reglab/statecodes huggingface dataset:
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.213 - Additional funding sources for certain programs.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
Effective - 28 Aug 2001
191.213. Additional funding sources for certain programs. —
State expenditures for programs and initiatives enacted by section 191.411 and sections 167.600 to 167.621 may be funded by federal funds, general revenue funds and any other funds appropriated to fund such programs.
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(L. 2001 S.B. 393)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.226 - Costs of HIV testing for certain crime victims payable by department of health and senior services, when, conditions.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
Effective - 28 Aug 1989
191.226. Costs of HIV testing for certain crime victims payable by department of health and senior services, when, conditions. —
The department of health and senior services shall pay for the cost of conducting HIV testing for a victim of the crime of rape as defined in section 556.030, or of the crime of sodomy as defined in section 566.060, or of the crime of incest as defined in section 568.020, if a person who is convicted of such crime is determined to be infected with HIV based upon HIV testing conducted upon delivery of the person to the department of corrections pursuant to section 191.659. Such testing shall be limited to not more than two enzyme-linked immunosorbent assay (ELISA) tests per year and such cost of such tests shall not be paid by the department of health and senior services for more than five years after the date the crime was committed. HIV testing conducted pursuant to this section shall be performed by the public health laboratory of the department of health and senior services.
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(L. 1989 S.B. 138 § 1)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.228 - Physician and pharmacist not subject to discipline for cooperation.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
Effective - 28 Aug 1992
191.228. Physician and pharmacist not subject to discipline for cooperation. —
No physician or pharmacist licensed in this state shall be subject to discipline for authorizing, assisting or cooperating with other health care professionals licensed by this state who are practicing their profession within the scope of their license.
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(L. 1992 S.B. 573 & 634 § 8)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.229 - Accreditation of not-for-profit human services organizations deemed equivalent to licensure.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
Effective - 28 Aug 1994
191.229. Accreditation of not-for-profit human services organizations deemed equivalent to licensure. —
When a not-for-profit human services organization providing habilitative and rehabilitative services to people with disabilities in this state has been accredited by the Commission on Accreditation of Rehabilitative Facilities or the Accreditation Council on Services for People with Disabilities, that specific accreditation shall be deemed in lieu of and recognized as equivalent to any state licensure or certification requirements by all state agencies when purchasing services on behalf of persons with disabilities.
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(L. 1994 S.B. 672 § 1)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.235 - Mercury contained in immunizations, not to be administered to certain persons — insurance reimbursement for nonmercury immunizations — exemptions, when.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
Effective - 28 Aug 2005
191.235. Mercury contained in immunizations, not to be administered to certain persons — insurance reimbursement for nonmercury immunizations — exemptions, when. —
1. Beginning April 1, 2007, immunizations administered in the state of Missouri to knowingly pregnant women or children less than three years of age shall not contain more than one microgram of mercury per five-tenths-milliliter dose.
2. Beginning April 1, 2007, any health carrier as defined in section 376.1350 doing business in the state of Missouri that provides insurance coverage for immunizations on a fee schedule or on a percentage reimbursement basis shall reimburse for immunizations not containing mercury at the same percentage rate of the usual and customary charges which were provided for immunizations containing mercury or other preservatives immediately prior to April 1, 2007.
3. The director of the department of health and senior services shall exempt the use of a vaccine from compliance with this section if the director finds, and the governor concurs, that an actual or potential public health emergency exists, including an epidemic, outbreak, or shortage for which there does not exist a sufficient supply of vaccine that complies with subsection 1 of this section that would prevent knowingly pregnant women or children less than three years of age from receiving the vaccine. The director shall determine the duration of such exemption.
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(L. 2005 S.B. 74 & 49)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.237 - Failure to participate in health information organization, no fine or penalty may be imposed — no exchange of data, when — definitions.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
Effective - 28 Aug 2013, 2 histories
191.237. Failure to participate in health information organization, no fine or penalty may be imposed — no exchange of data, when — definitions. —
1. No law or rule promulgated by an agency of the state of Missouri may impose a fine or penalty against a health care provider, hospital, or health care system for failing to participate in any particular health information organization.
2. A health information organization shall not restrict the exchange of state agency data or standards-based clinical summaries for patients for federal Health Insurance Portability and Accountability Act (HIPAA) allowable uses. Charges for such service shall not exceed the cost of the actual technology connection or recurring maintenance thereof.
3. As used in this section, the following terms shall mean:
(1)
"Fine or penalty"
, any civil or criminal penalty or fine, tax, salary or wage withholding, or surcharge established by law or by rule promulgated by a state agency pursuant to chapter 536;
(2)
"Health care system"
, any public or private entity whose function or purpose is the management of, processing of, or enrollment of individuals for or payment for, in full or in part, health care services or health care data or health care information for its participants;
(3)
"Health information organization"
, an organization that oversees and governs the exchange of health-related information among organizations according to nationally recognized standards.
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(L. 2012 S.B. 769 § 1, A.L. 2013 H.B. 986, A.L. 2013 S.B. 89)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.240 - Patient examinations, limitation on performance of, when — notice — violation, sanction of license.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
Effective - 28 Aug 2023
191.240. Patient examinations, limitation on performance of, when — notice — violation, sanction of license. —
1. For purposes of this section, the following terms mean:
(1)
"Health care provider"
, the same meaning given to the term in section 191.900;
(2)
"Patient examination"
, a prostate, anal, or pelvic examination.
2. A health care provider, or any student or trainee under the supervision of a health care provider, shall not knowingly perform a patient examination upon an anesthetized or unconscious patient in a health care facility unless:
(1) The patient or a person authorized to make health care decisions for the patient has given specific informed consent to the patient examination for nonmedical purposes;
(2) The patient examination is necessary for diagnostic or treatment purposes;
(3) The collection of evidence through a forensic examination, as defined in and under subsection 8 of section 595.220, for a suspected sexual assault on the anesthetized or unconscious patient is necessary because the evidence will be lost or because the patient is unable to give informed consent due to a medical condition; or
(4) Circumstances are present that and which imply consent, as described in section 431.063.
3. A health care provider shall notify a patient of any patient examination performed under subdivisions (2) to (4) of subsection 2 of this section if the patient is unable to give verbal or written consent.
4. A health care provider who violates the provisions of this section, or who supervises a student or trainee who violates the provisions of this section, shall be subject to discipline by any licensing board that licenses the health care provider.
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(L. 2023 H.B. 402 merged with S.B. 45 & 90 merged with S.B. 106)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.300 - Definitions.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
• Effective - 28 Aug 2007
191.300. Definitions. —
As used in sections 191.300 to 191.380, the following terms mean:
(1)
"Committee"
, the Missouri genetic disease advisory committee;
(2)
"Cystic fibrosis"
, a serious lung problem of children; an inherited disorder which produces chronic involvement of the respiratory and digestive systems;
(3)
"Department"
, the department of health and senior services;
(4)
"Director"
, the director of the state department of health and senior services;
(5)
"Genetic counseling"
, the provision and interpretation of medical information based on expanding knowledge of human genetics;
(6)
"Genetic disorders"
, abnormalities of structure, function, or body metabolism which may be inherited or may result from damage to the fetus;
(7)
"Genetic screening"
, the search through testing for persons with genetic disorders;
(8)
"Health care professional"
, a physician or other health care practitioner licensed, accredited, or certified by the state of Missouri to perform specified health services;
(9)
"Health care services"
, services for the diagnosis, treatment, cure, or relief of a health condition, illness, injury, or disease;
(10)
"Hemophilia"
, a bleeding tendency resulting from a genetically determined deficiency factor in the blood;
(11)
"Outreach clinics"
, medical clinics which provide genetic diagnosis and counseling at sites away from the tertiary genetic centers;
(12)
"Program"
, the genetic program authorized by the provisions of sections 191.300 to 191.331, 191.340, and 191.365 to 191.380;
(13)
"Sickle cell anemia"
, a blood disease characterized by the presence of crescent shaped or sickle shaped erythrocytes in peripheral blood, excessive hemolysis, and active hematopoiesis, resulting from a genetic defect;
(14)
"Sickle cell trait"
, the healthy state wherein one carries the gene for sickle cell and could possibly pass that gene to his offspring;
(15)
"Tertiary genetic centers"
, permanent genetic divisions that provide comprehensive diagnostic treatment and counseling services.
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(L. 1985 H.B. 612, A.L. 2007 H.B. 948)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.305 - Missouri genetic advisory committee created — purpose — appointment, terms — qualifications — expenses.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
• Effective - 28 Aug 2023, 2 histories
191.305. Missouri genetic advisory committee created — purpose — appointment, terms — qualifications — expenses. —
1. The "Missouri Genetic Advisory Committee", consisting of fifteen members, is hereby created to advise the department in all genetic programs including metabolic disease screening programs, hemophilia, sickle cell anemia, and cystic fibrosis programs. Members of the committee shall be appointed by the director of the department of health and senior services. The first appointments to the committee shall consist of five members to serve three-year terms, five members to serve two-year terms, and five members to serve one-year terms as designated by the director. Each member of the committee shall serve for a term of three years thereafter.
2. The committee shall be composed of persons who reside in the state of Missouri, and a majority shall be licensed physicians. At least one member shall be a specialist in genetics; at least one member shall be a licensed obstetrician/gynecologist; at least one member shall be a licensed pediatrician in private practice; at least one member shall be a consumer, family member of a consumer or representative of a consumer group; at least one member shall be a licensed physician experienced in the study and treatment of hemophilia; at least one member shall be a specialist in sickle cell anemia; and at least one member shall be a specialist in cystic fibrosis.
3. Members of the committee shall not receive any compensation for their services, but they shall, subject to appropriations, be reimbursed for actual and necessary expenses incurred in the performance of their duties from funds appropriated for that purpose.
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(L. 1985 H.B. 612, A.L. 2002 H.B. 1953, A.L. 2023 H.B. 402)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.310 - Duties of committee — liaison officers with mental health and education, appointment.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
• Effective - 28 Aug 1985
191.310. Duties of committee — liaison officers with mental health and education, appointment. —
1. The committee shall advise the department on the provision of genetic services to insure the following:
(1) That high quality is maintained;
(2) That genetic programs are responsive to the needs of the entire state;
(3) That funding is equitably allocated to all phases of the program;
(4) That the department is advised on methods of implementing genetic services;
(5) That duplication of services is eliminated; and
(6) That a yearly evaluation of genetic programs is completed to ascertain how successfully the goals of the programs are being achieved.
2. The director of the department of mental health shall designate an employee of that department to provide liaison with services provided by that department which relate to the genetic programs established under the provisions of sections 191.300 to 191.331, 191.340, and 191.365 to 191.380.
3. The commissioner of education shall designate an employee of the department of elementary and secondary education to provide liaison with the genetic program established in sections 191.300 to 191.331, 191.340, and 191.365 to 191.380.
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(L. 1985 H.B. 612)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.315 - Genetics program to be established by department — rules authorized — procedure.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
• Effective - 28 Aug 1995
191.315. Genetics program to be established by department — rules authorized — procedure. —
1. The department is hereby designated as administrator of a comprehensive genetics program which will provide genetic diagnosis, counseling, treatment, education and research.
2. The director of the department shall establish regulations and standards for genetic programs, as the director deems necessary, to promote and protect the public health and safety, and may promulgate all rules and regulations necessary to effectuate the provisions of sections 191.300 to 191.380 pursuant to this section and chapter 536. No rule or portion of a rule promulgated under the authority of this chapter shall become effective unless it has been promulgated pursuant to the provisions of section 536.024.
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(L. 1985 H.B. 612 § 191.315 subsecs. 1, 2, A.L. 1993 S.B. 52, A.L. 1995 S.B. 3)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.317 - Confidentiality of all tests and personal information — exceptions — retention of specimens, procedure.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
• Effective - 28 Aug 2007
191.317. Confidentiality of all tests and personal information — exceptions — retention of specimens, procedure. —
1. All testing results and personal information obtained from any individual, or from specimens from any individual, shall be held confidential and be considered a confidential medical record, except for such information as the individual, parent or guardian consents to be released; but the individual must first be fully informed of the scope of the information requests to be released, of the risks, benefits and purposes for such release, and of the identity of those to whom the information will be released. Statistical data compiled without reference to the identity of any individual shall not be declared confidential. Notwithstanding any other provision of law to the contrary, the department may release the results of newborn screening tests to a child's health care professional.
2. The specimen shall be retained for five years after initial submission to the department. After five years, the specimen shall be destroyed. Unless otherwise directed under this section, a biological specimen may be released for purposes of anonymous scientific study. At the time of collection, the parent or legal guardian of the child from whom a biological specimen was obtained may direct the department to:
(1) Return a biological specimen that remains after all screening tests have been performed;
(2) Destroy a biological specimen in a scientifically acceptable manner after all screening tests required under section 191.331 or rule promulgated thereunder have been performed; or
(3) Store a biological specimen but not release the biological specimen for anonymous scientific study.
3. A biological specimen released for anonymous study under this section shall not contain information that may be used to determine the identity of the donor.
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(L. 1985 H.B. 612 § 191.315 subsec. 3, A.L. 2007 H.B. 948)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.320 - Genetic diagnostic and counseling services to be established — outreach centers, duties — referral for abortion, procedure, requirements.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
• Effective - 28 Aug 1985
191.320. Genetic diagnostic and counseling services to be established — outreach centers, duties — referral for abortion, procedure, requirements. —
The department may contract with tertiary genetic centers to provide genetic diagnostic and counseling services, to initiate and conduct investigations of the causes, mortality, methods of treatment, prevention and cure of genetic disorders and related birth defects, and to develop and administer programs and activities which aid in the prevention or treatment of a particular genetic disorder. It may establish outreach clinics to be located throughout the state. The department may divide the state into regions for this purpose. The boundaries of such regions, to the extent practicable, shall be contiguous with relevant boundaries of political subdivisions and health service areas. These centers and clinics may provide genetic diagnostic evaluations, treatment, counseling and follow-up for families with or at high risk for a genetic disease, such as sickle cell anemia, cystic fibrosis, inherited cardiovascular disease, inherited forms of mental retardations, or hemophilia, provided that such evaluations, treatment, and counseling shall not include referral for abortions unless such abortions are certified in writing by a physician that, in his professional judgment, the life of the mother would be endangered if the fetus were carried to term.
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(L. 1985 H.B. 612 § 191.320 subsec. 1)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.323 - Powers and duties of department of health and senior services in prevention and treatment of genetic diseases and birth defects.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
• Effective - 28 Aug 1985
191.323. Powers and duties of department of health and senior services in prevention and treatment of genetic diseases and birth defects. —
The department may:
(1) Develop and implement programs of professional education for physicians, medical students, nurses, scientists, technicians and therapists regarding the causes, methods of treatment, prevention and cure of genetic diseases;
(2) Develop and implement public educational programs regarding genetic diseases and birth defects and programs available for genetic diagnosis, treatment and counseling;
(3) Conduct or support scientific research concerning the causes, mortality, methods of treatment, prevention and cure of genetic diseases which are considered to be of major importance to the problems of genetic disease and birth defects in Missouri, in cooperation with other public and private agencies, except as provided in section 188.037;
(4) Maintain a central registry to collect and store data to facilitate the compiling of statistical information on the causes, treatment, prevention and cure of genetic diseases. Identifying information shall remain confidential pursuant to the provisions of section 191.315. Information will be reported to the Missouri board of health and other health care agencies so that it may be used for the prevention and treatment of genetic diseases and birth defects;
(5) Support genetic trainees annually for the pursuit of training in institutions in the state;
(6) Support new program development and specialized services which are not otherwise available and are considered by the department to be of major importance to the public health of Missouri.
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(L. 1985 H.B. 612 § 191.320 subsec. 2)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.325 - Cost of services, how paid — free to persons financially unable to pay — residency requirement.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
• Effective - 28 Aug 1985
191.325. Cost of services, how paid — free to persons financially unable to pay — residency requirement. —
Any person residing in the state of Missouri who is in need of genetic services and, as a person, can probably benefit from such services and who is otherwise financially unable to pay for such services shall be entitled to health services without charge to the limit of the appropriations provided for genetic services. Any patient who, or whose parents, guardian or other person legally chargeable with the support of the patient, is able to pay a portion but not all of the expenses for the required services for the patient shall be entitled to the services if the patient or parent, guardian or other person legally charged with the support of the patient shall pay such portion of the expenses to the provider as the patient or parent, guardian or other person legally charged with the support of the patient is reasonably able to pay. However, when the patient is eligible, payments will be made for such services through Medicaid or other insurance benefits available to the patient to the fullest possible extent. The benefits available under the provisions of sections 191.300 to 191.331, 191.340, and 191.365 to 191.380 shall not replace those provided under other federal or state law or under other contractual or legal entitlements of the persons receiving them. This section does not apply to metabolic screenings.
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(L. 1985 H.B. 612)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.332 - Supplemental newborn screening requirements — additional screenings — rulemaking authority.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
• Effective - 28 Aug 2017, 4 histories
191.332. Supplemental newborn screening requirements — additional screenings — rulemaking authority. —
1. By January 1, 2002, the department of health and senior services shall, subject to appropriations, expand the newborn screening requirements in section 191.331 to include potentially treatable or manageable disorders, which may include but are not limited to cystic fibrosis, galactosemia, biotinidase deficiency, congenital adrenal hyperplasia, maple syrup urine disease (MSUD) and other amino acid disorders, glucose-6-phosphate dehydrogenase deficiency (G-6-PD), MCAD and other fatty acid oxidation disorders, methylmalonic acidemia, propionic acidemia, isovaleric acidemia and glutaric acidemia Type I.
2. By January 1, 2017, the department of health and senior services shall, subject to appropriations, expand the newborn screening requirements in section 191.331 to include severe combined immunodeficiency (SCID), also known as bubble boy disease. The department may increase the fee authorized under subsection 6 of section 191.331 to cover any additional costs of the expanded newborn screening requirements under this subsection.
3. By January 1, 2019, the department of health and senior services shall, subject to appropriations, expand the newborn screening requirements in section 191.331 to include spinal muscular atrophy (SMA) and Hunter syndrome (MPS II). The department may increase the fee authorized under subsection 6 of section 191.331 to cover any additional costs of the expanded newborn screening requirements under this subsection. To help fund initial costs incurred by the state, the department shall apply for available newborn screening grant funding specific to screening for spinal muscular atrophy and Hunter syndrome. The department shall have discretion in accepting the terms of such grants.
4. The department of health and senior services may promulgate rules to implement the provisions of this section. No rule or portion of a rule promulgated pursuant to the authority of this section shall become effective unless it has been promulgated pursuant to chapter 536.
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(L. 2001 H.B. 279, A.L. 2005 S.B. 74 & 49, A.L. 2016 H.B. 1682, A.L. 2017 S.B. 50)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.333 - Citation of law — screening for lysosomal storage diseases — rulemaking authority — fee increase authorized.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
• Effective - 28 Aug 2009
191.333. Citation of law — screening for lysosomal storage diseases — rulemaking authority — fee increase authorized. —
1. This section shall be known and may be cited as the "Brady Alan Cunningham Newborn Screening Act".
2. By July 1, 2012, the department of health and senior services shall expand the newborn screening requirements in section 191.331 to include the following lysosomal storage diseases: Krabbe disease, Pompe disease, Gaucher disease, Niemann-Pick disease, and Fabry disease. The department may by rule screen for additional lysosomal storage disorders when the following occurs:
(1) The registration of the necessary reagents with the federal Food and Drug Administration;
(2) The availability of the necessary reagents from the Centers for Disease Control and Prevention;
(3) The availability of quality assurance testing methodology for such processes; and
(4) The acquisition and installment by the department of equipment necessary to implement the expanded screening tests.
3. The department may promulgate rules to implement the provisions of this section. 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, 2009, shall be invalid and void.
4. The department may increase the fee authorized in subsection 6 of section 191.331 to cover the additional cost of the expanded newborn screening test required in this section.
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(L. 2009 H.B. 716)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.335 - Hemophilia program established — state assistance, when.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
• Effective - 28 Aug 1979
191.335. Hemophilia program established — state assistance, when. —
1. The department of health and senior services hereafter referred to as the department shall establish a program for the care and treatment of persons suffering from hemophilia. This program shall assist persons who require continuing treatment with blood and blood derivatives to avoid crippling, extensive hospitalization and other effects associated with this critical chronic bleeding condition, but who are unable to pay for the entire cost of such services on a continuing basis after payment of claims from various types of hospital and medical insurance coverages, Medicare, Medicaid, and other government assistance programs in existence now or in the future, and private charitable assistance programs.
2. State assistance pursuant to subsection 1 of this section shall be available to an applicant only after he has shown that he has exhausted all benefits from insurance coverage, Medicare, Medicaid, and other government assistance programs, and private and charitable assistance programs.
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(L. 1979 H.B. 182 § 2)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.340 - Hemophilia program — care and treatment — financial assistance — education — duties of department.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
• Effective - 28 Aug 1985
191.340. Hemophilia program — care and treatment — financial assistance — education — duties of department. —
The department shall:
(1) Assist in the development and expansion of programs for the care and treatment of persons suffering from hemophilia, including self-administration, prevention, and home care and other medical and dental procedures and techniques designed to provide maximum control over bleeding episodes typical of this condition;
(2) Extend financial assistance to persons suffering from hemophilia in obtaining blood, blood derivatives and concentrates, and other efficacious agents for use in hospital, medical and dental facilities, and at home, or participate in the cost of blood processing to the extent that such support will facilitate the supplying of blood, blood derivatives, and concentrates and other efficacious agents to hemophiliac patients at an economical cost, thus increasing the effectiveness of the moneys appropriated to carry out the provisions of sections 191.335 and 191.340;
(3) Institute and carry on educational programs among physicians, dentists, hospitals, public health departments, and the public concerning hemophilia, including dissemination of information and the conducting of educational programs concerning the methods of care and treatment of persons suffering from the condition.
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(L. 1979 H.B. 182 § 3, A.L. 1985 H.B. 612)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.360 - Trained employee of end-stage renal disease facility may initiate dialysis — not unlawful practice of medicine.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
• Effective - 28 Aug 1983
191.360. Trained employee of end-stage renal disease facility may initiate dialysis — not unlawful practice of medicine. —
It shall not be considered an unlawful practice of medicine pursuant to chapter 334 or a violation of any provision of chapter 335 for an employee of a certified end-stage renal disease facility who has been appropriately trained in the dialysis techniques to initiate dialysis within a certified end-stage renal disease facility under the supervision of a licensed physician or a registered nurse as those terms are defined by law.
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(L. 1983 S.B. 336 § 1)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.362 - Appropriately trained employees to have completed course in dialysis techniques.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
• Effective - 28 Aug 2010
191.362. Appropriately trained employees to have completed course in dialysis techniques. —
Appropriately trained employees of certified end-stage renal disease facilities, excluding licensed physicians and registered professional nurses, who may initiate dialysis shall be those employees who have successfully completed a course of study in the dialysis techniques.
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(L. 1983 S.B. 336 § 2, A.L. 2010 H.B. 1965)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.365 - Sickle cell anemia — purposes of program — financial assistance, when.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
• Effective - 28 Aug 1985
191.365. Sickle cell anemia — purposes of program — financial assistance, when. —
1. The department shall establish a program for the care and treatment of persons suffering from sickle cell anemia and the identification and counseling of individuals that have sickle cell trait. This program shall assist persons who require continuing treatment to avoid crippling, extensive hospitalization, and other effects associated with this critical blood disease, but who are unable to pay for the entire cost of such services on a continuing basis after payment of claims from various types of hospital and medical insurance coverages, Medicare, Medicaid, and other government assistance programs in existence now or in the future, and private charitable assistance programs.
2. State assistance for care and treatment pursuant to subsection 1 of this section shall be available to an applicant only after he has shown that he has exhausted all benefits from insurance coverage, Medicare, Medicaid, and other government assistance programs, and private and charitable assistance programs.
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(L. 1985 H.B. 612)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.370 - Sickle cell anemia, development of program for care and treatment — duties of department.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
• Effective - 28 Aug 1985
191.370. Sickle cell anemia, development of program for care and treatment — duties of department. —
The department shall:
(1) Assist in the development and expansion of programs for the care and treatment of persons suffering from sickle cell anemia;
(2) Assist in the development and expansion of screening and testing programs for the detection and counseling of individuals with sickle cell trait;
(3) Extend financial assistance to persons suffering from sickle cell anemia in obtaining treatment of the disease;
(4) Institute and carry on educational programs among physicians, hospitals, public health departments, and the public concerning sickle cell anemia, including dissemination of information and the conducting of educational programs concerning the methods of care and treatment of persons suffering from the condition.
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(L. 1985 H.B. 612)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.375 - Cystic fibrosis, program for care and treatment — financial assistance, when.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
• Effective - 28 Aug 1985
191.375. Cystic fibrosis, program for care and treatment — financial assistance, when. —
1. The department shall establish a program for early and accurate diagnosis of persons suspected of having cystic fibrosis to avoid increasing lung damage and death as a result of delayed diagnosis.
2. The department shall also establish a program for the care and treatment of persons of low and moderate income with cystic fibrosis who require quality medical care, which includes continuous drug therapy and physician supervision, special inhalation equipment and treatment, but who are unable to pay for the entire cost of such services so as to avoid frequent hospitalizations which become necessary whenever lapses in medical care occur.
3. State assistance pursuant to subsection 1 of this section shall be available to an applicant only after he has shown that he has exhausted all benefits from insurance coverage, Medicare, Medicaid, and other government assistance programs, and private charitable assistance programs.
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(L. 1985 H.B. 612)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.380 - Cystic fibrosis, duties of department.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
• Effective - 28 Aug 1985
191.380. Cystic fibrosis, duties of department. —
The department shall:
(1) Assist in the development and expansion of programs for the care and treatment of persons suffering from cystic fibrosis;
(2) Extend financial assistance to persons suffering from cystic fibrosis in obtaining treatment of the disease;
(3) Institute and carry on educational programs among physicians, hospitals, public health departments, and the public concerning cystic fibrosis, including dissemination of information and the conducting of educational programs concerning the methods of care and treatment of persons suffering from the condition.
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(L. 1985 H.B. 612)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.425 - Program established, eligibility — contracting authority — conditional on receipt of federal funding — sunset provision.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
Effective - 28 Aug 2012, 2 histories
191.425. Program established, eligibility — contracting authority — conditional on receipt of federal funding — sunset provision. —
1. Upon receipt of federal funding in accordance with subsection 4 of this section, there is hereby established within the department of health and senior services the "Women's Heart Health Program" to provide heart disease risk screening to uninsured and underinsured women.
2. The following women shall be eligible for program services:
(1) Women between the ages of thirty-five and sixty-four years;
(2) Women who are receiving breast and cervical cancer screenings under the Missouri show me healthy women program;
(3) Women who are uninsured or whose insurance does not provide coverage for heart disease risk screenings; and
(4) Women with a gross family income at or below two hundred percent of the federal poverty level.
3. The department shall contract with health care providers who are currently providing services under the Missouri show me healthy women program to provide screening services under the women's heart health program. Screening shall include but not be limited to height, weight, and body mass index (BMI), blood pressure, total cholesterol, HDL, and blood glucose. Any woman whose screening indicates an increased risk for heart disease shall be referred for appropriate follow-up health care services and be offered lifestyle education services to reduce her risk for heart disease.
4. The women's heart health program shall be subject to receipt of federal funding which designates such funding for heart disease risk screening to uninsured and underinsured women. In the event that federal funds are not available for such program, the department shall not be required to establish or implement the program.
5. Under section 23.253 of the Missouri sunset act:
(1) The provisions of the program authorized under this section shall automatically sunset three years after August 28, 2012, unless reauthorized by an act of the general assembly; and
(2) If such program is reauthorized, the program authorized under this section shall automatically sunset three years after the effective date of the reauthorization of this section; and
(3) This section shall terminate on September first of the calendar year immediately following the calendar year in which the program authorized under this section is sunset.
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(L. 2010 H.B. 1898, A.L. 2012 H.B. 1608)
Sunset date 8-28-15
Termination date 9-01-16
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.435 - Need for health care areas to be designated.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
• Effective - 28 Aug 2023
191.435. Need for health care areas to be designated. —
The department of health and senior services shall designate counties, communities, or sections of areas in the state as areas of defined need for health care, mental health, and public health services. If a county, community, or section of an area has been designated or determined as a professional shortage area, a shortage area, or a health care, mental health, or public health professional shortage area by the federal Department of Health and Human Services or its successor agency, the department of health and senior services shall designate it as an area of defined need under this section. If the director of the department of health and senior services determines that a county, community, or section of an area has an extraordinary need for health care professional services without a corresponding supply of such professionals, the department of health and senior services may designate it as an area of defined need under this section.
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(L. 2023 H.B. 402 merged with S.B. 45 & 90 merged with S.B. 70 merged with S.B. 106 merged with S.B.157)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.440 - Contracts for forgivable loans, contents — practice sites, stipulation of.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
• Effective - 28 Aug 2023
191.440. Contracts for forgivable loans, contents — practice sites, stipulation of. —
1. The department of health and senior services shall enter into a contract with each individual qualifying for a forgivable loan under sections 191.430 to 191.450. The written contract between the department and the individual shall contain, but not be limited to, the following:
(1) An agreement that the state agrees to award a loan and the individual agrees to serve for a period equal to two years, or a longer period as the individual may agree to, in an area of defined need as designated by the department, with such service period to begin on the date identified on the signed contract;
(2) A provision that any financial obligations arising out of a contract entered into and any obligation of the individual that is conditioned thereon is contingent upon funds being appropriated for loans;
(3) The area of defined need where the person will practice;
(4) A statement of the damages to which the state is entitled for the individual's breach of the contract; and
(5) Such other statements of the rights and liabilities of the department and of the individual not inconsistent with sections 191.430 to 191.450.
2. The department of health and senior services may stipulate specific practice sites, contingent upon department-generated health care, mental health, and public health professional need priorities, where applicants shall agree to practice for the duration of their participation in the program.
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(L. 2023 H.B. 402 merged with S.B. 45 & 90 merged with S.B. 70 merged with S.B. 106 merged with S.B. 157)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.445 - Fund created, use of moneys.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
• Effective - 28 Aug 2023
191.445. Fund created, use of moneys. —
There is hereby created in the state treasury the "Health Professional Loan Incentive Fund", which shall consist of any appropriations made by the general assembly, all funds recovered from an individual under section 191.450, and all funds generated by loan repayments received under sections 191.430 to 191.450. The state treasurer shall be custodian of the fund. In accordance with sections 30.170 and 30.180, the state treasurer may approve disbursements. The fund shall be a dedicated fund and, upon appropriation, moneys in this fund shall be used solely by the department of health and senior services to provide loans under sections 191.430 to 191.450. 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. 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. 2023 H.B. 402 merged with S.B. 45 & 90 merged with S.B. 70 merged with S.B. 106 merged with S.B. 157)
2023 Missouri Revised Statutes › Title XII - Public Health and Welfare › Chapter 191 - Health and Welfare › Section 191.450 - Failure to maintain acceptable employment status, liable for loan amount — recovery amount.

Title XII PUBLIC HEALTH AND WELFARE
Chapter 191
• Effective - 28 Aug 2023
191.450. Failure to maintain acceptable employment status, liable for loan amount — recovery amount. —
1. An individual who enters into a written contract with the department of health and senior services, as described in section 191.440, and who fails to maintain an acceptable employment status shall be liable to the state for any amount awarded as a loan by the department directly to the individual who entered into the contract that has not yet been forgiven.
2. An individual fails to maintain an acceptable employment status under this section when the contracted individual involuntarily or voluntarily terminates qualifying employment, is dismissed from such employment before completion of the contractual service obligation within the specific time frame outlined in the contract, or fails to respond to requests made by the department.
3. If an individual breaches the written contract of the individual by failing to begin or complete such individual's service obligation, the state shall be entitled to recover from the individual an amount equal to the sum of:
(1) The total amount of the loan awarded by the department or, if the department had already awarded partial forgiveness at the time of the breach, the amount of the loan not yet forgiven;
(2) The interest on the amount that would be payable if at the time the loan was awarded it was a loan bearing interest at the maximum prevailing rate as determined by the Treasurer of the United States;
(3) An amount equal to any damages incurred by the department as a result of the breach; and
(4) Any legal fees or associated costs incurred by the department or the state of Missouri in the collection of damages.
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(L. 2023 H.B. 402 merged with S.B. 45 & 90 merged with S.B. 70 merged with S.B. 106 merged with S.B. 157)