Committee Substitute House Bill 4388 History

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WEST virginia legislature

2016 regular session

Committee Substitute


House Bill 4388

By Delegates Rohrbach, Ellington, Householder, Bates, Byrd, Sobonya, Summers, Upson and
B. White

[Originating in the House Committee on Health and Human Resources on February 18, 2016]



A BILL to amend the Code of West Virginia, 1931, as amended, by adding thereto a new section designated §16-5B-18, relating to designating certain hospitals as stroke centers; designating based upon certain criteria; establishing protocols; setting forth reporting requirements; establishing protocols; creating an advisory committee and permitting rulemaking.

Be it enacted by the Legislature of West Virginia:

That the Code of West Virginia, 1931, as amended, be amended by adding thereto a new section, designated §16-5B-18, to read as follows:


§16-5B-18.  Designation of Comprehensive, Primary and Acute Stroke Ready Hospitals.

       (a) A hospital, as defined in section one of this article, may apply to the Department of Health and Human Resources to be recognized and certified as a comprehensive stroke center, a primary stroke center or an acute stroke ready hospital.  The appropriate designation shall be granted by the Department of Health and Human Resources based upon criteria recognized by the American Heart Association, the Joint Commission or other nationally recognized organization as set forth in legislative rules as provided in subsection (d) of this section.

       (b) The department shall provide annually by June 1, a list of hospitals it has designated pursuant to the provisions of subsection (a) to the medical director of each licensed emergency medical service agency.  This list shall be maintained by the department and updated annually on its website.

       (c) The secretary of the department may establish by legislative rule, as set forth in subsection (d) of this section, prehospital care protocols related to assessment, treatment and transport of patients identified as stroke patients.  These protocols shall be applicable to all emergency medical service agencies, as defined in section three, article four-c of this chapter.  These protocols shall include development and implementation of plans for the triage and transport within specified timeframes of onset of symptoms of acute stroke patients to the nearest comprehensive, primary or acute stroke ready hospital.

            (d) The secretary may propose rules for legislative approval in accordance with the provisions of article three, chapter, twenty-nine-a of this code to implement the provisions of this section.  The secretary shall consult with an advisory committee selected by the secretary.  The advisory committee shall consist of representatives of the department, an association with the primary purpose of promoting better heart health, a registered emergency medical technician, hospitals located in rural areas of the state and hospitals located in urban areas of this state.

The rules may include:

(1) An application process;

(2) The criteria for designation and certification as a comprehensive stroke center, a primary stroke center or an acute stroke ready center;

(3) A means for providing a list of designated hospitals to emergency medical service agencies;

(4) Protocols for assessment, treatment and transport of stroke patients by licensed emergency medical service agencies; and

(5) Any other requirements necessary to accomplish the intent of this section.


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