FIRSTREGULARSESSION HOUSEBILLNO.300 102NDGENERALASSEMBLY INTRODUCEDBYREPRESENTATIVEROBERTS. 0681H.01I DANARADEMANMILLER,ChiefClerk ANACT Torepealsections192.2405and210.115,RSMo,andtoenactinlieuthereofsixnewsections relatingtoreportingofabuseorneglect,withpenaltyprovisions. BeitenactedbytheGeneralAssemblyofthestateofMissouri,asfollows: SectionA.Sections192.2405and210.115,RSMo,arerepealedandsixnewsections 2enactedinlieuthereof,tobeknownassections192.2405,192.2510,210.115,210.191, 3273.410,and273.415,toreadasfollows: 192.2405.1.Thefollowingpersonsshallberequiredtoimmediatelyreportorcause 2areporttobemadetothedepartmentundersections192.2400to192.2470: 3 (1)Anypersonhavingreasonablecausetosuspectthataneligibleadultpresentsa 4likelihoodofsufferingseriousphysicalharm,orbullyingasdefinedinsubdivision(2)of 5section192.2400,andisinneedofprotectiveservices;and 6 (2)Anyadultdaycareworker,chiropractor,ChristianSciencepractitioner,coroner, 7dentist,embalmer,employeeofthedepartmentsofsocialservices,mentalhealth,orhealth 8andseniorservices,employeeofalocalareaagencyonagingoranorganizedareaagencyon 9agingprogram,emergencymedicaltechnician,firefighter,firstresponder,funeraldirector, 10homehealthagency,homehealthagencyemployee,hospitalandclinicpersonnelengagedin 11thecareortreatmentofothers,in-homeservicesownerorprovider,in-homeservicesoperator 12oremployee,lawenforcementofficer,long-termcarefacilityadministratororemployee, 13medicalexaminer,medicalresidentorintern,mentalhealthprofessional,minister,nurse, 14nursepractitioner,optometrist,otherhealthpractitioner,peaceofficer,pharmacist,physical 15therapist,physician,physician'sassistant,podiatrist,probationorparoleofficer,psychologist, 16socialworker,veterinarian,animalcontrolofficer,animalhumaneinvestigatoras EXPLANATION—Matterenclosedinbold-facedbrackets[thus] intheabovebillisnotenactedandis intendedtobeomittedfromthelaw.Matterinbold-facetypeintheabovebillisproposedlanguage. 17definedinsection273.415,orotherpersonwiththeresponsibilityforthecareofaneligible 18adultwhohasreasonablecausetosuspectthattheeligibleadulthasbeensubjectedtoabuse 19orneglectorobservestheeligibleadultbeingsubjectedtoconditionsorcircumstanceswhich 20wouldreasonablyresultinabuseorneglect.Notwithstandinganyotherprovisionofthis 21section,adulyordainedminister,clergy,religiousworker,orChristianSciencepractitioner 22whilefunctioninginhisorherministerialcapacityshallnotberequiredtoreportconcerninga 23privilegedcommunicationmadetohimorherinhisorherprofessionalcapacity. 24 2.Anyotherpersonwhobecomesawareofcircumstancesthatmayreasonablybe 25expectedtobetheresultof,orresultin,abuseorneglectofaneligibleadultmayreporttothe 26department. 27 3.Thepenaltyforfailingtoreportasrequiredundersubdivision(2)ofsubsection1 28ofthissectionisprovidedundersection565.188. 29 4.Asusedinthissection,"firstresponder"meansanypersontrainedandauthorized 30bylaworruletorenderemergencymedicalassistanceortreatment.Suchpersonsmay 31include,butshallnotbelimitedto,emergencyfirstresponders,policeofficers,sheriffs, 32deputysheriffs,firefighters,emergencymedicaltechnicians,oremergencymedical 33technician-paramedics. 192.2510.1.Allpersonsprovidingprotectiveservicestoeligibleadults,assuch 2termsaredefinedinsection192.2400,andwhohavedirectcontactwithsuchadultsshall 3berequiredtocompleteatleastonehouroftrainingwithinthefirstsixtydaysof 4employment.Thetrainingshallincludethefollowing: 5 (1)Requirementstoreportcompanionanimalabuseorneglectandthepenalties 6associatedwithfailuretoreportundersection273.410; 7 (2)Howtoidentifycompanionanimalabuseorneglect; 8 (3)Howtomakeareportofcompanionanimalabuseorneglect;and 9 (4)Therelationshipbetweeneligibleadultabuseorneglectandcompanion 10animalabuseorneglect. 11 2.Thedepartmentofhealthandseniorservices,inconsultationwithanimal 12welfareassociations,shalldeveloporadaptanduseavailabletrainingmaterialsforthe 13trainingrequiredunderthissection.Personsrequiredtocompletetrainingunderthis 14sectionshallbeprovidedwithopportunitiestodosoduringregularworkinghours. 15 3.Asusedinthissection,thefollowingtermsshallmean: 16 (1)"Animalwelfareorganization",anonprofitorganizationthatisestablished 17topromoteanimalwelfare,isrecognizedbytheInternalRevenueServiceastaxexempt 18undertheprovisionsoftheInternalRevenueCodeSection501(c)(3)or501(c)(4)orthe 19correspondingsectionofanyfuturetaxcode,andisregisteredwiththesecretaryofstate 20underchapter355; HB300 2 21 (2)"Companionanimal",thesamemeaningasinsection273.410. 210.115.1.Whenanyphysician,medicalexaminer,coroner,dentist,chiropractor, 2optometrist,podiatrist,resident,intern,nurse,hospitalorclinicpersonnelthatareengagedin 3theexamination,care,treatmentorresearchofpersons,andanyotherhealthpractitioner, 4psychologist,mentalhealthprofessional,socialworker,daycarecenterworkerorotherchild- 5careworker,juvenileofficer,probationorparoleofficer,jailordetentioncenterpersonnel, 6teacher,principalorotherschoolofficial,ministerasprovidedbysection352.400,peace 7officerorlawenforcementofficial,veterinarian,animalcontrolofficer,animalhumane 8investigatorasdefinedinsection273.415,volunteerorpersonnelofacommunityservice 9programthatofferssupportservicesforfamiliesincrisistoassistinthedelegationofany 10powersregardingthecareandcustodyofachildbyaproperlyexecutedpowerofattorney 11pursuanttosections475.600to475.604,orotherpersonwithresponsibilityforthecareof 12childrenhasreasonablecausetosuspectthatachildhasbeenormaybesubjectedtoabuseor 13neglectorobservesachildbeingsubjectedtoconditionsorcircumstanceswhichwould 14reasonablyresultinabuseorneglect,thatpersonshallimmediatelyreporttothedivisionin 15accordancewiththeprovisionsofsections210.109to210.183.Nointernalinvestigation 16shallbeinitiateduntilsuchareporthasbeenmade.Asusedinthissection,theterm"abuse" 17isnotlimitedtoabuseinflictedbyapersonresponsibleforthechild'scare,custodyand 18controlasspecifiedinsection210.110,butshallalsoincludeabuseinflictedbyanyother 19person. 20 2.Iftwoormoremembersofamedicalinstitutionwhoarerequiredtoreportjointly 21haveknowledgeofaknownorsuspectedinstanceofchildabuseorneglect,asinglereport 22maybemadebyadesignatedmemberofthatmedicalteam.Anymemberwhohas 23knowledgethatthememberdesignatedtoreporthasfailedtodososhallthereafter 24immediatelymakethereport.Nothinginthissection,however,ismeanttoprecludeany 25personfromreportingabuseorneglect. 26 3.Thereportingrequirementsunderthissectionareindividual,andnosupervisoror 27administratormayimpedeorinhibitanyreportingunderthissection.Nopersonmakinga 28reportunderthissectionshallbesubjecttoanysanction,includinganyadverseemployment 29action,formakingsuchreport.Everyemployershallensurethatanyemployeerequiredto 30reportpursuanttosubsection1ofthissectionhasimmediateandunrestrictedaccessto 31communicationstechnologynecessarytomakeanimmediatereportandistemporarily 32relievedofotherworkdutiesforsuchtimeasisrequiredtomakeanyreportrequiredunder 33subsection1ofthissection. 34 4.Notwithstandinganyotherprovisionofsections210.109to210.183,anychildwho 35doesnotreceivespecifiedmedicaltreatmentbyreasonofthelegitimatepracticeofthe 36religiousbeliefofthechild'sparents,guardian,orotherslegallyresponsibleforthechild,for HB300 3 37thatreasonalone,shallnotbefoundtobeanabusedorneglectedchild,andsuchparents, 38guardianorotherpersonslegallyresponsibleforthechildshallnotbeenteredintothecentral 39registry.However,thedivisionmayacceptreportsconcerningsuchachildandmay 40subsequentlyinvestigateorconductafamilyassessmentasaresultofthatreport.Suchan 41exceptionshallnotlimittheadministrativeorjudicialauthorityofthestatetoensurethat 42medicalservicesareprovidedtothechildwhenthechild'shealthrequiresit. 43 5.Inadditiontothosepersonsandofficialsrequiredtoreportactualorsuspected 44abuseorneglect,anyotherpersonmayreportinaccordancewithsections210.109to210.183 45ifsuchpersonhasreasonablecausetosuspectthatachildhasbeenormaybesubjectedto 46abuseorneglectorobservesachildbeingsubjectedtoconditionsorcircumstanceswhich 47wouldreasonablyresultinabuseorneglect. 48 6.Anypersonorofficialrequiredtoreportpursuanttothissection,including 49employeesofthedivision,whohasprobablecausetosuspectthatachildwhoisormaybe 50undertheageofeighteen,whoiseligibletoreceiveacertificateoflivebirth,hasdiedshall 51reportthatfacttotheappropriatemedicalexaminerorcoroner.If,uponreviewofthe 52circumstancesandmedicalinformation,themedicalexaminerorcoronerdeterminesthatthe 53childdiedofnaturalcauseswhileundermedicalcareforanestablishednaturaldisease,the 54coroner,medicalexaminerorphysicianshallnotifythedivisionofthechild'sdeathandthat 55thechild'sattendingphysicianshallbesigningthedeathcertificate.Inallothercases,the 56medicalexaminerorcoronershallacceptthereportforinvestigation,shallimmediatelynotify 57thedivisionofthechild'sdeathasrequiredinsection58.452andshallreportthefindingsto 58thechildfatalityreviewpanelestablishedpursuanttosection210.192. 59 7.Anypersonorindividualrequiredtoreportmayalsoreportthesuspicionofabuse 60orneglecttoanylawenforcementagencyorjuvenileoffice.Suchreportshallnot,however, 61taketheplaceofreportingtothedivision. 62 8.Ifanindividualrequiredtoreportsuspectedinstancesofabuseorneglectpursuant 63tothissectionhasreasontobelievethatthevictimofsuchabuseorneglectisaresidentof 64anotherstateorwasinjuredasaresultofanactwhichoccurredinanotherstate,theperson 65requiredtoreportsuchabuseorneglectmay,inlieuofreportingtotheMissourichildren's 66division,makesuchareporttothechildprotectionagencyoftheotherstatewiththeauthority 67toreceivesuchreportspursuanttothelawsofsuchotherstate.Ifsuchagencyacceptsthe 68report,noreportisrequiredtobemade,butmaybemade,tothechildren'sdivision. 69 9.Forthepurposesofprovidingsupportiveservicesorverifyingthestatusofayouth 70asunaccompaniedorhomelessforthepurposesofaccessingsupportiveservices,thefactthat 71achildisanunaccompaniedyouthasdefinedin42U.S.C.Section11434a(6)isnot,inandof 72itself,asufficientbasisforreportingchildabuseorneglect,unlessthechildisundersixteen 73yearsofageorisanincapacitatedperson,asdefinedinsection475.010.Nothinginthis HB300 4 74subsectionshalllimitamandatedreporterfrommakingareportunderthissectionifthe 75mandatedreporterknowsorhasreasonablecausetosuspectthatanunaccompaniedyouthhas 76beenormaybeavictimofabuseorneglect. 210.191.1.Allchildren'sdivisionemployees,andcontractorsforchildren's 2services,whohavedirectcontactwithchildrenthroughthestate'schildprotectionand 3welfaresystemshallberequiredtocompleteatleastonehouroftrainingwithinthefirst 4sixtydaysofemploymentorcontract.Thetrainingshallincludethefollowing: 5 (1)Requirementstoreportcompanionanimalabuseorneglectandthepenalties 6associatedwithfailuretoreportundersection273.410; 7 (2)Howtoidentifycompanionanimalabuseorneglect; 8 (3)Howtomakeareportofcompanionanimalabuseorneglect;and 9 (4)Therelationshipbetweenchildabuseorneglectandcompanionanimalabuse 10orneglect. 11 2.Thedivision,inconsultationwithanimalwelfareassociations,shalldevelopor 12adaptanduseavailabletrainingmaterialsforthetrainingrequiredunderthissection. 13Personsrequiredtocompletetrainingunderthissectionshallbeprovidedwith 14opportunitiestodosoduringregularworkinghours. 15 3.Asusedinthissection,thefollowingtermsshallmean: 16 (1)"Animalwelfareorganization",thesamemeaningasinsection192.2510; 17 (2)"Companionanimal",thesamemeaningasinsection273.410. 273.410.1.Whenanypsychologist,mentalhealthprofessional,socialworker, 2schoolcounselor,teacherorotherschoolprofessional,juvenileofficer,probationor 3paroleofficer,homehealthaide,veterinarian,adultprotectiveservicesworker,or 4volunteerorpersonnelofacommunityserviceprogramthatofferssupportoradvocacy 5servicesforchildreninfostercarehasreasonablecausetosuspectthatacompanion 6animalhasbeenormaybesubjectedtoabuseorneglectorobservesacompanion 7animalbeingsubjectedtoconditionsorcircumstancesthatwouldreasonablyresultin 8abuseorneglect,thatpersonshallimmediatelymakeareporttothehotlineestablished 9andoperatedbytheMissouriAnimalControlAssociation(MACA). 10 2.Thehotlineworkershallrequestallofthefollowinginformationforthe 11report: 12 (1)Thenameanddescriptionofthecompanionanimalinvolved,ifknown; 13 (2)Theaddressandtelephonenumberoftheownerorotherpersonresponsible 14forthecareofthecompanionanimal,ifknown; 15 (3)Thenatureandextentofthesuspectedabuseorneglect; HB300 5 16 (4)Anyotherinformationthatthepersonmakingthereportbelievesmaybe 17usefulinestablishingtheexistenceofthesuspectedabuseorneglectortheidentityofthe 18personcausingtheabuseorneglect. 19 3.Uponreceivingareportofsuspectedabuseorneglect,MACAshallprovide 20thereporttoanyduly-authorizedlawenforcementofficial,countyormunicipalanimal 21controlofficer,oranyMissouripeaceofficerstandardsandtraining(POST)-certified 22orMACA-certifiedanimalcrueltyinvestigator. 23 4.Anypersonrequiredtoreportcompanionanimalabuseorneglectunderthis 24sectionshallbeimmunefromcivilorcriminalliabilityinconnectionwithmakingany 25requiredreportifthepersonactedingoodfaithwhenmakingsuchreport. 26 5.Nopersonrequiredtomakeareportofcompanionanimalabuseorneglect 27underthissectionshallknowinglymakeafalsereport.Thepenaltyformakingafalse 28reportandthedefensestoprosecutionshallbethesameasundersection575.080. 29 6.Ifanagencyorpoliticalsubdivisionofthestatedeterminesthatanemployee 30whoisamandatedreporterunderthissectionhasfailedtomakeareportasrequiredby 31thissection,theagencyorpoliticalsubdivisionshallissueawrittennoticetosuch 32employeethatshallincludeafindingoffactsinsupportofthefailuretomakeareport 33andanexplanationofthereportingrequirement.Suchnoticeshallnotberetainedina 34permanentemploymentfileandshallberetainedinaseparatefileordatabase 35maintainedbytheagencyorpoliticalsubdivision.Suchnoticeshallbeconsidereda 36closedrecordundertheprovisionsofchapter610. 37 7.Anypersonrequiredtomakeareportunderthissectionwhoissubjectto 38professionallicensureandwhofailstomakeareportasrequiredbythissectionshallbe 39subjecttodisciplinebyhisorherrespectivelicensingboardasfollows: 40 (1)Forthefirstinstanceofafailuretoreport,thelicensingboardshallissuea 41writtennoticetosuchemployeethatshallincludeafindingoffactsinsupportofthe 42failuretomakeareportandanexplanationofthereportingrequirement; 43 (2)Forasecondinstanceofafailuretoreport,thelicensingboardshallimposea 44fineofonehundreddollars; 45 (3)Forathirdandeachsubsequentinstanceofafailuretoreport,thelicensing 46boardshallimposeafineoffivehundreddollars. 47 8.Asusedinthissection,theterm"companionanimal"meansalivingcreature 48maintainedbyahouseholdmemberforcompanionshipandnotcommercialpurposes. 273.415.1.Allpersonsemployedorservingasanimalcontrolofficersoranimal 2humaneinvestigatorswhohavedirectcontactwithcompanionanimalsshallberequired 3tocompleteatleastonehouroftrainingwithinthefirstsixtydaysofemployment.The 4trainingshallincludethefollowing: HB300 6 5 (1)Requirementstoreportchildabuseorneglectundersection210.115or 6eligiblepersonabuseorneglectundersection192.2405andthepenaltiesassociatedwith 7failuretoreportsuchabuseorneglect; 8 (2)Howtoidentifychildoreligiblepersonabuseorneglect; 9 (3)Howtomakeareportofchildoreligiblepersonabuseorneglect;and 10 (4)Therelationshipbetweenchild,eligibleadult,andcompanionanimalabuse 11orneglect. 12 2.Thechildren'sdivisionandthedepartmentofhealthandseniorservices,in 13consultationwithanimalwelfareassociations,shalldeveloporadaptanduseavailable 14trainingmaterialsforthetrainingrequiredunderthissection.Personsrequiredto 15completetrainingunderthissectionshallbeprovidedwithopportunitiestodosoduring 16regularworkinghours. 17 3.Asusedinthissection,thefollowingtermsshallmean: 18 (1)"Animalhumaneinvestigator",aduly-authorizedcountyormunicipal 19animalcontrolofficeroranyMissouripeaceofficerstandardsandtraining(POST)- 20certifiedorMissouriAnimalControlAssociation(MACA)-certifiedanimalcruelty 21investigator; 22 (2)"Animalwelfareorganization",thesamemeaningasinsection192.2510; 23 (3)"Companionanimal",thesamemeaningasinsection273.410. ✔ HB300 7