diagnostic approaches, technologies, and therapies for the prevention
and treatment of stroke.
``(b) Distribution of Grants.--In awarding grants under subsection
(a), the Secretary shall ensure that such grants are equitably
distributed among the geographical regions of the United States and
between urban and rural populations.
``(c) Application.--A public or non-profit private entity desiring
a grant under subsection (a) shall prepare and submit to the Secretary
an application at such time, in such manner, and containing such
information as the Secretary may require, including a plan for the
rigorous evaluation of activities carried out with amounts received
under such a grant.
``(d) Use of Funds.--A public or non-profit private entity shall
use amounts received under a grant under this section for the
continuing education of appropriate medical personnel in the use of
newly developed diagnostic approaches, technologies, and therapies for
the prevention and treatment of stroke.
``(e) Authorization of Appropriations.--There is authorized to be
appropriated to carry out this section, such sums as may be necessary
for each of fiscal years 2002 through 2006.
``Part E--General Provisions Regarding Parts A, B, C, and D
``SEC. 2841. DEFINITIONS.
``In this title:
``(1) State.--The term `State' means each of the several
States, the District of Columbia, the Commonwealth of Puerto
Rico, the Indian tribes, the Virgin Islands, Guam, American
Samoa, and the Commonwealth of the Northern Mariana Islands.
``(2) Stroke care system.--The term `stroke care system'
means a statewide system to provide for the diagnosis,
prehospital care, hospital definitive care, and rehabilitation
of stroke patients.
``(3) Stroke.--The term `stroke' means a `brain attack' in
which blood flow to the brain is interrupted or in which a
blood vessel or aneurysm in the brain breaks or ruptures.
``SEC. 2842. CONSULTATIONS.
``In carrying out this title, the Secretary shall consult with
medical, surgical, rehabilitation, and nursing specialty groups,
hospital associations, voluntary health organizations, emergency
medical services, State directors, and associations, experts in the use
of telecommunication technology to provide stroke care, national
disability and consumer organizations representing individuals with
disabilities and chronic illnesses, concerned advocates, and other
interested parties.''.
<all>
Introduced in House
Introduced in House
Referred to the House Committee on Energy and Commerce.
Referred to the Subcommittee on Health.
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