FIRSTREGULARSESSION
HOUSEBILLNO.1090
103RDGENERALASSEMBLY
INTRODUCEDBYREPRESENTATIVECOLLINS.
2183H.01I JOSEPHENGLER,ChiefClerk
ANACT
Toamendchapter221,RSMo,byaddingtheretotwonewsectionsrelatingtopregnant
offenders.
BeitenactedbytheGeneralAssemblyofthestateofMissouri,asfollows:
SectionA.Chapter221,RSMo,isamendedbyaddingtheretotwonewsections,tobe
2knownassections221.520and221.523,toreadasfollows:
221.520.1.Asusedinthissection,thefollowingtermsshallmean:
2 (1)"Extraordinarycircumstance",asubstantialflightriskorsomeother
3extraordinarymedicalorsecuritycircumstancethatdictatesrestraintsbeusedto
4ensurethesafetyandsecurityofapregnantoffenderinherthirdtrimesterora
5postpartumoffenderwithinforty-eighthourspostdelivery,thestaffofthecountyorcity
6jailormedicalfacility,otheroffenders,orthepublic;
7 (2)"Labor",theperiodoftimebeforeabirthduringwhichcontractionsare
8present;
9 (3)"Postpartum",theperiodofrecoveryimmediatelyfollowingchildbirth,
10whichissixweeksforavaginalbirthoreightweeksforacesareanbirth,orlongerifso
11determinedbyaphysicianornurse;
12 (4)"Restraints",anyphysicalrestraintorotherdeviceusedtocontrolthe
13movementofaperson'sbodyorlimbs.
14 2.Exceptinextraordinarycircumstances,acountyorcityjailshallnotuse
15restraintsonapregnantoffenderinherthirdtrimester,whetherduringtransportation
16toandfromvisitstohealthcareprovidersandcourtproceedings,orduringmedical
EXPLANATION—Matterenclosedinbold-facedbrackets[thus] intheabovebillisnotenactedandis
intendedtobeomittedfromthelaw.Matterinbold-facetypeintheabovebillisproposedlanguage. 17appointmentsandexaminations,orduringlabor,delivery,orforty-eighthours
18postdelivery.
19 3.Intheeventasherifforjailerdeterminesthatextraordinarycircumstances
20existandrestraintsarenecessary,thesherifforjailershallfullydocumentinwriting
21withinforty-eighthoursoftheincidentthereasonsheorshedeterminedsuch
22extraordinarycircumstancesexisted,thetypeofrestraintsused,andthereasonsthose
23restraintswereconsideredtheleastrestrictiveavailableandthemostreasonableunder
24thecircumstances.Suchdocumentsshallbekeptonfilebythecountyorcityjailforat
25leastfiveyearsfromthedatetherestraintswereused.
26 4.Anytimerestraintsareusedonapregnantoffenderinherthirdtrimesteror
27onapostpartumoffenderwithinforty-eighthourspostdelivery,therestraintsshallbe
28theleastrestrictiveavailableandthemostreasonableunderthecircumstances.Inno
29caseshallleg,ankle,orwaistrestraintsoranymechanicalrestraintsbeusedonany
30suchoffender,andifwristrestraintsareused,suchrestraintsshallbeplacedinthefront
31ofsuchoffender'sbodytoprotecttheoffenderandtheunbornchildinthecaseofa
32forwardfall.
33 5.Ifadoctor,nurse,orotherhealthcareprovidertreatingthepregnantoffender
34inherthirdtrimesterorthepostpartumoffenderwithinforty-eighthourspostdelivery
35requeststhatrestraintsnotbeused,thesherifforjaileraccompanyingsuchoffender
36shallimmediatelyremoveallrestraints.
37 6.Pregnantoffendersshallbetransportedinvehiclesequippedwithseatbelts.
38 7.Thecountyorcityjailshall:
39 (1)Ensurethatemployeesofthejailareprovidedwithtraining,whichmay
40includeonlinetraining,ontheprovisionsofthissection;and
41 (2)Informfemaleoffenders,inwritingandorally,ofanypoliciesandpractices
42developedinaccordancewiththissectionuponadmissiontothejail,andpostthe
43policiesandpracticesinlocationsinthejailwheresuchnoticesarecommonlyposted
44andwillbeseenbyfemaleoffenders.
221.523.1.ByJanuary1,2026,allcountyandcityjailsshalldevelopspecific
2proceduresfortheintakeandcareofoffenderswhoarepregnant,whichshallinclude
3proceduresregarding:
4 (1)Maternalhealthevaluations;
5 (2)Dietarysupplements,includingprenatalvitamins;
6 (3)Timelyandregularnutritiousmeals,whichshallinclude,atminimum,
7thirty-twoouncesofmilkoracalciumsupplementiflactoseintolerant,twocupsoffresh
8fruit,andtwocupsoffreshvegetablesdaily;
9 (4)Substanceabusetreatment;
HB1090 2 10 (5)Treatmentforthehumanimmunodeficiencyvirusandwaystoavoidhuman
11immunodeficiencyvirustransmission;
12 (6)HepatitisC;
13 (7)Sleepingarrangementsforsuchoffenders,includingrequiringsuch
14offenderstosleeponthebottombunkbed;
15 (8)Accesstomentalhealthprofessionals;
16 (9)Sanitarymaterials;
17 (10)Postpartumrecovery,includingthatnosuchoffendershallbeplacedin
18isolationduringsuchrecovery;and
19 (11)Arequirementthatafemalemedicalprofessionalbepresentduringany
20examinationofsuchoffender.
21 2.Asusedinthissection"postpartumrecovery"means,asdeterminedbya
22physician,theperiodimmediatelyfollowingdelivery,includingtheentireperiodan
23offenderwhowaspregnantisinthehospitalorinfirmaryafterdelivery.
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HB1090 3