LCO No. 1739 1 of 3 General Assembly Raised Bill No. 5273 February Session, 2022 LCO No. 1739 Referred to Committee on PUBLIC HEALTH Introduced by: (PH) AN ACT ESTABLISHING A STATE -WIDE STROKE REGISTRY. Be it enacted by the Senate and House of Representatives in General Assembly convened: Section 1. (NEW) (Effective October 1, 2022) (a) The Department of 1 Public Health shall maintain and operate a state-wide stroke registry. 2 Such registry shall use the American Heart Association's stroke care 3 program's data set platform and include information and data on stroke 4 care in the state that align with the stroke consensus metrics developed 5 and approved by the American Heart Association. 6 (b) On and after January 1, 2023, each comprehensive stroke center, 7 thrombectomy-capable stroke center, primary stroke center or acute 8 stroke-ready hospital shall, on a quarterly basis, submit to the 9 Department of Public Health data concerning stroke care that are 10 necessary for including in the state-wide stroke registry, as determined 11 by the Commissioner of Public Health, and that, at a minimum, align 12 with the stroke consensus metrics developed and approved by the 13 American Heart Association. 14 (c) Each comprehensive stroke center, thrombectomy-capable stroke 15 Raised Bill No. 5273 LCO No. 1739 2 of 3 center, primary stroke center and acute stroke-ready hospital shall 16 provide access to its records to the Department of Public Health, as the 17 department deems necessary, to perform case finding or other quality 18 improvement audits to ensure completeness of reporting and data 19 accuracy consistent with the purposes of this section. 20 (d) The Department of Public Health may enter into a contract for the 21 receipt, storage, holding or maintenance of the data or files under its 22 control and management. 23 (e) The Department of Public Health may enter into reciprocal 24 reporting agreements with the appropriate agencies of other states to 25 exchange stroke care data. 26 (f) (1) Failure by a comprehensive stroke center, thrombectomy-27 capable stroke center, primary stroke center or acute stroke-ready 28 hospital to comply with the reporting requirements prescribed in this 29 section may result in the department electing to perform the registry 30 services for such comprehensive stroke center, thrombectomy-capable 31 stroke center, primary stroke center or acute stroke-ready hospital. In 32 such case, the comprehensive stroke center, thrombectomy-capable 33 stroke center, primary stroke center or acute stroke-ready hospital shall 34 reimburse the department for actual expenses incurred in performing 35 such services. 36 (2) Any comprehensive stroke center, thrombectomy-capable stroke 37 center, primary stroke center or acute stroke-ready hospital that fails to 38 comply with the provisions of this section shall be liable for a civil 39 penalty not to exceed five hundred dollars for each failure to disclose a 40 stroke care data, as determined by the commissioner. 41 (3) The reimbursements, expenses and civil penalties set forth in this 42 section shall be assessed only after the Department of Public Health has 43 provided a comprehensive stroke center, thrombectomy-capable stroke 44 center, primary stroke center or acute stroke-ready hospital with written 45 notice of deficiency and such comprehensive stroke center, 46 thrombectomy-capable stroke center, primary stroke center or acute 47 Raised Bill No. 5273 LCO No. 1739 3 of 3 stroke-ready hospital has been afforded not less than fourteen business 48 days after the date of receiving such notice to provide a written response 49 to the department. Such written response shall include any information 50 requested by the department. 51 (g) The Commissioner of Public Health may request that the Attorney 52 General initiate an action to collect any civil penalties assessed pursuant 53 to this section and obtain such orders as necessary to enforce any 54 provision of this section. 55 (h) Not later than January 1, 2023, the Department of Public Health, 56 in consultation with the State of Connecticut Stroke Advisory Council, 57 shall establish a stroke registry data oversight committee. Such 58 committee shall monitor the operations of the state-wide stroke registry, 59 provide advice regarding the oversight of such registry, develop a plan 60 to improve quality of stroke care and address disparities in the 61 provision of such care and develop short and long-term goals for 62 improvement of stroke care in comprehensive stroke centers, 63 thrombectomy-capable stroke centers, primary stroke centers and acute 64 stroke-ready hospitals. 65 (i) The Commissioner of Public Health may adopt regulations, in 66 accordance with the provisions of chapter 54 of the general statutes, to 67 implement the provisions of this section. 68 This act shall take effect as follows and shall amend the following sections: Section 1 October 1, 2022 New section Statement of Purpose: To establish a state-wide stroke registry. [Proposed deletions are enclosed in brackets. Proposed additions are indicated by underline, except that when the entire text of a bill or resolution or a section of a bill or resolution is new, it is not underlined.]