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.
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HCSHBs700&445 4