| 1 | 1 | | SECONDREGULARSESSION |
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| 2 | 2 | | HOUSEBILLNO.2371 |
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| 3 | 3 | | 101STGENERALASSEMBLY |
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| 4 | 4 | | INTRODUCEDBYREPRESENTATIVESMITH(155). |
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| 5 | 5 | | 5138H.01I DANARADEMANMILLER,ChiefClerk |
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| 6 | 6 | | ANACT |
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| 7 | 7 | | Torepealsections197.400,197.405,and197.445,RSMo,andtoenactinlieuthereofthree |
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| 8 | 8 | | newsectionsrelatingtohomehealth. |
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| 9 | 9 | | BeitenactedbytheGeneralAssemblyofthestateofMissouri,asfollows: |
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| 10 | 10 | | SectionA.Sections197.400,197.405,and197.445,RSMo,arerepealedandthree |
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| 11 | 11 | | 2newsectionsenactedinlieuthereof,tobeknownassections197.400,197.405,and197.445, |
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| 12 | 12 | | 3toreadasfollows: |
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| 13 | 13 | | 197.400.Asusedinsections197.400to197.475,unlessthecontextotherwise |
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| 14 | 14 | | 2requires,thefollowingtermsmean: |
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| 15 | 15 | | 3 (1)"Clinicalnursespecialist",apersonlicensedbythestateboardofnursing |
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| 16 | 16 | | 4undertheprovisionsofchapter335topracticeinthisstateasaclinicalnursespecialist; |
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| 17 | 17 | | 5 (2)"Council",thehomehealthservicesadvisorycouncilcreatedbysections197.400 |
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| 18 | 18 | | 6to197.475; |
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| 19 | 19 | | 7 [(2)](3)"Department",thedepartmentofhealthandseniorservices; |
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| 20 | 20 | | 8 [(3)](4)"Homehealthagency",apublicagencyorprivateorganizationora |
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| 21 | 21 | | 9subdivisionorsubunitofanagencyororganizationthatprovidestwoormorehomehealth |
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| 22 | 22 | | 10servicesattheresidenceofapatientaccordingtoa[physician's] written[andsigned] planof |
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| 23 | 23 | | 11treatmentsignedbyaphysician,podiatrist,nursepractitioner,clinicalnursespecialist, |
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| 24 | 24 | | 12orphysicianassistant; |
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| 25 | 25 | | 13 [(4)](5)"Homehealthservices",anyofthefollowingitemsandservicesprovidedat |
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| 26 | 26 | | 14theresidenceofthepatientonapart-timeorintermittentbasis:nursing,physicaltherapy, |
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| 27 | 27 | | 15speechtherapy,occupationaltherapy,homehealthaid,ormedicalsocialservice; |
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| 28 | 28 | | EXPLANATION—Matterenclosedinbold-facedbrackets[thus] intheabovebillisnotenactedandis |
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| 29 | 29 | | intendedtobeomittedfromthelaw.Matterinbold-facetypeintheabovebillisproposedlanguage. 16 [(5)](6)"Nursepractitioner",apersonlicensedbythestateboardofnursing |
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| 30 | 30 | | 17undertheprovisionsofchapter335topracticeinthisstateasanursepractitioner; |
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| 31 | 31 | | 18 (7)"Part-timeorintermittentbasis",theprovidingofhomehealthservicesinan |
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| 32 | 32 | | 19interruptedintervalsequenceontheaverageofnottoexceedthreehoursinanytwenty-four- |
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| 33 | 33 | | 20hourperiod; |
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| 34 | 34 | | 21 [(6)](8)"Patient'sresidence",theactualplaceofresidenceofthepersonreceiving |
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| 35 | 35 | | 22homehealthservices,includinginstitutionalresidencesaswellasindividualdwellingunits; |
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| 36 | 36 | | 23 [(7)](9)"Physician",apersonlicensedbythestateboardofregistrationforthe |
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| 37 | 37 | | 24healingartspursuanttotheprovisionsofchapter334topracticeinthisstateasaphysician |
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| 38 | 38 | | 25andsurgeon; |
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| 39 | 39 | | 26 [(8)](10)"Physicianassistant",apersonlicensedbythestateboardof |
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| 40 | 40 | | 27registrationforthehealingartsundertheprovisionsofchapter334topracticeinthis |
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| 41 | 41 | | 28stateasaphysicianassistant; |
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| 42 | 42 | | 29 (11)"Planoftreatment",aplanreviewedandsignedasoftenasmedicallynecessary |
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| 43 | 43 | | 30byaphysician[or],podiatrist,nursepractitioner,clinicalnursespecialist,orphysician |
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| 44 | 44 | | 31assistant,nottoexceedsixtydaysinduration,prescribingitemsandservicesforan |
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| 45 | 45 | | 32individualpatient'scondition; |
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| 46 | 46 | | 33 [(9)](12)"Podiatrist",apersonlicensedbythestateboardofpodiatrypursuanttothe |
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| 47 | 47 | | 34provisionsofchapter330topracticeinthisstateasapodiatrist; |
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| 48 | 48 | | 35 [(10)] (13)"Subunit"or"subdivision",anyorganizationalunitofalarger |
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| 49 | 49 | | 36organizationwhichcanbeclearlydefinedasaseparateentitywithinthelargerstructure, |
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| 50 | 50 | | 37whichcanmeetalloftherequirementsofsections197.400to197.475independentofthe |
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| 51 | 51 | | 38largerorganization,whichcanbeheldaccountableforthecareofpatientsitisserving,and |
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| 52 | 52 | | 39whichprovidestoallpatientscareandservicesmeetingthestandardsandrequirementsof |
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| 53 | 53 | | 40sections197.400to197.475. |
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| 54 | 54 | | 197.405.Nohomehealthagency,includingMedicareandMedicaidproviders,shall |
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| 55 | 55 | | 2providetwoormoreofthehomehealthservicescoveredbysubdivision[(4)](5)ofsection |
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| 56 | 56 | | 3197.400orshallholditselfoutasprovidingsuchhomehealthservicesorasahomehealth |
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| 57 | 57 | | 4agencyunlessitislicensedandregisteredinaccordancewiththeprovisionsofsections |
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| 58 | 58 | | 5197.400to197.475. |
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| 59 | 59 | | 197.445.1.Thedepartmentmayadoptreasonablerulesandstandardsnecessaryto |
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| 60 | 60 | | 2carryouttheprovisionsofsections197.400to197.477.Therulesandstandardsadopted |
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| 61 | 61 | | 3shallnotbelessthanthestandardsestablishedbythefederalgovernmentforhomehealth |
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| 62 | 62 | | 4agenciesunderTitleXVIIIoftheFederalSocialSecurityAct.Thereasonablerulesand |
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| 63 | 63 | | 5standardsshallbeinitiallypromulgatedwithinoneyearofSeptember28,1983. |
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| 64 | 64 | | 6 2.Therulesandstandardsadoptedbythedepartmentpursuanttotheprovisionsof |
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| 65 | 65 | | 7sections197.400to197.477shallapplytoallhealthservicescoveredbysections197.400to |
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| 66 | 66 | | HB2371 2 8197.477renderedtoanypatientbeingservedbyahomehealthagencyregardlessofsourceof |
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| 67 | 67 | | 9paymentfortheservice,patient'scondition,orplaceofresidence,atwhichthehomehealth |
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| 68 | 68 | | 10servicesareorderedbythephysician[or],podiatrist, nursepractitioner,clinicalnurse |
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| 69 | 69 | | 11specialist,orphysicianassistant. Noruleorportionofarulepromulgatedpursuanttothe |
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| 70 | 70 | | 12authorityofsections197.400to197.477shallbecomeeffectiveunlessithasbeen |
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| 71 | 71 | | 13promulgatedpursuanttotheprovisionsofsection536.024. |
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| 72 | 72 | | âś” |
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| 73 | 73 | | HB2371 3 |
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