Massachusetts 2023-2024 Regular Session

Massachusetts Senate Bill S1416 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
1	1	1 of 1
2	2	SENATE DOCKET, NO. 2106 FILED ON: 1/20/2023
3	3	SENATE . . . . . . . . . . . . . . No. 1416
4	4	The Commonwealth of Massachusetts
5	5	_________________
6	6	PRESENTED BY:
7	7	Mark C. Montigny
8	8	_________________
9	9	To the Honorable Senate and House of Representatives of the Commonwealth of Massachusetts in General
10	10	Court assembled:
11	11	The undersigned legislators and/or citizens respectfully petition for the adoption of the accompanying bill:
12	12	An Act to prevent death and disability from stroke.
13	13	_______________
14	14	PETITION OF:
15	15	NAME:DISTRICT/ADDRESS :Mark C. MontignySecond Bristol and PlymouthPatrick M. O'ConnorFirst Plymouth and Norfolk2/1/2023Anne M. GobiWorcester and Hampshire2/2/2023Patricia D. JehlenSecond Middlesex3/2/2023James B. EldridgeMiddlesex and Worcester3/6/2023Paul R. FeeneyBristol and Norfolk3/6/2023 1 of 2
16	16	SENATE DOCKET, NO. 2106 FILED ON: 1/20/2023
17	17	SENATE . . . . . . . . . . . . . . No. 1416
18	18	By Mr. Montigny, a petition (accompanied by bill, Senate, No. 1416) of Mark C. Montigny,
19	19	Patrick M. O'Connor, Anne M. Gobi, Patricia D. Jehlen and other members of the Senate for
20	20	legislation to prevent death and disability from stroke. Public Health.
21	21	The Commonwealth of Massachusetts
22	22	_______________
23	23	In the One Hundred and Ninety-Third General Court
24	24	(2023-2024)
25	25	_______________
26	26	An Act to prevent death and disability from stroke.
27	27	Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority
28	28	of the same, as follows:
29	29	1 SECTION 1. Notwithstanding any general or special law to the contrary and not later
30	30	2than 180 days after the effective date of this act, the department of public health shall promulgate
31	31	3regulations that create: (i) a statewide standard pre-hospital care protocol related to the
32	32	4assessment, treatment and transport of stroke patients by emergency medical services providers
33	33	5to a hospital designated by the department to care for stroke patients; provided, however, that the
34	34	6protocol shall be based on national evidence-based guidelines for transport of stroke patients,
35	35	7consider transport that crosses state lines and include plans for the triage and transport of
36	36	8suspected stroke patients, including, but not limited to, those who may have an emergent large
37	37	9vessel occlusion, to an appropriate facility within a specified timeframe following the onset of
38	38	10symptoms and additional criteria to determine which level of care is the most appropriate
39	39	11destination; (ii) statewide criteria for designating hospitals in a tiered system, featuring advanced
40	40	12designations in addition to primary stroke services, to treat stroke patients based on patient
41	41	13acuity; provided, however, that the tiers shall be based on criteria from at least 1 nationally- 2 of 2
42	42	14recognized program and shall not permit self-designation; provided further, that in developing
43	43	15such criteria, the department shall consider: (A) designation models and criteria developed by the
44	44	16Joint Commission, DNV GL Healthcare USA, Inc. or another national certifying body
45	45	17recognized by the United States Centers for Medicare and Medicaid Services; (B) designation
46	46	18models and criteria adopted by other states and the differences in geography and health care
47	47	19resources of such other states; (C) the clinical and operational capability of a facility to provide
48	48	20stroke services, including emergency and ancillary stroke services; (D) limiting the routing of
49	49	21stroke patients to thrombectomy-capable facilities whenever a comprehensive stroke center is
50	50	22within a recommended timeframe to maximize technical competency and patient outcomes; and
51	51	23(E) procedures to suspend or revoke a facility’s designation if the department determines the
52	52	24facility is not in compliance with designation requirements and procedures to notify emergency
53	53	25medical services providers of any such suspension or revocation; and (iii) recommended national
54	54	26evidence-based quality and utilization measure sets for stroke care for use by the center for
55	55	27health information and analysis pursuant to section 14 of chapter 12C of the General Laws;
56	56	28provided, however, that the department shall consider measures in current use in national quality
57	57	29improvement programs including, but not limited to, the United States Centers for Medicare and
58	58	30Medicaid Services, the National Quality Forum, the Paul Coverdell National Acute Stroke
59	59	31Program or other nationally-recognized data platforms. The department shall develop said
60	60	32regulations in consultation with the expert stroke advisory taskforce established pursuant to
61	61	33section 51L of chapter 111.