HOUSE REPUBLICAN STAFF ANALYSIS Bill: House File 548 (formerly HF 274) Committee: Human Resources Floor Manager: Rep. Salmon Date: March 20, 2017 Staff: Carrie Malone (5-2063)
House Committee: House Floor: Senate Floor: Governor:
PASSED 20-0 on March 1 PASSED 97-0 on March 20
Stroke Care •
The bill (as amended) requires the Department of Public Health to work with the University of Iowa College of Public Health to coordinate efforts to achieve quality improvement in the care of persons with stroke. The two entities will work together to ensure strokes get reported to the statewide stroke database.
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FISCAL NOTE - The original fiscal note ($135,011) was applicable to the bill before the amendment. The Department of Public Health believes the cost after the amendment would be about $4,000. However, the amendment stipulates that the Department will not be given additional resources and has to implement this change without funding. Therefore, there is no additional cost to the state for the bill as amended.
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Section by Section Analysis See Amendment Analysis
___________________________________________________________________________________ H-1195 by Salmon This is a strike-after amendment.
Amendment Analysis
Section 1 - Stroke Care - Continuous Quality Improvement This section requires a nationally certified comprehensive stroke center in the state to report to the statewide stroke database confirmed stroke cases in Iowa. If they do not comply, IDPH may request a review of the certification of the stroke center. This section also requires IDPH to work with the University of Iowa College of Public Health to do all of the following: 1. Maintain or utilize a statewide stroke database that compiles information on stroke care 2. Utilize the “get with the guidelines” stroke data set platform. 3. Partner with national voluntary health organizations and stroke advocacy organizations that plan to achieve stroke care improvement. 1
4. Encourage nationally certified acute stroke-ready hospitals to report their data and treatment of people with stroke cases in Iowa. Section 2 - Contingent Implementation - Utilization of Existing Resources There was a fiscal note of $135,011 included with the previous version of the bill. This amendment was agreed upon by the University of Iowa and the Department of Public Health. IDPH has said they intend to absorb any costs associated with the bill, but this provision ensures they will not be able to seek additional resources to implement it.
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