SECONDREGULARSESSION HOUSEBILLNO.1695 102NDGENERALASSEMBLY INTRODUCEDBYREPRESENTATIVESPARKS. 3636H.01I DANARADEMANMILLER,ChiefClerk ANACT Torepealsections192.2405and210.115,RSMo,andtoenactinlieuthereofsixnewsections relatingtoreportingofabuseandneglect,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,animalcontrolofficer,animalhumaneinvestigatorasdefinedinsection EXPLANATION—Matterenclosedinbold-facedbrackets[thus] intheabovebillisnotenactedandis intendedtobeomittedfromthelaw.Matterinbold-facetypeintheabovebillisproposedlanguage. 17273.415,orotherpersonwiththeresponsibilityforthecareofaneligibleadultwhohas 18reasonablecausetosuspectthattheeligibleadulthasbeensubjectedtoabuseorneglector 19observestheeligibleadultbeingsubjectedtoconditionsorcircumstanceswhichwould 20reasonablyresultinabuseorneglect.Notwithstandinganyotherprovisionofthissection,a 21dulyordainedminister,clergy,religiousworker,orChristianSciencepractitionerwhile 22functioninginhisorherministerialcapacityshallnotberequiredtoreportconcerninga 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,oremergencymedicaltechnicians. 192.2510.1.Allpersonsprovidingprotectiveservicestoeligibleadults,assuch 2termsaredefinedinsection192.2400,andwhohavedirectcontactwithsuchadults, 3shallberequiredtocompleteatleastonehouroftrainingwithinthefirstsixtydaysof 4employment.Thetrainingshallincludethefollowing: 5 (1)Requirementstoreportcompanionanimalabuseorneglectundersection 6273.410; 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; 21 (2)"Companionanimal",thesamemeaningasinsection273.410. HB1695 2 210.115.1.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,animalcontrolofficer,animalhumaneinvestigatoras 8definedinsection273.415,volunteerorpersonnelofacommunityserviceprogramthat 9offerssupportservicesforfamiliesincrisistoassistinthedelegationofanypowersregarding 10thecareandcustodyofachildbyaproperlyexecutedpowerofattorneypursuanttosections 11475.600to475.604,orotherpersonwithresponsibilityforthecareofchildrenhasreasonable 12causetosuspectthatachildhasbeenormaybesubjectedtoabuseorneglectorobservesa 13childbeingsubjectedtoconditionsorcircumstanceswhichwouldreasonablyresultinabuse 14orneglect,thatpersonshallimmediatelyreporttothedivisioninaccordancewiththe 15provisionsofsections210.109to210.183.Nointernalinvestigationshallbeinitiateduntil 16suchareporthasbeenmade.Asusedinthissection,theterm"abuse"isnotlimitedtoabuse 17inflictedbyapersonresponsibleforthechild'scare,custodyandcontrolasspecifiedin 18section210.110,butshallalsoincludeabuseinflictedbyanyotherperson. 19 2.Iftwoormoremembersofamedicalinstitutionwhoarerequiredtoreportjointly 20haveknowledgeofaknownorsuspectedinstanceofchildabuseorneglect,asinglereport 21maybemadebyadesignatedmemberofthatmedicalteam.Anymemberwhohas 22knowledgethatthememberdesignatedtoreporthasfailedtodososhallthereafter 23immediatelymakethereport.Nothinginthissection,however,ismeanttoprecludeany 24personfromreportingabuseorneglect. 25 3.Thereportingrequirementsunderthissectionareindividual,andnosupervisoror 26administratormayimpedeorinhibitanyreportingunderthissection.Nopersonmakinga 27reportunderthissectionshallbesubjecttoanysanction,includinganyadverseemployment 28action,formakingsuchreport.Everyemployershallensurethatanyemployeerequiredto 29reportpursuanttosubsection1ofthissectionhasimmediateandunrestrictedaccessto 30communicationstechnologynecessarytomakeanimmediatereportandistemporarily 31relievedofotherworkdutiesforsuchtimeasisrequiredtomakeanyreportrequiredunder 32subsection1ofthissection. 33 4.Notwithstandinganyotherprovisionofsections210.109to210.183,anychildwho 34doesnotreceivespecifiedmedicaltreatmentbyreasonofthelegitimatepracticeofthe 35religiousbeliefofthechild'sparents,guardian,orotherslegallyresponsibleforthechild,for 36thatreasonalone,shallnotbefoundtobeanabusedorneglectedchild,andsuchparents, 37guardianorotherpersonslegallyresponsibleforthechildshallnotbeenteredintothecentral HB1695 3 38registry.However,thedivisionmayacceptreportsconcerningsuchachildandmay 39subsequentlyinvestigateorconductafamilyassessmentasaresultofthatreport.Suchan 40exceptionshallnotlimittheadministrativeorjudicialauthorityofthestatetoensurethat 41medicalservicesareprovidedtothechildwhenthechild'shealthrequiresit. 42 5.Inadditiontothosepersonsandofficialsrequiredtoreportactualorsuspected 43abuseorneglect,anyotherpersonmayreportinaccordancewithsections210.109to210.183 44ifsuchpersonhasreasonablecausetosuspectthatachildhasbeenormaybesubjectedto 45abuseorneglectorobservesachildbeingsubjectedtoconditionsorcircumstanceswhich 46wouldreasonablyresultinabuseorneglect. 47 6.Anypersonorofficialrequiredtoreportpursuanttothissection,including 48employeesofthedivision,whohasprobablecausetosuspectthatachildwhoisormaybe 49undertheageofeighteen,whoiseligibletoreceiveacertificateoflivebirth,hasdiedshall 50reportthatfacttotheappropriatemedicalexaminerorcoroner.If,uponreviewofthe 51circumstancesandmedicalinformation,themedicalexaminerorcoronerdeterminesthatthe 52childdiedofnaturalcauseswhileundermedicalcareforanestablishednaturaldisease,the 53coroner,medicalexaminerorphysicianshallnotifythedivisionofthechild'sdeathandthat 54thechild'sattendingphysicianshallbesigningthedeathcertificate.Inallothercases,the 55medicalexaminerorcoronershallacceptthereportforinvestigation,shallimmediatelynotify 56thedivisionofthechild'sdeathasrequiredinsection58.452andshallreportthefindingsto 57thechildfatalityreviewpanelestablishedpursuanttosection210.192. 58 7.Anypersonorindividualrequiredtoreportmayalsoreportthesuspicionofabuse 59orneglecttoanylawenforcementagencyorjuvenileoffice.Suchreportshallnot,however, 60taketheplaceofreportingtothedivision. 61 8.Ifanindividualrequiredtoreportsuspectedinstancesofabuseorneglectpursuant 62tothissectionhasreasontobelievethatthevictimofsuchabuseorneglectisaresidentof 63anotherstateorwasinjuredasaresultofanactwhichoccurredinanotherstate,theperson 64requiredtoreportsuchabuseorneglectmay,inlieuofreportingtotheMissourichildren's 65division,makesuchareporttothechildprotectionagencyoftheotherstatewiththeauthority 66toreceivesuchreportspursuanttothelawsofsuchotherstate.Ifsuchagencyacceptsthe 67report,noreportisrequiredtobemade,butmaybemade,tothechildren'sdivision. 68 9.Forthepurposesofprovidingsupportiveservicesorverifyingthestatusofayouth 69asunaccompaniedorhomelessforthepurposesofaccessingsupportiveservices,thefactthat 70achildisanunaccompaniedyouthasdefinedin42U.S.C.Section11434a(6)isnot,inandof 71itself,asufficientbasisforreportingchildabuseorneglect,unlessthechildisundersixteen 72yearsofageorisanincapacitatedperson,asdefinedinsection475.010.Nothinginthis 73subsectionshalllimitamandatedreporterfrommakingareportunderthissectionifthe HB1695 4 74mandatedreporterknowsorhasreasonablecausetosuspectthatanunaccompaniedyouthhas 75beenormaybeavictimofabuseorneglect. 210.191.1.Allchildren'sdivisionemployees,andcontractorsforchildren's 2services,whohavedirectcontactwithchildrenthroughthestate'schildprotectionand 3welfaresystemshallberequiredtocompleteatleastonehourofcompanionanimal 4abuseorneglecttrainingwithinthefirstsixtydaysofemploymentorcontract.The 5trainingshallincludethefollowing: 6 (1)Requirementstoreportcompanionanimalabuseorneglectundersection 7273.410; 8 (2)Howtoidentifycompanionanimalabuseorneglect; 9 (3)Howtomakeareportofcompanionanimalabuseorneglect;and 10 (4)Therelationshipbetweenchildabuseorneglectandcompanionanimalabuse 11orneglect. 12 2.Thedivision,inconsultationwithanimalwelfareassociations,shalldevelopor 13adaptanduseavailabletrainingmaterialsforthetrainingrequiredunderthissection. 14Personsrequiredtocompletetrainingunderthissectionshallbeprovidedwith 15opportunitiestodosoduringregularworkinghours. 16 3.Asusedinthissection,thefollowingtermsshallmean: 17 (1)"Animalwelfareorganization",thesamemeaningasinsection192.2510; 18 (2)"Companionanimal",thesamemeaningasinsection273.410. 273.410.1.Whenanypsychologist,mentalhealthprofessional,socialworker, 2schoolcounselor,teacher,orotherschoolprofessional,orlawenforcementofficer, 3juvenileofficer,probationorparoleofficer,homehealthaide,adultprotectiveservices 4worker,orvolunteerorpersonnelofacommunityserviceprogramthatofferssupport 5oradvocacyservicesforchildreninfostercarehasreasonablecausetosuspectthata 6companionanimalhasbeenormaybesubjectedtoabuseorneglectorobservesa 7companionanimalbeingsubjectedtoconditionsorcircumstancesthatwould 8reasonablyresultinabuseorneglect,thatpersonshallimmediatelymakeareportto 9thehotlineestablishedandoperatedbytheMissouriAnimalControlAssociation 10(MACA). 11 2.Thehotlineworkershallrequestallofthefollowinginformationforthe 12report: 13 (1)Thenameanddescriptionofthecompanionanimalinvolved,ifknown; 14 (2)Theaddressandtelephonenumberoftheownerorotherpersonresponsible 15forthecareofthecompanionanimal,ifknown; 16 (3)Thenatureandextentofthesuspectedabuseorneglect;and HB1695 5 17 (4)Anyotherinformationthatthepersonmakingthereportbelievesmaybe 18usefulinestablishingtheexistenceofthesuspectedabuseorneglectortheidentityofthe 19personcausingtheabuseorneglect. 20 3.Uponreceivingareportofsuspectedabuseorneglect,MACAshallprovide 21thereporttoanydulyauthorizedlawenforcementofficial,countyormunicipalanimal 22controlofficer,oranyMissouripeaceofficerstandardsandtraining(POST)certifiedor 23MACA-certifiedanimalcrueltyinvestigator. 24 4.Anypersonrequiredtoreportcompanionanimalabuseorneglectunderthis 25sectionshallbeimmunefromcivilorcriminalliabilityinconnectionwithmakingany 26requiredreportsifthepersonactedingoodfaithwhenmakingsuchreport. 27 5.Nopersonrequiredtomakeareportofcompanionanimalabuseorneglect 28underthissectionshallknowinglymakeafalsereport.Thepenaltyformakingafalse 29reportandthedefensestoprosecutionshallbethesameasundersection575.080. 30 6.Ifanagencyorpoliticalsubdivisionofthestatedeterminesthatanemployee 31whoisamandatedreporterunderthissectionhasfailedtomakeareportasrequiredby 32thissection,theagencyorpoliticalsubdivisionshallissueawrittennoticetosuch 33employeethatshallincludeafindingoffactsinsupportofthefailuretomakeareport 34andanexplanationofthereportingrequirement.Suchnoticeshallnotberetainedina 35permanentemploymentfileandshallberetainedinaseparatefileordatabase 36maintainedbytheagencyorpoliticalsubdivision.Suchnoticeshallbeconsidereda 37closedrecordundertheprovisionsofchapter610. 38 7.Anypersonrequiredtomakeareportunderthissectionwhoissubjectto 39professionallicensureandwhofailstomakeareportasrequiredbythissectionshallbe 40subjecttodisciplinebyhisorherrespectivelicensingboardasfollows: 41 (1)Forthefirstinstanceofafailuretoreport,thelicensingboardshallissuea 42writtennoticetosuchemployeethatshallincludeafindingoffactsinsupportofthe 43failuretomakeareportandanexplanationofthereportingrequirement; 44 (2)Forasecondinstanceofafailuretoreport,thelicensingboardshallimposea 45fineofonehundreddollars;and 46 (3)Forathirdandeachsubsequentinstanceofafailuretoreport,thelicensing 47boardshallimposeafineoffivehundreddollars. 48 8.Asusedinthissection,theterm"companionanimal"meansalivingcreature 49maintainedbyahouseholdmemberforcompanionshipandnotcommercialpurposes. 273.415.1.Allpersonsemployedorservingasanimalcontrolofficersoranimal 2humaneinvestigatorswhohavedirectcontactwithcompanionanimalsshallberequired 3tocompleteatleastonehouroftrainingwithinthefirstsixtydaysofemployment.The 4trainingshallincludethefollowing: HB1695 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",adulyauthorizedcountyormunicipal 19animalcontrolofficeroranyMissouripeaceofficerstandardsandtraining(POST) 20certifiedorMissouriAnimalControlAssociation(MACA)certifiedanimalcruelty 21investigator; 22 (2)"Animalwelfareorganization",thesamemeaningasinsection192.2510; 23 (3)"Companionanimal",thesamemeaningasinsection273.410. ✔ HB1695 7