Heart Disease and Stroke - 2009-2010 Update of State Legislative Policy Options
Updated November 2010
Cardiovascular disease is the nation’s No. 1 killer of men and women across all racial and ethnic groups. As the first and third leading causes of death in 2009 and 2010, heart disease and stroke contribute to rising health care costs. In fact, one-third of the nation's population have some form of cardiovascular disease. In 2009 an estimated $475 billion was spent on treatment and lost productivity. State governments pay a share of the burden for their state employees and Medicaid enrollees.
For most people, heart disease and stroke can be prevented through lifestyle and behavior changes. Controlling high blood pressure, cholesterol levels and diabetes reduces the risk of developing heart disease. When people eat a healthy diet, are physically active, maintain a healthy weight and don't smoke or quit smoking, their risk of heart disease, stroke and other chronic diseases such as type 2 diabetes, and some cancers significantly decreases.
A community—neighborhoods, child care settings, schools, workplaces, senior centers, and health care settings—can support individual and family efforts to improve cardiovascular health and prevent heart disease and stroke by eating healthy food and engaging in regular physical activity to maintain a healthy weight. Early detection and treatment is key to reducing a person's risk for heart disease and stroke. State and local policy can support programs that increase access to affordable nutritious foods; design communities with sidewalks and biking and walking paths for safe recreation; and increase access to blood pressure, cholesterol and diabetes screenings among all populations to promote heart healthy and reduce stroke risk.
The table of contents below links to specific topics on this page with detailed bill summaries for policy approaches considered in 2009 - 2010.
TABLE OF CONTENTS
State Laws and Policies
Public Awareness of Heart Disease and Stroke
CA SCR 64 (2010, adopted, Resolution Chapter No. 2) - Recognizes the month of February 2010 as “American Heart Month” and February 4, 2010, as Wear Red Day in California.
CA SCR 87 (2010, adopted, Resolution Chapter No. 25) - Declares May 2010 as “American Stroke Month” and urges all Californians to become familiar with the risk factors, and warning signs and symptoms associated with stroke.
CA ACR 17 (2009, adopted) - This measure recognizes the month of February 2009 as "American Heart Month" in California, recognizes February 6, 2009, as "Wear Red Day" in California, and urges public support for Go Red for Women events.
CO SJR 10 (2009, adopted)
- The members of the General Assembly, in recognition of the importance of the ongoing fight against heart disease and stroke, proclaim February 2009 to be "American Heart Month", and declare Friday, February 6, 2009, to be "National Wear Red Day." We urge all citizens to show their support for women and the fight against heart disease by commemorating this day by wearing the color red.
DE SCR 34 (2010, adopted) - Recognizes the week of June 1-7, 2010 as National Cardiopulmonary Resuscitation (CPR) and Automated External Defibrillator (AED) week in Delaware. Encourages citizens to seek training in CPR and learn how to operate AED devices.
DE SCR 18 (2009, adopted) - Recognizes the week of June 1-7, 2009 As National Cardiopulmonary Resuscitation (CPR) and Automated External Defibrillator (AED) Awareness Week in Delaware.
FL H 9095 (2010, adopted) - Recognizes February 6-12, 2011 as “Congenital Heart Defect Awareness Week” in State of Florida.
GA HR 1302/GA SR 921 (2010, adopted) - Recognizes February 5, 2010, as “National Wear Red Day” at the state capitol.
GA HR 1690/GA SR 1215 (2010, adopted) - Recognizes Tuesday March 23, 2010, as “Georgia Rides to the Capitol Day.”
GA SR 142/GA HR 245 (2009, adopted) - Recognizes February 6, 2009, as "National Wear Red Day" at the state capitol.
IL HR 99 (2009, adopted)
- On behalf of the citizens of Illinois, the members of the Illinois House of Representatives join the American Stroke Association, a division of the American Heart Association, in celebrating May of 2009 and every May thereafter as "American Stroke Month" in the State of Illinois. Stroke Survivors Empowering Each Other (SSEEO), a first-of-its-kind-in-the-nation group of stroke survivors from all parts of Illinois met in Springfield on May 2, 2009 for the 2009 Springfield Start! HeartWalk in order to create opportunities for people to improve their health by walking and simultaneously raise funds to help fight heart disease and stroke.
KS HR 6014/KS SR 1814 (2010, adopted) - Encourages citizens to participate in the American Heart Association's Go Red for Women Campaign.
KS HR 6008/ SR 1811 (2009, adopted) - Declares Friday, February 6, 2009 as "National Wear Red Day for Women." This event is part of the Go Red for Women campaign, the American Heart Association's national call to increase awareness about heart disease, the leading cause of death for women. This movement celebrates the energy, passion and power women have to take charge of their heart health in order to live stronger, longer lives. The color red and the red dress symbol have become linked with the ability all women have to improve their heart health. The American Heart Association is encouraging everyone to wear red on February 6 in support of all women who have experienced heart disease or stroke.
MI SR 8 (2009, adopted) - Proclaims February 6, 2009, as "Go Red for Women Day." Recognize that heart disease is the number one cause of death among women and cardiovascular disease claims the lives of 460,000 American women every year—almost one death per minute. More women die of cardiovascular disease than the next five causes of death combined, including all forms of cancer.
ND SCR 4011 (2009, adopted) - Declares Friday, February 6, 2009, "National Wear Red Day" in North Dakota and encourages all citizens to wear red to raise awareness of cardiovascular disease.
NM HM 13/NM SM 29 (2010, adopted) – Recognizes February 4, 2010 as “Wear Red Day” in New Mexico and urges all citizens to wear red to show support for women and the fight against heart disease.
NM HM 14 (2009, adopted) - Proclaims February 6, 2009 as "Wear Red Day" at the House of Representatives.
OK HR 1054 (2009, adopted) - Proclaims Thursday, May 7, 2009, as "National Wear Red Day" and urges all Oklahoma citizens to commemorate this day by wearing the color red.
PA SR 236 (2010, adopted) - Recognizes the month of February 2010 as “American Heart Month.”
PA HR 598/PA SR 240 (2010, adopted) - Recognizes February 5, 2010 as “Wear Red Day” to show support for women and the fight against heart disease.
PA HR 683 (2010, adopted) - Recognizes May 1, 2010 as “Childhood Stroke Awareness Day.”
PA HR 782/PA SR 310 (2010, adopted) - Recognizes the month of May 2010 as “Stroke Awareness Month.”
PA HR 909 (2010, adopted) - Recognizes the month of October 2010 as “Sudden Cardiac Arrest Awareness Month.”
PA HR 4 (2009, adopted) - Recognizes February 6, 2009, as "Wear Red Day for Women" in Pennsylvania and encourages all citizens to wear red to raise women's awareness of cardiovascular disease.
PA HR 54 (2009, adopted) - Designates the month of February 2009 as "American Heart Month" in Pennsylvania and urges all citizens to recognize the critical importance of tools and skills that will increase survival rates from cardiac arrest, so that thousands of lives can be saved each year.
PA SR 112 (2009, adopted) - Recognizes May 2009 as "National High Blood Pressure Education Month" in Pennsylvania in an effort to bring awareness to this life-threatening condition and educate citizens about healthy ways to reduce the risk of high blood pressure and return high blood pressure to a normal level.
RI H 7396/RI S 2092 (Resolution Chapter No. 2010-70/Resolution No. 2010-58 ) - Recognizes February 5, 2010 as “National Wear Red Day.”
RI H 5341 (2009, adopted) - Proclaims February 6, 2009 to be "Go Red For Women" Day, and urges all citizens to show their support for women and the fight against heart disease by commemorating this day with the wearing of the color red. Recognizes that by increasing awareness and empowering women to reduce their risk for cardiovascular diseases, we can save thousands of lives each year.
TX HR 219 (2009, adopted)
- Recognizes February 6, 2009, as "National Wear Red Day" and encourages all Texans to show their support for women and the fight against heart disease by wearing the color red.
TX HR 1996/SR 902 (2009, adopted) - Recognizes June 1 to June 7, 2009, as Cardiopulmonary Resuscitation (CPR)-Automated External Defibrillator (AED) Awareness Week in Texas and encourages all citizens to seek training in CPR and AED usage.
TX SR 766 (2009, adopted) - Encourages all Texans to observe the week of May 10 through 16, 2009, as "National Women's Health Week" in Texas.
VT HR 7 (2009, adopted) - Designates February 4, 2009 as "Vermont Wear Red Day."
VA HJR 259 (2010, adopted)
- Recognizes the month of February as “American Heart Month,” in 2010 and each year after.
WI AJR 103 (2010, adopted)
- Recognizes February 2010 as “American Heart Month.”
WI AJR 106 (2010, adopted)
- Recognizes February 5, 2010 as “Go Red for Women Day.”
WI SJR 4 (2009, adopted)
- Recognizes the importance of the ongoing fight against heart disease and stroke, the members of the Wisconsin Legislature proclaims February 2009 to be "American Heart Month" and February 6, 2009, to be "Wear Red for Women Day" and urges all citizens to show their support for women and the fight against heart disease by commemorating this day by the wearing of the color red.
Prevention of Risk Factors (Nutrition, Physical Activity and Tobacco)
CA ACR 8 (2009, adopted)
- Proclaims the month of May 2009 as "California Fitness Month," and would encourages all Californians to enrich their lives through proper diet and exercise. Recognizes that exercise and fitness activities are excellent ways to relieve stress, lower the risk of heart disease and diabetes, prevent bone loss, and decrease the risk of some cancers.
GA HR 246/SR 271 (2009, adopted)
- Declares Tuesday, March 3, 2009, as "Georgia Rides to the Capitol Day." States that cycling increases physical work capacity, significantly reduces harmful cholesterol levels, reduces obesity, and lessens the risk of heart disease and heart attacks. Acknowledges that the Metro Atlanta Mayors Association supports and encourages all metropolitan Atlanta cities to participate in the 2009 "Georgia Rides to the Capitol" campaign, departing from the cities of Decatur and Roswell during the 2009 legislative session. The Metro Atlanta Mayors Association passed a resolution supporting the continued development of regional bike and pedestrian trails. The creation of new trails and connectivity to existing trails; and the North Georgia Bicycle Dealers Association, Georgia Bikes, Southern Bicycle League, Atlanta Bicycle Campaign, and Bike Roswell are organizations cosponsoring the "Georgia Rides to the Capitol" event, working to improve bicycling conditions, promoting bicycling throughout the state, and striving toward giving children, the general public, law enforcement officials, and cyclists more knowledge about bicycle rights, responsibilities, and safety.
GA HR 910 (2009, adopted)
- Recognizes the American Heart Association and March 2009, as "Nutrition Month" at the state capitol. Notes that a healthy diet and lifestyle are the best weapons against cardiovascular disease and simple steps can create a healthy lifestyle and can result in long-term benefits to an individual's overall health and heart health. States that the American Heart Association is a national voluntary health agency devoted to building healthier lives that are free of cardiovascular diseases and stroke.
LA HR 16 (2010, adopted) - Recognizes April 7, 2010 as “National Start! Walking Day” and “Legislative Wellness Day.”
OK HR 1077/OK SR 109 (2010, adopted) -
Recognizes April 7, 2010 as “National Start! Walking Day.”
OK HR 1037 (2009, adopted)
- Proclaims April 8, 2009, as "National Start! Walking Day." Recognizes that cardiovascular diseases, including heart disease and stroke, are the nation's leading cause of death and disability, with 1.26 million Americans suffering a new or recurrent coronary attack each year and 795,000 suffering a new or recurrent stroke.
PA HR 692/PA SR 283 (2010, adopted) - Recognizes April 7, 2010 as “National Start! Walking Day.”
PA HR 194 (2009, adopted) - Recognizes April 8, 2009, as "National Start! Walking Day" in Pennsylvania.
TN HJR 454 (2009, adopted) - Designates June 15-21, 2009, as "National Men's Health Week" and encourages men and their families to increase their awareness of the importance of a healthy lifestyle, regular exercise and medical checkups.
TX HR 851 (2009, adopted) - Recognizes April 3, 2009, as "National Walk to Work Day" and recognizes the week of April 3-10, 2009, as Walk or Bike to Work and School Week in Edinburg and congratulates all those who are enjoying a healthier commute.
TX HR 1255 (2009, adopted) - Recognizes April 8, 2009, as "National Start! Walking Day" at the Capitol and extends to all participants sincere best wishes for a successful event. The American Heart Association has developed Start!, an innovative campaign to encourage a healthy, active lifestyle in the workplace. Start! calls on Americans and their employers to create a culture of physical activity through office walking programs.
WI AJR 42 (2009, adopted) - Declares Wednesday April 8, 2009, as "Wellness Day" in Wisconsin.
Increase Early Detection and Treatment of Risk Factors
DE S 66 (2009, enacted, Chapter 1, Title 16, Section 138-139)
- Establishes Heart Disease and Stroke Prevention Program within the Division of Public Health of the Department of Health and Social Services. The program is established to address heart and cardiovascular disease and stroke-related health issues for the following purposes: (1) to conduct health education, public awareness, and community outreach activities that relate to primary and secondary prevention of cardiovascular disease and stroke; (2) to assist the division director in identifying, coordinating and establishing priorities for programs, services and resources the State should provide for cardiovascular disease and stroke prevention; (3) to serve as a resource for information regarding cardiovascular disease and stroke data, prevention strategies, treatment services and programs that address cardiovascular disease and stroke-related health issues; (4) to provide health care providers, employers, schools, community health centers and other groups with innovative and effective programs that achieve the objectives of improved treatment, prevention and public awareness; (5) to provide guidance regarding the roles and responsibilities of government agencies, health care providers, employers, third-party payers, patients and families of patients of best practices in the treatment, primary and secondary prevention, and public awareness of cardiovascular disease and stroke; (6) to improve access to treatment for primary and secondary prevention of heart and cardiovascular disease and stroke through public awareness programs, including access for uninsured individuals and individuals living in rural or underserved areas; (7) to assist communities in developing comprehensive local cardiovascular disease and stroke prevention programs; (8) to establish appropriate forums, programs or initiatives designed to educate the public regarding the impact of heart disease and stroke on women's health, with an emphasis on preventive health and healthy lifestyles; (9) to coordinate the activities and programs of the department with other entities that focus on cardiovascular health or cardiovascular disease prevention or control, including but not limited to other state agencies; and (10) to evaluate and enhance the implementation and effectiveness of the department and to seek funding from private or governmental entities to carry out the purposes of this section.
NV AB 107 (2009, enacted, Chapter 439)
- Creates the advisory committee for the prevention and treatment of stroke and heart disease within the Health Division of the Department of Health and Human Services.
State Employee Health and Wellness
OK HR 1050 (2009, adopted) - The Oklahoma House of Representatives resolves to act in a strategic and concerted effort to impede and reverse negative health trends in Oklahoma's state government by promoting policies and programs and by pursuing workplace changes that encourage healthy eating and promote active living. To further these goals, we intend to take voluntary actions, individually and collectively. Such actions may include, but are not limited to, the following: (a) participating in the OK Health Mentoring Program and projects that promote healthy eating and active living; (b) agencies will promote the OK Health Mentoring Program and incentivize employees to participate with reduced cost; (c) adopt policies that promote healthy eating and active living; (d) create and/or modify work environments at no cost to the state that support healthy eating and active living within fully smoke-free workplaces and campuses; (e) encourage agencies to make employees' time more flexible to facilitate walking breaks and other wellness activities; and (f) insist on better, healthier choices in snack bars and vending areas. These actions will support Oklahoma state employees' determination to become the healthiest in the nation by creating a culture of change within state government.
Improve Quality of Care and Access to Care
FL HB 331 (2009, enacted, Chapter 161) - Establishes a Public Health Initiatives Act that creates the Florida Public Health Institute, Inc., and deletes provisions relating to the Florida Public Health Foundation, Inc.; provides purposes of the institute; provides for the institute to operate as a not-for-profit corporation; revises composition of the board of directors; removes obsolete language relating to certain research; requires annual reports to the Legislature.
IL HB 3767 (2009, enacted, Public Act No. 155) - Establishes the Obesity Prevention Initiative Act - within 60 days after the effective date of this Act, and subject to the availability of public, private, and contributed in-kind resources, requires the Department of Public Health to work with the Department of Human Services and other public, private and voluntary stakeholders to plan, organize, and publicize at least 3 hearings on the health and social costs of obesity and the need to address the obesity epidemic with community, policy, and individual health behavior change. The purpose of these hearings is to (1) highlight existing State and community level initiatives; (2) identify existing plans and opportunities for action and the expansion of initiatives; (3) inform policy makers and the public about effective solutions to the problem and; (4) identify and engage stakeholders to promote action to reduce obesity, improve nutrition and increase physical activity. No later than February 1, 2010, a report on these hearings shall be provided to the members of the General Assembly and the State Board of Health to inform and support action on implementing the 2009 State Health Improvement Plan. Pursuant to Public Act 95-0900, the Chronic Disease Task Force shall also use the report to inform the Plan that is due July 1, 2010 to the General Assembly. Within 60 days after the completion of the report on the hearings, but no later than April 1, 2010, and subject to appropriation for that purpose, the Department of Public Health shall grant funds to one or more non-profit organizations or local public health departments to conduct a statewide education and engagement campaign focusing on the health effects of obesity, the social costs of obesity and the need to address the obesity epidemic with community, policy and individual health behavior change.
MN HB 504 (2009, proposed) - Requires the Commissioner of Health to develop and implement a women's heart health program to provide heart disease risk screening to uninsured and underinsured women. The commissioner must contract with health care clinics to provide heart disease risk screenings to eligible women. The clinics may also provide follow-up services to women found to be at risk for heart disease. To be eligible for screening under this program, an applicant must: (1) be between the ages of 40 and 64 years; (2) receive breast and cervical cancer screening services under the Department of Health's SAGE program; (3) be uninsured, or have insurance that does not cover heart disease risk screenings; and (4) have a gross family income at or below 250 percent of the federal poverty level. $750,000 each year is appropriated for fiscal years 2010 and 2011 from the general fund to the commissioner of health for the women's heart health program.
MN H 499 (2009, proposed) - To fund heart disease and stroke prevention, appropriates $500,000 for the biennium ending June 30, 2011, from the general fund to the commissioner of health for the heart disease and stroke prevention unit of the Department of Health for data collection and other activities to improve cardiovascular health and reduce the burden of heart disease and stroke in Minnesota.
MO H 1898 (2010, enacted, Chapter No. 191) - Establishes the Women's Heart Health Program within the Department of Health and Senior Services to provide heart disease risk screening to uninsured and underinsured women.
Address and Eliminate Disparities
KS HR 6024 (2009, adopted)
- Designates the month of April as "Minority Health Awareness Month." Recognizes that despite the growing scientific evidence documenting the importance of fruits and vegetables to a healthy diet, four out of five Kansans, regardless of race and ethnicity, do not eat the daily recommended five servings of fruits and vegetables, under-scoring the importance of raising awareness about healthy lifestyle choices. Thousands of Kansas children, adults and elders suffer from poor health as a result of lack of access to appropriate health care because of race, ethnicity, cultural differences, gender, socioeconomic status, geographical location and disabilities. These health disparities are compounded by factors including poverty, health care provider shortages, patient health care preferences and lifestyle choices and activities such as research, improved public policy and appropriate legislation can help to remove health related barriers and disparities facing racial, ethnic and tribal populations and increase awareness of the importance of managing our health and well-being. Regardless of race, age, gender, disability or socioeconomic status, all Kansans should have the opportunity to actively participate in the management of their personal health and well-being through proper nutrition, moderate exercise and regular health screenings.
Emergency Medical System (EMS) and Automated External Defibrillators (AED)
SD HCR 1006 (2009, adopted)
- Encourages all South Dakota schools to place a sufficient number of Automated External Defibrillators (AEDs) in their facilities, at their athletic fields, and with their athletic staff and to adopt a medical emergency response plan that includes AED use.
Stroke Systems of Care
CO HJR 1034 (2010, adopted) - Recognizes the importance of stroke awareness and urges all Coloradans to become familiar with the risk factors, and warning signs and symptoms associated with stroke; urges hospitals in to adopt the national standards for heart disease and stroke treatment and seek accreditation as stroke centers from the Joint Commission's accreditation of hospitals program; recognizes the Department of Public Health and Environment for developing a comprehensive strategic stroke plan; encourages the Department to educate EMS responders to: communicate effectively with patients and callers who do not speak English as their primary language, partner with the Colorado Department of Education to introduce stroke awareness and prevention education in public schools, stress the importance of providing training and education to EMS providers to ensure that they know how to identify and treat stroke victims immediately, and continue to support the use of telemedicine in rural areas.
DE S 66 (2009, enacted, Chapter 1, Title 16, Section 138-139)
- States that the intent is to achieve continuous quality improvement (CQI) in the quality of care to stroke patients, by improving stroke treatment and preventing future strokes and cardiovascular events. Requires the Department of Health and Social Services shall maintain aggregate statewide stroke data using stroke guidelines and allowing access to real-time data to facilitate process changes that lead to improved patient outcomes. Requires the Department of Health and Social Services shall utilize a nationally available quality improvement and data collection tool that is based on nationally recognized, evidence-based guidelines and align with the stroke consensus metrics developed and approved by the American Heart Association/American Stroke Association, the Centers for Disease Control and Prevention and the Joint Commission; and endorsed by the National Quality Forum. Requires the Department of Health and Social Services to make information and statistics available to the public on the agency's website. To every extent possible, requires the Department of Health and Social Services to coordinate with national voluntary health organizations involved in stroke prevention and treatment to avoid duplication and redundancy.
WA H 2396 (2010, enacted, Chapter No. 52) - Establishes a hospital-based voluntary emergency cardiac and stroke care system using an evidence-based coordinated system of care that allows cardiac and stroke system performance data to be submitted to national, state, or local data collection systems.
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