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                                 HOUSE AMENDED
        PRIOR PRINTER'S NOS. 1635, 2049               PRINTER'S NO. 2217

THE GENERAL ASSEMBLY OF PENNSYLVANIA


SENATE RESOLUTION

No. 130 Session of 2000


        INTRODUCED BY MURPHY, SALVATORE, LEMMOND, HART, DENT, MUSTO,
           O'PAKE, STOUT, COSTA AND BOSCOLA, FEBRUARY 1, 2000

        AS AMENDED, HOUSE OF REPRESENTATIVES, OCTOBER 10, 2000

                            A CONCURRENT RESOLUTION

     1  Directing the Joint State Government Commission to create a
     2     stroke prevention task force and advisory committee to
     3     promote professional and public education and awareness and
     4     to improve the quality of care for stroke victims.

     5     WHEREAS, Stroke is the number three killer of Americans,
     6  claiming the lives of approximately 25,000 Pennsylvanians each
     7  year; and
     8     WHEREAS, Stroke is the number one cause of serious
     9  disability; and
    10     WHEREAS, Pennsylvania's seniors are the population at the
    11  highest risk for stroke; and
    12     WHEREAS, Persons 60 years of age and over comprise 20% of the
    13  population of this Commonwealth; and
    14     WHEREAS, It is in the best interest of the Commonwealth to
    15  enable State residents to reduce the risks and effects of
    16  strokes so that they may continue to lead long, healthy and
    17  productive lives; and
    18     WHEREAS, It is in the best interest of the State's residents

     1  to be educated on healthy lifestyles to reduce the risk of
     2  stroke by increasing physical activity, increasing awareness of
     3  cardiovascular disease and high blood pressure and improving
     4  dietary habits; and
     5     WHEREAS, It is in the best interest of the Commonwealth to
     6  gather and disseminate appropriate information to health care
     7  professionals to facilitate their provision of quality care to
     8  reduce the effects of strokes; and
     9     WHEREAS, The adoption of guidelines for the care of stroke
    10  patients, including emergency stroke care, throughout this
    11  Commonwealth will enhance the ability of health care
    12  professionals to provide quality care; therefore be it
    13     RESOLVED (the House of Representatives concurring), That the
    14  General Assembly direct the Joint State Government Commission to
    15  recommend ways to better publicize warning signs, encourage more
    16  people to increase the odds of recovery by seeking treatment as
    17  soon as they suffer symptoms, and to further study the issue of
    18  adopting criteria for designating stroke centers throughout this
    19  Commonwealth; and be it further
    20     RESOLVED, That the General Assembly direct the Joint State
    21  Government Commission to create a stroke prevention task force
    22  consisting of two members appointed by the President pro tempore
    23  of the Senate, two members appointed by the Minority Leader of
    24  the Senate, two members appointed by the Speaker of the House of
    25  Representatives and two members appointed by the Minority Leader
    26  of the House of Representatives; and be it further
    27     RESOLVED, That the task force create an advisory committee
    28  consisting of 15 16 members. The committee shall be composed of   <--
    29  one representative from and designated by each of the following:
    30  The Department of Health; the Hospital and Health Systems
    20000S0130R2217                  - 2 -

     1  Association of Pennsylvania; the Pennsylvania Chapter of the
     2  American College of Emergency Physicians; the American Stroke
     3  Association, a division of the American Heart Association; the
     4  Pennsylvania Psychological Association; THE HEALTH CARE COST      <--
     5  CONTAINMENT COUNCIL; the health care insurance industry; rural
     6  health providers; a stroke institute associated with a
     7  university medical center; the Philadelphia Stroke Council; one
     8  member to represent the rehabilitation industry designated by
     9  the Pennsylvania Physical Therapy Association, the Speech-
    10  Language-Hearing Association, the Pennsylvania Association of
    11  Rehabilitation Facilities and the Pennsylvania Occupational
    12  Therapy Association, Inc. In addition, one member of the
    13  committee shall be chosen by the coordinated designation of the
    14  biotechnology and pharmaceutical industries. Finally, four
    15  members at large shall be designated by the task force upon the
    16  recommendation of the advisory committee from among the
    17  Pennsylvania Neurological Society, the Pennsylvania Chapter of
    18  the American College of Cardiology, the Pennsylvania Academy of
    19  Family Physicians, the Emergency Health Services Council, the
    20  Institute for Healthy Communities and the Pennsylvania Public
    21  Relations Society of America; and be it further
    22     RESOLVED, That the task force study the feasibility of
    23  developing and implementing a comprehensive Statewide public
    24  education program on stroke prevention, targeted to high-risk
    25  populations and to geographic areas where there is a high
    26  incidence of stroke, which shall include information on:
    27         (1)  leading healthy lifestyle practices that reduce the
    28     risk of stroke;
    29         (2)  identifying the signs and symptoms of stroke and the
    30     action to be taken when these signs occur;
    20000S0130R2217                  - 3 -

     1         (3)  determining what constitutes high-quality health
     2     care for stroke;
     3         (4)  adopting and disseminating guidelines on the
     4     treatment of stroke patients, including emergency stroke
     5     care, throughout this Commonwealth;
     6         (5)  taking such other actions that are consistent with
     7     the scope and purpose of this resolution to ensure that the
     8     public and health care providers are sufficiently informed of
     9     the most effective strategies for stroke prevention and to
    10     assist health care providers to utilize the most effective
    11     treatment strategies for stroke; and
    12         (6)  addressing means by which the guidelines may be
    13     revised to remain current with developing treatment
    14     methodologies;
    15  and be it further
    16     RESOLVED, That the task force, in accomplishing its missions,
    17  take into account guidelines that have been promulgated by
    18  nationally recognized organizations which deal with stroke; and
    19  be it further
    20     RESOLVED, That in its deliberations the task force consider
    21  whether its activities would duplicate existing disease
    22  education and prevention programs in the Department of Health
    23  and other Federal and State agencies; and be it further
    24     RESOLVED, That the task force and advisory committee
    25  recommend the adoption of stroke guidelines and an appropriate
    26  means of disseminating information to the professional community
    27  and the general public and study the need for the designation of
    28  stroke centers throughout this Commonwealth; and be it further
    29     RESOLVED, That the task force and advisory committee
    30  recommend sources of funds to carry out its recommendations and
    20000S0130R2217                  - 4 -

     1  determine the adequacy of health insurance coverage for stroke
     2  patients; and be it further
     3     RESOLVED, That the task force report its findings to the       <--
     4  General Assembly no later than November 30, 2000.
     5     RESOLVED, THAT THE TASK FORCE REPORT ITS FINDINGS DIRECTLY TO  <--
     6  THE GENERAL ASSEMBLY NO LATER THAN TWO YEARS AFTER ADOPTION OF
     7  THIS RESOLUTION.
















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