FIRSTREGULARSESSION
HOUSEBILLNO.1313
102NDGENERALASSEMBLY
INTRODUCEDBYREPRESENTATIVESAULS.
2665H.01I DANARADEMANMILLER,ChiefClerk
ANACT
Toamendchapter42,RSMo,byaddingtheretoonenewsectionrelatingtoalternative
treatmentoptionsforveterans.
BeitenactedbytheGeneralAssemblyofthestateofMissouri,asfollows:
SectionA.Chapter42,RSMo,isamendedbyaddingtheretoonenewsection,tobe
2knownassection42.018,toreadasfollows:
42.018.1.Thissectionshallbeknownandmaybecitedasthe"Veterans
2TraumaticBrainInjuryTreatmentAct".
3 2.Asusedinthissection,thefollowingtermsmean:
4 (1)"Eligiblepatient",amilitaryveteranwhomeetstherequirementsofthis
5section;
6 (2)"Healthcarefacility",thesamemeaningasprovidedundersection190.100,
7anyoutpatientorinpatientfacilityutilizinghyperbaricoxygentherapy,oranyprivate
8hyperbaricoxygentreatmentcenterlicensedinthisstate;
9 (3)"Healthcareprovider",alicensedphysician,chiropractor,oracertified
10hyperbaricoxygentechnician;
11 (4)"Posttraumaticstressdisorder"or"PTSD",amentalhealthdisorderthatis
12developedafterhavingexperiencedorwitnessedalife-threateningeventincluding,but
13notlimitedto,militarysexualtrauma;
14 (5)"Traumaticbraininjury"or"TBI",anacquiredinjurytothebrain.
15"Traumaticbraininjury"doesnotincludebraindysfunctioncausedbycongenitalor
16degenerativedisordersorbirthtrauma.
EXPLANATION—Matterenclosedinbold-facedbrackets[thus] intheabovebillisnotenactedandis
intendedtobeomittedfromthelaw.Matterinbold-facetypeintheabovebillisproposedlanguage. 17 3.Theveteranscommissionmaycontractwithpublicorprivateinstitutionsof
18highereducationinthisstate,orpublicorprivateclinicsorhospitals,tofurnish
19alternativetreatmentoptionsforveteranswhohavebeencertifiedbytheUnitedStates
20DepartmentofVeteransAffairs,anybranchoftheUnitedStatesArmedForces,orany
21state-licensedphysicianashavingatraumaticbraininjuryorposttraumaticstress
22disorder.Theinstitutionofhighereducationshallmanage,monitor,andensurethe
23complianceofcontractedprovidersofanyofthefollowingalternativetreatment
24options:
25 (1)Acceleratedresolutiontherapy;
26 (2)Equinetherapy;
27 (3)Hyperbaricoxygentherapy,whichshallbeprovidedataregisteredand
28licensedhyperbaricoxygenfacility;
29 (4)Musictherapy;or
30 (5)Serviceanimaltrainingtherapy.
31 4.Aveteranqualifiestoreceivealternativetreatmentunderthissectionifheor
32she:
33 (1)Hasbeendiagnosed,byahealthcarepractitioner,withservice-connected
34posttraumaticstressdisorderoraservice-connectedtraumaticbraininjury;and
35 (2)Voluntarilyagreestosuchalternativetreatment.
36 5.(1)Theprovisionofalternativetreatmentshallbeunderthedirectionand
37supervisionofanindividuallicensedinthisstatetoperformsuchalternativetreatment.
38 (2)Thesupervisinglicensedprovidershallagreetocooperatewiththeveterans
39commissiontoprovidedatasufficienttoassesstheefficacyofalternativetreatment
40modalities.Acceptabledatamayinclude,butshallnotbelimitedto,institutionalreview
41boardclinicaltrialdata,pretreatmentandposttreatmentMRIbrainscans,cognitive
42testingsuchastheRightEyetestingapprovedbytheUnitedStatesFoodandDrug
43Administration,AutomatedNeuropsychologicalAssessmentMetrics(ANAM)approved
44bytheUnitedStatesDepartmentofDefense,andCNSVitalSigns(CNSVS)metrics.
45 6.(1)Ahealthcareproviderorhealthcarefacilityshallmakehyperbaric
46oxygentherapyavailabletoaneligiblepatientwhohasrequestedsuchtherapyunder
47theprovisionsofthissubsection.
48 (2)Suchahealthcareproviderorhealthcarefacilitymay:
49 (a)Providethehyperbaricoxygentherapywithoutreceivingcompensation;
50 (b)Requireaneligiblepatienttopayforthecostofthehyperbaricoxygen
51therapyandanyassociatedcosts,ataratethatshallnotexceedthemaximumrate
52allowedbyMedicare;or
HB1313 2 53 (c)Allowaneligiblepatienttoutilizealternativesourcesoffundingtocoverthe
54costofthehyperbaricoxygentherapyandanyassociatedcosts.Suchalternative
55sourcesoffundingmayinclude,butshallnotbelimitedto,gifts,grants,donations,
56reimbursementsfromfederalprograms,andcontributionsfromthirdparties.The
57eligiblepatientshallremainliabletothehealthcareproviderorhealthcarefacilityfor
58anyportionofcostsnotcoveredbyalternativesourcesoffunding.
59 (3)Notwithstandinganyprovisionoflawtothecontrary,aneligiblepatientshall
60beentitledtoreceivehyperbaricoxygentherapyunderthissubsectioniftheeligible
61patient:
62 (a)HasreceivedadiagnosisofPTSDorTBI;
63 (b)Hasreceivedanofficialrecommendationforhyperbaricoxygentherapy
64fromthehealthcareproviderthattreatstheeligiblepatient;and
65 (c)Residesinthisstate.
66 7.Alicensingboardshallnotrevoke,suspend,orfailtorenewthelicenseofa
67healthcareprovider,ortakeanyotherpunitiveactionagainstahealthcareprovider,
68basedonarecommendationorcounselingbythehealthcareproviderrelatingtoaccess
69toortreatmentwithahyperbaricoxygenchamberforaneligiblepatient.
70 8.Nopersonactingonbehalfofthisstateshallblockorattempttoblockan
71eligiblepatientfromreceivingaccesstohyperbaricoxygentreatment.
72 9.Thedepartmentofpublicsafetymaypromulgateallnecessaryrulesand
73regulationsfortheimplementationofthissection.Anyruleorportionofarule,asthat
74termisdefinedinsection536.010,thatiscreatedundertheauthoritydelegatedinthis
75sectionshallbecomeeffectiveonlyifitcomplieswithandissubjecttoallofthe
76provisionsofchapter536and,ifapplicable,section536.028.Thissectionandchapter
77536arenonseverableandifanyofthepowersvestedwiththegeneralassembly
78pursuanttochapter536toreview,todelaytheeffectivedate,ortodisapproveandannul
79arulearesubsequentlyheldunconstitutional,thenthegrantofrulemakingauthority
80andanyruleproposedoradoptedafterAugust28,2023,shallbeinvalidandvoid.
âś”
HB1313 3