| 1 | 1 | | SECONDREGULARSESSION |
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| 2 | 2 | | HOUSEBILLNO.2072 |
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| 3 | 3 | | 101STGENERALASSEMBLY |
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| 4 | 4 | | INTRODUCEDBYREPRESENTATIVESAULS. |
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| 5 | 5 | | 3971H.01I DANARADEMANMILLER,ChiefClerk |
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| 6 | 6 | | ANACT |
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| 7 | 7 | | Toamendchapter42,RSMo,byaddingtheretoonenewsectionrelatingtoalternative |
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| 8 | 8 | | treatmentoptionsforveterans. |
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| 9 | 9 | | BeitenactedbytheGeneralAssemblyofthestateofMissouri,asfollows: |
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| 10 | 10 | | SectionA.Chapter42,RSMo,isamendedbyaddingtheretoonenewsection,tobe |
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| 11 | 11 | | 2knownassection42.018,toreadasfollows: |
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| 12 | 12 | | 42.018.1.Asusedinthissection,thefollowingtermsmean: |
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| 13 | 13 | | 2 (1)"Eligiblepatient",amilitaryveteranwhomeetstherequirementsofthis |
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| 14 | 14 | | 3section; |
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| 15 | 15 | | 4 (2)"Healthcarefacility",thesamemeaningasprovidedundersection190.100 |
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| 16 | 16 | | 5oranyprivatehyberbaricoxygentreatmentcenterlicensedinthisstate; |
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| 17 | 17 | | 6 (3)"Healthcareprovider",alicensedphysician,alicensedadvancedpractice |
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| 18 | 18 | | 7registerednurse,oralicensedphysicianassistant; |
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| 19 | 19 | | 8 (4)"Posttraumaticstressdisorder"or"PTSD",amentalhealthdisorderthatis |
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| 20 | 20 | | 9developedafterhavingexperiencedorwitnessedalife-threateningeventincluding,but |
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| 21 | 21 | | 10notlimitedto,militarysexualtrauma; |
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| 22 | 22 | | 11 (5)"Traumaticbraininjury"or"TBI",anacquiredinjurytothebrain. |
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| 23 | 23 | | 12"Traumaticbraininjury"doesnotincludebraindysfunctioncausedbycongenitalor |
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| 24 | 24 | | 13degenerativedisordersorbirthtrauma. |
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| 25 | 25 | | 14 2.Theveteranscommissionmaycontractwithpublicorprivateinstitutionsof |
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| 26 | 26 | | 15highereducationinthisstate,orpublicorprivateclinicsorhospitals,tofurnish |
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| 27 | 27 | | 16alternativetreatmentoptionsforveteranswhohavebeencertifiedbytheUnitedStates |
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| 28 | 28 | | 17DepartmentofVeteransAffairs,anybranchoftheUnitedStatesArmedForces,orany |
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| 29 | 29 | | EXPLANATION—Matterenclosedinbold-facedbrackets[thus] intheabovebillisnotenactedandis |
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| 30 | 30 | | intendedtobeomittedfromthelaw.Matterinbold-facetypeintheabovebillisproposedlanguage. 18state-licensedphysicianashavingatraumaticbraininjuryorposttraumaticstress |
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| 31 | 31 | | 19disorder.Theinstitutionofhighereducationshallmanage,monitor,andensurethe |
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| 32 | 32 | | 20complianceofcontractedprovidersofanyofthefollowingalternativetreatment |
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| 33 | 33 | | 21options: |
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| 34 | 34 | | 22 (1)Acceleratedresolutiontherapy; |
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| 35 | 35 | | 23 (2)Equinetherapy; |
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| 36 | 36 | | 24 (3)Hyperbaricoxygentherapy,whichshallbeprovidedataregisteredand |
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| 37 | 37 | | 25licensedhyperbaricoxygenfacility; |
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| 38 | 38 | | 26 (4)Musictherapy;or |
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| 39 | 39 | | 27 (5)Serviceanimaltrainingtherapy. |
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| 40 | 40 | | 28 3.Aveteranqualifiestoreceivealternativetreatmentunderthissectionifheor |
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| 41 | 41 | | 29she: |
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| 42 | 42 | | 30 (1)Hasbeendiagnosed,byahealthcarepractitioner,withservice-connected |
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| 43 | 43 | | 31posttraumaticstressdisorderoraservice-connectedtraumaticbraininjury;and |
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| 44 | 44 | | 32 (2)Voluntarilyagreestosuchalternativetreatment. |
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| 45 | 45 | | 33 4.(1)Theprovisionofalternativetreatmentshallbeunderthedirectionand |
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| 46 | 46 | | 34supervisionofanindividuallicensedinthisstatetoperformsuchalternativetreatment. |
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| 47 | 47 | | 35 (2)Thesupervisinglicensedprovidershallagreetocooperatewiththeveterans |
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| 48 | 48 | | 36commissiontoprovidedatasufficienttoassesstheefficacyofalternativetreatment |
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| 49 | 49 | | 37modalities.Acceptabledatamayinclude,butshallnotbelimitedto,institutionalreview |
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| 50 | 50 | | 38boardclinicaltrialdata,pretreatmentandposttreatmentMRIbrainscans,cognitive |
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| 51 | 51 | | 39testingsuchastheRightEyetestingapprovedbytheUnitedStatesFoodandDrug |
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| 52 | 52 | | 40Administration,AutomatedNeuropsychologicalAssessmentMetrics(ANAM)approved |
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| 53 | 53 | | 41bytheUnitedStatesDepartmentofDefense,andCNSVitalSigns(CNSVS)metrics. |
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| 54 | 54 | | 42 5.(1)Ahealthcareproviderorhealthcarefacilityshallmakehyperbaric |
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| 55 | 55 | | 43oxygentherapyavailabletoaneligiblepatientwhohasrequestedsuchtherapyunder |
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| 56 | 56 | | 44theprovisionsofthissubsection. |
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| 57 | 57 | | 45 (2)Suchahealthcareproviderorhealthcarefacilitymay: |
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| 58 | 58 | | 46 (a)Providethehyperbaricoxygentherapywithoutreceivingcompensation; |
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| 59 | 59 | | 47 (b)Requireaneligiblepatienttopayforthecostofthehyperbaricoxygen |
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| 60 | 60 | | 48therapyandanyassociatedcosts,ataratethatshallnotexceedthemaximumrate |
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| 61 | 61 | | 49allowedbyMedicare;or |
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| 62 | 62 | | 50 (c)Allowaneligiblepatienttoutilizealternativesourcesoffundingtocoverthe |
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| 63 | 63 | | 51costofthehyperbaricoxygentherapyandanyassociatedcosts.Suchalternative |
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| 64 | 64 | | 52sourcesoffundingmayinclude,butshallnotbelimitedto,gifts,grants,donations, |
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| 65 | 65 | | 53reimbursementsfromfederalprograms,andcontributionsfromthirdparties.The |
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| 66 | 66 | | HB2072 2 54eligiblepatientshallremainliabletothehealthcareproviderorhealthcarefacilityfor |
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| 67 | 67 | | 55anyportionofcostsnotcoveredbyalternativesourcesoffunding. |
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| 68 | 68 | | 56 (3)Notwithstandinganyprovisionoflawtothecontrary,aneligiblepatientshall |
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| 69 | 69 | | 57beentitledtoreceivehyperbaricoxygentherapyunderthissubsectioniftheeligible |
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| 70 | 70 | | 58patient: |
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| 71 | 71 | | 59 (a)HasreceivedadiagnosisofPTSDorTBI; |
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| 72 | 72 | | 60 (b)Hasreceivedanofficialrecommendationforhyperbaricoxygentherapy |
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| 73 | 73 | | 61fromthehealthcareproviderthattreatstheeligiblepatient;and |
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| 74 | 74 | | 62 (c)Residesinthisstate. |
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| 75 | 75 | | 63 6.Alicensingboardshallnotrevoke,suspend,orfailtorenewthelicenseofa |
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| 76 | 76 | | 64healthcareprovider,ortakeanyotherpunitiveactionagainstahealthcareprovider, |
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| 77 | 77 | | 65basedonarecommendationorcounselingbythehealthcareproviderrelatingtoaccess |
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| 78 | 78 | | 66toortreatmentwithahyperbaricoxygenchamberforaneligiblepatient. |
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| 79 | 79 | | 67 7.Nopersonactingonbehalfofthisstateshallblockorattempttoblockan |
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| 80 | 80 | | 68eligiblepatientfromreceivingaccesstohyperbaricoxygentreatment. |
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| 81 | 81 | | 69 8.Nopersonshallimposerestrictionsonaccesstohyperbaricoxygentherapy |
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| 82 | 82 | | 70greaterthantherestrictionsimposedunderthissectionandanyotherapplicable |
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| 83 | 83 | | 71provisionsoflaw. |
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| 84 | 84 | | 72 9.(1)Thereisherebycreatedinthestatetreasurythe"HyperbaricOxygen |
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| 85 | 85 | | 73TherapyforMilitaryVeteransFund",whichshallconsistofmoneyscollectedunderthis |
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| 86 | 86 | | 74subsection.Thestatetreasurershallbecustodianofthefund.Inaccordancewith |
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| 87 | 87 | | 75sections30.170and30.180,thestatetreasurermayapprovedisbursements.Thefund |
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| 88 | 88 | | 76shallbeadedicatedfundand,uponappropriation,moneysinthefundshallbeused |
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| 89 | 89 | | 77solelyforthepurposesdescribedundersubdivision(2)ofthissubsection. |
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| 90 | 90 | | 78 (2)(a)Moneysinthefundshallbeusedbythehyperbaricoxygentherapy |
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| 91 | 91 | | 79advisorycommittee,establishedunderparagraph(b)ofthissubdivision,toprovide: |
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| 92 | 92 | | 80 a.Financialassistancetoeligiblepatientsforhyperbaricoxygentherapy;and |
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| 93 | 93 | | 81 b.Directincentivesforthirdpartiestoprovidefinancialassistancetoeligible |
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| 94 | 94 | | 82patientsforhyperbaricoxygentherapy. |
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| 95 | 95 | | 83 (b)a.Thereisherebyestablishedthe"HyperbaricOxygenTherapyAdvisory |
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| 96 | 96 | | 84Committee",whichshallconsistofateamofvolunteermemberstobeappointedbythe |
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| 97 | 97 | | 85governorofthisstate.Thecommitteeshallinclude,butshallnotbelimitedto,activeor |
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| 98 | 98 | | 86retiredmembersoftheArmedForces,physicians,medicalexperts,andnonmedical |
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| 99 | 99 | | 87expertsinrelevantfieldsrelatedtomedicine.Thetermsofthecommitteemembers |
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| 100 | 100 | | 88shallbesetbythegovernorupontheirappointmenttothecommittee.Thecommittee |
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| 101 | 101 | | 89membersshallserveatthepleasureofthegovernorandmayberemovedfromthe |
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| 102 | 102 | | 90committeebythegovernorforanyreason. |
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| 103 | 103 | | HB2072 3 91 b.Thehyperbaricoxygentherapyadvisorycommitteeshall: |
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| 104 | 104 | | 92 (i)Regularlydeterminehowtoawardmoneysinthefundaccordingtothe |
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| 105 | 105 | | 93provisionsofparagraph(a)ofthissubdivision; |
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| 106 | 106 | | 94 (ii)Createandmaintainanapplicationforeligiblepatientstoapplyforfinancial |
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| 107 | 107 | | 95assistanceforhyperbaricoxygentherapy; |
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| 108 | 108 | | 96 (iii)Makerecommendationstothegovernor,asnecessary,relatingtotheuseof |
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| 109 | 109 | | 97hyperbaricoxygentherapybymilitaryveterans;and |
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| 110 | 110 | | 98 (iv)Submitanannualreporttothegovernordetailingthefinancialstatusofthe |
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| 111 | 111 | | 99fundandthedemographicinformationofthepersonstowhomfinancialassistancehas |
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| 112 | 112 | | 100beenawardedfromthefund. |
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| 113 | 113 | | 101 (3)Notwithstandingtheprovisionsofsection33.080tothecontrary,anymoneys |
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| 114 | 114 | | 102remaininginthefundattheendofthebienniumshallnotreverttothecreditofthe |
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| 115 | 115 | | 103generalrevenuefund. |
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| 116 | 116 | | 104 (4)Thestatetreasurershallinvestmoneysinthefundinthesamemanneras |
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| 117 | 117 | | 105otherfundsareinvested.Anyinterestandmoneysearnedonsuchinvestmentsshallbe |
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| 118 | 118 | | 106creditedtothefund. |
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| 119 | 119 | | 107 10.NolaterthanJanuaryfirstofeachyear,beginningin2023,theveterans |
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| 120 | 120 | | 108commissionshallprepareareportdetailingeachalternativetreatmentprovidedunder |
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| 121 | 121 | | 109thissection,theprovidertype,thenumberofveteransserved,andthetreatment |
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| 122 | 122 | | 110outcomesandshallsubmitthereporttothegovernor,thepresidentprotemporeofthe |
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| 123 | 123 | | 111senate,andthespeakerofthehouseofrepresentatives. |
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| 124 | 124 | | 112 11.Thedepartmentofpublicsafetymaypromulgateallnecessaryrulesand |
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| 125 | 125 | | 113regulationsfortheimplementationofthissection.Anyruleorportionofarule,asthat |
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| 126 | 126 | | 114termisdefinedinsection536.010,thatiscreatedundertheauthoritydelegatedinthis |
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| 127 | 127 | | 115sectionshallbecomeeffectiveonlyifitcomplieswithandissubjecttoallofthe |
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| 128 | 128 | | 116provisionsofchapter536and,ifapplicable,section536.028.Thissectionandchapter |
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| 129 | 129 | | 117536arenonseverable,andifanyofthepowersvestedwiththegeneralassembly |
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| 130 | 130 | | 118pursuanttochapter536toreview,todelaytheeffectivedate,ortodisapproveandannul |
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| 131 | 131 | | 119arulearesubsequentlyheldunconstitutional,thenthegrantofrulemakingauthority |
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| 132 | 132 | | 120andanyruleproposedoradoptedafterAugust28,2022,shallbeinvalidandvoid. |
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| 133 | 133 | | âś” |
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| 134 | 134 | | HB2072 4 |
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