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1 1 HOUSE CONCURRENT RESOLUTION NO. ___
1 2 BY BODDICKER
1 3 A Concurrent Resolution promoting National Heart Failure
1 4 Awareness Week.
1 5 WHEREAS, congestive heart failure is a major
1 6 national public health problem that impacts five
1 7 million Americans, or 1.5 percent of the national
1 8 population; and
1 9 WHEREAS, each year 550,000 new cases of congestive
1 10 heart failure are diagnosed, with 200,000 deaths and
1 11 one million hospitalizations resulting from the
1 12 disease; and
1 13 WHEREAS, congestive heart failure is the leading
1 14 cause of hospitalization in patients over the age of
1 15 65; and
1 16 WHEREAS, patients with congestive heart failure who
1 17 are diagnosed with the most severe symptoms have an
1 18 approximate 50 percent survival rate of one year, and
1 19 50 percent of patients with congestive heart failure
1 20 who are diagnosed with even mild disease die within
1 21 five years; and
1 22 WHEREAS, the majority of patients are not diagnosed
1 23 until late in the course of the disease; and
1 24 WHEREAS, of an estimated $10 billion annual
1 25 national health care expenditure for congestive heart
1 26 failure the greatest portion, $8 billion is expended
1 27 for hospitalization costs; and
1 28 WHEREAS, although current treatment guidelines
1 29 recommend that approximately 80 percent of heart
1 30 failure patients receive angiotension converting
2 1 enzyme (ACE) inhibitors in combination with beta
2 2 blockers to extend life and reduce costly
2 3 hospitalizations, only 45 percent of patients are
2 4 treated with ACE inhibitors and 20 percent of patients
2 5 receive beta blockers; and
2 6 WHEREAS, the primary goals of National Heart
2 7 Failure Awareness Week are to promote research related
2 8 to all aspects of heart failure and provide a forum
2 9 for presentation of that research; to educate heart
2 10 failure caregivers and patients through programs,
2 11 publications, and other media allowing for more
2 12 effective treatment and diagnosis of heart failure;
2 13 and to enhance the quality and duration of life for
2 14 those with heart failure; NOW THEREFORE
2 15 BE IT RESOLVED BY THE HOUSE OF REPRESENTATIVES, THE
2 16 SENATE CONCURRING, That the Iowa General Assembly
2 17 endorses the national proclamation of National Heart
2 18 Failure Awareness Week; and
2 19 BE IT FURTHER RESOLVED, That the Director of Public
2 20 Health transmit treatment guidelines for congestive
2 21 heart failure published by the Heart Failure Society
2 22 of America, Inc. to the appropriate health care
2 23 professionals in the state and urge adoption of these
2 24 guidelines in their practices; and
2 25 BE IT FURTHER RESOLVED, That physicians and payers
2 26 of health care costs be encouraged to administer and
2 27 provide reimbursement for echocardiograms to all
2 28 patients over 50 years of age with a history of heart
2 29 disease and begin appropriate treatment as early as
2 30 possible; and
3 1 BE IT FURTHER RESOLVED, That physicians and payers
3 2 of health care costs be encouraged to prescribe or
3 3 provide reimbursement for the standard of care for
3 4 congestive heart failure, including the federal Food
3 5 and Drug Administration-approved beta blockers and ACE
3 6 inhibitors as well as other therapies that have
3 7 demonstrated a reduction in the mortality and
3 8 morbidity associated with congestive heart failure;
3 9 and
3 10 BE IT FURTHER RESOLVED, That the Iowa General
3 11 Assembly endorses the inclusion of the latest
3 12 treatment advances for congestive heart failure in the
3 13 curriculum of the medical schools in the state.
3 14 LSB 1398HH 79
3 15 pf/gg/8
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