Senate Study Bill 3125 - Introduced SENATE FILE _____ BY (PROPOSED COMMITTEE ON HUMAN RESOURCES BILL BY CHAIRPERSON SEGEBART) A BILL FOR An Act relating to stroke-related care including the 1 designation of comprehensive and primary stroke centers 2 and acute stroke-ready hospitals, and stroke transport 3 protocols. 4 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 5 TLSB 6061XC (3) 87 pf/rj

S.F. _____ Section 1. NEW SECTION . 135.192 Designation of stroke 1 centers and acute stroke-ready hospitals. 2 1. The department shall recognize as an acute stroke-ready 3 hospital, an accredited acute care hospital that applies for 4 and receives certification as an acute stroke-ready hospital 5 from the American heart association, the joint commission on 6 the accreditation of health care organizations, or another 7 certifying entity that is a department-approved, nationally 8 recognized guidelines-based organization that provides acute 9 stroke-ready hospital certification for stroke care, if the 10 accredited acute care hospital is in good standing with and 11 maintains certification through such a national certifying 12 organization. 13 2. The department shall recognize as a primary stroke 14 center, an accredited acute care hospital that applies for 15 and receives certification as a primary stroke center from 16 the American heart association, the joint commission on 17 the accreditation of health care organizations, or another 18 certifying entity that is a department-approved, nationally 19 recognized guidelines-based organization that provides primary 20 stroke center hospital certification for stroke care, if the 21 accredited acute care hospital is in good standing with and 22 maintains certification through such a national certifying 23 organization. 24 3. The department shall recognize as a comprehensive stroke 25 center, an accredited acute care hospital that applies for 26 and receives certification as a comprehensive stroke center 27 from the American heart association, the joint commission on 28 the accreditation of health care organizations, or another 29 certifying entity that is a department-approved, nationally 30 recognized guidelines-based organization that provides 31 comprehensive stroke center hospital certification for stroke 32 care, if the accredited acute care hospital is in good standing 33 with and maintains certification through such a national 34 certifying organization. 35 -1- LSB 6061XC (3) 87 pf/rj 1/ 3

S.F. _____ 4. The department shall appropriately recognize 1 comprehensive and primary stroke centers that attain a 2 level of stroke care distinction from the American heart 3 association, the joint commission on the accreditation of 4 health care organizations, or another certifying entity that is 5 a department-approved, nationally recognized guidelines-based 6 organization, including but not limited to those attaining 7 a level of stroke care distinction for offering mechanical 8 endovascular therapies. 9 5. The department shall not recognize self-designation 10 by a hospital as an indicator of certification at any level 11 specified under this section. 12 Sec. 2. NEW SECTION . 135.193 Stroke triage and transport 13 protocols. 14 A regional emergency medical services program or ambulance 15 service authorized under chapter 147A shall develop and 16 utilize stroke triage and transport protocols. Such protocols 17 shall include but are not limited to the development and 18 implementation of plans for the triage and transport of acute 19 stroke patients, including, relative to patients with suspected 20 large vessel occlusion strokes, entry plans and transport 21 to the most appropriate certified facility that provides 22 mechanical endovascular therapies. The department shall adopt 23 rules pursuant to chapter 17A to administer this section. 24 EXPLANATION 25 The inclusion of this explanation does not constitute agreement with 26 the explanation’s substance by the members of the general assembly. 27 This bill relates to stroke-related care. 28 The bill requires recognition by the department of public 29 health (DPH) of acute stroke-ready hospitals, primary 30 stroke centers and comprehensive stroke centers, based upon 31 accreditation by a nationally recognized entity for the 32 applicable level of certification, if the accredited acute care 33 hospital is in good standing with and maintains certification 34 through such a national certifying entity. 35 -2- LSB 6061XC (3) 87 pf/rj 2/ 3

S.F. _____ The bill also requires DPH to appropriately recognize 1 comprehensive and primary stroke centers that attain a 2 level of stroke care distinction from specified national 3 accrediting entities, including but not limited to those 4 attaining a level of stroke care distinction for offering 5 mechanical endovascular therapies. The bill prohibits DPH from 6 recognizing self-designation by a hospital as an indicator of 7 certification at any level specified under the bill. 8 The bill also requires an authorized regional emergency 9 medical services program or ambulance service to develop and 10 utilize stroke triage and transport protocols. The protocols 11 are required to include but are not limited to the development 12 and implementation of plans for the triage and transport of 13 acute stroke patients, including, relative to patients with 14 suspected large vessel occlusion strokes, entry plans and 15 transport to the most appropriate certified facility that 16 provides mechanical endovascular therapies. DPH is required to 17 adopt administrative rules to administer this requirement. 18 -3- LSB 6061XC (3) 87 pf/rj 3/ 3