PRINTER'S NO. 151
THE GENERAL ASSEMBLY OF PENNSYLVANIA
HOUSE BILL
No.
23
Session of
2017
INTRODUCED BY MACKENZIE, BAKER, DEAN, DONATUCCI, A. HARRIS,
PHILLIPS-HILL, KNOWLES, MILLARD, MURT, O'NEILL, PICKETT,
READSHAW AND WARD, JANUARY 24, 2017
REFERRED TO COMMITTEE ON HEALTH, JANUARY 24, 2017
AN ACT
Amending the act of May 29, 2012 (P.L.549, No.54), entitled "An
act establishing a Statewide stroke system of care by
recognizing primary stroke centers and directing the creation
of emergency medical services training and transport
protocols; and providing for the powers and duties of the
Department of Health," further providing for short title, for
definitions, for recognition of centers, for emergency
medical services and for biennial report.
The General Assembly of the Commonwealth of Pennsylvania
hereby enacts as follows:
Section 1. Section 1 of the act of May 29, 2012 (P.L.549,
No.54), known as the Primary Stroke Center Recognition Act, is
amended to read:
Section 1. Short title.
This act shall be known and may be cited as the [Primary
Stroke Center Recognition] Stroke System of Care Act.
Section 2. Section 2 of the act is amended by adding
definitions to read:
Section 2. Definitions.
The following words and phrases when used in this act shall
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have the meanings given to them in this section unless the
context clearly indicates otherwise:
"Acute stroke-ready hospital." A hospital which is
designated as an acute stroke-ready hospital by the joint
commission or a nongovernmental organization that has been
authorized by the Centers for Medicare and Medicaid Services
(CMS) to conduct hospital surveys to ensure compliance with the
CMS Conditions of Participation.
"Comprehensive stroke center." A facility which is
designated as a comprehensive stroke center by the joint
commission or a nongovernmental organization that has been
authorized by the Centers for Medicare and Medicaid Services
(CMS) to conduct hospital surveys to ensure compliance with the
CMS Conditions of Participation.
* * *
"Primary stroke center." A facility which is designated as a
primary stroke center by the joint commission or a
nongovernmental organization that has been authorized by the
Centers for Medicare and Medicaid Services (CMS) to conduct
hospital surveys to ensure compliance with the CMS Conditions of
Participation.
Section 3. Sections 3, 4(a) and (c) and 5(b)(1) and (2) of
the act are amended to read:
Section 3. Recognition of centers.
(a) General rule.--Upon application by a licensed acute care
hospital, the department shall recognize the hospital as a
comprehensive stroke center, primary stroke center or acute
stroke-ready hospital if the hospital is certified as a
comprehensive stroke center, primary stroke center or acute
stroke-ready hospital by the joint commission or another
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nationally recognized accrediting organization that provides
certification for stroke care. The designation shall last as
long as the hospital remains certified [as a primary stroke
center].
(b) Suspension or revocation of recognition.--The department
may suspend or revoke [primary stroke center] recognition under
subsection (a) if the department determines that the hospital is
not in compliance with provisions of this act requiring
accreditation as a comprehensive stroke center, primary stroke
center or acute stroke-ready hospital.
Section 4. Emergency medical services.
(a) List of [primary] all stroke centers.--The department
shall:
(1) Make available a list of [accredited] certified
comprehensive stroke centers, primary stroke centers and
acute stroke-ready hospitals to each emergency medical
services agency medical director in this Commonwealth.
(2) Maintain a copy of the list of certified
comprehensive stroke centers, primary stroke centers and
acute stroke-ready hospitals in the office designated with
the department to oversee emergency medical services.
(3) Post a list of certified comprehensive stroke
centers, primary stroke centers and acute stroke-ready
hospitals on the department's Internet website.
* * *
(c) Protocols.--The department shall establish protocols
that are related to prehospital assessment, treatment and
transport of stroke patients by licensed emergency medical
services providers[.] that will allow the patient to receive the
appropriate care at a certified stroke center in the shortest
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amount of time. The protocols shall include plans for triage and
transport of acute stroke patients to the closest [primary]
certified stroke center or a facility that can provide
appropriate treatment if the [primary] certified stroke center
is not within a specified time frame from onset of symptoms.
* * *
Section 5. Biennial report.
* * *
(b) Contents.--The report shall include:
(1) The number, location and county of [accredited]
certified comprehensive stroke centers, primary stroke
centers and acute stroke-ready hospitals in this
Commonwealth.
(2) Changes in the number and/or locations of certified
comprehensive stroke centers, primary stroke centers and
acute stroke-ready hospitals since the last report.
* * *
Section 4. This act shall take effect in 60 days.
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