| 1 | 1 | | FIRSTREGULARSESSION |
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| 2 | 2 | | HOUSEBILLNO.1090 |
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| 3 | 3 | | 103RDGENERALASSEMBLY |
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| 4 | 4 | | INTRODUCEDBYREPRESENTATIVECOLLINS. |
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| 5 | 5 | | 2183H.01I JOSEPHENGLER,ChiefClerk |
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| 6 | 6 | | ANACT |
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| 7 | 7 | | Toamendchapter221,RSMo,byaddingtheretotwonewsectionsrelatingtopregnant |
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| 8 | 8 | | offenders. |
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| 9 | 9 | | BeitenactedbytheGeneralAssemblyofthestateofMissouri,asfollows: |
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| 10 | 10 | | SectionA.Chapter221,RSMo,isamendedbyaddingtheretotwonewsections,tobe |
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| 11 | 11 | | 2knownassections221.520and221.523,toreadasfollows: |
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| 12 | 12 | | 221.520.1.Asusedinthissection,thefollowingtermsshallmean: |
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| 13 | 13 | | 2 (1)"Extraordinarycircumstance",asubstantialflightriskorsomeother |
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| 14 | 14 | | 3extraordinarymedicalorsecuritycircumstancethatdictatesrestraintsbeusedto |
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| 15 | 15 | | 4ensurethesafetyandsecurityofapregnantoffenderinherthirdtrimesterora |
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| 16 | 16 | | 5postpartumoffenderwithinforty-eighthourspostdelivery,thestaffofthecountyorcity |
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| 17 | 17 | | 6jailormedicalfacility,otheroffenders,orthepublic; |
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| 18 | 18 | | 7 (2)"Labor",theperiodoftimebeforeabirthduringwhichcontractionsare |
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| 19 | 19 | | 8present; |
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| 20 | 20 | | 9 (3)"Postpartum",theperiodofrecoveryimmediatelyfollowingchildbirth, |
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| 21 | 21 | | 10whichissixweeksforavaginalbirthoreightweeksforacesareanbirth,orlongerifso |
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| 22 | 22 | | 11determinedbyaphysicianornurse; |
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| 23 | 23 | | 12 (4)"Restraints",anyphysicalrestraintorotherdeviceusedtocontrolthe |
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| 24 | 24 | | 13movementofaperson'sbodyorlimbs. |
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| 25 | 25 | | 14 2.Exceptinextraordinarycircumstances,acountyorcityjailshallnotuse |
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| 26 | 26 | | 15restraintsonapregnantoffenderinherthirdtrimester,whetherduringtransportation |
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| 27 | 27 | | 16toandfromvisitstohealthcareprovidersandcourtproceedings,orduringmedical |
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| 28 | 28 | | EXPLANATION—Matterenclosedinbold-facedbrackets[thus] intheabovebillisnotenactedandis |
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| 29 | 29 | | intendedtobeomittedfromthelaw.Matterinbold-facetypeintheabovebillisproposedlanguage. 17appointmentsandexaminations,orduringlabor,delivery,orforty-eighthours |
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| 30 | 30 | | 18postdelivery. |
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| 31 | 31 | | 19 3.Intheeventasherifforjailerdeterminesthatextraordinarycircumstances |
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| 32 | 32 | | 20existandrestraintsarenecessary,thesherifforjailershallfullydocumentinwriting |
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| 33 | 33 | | 21withinforty-eighthoursoftheincidentthereasonsheorshedeterminedsuch |
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| 34 | 34 | | 22extraordinarycircumstancesexisted,thetypeofrestraintsused,andthereasonsthose |
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| 35 | 35 | | 23restraintswereconsideredtheleastrestrictiveavailableandthemostreasonableunder |
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| 36 | 36 | | 24thecircumstances.Suchdocumentsshallbekeptonfilebythecountyorcityjailforat |
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| 37 | 37 | | 25leastfiveyearsfromthedatetherestraintswereused. |
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| 38 | 38 | | 26 4.Anytimerestraintsareusedonapregnantoffenderinherthirdtrimesteror |
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| 39 | 39 | | 27onapostpartumoffenderwithinforty-eighthourspostdelivery,therestraintsshallbe |
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| 40 | 40 | | 28theleastrestrictiveavailableandthemostreasonableunderthecircumstances.Inno |
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| 41 | 41 | | 29caseshallleg,ankle,orwaistrestraintsoranymechanicalrestraintsbeusedonany |
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| 42 | 42 | | 30suchoffender,andifwristrestraintsareused,suchrestraintsshallbeplacedinthefront |
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| 43 | 43 | | 31ofsuchoffender'sbodytoprotecttheoffenderandtheunbornchildinthecaseofa |
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| 44 | 44 | | 32forwardfall. |
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| 45 | 45 | | 33 5.Ifadoctor,nurse,orotherhealthcareprovidertreatingthepregnantoffender |
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| 46 | 46 | | 34inherthirdtrimesterorthepostpartumoffenderwithinforty-eighthourspostdelivery |
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| 47 | 47 | | 35requeststhatrestraintsnotbeused,thesherifforjaileraccompanyingsuchoffender |
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| 48 | 48 | | 36shallimmediatelyremoveallrestraints. |
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| 49 | 49 | | 37 6.Pregnantoffendersshallbetransportedinvehiclesequippedwithseatbelts. |
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| 50 | 50 | | 38 7.Thecountyorcityjailshall: |
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| 51 | 51 | | 39 (1)Ensurethatemployeesofthejailareprovidedwithtraining,whichmay |
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| 52 | 52 | | 40includeonlinetraining,ontheprovisionsofthissection;and |
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| 53 | 53 | | 41 (2)Informfemaleoffenders,inwritingandorally,ofanypoliciesandpractices |
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| 54 | 54 | | 42developedinaccordancewiththissectionuponadmissiontothejail,andpostthe |
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| 55 | 55 | | 43policiesandpracticesinlocationsinthejailwheresuchnoticesarecommonlyposted |
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| 56 | 56 | | 44andwillbeseenbyfemaleoffenders. |
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| 57 | 57 | | 221.523.1.ByJanuary1,2026,allcountyandcityjailsshalldevelopspecific |
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| 58 | 58 | | 2proceduresfortheintakeandcareofoffenderswhoarepregnant,whichshallinclude |
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| 59 | 59 | | 3proceduresregarding: |
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| 60 | 60 | | 4 (1)Maternalhealthevaluations; |
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| 61 | 61 | | 5 (2)Dietarysupplements,includingprenatalvitamins; |
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| 62 | 62 | | 6 (3)Timelyandregularnutritiousmeals,whichshallinclude,atminimum, |
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| 63 | 63 | | 7thirty-twoouncesofmilkoracalciumsupplementiflactoseintolerant,twocupsoffresh |
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| 64 | 64 | | 8fruit,andtwocupsoffreshvegetablesdaily; |
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| 65 | 65 | | 9 (4)Substanceabusetreatment; |
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| 66 | 66 | | HB1090 2 10 (5)Treatmentforthehumanimmunodeficiencyvirusandwaystoavoidhuman |
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| 67 | 67 | | 11immunodeficiencyvirustransmission; |
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| 68 | 68 | | 12 (6)HepatitisC; |
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| 69 | 69 | | 13 (7)Sleepingarrangementsforsuchoffenders,includingrequiringsuch |
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| 70 | 70 | | 14offenderstosleeponthebottombunkbed; |
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| 71 | 71 | | 15 (8)Accesstomentalhealthprofessionals; |
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| 72 | 72 | | 16 (9)Sanitarymaterials; |
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| 73 | 73 | | 17 (10)Postpartumrecovery,includingthatnosuchoffendershallbeplacedin |
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| 74 | 74 | | 18isolationduringsuchrecovery;and |
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| 75 | 75 | | 19 (11)Arequirementthatafemalemedicalprofessionalbepresentduringany |
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| 76 | 76 | | 20examinationofsuchoffender. |
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| 77 | 77 | | 21 2.Asusedinthissection"postpartumrecovery"means,asdeterminedbya |
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| 78 | 78 | | 22physician,theperiodimmediatelyfollowingdelivery,includingtheentireperiodan |
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| 79 | 79 | | 23offenderwhowaspregnantisinthehospitalorinfirmaryafterdelivery. |
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| 80 | 80 | | âś” |
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| 81 | 81 | | HB1090 3 |
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