reglab/statecodes huggingface dataset:
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.843 - Authorizes grants for regional research consortia in a distressed community.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
Effective - 28 Aug 2000
191.843. Authorizes grants for regional research consortia in a distressed community. —
Regional research consortia within a city which lies partially or wholly within an area designated as a distressed community may apply for grants from the state for the purpose of conducting health research, including research into the prevention and cessation of smoking.
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(L. 2000 H.B. 1238 § 2)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.900 - Definitions.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
• Effective - 28 Aug 2007
191.900. Definitions. —
As used in sections 191.900 to 191.910, the following terms mean:
(1)
"Abuse"
, the infliction of physical, sexual or emotional harm or injury. "Abuse" includes the taking, obtaining, using, transferring, concealing, appropriating or taking possession of property of another person without such person's consent;
(2)
"Claim"
, any attempt to cause a health care payer to make a health care payment;
(3)
"False"
, wholly or partially untrue. A false statement or false representation of a material fact means the failure to reveal material facts in a manner which is intended to deceive a health care payer with respect to a claim;
(4)
"Health care"
, any service, assistance, care, product, device or thing provided pursuant to a medical assistance program, or for which payment is requested or received, in whole or part, pursuant to a medical assistance program;
(5)
"Health care payer"
, a medical assistance program, or any person reviewing, adjusting, approving or otherwise handling claims for health care on behalf of or in connection with a medical assistance program;
(6)
"Health care payment"
, a payment made, or the right under a medical assistance program to have a payment made, by a health care payer for a health care service;
(7)
"Health care provider"
, any person delivering, or purporting to deliver, any health care, and including any employee, agent or other representative of such a person, and further including any employee, representative, or subcontractor of the state of Missouri delivering, purporting to deliver, or arranging for the delivery of any health care;
(8)
"Knowing"
and
"knowingly"
, that a person, with respect to information:
(a) Has actual knowledge of the information;
(b) Acts in deliberate ignorance of the truth or falsity of the information; or
(c) Acts in reckless disregard of the truth or falsity of the information.
­­Use of the terms knowing or knowingly shall be construed to include the term
"intentionally"
, which means that a person, with respect to information, intended to act in violation of the law;
(9)
"Medical assistance program"
, MO HealthNet, or any program to provide or finance health care to participants which is established pursuant to title 42 of the United States Code, any successor federal health insurance program, or a waiver granted thereunder. A medical assistance program may be funded either solely by state funds or by state and federal funds jointly. The term "medical assistance program" shall include the medical assistance program provided by section 208.151, et seq., and any state agency or agencies administering all or any part of such a program;
(10)
"Person"
, a natural person, corporation, partnership, association or any legal entity.
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(L. 1994 H.B. 1427 § 1, A.L. 2007 S.B. 577)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.907 - Original source of information to receive a portion of any recovery.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
• Effective - 28 Aug 2007
191.907. Original source of information to receive a portion of any recovery. —
1. Any person who is the original source of the information used by the attorney general to bring an action under subsection 14 of section 191.905 shall receive ten percent of any recovery by the attorney general. As used in this section,
"original source of information"
means information no part of which has been previously disclosed to or known by the government or public. If the court finds that the person who was the original source of the information used by the attorney general to bring an action under subsection 14 of section 191.905 planned, initiated, or participated in the conduct upon which the action is brought, such person shall not be entitled to any percentage of the recovery obtained in such action.
2. Any person who is the original source of information about the willful violation by any person of section 36.460 shall receive ten percent of the amount of compensation that would have been paid the employee forfeiting his or her position under section 36.460 if the employee was found to have acted fraudulently in connection with the state medical assistance program.
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(L. 2007 S.B. 577)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.908 - Whistleblower protections — violations, penalty.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
• Effective - 28 Aug 2007
191.908. Whistleblower protections — violations, penalty. —
1. An employer shall not discharge, demote, suspend, threaten, harass, or otherwise discriminate against an employee in the terms and conditions of employment because the employee initiates, assists in, or participates in a proceeding or court action under sections 191.900 to 191.910. Such prohibition shall not apply to an employment action against an employee who:
(1) The court finds brought a frivolous or clearly vexatious claim;
(2) The court finds to have planned, initiated, or participated in the conduct upon which the action is brought; or
(3) Is convicted of criminal conduct arising from a violation of sections 191.900 to 191.910.
2. An employer who violates this section is liable to the employee for all of the following:
(1) Reinstatement to the employee's position without loss of seniority;
(2) Two times the amount of lost back pay;
(3) Interest on the back pay at the rate of one percent over the prime rate.
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(L. 2007 S.B. 577)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.914 - False report or claim, penalty.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
• Effective - 01 Jan 2017, 2 histories, see footnote
191.914. False report or claim, penalty. —
1. Any person who intentionally files a false report or claim alleging a violation of sections 191.900 to 191.910 is guilty of a class A misdemeanor. Any second or subsequent violation of this section is a class E felony and shall be punished as provided by law.
2. Any person who receives any compensation in exchange for knowingly failing to report any violation of subsections 1 to 3 of section 191.905 is guilty of a class E felony.
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(L. 2007 S.B. 577, A.L. 2014 S.B. 491)
Effective 1-01-17
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.915 - Breast-feeding information provided, when, by whom.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
Effective - 28 Aug 1999
191.915. Breast-feeding information provided, when, by whom. —
1. Every hospital, as defined in section 197.020, and ambulatory surgical center, as defined in section 197.200, that provides obstetrical care shall:
(1) Provide new mothers, where appropriate as determined by the attending physician, with information on breast-feeding and the benefits to the child; and
(2) Provide new mothers, where appropriate as determined by the attending physician, with information on local breast-feeding support groups; or
(3) Offer breast-feeding consultations to new mothers, where appropriate as determined by the attending physician.
2. Beginning January 1, 2000, every licensed physician who provides obstetrical or gynecological consultation shall, where appropriate as determined by such physician, inform patients as to the prenatal preparation for and postnatal benefits of breast-feeding a child.
3. The department of health and senior services shall produce written information on breast-feeding and the health benefits to the child, and shall distribute such information to physicians described in subsection 2 of this section and to hospitals and ambulatory surgical centers described in subsection 1 of this section upon request.
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(L. 1999 S.B. 8 & 173 § 5)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.918 - Breast-feeding in public permitted — not sexual conduct, public indecency, or obscenity — no municipal ordinances to prohibit or restrict.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
Effective - 28 Aug 2014
191.918. Breast-feeding in public permitted — not sexual conduct, public indecency, or obscenity — no municipal ordinances to prohibit or restrict. —
1. Notwithstanding any other provision of law to the contrary, a mother may, with discretion, breast-feed her child or express breast milk in any public or private location where the mother is otherwise authorized to be.
2. The act of a mother breast-feeding a child or expressing breast milk in a public or private location where the mother and child are otherwise authorized to be shall not:
(1) Constitute sexual conduct or sexual contact as defined in section 566.010; or
(2) Be considered an act of public indecency, indecent exposure, sexual conduct, lewd touching, or obscenity or any other similar term for purposes of state or municipal law.
3. A municipality shall not enact an ordinance prohibiting or restricting a mother from breast-feeding a child or expressing breast milk in a public or private location where the mother and child are otherwise authorized to be.
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(L. 1999 S.B. 8 & 173 § 6, A.L. 2014 H.B. 1320)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.923 - Prenatally diagnosed conditions, patient to be provided information — definitions — clearinghouse of information to be established.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
• Effective - 28 Aug 2007
191.923. Prenatally diagnosed conditions, patient to be provided information — definitions — clearinghouse of information to be established. —
1. The general assembly of the state of Missouri hereby finds and declares that pregnant women who choose to undergo prenatal screening should have access to timely and informative counseling about the conditions being tested for, the accuracy of such tests, and resources for obtaining support services for such conditions. Informed consent is a critical component of all genetic testing and prenatal screening, particularly as the results of such testing or screening and the counseling that follows may lead to the unnecessary abortion of unborn humans with Down Syndrome or other prenatally diagnosed conditions.
2. As used in this section, the following terms shall mean:
(1)
"Down Syndrome"
, a chromosomal disorder caused by an error in cell division that results in the presence of an extra whole or partial copy of chromosome 21;
(2)
"Health care provider"
, any person or entity licensed, accredited, or certified by the state of Missouri to perform specified health services;
(3)
"Prenatally diagnosed condition"
, any adverse fetal health condition identified by prenatal genetic testing or indicated by prenatal screening procedures;
(4)
"Prenatal test"
, a diagnostic procedure or screening procedure performed upon a pregnant woman or her unborn offspring to obtain information about her offspring's health or development.
3. When a prenatally diagnosed condition, including but not limited to Down Syndrome, becomes known as a result of one or more prenatal tests, the physician or other health care professional who requested or ordered prenatal tests, or his or her designee, shall provide the patient with current information about the conditions that were tested for, the accuracy of such tests, and resources for obtaining support services for such conditions, including information hotlines specific to Down Syndrome or other prenatally diagnosed conditions, resource centers, and clearinghouses for such conditions, support programs for parents and families, and the alternatives to abortion services program under section 188.325.
4. The department of health and senior services shall establish a clearinghouse of information concerning supportive services providers, information hotlines specific to Down Syndrome or other prenatally diagnosed conditions, resource centers, education, other support programs for parents and families, and the alternatives to abortion services program under section 188.325.
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(L. 2007 H.B. 818 § 191.912)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.931 - Early intervention services available — report, content.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
• Effective - 28 Aug 1999
191.931. Early intervention services available — report, content. —
The IDEA Part C data system shall monitor the delivery of early intervention services to those infants identified by the newborn hearing screening program and report annually to the department of health and senior services. Information collected shall be sufficient to document the early intervention services provided, including the type of amplification or other assistive technologies, and the status of outcomes as identified on the individualized family service plan (IFSP).
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(L. 1999 H.B. 401 § 191.256)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.937 - Rulemaking authority, procedure.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
• Effective - 28 Aug 1999
191.937. Rulemaking authority, procedure. —
1. The director of the department of health and senior services may promulgate rules and regulations to implement the provisions of sections 191.925, 191.928 and 191.934
*
. The director of the department of elementary and secondary education may promulgate rules and regulations to implement the provisions of section 191.931. The directors of the departments of commerce and insurance and social services may promulgate rules and regulations to implement the provisions of section 376.685.
2. Any rule or portion of a rule, as that term is defined in section 536.010, that is created under the authority delegated in sections 191.925 to 191.937 or section 376.685 shall become effective only if it complies with and is subject to all of the provisions of chapter 536 and, if applicable, section 536.028. All rulemaking authority delegated prior to August 28, 1999, is of no force and effect and repealed. Nothing in this section shall be interpreted to repeal or affect the validity of any rule filed or adopted prior to August 28, 1999, if it fully complied with all applicable provisions of law. This section and chapter 536 are nonseverable and if any of the powers vested with the general assembly pursuant to chapter 536 to review, to delay the effective date or to disapprove and annul a rule are subsequently held unconstitutional, then the grant of rulemaking authority and any rule proposed or adopted after August 28, 1999, shall be invalid and void.
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(L. 1999 H.B. 401 § 191.265)
*Section 191.934 was repealed by S.B. 58, 2015
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.940 - Citation of law — definitions — hospitals and ambulatory surgical centers to provide information about postpartum depression.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
Effective - 28 Aug 2020
191.940. Citation of law — definitions — hospitals and ambulatory surgical centers to provide information about postpartum depression. —
1. This section shall be known and may be cited as the "Postpartum Depression Care Act".
2. As used in this section, the following terms shall mean:
(1)
"Ambulatory surgical center"
, the same meaning as defined in section 197.200;
(2)
"Health care provider"
, a physician licensed under chapter 334, an assistant physician or physician assistant licensed under chapter 334 and in a collaborative practice arrangement with a collaborating physician, and an advanced practice registered nurse licensed under chapter 335 and in a collaborative practice arrangement with a collaborating physician;
(3)
"Hospital"
, the same meaning as defined in section 197.020;
(4)
"Postnatal care"
, an office visit to a licensed health care provider occurring after pregnancy for the infant or birth mother;
(5)
"Questionnaire"
, an assessment tool designed to detect the symptoms of postpartum depression or related mental health disorders, such as the Edinburgh Postnatal Depression Scale, the Postpartum Depression Screening Scale, the Beck Depression Inventory, the Patient Health Questionnaire, or other validated assessment methods.
3. All hospitals and ambulatory surgical centers that provide labor and delivery services shall, prior to discharge following pregnancy, provide pregnant women and, if possible, fathers and other family members with complete information about postpartum depression, including its symptoms, methods of treatment, and available resources. The department of health and senior services, in cooperation with the department of mental health, shall provide written information that hospitals and ambulatory surgical centers may use and shall include such information on its website.
4. It is the intent of the general assembly to encourage health care providers providing postnatal care to women and pediatric care to infants to invite women to complete a questionnaire designed to detect the symptoms of postpartum depression and to review the completed questionnaire in accordance with the formal opinions and recommendations of the American College of Obstetricians and Gynecologists to ensure the health, well-being, and safety of the woman and the infant.
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(L. 2020 H.B. 1682)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.980 - Missouri area health education centers program established — authority of director — duties.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
Effective - 28 Aug 2018, 2 histories
191.980. Missouri area health education centers program established — authority of director — duties. —
1. The "Missouri Area Health Education Centers" program is hereby established as a collaborative partnership of higher educational institutions and regional area health education centers and other entities that have entered into a written agreement with the program. These higher educational institutions and regional area health education centers shall be those that are recognized as program offices or regional centers by the federal area health education centers program pursuant to 42 U.S.C. Section 294a. The program is designed to improve the supply, distribution, availability, and quality of health care personnel in Missouri communities and promote access to primary care for medically underserved communities and populations.
2. The director of the department of health and senior services shall have discretionary authority to monitor and recommend policy direction for the Missouri area health education centers program, including policies to ensure that all applicable requirements of the federal area health education centers program are met.
3. The area health education centers program shall:
(1) Develop and enhance health careers recruitment programs for Missouri students, especially underrepresented and disadvantaged students;
(2) Enhance and support community-based training of health professions students and medical residents;
(3) Provide educational and other programs designed to support practicing health professionals; and
(4) Collaborate with health, education, and human services organizations to design, facilitate, and promote programs to improve access to health care and health status in Missouri.
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(L. 2004 S.B. 1274 § 191.1015, A.L. 2018 S.B. 843)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.990 - Diabetes goals and benchmarks — report, contents.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
Effective - 28 Aug 2014
191.990. Diabetes goals and benchmarks — report, contents. —
1. The MO HealthNet division and the department of health and senior services shall collaborate to coordinate goals and benchmarks in each agency's plans to reduce the incidence of diabetes in Missouri, improve diabetes care, and control complications associated with diabetes.
2. The MO HealthNet division and the department of health and senior services shall submit a report to the general assembly by January first of each odd-numbered year on the following:
(1) The prevalence and financial impact of diabetes of all types on the state of Missouri. Items in this assessment shall include an estimate of the number of people with diagnosed and undiagnosed diabetes, the number of individuals with diabetes impacted or covered by the agency programs addressing diabetes, the financial impact of diabetes, and its complications on Missouri based on the most recently published cost estimates for diabetes;
(2) An assessment of the benefits of implemented programs and activities aimed at controlling diabetes and preventing the disease;
(3) A description of the level of coordination existing between the agencies, their contracted partners, and other stakeholders on activities, programs, and messaging on managing, treating, or preventing all forms of diabetes and its complications;
(4) The development or revision of detailed action plans for battling diabetes with a range of actionable items for consideration by the general assembly. The plans shall identify proposed action steps to reduce the impact of diabetes, prediabetes, and related diabetes complications. The plan also shall identify expected outcomes of the action steps proposed in the following biennium while also establishing benchmarks for controlling and preventing diabetes; and
(5) The development of a detailed budget blueprint identifying needs, costs, and resources required to implement the plan identified in subdivision (4) of this subsection. This blueprint shall include a budget range for all options presented in the plan identified in subdivision (4) of this subsection for consideration by the general assembly.
3. The requirements of subsections 1 and 2 of this section shall be limited to diabetes information, data, initiatives, and programs within each agency prior to August 28, 2014, unless there is unobligated funding for diabetes in each agency that may be used for new research, data collection, reporting, or other requirements of subsections 1 and 2 of this section.
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(L. 2014 S.B. 716 merged with S.B. 754)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.1050 - Definitions.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
• Effective - 28 Aug 2007
191.1050. Definitions. —
As used in sections 191.1050 to 191.1056, the following terms shall mean:
(1)
"Area of defined need"
, a rural area or section of an urban area of this state which is located in a federally designated health professional shortage area and which is designated by the department as being in need of the services of health care professionals;
(2)
"Department"
, the department of health and senior services;
(3)
"Director"
, the director of the department of health and senior services;
(4)
"Eligible facility"
, a public or nonprofit private medical facility or other health care facility licensed under chapter 197, any mental health facility defined in section 632.005, rural health clinic, or any group of licensed health care professionals in an area of defined need that is designated by the department as eligible to receive disbursements from the Missouri health care access fund under section 191.1056.
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(L. 2007 S.B. 577)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.1053 - Designation of areas — re-evaluation of designations, when — rulemaking authority.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
• Effective - 28 Aug 2007
191.1053. Designation of areas — re-evaluation of designations, when — rulemaking authority. —
1. The department shall have the authority to designate an eligible facility or facilities in an area of defined need. In making such designation, the department shall consult with local health departments and consider factors, including but not limited to the health status of the population of the area, the ability of the population of the area to pay for health services, the accessibility the population of the area has to health services, and the availability of health professionals in the area.
2. The department shall reevaluate the designation of an eligible facility six years from the initial designation and every six years thereafter. Each such facility shall have the burden of proving that the facility meets the applicable requirements regarding the definition of an eligible facility.
3. The department shall not revoke the designation of an eligible facility until the department has afforded interested persons and groups in the facility's area of defined need to provide data and information in support of renewing the designation. The department may make a determination on the basis of such data and information and other data and information available to the department.
4. The department may promulgate rules to implement the provisions of sections 191.1050 to 191.1056. Any rule or portion of a rule, as that term is defined in section 536.010, that is created under the authority delegated in this section shall become effective only if it complies with and is subject to all of the provisions of chapter 536 and, if applicable, section 536.028. This section and chapter 536 are nonseverable and if any of the powers vested with the general assembly pursuant to chapter 536, to review, to delay the effective date, or to disapprove and annul a rule are subsequently held unconstitutional, then the grant of rulemaking authority and any rule proposed or adopted after August 28, 2007, shall be invalid and void.
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(L. 2007 S.B. 577)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.1056 - Fund created, use of moneys.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
• Effective - 28 Aug 2007
191.1056. Fund created, use of moneys. —
1. There is hereby created in the state treasury the "Missouri Health Care Access Fund", which shall consist of gifts, grants, and devises deposited into the fund with approval of the oversight committee created in section 208.955. The state treasurer shall be custodian of the fund and may disburse moneys from the fund in accordance with sections 30.170 and 30.180. Disbursements from the fund shall be subject to appropriations and the director shall approve disbursements from the fund consistent with such appropriations to any eligible facility to attract and recruit health care professionals and other necessary personnel, to purchase or rent facilities, to pay for facility expansion or renovation, to purchase office and medical equipment, to pay personnel salaries, or to pay any other costs associated with providing primary health care services to the population in the facility's area of defined need.
2. The state of Missouri shall provide matching moneys from the general revenue fund equaling one-half of the amount deposited into the fund. The total annual amount available to the fund from state sources under such a match program shall be five hundred thousand dollars for fiscal year 2008, one million five hundred thousand dollars for fiscal year 2009, and one million dollars annually thereafter.
3. The maximum annual donation that any one individual or corporation may make is fifty thousand dollars. Any individual or corporation, excluding nonprofit corporations, that make a contribution to the fund totaling one hundred dollars or more shall receive a tax credit for one-half of all donations made annually under section 135.575
*
. In addition, any office or medical equipment donated to any eligible facility shall be an eligible donation for purposes of receipt of a tax credit under section 135.575
*
but shall not be eligible for any matching funds under subsection 2 of this section.
4. If any clinic or facility has received money from the fund closes or significantly decreases its operations, as determined by the department, within one year of receiving such money, the amount of such money received and the amount of the match provided from the general revenue fund shall be refunded to each appropriate source.
5. Notwithstanding the provisions of section 33.080 to the contrary, any moneys remaining in the fund at the end of the biennium shall not revert to the credit of the general revenue fund.
6. The state treasurer shall invest moneys in the fund in the same manner as other funds are invested. Any interest and moneys earned on such investments shall be credited to the fund.
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(L. 2007 S.B. 577)
*Section 135.575 was repealed by S.B. 675 & 1024 Revision, 2018.
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.1075 - Definitions.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
• Effective - 28 Aug 2016
*191.1075. Definitions. —
As used in sections 191.1075 to 191.1085, the following terms shall mean:
(1)
"Department"
, the department of health and senior services;
(2)
"Health care professional"
, a physician or other health care practitioner licensed, accredited, or certified by the state of Missouri to perform specified health services;
(3)
"Hospital"
:
(a) A place devoted primarily to the maintenance and operation of facilities for the diagnosis, treatment, or care of not less than twenty-four consecutive hours in any week of three or more nonrelated individuals suffering from illness, disease, injury, deformity, or other abnormal physical conditions; or
(b) A place devoted primarily to provide for not less than twenty-four consecutive hours in any week medical or nursing care for three or more unrelated individuals. "Hospital" does not include convalescent, nursing, shelter, or boarding homes as defined in chapter 198.
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(L. 2016 H.B. 1682 merged with S.B. 608 merged with S.B. 635 merged with S.B. 865 & 866)
Effective 8-28-16 (H.B. 1682); 8-28-16 (S.B. 635); 8-28-16 (S.B. 865 & 866); *10-14-16 (S.B. 608), see § 21.250
*S.B. 608 was vetoed July 5, 2016. The veto was overridden on September 14, 2016.
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.1080 - Council created, purpose, members, terms, duties — report — expiration date.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
• Effective - 28 Aug 2016
*191.1080. Council created, purpose, members, terms, duties — report — expiration date. —
1. There is hereby created within the department of health and senior services the "Missouri Palliative Care and Quality of Life Interdisciplinary Council", which shall be a palliative care consumer and professional information and education program to improve quality and delivery of patient-centered and family-focused care in this state.
2. On or before December 1, 2016, the following members shall be appointed to the council:
(1) Two members of the senate, appointed by the president pro tempore of the senate;
(2) Two members of the house of representatives, appointed by the speaker of the house of representatives;
(3) Two board-certified hospice and palliative medicine physicians licensed in this state, appointed by the governor with the advice and consent of the senate;
(4) Two certified hospice and palliative nurses licensed in this state, appointed by the governor with the advice and consent of the senate;
(5) A certified hospice and palliative social worker, appointed by the governor with the advice and consent of the senate;
(6) A patient and family caregiver advocate representative, appointed by the governor with the advice and consent of the senate; and
(7) A spiritual professional with experience in palliative care and health care, appointed by the governor with the advice and consent of the senate.
3. Council members shall serve for a term of three years. The members of the council shall elect a chair and vice chair whose duties shall be established by the council. The department shall determine a time and place for regular meetings of the council, which shall meet at least biannually.
4. Members of the council shall serve without compensation, but shall, subject to appropriations, be reimbursed for their actual and necessary expenses incurred in the performance of their duties as members of the council.
5. The council shall consult with and advise the department on matters related to the establishment, maintenance, operation, and outcomes evaluation of palliative care initiatives in this state, including the palliative care consumer and professional information and education program established in section 191.1085.
6. The council shall submit an annual report to the general assembly, which includes an assessment of the availability of palliative care in this state for patients at early stages of serious disease and an analysis of barriers to greater access to palliative care.
7. The council authorized under this section shall automatically expire August 28, 2022.
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(L. 2016 H.B. 1682 merged with S.B. 608 merged with S.B. 635 merged with S.B. 865 & 866)
Effective 8-28-16 (H.B. 1682); 8-28-16 (S.B. 635); 8-28-16 (S.B. 865 & 866); *10-14-16 (S.B. 608), see § 21.250
*S.B. 608 was vetoed July 5, 2016. The veto was overridden on September 14, 2016.
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.1100 - Citation of law — definitions.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
• Effective - 11 Oct 2013, see footnote
*191.1100. Citation of law — definitions. —
1. Sections 191.1100 to 191.1112 shall be known and may be cited as the "Volunteer Health Services Act".
2. As used in sections 191.1100 to 191.1112, the following terms shall mean:
(1)
"Gross deviation"
, a conscious disregard of the safety of others;
(2)
"Health care provider"
, any physician, surgeon, dentist, nurse, optometrist, mental health professional licensed under chapter 337, veterinarian, or other practitioner of a health care discipline, the professional practice of which requires licensure or certification under state law or under comparable laws of another state, territory, district, or possession of the United States;
(3)
"Licensed health care provider"
, any health care provider holding a current license or certificate issued under:
(a) Missouri state law;
(b) Comparable laws of another state, territory, district, or possession of the United States;
(4)
"Regularly practice"
, to practice more than sixty days within any ninety-day period;
(5)
"Sponsoring organization"
, any organization that organizes or arranges for the voluntary provision of health care services and registers with the department of health and senior services as a sponsoring organization in accordance with section 191.1106;
(6)
"Voluntary provision of health care services"
, the providing of professional health care services by a health care provider without charge to a recipient of the services or a third party. The provision of such health care services under sections 191.1100 to 191.1112 shall be the provider's professional practice area in which the provider is licensed or certified.
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(L. 2013 S.B. 129)
*Effective 10-11-13, see § 21.250. S.B. 129 was vetoed July 3, 2013. The veto was overridden on September 11, 2013.
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.1102 - Additional licensure not required, when — inapplicability.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
• Effective - 11 Oct 2013, see footnote
*191.1102. Additional licensure not required, when — inapplicability. —
1. Notwithstanding any provision of law to the contrary, no additional license or certificate otherwise required by state law is necessary for the voluntary provision of health care services by any person who:
(1) Is a licensed health care provider;
(2) Lawfully practices under an exception to the licensure or certification requirements of any state, territory, district, or possession of the United States; provided that the person does not and will not regularly practice in the state of Missouri.
2. The provisions of subsection 1 of this section shall not apply to:
(1) Any person whose license or certificate is suspended or revoked under disciplinary proceedings in any jurisdiction; or
(2) A licensed health care provider who renders services outside the scope of practice authorized by the provider's licensure, certification, or exception to such licensure or certification.
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(L. 2013 S.B. 129)
*Effective 10-11-13, see § 21.250. S.B. 129 was vetoed July 3, 2013. The veto was overridden on September 11, 2013.
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.1104 - Display of license or certificate, how satisfied.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
• Effective - 11 Oct 2013, see footnote
*191.1104. Display of license or certificate, how satisfied. —
With regard to a person who voluntarily provides health care services and who is covered by the provisions of subsection 1 of section 191.1102, all requirements regarding display of a license or certificate shall be satisfied by the presentation for inspection, upon request, of a photocopy of the applicable license, certificate, or statement of exemption.
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(L. 2013 S.B. 129)
*Effective 10-11-13, see § 21.250. S.B. 129 was vetoed July 3, 2013. The veto was overridden on September 11, 2013.
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.1110 - Immunity from liability, when — no compensation to be received — certain military personnel deemed licensed.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
• Effective - 11 Oct 2013, see footnote
*191.1110. Immunity from liability, when — no compensation to be received — certain military personnel deemed licensed. —
1. (1) No licensed health care provider who engages in the voluntary provision of health care services within the limits of the person's license, certificate, or authorization to any patient of a sponsoring organization shall be liable for any civil damages for any act or omission resulting from the rendering of such services, unless the act or omission was the result of such person's gross deviation from the ordinary standard of care or willful misconduct.
(2) The volunteer licensee who is providing free care shall not receive compensation of any type, directly or indirectly, or any benefits of any type whatsoever, or any consideration of any nature, from any person for the free care. Nor shall such service be a part of the provider's training or assignment.
(3) The volunteer licensee shall be acting within the scope of such license, certification, or authority.
(4) A health care licensee providing free health care shall not engage in activities at a clinic, or at the health care licensee's office, if the activities are performed on behalf of the sponsoring organization, unless such activities are authorized by the appropriate authorities to be performed at the clinic or office and the clinic or office is in compliance with all applicable regulations.
2. For purposes of this section, any commissioned or contract medical officer or dentist serving on active duty in the United States Armed Forces and assigned to duty as a practicing, commissioned, or contract medical officer or dentist at any military hospital or medical facility owned and operated by the United States government shall be deemed to be licensed.
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(L. 2013 S.B. 129)
*Effective 10-11-13, see § 21.250. S.B. 129 was vetoed July 3, 2013. The veto was overridden on September 11, 2013.
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.1140 - Treatment of chronic, common, and complex diseases, program authorized, purpose.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
• Effective - 28 Aug 2014
191.1140. Treatment of chronic, common, and complex diseases, program authorized, purpose. —
1. Subject to appropriations, the University of Missouri shall manage the "Show-Me Extension for Community Health Care Outcomes (ECHO) Program". The department of health and senior services shall collaborate with the University of Missouri in utilizing the program to expand the capacity to safely and effectively treat chronic, common, and complex diseases in rural and underserved areas of the state and to monitor outcomes of such treatment.
2. The program is designed to utilize current telehealth technology to disseminate knowledge of best practices for the treatment of chronic, common, and complex diseases from a multidisciplinary team of medical experts to local primary care providers who will deliver the treatment protocol to patients, which will alleviate the need of many patients to travel to see specialists and will allow patients to receive treatment more quickly.
3. The program shall utilize local community health care workers with knowledge of local social determinants as a force multiplier to obtain better patient compliance and improved health outcomes.
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(L. 2014 S.B. 716 merged with S.B. 754)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.1146 - Physician-patient relationship required, how established.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
• Effective - 28 Aug 2020, 2 histories
191.1146. Physician-patient relationship required, how established. —
1. Physicians licensed under chapter 334 who use telemedicine shall ensure that a properly established physician-patient relationship exists with the person who receives the telemedicine services. The physician-patient relationship may be established by:
(1) An in-person encounter through a medical interview and physical examination;
(2) Consultation with another physician, or that physician's delegate, who has an established relationship with the patient and an agreement with the physician to participate in the patient's care; or
(3) A telemedicine encounter, if the standard of care does not require an in-person encounter, and in accordance with evidence-based standards of practice and telemedicine practice guidelines that address the clinical and technological aspects of telemedicine.
2. In order to establish a physician-patient relationship through telemedicine:
(1) The technology utilized shall be sufficient to establish an informed diagnosis as though the medical interview and physical examination has been performed in person; and
(2) Prior to providing treatment, including issuing prescriptions or physician certifications under Article XIV of the Missouri Constitution, a physician who uses telemedicine shall interview the patient, collect or review relevant medical history, and perform an examination sufficient for the diagnosis and treatment of the patient. A questionnaire completed by the patient, whether via the internet or telephone, does not constitute an acceptable medical interview and examination for the provision of treatment by telehealth.
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(L. 2016 S.B. 579, A.L. 2020 H.B. 1682 merged with H.B. 1896)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.1167 - Contracts, policies, or procedures in violation of act deemed null and void.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
• Effective - 28 Aug 2019
191.1167. Contracts, policies, or procedures in violation of act deemed null and void. —
Any contract provision, written policy, or written procedure in violation of sections 191.1164 to 191.1168 shall be deemed to be unenforceable and shall be null and void.
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(L. 2019 S.B. 514)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.1168 - Severability clause.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
• Effective - 28 Aug 2019
191.1168. Severability clause. —
If any provision of sections 191.1164 to 191.1168 or the application thereof to any person or circumstance is held invalid, the invalidity shall not affect other provisions or applications of sections 191.1164 to 191.1168 which may be given effect without the invalid provision or application, and to that end the provisions of sections 191.1164 to 191.1168 are severable.
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(L. 2019 S.B. 514)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.1601 - Citation of law.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
• Effective - 28 Aug 2020
191.1601. Citation of law. —
Section 143.1160 and sections 191.1601 to 191.1607 shall be known and may be cited as the "Long-Term Dignity Act".
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(L. 2020 H.B. 1682)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.1603 - Definitions.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
• Effective - 28 Aug 2020
191.1603. Definitions. —
As used in sections 191.1601 to 191.1607, the following terms mean:
(1)
"Account holder"
, an individual who establishes an account with a financial institution that is designated as a long-term dignity savings account in accordance with section 191.1604;
(2)
"Department"
, the department of revenue;
(3)
"Eligible expenses"
, the same meaning as qualified long-term care services in 26 U.S.C. Section 7702B(c);
(4)
"Financial institution"
, any state bank, state trust company, savings and loan association, federally chartered credit union doing business in this state, credit union chartered by the state of Missouri, national bank, broker-dealer, mutual fund, insurance company, or other similar financial entity qualified to do business in this state;
(5)
"Long-term dignity savings account"
or
"account"
, an account with a financial institution designated as such in accordance with subsection 1 of section 191.1604;
(6)
"Qualified beneficiary"
, an individual designated by an account holder for whose eligible expenses the moneys in a long-term dignity savings account are or will be used; provided, that such individual meets the definition of a chronically ill individual in 26 U.S.C. Section 7702B(c)(2) at the time the moneys are used.
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(L. 2020 H.B. 1682)