R 223
2022 -- H 8109
Enacted 04/07/2022

H O U S E   R E S O L U T I O N
SUPPORTING IMPROVEMENTS IN THE CARE OF ATHEROSCLEROTIC CARDIOVASCULAR DISEASE

Introduced By: Representatives Williams, Shekarchi, Blazejewski, Chippendale, Vella-Wilkinson, Alzate, Henries, Perez, Cassar, and Knight

Date Introduced: April 07, 2022

     WHEREAS, Cardiovascular disease is the leading cause of death in the United States,
surpassing all types of cancer, unintentional injury, and stroke; and
     WHEREAS, In the United States, approximately 21 million patients have been diagnosed
with atherosclerotic cardiovascular disease (ASCVD) and are at risk of a cardiovascular event;
and
     WHEREAS, It is projected that by 2035, 45 percent of the United States population will
have cardiovascular disease; and
     WHEREAS, ASCVD is linked to the build-up of cholesterol in the arteries, and the risk
of associated events can be modified by lowering low-density lipoprotein cholesterol (LDL-C);
and
     WHEREAS, In 2016, nearly 70 million United States adults had higher than
recommended LDL-C levels; and
     WHEREAS, In the United States, 43.1 million people are currently treated with lipid-
lowering therapies to manage cardiovascular risk; and
     WHEREAS, Only 20 percent of people with ASCVD who are taking statins, one of the
leading lipid-lowering therapies, actually achieve healthy levels of LDL-C; and
     WHEREAS, The total direct and indirect cost of ASCVD in the US was $555 billion in
2016, and is projected to climb to $1.1 trillion by 2035; and
     WHEREAS, In Rhode Island, 67,600 adults have been told by a health professional that
they had angina, a stroke, a heart attack, or coronary heart disease, which are some of the
manifestations of ASCVD; and
     WHEREAS, In Rhode Island, 1,584 people had ASCVD as an underlying cause of death;
and
     WHEREAS, In Rhode Island, 32,700 adults reported experiencing a heart attack in their
lifetime and 21,900 adults reported experiencing a stroke in their lifetime; and
     WHEREAS, Rhode Island spends an estimated $401.3 million dollars on direct medical
expenses for ASCVD care each year; now, therefore be it
     RESOLVED, That this House of Representatives of the State of Rhode Island hereby
urges state agencies to expand cholesterol screening and other forms of cardiovascular screening
to improve the care quality of people suffering from atherosclerotic cardiovascular disease; and
be it further
     RESOLVED, That this House of Representatives hereby advocates for the update of the
state's cardiovascular plan to accelerate quality improvements in the care rendered to these
patients such that screening, treatment, monitoring, and improved health outcomes are achieved;
and be it further
     RESOLVED, That this House of Representatives hereby supports the creation of policies
to decrease the rising number of death of Americans as a result of ASCVD; and be it further
      RESOLVED, That the Secretary of State be and hereby is authorized and directed to
transmit a duly certified copy of this resolution to Director James McDonald, MD, MPH, RI
Department of Health.
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LC005756
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