SECONDREGULARSESSION HOUSEBILLNO.1676 101STGENERALASSEMBLY INTRODUCEDBYREPRESENTATIVEPERKINS. 3522H.01I DANARADEMANMILLER,ChiefClerk ANACT Torepealsections67.145,70.631,170.310,190.091,650.320,650.330,and650.340,RSMo, andtoenactinlieuthereofsevennewsectionsrelatingtotelecommunicatorfirst responders. BeitenactedbytheGeneralAssemblyofthestateofMissouri,asfollows: SectionA.Sections67.145,70.631,170.310,190.091,650.320,650.330,and 2650.340,RSMo,arerepealedandsevennewsectionsenactedinlieuthereof,tobeknownas 3sections67.145,70.631,170.310,190.091,650.320,650.330,and650.340,toreadas 4follows: 67.145.1.Nopoliticalsubdivisionofthisstateshallprohibitanyfirstresponderfrom 2engaginginanypoliticalactivitywhileoffdutyandnotinuniform,beingacandidatefor 3electedorappointedpublicoffice,orholdingsuchofficeunlesssuchpoliticalactivityor 4candidacyisotherwiseprohibitedbystateorfederallaw. 5 2.Asusedinthissection,"firstresponder"meansanypersontrainedandauthorized 6bylaworruletorenderemergencymedicalassistanceortreatment.Suchpersonsmay 7include,butshallnotbelimitedto,emergencyfirstresponders,telecommunicatorfirst 8responders,policeofficers,sheriffs,deputysheriffs,firefighters,ambulanceattendantsand 9attendantdrivers,emergencymedicaltechnicians,mobileemergencymedicaltechnicians, 10emergencymedicaltechnician-paramedics,registerednurses,orphysicians. 70.631.1.Eachpoliticalsubdivisionmay,bymajorityvoteofitsgoverningbody, 2electtocoveremergency[telecommunicators] telecommunicatorfirstresponders, jailors, 3andemergencymedicalservicepersonnelaspublicsafetypersonnelmembersofthesystem. 4Theclerkorsecretaryofthepoliticalsubdivisionshallcertifyanelectionconcerningthe EXPLANATION—Matterenclosedinbold-facedbrackets[thus] intheabovebillisnotenactedandis intendedtobeomittedfromthelaw.Matterinbold-facetypeintheabovebillisproposedlanguage. 5coverageofemergency[telecommunicators] telecommunicatorfirstresponders, jailors, 6andemergencymedicalservicepersonnelaspublicsafetypersonnelmembersofthesystem 7totheboardwithintendaysaftersuchvote.Thedateinwhichthepoliticalsubdivision's 8electionbecomeseffectiveshallbethefirstdayofthecalendarmonthspecifiedbysuch 9governingbody,thefirstdayofthecalendarmonthnextfollowingreceiptbytheboardofthe 10certificationoftheelection,ortheeffectivedateofthepoliticalsubdivision'sbecomingan 11employer,whicheveristhelatestdate.Suchelectionshallnotbechangedaftertheeffective 12date.Iftheelectionismade,thecoverageprovisionsshallbeapplicabletoallpastandfuture 13employmentwiththeemployerbypresentandfutureemployees.Ifapoliticalsubdivision 14makesnoelectionunderthissection,noemergencytelecommunicatorfirstresponder, jailor, 15oremergencymedicalservicepersonnelofthepoliticalsubdivisionshallbeconsideredpublic 16safetypersonnelforpurposesdeterminingaminimumserviceretirementageasdefinedin 17section70.600. 18 2.Ifanemployerelectstocoveremergency[telecommunicators] telecommunicator 19firstresponders, jailors,andemergencymedicalservicepersonnelaspublicsafetypersonnel 20membersofthesystem,theemployer'scontributionsshallbecorrespondinglychanged 21effectivethesamedateastheeffectivedateofthepoliticalsubdivision'selection. 22 3.Thelimitationonincreasesinanemployer'scontributionsprovidedbysubsection 236ofsection70.730shallnotapplytoanycontributionincreaseresultingfromanemployer 24makinganelectionundertheprovisionsofthissection. 25 4.Theprovisionsofthissectionshallonlyapplytocountiesofthethirdclassification 26andanycountyofthefirstclassificationwithmorethanseventythousandbutfewerthan 27eighty-threethousandinhabitantsandwithacityofthefourthclassificationwithmorethan 28thirteenthousandfivehundredbutfewerthansixteenthousandinhabitantsasthecountyseat, 29andanypoliticalsubdivisionslocated,inwholeorinpart,withinsuchcounties. 170.310.1.Forschoolyear2017-18andeachschoolyearthereafter,upon 2graduationfromhighschool,pupilsinpublicschoolsandcharterschoolsshallhavereceived 3thirtyminutesofcardiopulmonaryresuscitationinstructionandtrainingintheproper 4performanceoftheHeimlichmaneuverorotherfirstaidforchokinggivenanytimeduringa 5pupil'sfouryearsofhighschool. 6 2.Beginninginschoolyear2017-18,anypublicschoolorcharterschoolserving 7gradesninethroughtwelveshallprovideenrolledstudentsinstructionincardiopulmonary 8resuscitation.Studentswithdisabilitiesmayparticipatetotheextentappropriateas 9determinedbytheprovisionsoftheIndividualswithDisabilitiesEducationActorSection 10504oftheRehabilitationAct.Instructionshallbeincludedinthedistrict'sexistinghealthor 11physicaleducationcurriculum.Instructionshallbebasedonaprogramestablishedbythe 12AmericanHeartAssociationortheAmericanRedCross,orthroughanationallyrecognized HB1676 2 13programbasedonthemostcurrentnationalevidence-basedemergencycardiovascularcare 14guidelines,andpsychomotorskillsdevelopmentshallbeincorporatedintotheinstruction. 15Forpurposesofthissection,"psychomotorskills"meanstheuseofhands-onpracticingand 16skillstestingtosupportcognitivelearning. 17 3.Theteacherofthecardiopulmonaryresuscitationcourseorunitshallnotbe 18requiredtobeacertifiedtrainerofcardiopulmonaryresuscitationiftheinstructionisnot 19designedtoresultincertificationofstudents.Instructionthatisdesignedtoresultin 20certificationbeingearnedshallberequiredtobetaughtbyanauthorizedcardiopulmonary 21instructor.Schoolsmaydevelopagreementswithanylocalchapterofavoluntary 22organizationoffirstresponderstoprovidetherequiredhands-onpracticeandskillstesting. 23Forpurposesofthissubsection,firstrespondersshallincludetelecommunicatorfirst 24respondersasdefinedinsection650.320. 25 4.Thedepartmentofelementaryandsecondaryeducationmaypromulgaterulesto 26implementthissection.Anyruleorportionofarule,asthattermisdefinedinsection 27536.010,thatiscreatedundertheauthoritydelegatedinthissectionshallbecomeeffective 28onlyifitcomplieswithandissubjecttoalloftheprovisionsofchapter536and,ifapplicable, 29section536.028.Thissectionandchapter536arenonseverableandifanyofthepowers 30vestedwiththegeneralassemblypursuanttochapter536toreview,todelaytheeffective 31date,ortodisapproveandannularulearesubsequentlyheldunconstitutional,thenthegrant 32ofrulemakingauthorityandanyruleproposedoradoptedafterAugust28,2012,shallbe 33invalidandvoid. 190.091.1.Asusedinthissection,thefollowingtermsmean: 2 (1)"Bioterrorism",theintentionaluseofanymicroorganism,virus,infectious 3substance,orbiologicalproductthatmaybeengineeredasaresultofbiotechnologyorany 4naturallyoccurringorbioengineeredcomponentofanymicroorganism,virus,infectious 5substance,orbiologicalproducttocausedeath,disease,orotherbiologicalmalfunctionina 6human,ananimal,aplant,oranyotherlivingorganismtoinfluencetheconductof 7governmentortointimidateorcoerceacivilianpopulation; 8 (2)"Department",theMissouridepartmentofhealthandseniorservices; 9 (3)"Director",thedirectorofthedepartmentofhealthandseniorservices; 10 (4)"Disasterlocations",anygeographicallocationwhereabioterrorismattack, 11terroristattack,catastrophicornaturaldisaster,oremergencyoccurs; 12 (5)"Firstresponders",stateandlocallawenforcementpersonnel,telecommunicator 13firstresponders,firedepartmentpersonnel,andemergencymedicalpersonnelwhowillbe 14deployedtobioterrorismattacks,terroristattacks,catastrophicornaturaldisasters,and 15emergencies. HB1676 3 16 2.Thedepartmentshallofferavaccinationprogramforfirstresponderswhomaybe 17exposedtoinfectiousdiseaseswhendeployedtodisasterlocationsasaresultofa 18bioterrorismeventorasuspectedbioterrorismevent.Thevaccinationsshallinclude,butare 19notlimitedto,smallpox,anthrax,andothervaccinationswhenrecommendedbythefederal 20CentersforDiseaseControlandPrevention'sAdvisoryCommitteeonImmunization 21Practices. 22 3.Participationinthevaccinationprogramshallbevoluntarybythefirstresponders, 23exceptforfirstresponderswho,asdeterminedbytheiremployer,cannotsafelyperform 24emergencyresponsibilitieswhenrespondingtoabioterrorismeventorsuspectedbioterrorism 25eventwithoutbeingvaccinated.TherecommendationsoftheCentersforDiseaseControl 26andPrevention'sAdvisoryCommitteeonImmunizationPracticesshallbefollowedwhen 27providingappropriatescreeningforcontraindicationstovaccinationforfirstresponders.A 28firstrespondershallbeexemptfromvaccinationswhenawrittenstatementfromalicensed 29physicianispresentedtotheiremployerindicatingthatavaccineismedicallycontraindicated 30forsuchperson. 31 4.Ifashortageofthevaccinesreferredtoinsubsection2ofthissectionexists 32followingabioterrorismeventorsuspectedbioterrorismevent,thedirector,inconsultation 33withthegovernorandthefederalCentersforDiseaseControlandPrevention,shallgive 34priorityforsuchvaccinationstopersonsexposedtothediseaseandtofirstresponderswho 35aredeployedtothedisasterlocation. 36 5.Thedepartmentshallnotifyfirstrespondersconcerningtheavailabilityofthe 37vaccinationprogramdescribedinsubsection2ofthissectionandshallprovideeducationto 38suchfirstrespondersandtheiremployersconcerningthevaccinationsofferedandthe 39associateddiseases. 40 6.Thedepartmentmaycontractfortheadministrationofthevaccinationprogram 41describedinsubsection2ofthissectionwithhealthcareproviders,includingbutnotlimited 42tolocalpublichealthagencies,hospitals,federallyqualifiedhealthcenters,andphysicians. 43 7.Theprovisionsofthissectionshallbecomeeffectiveuponreceiptoffederal 44fundingorfederalgrantswhichdesignatethatthefundingisrequiredtoimplement 45vaccinationsforfirstrespondersinaccordancewiththerecommendationsofthefederal 46CentersforDiseaseControlandPrevention'sAdvisoryCommitteeonImmunization 47Practices.Uponreceiptofsuchfunding,thedepartmentshallmakeavailablethevaccinesto 48firstrespondersasprovidedinthissection. 650.320.Forthepurposesofsections650.320to650.340,thefollowingtermsmean: 2 (1)"Board",theMissouri911serviceboardestablishedinsection650.325; 3 (2)"Publicsafetyansweringpoint",thelocationatwhich911callsareanswered; HB1676 4 4 (3)"Telecommunicatorfirstresponder", anypersonemployedasanemergency 5[telephoneworker,]calltakerorpublicsafetydispatcherwhosedutiesincludereceiving, 6processingortransmittingpublicsafetyinformationreceivedthrougha911publicsafety 7answeringpoint. 650.330.1.Theboardshallconsistoffifteenmembers,oneofwhichshallbechosen 2fromthedepartmentofpublicsafety,andtheothermembersshallbeselectedasfollows: 3 (1)Onememberchosentorepresentanassociationdomiciledinthisstatewhose 4primaryinterestrelatestomunicipalities; 5 (2)OnememberchosentorepresenttheMissouri911DirectorsAssociation; 6 (3)Onememberchosentorepresentemergencymedicalservicesandphysicians; 7 (4)Onememberchosentorepresentanassociationwithachapterdomiciledinthis 8statewhoseprimaryinterestrelatestoanationalemergencynumber; 9 (5)Onememberchosentorepresentanassociationwhoseprimaryinterestrelatesto 10issuespertainingtofirechiefs; 11 (6)Onememberchosentorepresentanassociationwithachapterdomiciledinthis 12statewhoseprimaryinterestrelatestoissuespertainingtopublicsafetycommunications 13officers; 14 (7)Onememberchosentorepresentanassociationwhoseprimaryinterestrelatesto 15issuespertainingtopolicechiefs; 16 (8)Onememberchosentorepresentanassociationdomiciledinthisstatewhose 17primaryinterestrelatestoissuespertainingtosheriffs; 18 (9)Onememberchosentorepresentcountiesofthesecond,third,andfourth 19classification; 20 (10)Onememberchosentorepresentcountiesofthefirstclassification,countieswith 21acharterformofgovernment,andcitiesnotwithinacounty; 22 (11)Onememberchosentorepresenttelecommunicationsserviceproviders; 23 (12)Onememberchosentorepresentwirelesstelecommunicationsserviceproviders; 24 (13)Onememberchosentorepresentvoiceoverinternetprotocolserviceproviders; 25and 26 (14)Onememberchosentorepresentthegovernor'scouncilondisabilityestablished 27undersection37.735. 28 2.Eachofthemembersoftheboardshallbeappointedbythegovernorwiththe 29adviceandconsentofthesenateforatermoffouryears.Membersofthecommitteemay 30servemultipleterms.Nocorporationoritsaffiliateshallhavemorethanoneofficer, 31employee,assign,agent,orotherrepresentativeservingasamemberoftheboard. 32Notwithstandingsubsection1ofthissectiontothecontrary,allmembersappointedasof 33August28,2017,shallcontinuetoservetheremainderoftheirterms. HB1676 5 34 3.Theboardshallmeetatleastquarterlyataplaceandtimespecifiedbythe 35chairpersonoftheboardanditshallkeepandmaintainrecordsofsuchmeetings,aswellas 36theotheractivitiesoftheboard.Membersshallnotbecompensatedbutshallreceiveactual 37andnecessaryexpensesforattendingmeetingsoftheboard. 38 4.Theboardshall: 39 (1)Organizeandadoptstandardsgoverningtheboard'sformalandinformal 40procedures; 41 (2)Providerecommendationsforprimaryansweringpointsandsecondaryanswering 42pointsontechnicalandoperationalstandardsfor911services; 43 (3)Providerecommendationstopublicagenciesconcerningmodelsystemstobe 44consideredinpreparinga911serviceplan; 45 (4)Providerequestedmediationservicestopoliticalsubdivisionsinvolvedin 46jurisdictionaldisputesregardingtheprovisionof911services,exceptthattheboardshallnot 47supersededecision-makingauthorityoflocalpoliticalsubdivisionsinregardto911services; 48 (5)Provideassistancetothegovernorandthegeneralassemblyregarding911 49services; 50 (6)Reviewexistingandproposedlegislationandmakerecommendationsasto 51changesthatwouldimprovesuchlegislation; 52 (7)Aidandassistinthetimelycollectionanddisseminationofinformationrelatingto 53theuseofauniversalemergencytelephonenumber; 54 (8)Performotherdutiesasnecessarytopromotesuccessfuldevelopment, 55implementationandoperationof911systemsacrossthestate,includingmonitoringfederal 56andindustrystandardsbeingdevelopedfornext-generation911systems; 57 (9)Designateastate911coordinatorwhoshallberesponsibleforoverseeing 58statewide911operationsandensuringcompliancewithfederalgrantsfor911funding; 59 (10)Electthechairfromitsmembership; 60 (11)Applyforandreceivegrantsfromfederal,private,andothersources; 61 (12)Reporttothegovernorandthegeneralassemblyatleasteverythreeyearsonthe 62statusof911servicesstatewide,aswellasspecificeffortstoimproveefficiency,cost- 63effectiveness,andlevelsofservice; 64 (13)Conductandreviewanannualsurveyofpublicsafetyansweringpointsin 65Missouritoevaluatepotentialforimprovedservices,coordination,andfeasibilityof 66consolidation; 67 (14)Makeandexecutecontractsoranyotherinstrumentsandagreementsnecessary 68orconvenientfortheexerciseofitspowersandfunctions,includingforthedevelopmentand 69implementationofanemergencyservicesinternetprotocolnetworkthatcanbesharedbyall 70publicsafetyagencies; HB1676 6 71 (15)Developaplanandtimelineoftargetdatesforthetesting,implementation,and 72operationofanext-generation911systemthroughoutMissouri.Thenext-generation911 73systemshallallowfortheprocessingofelectronicmessagesincluding,butnotlimitedto, 74electronicmessagescontainingtext,images,video,ordata; 75 (16)Administerandauthorizegrantsandloansundersection650.335tothose 76countiesandanyhomerulecitywithmorethanfifteenthousandbutfewerthanseventeen 77thousandinhabitantsandpartiallylocatedinanycountyofthethirdclassificationwithouta 78townshipformofgovernmentandwithmorethanthirty-seventhousandbutfewerthanforty- 79onethousandinhabitantsthatcandemonstrateafinancialcommitmenttoimproving911 80servicesbyprovidingatleastafiftypercentmatchanddemonstratetheabilitytooperateand 81maintainongoing911services.Thepurposeofgrantsandloansfromthe911servicetrust 82fundshallinclude: 83 (a)Implementationof911servicesincountiesofthestatewhereservicesdonotexist 84ortoimproveexisting911systems; 85 (b)Promotionofconsolidationwhereappropriate; 86 (c)Mappingandaddressingallcountylocations; 87 (d)Ensuringprimaryaccessandtextingabilitiesto911servicesfordisabled 88residents; 89 (e)Implementationofinitialemergencymedicaldispatchservices,including 90prearrivalmedicalinstructionsincountieswherethoseservicesarenotofferedasofJuly1, 912019;and 92 (f)Developmentandimplementationofanemergencyservicesinternetprotocol 93networkthatcanbesharedbyallpublicsafetyagencies; 94 (17)Developanapplicationprocessincludingreportingandaccountability 95requirements,withholdingaportionofthegrantuntilcompletionofaproject,andother 96measurestoensurefundsareusedinaccordancewiththelawandpurposeofthegrant,and 97conductauditsasdeemednecessary; 98 (18)Setthepercentagerateoftheprepaidwirelessemergencytelephoneservice 99chargestoberemittedtoacountyorcityasprovidedundersubdivision(5)ofsubsection3of 100section190.460; 101 (19)Retaininitsrecordsproposedcountyplansdevelopedundersubsection11of 102section190.455andnotifythedepartmentofrevenuethatthecountyhasfiledaplanthatis 103readyforimplementation; 104 (20)Notifyanycommunicationsserviceprovider,asdefinedinsection190.400,that 105hasvoluntarilysubmitteditscontactinformationwhenanyupdateismadetothecentralized 106databaseestablishedundersection190.475asaresultofacountyorcityestablishingor HB1676 7 107modifyingataxormonthlyfeenolessthanninetydayspriortotheeffectivedateofthe 108establishmentormodificationofthetaxormonthlyfee; 109 (21)Establishcriteriaforconsolidationprioritizationofpublicsafetyanswering 110points; 111 (22)Incoordinationwithexistingpublicsafetyansweringpoints,byDecember31, 1122018,designatenomorethanelevenregional911coordinationcenterswhichshallcoordinate 113statewideinteroperabilityamongpublicsafetyansweringpointswithintheirregionthrough 114theuseofastatewide911emergencyservicesnetwork;[and] 115 (23)Establishanannualbudget,retainrecordsofallrevenueandexpendituresmade, 116retainminutesofallmeetingsandsubcommittees,postrecords,minutes,andreportsonthe 117board'swebpageonthedepartmentofpublicsafetywebsite; and 118 (24)Promoteandeducatethepublicaboutthecriticalroleoftelecommunicator 119firstrespondersinprotectingthepublicandensuringpublicsafety. 120 5.Thedepartmentofpublicsafetyshallprovidestaffassistancetotheboardas 121necessaryinorderfortheboardtoperformitsdutiespursuanttosections650.320to650.340. 122Theboardshallhavetheauthoritytohireconsultantstoadministertheprovisionsofsections 123650.320to650.340. 124 6.Theboardshallpromulgaterulesandregulationsthatarereasonableandnecessary 125toimplementandadministertheprovisionsofsections190.455,190.460,190.465,190.470, 126190.475,andsections650.320to650.340.Anyruleorportionofarule,asthattermis 127definedinsection536.010,shallbecomeeffectiveonlyifithasbeenpromulgatedpursuantto 128theprovisionsofchapter536.Thissectionandchapter536arenonseverableandifanyofthe 129powersvestedwiththegeneralassemblypursuanttochapter536toreview,todelaythe 130effectivedateortodisapproveandannularulearesubsequentlyheldunconstitutional,then 131thegrantofrulemakingauthorityandanyruleproposedoradoptedafterAugust28,2017, 132shallbeinvalidandvoid. 650.340.1.Theprovisionsofthissectionmaybecitedandshallbeknownasthe 2"911TrainingandStandardsAct". 3 2.Initialtrainingrequirementsfor[telecommunicators] telecommunicatorfirst 4responderswhoanswer911callsthatcometopublicsafetyansweringpointsshallbeas 5follows: 6 (1)Policetelecommunicatorfirstresponder, 16hours; 7 (2)Firetelecommunicatorfirstresponder, 16hours; 8 (3)Emergencymedicalservicestelecommunicatorfirstresponder, 16hours; 9 (4)Jointcommunicationcentertelecommunicatorfirstresponder, 40hours. 10 3.Allpersonsemployedasatelecommunicatorfirstresponderinthisstateshallbe 11requiredtocompleteongoingtrainingsolongassuchpersonengagesintheoccupationasa HB1676 8 12telecommunicatorfirstresponder. Suchpersonsshallcompleteatleasttwenty-fourhoursof 13ongoingtrainingeverythreeyearsbysuchpersonsororganizationsasprovidedinsubsection 146ofthissection. 15 4.AnypersonemployedasatelecommunicatoronAugust28,1999,shallnotbe 16requiredtocompletethetrainingrequirementasprovidedinsubsection2ofthissection.Any 17personhiredasatelecommunicatororatelecommunicatorfirstresponderafterAugust28, 181999,shallcompletethetrainingrequirementsasprovidedinsubsection2ofthissection 19withintwelvemonthsofthedatesuchpersonisemployedasatelecommunicatoror 20telecommunicatorfirstresponder. 21 5.Thetrainingrequirementsasprovidedinsubsection2ofthissectionshallbe 22waivedforanypersonwhofurnishesprooftothecommitteethatsuchpersonhascompleted 23traininginanotherstatewhichisatleastasstringentasthetrainingrequirementsof 24subsection2ofthissection. 25 6.Theboardshalldeterminebyadministrativerulethepersonsororganizations 26authorizedtoconductthetrainingasrequiredbysubsection2ofthissection. 27 7.Thissectionshallnotapplytoanemergencymedicaldispatcherordispatch 28agencyasdefinedinsection190.100,orapersontrainedbyanentityaccreditedorcertified 29undersection190.131,orapersonwhoprovidesprearrivalmedicalinstructionswhoworks 30foranagencywhichmeetstherequirementssetforthinsection190.134. ✔ HB1676 9