FIRSTREGULARSESSION [PERFECTED] HOUSECOMMITTEESUBSTITUTEFOR HOUSEBILLNOS.700&445 102NDGENERALASSEMBLY 1332H.05P DANARADEMANMILLER,ChiefClerk ANACT Toamendchapters191and292,RSMo,byaddingtheretotwonewsectionsrelatingto refusalofmedicalproceduresortreatment. BeitenactedbytheGeneralAssemblyofthestateofMissouri,asfollows: SectionA.Chapters191and292,RSMo,areamendedbyaddingtheretotwonew 2sections,tobeknownassections191.230and292.648,toreadasfollows: 191.230.1.Nopublicschooldistrictorpubliccharterschoolreceivingpublic 2fundsshallrequireanystudent,asaconditionofenrollment,asaconditionof 3attendanceatanyschooleventoractivity,orforanyotherreason,to: 4 (1)ReceiveaCOVID-19vaccination; 5 (2)Receiveadoseofmessengerribonucleicacid; 6 (3)Receiveanytreatmentorprocedureintendedordesignedtoeditoralter 7humandeoxyribonucleicacidorthehumangenome;or 8 (4)Haveplacedunderthestudent'sskinanymechanicalorelectronicdevice. 9 2.Nopublicbody,asdefinedinsection290.210,statedepartmentoragency, 10politicalsubdivision,judgeorjudicialofficial,peaceofficer,publicofficial,orany 11personappointedbythegovernoractinginanofficialcapacityundersuchappointment 12shall: 13 (1)Requireanypersonto: 14 (a)ReceiveaCOVID-19vaccination; 15 (b)Receiveadoseofmessengerribonucleicacid; 16 (c)Receiveanytreatmentorprocedureintendedordesignedtoeditoralter 17humandeoxyribonucleicacidorthehumangenome;or EXPLANATION—Matterenclosedinbold-facedbrackets[thus] intheabovebillisnotenactedandis intendedtobeomittedfromthelaw.Matterinbold-facetypeintheabovebillisproposedlanguage. 18 (d)Haveplacedundertheperson'sskinanymechanicalorelectronicdevice;or 19 (2)Imposeanyfine,tax,orcriminalorcivilpenalty,orconditionanypersonal 20right,basedonwhetherapersonhasreceivedorundergoneanyinterventiondescribed 21inparagraphs(a)to(d)ofsubdivision(1)ofthissubsection. 22 3.(1)TheprovisionsofthissectionrelatingtoCOVID-19vaccinationshallnot 23applytopubliccollegesanduniversitieswhereaCOVID-19vaccinationisrequiredfor 24employeesorselectstudentparticipantsinorderforthecollegesoruniversitiesto 25receivefederalfundsbutshallbeconstruedtoprohibitageneralrequirementthat 26studentsreceiveaCOVID-19vaccinationasaconditionofenrollment. 27 (2)TheprovisionsofthissectionrelatingtoCOVID-19vaccinationshallnot 28applytoanystudenttraininginahealthcarefieldorafieldrelatedtohealthcarewhois 29receivingclinicalhoursorothertrainingatafacilityorentitydescribedinsubdivisions 30(1)to(5)ofsubsection4ofthissection. 31 4.Theprovisionsofthissectionshallnotapplyto: 32 (1)Anyfacilitythatmeetsthedefinitionofahospitalinsection197.020; 33 (2)Anylong-termcarefacilitylicensedunderchapter198; 34 (3)Anyentitythatmeetsthedefinitionoffacilityinsection199.170; 35 (4)AnyfacilitycertifiedbytheCentersforMedicareandMedicaidServices; 36 (5)Anyentityorindividuallicensedundersections190.001to190.245;or 37 (6)Anyemployeesofanystatedepartmentoragencywhoarepartofanonsite 38surveyteamperformingfederaloversightofcertifiedprovidersandsuppliersforthe 39CentersforMedicareandMedicaidServices. 40 5.Acourtmaygrantanypersonwhoserightsareviolatedbythissectionrelief, 41includinginjunctiverelief.Acourtmayawardtheprevailingpartyinacauseofaction 42broughtunderthissectionreasonableattorney'sfees. 292.648.1.Forpurposesofthissection,thefollowingtermsmean: 2 (1)"Employer",thesamemeaninggiventotheterminsection213.010,except 3thattheterm"employer"shallincludeanypubliccollegeoruniversity,anyfacilitythat 4meetsthedefinitionofahospitalinsection197.020,anylong-termcarefacilitylicensed 5underchapter198,anyentitythatmeetsthedefinitionoffacilityinsection199.170,and 6anyfacilitycertifiedbytheCentersforMedicareandMedicaidServices; 7 (2)"Medicaltreatment",any: 8 (a)Drug,medicine,syntheticsubstance,ortherapy,whethertherapeuticor 9preventive,thatisfullyapprovedorgrantedanemergencyuseauthorizationbythe 10UnitedStatesFoodandDrugAdministration(FDA),orpendingapprovalbytheFDA, 11orthatwouldrequireapprovalfromtheFDAtobesoldorprescribedtothegeneral 12public; HCSHBs700&445 2 13 (b)Treatmentorprocedureintendedordesignedtoeditoralterhuman 14deoxyribonucleicacidorthehumangenome;or 15 (c)Mechanicalorelectronicdeviceplacedunderaperson'sskin. 16 2.Anemployeeshallbeexemptfromanemployer'srequirementtoreceive 17medicaltreatmentasaconditionofemploymentandshallnotbesubjecttoadverse 18actionbytheemployer,includinglossofpayorterminationofemployment,for 19decliningtoreceivethemedicaltreatmentif: 20 (1)Theemployee: 21 (a)Holdsasincerelyheldreligiousbelief,whichmayincludeanydeeplyheld 22nontheisticmoralbelief,thatforbidstheemployeefromreceivingthemedicaltreatment 23andthereasonableaccommodationofsuchbeliefwouldnotposeanunduehardshipon 24theemployer;or 25 (b)Theemployeehasreceivedawrittenrecommendation,basedonthe 26employee'suniqueandindividualmedicalsituation,fromaphysicianlicensedto 27practicemedicineinthestateofMissouri,advisingtheemployeenottoreceivethe 28requiredmedicaltreatmentonthebasisthatthemedicaltreatmentislikelytobe 29harmfultotheemployeeorisnotinthebestmedicalinterestoftheemployeeforother 30specifiedreasons;and 31 (2)Theemployeesubmitsawrittenrequestfortheexemptiondescribedin 32subdivision(1)ofthissubsectiontotheemployer. 33 3.Astudentshallbeexemptfromapubliccollege'soruniversity'srequirement 34toreceivemedicaltreatmentasaconditionofparticipationinanyprojectoractivity 35sponsoredbythecollegeoruniversityandshallnotbesubjecttoadverseactionbythe 36collegeoruniversityfordecliningtoreceivethemedicaltreatmentif: 37 (1)Thestudent: 38 (a)Holdsasincerelyheldreligiousbelief,whichmayincludeadeeplyheld 39nontheisticmoralbelief,thatforbidsthestudentfromreceivingthemedicaltreatment 40andthereasonableaccommodationofsuchbeliefwouldnotposeanunduehardshipon 41thecollegeoruniversity;or 42 (b)Thestudenthasreceivedawrittenrecommendation,basedonthestudent's 43uniqueandindividualmedicalsituation,fromaphysicianlicensedtopracticemedicine 44inthestateofMissouri,advisingthestudentnottoreceivetherequiredmedical 45treatmentonthebasisthatthemedicaltreatmentislikelytobeharmfultothestudent 46orisnotinthebestmedicalinterestofthestudentforotherspecifiedreasons;and 47 (2)Thestudentsubmitsawrittenrequestfortheexemptiondescribedin 48subdivision(1)ofthissubsectiontothecollegeoruniversity. HCSHBs700&445 3 49 4.Acourtmaygrantanypersonwhoserightsareviolatedbythissectionrelief, 50includinginjunctiverelief.Acourtmayawardtheprevailingpartyinacauseofaction 51broughtunderthissectionreasonableattorney'sfees. ✔ HCSHBs700&445 4