Missouri 2024 Regular Session

Missouri House Bill HB1490 Compare Versions

OldNewDifferences
11 SECONDREGULARSESSION
2-HOUSECOMMITTEESUBSTITUTEFOR
32 HOUSEBILLNO.1490
43 102NDGENERALASSEMBLY
5-3513H.03C DANARADEMANMILLER,ChiefClerk
4+INTRODUCEDBYREPRESENTATIVEGRIFFITH.
5+3513H.01I DANARADEMANMILLER,ChiefClerk
66 ANACT
7-Toamendchapters42,191,and301,RSMo,byaddingtheretotwelvenewsectionsrelatingto
8-veterans,withpenaltyprovisions.
7+Toamendchapter42,RSMo,byaddingtheretoonenewsectionrelatingtoveteransbenefits,
8+withpenaltyprovisions.
99 BeitenactedbytheGeneralAssemblyofthestateofMissouri,asfollows:
10-SectionA.Chapters42,191,and301,RSMo,areamendedbyaddingtheretotwelve
11-2newsections,tobeknownassections42.022,42.028,42.312,191.2600,191.2605,191.2610,
12-3191.2615,191.2620,191.2625,191.2630,301.3181,and301.3182,toreadasfollows:
13-42.022.1.Inadditiontoanyotherdutiesimposedunderthischapter,the
14-2commissionshallreviewtheprovisionsoftheCommanderJohnScottHannonVeterans
15-3MentalHealthCareImprovementActof2019,enactedbythe116thUnitedStates
16-4Congress(Pub.L.116-171),asamended,andanyregulationsrelatedthereto.After
17-5review,thecommission,incollaborationwiththedepartmentofmentalhealth,shall
18-6providerecommendationsandmakeeffortstoadoptprocedures,programs,treatment
19-7options,additionalaid,andanyotherassistancedeemednecessarybythecommissionto
20-8assistintheeffortstopreventveteransuicide,subjecttoappropriation.
21-9 2.BeforeJuly1,2025,andbeforeeveryJulyfirstthereafterthecommission
22-10shallfileareportwiththedepartmentofpublicsafetyandthegeneralassemblyonthe
23-11recommendations,implementation,andeffectivenessoftheeffortsbythecommissionto
24-12preventveteransuicide.
25-13 3.Thedepartmentofpublicsafetymaypromulgateallnecessaryrulesand
26-14regulationsfortheadministrationofthissection.Anyruleorportionofarule,asthat
27-15termisdefinedinsection536.010,thatiscreatedundertheauthoritydelegatedinthis
28-16sectionshallbecomeeffectiveonlyifitcomplieswithandissubjecttoallofthe
29-17provisionsofchapter536and,ifapplicable,section536.028.Thissectionandchapter
30-EXPLANATION—Matterenclosedinbold-facedbrackets[thus] intheabovebillisnotenactedandis
31-intendedtobeomittedfromthelaw.Matterinbold-facetypeintheabovebillisproposedlanguage. 18536arenonseverableandifanyofthepowersvestedwiththegeneralassembly
32-19pursuanttochapter536toreview,todelaytheeffectivedate,ortodisapproveandannul
33-20arulearesubsequentlyheldunconstitutional,thenthegrantofrulemakingauthority
34-21andanyruleproposedoradoptedafterAugust28,2024,shallbeinvalidandvoid.
10+SectionA.Chapter42,RSMo,isamendedbyaddingtheretoonenewsection,tobe
11+2knownassection42.028,toreadasfollows:
3512 42.028.1.Asusedinthissection,thefollowingtermsmean:
3613 2 (1)"Compensation",paymentofanymoney,thingofvalue,orfinancialbenefit;
3714 3 (2)"Person",anindividual;corporation;businesstrust;estate;trust;
3815 4partnership;limitedliabilitycompany;association;jointventure;publiccorporation;
3916 5governmentorgovernmentalsubdivision,agency,orinstrumentality;oranyotherlegal
4017 6orcommercialentity.Theterm"person"shallnotincludetheMissouriveterans
4118 7commission;
4219 8 (3)"Veteransbenefitsmatter",thepreparation,presentation,orprosecutionof
4320 9anyclaimaffectinganypersonwhohasfiledorexpressedanintenttofileaclaimfor
4421 10anybenefit,program,service,commodity,function,orstatus,entitlementtowhichis
4522 11determinedunderthelawsandregulationsadministeredbytheUnitedStates
4623 12DepartmentofVeteransAffairsortheMissouriveteranscommission,pertainingto
4724 13veterans,theirdependents,theirsurvivors,andanyotherindividualeligibleforsuch
4825 14benefits.
4926 15 2.Exceptaspermittedunderfederallaw,nopersonshallreceivecompensation
5027 16foradvisingorassistinganyindividualwithregardtoanyveteransbenefitsmatter.
51-17 3.Nopersonshallreceivecompensationforreferringanyindividualtoanother
28+EXPLANATION—Matterenclosedinbold-facedbrackets[thus] intheabovebillisnotenactedandis
29+intendedtobeomittedfromthelaw.Matterinbold-facetypeintheabovebillisproposedlanguage. 17 3.Nopersonshallreceivecompensationforreferringanyindividualtoanother
5230 18persontoadviseorassistthisindividualwithanyveteransbenefitsmatter.
5331 19 4.Apersonseekingtoreceivecompensationforadvisingorassistingany
5432 20individualwithanyveteransbenefitsmattershall,beforerenderinganyservices,
5533 21memorializealltermsregardingtheindividual'spaymentoffeesforservicesrendered
5634 22inawrittenagreement,signedbybothparties,thatadherestoallcriteriaspecified
5735 23within38CFR14.636.
5836 24 5.Nopersonshallreceiveanycompensationforanyservicesrenderedbeforethe
5937 25dateonwhichanoticeofdisagreementisfiledwithrespecttotheindividual'scase.
6038 26 6.Nopersonshallguarantee,eitherdirectlyorbyimplication,thatany
6139 27individualiscertaintoreceivespecificveteransbenefitsorthatanyindividualiscertain
6240 28toreceiveaspecificlevel,percentage,oramountofveteransbenefits.
6341 29 7.Nopersonshallreceiveexcessiveorunreasonablefeesascompensationfor
6442 30advisingorassistinganyindividualwithanyveteransbenefitsmatter.Thefactors
6543 31articulatedwithin38CFR14.636shallgoverndeterminationsofwhetherafeeis
6644 32excessiveorunreasonable.
67-HCSHB1490 2 33 8.(1)Nopersonshalladviseorassistforcompensationanyindividual
45+33 8.(1)Nopersonshalladviseorassistforcompensationanyindividual
6846 34concerninganyveteransbenefitsmatterwithoutclearlyproviding,attheoutsetofthe
6947 35businessrelationship,thefollowingdisclosure,bothorallyandinwriting:
7048 36 Thisbusinessisnotsponsoredby,oraffiliatedwith,theUnited
7149 37 StatesDepartmentofVeteransAffairsortheMissouriVeterans
7250 38 Commission,oranyotherfederallycharteredveteransservice
7351 39 organization.Otherorganizations,including,butnotlimitedto,
7452 40 theMissouriVeteransCommission,yourlocalveteransservice
7553 41 agency,andotherfederallycharteredveteransservice
7654 42 organizations,maybeabletoprovideyouwiththisservicefreeof
7755 43 charge.Productsorservicesofferedbythisbusinessarenot
7856 44 necessarilyendorsedbyanyoftheseorganizations.Youmay
7957 45 qualifyforotherveteransbenefitsbeyondthebenefitsforwhich
8058 46 youarereceivingserviceshere.
8159 47 (2)Thewrittendisclosureshallappearinatleasttwelve-pointfontandshall
8260 48appearinareadilynoticeableandidentifiableplaceintheperson'sagreementwiththe
8361 49individualseekingservices.Theindividualshallverballyacknowledgeunderstandingof
8462 50theoraldisclosureandshallsignthedocumentinwhichthewrittendisclosureappears,
8563 51torepresentunderstandingoftheseprovisions.Thepersonofferingservicesshallretain
8664 52acopyofthewrittendisclosurewhileprovidingveteransbenefitsservicesfor
87-53compensationtotheindividualandforatleastoneyearafterthedateonwhichthe
65+HB1490 2 53compensationtotheindividualandforatleastoneyearafterthedateonwhichthe
8866 54servicerelationshipterminates.
8967 55 9.(1)Nopersonshalladvertisefor-compensationservicesinveteransbenefits
9068 56matterswithoutincludingthefollowingdisclosure:
9169 57 Thisbusinessisnotsponsoredby,oraffiliatedwith,theUnited
9270 58 StatesDepartmentofVeteransAffairsortheMissouriVeterans
9371 59 Commission,oranyotherfederallycharteredveteransservice
9472 60 organization.Otherorganizations,including,butnotlimitedto,
9573 61 theMissouriVeteransCommission,yourlocalveteransservice
9674 62 agency,andotherfederallycharteredveteransservice
9775 63 organizations,maybeabletoprovideyouwiththeseservicesfree
9876 64 ofcharge.Productsorservicesofferedbythisbusinessarenot
9977 65 necessarilyendorsedbyanyoftheseorganizations.Youmay
10078 66 qualifyforotherveteransbenefitsbeyondtheservicesthatthis
10179 67 businessoffers.
102-HCSHB1490 3 68 (2)Iftheadvertisementisprinted,including,butnotlimitedto,advertisements
80+68 (2)Iftheadvertisementisprinted,including,butnotlimitedto,advertisements
10381 69visibletointernetusers,thedisclosureshallappearinareadilyvisibleplaceonthe
10482 70advertisement.Iftheadvertisementisverbal,thespokenstatementofthedisclosure
10583 71shallbeclearandintelligible.
106-72 10.Nopersonwhoadvisesorassists,orseekstoadviseorassist,for
107-73compensationanyindividualconcerninganyveteransbenefitsmattershallgaindirect
108-74accesstotheindividual's:
109-75 (1)Personalmedicalinformation;
110-76 (2)Personalfinancialinformation;
111-77 (3)Personalinformationinanyapplicationforgovernmentbenefits;or
112-78 (4)Usernameorpasswordforanyapplicationorservice.
113-79 11.AnypersonwhoviolatesthissectionisguiltyofaclassAmisdemeanor.
114-42.312.1.Thereisherebycreatedwithinthestateadjutantgeneral'sofficethe
115-2"OperationEnduringFreedom,OperationFreedom'sSentinel,andOperationAllies
116-3RefugeProgram".EveryveteranwhohonorablyservedonactivedutyintheUnited
117-4StatesmilitaryserviceatanytimebeginningOctober7,2001,andendingAugust30,
118-52021,shallbeentitledtoreceiveanOperationEnduringFreedom,OperationFreedom's
119-6Sentinel,andOperationAlliesRefugemedallion,medal,andcertificateofappreciation
120-7underthissection,providedthat:
121-8 (1)Suchveteranisalegalresidentofthisstateorwasalegalresidentofthis
122-9stateatthetimeheorsheenteredorwasdischargedfrommilitaryserviceoratthetime
123-10ofhisorherdeath,orsuchveteranservedinaunitoftheMissouriNationalGuard
124-11regardlessofwhethersuchveteranisoreverwasalegalresidentofthisstate;and
125-12 (2)Suchveteranwashonorablyseparatedordischargedfrommilitaryservice,is
126-13stillinactiveserviceinanhonorablestatus,orwasinactiveserviceinanhonorable
127-14statusatthetimeofhisorherdeath.
128-15 2.TheOperationEnduringFreedom,OperationFreedom'sSentinel,and
129-16OperationAlliesRefugemedallion,medal,andcertificateshallbeawardedregardlessof
130-17whethersuchveteranservedwithintheUnitedStatesorinaforeigncountry.The
131-18medallion,medal,andcertificateshallbeawardedregardlessofwhethersuchveteran
132-19wasundereighteenyearsofageatthetimeofenlistment.Forpurposesofthissection,
133-20"veteran"meansanypersondefinedasaveteranbytheUnitedStatesDepartmentof
134-21VeteransAffairsoritssuccessoragency.
135-191.2600.Sections191.2600to191.2630shallbeknownandmaybecitedasthe
136-2"VeteransTraumaticBrainInjuryTreatmentandRecoveryAct".
137-191.2605.Asusedinsections191.2600to191.2630,unlessthecontextindicates
138-2otherwise,thefollowingtermsmean:
139-HCSHB1490 4 3 (1)"Alternativetherapies",anytherapiesforaconditionthatarenotconsidered
140-4thestandardorconventionaltherapiesforthatconditionincluding,butnotlimitedto,
141-5hyperbaricoxygentherapy;
142-6 (2)"Commission",theMissouriveteranscommission;
143-7 (3)"Facility",apublicorprivatehealthclinic,outpatienthealthclinic,
144-8communityhealthcenter,hospital,orotherfacilityauthorizedunderrulesofthe
145-9departmentofhealthandseniorservicestoprovidehyperbaricoxygentherapyunder
146-10sections191.2600to191.2630;
147-11 (4)"Fund",theveteranstraumaticbraininjurytreatmentandrecoveryfund
148-12establishedinsection191.2615;
149-13 (5)"Healthcarepractitioner",apersonwhoislicensedtoprovidemedicalor
150-14otherhealthcareinthisstateandwhohasprescriptiveauthorityincluding,butnot
151-15limitedto,aphysician;
152-16 (6)"Hyperbaricoxygentherapy"or"therapy",treatmentforposttraumatic
153-17stressdisorderortraumaticbraininjurythatisbasedonavalidprescriptionfroma
154-18healthcarepractitionerandthatisdeliveredthrough:
155-19 (a)AhyperbaricchamberapprovedbytheUnitedStatesFoodandDrug
156-20Administration;or
157-21 (b)AhyperbaricoxygendevicethatisapprovedbytheUnitedStatesFoodand
158-22DrugAdministration;
159-23 (7)"Physician",apersonlicensedtopracticemedicineinthisstateunder
160-24chapter334;
161-25 (8)"Posttraumaticstressdisorder",amentalhealthconditionthatistriggered
162-26byaterrifyingevent,suchasbyeitherexperiencingorwitnessingalife-threatening
163-27event,including,butnotlimitedto,militarysexualtrauma,orasasecondarysequelato
164-28bodytrauma;
165-29 (9)"Traumaticbraininjury",anacquiredinjurytothebrain.Theterm
166-30"traumaticbraininjury"doesnotincludebraindysfunctioncausedbyacongenitalor
167-31degenerativedisorderorbirthtrauma;
168-32 (10)"Veteran",anindividualwhohasserved:
169-33 (a)InanactiveorreservecomponentoftheArmy,Navy,AirForce,Marine
170-34Corps,SpaceForce,orCoastGuardoftheUnitedStates;
171-35 (b)IntheNationalGuardofanystate;or
172-36 (c)Onactiveduty,otherthanfortraining,inanycomponentoftheArmed
173-37ForcesoftheUnitedStatesforaperiodofonehundredeightydaysormore,unless
174-38releasedearlierbecauseofservice-connecteddisability,andwhowasdischargedor
175-HCSHB1490 5 39releasedfromtheArmedForcesoftheUnitedStatesunderotherthandishonorable
176-40conditions.
177-191.2610.Anyfacilityinthisstatethatprovideshyperbaricoxygentherapytoa
178-2veteranshallbeeligibleforreimbursementforsuchtherapyfromthecommissionifthe
179-3followingconditionsaresatisfied:
180-4 (1)Theveteranreceivingthetherapyhasbeendiagnosed,byahealthcare
181-5practitioner,withposttraumaticstressdisorderoratraumaticbraininjuryandhas
182-6demonstratedthatheorshepreviouslysoughtservicesforposttraumaticstressdisorder
183-7oratraumaticbraininjurythroughtheVeteransHealthAdministrationservice
184-8deliverysystemor,ifavailabletotheveteran,throughtheprivatehealthinsurance
185-9system;
186-10 (2)Theveteranreceivingthetherapyvoluntarilyagreedtothetherapy;
187-11 (3)Thefacilitycomplieswithapplicablefirecodes,oversightrequirements,and
188-12anytreatmentprotocolsrequiredundersections191.2600to191.2630;
189-13 (4)Theveteranreceivingthetherapyresideswithinthisstate;
190-14 (5)Anyhyperbaricchamberusedtotreattheveteranmeetstheminimum
191-15standardsforpatientsestablishedbytheUnitedStatesFoodandDrugAdministration;
192-16 (6)ThefacilitycomplieswiththefederalHealthInsuranceandPortability
193-17AccountabilityActof1996fortheveteranreceivingthetherapy;
194-18 (7)Thefacility'streatmentprotocolsforhyperbaricoxygentherapyarealigned
195-19withthemedicalstandardsdemonstratedinpublishedclinicaltrialsforhyperbaric
196-20oxygentherapythatoccurredunderthedirectionofaninstitutionalreviewboard;
197-21 (8)Thehyperbaricoxygentherapyisdeliveredsolelybyhealthcare
198-22practitionersinaccordancewithfederalandstatelaw;
199-23 (9)Beforeprovidinghyperbaricoxygentherapytotheveteran,thefacility
200-24establishedatreatmentplanconsistentwiththerequirementsofsections191.2600to
201-25191.2630;
202-26 (10)Aprescriptionorderforhyperbaricoxygentherapywasissuedbyahealth
203-27carepractitionerbeforethefacilityprovidedthetherapy;
204-28 (11)Thefacilityverifiedthatboththefacilityandtheveteranmetthe
205-29requirementsundersections191.2600to191.2630forreimbursementbeforeproceeding
206-30withthetherapy;
207-31 (12)Beforeprovidingthetherapy,thefacilityestimatedthecostsofthetherapy,
208-32includingthecostsofcognitivetestingtobeconductedbeforeandafterthetherapy;
209-33 (13)Thefacilityretainsintheveteran'shealthcarefileinformationonthetype
210-34ofcognitivetestingperformedaswellastheresultsofthecognitivetesting;
211-HCSHB1490 6 35 (14)Theveteranisnotchargedorbilledforthetherapybythefacilityorany
212-36otherentityandisnotliableforthecostsofthetherapyoranyexpensesincurredin
213-37accordancewithsections191.2600to191.2630;
214-38 (15)Thefacilityandanyhealthcarepractitionersinvolvedinthehyperbaric
215-39oxygentherapyagreetocooperatewiththecommissiontoprovideanannualdata
216-40summarytreatmentreportsufficienttoassesstheefficacyofalternativetreatment
217-41modalitiesfortreatingveteranswithposttraumaticstressdisorderandtraumaticbrain
218-42injuries;and
219-43 (16)Thefacilityreceivesadvanceapprovalfromthecommissionasdescribedin
220-44section191.2615.
221-191.2615.1.(1)Thereisherebycreatedinthestatetreasurythe"Veterans
222-2TraumaticBrainInjuryTreatmentandRecoveryFund".Thefundshallconsistofany
223-3appropriations,gifts,bequests,orpublicorprivatedonationstosuchfund.Thestate
224-4treasurershallbecustodianofthefund.Inaccordancewithsections30.170and30.180,
225-5thestatetreasurermayapprovedisbursements.Thefundshallbeadedicatedfundand,
226-6uponappropriation,moneysinthisfundshallbeusedsolelyforreimbursementsto
227-7facilitiesforhyperbaricoxygentherapyprovidedtoveterans,foradministrative
228-8expensesincurredbythecommissionindistributingsuchreimbursements,andfor
229-9studiesontheuseofalternativetherapiestotreatveteranswithposttraumaticstress
230-10disorderandtraumaticbraininjuries.
231-11 (2)Notwithstandingtheprovisionsofsection33.080tothecontrary,anymoneys
232-12remaininginthefundattheendofthebienniumshallnotreverttothecreditofthe
233-13generalrevenuefund.
234-14 (3)Thestatetreasurershallinvestmoneysinthefundinthesamemanneras
235-15otherfundsareinvested.Anyinterestandmoneysearnedonsuchinvestmentsshallbe
236-16creditedtothefund.
237-17 2.Anyfacilitythatintendstoseekreimbursementfromthefundforhyperbaric
238-18oxygentherapyprovidedtoaveteranshallrequestadvanceapprovalfromthe
239-19commissionforreimbursementbeforeprovidingsuchtherapy.Uponapprovalbythe
240-20commission,thecommissionshallsetasidetheappropriateamountoffundstoensure
241-21fullpaymentfortheveteran'stherapy.Ifmoneysremaininginthefundareinsufficient
242-22toensurefullpayment,thecommissionshalldenythefacility'srequestforadvance
243-23approval.
244-24 3.Ifattheendofthesix-monthperiodimmediatelyfollowingthedatethe
245-25commissionapprovedthefacility'srequestforadvanceapprovalthefacilityhasnot
246-26submittedanybillstothecommissionfortheveteranorprovidedanytherapyforthe
247-27veteran,thecommissionshallnotifytheveteranandthefacilitythatthefunding
248-HCSHB1490 7 28reservedfortheveteranshallexpirewithinthirtydaysifthefacilityfailstonotifythe
249-29commissionthattherapyisscheduledorcontinued.Ifthefacilityfailstonotifythe
250-30commissionthattherapyisscheduledorcontinuedwithinthirtydays,thecommission
251-31shallreleasethefundsreservedfortheveteranandmakethemavailableforanother
252-32veteran'stherapyundersections191.2600to191.2630.
253-33 4.Afterreceivingadvanceapprovalfromthecommissionandproviding
254-34hyperbaricoxygentherapytoaveteraninaccordancewithsections191.2600to
255-35191.2630,thefacilityshallnotbilltheveteranforthetherapybutshallsubmitthebill
256-36forthetherapytothecommission.
257-37 5.Thecommissionshallpaythebillforthetherapyreceivedinaccordancewith
258-38subsection4ofthissectionfromthefundwithinforty-fivedaysofreceipt.Ifthecostsof
259-39thetherapyexceedtheavailabilityofmoneysremaininginthefund,thefacilityshallnot
260-40holdtheveteranresponsibleforanypayment,andthecommissionshallnothaveany
261-41obligationtomakepaymentstothefacilityinanamountthatexceedstheamountthat
262-42wassetasideuponadvanceapprovalasdescribedinsubsection2ofthissection.
263-43 6.Thecommissionshallseekreimbursementforpaymentsmadetofacilitiesfor
264-44treatingveteranswithhyperbaricoxygentherapyfromanyofthefollowingentities
265-45basedontheefficacyoftreatmentsasdemonstratedinthehealingoftraumaticbrain
266-46injuriesthroughhyperbaricoxygentherapybycognitivetesting,brainscans,orother
267-47assessmentprotocolsmedicallyacceptedbytheUnitedStatesFoodandDrug
268-48AdministrationortheUnitedStatesDepartmentofDefenseundertheWarRisk
269-49InsuranceAct,asamended:
270-50 (1)TheTricareprogramoftheUnitedStatesDepartmentofDefense;
271-51 (2)Appropriatefederalagencies,includingtheVeteransHealthAdministration;
272-52and
273-53 (3)Anyotherresponsiblethird-partypayer.
274-54 7.Thedepartmentofhealthandseniorservicesshallawardfundstoentitiesto
275-55studytheuseofalternativetherapiestotreatveteranswithposttraumaticstress
276-56disorderandtraumaticbraininjuries.
277-191.2620.1.Anyfacilitymayapprovehyperbaricoxygentherapyforaveteran
278-2inaccordancewithsections191.2600to191.2630.
279-3 2.Alicensingboardshallnotrevoke,failtorenew,suspend,ortakeanyaction
280-4againstahealthcarepractitionerbasedsolelyonthehealthcarepractitioner's
281-5recommendationstoaveteranregardingaccesstoortreatmentwithhyperbaricoxygen
282-6therapy.
283-HCSHB1490 8 7 3.Nostateagencyshalltakeanyaction,orassistinanyaction,againstahealth
284-8carepractitioner'sMedicareorMedicaidcertificationbasedsolelyonthehealthcare
285-9practitioner'srecommendationthataveteranhaveaccesstohyperbaricoxygentherapy.
286-10 4.Noofficialemployeeoragentofthestateshallblockorattempttoblockaccess
287-11tohyperbaricoxygentherapybyaveteranwhomeetsallrequirementstoreceivesuch
288-12therapyundersections191.2600to191.2630.
289-13 5.Counseling,advice,orrecommendationsprovidedbyahealthcare
290-14practitionerconsistentwiththemedicalstandardsofcareshallnotbeconsidereda
291-15violationofsections191.2600to191.2630.
292-16 6.Hyperbaricoxygentherapymaybeusedunderthedirectionofan
293-17institutionalreviewboardwithanationalclinicaltrialnumberforthepurposeof
294-18collectingclinicaltrialdata.
295-191.2625.1.Anyfacilitythatreceivesreimbursementfromthefundshall:
296-2 (1)Providereportsonindividualveteransandgroupsofveteranstothe
297-3commissiononmeasuredhealthimprovementsfromacceptedandapprovedcognitive
298-4testingprotocols,brainimaging,orothermedicalassessmentsapprovedbytheindustry,
299-5theUnitedStatesFoodandDrugAdministration,theUnitedStatesDepartmentof
300-6Defense,Tricare,ortheCentersforMedicareandMedicaidServicesconductedbefore
301-7andaftertherapy;and
302-8 (2)Submitanannualreporttothecommissionwiththefollowinginformation:
303-9 (a)Thenumberofveteranswhoreceivedhyperbaricoxygentherapyatthe
304-10facility;
305-11 (b)Thedemographicsoftheveteranswhoreceivedhyperbaricoxygentherapy
306-12atthefacility;
307-13 (c)Thenumberofactualhyperbaricoxygentherapydivesbyveterans
308-14completedatthefacility;
309-15 (d)Cognitivetestresultsofveteranswhoreceivedhyperbaricoxygentherapyat
310-16thefacility;and
311-17 (e)Anytestimonialsprovidedbyveteransvoluntarily.
312-18 2.(1)BeforeJanuaryfirsteachyear,thecommissionshallprepareareport
313-19detailingeachtreatmentofhyperbaricoxygentherapyprovidedtoaveteranin
314-20accordancewithsections191.2600to191.2630,theprovidertypeforeachtreatment
315-21provided,thenumberofveteranstreatedorserved,thetreatmentoutcomesforthe
316-22veteranstreatedorserved,andadetailedaccountingofthemoneysusedinthefund
317-23duringtheimmediatelyprecedingfiscalyear.
318-24 (2)Thecommissionshallsubmitthereportpreparedundersubdivision(1)of
319-25thissubsectiontothegovernor,thepresidentprotemporeofthesenate,thespeakerof
320-HCSHB1490 9 26thehouseofrepresentatives,andthedirectorofthedepartmentofhealthandsenior
321-27services.
322-28 3.BeforeJanuarythirtietheachyear,thedepartmentofhealthandsenior
323-29servicesshallsubmittothegovernorareportcontaining:
324-30 (1)Findingsandrecommendationsrelatedtotheadministrationofsections
325-31191.2600to191.2630;
326-32 (2)Findingsandrecommendationsfromanystudiesfundedundersection
327-33191.2615regardingtheefficacyofalternativetherapiestotreatposttraumaticstress
328-34disorderandtraumaticbraininjuries;and
329-35 (3)Recommendationsonbudgetary,legislative,orregulatorychangesneededto
330-36expandaccesstoalternativetherapiesforveteranswithposttraumaticstressdisorder
331-37andtraumaticbraininjuries.
332-191.2630.Thecommissionandthedepartmentofhealthandseniorservicesshall
333-2jointlypromulgateallnecessaryrulesandregulationsfortheadministrationofsections
334-3191.2600to191.2630.Anyruleorportionofarule,asthattermisdefinedinsection
335-4536.010,thatiscreatedundertheauthoritydelegatedinthissectionshallbecome
336-5effectiveonlyifitcomplieswithandissubjecttoalloftheprovisionsofchapter536and,
337-6ifapplicable,section536.028.Thissectionandchapter536arenonseverableandifany
338-7ofthepowersvestedwiththegeneralassemblypursuanttochapter536toreview,to
339-8delaytheeffectivedate,ortodisapproveandannularulearesubsequentlyheld
340-9unconstitutional,thenthegrantofrulemakingauthorityandanyruleproposedor
341-10adoptedafterAugust28,2024,shallbeinvalidandvoid.
342-301.3181.AnypersonwhoservedasamemberoftheArmedForcesofthe
343-2UnitedStatesinAfghanistanandIraq,whowasawardedtheAfghanistanCampaign
344-3medalandtheIraqCampaignmedal,mayapplyforAfghanistanandIraqVeteran
345-4vehiclelicenseplates,foranymotorvehiclethepersonowns,eithersolelyorjointly,
346-5otherthananapportionedmotorvehicleoracommercialmotorvehiclelicensedin
347-6excessoftwenty-fourthousandpoundsgrossweight.Anysuchpersonshallmake
348-7applicationforthelicenseplatesauthorizedbythissectiononaformprovidedbythe
349-8directorofrevenueandfurnishsuchproofofserviceinAfghanistanandIraq,the
350-9awardingoftheAfghanistanCampaignmedalandtheIraqCampaignmedal,and
351-10statusascurrentlyservinginabranchoftheArmedForcesoftheUnitedStatesorasan
352-11honorablydischargedveteranasthedirectormayrequire.Uponpresentationofthe
353-12proofofeligibility,paymentofafifteen-dollarfeeinadditiontotheregularregistration
354-13fees,andpresentationofdocumentsthatmayberequiredbylaw,thedirectorshallthen
355-14issuelicenseplatesbearinglettersornumbersoracombinationthereofasdetermined
356-15bythedirector,withthewords"AFGHANISTAN&IRAQVETERAN"inplaceofthe
357-HCSHB1490 10 16words"SHOW-MESTATE".SuchplatesshallbeartheAfghanistanCampaignmedal
358-17andtheIraqCampaignmedalontheleftside,withtheAfghanistanCampaignmedal
359-18appearingfarthesttotheleftandtheIraqCampaignmedalappearingimmediatelyto
360-19therightoftheAfghanistanCampaignmedal.Notwithstandingtheprovisionsof
361-20section301.144,noadditionalfeeshallbechargedforthepersonalizationoflicense
362-21platesissuedpursuanttothissection.Theplatesshallbeclearlyvisibleatnightand
363-22shallbeaestheticallyattractive,asprescribedbysection301.130.Thereshallbenolimit
364-23onthenumberoflicenseplatesanypersonqualifiedpursuanttothissectionmayobtain
365-24solongaseachsetoflicenseplatesissuedpursuanttothissectionisissuedforavehicle
366-25ownedsolelyorjointlybysuchperson.Licenseplatesissuedpursuanttothissection
367-26shallnotbetransferabletoanyotherpersonexceptthatanyregisteredco-ownerofthe
368-27motorvehiclemayoperatethemotorvehicleforthedurationoftheyearlicensedinthe
369-28eventofthedeathofthequalifiedperson.
370-301.3182.AnypersonwhoservedasamemberoftheArmedForcesofthe
371-2UnitedStatesinAfghanistan,whowasawardedtheAfghanistanCampaignmedal,may
372-3applyforAfghanistanVeteranvehiclelicenseplates,foranymotorvehicletheperson
373-4owns,eithersolelyorjointly,otherthananapportionedmotorvehicleoracommercial
374-5motorvehiclelicensedinexcessoftwenty-fourthousandpoundsgrossweight.Anysuch
375-6personshallmakeapplicationforthelicenseplatesauthorizedbythissectiononaform
376-7providedbythedirectorofrevenueandfurnishsuchproofofserviceinAfghanistan,
377-8theawardingoftheAfghanistanCampaignmedal,andstatusascurrentlyservingina
378-9branchoftheArmedForcesoftheUnitedStatesorasanhonorablydischargedveteran
379-10asthedirectormayrequire.Uponpresentationoftheproofofeligibility,paymentofa
380-11fifteen-dollarfeeinadditiontotheregularregistrationfees,andpresentationof
381-12documentsthatmayberequiredbylaw,thedirectorshallthenissuelicenseplates
382-13bearinglettersornumbersoracombinationthereofasdeterminedbythedirector,with
383-14thewords"AFGHANISTANVETERAN"inplaceofthewords"SHOW-MESTATE".
384-15SuchplatesshallbeartheAfghanistanCampaignmedalontheleftside.
385-16Notwithstandingtheprovisionsofsection301.144,noadditionalfeeshallbecharged
386-17forthepersonalizationoflicenseplatesissuedpursuanttothissection.Theplatesshall
387-18beclearlyvisibleatnightandshallbeaestheticallyattractive,asprescribedbysection
388-19301.130.Thereshallbenolimitonthenumberoflicenseplatesanypersonqualified
389-20pursuanttothissectionmayobtainsolongaseachsetoflicenseplatesissuedpursuant
390-21tothissectionisissuedforavehicleownedsolelyorjointlybysuchperson.License
391-22platesissuedpursuanttothissectionshallnotbetransferabletoanyotherpersonexcept
392-HCSHB1490 11 23thatanyregisteredco-ownerofthemotorvehiclemayoperatethemotorvehicleforthe
393-24durationoftheyearlicensedintheeventofthedeathofthequalifiedperson.
84+72 10.AnypersonwhoviolatesthissectionisguiltyofaclassAmisdemeanor.
39485 âś”
395-HCSHB1490 12
86+HB1490 3