| 1 | 1 | | FIRSTREGULARSESSION |
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| 2 | 2 | | HOUSEBILLNO.1149 |
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| 3 | 3 | | 103RDGENERALASSEMBLY |
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| 4 | 4 | | INTRODUCEDBYREPRESENTATIVEBYRNES. |
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| 5 | 5 | | 2440H.01I JOSEPHENGLER,ChiefClerk |
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| 6 | 6 | | ANACT |
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| 7 | 7 | | Toamendchapter631,RSMo,byaddingtheretoonenewsectionrelatingtodualdiagnosis |
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| 8 | 8 | | treatmentcenters,withpenaltyprovisions. |
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| 9 | 9 | | BeitenactedbytheGeneralAssemblyofthestateofMissouri,asfollows: |
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| 10 | 10 | | SectionA.Chapter631,RSMo,isamendedbyaddingtheretoonenewsection,tobe |
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| 11 | 11 | | 2knownassection631.180,toreadasfollows: |
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| 12 | 12 | | 631.180.1.Asusedinthissection,thefollowingtermsmean: |
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| 13 | 13 | | 2 (1)"Dualdiagnosistreatment",treatmentforboth: |
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| 14 | 14 | | 3 (a)Substanceusedisorders;and |
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| 15 | 15 | | 4 (b)Mentaldisordersormentalillnesses; |
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| 16 | 16 | | 5 (2)"Dualdiagnosistreatmentcenter",anyfacilitythatholdsitselfouttothe |
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| 17 | 17 | | 6publicasprovidingdualdiagnosistreatment; |
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| 18 | 18 | | 7 (3)"Medicationmanagement",theongoingmonitoringandadjustmentof |
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| 19 | 19 | | 8medicationprescribedforsubstanceusedisordersandmentaldisordersormental |
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| 20 | 20 | | 9illnessesincluding,butnotlimitedto: |
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| 21 | 21 | | 10 (a)Assessingtheeffectivenessofthemedication; |
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| 22 | 22 | | 11 (b)Monitoringforsideeffectsandinteractions; |
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| 23 | 23 | | 12 (c)Adjustingdosagesasneeded;and |
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| 24 | 24 | | 13 (d)Ensuringpatientadherencetomedicationregimens; |
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| 25 | 25 | | 14 (4)"Mentaldisorder",thesamemeaninggiventotheterminsection630.005; |
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| 26 | 26 | | 15 (5)"Mentalillness",thesamemeaninggiventotheterminsection630.005; |
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| 27 | 27 | | EXPLANATION—Matterenclosedinbold-facedbrackets[thus] intheabovebillisnotenactedandis |
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| 28 | 28 | | intendedtobeomittedfromthelaw.Matterinbold-facetypeintheabovebillisproposedlanguage. 16 (6)"Substanceusedisorder",aconditioncharacterizedbyapatternof |
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| 29 | 29 | | 17substanceuseleadingtoclinicallysignificantimpairmentordistress,asdefinedinthe |
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| 30 | 30 | | 18mostrecenteditionoftheDiagnosticandStatisticalManualofMentalDisorders(DSM). |
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| 31 | 31 | | 19 2.Everydualdiagnosistreatmentcenteroperatinginthisstateshallactively |
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| 32 | 32 | | 20managemedicationsprescribedforeachofitspatientstoensuremedicationcompliance. |
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| 33 | 33 | | 21Thisrequirementshallinclude,ataminimum,thefollowingactivities: |
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| 34 | 34 | | 22 (1)Establishingasystemfortrackingmedicationprescriptionsandrefills; |
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| 35 | 35 | | 23 (2)Conductingregularmedicationreviewswithpatientstoassesseffectiveness, |
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| 36 | 36 | | 24sideeffects,andadherence; |
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| 37 | 37 | | 25 (3)Providingeducationandsupporttopatientsregardingtheirmedications; |
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| 38 | 38 | | 26 (4)Collaboratingwithpharmacistsandotherhealthcareproviderstoensure |
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| 39 | 39 | | 27safeandeffectivemedicationmanagement;and |
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| 40 | 40 | | 28 (5)Maintainingaccuraterecordsofmedicationmanagementactivities. |
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| 41 | 41 | | 29 3.Dualdiagnosistreatmentcentersshalladheretothefollowingtreatment |
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| 42 | 42 | | 30standards: |
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| 43 | 43 | | 31 (1)Treatmentplansshallbedevelopedandimplementedinawaythataddresses |
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| 44 | 44 | | 32bothsubstanceusedisordersandmentaldisordersormentalillnessesinanintegrated |
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| 45 | 45 | | 33manner; |
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| 46 | 46 | | 34 (2)Treatmentapproachesshallbebasedonevidence-basedpracticesthathave |
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| 47 | 47 | | 35beendemonstratedtobeeffectivefordualdiagnosispopulations; |
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| 48 | 48 | | 36 (3)Treatmentplansshallbeindividualizedtomeettheuniqueneedsofeach |
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| 49 | 49 | | 37patient;and |
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| 50 | 50 | | 38 (4)Treatmentshallbeprovidedinapatient-centeredmanner,withafocuson |
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| 51 | 51 | | 39patientautonomyandshareddecision-making. |
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| 52 | 52 | | 40 4.Afacilityshallnotadvertiseorholditselfouttothepublicasprovidingdual |
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| 53 | 53 | | 41diagnosistreatmentunlessthefacilitymeetstherequirementsofthissectionfordual |
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| 54 | 54 | | 42diagnosistreatmentcenters.Advertisingandmarketingmaterialsofadualdiagnosis |
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| 55 | 55 | | 43treatmentcentershallaccuratelyreflecttheservicesofferedbythefacilityandshallnot |
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| 56 | 56 | | 44makefalseormisleadingclaims.Adualdiagnosistreatmentcentershallclearlydisclose |
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| 57 | 57 | | 45itslicensurestatusandanyrelevantaccreditationorcertificationinitsadvertisingand |
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| 58 | 58 | | 46marketingmaterials. |
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| 59 | 59 | | 47 5.Thedepartmentofmentalhealthshallenforcetheprovisionsofthissection. |
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| 60 | 60 | | 48Aviolationofanyoftherequirementsofthissectionbyafacilitylicensedundersections |
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| 61 | 61 | | 49630.705to630.760shallbedeemedaviolationofsections630.705to630.760,andany |
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| 62 | 62 | | HB1149 2 50facilityviolatingsuchrequirementsshallbesubjecttoallpenalties,remedies,and |
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| 63 | 63 | | 51proceduresprovidedinsections630.705to630.760. |
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| 64 | 64 | | âś” |
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| 65 | 65 | | HB1149 3 |
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