SECONDREGULARSESSION HOUSECOMMITTEESUBSTITUTEFOR HOUSEBILLNO.1490 102NDGENERALASSEMBLY 3513H.03C DANARADEMANMILLER,ChiefClerk ANACT Toamendchapters42,191,and301,RSMo,byaddingtheretotwelvenewsectionsrelatingto veterans,withpenaltyprovisions. BeitenactedbytheGeneralAssemblyofthestateofMissouri,asfollows: SectionA.Chapters42,191,and301,RSMo,areamendedbyaddingtheretotwelve 2newsections,tobeknownassections42.022,42.028,42.312,191.2600,191.2605,191.2610, 3191.2615,191.2620,191.2625,191.2630,301.3181,and301.3182,toreadasfollows: 42.022.1.Inadditiontoanyotherdutiesimposedunderthischapter,the 2commissionshallreviewtheprovisionsoftheCommanderJohnScottHannonVeterans 3MentalHealthCareImprovementActof2019,enactedbythe116thUnitedStates 4Congress(Pub.L.116-171),asamended,andanyregulationsrelatedthereto.After 5review,thecommission,incollaborationwiththedepartmentofmentalhealth,shall 6providerecommendationsandmakeeffortstoadoptprocedures,programs,treatment 7options,additionalaid,andanyotherassistancedeemednecessarybythecommissionto 8assistintheeffortstopreventveteransuicide,subjecttoappropriation. 9 2.BeforeJuly1,2025,andbeforeeveryJulyfirstthereafterthecommission 10shallfileareportwiththedepartmentofpublicsafetyandthegeneralassemblyonthe 11recommendations,implementation,andeffectivenessoftheeffortsbythecommissionto 12preventveteransuicide. 13 3.Thedepartmentofpublicsafetymaypromulgateallnecessaryrulesand 14regulationsfortheadministrationofthissection.Anyruleorportionofarule,asthat 15termisdefinedinsection536.010,thatiscreatedundertheauthoritydelegatedinthis 16sectionshallbecomeeffectiveonlyifitcomplieswithandissubjecttoallofthe 17provisionsofchapter536and,ifapplicable,section536.028.Thissectionandchapter EXPLANATION—Matterenclosedinbold-facedbrackets[thus] intheabovebillisnotenactedandis intendedtobeomittedfromthelaw.Matterinbold-facetypeintheabovebillisproposedlanguage. 18536arenonseverableandifanyofthepowersvestedwiththegeneralassembly 19pursuanttochapter536toreview,todelaytheeffectivedate,ortodisapproveandannul 20arulearesubsequentlyheldunconstitutional,thenthegrantofrulemakingauthority 21andanyruleproposedoradoptedafterAugust28,2024,shallbeinvalidandvoid. 42.028.1.Asusedinthissection,thefollowingtermsmean: 2 (1)"Compensation",paymentofanymoney,thingofvalue,orfinancialbenefit; 3 (2)"Person",anindividual;corporation;businesstrust;estate;trust; 4partnership;limitedliabilitycompany;association;jointventure;publiccorporation; 5governmentorgovernmentalsubdivision,agency,orinstrumentality;oranyotherlegal 6orcommercialentity.Theterm"person"shallnotincludetheMissouriveterans 7commission; 8 (3)"Veteransbenefitsmatter",thepreparation,presentation,orprosecutionof 9anyclaimaffectinganypersonwhohasfiledorexpressedanintenttofileaclaimfor 10anybenefit,program,service,commodity,function,orstatus,entitlementtowhichis 11determinedunderthelawsandregulationsadministeredbytheUnitedStates 12DepartmentofVeteransAffairsortheMissouriveteranscommission,pertainingto 13veterans,theirdependents,theirsurvivors,andanyotherindividualeligibleforsuch 14benefits. 15 2.Exceptaspermittedunderfederallaw,nopersonshallreceivecompensation 16foradvisingorassistinganyindividualwithregardtoanyveteransbenefitsmatter. 17 3.Nopersonshallreceivecompensationforreferringanyindividualtoanother 18persontoadviseorassistthisindividualwithanyveteransbenefitsmatter. 19 4.Apersonseekingtoreceivecompensationforadvisingorassistingany 20individualwithanyveteransbenefitsmattershall,beforerenderinganyservices, 21memorializealltermsregardingtheindividual'spaymentoffeesforservicesrendered 22inawrittenagreement,signedbybothparties,thatadherestoallcriteriaspecified 23within38CFR14.636. 24 5.Nopersonshallreceiveanycompensationforanyservicesrenderedbeforethe 25dateonwhichanoticeofdisagreementisfiledwithrespecttotheindividual'scase. 26 6.Nopersonshallguarantee,eitherdirectlyorbyimplication,thatany 27individualiscertaintoreceivespecificveteransbenefitsorthatanyindividualiscertain 28toreceiveaspecificlevel,percentage,oramountofveteransbenefits. 29 7.Nopersonshallreceiveexcessiveorunreasonablefeesascompensationfor 30advisingorassistinganyindividualwithanyveteransbenefitsmatter.Thefactors 31articulatedwithin38CFR14.636shallgoverndeterminationsofwhetherafeeis 32excessiveorunreasonable. HCSHB1490 2 33 8.(1)Nopersonshalladviseorassistforcompensationanyindividual 34concerninganyveteransbenefitsmatterwithoutclearlyproviding,attheoutsetofthe 35businessrelationship,thefollowingdisclosure,bothorallyandinwriting: 36 Thisbusinessisnotsponsoredby,oraffiliatedwith,theUnited 37 StatesDepartmentofVeteransAffairsortheMissouriVeterans 38 Commission,oranyotherfederallycharteredveteransservice 39 organization.Otherorganizations,including,butnotlimitedto, 40 theMissouriVeteransCommission,yourlocalveteransservice 41 agency,andotherfederallycharteredveteransservice 42 organizations,maybeabletoprovideyouwiththisservicefreeof 43 charge.Productsorservicesofferedbythisbusinessarenot 44 necessarilyendorsedbyanyoftheseorganizations.Youmay 45 qualifyforotherveteransbenefitsbeyondthebenefitsforwhich 46 youarereceivingserviceshere. 47 (2)Thewrittendisclosureshallappearinatleasttwelve-pointfontandshall 48appearinareadilynoticeableandidentifiableplaceintheperson'sagreementwiththe 49individualseekingservices.Theindividualshallverballyacknowledgeunderstandingof 50theoraldisclosureandshallsignthedocumentinwhichthewrittendisclosureappears, 51torepresentunderstandingoftheseprovisions.Thepersonofferingservicesshallretain 52acopyofthewrittendisclosurewhileprovidingveteransbenefitsservicesfor 53compensationtotheindividualandforatleastoneyearafterthedateonwhichthe 54servicerelationshipterminates. 55 9.(1)Nopersonshalladvertisefor-compensationservicesinveteransbenefits 56matterswithoutincludingthefollowingdisclosure: 57 Thisbusinessisnotsponsoredby,oraffiliatedwith,theUnited 58 StatesDepartmentofVeteransAffairsortheMissouriVeterans 59 Commission,oranyotherfederallycharteredveteransservice 60 organization.Otherorganizations,including,butnotlimitedto, 61 theMissouriVeteransCommission,yourlocalveteransservice 62 agency,andotherfederallycharteredveteransservice 63 organizations,maybeabletoprovideyouwiththeseservicesfree 64 ofcharge.Productsorservicesofferedbythisbusinessarenot 65 necessarilyendorsedbyanyoftheseorganizations.Youmay 66 qualifyforotherveteransbenefitsbeyondtheservicesthatthis 67 businessoffers. HCSHB1490 3 68 (2)Iftheadvertisementisprinted,including,butnotlimitedto,advertisements 69visibletointernetusers,thedisclosureshallappearinareadilyvisibleplaceonthe 70advertisement.Iftheadvertisementisverbal,thespokenstatementofthedisclosure 71shallbeclearandintelligible. 72 10.Nopersonwhoadvisesorassists,orseekstoadviseorassist,for 73compensationanyindividualconcerninganyveteransbenefitsmattershallgaindirect 74accesstotheindividual's: 75 (1)Personalmedicalinformation; 76 (2)Personalfinancialinformation; 77 (3)Personalinformationinanyapplicationforgovernmentbenefits;or 78 (4)Usernameorpasswordforanyapplicationorservice. 79 11.AnypersonwhoviolatesthissectionisguiltyofaclassAmisdemeanor. 42.312.1.Thereisherebycreatedwithinthestateadjutantgeneral'sofficethe 2"OperationEnduringFreedom,OperationFreedom'sSentinel,andOperationAllies 3RefugeProgram".EveryveteranwhohonorablyservedonactivedutyintheUnited 4StatesmilitaryserviceatanytimebeginningOctober7,2001,andendingAugust30, 52021,shallbeentitledtoreceiveanOperationEnduringFreedom,OperationFreedom's 6Sentinel,andOperationAlliesRefugemedallion,medal,andcertificateofappreciation 7underthissection,providedthat: 8 (1)Suchveteranisalegalresidentofthisstateorwasalegalresidentofthis 9stateatthetimeheorsheenteredorwasdischargedfrommilitaryserviceoratthetime 10ofhisorherdeath,orsuchveteranservedinaunitoftheMissouriNationalGuard 11regardlessofwhethersuchveteranisoreverwasalegalresidentofthisstate;and 12 (2)Suchveteranwashonorablyseparatedordischargedfrommilitaryservice,is 13stillinactiveserviceinanhonorablestatus,orwasinactiveserviceinanhonorable 14statusatthetimeofhisorherdeath. 15 2.TheOperationEnduringFreedom,OperationFreedom'sSentinel,and 16OperationAlliesRefugemedallion,medal,andcertificateshallbeawardedregardlessof 17whethersuchveteranservedwithintheUnitedStatesorinaforeigncountry.The 18medallion,medal,andcertificateshallbeawardedregardlessofwhethersuchveteran 19wasundereighteenyearsofageatthetimeofenlistment.Forpurposesofthissection, 20"veteran"meansanypersondefinedasaveteranbytheUnitedStatesDepartmentof 21VeteransAffairsoritssuccessoragency. 191.2600.Sections191.2600to191.2630shallbeknownandmaybecitedasthe 2"VeteransTraumaticBrainInjuryTreatmentandRecoveryAct". 191.2605.Asusedinsections191.2600to191.2630,unlessthecontextindicates 2otherwise,thefollowingtermsmean: HCSHB1490 4 3 (1)"Alternativetherapies",anytherapiesforaconditionthatarenotconsidered 4thestandardorconventionaltherapiesforthatconditionincluding,butnotlimitedto, 5hyperbaricoxygentherapy; 6 (2)"Commission",theMissouriveteranscommission; 7 (3)"Facility",apublicorprivatehealthclinic,outpatienthealthclinic, 8communityhealthcenter,hospital,orotherfacilityauthorizedunderrulesofthe 9departmentofhealthandseniorservicestoprovidehyperbaricoxygentherapyunder 10sections191.2600to191.2630; 11 (4)"Fund",theveteranstraumaticbraininjurytreatmentandrecoveryfund 12establishedinsection191.2615; 13 (5)"Healthcarepractitioner",apersonwhoislicensedtoprovidemedicalor 14otherhealthcareinthisstateandwhohasprescriptiveauthorityincluding,butnot 15limitedto,aphysician; 16 (6)"Hyperbaricoxygentherapy"or"therapy",treatmentforposttraumatic 17stressdisorderortraumaticbraininjurythatisbasedonavalidprescriptionfroma 18healthcarepractitionerandthatisdeliveredthrough: 19 (a)AhyperbaricchamberapprovedbytheUnitedStatesFoodandDrug 20Administration;or 21 (b)AhyperbaricoxygendevicethatisapprovedbytheUnitedStatesFoodand 22DrugAdministration; 23 (7)"Physician",apersonlicensedtopracticemedicineinthisstateunder 24chapter334; 25 (8)"Posttraumaticstressdisorder",amentalhealthconditionthatistriggered 26byaterrifyingevent,suchasbyeitherexperiencingorwitnessingalife-threatening 27event,including,butnotlimitedto,militarysexualtrauma,orasasecondarysequelato 28bodytrauma; 29 (9)"Traumaticbraininjury",anacquiredinjurytothebrain.Theterm 30"traumaticbraininjury"doesnotincludebraindysfunctioncausedbyacongenitalor 31degenerativedisorderorbirthtrauma; 32 (10)"Veteran",anindividualwhohasserved: 33 (a)InanactiveorreservecomponentoftheArmy,Navy,AirForce,Marine 34Corps,SpaceForce,orCoastGuardoftheUnitedStates; 35 (b)IntheNationalGuardofanystate;or 36 (c)Onactiveduty,otherthanfortraining,inanycomponentoftheArmed 37ForcesoftheUnitedStatesforaperiodofonehundredeightydaysormore,unless 38releasedearlierbecauseofservice-connecteddisability,andwhowasdischargedor HCSHB1490 5 39releasedfromtheArmedForcesoftheUnitedStatesunderotherthandishonorable 40conditions. 191.2610.Anyfacilityinthisstatethatprovideshyperbaricoxygentherapytoa 2veteranshallbeeligibleforreimbursementforsuchtherapyfromthecommissionifthe 3followingconditionsaresatisfied: 4 (1)Theveteranreceivingthetherapyhasbeendiagnosed,byahealthcare 5practitioner,withposttraumaticstressdisorderoratraumaticbraininjuryandhas 6demonstratedthatheorshepreviouslysoughtservicesforposttraumaticstressdisorder 7oratraumaticbraininjurythroughtheVeteransHealthAdministrationservice 8deliverysystemor,ifavailabletotheveteran,throughtheprivatehealthinsurance 9system; 10 (2)Theveteranreceivingthetherapyvoluntarilyagreedtothetherapy; 11 (3)Thefacilitycomplieswithapplicablefirecodes,oversightrequirements,and 12anytreatmentprotocolsrequiredundersections191.2600to191.2630; 13 (4)Theveteranreceivingthetherapyresideswithinthisstate; 14 (5)Anyhyperbaricchamberusedtotreattheveteranmeetstheminimum 15standardsforpatientsestablishedbytheUnitedStatesFoodandDrugAdministration; 16 (6)ThefacilitycomplieswiththefederalHealthInsuranceandPortability 17AccountabilityActof1996fortheveteranreceivingthetherapy; 18 (7)Thefacility'streatmentprotocolsforhyperbaricoxygentherapyarealigned 19withthemedicalstandardsdemonstratedinpublishedclinicaltrialsforhyperbaric 20oxygentherapythatoccurredunderthedirectionofaninstitutionalreviewboard; 21 (8)Thehyperbaricoxygentherapyisdeliveredsolelybyhealthcare 22practitionersinaccordancewithfederalandstatelaw; 23 (9)Beforeprovidinghyperbaricoxygentherapytotheveteran,thefacility 24establishedatreatmentplanconsistentwiththerequirementsofsections191.2600to 25191.2630; 26 (10)Aprescriptionorderforhyperbaricoxygentherapywasissuedbyahealth 27carepractitionerbeforethefacilityprovidedthetherapy; 28 (11)Thefacilityverifiedthatboththefacilityandtheveteranmetthe 29requirementsundersections191.2600to191.2630forreimbursementbeforeproceeding 30withthetherapy; 31 (12)Beforeprovidingthetherapy,thefacilityestimatedthecostsofthetherapy, 32includingthecostsofcognitivetestingtobeconductedbeforeandafterthetherapy; 33 (13)Thefacilityretainsintheveteran'shealthcarefileinformationonthetype 34ofcognitivetestingperformedaswellastheresultsofthecognitivetesting; HCSHB1490 6 35 (14)Theveteranisnotchargedorbilledforthetherapybythefacilityorany 36otherentityandisnotliableforthecostsofthetherapyoranyexpensesincurredin 37accordancewithsections191.2600to191.2630; 38 (15)Thefacilityandanyhealthcarepractitionersinvolvedinthehyperbaric 39oxygentherapyagreetocooperatewiththecommissiontoprovideanannualdata 40summarytreatmentreportsufficienttoassesstheefficacyofalternativetreatment 41modalitiesfortreatingveteranswithposttraumaticstressdisorderandtraumaticbrain 42injuries;and 43 (16)Thefacilityreceivesadvanceapprovalfromthecommissionasdescribedin 44section191.2615. 191.2615.1.(1)Thereisherebycreatedinthestatetreasurythe"Veterans 2TraumaticBrainInjuryTreatmentandRecoveryFund".Thefundshallconsistofany 3appropriations,gifts,bequests,orpublicorprivatedonationstosuchfund.Thestate 4treasurershallbecustodianofthefund.Inaccordancewithsections30.170and30.180, 5thestatetreasurermayapprovedisbursements.Thefundshallbeadedicatedfundand, 6uponappropriation,moneysinthisfundshallbeusedsolelyforreimbursementsto 7facilitiesforhyperbaricoxygentherapyprovidedtoveterans,foradministrative 8expensesincurredbythecommissionindistributingsuchreimbursements,andfor 9studiesontheuseofalternativetherapiestotreatveteranswithposttraumaticstress 10disorderandtraumaticbraininjuries. 11 (2)Notwithstandingtheprovisionsofsection33.080tothecontrary,anymoneys 12remaininginthefundattheendofthebienniumshallnotreverttothecreditofthe 13generalrevenuefund. 14 (3)Thestatetreasurershallinvestmoneysinthefundinthesamemanneras 15otherfundsareinvested.Anyinterestandmoneysearnedonsuchinvestmentsshallbe 16creditedtothefund. 17 2.Anyfacilitythatintendstoseekreimbursementfromthefundforhyperbaric 18oxygentherapyprovidedtoaveteranshallrequestadvanceapprovalfromthe 19commissionforreimbursementbeforeprovidingsuchtherapy.Uponapprovalbythe 20commission,thecommissionshallsetasidetheappropriateamountoffundstoensure 21fullpaymentfortheveteran'stherapy.Ifmoneysremaininginthefundareinsufficient 22toensurefullpayment,thecommissionshalldenythefacility'srequestforadvance 23approval. 24 3.Ifattheendofthesix-monthperiodimmediatelyfollowingthedatethe 25commissionapprovedthefacility'srequestforadvanceapprovalthefacilityhasnot 26submittedanybillstothecommissionfortheveteranorprovidedanytherapyforthe 27veteran,thecommissionshallnotifytheveteranandthefacilitythatthefunding HCSHB1490 7 28reservedfortheveteranshallexpirewithinthirtydaysifthefacilityfailstonotifythe 29commissionthattherapyisscheduledorcontinued.Ifthefacilityfailstonotifythe 30commissionthattherapyisscheduledorcontinuedwithinthirtydays,thecommission 31shallreleasethefundsreservedfortheveteranandmakethemavailableforanother 32veteran'stherapyundersections191.2600to191.2630. 33 4.Afterreceivingadvanceapprovalfromthecommissionandproviding 34hyperbaricoxygentherapytoaveteraninaccordancewithsections191.2600to 35191.2630,thefacilityshallnotbilltheveteranforthetherapybutshallsubmitthebill 36forthetherapytothecommission. 37 5.Thecommissionshallpaythebillforthetherapyreceivedinaccordancewith 38subsection4ofthissectionfromthefundwithinforty-fivedaysofreceipt.Ifthecostsof 39thetherapyexceedtheavailabilityofmoneysremaininginthefund,thefacilityshallnot 40holdtheveteranresponsibleforanypayment,andthecommissionshallnothaveany 41obligationtomakepaymentstothefacilityinanamountthatexceedstheamountthat 42wassetasideuponadvanceapprovalasdescribedinsubsection2ofthissection. 43 6.Thecommissionshallseekreimbursementforpaymentsmadetofacilitiesfor 44treatingveteranswithhyperbaricoxygentherapyfromanyofthefollowingentities 45basedontheefficacyoftreatmentsasdemonstratedinthehealingoftraumaticbrain 46injuriesthroughhyperbaricoxygentherapybycognitivetesting,brainscans,orother 47assessmentprotocolsmedicallyacceptedbytheUnitedStatesFoodandDrug 48AdministrationortheUnitedStatesDepartmentofDefenseundertheWarRisk 49InsuranceAct,asamended: 50 (1)TheTricareprogramoftheUnitedStatesDepartmentofDefense; 51 (2)Appropriatefederalagencies,includingtheVeteransHealthAdministration; 52and 53 (3)Anyotherresponsiblethird-partypayer. 54 7.Thedepartmentofhealthandseniorservicesshallawardfundstoentitiesto 55studytheuseofalternativetherapiestotreatveteranswithposttraumaticstress 56disorderandtraumaticbraininjuries. 191.2620.1.Anyfacilitymayapprovehyperbaricoxygentherapyforaveteran 2inaccordancewithsections191.2600to191.2630. 3 2.Alicensingboardshallnotrevoke,failtorenew,suspend,ortakeanyaction 4againstahealthcarepractitionerbasedsolelyonthehealthcarepractitioner's 5recommendationstoaveteranregardingaccesstoortreatmentwithhyperbaricoxygen 6therapy. HCSHB1490 8 7 3.Nostateagencyshalltakeanyaction,orassistinanyaction,againstahealth 8carepractitioner'sMedicareorMedicaidcertificationbasedsolelyonthehealthcare 9practitioner'srecommendationthataveteranhaveaccesstohyperbaricoxygentherapy. 10 4.Noofficialemployeeoragentofthestateshallblockorattempttoblockaccess 11tohyperbaricoxygentherapybyaveteranwhomeetsallrequirementstoreceivesuch 12therapyundersections191.2600to191.2630. 13 5.Counseling,advice,orrecommendationsprovidedbyahealthcare 14practitionerconsistentwiththemedicalstandardsofcareshallnotbeconsidereda 15violationofsections191.2600to191.2630. 16 6.Hyperbaricoxygentherapymaybeusedunderthedirectionofan 17institutionalreviewboardwithanationalclinicaltrialnumberforthepurposeof 18collectingclinicaltrialdata. 191.2625.1.Anyfacilitythatreceivesreimbursementfromthefundshall: 2 (1)Providereportsonindividualveteransandgroupsofveteranstothe 3commissiononmeasuredhealthimprovementsfromacceptedandapprovedcognitive 4testingprotocols,brainimaging,orothermedicalassessmentsapprovedbytheindustry, 5theUnitedStatesFoodandDrugAdministration,theUnitedStatesDepartmentof 6Defense,Tricare,ortheCentersforMedicareandMedicaidServicesconductedbefore 7andaftertherapy;and 8 (2)Submitanannualreporttothecommissionwiththefollowinginformation: 9 (a)Thenumberofveteranswhoreceivedhyperbaricoxygentherapyatthe 10facility; 11 (b)Thedemographicsoftheveteranswhoreceivedhyperbaricoxygentherapy 12atthefacility; 13 (c)Thenumberofactualhyperbaricoxygentherapydivesbyveterans 14completedatthefacility; 15 (d)Cognitivetestresultsofveteranswhoreceivedhyperbaricoxygentherapyat 16thefacility;and 17 (e)Anytestimonialsprovidedbyveteransvoluntarily. 18 2.(1)BeforeJanuaryfirsteachyear,thecommissionshallprepareareport 19detailingeachtreatmentofhyperbaricoxygentherapyprovidedtoaveteranin 20accordancewithsections191.2600to191.2630,theprovidertypeforeachtreatment 21provided,thenumberofveteranstreatedorserved,thetreatmentoutcomesforthe 22veteranstreatedorserved,andadetailedaccountingofthemoneysusedinthefund 23duringtheimmediatelyprecedingfiscalyear. 24 (2)Thecommissionshallsubmitthereportpreparedundersubdivision(1)of 25thissubsectiontothegovernor,thepresidentprotemporeofthesenate,thespeakerof HCSHB1490 9 26thehouseofrepresentatives,andthedirectorofthedepartmentofhealthandsenior 27services. 28 3.BeforeJanuarythirtietheachyear,thedepartmentofhealthandsenior 29servicesshallsubmittothegovernorareportcontaining: 30 (1)Findingsandrecommendationsrelatedtotheadministrationofsections 31191.2600to191.2630; 32 (2)Findingsandrecommendationsfromanystudiesfundedundersection 33191.2615regardingtheefficacyofalternativetherapiestotreatposttraumaticstress 34disorderandtraumaticbraininjuries;and 35 (3)Recommendationsonbudgetary,legislative,orregulatorychangesneededto 36expandaccesstoalternativetherapiesforveteranswithposttraumaticstressdisorder 37andtraumaticbraininjuries. 191.2630.Thecommissionandthedepartmentofhealthandseniorservicesshall 2jointlypromulgateallnecessaryrulesandregulationsfortheadministrationofsections 3191.2600to191.2630.Anyruleorportionofarule,asthattermisdefinedinsection 4536.010,thatiscreatedundertheauthoritydelegatedinthissectionshallbecome 5effectiveonlyifitcomplieswithandissubjecttoalloftheprovisionsofchapter536and, 6ifapplicable,section536.028.Thissectionandchapter536arenonseverableandifany 7ofthepowersvestedwiththegeneralassemblypursuanttochapter536toreview,to 8delaytheeffectivedate,ortodisapproveandannularulearesubsequentlyheld 9unconstitutional,thenthegrantofrulemakingauthorityandanyruleproposedor 10adoptedafterAugust28,2024,shallbeinvalidandvoid. 301.3181.AnypersonwhoservedasamemberoftheArmedForcesofthe 2UnitedStatesinAfghanistanandIraq,whowasawardedtheAfghanistanCampaign 3medalandtheIraqCampaignmedal,mayapplyforAfghanistanandIraqVeteran 4vehiclelicenseplates,foranymotorvehiclethepersonowns,eithersolelyorjointly, 5otherthananapportionedmotorvehicleoracommercialmotorvehiclelicensedin 6excessoftwenty-fourthousandpoundsgrossweight.Anysuchpersonshallmake 7applicationforthelicenseplatesauthorizedbythissectiononaformprovidedbythe 8directorofrevenueandfurnishsuchproofofserviceinAfghanistanandIraq,the 9awardingoftheAfghanistanCampaignmedalandtheIraqCampaignmedal,and 10statusascurrentlyservinginabranchoftheArmedForcesoftheUnitedStatesorasan 11honorablydischargedveteranasthedirectormayrequire.Uponpresentationofthe 12proofofeligibility,paymentofafifteen-dollarfeeinadditiontotheregularregistration 13fees,andpresentationofdocumentsthatmayberequiredbylaw,thedirectorshallthen 14issuelicenseplatesbearinglettersornumbersoracombinationthereofasdetermined 15bythedirector,withthewords"AFGHANISTAN&IRAQVETERAN"inplaceofthe HCSHB1490 10 16words"SHOW-MESTATE".SuchplatesshallbeartheAfghanistanCampaignmedal 17andtheIraqCampaignmedalontheleftside,withtheAfghanistanCampaignmedal 18appearingfarthesttotheleftandtheIraqCampaignmedalappearingimmediatelyto 19therightoftheAfghanistanCampaignmedal.Notwithstandingtheprovisionsof 20section301.144,noadditionalfeeshallbechargedforthepersonalizationoflicense 21platesissuedpursuanttothissection.Theplatesshallbeclearlyvisibleatnightand 22shallbeaestheticallyattractive,asprescribedbysection301.130.Thereshallbenolimit 23onthenumberoflicenseplatesanypersonqualifiedpursuanttothissectionmayobtain 24solongaseachsetoflicenseplatesissuedpursuanttothissectionisissuedforavehicle 25ownedsolelyorjointlybysuchperson.Licenseplatesissuedpursuanttothissection 26shallnotbetransferabletoanyotherpersonexceptthatanyregisteredco-ownerofthe 27motorvehiclemayoperatethemotorvehicleforthedurationoftheyearlicensedinthe 28eventofthedeathofthequalifiedperson. 301.3182.AnypersonwhoservedasamemberoftheArmedForcesofthe 2UnitedStatesinAfghanistan,whowasawardedtheAfghanistanCampaignmedal,may 3applyforAfghanistanVeteranvehiclelicenseplates,foranymotorvehicletheperson 4owns,eithersolelyorjointly,otherthananapportionedmotorvehicleoracommercial 5motorvehiclelicensedinexcessoftwenty-fourthousandpoundsgrossweight.Anysuch 6personshallmakeapplicationforthelicenseplatesauthorizedbythissectiononaform 7providedbythedirectorofrevenueandfurnishsuchproofofserviceinAfghanistan, 8theawardingoftheAfghanistanCampaignmedal,andstatusascurrentlyservingina 9branchoftheArmedForcesoftheUnitedStatesorasanhonorablydischargedveteran 10asthedirectormayrequire.Uponpresentationoftheproofofeligibility,paymentofa 11fifteen-dollarfeeinadditiontotheregularregistrationfees,andpresentationof 12documentsthatmayberequiredbylaw,thedirectorshallthenissuelicenseplates 13bearinglettersornumbersoracombinationthereofasdeterminedbythedirector,with 14thewords"AFGHANISTANVETERAN"inplaceofthewords"SHOW-MESTATE". 15SuchplatesshallbeartheAfghanistanCampaignmedalontheleftside. 16Notwithstandingtheprovisionsofsection301.144,noadditionalfeeshallbecharged 17forthepersonalizationoflicenseplatesissuedpursuanttothissection.Theplatesshall 18beclearlyvisibleatnightandshallbeaestheticallyattractive,asprescribedbysection 19301.130.Thereshallbenolimitonthenumberoflicenseplatesanypersonqualified 20pursuanttothissectionmayobtainsolongaseachsetoflicenseplatesissuedpursuant 21tothissectionisissuedforavehicleownedsolelyorjointlybysuchperson.License 22platesissuedpursuanttothissectionshallnotbetransferabletoanyotherpersonexcept HCSHB1490 11 23thatanyregisteredco-ownerofthemotorvehiclemayoperatethemotorvehicleforthe 24durationoftheyearlicensedintheeventofthedeathofthequalifiedperson. ✔ HCSHB1490 12