| 1 | 1 | | SECONDREGULARSESSION |
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| 2 | 2 | | HOUSEBILLNO.1630 |
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| 3 | 3 | | 101STGENERALASSEMBLY |
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| 4 | 4 | | INTRODUCEDBYREPRESENTATIVEMORSE. |
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| 5 | 5 | | 3928H.01I DANARADEMANMILLER,ChiefClerk |
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| 6 | 6 | | ANACT |
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| 7 | 7 | | Toamendchapter191,RSMo,byaddingtheretoonenewsectionrelatingtoaruralprimary |
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| 8 | 8 | | carephysiciangrantprogram. |
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| 9 | 9 | | BeitenactedbytheGeneralAssemblyofthestateofMissouri,asfollows: |
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| 10 | 10 | | SectionA.Chapter191,RSMo,isamendedbyaddingtheretoonenewsection,tobe |
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| 11 | 11 | | 2knownassection191.620,toreadasfollows: |
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| 12 | 12 | | 191.620.1.Forpurposesofthissection,thefollowingtermsmean: |
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| 13 | 13 | | 2 (1)"Department",thedepartmentofhealthandseniorservices; |
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| 14 | 14 | | 3 (2)"Primarycarephysician",aphysicianlicensedandregisteredunderchapter |
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| 15 | 15 | | 4334engagedingeneralorfamilypractice; |
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| 16 | 16 | | 5 (3)"Ruralcounty",acountyinMissouriwithfewerthanthirty-fivethousand |
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| 17 | 17 | | 6inhabitants. |
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| 18 | 18 | | 7 2.Subjecttoappropriation,thedepartmentshallestablisharuralprimarycare |
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| 19 | 19 | | 8physiciangrantprogramtoprovideincentivestoprimarycarephysicianstopractice |
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| 20 | 20 | | 9andresideinruralcounties.Thedepartmentshallawardgrantstoeligibleprimary |
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| 21 | 21 | | 10carephysiciansonthebasisofavailablefunds,withprioritygiventoprimarycare |
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| 22 | 22 | | 11physicianspracticinginruralcountieshavingthegreatestneed. |
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| 23 | 23 | | 12 3.Anyprimarycarephysicianwhobeginspracticeasaprimarycarephysician |
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| 24 | 24 | | 13inaruralcountyafterAugust28,2022,whoresidesinsuchruralcounty,andwhois |
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| 25 | 25 | | 14willingtoenterintoagrantagreementunderthetermsoutlinedinsubsection4ofthis |
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| 26 | 26 | | 15sectionshallbeeligibletoreceiveagrantunderthissection.Thedepartmentshallpost |
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| 27 | 27 | | 16onitswebsitetheeligibilitycriteriaoutlinedinthissection,thecontentsofthegrant |
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| 28 | 28 | | EXPLANATION—Matterenclosedinbold-facedbrackets[thus] intheabovebillisnotenactedandis |
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| 29 | 29 | | intendedtobeomittedfromthelaw.Matterinbold-facetypeintheabovebillisproposedlanguage. 17application,andtheproceduresandtimelinesbywhichprimarycarephysiciansmay |
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| 30 | 30 | | 18applyforgrants. |
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| 31 | 31 | | 19 4.Thedepartmentshallenterintoagrantagreementwitheachprimarycare |
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| 32 | 32 | | 20physiciantowhomitawardsagrantunderthissection.Thegrantagreementshallbein |
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| 33 | 33 | | 21writingandshallcontain: |
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| 34 | 34 | | 22 (1)Aprovisionthattheprimarycarephysicianagreestoresideandpracticeasa |
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| 35 | 35 | | 23primarycarephysicianinaruralcountyforacontinuousfive-yearperiodandthestate |
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| 36 | 36 | | 24agreestopaytheprimarycarephysiciantenthousanddollarseachyearofsuchfive- |
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| 37 | 37 | | 25yearperiod,withsuchperiodofresidenceandpracticetobeginimmediately; |
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| 38 | 38 | | 26 (2)Aprovisionthatanyobligationsarisingoutoftheagreemententeredinto |
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| 39 | 39 | | 27undersubdivision(1)ofthissubsectionarecontingentuponfundsbeingappropriated |
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| 40 | 40 | | 28forgrantpayments; |
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| 41 | 41 | | 29 (3)Aprovisionidentifyingtheruralcountywheretheprimarycarephysician |
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| 42 | 42 | | 30willpracticeandreside; |
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| 43 | 43 | | 31 (4)Astatementofthedamagestowhichthestateisentitledfortheprimarycare |
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| 44 | 44 | | 32physician'sbreachofthegrantagreement;and |
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| 45 | 45 | | 33 (5)Suchotherstatementsoftherightsandliabilitiesofthedepartmentandof |
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| 46 | 46 | | 34theprimarycarephysiciannotinconsistentwiththissection. |
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| 47 | 47 | | 35 5.Ifanindividualbreachesthewrittengrantagreementbyfailingeitherto |
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| 48 | 48 | | 36beginthefive-yearperiodofresidenceandpracticeortocompletethefive-yearperiod |
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| 49 | 49 | | 37ofresidenceandpractice,thestateshallbeentitledtorecoverfromtheindividualan |
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| 50 | 50 | | 38amountequaltothesumof: |
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| 51 | 51 | | 39 (1)Thetotaloftheamountspaidbythestatetotheindividualunderthegrant |
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| 52 | 52 | | 40agreement; |
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| 53 | 53 | | 41 (2)Anamountequaltoanydamagesincurredbythedepartmentasaresultof |
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| 54 | 54 | | 42thebreach;and |
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| 55 | 55 | | 43 (3)Anylegalfeesorassociatedcostsincurredbythedepartmentorthestatein |
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| 56 | 56 | | 44thecollectionofdamages. |
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| 57 | 57 | | 45 6.Thissectionshallnotbeconstruedtorequirethedepartmenttoenterinto |
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| 58 | 58 | | 46grantagreementswithprimarycarephysicianswhoareeligibleforgrantsunderthis |
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| 59 | 59 | | 47sectionifstatefundsarenotavailableforsuchpurpose. |
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| 60 | 60 | | 48 7.(1)Thereisherebycreatedinthestatetreasurythe"RuralPrimaryCare |
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| 61 | 61 | | 49PhysicianGrantProgramFund",whichshallconsistofmoneysappropriatedtoitby |
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| 62 | 62 | | 50thegeneralassembly.Thestatetreasurershallbecustodianofthefund.Inaccordance |
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| 63 | 63 | | 51withsections30.170and30.180,thestatetreasurermayapprovedisbursements.The |
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| 64 | 64 | | 52fundshallbeadedicatedfundand,uponappropriation,moneysinthefundshallbe |
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| 65 | 65 | | HB1630 2 53usedsolelyforawardinggrantsandadministeringthegrantprogramdescribedinthis |
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| 66 | 66 | | 54section. |
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| 67 | 67 | | 55 (2)Notwithstandingtheprovisionsofsection33.080tothecontrary,anymoneys |
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| 68 | 68 | | 56remaininginthefundattheendofthebienniumshallnotreverttothecreditofthe |
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| 69 | 69 | | 57generalrevenuefund. |
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| 70 | 70 | | 58 (3)Thestatetreasurershallinvestmoneysinthefundinthesamemanneras |
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| 71 | 71 | | 59otherfundsareinvested.Anyinterestandmoneysearnedonsuchinvestmentsshallbe |
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| 72 | 72 | | 60creditedtothefund. |
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| 73 | 73 | | 61 8.Thedepartmentmaypromulgaterulestoimplementtheprovisionsofthis |
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| 74 | 74 | | 62section.Anyruleorportionofarule,asthattermisdefinedinsection536.010,thatis |
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| 75 | 75 | | 63createdundertheauthoritydelegatedinthissectionshallbecomeeffectiveonlyifit |
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| 76 | 76 | | 64complieswithandissubjecttoalloftheprovisionsofchapter536and,ifapplicable, |
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| 77 | 77 | | 65section536.028.Thissectionandchapter536arenonseverable,andifanyofthepowers |
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| 78 | 78 | | 66vestedwiththegeneralassemblypursuanttochapter536toreview,todelaythe |
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| 79 | 79 | | 67effectivedate,ortodisapproveandannularulearesubsequentlyheldunconstitutional, |
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| 80 | 80 | | 68thenthegrantofrulemakingauthorityandanyruleproposedoradoptedafterAugust |
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| 81 | 81 | | 6928,2022,shallbeinvalidandvoid. |
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| 82 | 82 | | âś” |
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| 83 | 83 | | HB1630 3 |
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