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Our Team is Growing

Over the past month, our Greater Southeast Affiliate Advocacy team has announced the addition of two Regional Vice Presidents and a Grassroots Specialist to assist with our lobbying and grassroots efforts across Alabama, Florida, Georgia, Louisiana, Mississippi, and Tennessee.

Nathan Mick

On July 18, 2016, Nathan Mick joined the American Heart Association as Regional Vice President of Advocacy for the Greater Southeast Affiliate. He is responsible for managing our Government Relations Directors in Alabama, Georgia, Louisiana, Mississippi, and Tennessee.

Nathan has a tremendous amount of experience in and around the policy and political arenas. He has been the Vice-President of Government Affairs and Business Development at StateBook International the past few years, where he was responsible for stakeholder relationships, government relations, brand, memberships, and strategic partnerships. He also served as the chief liaison to embassies, international companies, local, state and federal government officials. In late 2015, Nathan served as an advisor to the Kentucky Governor’s transition team on Economic Development and provided advice and recommendation directly to the governor and key staff to establish their team and system following the election. Nathan also served as the Carlisle and Nicholas County Industrial Development Authority, Government Relations and Economic Development Advisor and prior to that was the Garrard County Economic Development Director for several years. Nathan was the Deputy Campaign Manager and Political Director for the Pete Rickets for United States Senate Campaign in Nebraska, who is currently the Governor of Nebraska, and he was Deputy Chief of Staff to Senator Chuck Hagel.

Nathan graduated from Centre College in Kentucky, has a Master’s degree from the Naval War College, and has Economic Development and Community Development Certifications from the University of Oklahoma and the University of Kentucky.  Nathan worked for a regional arts center during college, where he managed the staff and was the marketing manager for the Atlanta Olympic Games for the Celebration of the Century.

He is active in the American Council of Young Political Leaders and has been on numerous trips with them and was also selected to represent the United States as an official delegation representative at Organization for Security and Co-operation in Europe Human Dimension Implementation Meetings in 2007, 2008 and 2013.

Todd Rosenbaum

On July 18, 2016, Todd joined the American Heart Association as the Regional Vice President of Government Relations for the Greater Southeast Affiliate. He manages our community government relations, grant management and grassroots functions.

Todd served as the Executive Director of the Florida State Alliance of YMCAs for the past five years, where he was responsible for coordinating advocacy activities, board development, working with committees, staff supervision, fiscal management, grant oversight, securing resources and event management. During his tenure he secured and managed over $370,000 in private grants and over $2 million in state government funding for both the YReads and Youth in Government Program.

Prior to his role as Executive Director of the Florida State Alliance of YMCA’s, Todd was the Northwest Florida Executive Director and ultimately the State Executive Director of Mothers Against Drunk Driving (MADD) in Florida. His role at MADD required him to serve as the administrative (state agency) and legislative lead, leverage the grassroots network and increase the number of MADD signature events. In addition he managed a team of six throughout the state and a $2.8 million budget. 

Before joining MADD, Todd spent the 12 years at the YMCA of Florida’s First Coast, where he began as a Program Manager and was promoted several times until he became the Executive Director. He was responsible for opening a new $4.5 million, $40,000 square foot branch, managing a downtown YMCA with a $2.79 million budget and increasing revenue at that location. He also led a management team of six, more than 100 other staff and was responsible for a multi-million dollar budget for several years in a row.   

Laura Bracci, MPH

On August 1, 2016, Laura Bracci joined the Greater Southeast Affiliate advocacy team as a Grassroots Specialist. In this role, Laura provides grassroots support for local campaigns led by Advocacy and Community Health, as well as assists with managing the You’re the Cure network at the affiliate level.

Laura is a huge public health advocate and is very familiar with the American Heart Association. In fact, she worked for our organization for nine years, first as a Health Initiatives Manager and then the Georgia State Health Alliance Director until the department sunset in 2010.

After working for the American Heart Association, Laura remained actively engaged in public health. She worked as a consultant for a Farm to Preschool Summit in Georgia in 2013 – the first in the nation! She also worked with the Strong4Life Research and Development team to initiate the planning of research projects relevant to childhood obesity prevention and treatment.

For the past five years, Laura has worked as a project manager for Georgia State University’s School of Public Health. She has managed and cultivated state-level Leadership Council focused on improving policies to decrease childhood obesity prevalence.

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How fate brought together three stroke survivors' families

The following article about You're the Cure advocate Ryley Williams and two other youths who survived strokes on the same day was published by AHA CEO Nancy Brown in the Huffington Post on July 6th, 2016. A link is provided at the end of the story.

In the community of Dartmouth in the Canadian province Nova Scotia, Nik Latter’s family is throwing what his mom promises will be “a big ol’ party.” Fist bumps and hugs will celebrate the fact he’s made it an entire year since his devastating July 8th.

One by one, over each of the last three July 8s, Ryley, Amber and Nik suffered a stroke. Yet the oddity of their shared date is only part of what led their moms to create a de facto support group.

What really brought them together is that Ryley, Amber and Nik were — and still are — teenagers.

Ryley was 15 and devoted to becoming the starting nose guard on his varsity football team. Amber was 13 and loved playing softball and hanging out with the two girls who’d been her best friends since kindergarten. Nik was a few days shy of 18 and had left school to work at a restaurant; he’d bought a car and aimed to become a voluntary firefighter following that upcoming birthday.

Now, well, their dreams are different.

As we approach July 8, the families allowed me to share their stories to send an important message: Stroke can attack anyone at any time.

***

Ryley Williams went into the summer following his freshman year at Bentonville (Arkansas) High with one goal. He wanted to draw the attention of the varsity football coaches.

So he ran and lifted weights. He ate six meals a day, devouring only foods that would expand his 6-foot, 242-pound frame the right way.

“Honey, you’re never late, you make good grades, you don’t cause any problems — trust me, the coaches notice you,” his mom, Terri Rose, told him. “They just won’t tell you they notice you.”

The morning of Monday, July 8, 2013, Ryley went to an indoor field for football practice. He was stretching when he grabbed his leg and collapsed. Everyone thought he’d pulled a muscle and overreacted. Then they realized there was more to it.

At the hospital, a brain scan showed a bigger problem than the facility could handle. He was flown by helicopter to Arkansas Children’s Hospital in Little Rock. It wasn’t easy fitting someone his size into the chopper.

When they landed, seizures began. Off he went for an MRI. Looking at the results, the doctor pointed to five spots.

“This is a stroke, this is a stroke, this is a stroke, this is a stroke and this is a stroke,” the doctor said. “We need to find out why he has so many blood clots in his brain.”

Around 3 a.m. Wednesday, they still didn’t know why. And now they had a new problem. Ryley’s brain was swelling.

He underwent an operation to remove part of his skull. With Ryley sedated, doctors also took a closer look at his heart. They found hair-like strands of a bacterial infection on the outside of two valves. A-ha! This was the source.

Next question: How much brain damage had he suffered? His right side didn’t function. Doctors cautioned he may never walk or talk.

As Ryley was coming out of his medically induced coma, some football players visited. Coaches, too. They brought a varsity jersey with his number, 99.

“The head coach drove down to Little Rock and stayed with us when Ryley had the skull surgery,” Terri said. “Other coaches came to visit, too. They told us they were watching him. They knew he was going to have a big year. Hearing that was bittersweet.”

Fast forward to today.

His right arm remains compromised. He also battles aphasia, a condition that sometimes makes it hard for him to get words out. Still, Ryley recently graduated high school, right on time. He even spent the last year working at a Walmart Neighborhood Market. And he’s become an advocate for the American Stroke Association. Last year, he and Terri encouraged a Congressional subcommittee in Washington, D.C., to support more funding for research and awareness about pediatric stroke.

He’s spending this summer at a facility that specializes in neuropsychology recovery for victims of strokes and traumatic brain injuries. He’s learning skills to live on his own, although he plans to spend two years at home while attending Northwest Arkansas Community College.

“He’s incredibly positive,” Terri said. “He’s accepted everything. He tells you, `This is who I am now.’”

***

The night of July 8, 2014, Amber Hebert was on first base when the next batter hit the ball to the outfield.

Amber ran to second base without anyone trying to get her out, then fell as if she’d been punched. She vomited and went into a seizure. Her 5-foot-3, 86-pound body thrashed so violently that four firefighters held her down while a fifth injected her with medicine.

The local hospital in Bellevue, Nebraska, ended up sending her to Children’s Hospital & Medical Center in Omaha. The seizures continued until 3 a.m.

“When she finally stopped seizing, she was able to see and talk and understand you,” said her mom, Tirzah Hebert. “But I could see the fear in her eyes.”

Tests — and seizures — continued throughout the next day. Finally, doctors declared she’d suffered a stroke.

The next day, Amber sat in a chair holding a cup and walked around her hospital floor. The following day, she had a bit more difficulty holding a cup but could still walk. That night, Tirzah asked if she understood what had happened.

“I don’t know,” Amber said.

The next day, a Saturday, Amber couldn’t walk, talk or hold up her head. This continued until Tuesday, when she finally underwent an MRI. It showed that her brain was swelling.

Doctors were able to reduce it with medicine. Then came the waiting game to determine the extent of brain damage. Soon, she began smiling and communicating with her left hand — fist for yes, open palm for no.

These days, Amber walks, but sometimes the toes on her right foot curl, causing her to drag her foot.

She can’t move her right hand or wrist. She also has aphasia. Therapists believe that with practice she’ll improve in every area. (Doctors never determined the cause of her stroke.)

Alas, there have been other obstacles.

Shortly after Amber made it home, her dad’s dad — with whom she was very close — died of cancer. Four months later, a lump in her dad’s neck was found to be cancerous. Early detection plus chemotherapy and radiation helped him beat it.

School proved no refuge. She went from being one of the most popular girls at school to getting bullied. Her two lifelong best friends “just disappeared,” Tirzah said. Amber switched to homeschooling until giving the classroom another try this summer.

“She’s a happy girl, for the most part, very loving and caring,” Tirzah said. “She still has some depression, but who wouldn’t? To have your life completely turned upside down like hers has?”

***

Even as a child, Nik Latter struggled with migraines. So, last June, when he had one that was bad enough to go to a hospital, nobody thought much of it.

Nor did anyone think twice when he left work complaining of a migraine on Sunday, July 5, 2015.

The next day, he endured what he described as the worst migraine he’d ever experienced. He wore sunglasses indoors and had his mom, Rhonda, drive him to a clinic. The next day, he slept at his grandparents’ house because it was quieter than being home with his two younger sisters.

Rhonda visited him Wednesday, he stared blankly. He tried talking, but nothing came out.

“He’s having a stroke,” she declared. “Call 911!”

A scan showed a mass on the right side of his brain. During an operation, doctors determined it was a stroke. Days later, it was determined the cause was a sinus infection gone severely wrong. The infection broke the barrier between the sinus and the brain, releasing a blood clot.

Nik’s recovery started great. He gave hugs, pulled his mom’s hair and played thumb wars with his sisters. Then, in the early hours of July 16, he had another stroke. On the other side of his brain.

Doctors said Nik may not survive. But the family wanted to give him every chance. Their faith was rewarded when he was weaned off the breathing tube.

He continued clearing hurdles, although he remained hospitalized until March. The long struggle seemed to deflate him; being home reinvigorated him. He now puts his right foot down and pushes his wheelchair. He fist bumps with his right hand, laughs, smiles and kicks.

He makes sounds and, sometimes, says words. Not enough to say he’s talking. But he’s trying.

“He’s very aware of his surroundings,” Rhonda said.

***

While each stroke story is different, every stroke shares similarities.

Time lost is brain lost. The sooner the stroke can be recognized, the sooner treatment can begin. The gold standard of treatment is called tPA. If this clot-busting drug is administered within three hours, and up to 4.5 hours in some cases, the extent of recovery can improve drastically.

That’s why the American Stroke Association urges everyone to remember the acronym FAST. When you see Face drooping, Arm weakness or Speech difficulty, it’s Time to call 911.

Stroke is the No. 2 killer worldwide and No. 5 in the United States. While it’s true that strokes usually happen to older people is true, Ryley, Amber and Nik are proof that’s not always the case.

The world of pediatric stroke is small enough — and the pull of the internet is strong enough — that families of survivors are bound to find each other.

For instance, Terri connected with Lea Chaulk, a Canadian mom whose son was about the same age as Ryley and had a stroke about the same time. Terri and Lea became like sisters as they helped their sons grieve over the lives they lost and learn to embrace their new reality. Lea later introduced Terri to Rhonda.

Meanwhile, Ryley got to know four teenagers from the Kansas City area who were featured by American Heart Association News after they overcame strokes during high school to graduate on time. One of those families had gotten to know the Heberts, and they connected Terri and Tirzah.

The three moms — Terri, Tirzah and Rhonda — lean on each other often. They’ve yet to meet in person, although Ryley and Amber have shared messages via Facebook.

“Knowing that I’m not alone has helped soooo much,” Tirzah said.

“If I didn’t have some of these moms, I think I’d go insane,” said Rhonda, laughing. “Sometimes I sit down and get lost in thought and get upset. Then I’ll send one of them a message saying `I need you to bring me back down to Earth.’”

Three families irrevocably altered, all on a July 8. It’s incredible. Yet from this coincidence comes strength.

“I’ve told my family, `Look, it happened to two other kids on the same day,’” Tirzah said. “It’s like, Wow. And we’ve all made it this far. And you know what? We’re going to keep on going.”

Read the rest of the story on the Huffington Post.

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Study: New concerns raised over teen e-cigarette use

As e-cigarette use among teens rapidly increases, a national health report suggests adolescents who would not have otherwise used tobacco products are now turning to electronic smoking devices.

The report, released Monday by the American Academy of Pediatrics, is based on a study that found overall smoking prevalence among youth in Southern California declined, but the combined e-cigarette or cigarette use was substantially greater than before e-cigarettes became available.

The conclusion raises the question of whether e-cigarettes are merely substituting for cigarettes or being used by teens who wouldn’t otherwise be smoking.

Read more on USAToday.com.

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Find the Heart Walk Near You

The Heart Walk is the American Heart Association’s premier community event, helping to save lives from heart disease and stroke. More than 300 walks across America raise funds to support valuable health research, education and advocacy programs of the American Heart Association in every state. Our You’re the Cure advocacy movement – and our public policy successes along the way – are all made possible by the funds raised by the Heart Walk. Whether it’s CPR laws passed to train the next generation of lifesavers or policy to regulate tobacco products and prevent youth smoking,  together we are building a world free of cardiovascular diseases and stroke. The Heart Walk is truly a community event, celebrating survivors, living healthy, and being physically active. We hope you’ll join us and visit the site today. If there is not a walk listed in your area soon,  it may be coming in the spring season or you can join a virtual event. And don’t forget to connect with your local advocacy staff and ask about your local Heart Walk day-of You’re the Cure plans - they may need your help spreading the word. Thanks for all you do, and happy Heart Walk season.

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Keep Dad Healthy This Father's Day

Visiting your physician for an annual checkup is a simple – and essential – step to keeping your heart healthy and yourself healthy.

Why, then, do some men refuse to go to the doctor regularly? Here are 10 reasons why many men skip this important appointment. (And, more importantly, 10 ways to counter those reasons and get yourself or a person you care about to see a doctor.)

  1. "I don’t have a doctor."

    Step one toward staying healthy is finding a doctor you trust.  But you’ll never know if you trust one unless you try. Check your insurance company or local listings for doctors in your area. Call their offices and ask questions, or check online. It’s also a good idea to check with friends and family for recommended doctors.

  2. "I don’t have insurance."

    Everybody should have insurance under the Affordable Care Act. If you still don't, here's all the information you need to get signed up in our Consumer Health Care section.

  3. "There’s probably nothing wrong."

    You may be right but - you’re not a doctor. That’s why you need one, to be sure. Some serious diseases don’t have symptoms. High blood pressure is one, and it can cause heart attack and stroke. (That’s why they call it “the silent killer.”)  High cholesterol is another often symptomless condition. Ditto diabetes. Finding a health problem early can make a huge difference in the quality and length of your life.

  4. "I don’t have time."

    There are about 8,766 hours in a year, and you want to save … two. Those two hours could save your life if you really DO need a doctor. If you want to spend more time with your family, these two hours aren’t the ones to lose. Try some of these tips to find time for the whole family to get moving.

  5. "I don’t want to spend the money."

    It makes more sense to spend a little and save a lot than to save a little and spend a lot. If you think spending time with a doctor is expensive, try spending time in a hospital.

  6. "Doctors don’t DO anything."

    When you see a barber, you get a haircut. When you see the dentist, your teeth get cleaned. But when you get a checkup, the doctor just gives you tests. It may seem like you don’t get anything, but you do. You get news and knowledge that can bring better health, if you act on it.

  7. "I don’t want to hear what I might be told."

    Maybe you smoke, drink too much, have put on weight. Even so, your doctor’s there to help you. You can deny your reality, but you can’t deny the consequences. So be smart: Listen to someone who’ll tell you truths you need to hear. Be coachable.

  8. "I’ve got probe-a-phobia."

    You don’t need a prostate cancer exam until you’re 50. Even then, remember that your chances of survival are much better if it’s caught early. So it’s worth the exam. But it’s only one small portion of a physical. Don’t let one test stop you from getting all the benefits of an annual physical.

  9. "I’d rather tough it out."

    If pro athletes can play hurt and sacrifice themselves for the team, you ought to be able to suck it up, right? Wrong! The Game of Life is about staying healthy for a long time – a lifetime.

  10. "My significant other has been nagging me to get a checkup."

    OK, so you don’t want to give in. But isn’t it POSSIBLE you could be wrong? Give in on this one. See the doctor.

When it comes down to it, there are no good reasons not to see the doctor, only excuses. Don’t wait. Schedule your annual physical today.

Read the original article on heart.org.

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Help Protect PE for Kids Like Me!

Guest post from Reagan Spomer, 6th grader Alliance for a Healthier Generation Youth Advisory Board Member & You’re the Cure Advocate

I have two words for you… scooter hockey.  Sounds fun, doesn’t it?  That’s because it is!  Scooter hockey, along with cage ball and 3-way soccer are some of my favorite activities in gym class, which I have a few times a week.

I’m glad I have physical education for a number of reasons.  It keeps me active and teaches me to try new things.  It helps me focus on my school work.  It relieves my stress.  And most of all, it makes me feel great! 

But I know a lot of schools don’t have regular PE like my schools does.  That means a lot of kids are missing out on the benefits of being active during the school day.  I think this needs to change.   

Will you help?  As part of the nationwide campaign to protect PE in schools, Voices for Healthy Kids has created a photo petition map to show how many people across the country love PE like I do.  As people share their pictures, the map will change colors.  I’ve added my “I heart PE” photo for South Dakota.  Will you do the same for your state?  It’s really easy:

  1. Print an “I heart PE” sign (or make your own!)
  2. Take a picture of yourself holding the sign.
  3. Click on your state to share your photo.

Thanks for helping to protect PE for kids like me!
-Reagan

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Will you help influence scientific research?

We need to hear from consumers like you as the American Heart Association (AHA) and the Patient-Centered Outcomes Research Institute (PCORI) partner together on the future of research. Your experience could lead to the next research study to improve heart disease and stroke treatment.

As an advocate we’ve asked you to speak out for increased funding for medical research and you’ve answered by contacting lawmakers and sharing your personal stories as survivors, caregivers, and loved ones touched by heart and stroke disease. Now we invite you to share your experience, the decisions made in determining your or your loved one’s treatment plans and the factors that influenced those decisions. If we better understand your experience it can help guide the research that will lead to better care tailored to the specific needs of patients.

If you’ve had a heart attack, suffered a stroke, or you know a loved one who has, your unique understanding could help guide research to solve un-met care challenges faced by individuals like you and improve heart and stroke treatment.

Here are the details:

  • We are focused on un-met challenges faced by patients and caregivers like you. 
  • To join this challenge, you’ll be asked to provide a written submission of your first-hand experience after a heart disease or stroke event.
  • The story and description of the concerns you faced and the decisions you made should be personal and not a general case.
  • A team of scientific professionals and patient representatives with expertise in heart disease and stroke will review your story. Learning more about issues and concerns important to your decision-making can help them improve experiences and outcomes for patients in the future.
  • If your submission is chosen, you could win $1,000 and possibly help shape the future of cardiovascular research.
  • All submissions must be received by June 8, 2016.

Please take this important challenge and share your insights. Your story matters. Take the challenge today!

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Thank Gov. Deal for Signing the Stroke Bill Into Law

Thanks to the support of advocates across Georgia, Gov. Nathan Deal signed our stroke bill, House Bill 853, into law on April 28!

Click here to thank the governor for supporting better care for stroke patients.

By signing the stroke bill into law, Georgia will update its stroke legislation passed in 2008 to reflect advances in stroke treatment and therapy. This will help stroke patients receive the right care at the right time. If you or a loved one has suffered from a stroke, you know how important proper immediate medical attention is to survival and recovery.

Please join us in thanking Gov. Deal today

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Kimberly Goodloe, Atlanta

Our 2015-16 Georgia Advocacy Committee is composed of 12 individuals from across the state with different occupations, who have a great interest in advocating for policy change for heart-health issues. Throughout the year, we will introduce some of our members. Today, we'd like you to meet long time volunteer, Kimberly Goodloe of Atlanta.

Occupation: American Heart Association Advocate Hero and Volunteer

How long have you been a volunteer with the AHA and in what capacity? Since, May 2010.

[Volunteer Advocacy Resume]

May 2010:  American Heart Association ( volunteer)

November 2011:  Go  Red For Women Passion Committee Member

2013:  You’re The Cure Advocate

October 2013 :  Georgia Advocacy Subcommittee Member

January 2014 & 2015 :  ML KING Celebration/United Ebony Society; Health Fair Coordinator  :  Lawrenceville, Georgia

July  2015:  National Volunteer Ambassador; American Heart Association’s Heart Valve Disease Program

July 2015: Community Champion:  American Heart Association Heart Walk  Committee

July 2015:  Vice Chair:  Georgia Advocacy Subcommittee Member

Who or what inspires you to help and volunteer your time to the work of the American Heart Association?  I love to encourage heart/stroke patients and their caregivers by sharing my story of survival  from three  surgeries because so many people are suffering in silence.

What heart healthy issue is most important to you and why?  Staying Active: it’s good for my heart.

What are two ways you keep yourself healthy?  Making healthy food choices & exercising

How is your community healthy that makes you proud?  Smoke free air,  beautiful community parks, many sidewalks, and bike lanes

How do you stay updated on current public policies in your state?  By responding to the You’re The Cure Alerts  & reading valuable information posted on the You’re The Cure & American Herat Association website(s)

If you could help advocate for one change in your state, what would it be and why?   Advocate for the uninsured; because so many people are in need of affordable  healthcare in our state.

Do you have a favorite American Heart Association/American Stroke Association event you annually attend?  What is your motivation to participate?  I love attending the annual Go Red For Women Luncheon , Go Red Lobby Day at the Georgia State Capitol and Metro Atlanta  Heart Walk. During Lobby Day, I am given the opportunity to share my journey and health care topics with state lawmakers. At the luncheon, I enjoy the great food, fun and fellowship with other volunteers, survivors and staff.  I enjoy the Heart Walk because I love raising funds to support medical research and walk in honor of every family affected by heart disease and stroke.

Have you attended a state or federal lobby day on behalf of the AHA?  If so, please briefly explain your experience. Yes, I traveled to Washington D.C. in April 2013.  I attended the Medical Rally and American Heart Association You’re The Cure Lobby Day.  It was such a pleasure to attend the rally and meet with the various state lawmakers. Sharing my heart journey and using my voice to advocate for the uninsured patients throughout the state of Georgia brings me great satisfaction.

What have you learned in your time being a You’re the Cure advocate?  It’s important ( as an heart disease survivor) to use my voice, gift of service to help empower the community.

Why would you tell a friend or family member to join You’re the Cure?  To learn more about public policy and encourage them to become educated in all the wonderful things the American Heart Association is involved in for healthy changes not only in Georgia, but across the nation.

Tell us one unique thing about yourself.  Despite my daily health obstacles,  I keep moving forward helping the community live a happier, healthier, lifestyle.

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Georgia Legislative Session Wrap-Up

The 2016 Legislative Session has ended and we are happy to report that we finished strong! We were able to pass legislation that will create a new level of Comprehensive Stroke Hospital Designation to protect and serve our citizens who suffer a stroke. We received full funds from the Tobacco Settlement and Medicaid was also fully funded.

Lawmakers heard the voice of our You’re the Cure network loud and clear! We could not have done our job without the efforts of all our volunteers.

Please click here to see a full session wrap up report. If you have any questions, feel free to email gsa.advocacy@heart.org with any questions.  Be sure to stay up to date with Georgia advocacy efforts on our You're the Cure Georgia Facebook page, as well as, on our Twitter page @YouretheCureGA.

Thank you for your time and support. We hope you’ll continue to join us as we advocate for policies that build healthier lives, free of cardiovascular diseases and stroke.

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