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