WHEREAS, postural orthostatic tachycardia syndrome (POTS) is a common autonomic nervous system disorder that causes an excessively fast heart rate, dizziness, lightheadedness, or other symptoms when someone with POTS goes from sitting or lying down to standing;WHEREAS, treatment of POTS may sometimes require medication, but can usually be managed with lifestyle changes such as increasing sodium intake, wearing compression garments, and gradually increasing exercise;WHEREAS, there are an estimated 3 million patients in the United States with chronic, complex dysautonomia conditions, which is the larger disease classification for POTS, presenting as orthostatic intolerance, with many remaining undiagnosed;WHEREAS, over 25% of patients whose POTS is not effectively managed go on to be completely disabled, contributing to increased costs to social safety net programs;WHEREAS, the Mayo Clinic estimates the prevalence of POTS in teenagers to be as high as one in 100, with onset of symptoms usually occurring in early adolescence, between the ages of 12 and 15;WHEREAS, there is a high prevalence of POTS among those with connective tissue disorders with Utah showing higher rates of connective tissue disorders than the national average;WHEREAS, the onset of symptoms for POTS commonly occurs after puberty, pregnancy, head trauma, or viral illness;WHEREAS, approximately 77% of POTS patients are initially misdiagnosed and about 67% of POTS patients reported that at least one provider told the patient that the provider had never heard of POTS;WHEREAS, POTS patients face significant barriers to treatment with Utah ranking 49 out of 50 states for access to primary care access and providers;WHEREAS, individuals with chronic complex illnesses such as POTS face systemic challenges in our current insurance-based healthcare system, where short, acute-care visits are incentivized and the ongoing health management that POTS diagnosis and treatment often requires is disincentivized;WHEREAS, there is a significant lack of research specific to pediatric dysautonomia and orthostatic intolerance disorders which limits the development of effective treatments; andWHEREAS, primary care providers may lack necessary knowledge and resources to manage patients referred to them following a diagnosis of POTS from a specialist:NOW, THEREFORE, BE IT RESOLVED that the Legislature of the state of Utah, the Governor concurring therein, encourages the medical community to increase awareness of, education about, and diagnosis of POTS, particularly in children and adolescents.BE IT FURTHER RESOLVED that the Legislature and the Governor encourage insurers to provide appropriate coverage to address the gaps in access to diagnosis and treatment of POTS.