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