1 STATE OF OKLAHOMA
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2 2nd Session of the 59th Legislature (2024)
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3 HOUSE BILL 3038 By: Stinson
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6 AS INTRODUCED
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7 An Act relating to hospitals; creating the Heart
7 Attack System of Care Act; requiring the State
8 Department of Health to designate certain hospitals;
8 providing certain criteria for designation; providing
9 certain requirements for application; mandating
9 dissemination of certain hospital list to emergency
10 medical services; requiring certain training for
10 emergency medical services; providing for
11 noncodification; providing for codification; and
11 providing an effective date.
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14 BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
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15 SECTION 1. NEW LAW A new section of law not to be
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16 codified in the Oklahoma Statutes reads as follows:
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17 This act shall be known and may be cited as the "Heart Attack
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18 System of Care Act".
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19 SECTION 2. NEW LAW A new section of law to be codified
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20 in the Oklahoma Statutes as Section 1-726.1 of Title 63, unless
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21 there is created a duplication in numbering, reads as follows:
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22 A. The State Department of Health shall recognize hospitals
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23 that meet the criteria set forth in this act and shall be designated
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24 as one of the following:
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 1 1. Level 1 Heart Attack Center defined as a hospital that has
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2 received certification by a nationally recognized certifying
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3 organization, such as the American Heart Association or the Joint
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4 Commission Comprehensive Heart Attack Center Certification, or
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5 American College of Cardiology (ACC) Chest Pain Center with primary
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6 percutaneous coronary intervention (PCI)and resuscitation;
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7 2. Level 2 Heart Attack Center defined as a hospital that
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8 received certification by a nationally recognized certifying
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9 organization, such as the American Heart Association or the Joint
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10 Commission Primary Heart Attack Center or the American College of
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11 Cardiology (ACC) Chest Pain Center with PCI ; or
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12 3. Level 3 Heart Attack Center defined as a hospital that has
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13 received certification by a nationally recognized certifying
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14 organization, such as the American Heart Association or the Joint
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15 Commission Acute Heart Attack Ready Center or the American College
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16 of Cardiology (ACC) Chest Pain Center.
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17 B. A hospital shall apply to the Department for recognition of
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18 such designation and shall demonstrate to the satisfaction of the
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19 Department that the hospital meets the applicable criteria set forth
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20 in this act.
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21 C. Self-designation by any health care facility is not
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22 considered a recognized indicator of certification and shall not be
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23 recognized by the state.
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 1 D. The Department shall not limit the number of hospitals
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2 seeking recognition of such designation as set forth in this act.
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3 E. The Department shall verify, track, and monitor that the
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4 hospital maintains its certification as one of the above centers
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5 with the:
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6 1. American Heart Association;
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7 2. The Joint Commission – a not-for-profit organization that
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8 sets quality standards, conducts on-site evaluations, and delivers
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9 an interactive educative experience designed to provide solutions
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10 and resources to support continuous improvement across all health
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11 care settings; and
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12 3. the ACC or another Department-approved, nationally
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13 recognized guidelines-based certifying or accrediting body for
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14 health care organizations.
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15 F. The Department may suspend or revoke a hospital's
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16 designation if the Department determines that the hospital is not in
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17 compliance with the requirements of this act.
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18 G. At least annually, the Department shall send the list of
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19 American Heart Association and the Joint Commission centers
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20 accreditations to the medical director of each licensed emergency
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21 medical services (EMS) provider in this state. The Department shall
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22 maintain a copy of the list in the office designated with the
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23 Department to oversee emergency medical services and shall post a
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 1 list of approved and verified centers that are designated to receive
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2 and treat acute coronary syndrome (ACS) and cardiac arrest patients.
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3 H. All EMS authorities across the state shall establish pre-
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4 hospital care protocols related to the assessment, treatment,
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5 transport, and routing of ACS patients by EMS providers in this
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6 state. Routing protocols for triage and transport of ACS patients
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7 should include the distance to the nearest PCI-capable center
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8 designated to receive and treat ACS patients or other time-sensitive
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9 cardiac patients.
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10 I. All EMS authorities across the state shall establish, as
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11 part of current training requirements, protocols to assure that
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12 licensed EMS providers and 9-1-1 dispatch personnel receive training
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13 on the assessment, triage, and treatment of ACS patients. Training
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14 shall include the use of an ACS screening instrument, including, but
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15 not limited to, an electrocardiogram and other cardiac life-saving
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16 equipment.
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17 J. Each EMS provider must comply with all sections of this act.
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18 K. In no way shall this act be construed to require disclosure
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19 of any confidential information or other data in violation of the
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20 Federal Health Insurance Portability and Accountability Act of 1996.
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21 SECTION 3. This act shall become effective November 1, 2024.
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23 59-2-9826 TJ 01/12/24
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