MHPCA Legislative Update 5.16.17 - End of Session Report
Jane Moore
On the House Floor of interest
The House brought up HCS SB 501, sponsored by Rep. Stephens, which includes 2017 designated as the opioid addiction free decade, allows person to receive
deceased loved one's medical record. Rep. Bondon added HA1 which is the Hospital licensure bill. Rep. Pike added HA 2 which relates to mental health in Missouri, HB 316, which allows licensure of psychologist. Rep. Wiemann failed to adopt HA 3 which is the
chiropractor bill. Rep. Stephens added HA 4 which would allow pharmacist to administer immunization. Rep Sommer added HA 5 which pertains to mental health service dogs. Rep. Morris added HA 6 which pertains to the dispensing of narcotics. Rep. Helms added
HA 7 which increases the mileage for collaborative practice to 75 miles. Rep Alferman added HA 8 which is the epi pen bill. Rep Evans added HA 9 which is the CBD oil expansion bill. Rep. Swan added HA 10 which is the same as HB 100 and would allow Missouri
to become a member state for the EMS Alliance. The floor leader called a PQ and HCS SB 501 was third read and passed by a vote of 141-8. The emergency clause failed by a vote of
The House moved to Bills Carrying Request Messages and took up SS HCB 3, which is the senior services protection act. SS HCB 3 was TAFP by a vote of 83-67. The Emergency Clause failed to be adopted by a vote 32-115.
Senate floor of interest
The first item on the agenda on Monday, was a motion to reconsider the vote on HCB 3 that establishes the Senior Services Protection Fund. When this bill hit the floor last week, there was a floor amendment adopted that changed the bill from centering on the elimination of the renter’s portion of the circuit breaker tax to sweeping various funds to pay for Medicaid provider rates. The body brought back up the bill to adopt some technical changes, which would make the bill more palatable to the House.
The Senate then moved to privileged motions. Senator Schatz moved that the conference committee for HB 90 which establishes a prescription drug monitoring program, be allowed to exceed the differences. Senator Kraus was quick on his feet to offer a substitute motion to keep the conference committee to working out only the differences between the House and Senate versions. His motion was successful.
The body then truly agreed and finally passed SB 66 by Senator Schatz on workers compensation changes and SB 161 by Senator Sater that establishes the Ozark Exploration Bicentennial Commission.
They moved back for the House Bills for Third Reading Calendar. The body was able to truly agree and finally pass HB 336 by Rep. Noel Shull that providers riders, endorsements, and amendments to life insurance policies may contain suicide exclusions or limitations. After lengthy debate, HB 292 by Rep. Sandy Crawford on the powers of banks was laid over on the informal calendar. HB 190 by Rep. Conway was then brought up for debate and truly agreed and finally passed. This bill would allow community college police officers to establish regulations to control vehicular traffic on any thoroughfare owned or maintained by the college.
On Tuesday, the Senate spent most of the day working on HB 452 by Rep. Kevin Austin that modifies definitions of 'employee' and 'physician employee' in actions against health care providers for personal injury or death. Senators Schaaf and Onder held the floor in opposition to the bill which was laid over. The body then moved through conference motions on Senator Sater’s SB 139, which had earlier in the day been loaded up with amendments in the House and then Senator Hegeman’s SB 283 on special road districts.
WHAT CROSSED THE FINISH LINE
Healthcare
SB 50 - Senator Walsh’s bill that she has been pushing for several years on a health care directives registry was able to finally make it. This bill also included language on hospital licensure, assistant physicians, x-ray inspection, neonatal and maternal levels of care, newborn screening and STEMI and trauma center designations.
SB 501 - Senator Sater’s bill became another omnibus health care bill including provisions on health care records (this is a add on to the bill that could be of concern); a health care directives registry; drug or alcohol overdoses; epinephrine auto-injectors; hospital licensure; immunization education; sports medicine; assistant physicians; physician assistants; psychologist internships; vaccine protocols; speech-language pathologists and audiologists; medication-assisted treatment; and a drug take-back program.
SB 139 - Senator Sater’s MO Rx Bill also became home to other pharmacy related issues including the emergency administration of epinephrine, language on polypharmacy and antipsychotic medications, prescription drug rebates, income based requirements for the MO Rx Program, delegation of physical therapy treatment and the creation of the RX Cares for Missouri Program.
WHAT DIDN”T Healthcare
HB 90 - PDMP once again couldn’t make it to the Governor’s desk. Rep. Holly Rehder worked her magic getting the bill out of the Senate, but with locals now leading the charge on the issue, many saw the compromise on the bill as a lesser solution than what many counties are already doing.
HB 144 – Adult Consent Bill – We do not support this bill the way it is currently written. Hopefully, next year we will get a chance to make changes to the bill to make it work for everyone.
HB 165 – Advance Practice Nurses – we supported this bill and it did not move forward. Hopefully, it will be reintroduced next year.
HB 405 – Coroner Bill - A bill that we supported and asked for – made it out of committee but never got a vote on the House floor. We hope to have it back again next session.
HB 440 – Simons Law – Which we do not support the way it is currently written. Again, some better language could make a difference in this bill.
Two bills were filed this year to change Certificate of Need Requirements for long-term care facilities, but with a big budget battle this year, CON reformed seemed to take a back seat.
COMING UP…
Whispers of a special session are already swirling. There are a handful of topics the Governor could call a special session on including more tort reform legislation, economic development issue down in the bootheel for a company looking to place an iron smelter and ethics reform. I don’t see any healthcare bills coming in a special session but we will watch. I will let you know.
Upcoming Dates of Interest
July 1 - First day of Missouri’s new fiscal year (FY 2018)
Bill Status Report
05-16-2017 - 08:22:09
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in the date range 
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to Related Information ( ) - Priority
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Appropriates money for the expenses, grants, and distributions of the Department of Social Services |
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Track Name(s): |
Hospice |
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Bill History: |
05-04-17 S Truly Agreed to and Finally Passed |
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Exempts health care entities registered with the department of health and senior services that distribute hypodermic needles or syringes from the crime of unlawful delivery of drug paraphernalia. |
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Track Name(s): |
Hospice |
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Bill History: |
04-13-17 H Referred to House Committee on House-Rules-Administrative Oversight |
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Establishes the Narcotics Control Act. |
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Track Name(s): |
Hospice |
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Bill History: |
05-12-17 H Set on the House Calendar |
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Establishes the "Missouri Right to Shop Act". |
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Track Name(s): |
Hospice |
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Bill History: |
03-15-17 H Meeting set for 12:00 PM or Upon Morning Adj., HR 7 - House-Health and Mental Health Policy |
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Establishes the "Patients First Medicaid Reform Act". |
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Track Name(s): |
Hospice |
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Bill History: |
04-05-17 H Public hearing completed |
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Relates to decisions regarding health care and health care records. |
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Track Name(s): |
Hospice |
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Bill History: |
05-02-17 S Hearing conducted |
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Modifies provisions relating to expert witnesses. |
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Track Name(s): |
Hospice |
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Bill History: |
03-28-17 G Signed by the Governor |
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Establishes a limit on residential property assessment increases for the elderly and disabled who own and live in their principal residence proportional to the increase of their Social Security benefit. |
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Track Name(s): |
Hospice |
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Bill History: |
03-02-17 H Referred to House Committee on House-Rules-Administrative Oversight |
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Changes the Uniform Arbitration Act regarding agreements between employers and at-will employees. |
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Track Name(s): |
Hospice |
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Bill History: |
03-29-17 H Reported do pass House-Rules-Legislative Oversight |
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Changes provisions relating to advanced practice registered nurses. |
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Track Name(s): |
Hospice |
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Bill History: |
03-29-17 H Voted do not pass from committee House-Professional Registration and Licensing |
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Creates the Silver Alert System to aid in identifying and locating a missing endangered person. |
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Track Name(s): |
Hospice |
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Bill History: |
01-24-17 H Public hearing completed |
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Changes provisions relating to the scope of practice for physical therapists. |
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Track Name(s): |
Hospice |
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Bill History: |
04-05-17 H Public hearing completed |
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Modifies the duration of unemployment compensation, modifies the method to pay federal advances, and raises the fund trigger causing contribution rate reductions. |
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Track Name(s): |
Hospice |
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Bill History: |
05-12-17 S Set on the Senate Calendar |
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Requires the Department of Social Services to apply for a global waiver for MO HealthNet. |
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Track Name(s): |
Hospice |
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Bill History: |
02-08-17 H Referred to House Committee on House-Budget |
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Establishes a pilot program to transfer the authority to inspect nursing homes from the Department of Health and Senior Services to local health departments. |
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Track Name(s): |
Hospice |
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Bill History: |
05-12-17 H Set on the House Calendar |
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Changes the laws regarding vaccines and disorder monitoring. |
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Track Name(s): |
Hospice |
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Bill History: |
01-05-17 H Read second time |
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Prohibits an employer from taking an adverse employment action based on an employee's reproductive health care decision. |
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Track Name(s): |
Hospice |
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Bill History: |
01-05-17 H Read second time |
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Changes the laws regarding health care records of deceased patients. |
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Track Name(s): |
Hospice |
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Bill History: |
05-12-17 S Set on the Senate Calendar |
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Establishes the Missouri Freedom to Choose Health Care Act. |
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Track Name(s): |
Hospice |
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Bill History: |
04-26-17 H Reported do pass House-Rules-Legislative Oversight |
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Requires the Department of Social Services to apply for a global waiver for MO HealthNet. |
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Track Name(s): |
Hospice |
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Bill History: |
02-08-17 H Referred to House Committee on House-Budget |
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Specifies that the county coroner or medical examiner need not be notified and no investigation is necessary for a death that occurs under hospice care. |
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Track Name(s): |
Hospice |
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Bill History: |
05-12-17 H Set on the House Calendar |
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Allows persons with certain serious medical conditions to use medical cannabis. |
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Track Name(s): |
Hospice |
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Bill History: |
04-26-17 H Reported do pass House-Rules-Administrative Oversight |
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Establishes "Simon's Law", which changes the laws regarding life-sustaining or nonbeneficial treatment policies of health care facilities. |
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Track Name(s): |
Hospice |
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Bill History: |
02-16-17 H Referred to House Committee on House-Health and Mental Health Policy |
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Modifies definitions of 'employee' and 'physician employee' in actions against health care providers for personal injury or death. |
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Track Name(s): |
Hospice |
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Bill History: |
05-12-17 H Truly Agreed to and Finally Passed |
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Allows structured family caregiving as a covered service under MO HealthNet, subject to the approval of federal waivers. |
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Track Name(s): |
Hospice |
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Bill History: |
02-22-17 H Public hearing completed |
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Changes the laws regarding MO HealthNet services. |
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Track Name(s): |
Hospice |
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Bill History: |
01-10-17 H Read second time |
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Establishes the Death with Dignity Act to allow patients with terminal illnesses to end their life in a humane and dignified manner. |
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Track Name(s): |
Hospice |
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Bill History: |
03-08-17 H Referred to House Committee on House-Health and Mental Health Policy |
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Creates standards for predetermination of health care benefits requests and responses. |
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Track Name(s): |
Hospice |
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Bill History: |
04-11-17 H Not heard in committee House-Insurance Policy |
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Changes the laws regarding the Missouri Human Rights Act and employment discrimination. |
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Track Name(s): |
Hospice |
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Bill History: |
02-13-17 H Public hearing completed |
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Changes the laws regarding dispensations of maintenance medications. |
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Track Name(s): |
Hospice |
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Bill History: |
04-06-17 H Reported do pass House-Rules-Administrative Oversight |
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Changes the law relating to short term medical policies sold in the state of Missouri. |
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Track Name(s): |
Hospice |
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Bill History: |
05-12-17 H Set on the House Calendar |
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Establishes a Prescription Abuse Registry. |
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Track Name(s): |
Hospice |
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Bill History: |
04-05-17 H Referred to House Committee on House-Rules-Legislative Oversight |
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Establishes requirements for authorized entities to stock epinephrine auto-injectors for use in emergencies. |
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Track Name(s): |
Hospice |
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Bill History: |
05-12-17 H Set on the House Calendar |
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Establishes a state innovation waiver task force to develop a health care reform plan. |
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Track Name(s): |
Hospice |
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Bill History: |
04-26-17 S Hearing conducted |
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Allows certain assistant physicians, advanced practice registered nurses, and physician assistants to prescribe certain Schedule II medications. |
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Track Name(s): |
Hospice |
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Bill History: |
03-29-17 H Public hearing completed |
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Allows health care providers to contract with the Department of Health and Senior Services to provide volunteer health care services to uninsured and underserved individuals. |
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Track Name(s): |
Hospice |
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Bill History: |
02-22-17 H Meeting set for 12:00 PM or Upon conclusion of morning sessi - House-Health and Mental Health Policy |
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Prohibits law enforcement from releasing records containing personally identifiable health information, unless such information is redacted or a court orders disclosure. |
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Track Name(s): |
Hospice |
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Bill History: |
05-12-17 H Set on the House Calendar |
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Authorizes the next-of-kin of a deceased person to delegate control of the final disposition of the remains. |
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Track Name(s): |
Hospice |
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Bill History: |
05-12-17 S Set on the Senate Calendar |
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Establishes a legislative task force on advanced practice nursing. |
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Track Name(s): |
Hospice |
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Bill History: |
03-08-17 H Referred to House Committee on House-Professional Registration and Licensing |
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Requires a health carrier provider to pay identical benefits to similarly licensed nonparticipating or nonpreferred providers who meet the necessary requirements. |
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Track Name(s): |
Hospice |
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Bill History: |
02-22-17 H Read second time |
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Modifies and creates provisions relating to the MO HealthNet pharmacy program. |
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Track Name(s): |
Hospice |
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Bill History: |
03-29-17 H Referred to House Committee on House-Rules-Legislative Oversight |
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Changes the laws regarding rates charged by health care providers. |
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Track Name(s): |
Hospice |
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Bill History: |
02-23-17 H Read second time |
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Changes the laws regarding health care for persons with disabilities. |
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Track Name(s): |
Hospice |
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Bill History: |
03-28-17 H Public hearing completed |
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Modifies provisions relating to coroners. |
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Track Name(s): |
Hospice |
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Bill History: |
04-27-17 H Referred to House Committee on House-Rules-Legislative Oversight |
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Changes the laws regarding hospital licensure. |
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Track Name(s): |
Hospice |
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Bill History: |
04-20-17 H Reported do pass House-Rules-Administrative Oversight |
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Changes provisions relating to acts that may be performed by a licensed practical nurse and modifies provisions relating to the Missouri State Board of Nursing. |
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Track Name(s): |
Hospice |
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Bill History: |
03-01-17 H Read second time |
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Establishes the "Prescription Drug Monitoring Program Act". |
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Track Name(s): |
Hospice |
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Bill History: |
03-01-17 H Read second time |
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Modifies provisions relating to the Missouri Rx Prescription Drug Program. |
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Track Name(s): |
Hospice |
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Bill History: |
03-28-17 H Meeting set for 8:15 AM, HR 3 - House-Budget |
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Changes the laws regarding background check requirements of in-home service providers and personal care attendants. |
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Track Name(s): |
Hospice |
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Bill History: |
04-20-17 H Referred to House Committee on House-Rules-Administrative Oversight |
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Appropriates money for the expenses, grants, and distributions of the Department of Social Services. |
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Track Name(s): |
Hospice |
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Bill History: |
05-12-17 H Set on the House Calendar |
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Modifies provisions relating to the collateral source rule and provides that parties may introduce evidence of the actual cost, rather than the value, of the medical care rendered. |
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Track Name(s): |
Hospice |
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Bill History: |
05-11-17 H Truly Agreed to and Finally Passed |
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Enacts provisions relating to advanced practice registered nurses. |
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Track Name(s): |
Hospice |
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Bill History: |
03-13-17 S Hearing conducted |
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Modifies several provisions relating to health care. |
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Track Name(s): |
Hospice |
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Bill History: |
05-11-17 H Truly Agreed to and Finally Passed |
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Provides for the expansion of MO HealthNet services beginning January 1, 2018. |
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Track Name(s): |
Hospice |
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Bill History: |
01-10-17 S Referred to Senate Committee on Senate-Health and Pensions |
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Establishes a Prescription Drug Monitoring Act. |
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Track Name(s): |
Hospice |
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Bill History: |
04-20-17 H Committee hearing cancelled House-Insurance Policy |
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Requires elder abuse investigators to provide specified written materials to alleged perpetrators. |
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Track Name(s): |
Hospice |
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Bill History: |
05-12-17 S Set on the Senate Calendar |
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Establishes the Senior Services Growth and Development Program. |
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Track Name(s): |
Hospice |
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Bill History: |
03-15-17 S Voted do pass as substitute from committee on Senate-Seniors/Families and Children |
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Modifies provisions relating to expert witnesses. |
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Track Name(s): |
Hospice |
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Bill History: |
05-12-17 S Set on the Senate Calendar |
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Creates the MO HealthNet Buy-In for Workers with Disabilities program. |
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Track Name(s): |
Hospice |
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Bill History: |
05-12-17 S Set on the Senate Calendar |
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Establishes the Narcotics Control Act. |
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Track Name(s): |
Hospice |
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Bill History: |
01-25-17 S Hearing conducted |
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Establishes a workers' compensation claims database. |
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Track Name(s): |
Hospice |
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Bill History: |
01-31-17 S Hearing conducted |
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Modifies definitions of "employee" and "physician employee" in actions against health care providers for personal injury or death. |
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Track Name(s): |
Hospice |
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Bill History: |
05-12-17 H Set on the House Calendar |
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Requires health carriers and health care providers to establish and participate in shared savings incentive programs. |
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Track Name(s): |
Hospice |
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Bill History: |
04-05-17 S Voted do pass as substitute from committee on Senate-Seniors/Families and Children |
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Establishes the Narcotics Control Act. |
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Track Name(s): |
Hospice |
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Bill History: |
05-12-17 S Set on the Senate Calendar |
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Modifies provisions relating to workers' compensation liability. |
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Track Name(s): |
Hospice |
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Bill History: |
05-12-17 S Set on the Senate Calendar |
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Establishes the Narcotics Control Act. |
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Track Name(s): |
Hospice |
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Bill History: |
02-09-17 S Superseded by - see SB 314 |
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Modifies Universal Service Fund eligibility requirements for wireless telecommunications providers providing lifeline service. |
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Track Name(s): |
Hospice |
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Bill History: |
02-13-17 S Referred to Senate Committee on Senate-Commerce/Consumer Prot./Energy/Environ |
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Removes the termination date for the MO Rx Prescription Drug Program. |
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Track Name(s): |
Hospice |
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Bill History: |
03-15-17 S Voted do pass from committee on Senate-Seniors/Families and Children |
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Requires certain health care professionals to complete two hours of suicide prevention training as a condition of initial licensure and as a condition of license renewal. |
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Track Name(s): |
Hospice |
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Bill History: |
05-12-17 H Set on the House Calendar |
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Authorizes a health care decision-maker to make health care decisions for a incapacitated patient who does not have a person with legal authority to consent for the patient. |
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Track Name(s): |
Hospice |
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Bill History: |
04-10-17 S Hearing conducted |
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Modifies a provision relating to maintenance medication filled by pharmacists. |
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Track Name(s): |
Hospice |
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Bill History: |
03-27-17 S Committee hearing cancelled Senate-Health and Pensions |
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Modifies membership of the Missouri State Board of Nursing. |
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Track Name(s): |
Hospice |
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Bill History: |
03-09-17 S Referred to Senate Committee on Senate-Professional Registration |
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