Bill Text: IA HF2126 | 2017-2018 | 87th General Assembly | Introduced
Bill Title: A bill for an act relating to stroke-related care including the designation of comprehensive and primary stroke centers and acute stroke-ready hospitals, and stroke transport protocols.
Spectrum: Partisan Bill (Republican 1-0)
Status: (Introduced - Dead) 2018-02-08 - Subcommittee recommends amendment and passage. [HF2126 Detail]
Download: Iowa-2017-HF2126-Introduced.html
House File 2126 - Introduced HOUSE FILE BY R. TAYLOR A BILL FOR 1 An Act relating to stroke=related care including the 2 designation of comprehensive and primary stroke centers 3 and acute stroke=ready hospitals, and stroke transport 4 protocols. 5 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: TLSB 6061YH (4) 87 pf/rj PAG LIN 1 1 Section 1. NEW SECTION. 135.192 Designation of stroke 1 2 centers and acute stroke=ready hospitals. 1 3 1. The department shall recognize as an acute stroke=ready 1 4 hospital, an accredited acute care hospital that applies for 1 5 and receives certification as an acute stroke=ready hospital 1 6 from the American heart association, the joint commission on 1 7 the accreditation of health care organizations, or another 1 8 certifying entity that is a department=approved, nationally 1 9 recognized guidelines=based organization that provides acute 1 10 stroke=ready hospital certification for stroke care, if the 1 11 accredited acute care hospital is in good standing with and 1 12 maintains certification through such a national certifying 1 13 organization. 1 14 2. The department shall recognize as a primary stroke 1 15 center, an accredited acute care hospital that applies for 1 16 and receives certification as a primary stroke center from 1 17 the American heart association, the joint commission on 1 18 the accreditation of health care organizations, or another 1 19 certifying entity that is a department=approved, nationally 1 20 recognized guidelines=based organization that provides primary 1 21 stroke center hospital certification for stroke care, if the 1 22 accredited acute care hospital is in good standing with and 1 23 maintains certification through such a national certifying 1 24 organization. 1 25 3. The department shall recognize as a comprehensive stroke 1 26 center, an accredited acute care hospital that applies for 1 27 and receives certification as a comprehensive stroke center 1 28 from the American heart association, the joint commission on 1 29 the accreditation of health care organizations, or another 1 30 certifying entity that is a department=approved, nationally 1 31 recognized guidelines=based organization that provides 1 32 comprehensive stroke center hospital certification for stroke 1 33 care, if the accredited acute care hospital is in good standing 1 34 with and maintains certification through such a national 1 35 certifying organization. 2 1 4. The department shall appropriately recognize 2 2 comprehensive and primary stroke centers that attain a 2 3 level of stroke care distinction from the American heart 2 4 association, the joint commission on the accreditation of 2 5 health care organizations, or another certifying entity that is 2 6 a department=approved, nationally recognized guidelines=based 2 7 organization, including but not limited to those attaining 2 8 a level of stroke care distinction for offering mechanical 2 9 endovascular therapies. 2 10 5. The department shall not recognize self=designation 2 11 by a hospital as an indicator of certification at any level 2 12 specified under this section. 2 13 Sec. 2. NEW SECTION. 135.193 Stroke triage and transport 2 14 protocols. 2 15 A regional emergency medical services program or ambulance 2 16 service authorized under chapter 147A shall develop and 2 17 utilize stroke triage and transport protocols. Such protocols 2 18 shall include but are not limited to the development and 2 19 implementation of plans for the triage and transport of acute 2 20 stroke patients, including, relative to patients with suspected 2 21 large vessel occlusion strokes, entry plans and transport 2 22 to the most appropriate certified facility that provides 2 23 mechanical endovascular therapies. The department shall adopt 2 24 rules pursuant to chapter 17A to administer this section. 2 25 EXPLANATION 2 26 The inclusion of this explanation does not constitute agreement with 2 27 the explanation's substance by the members of the general assembly. 2 28 This bill relates to stroke=related care. 2 29 The bill requires recognition by the department of public 2 30 health (DPH) of acute stroke=ready hospitals, primary 2 31 stroke centers and comprehensive stroke centers, based upon 2 32 accreditation by a nationally recognized entity for the 2 33 applicable level of certification, if the accredited acute care 2 34 hospital is in good standing with and maintains certification 2 35 through such a national certifying entity. 3 1 The bill also requires DPH to appropriately recognize 3 2 comprehensive and primary stroke centers that attain a 3 3 level of stroke care distinction from specified national 3 4 accrediting entities, including but not limited to those 3 5 attaining a level of stroke care distinction for offering 3 6 mechanical endovascular therapies. The bill prohibits DPH from 3 7 recognizing self=designation by a hospital as an indicator of 3 8 certification at any level specified under the bill. 3 9 The bill also requires an authorized regional emergency 3 10 medical services program or ambulance service to develop and 3 11 utilize stroke triage and transport protocols. The protocols 3 12 are required to include but are not limited to the development 3 13 and implementation of plans for the triage and transport of 3 14 acute stroke patients, including, relative to patients with 3 15 suspected large vessel occlusion strokes, entry plans and 3 16 transport to the most appropriate certified facility that 3 17 provides mechanical endovascular therapies. DPH is required to 3 18 adopt administrative rules to administer this requirement. LSB 6061YH (4) 87 pf/rj
