Requires the department of health, the state emergency medical services council and the regional emergency medical services council to update their policies, procedures, and protocols for prehospital emergency medical care and transportation related to the assessment, treatment and transport of stroke patients by a provider of an emergency medical service or an ambulance service.
STATE OF NEW YORK
________________________________________________________________________
8255
2019-2020 Regular Sessions
IN ASSEMBLY
June 10, 2019
___________
Introduced by M. of A. CYMBROWITZ -- read once and referred to the
Committee on Health
AN ACT to amend the public health law, in relation to prehospital emer-
gency medical care policies and procedures for certain stroke patients
The People of the State of New York, represented in Senate and Assem-bly, do enact as follows:
1 Section 1. The public health law is amended by adding a new section
2 3004 to read as follows:
3 § 3004. Prehospital emergency medical care and transportation; certain
4 stroke patients. The department, the state emergency medical services
5 council and the regional emergency medical services council shall update
6 their policies, procedures, and protocols for prehospital emergency
7 medical care and transportation related to the assessment, treatment and
8 transport of stroke patients by a provider of an emergency medical
9 service or an ambulance service. Such policies, procedures, and proto-
10 cols shall include point-of-entry criteria and plan for the triage and
11 transport of stroke patients who may have an emergent large vessel
12 occlusion, to the most appropriate facility that offers neuroendovascu-
13 lar treatment within a specified timeframe of onset of symptoms. For
14 purposes of this section, an "appropriate facility that offers neuroen-
15 dovascular treatment" shall mean a hospital, as defined in subdivision
16 one of section twenty-eight hundred one of this chapter, with the capa-
17 bilities to properly assess, diagnose, using advanced imaging devices,
18 and treat stroke patients with complex cases of ischemic stroke, includ-
19 ing emergent large vessel occlusion caused by the loss of blood supply
20 to a part of the brain, or hemorrhagic stroke, caused by bleeding of the
21 brain, and requiring immediate treatment at a hospital with a trained
22 team of neurointerventional surgeons, vascular neurologists and assist-
23 ing medical personnel and the ability to perform a mechanical thrombec-
24 tomy twenty-four hours per day, seven days per week to treat the stroke.
25 The department shall identify facilities that satisfy such criteria.
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[] is old law to be omitted.
LBD11931-01-9
A. 8255 2
1 After the effective date of this section, the department, the state
2 emergency medical services council, and the regional emergency medical
3 services council shall annually review and update, if appropriate, their
4 policies, procedures, and protocols for prehospital emergency medical
5 care and transportation to ensure stroke patients are transported to the
6 most appropriate hospital in accordance with this section.
7 § 2. This act shall take effect January 1, 2020. Effective immediate-
8 ly, the addition, amendment and/or repeal of any rule or regulation
9 necessary for the implementation of this act on its effective date are
10 authorized to be made and completed on or before such effective date.