FIRSTREGULARSESSION [PERFECTED] HOUSEBILLNO.1298 103RDGENERALASSEMBLY INTRODUCEDBYREPRESENTATIVEJONES(88). 2776H.01P JOSEPHENGLER,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, EXPLANATION—Matterenclosedinbold-facedbrackets[thus] intheabovebillisnotenactedandis intendedtobeomittedfromthelaw.Matterinbold-facetypeintheabovebillisproposedlanguage. 16socialworker,animalcontrolofficer,animalhumaneinvestigatorasdefinedinsection 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)Requirementstoreportanimalabuseorneglectandthepenaltiesassociated 6withfailuretoreportundersection273.410; 7 (2)Howtoidentifyanimalabuseorneglect; 8 (3)Howtomakeareportofanimalabuseorneglect;and 9 (4)Therelationshipbetweeneligibleadultabuseorneglectandanimalabuseor 10neglect. 11 2.Thedepartmentofhealthandseniorservices,inconsultationwithanimal 12welfareassociations,shalldeveloporadaptanduseavailabletrainingmaterialsforthe 13trainingrequiredunderthissection.Personsrequiredtocompletetrainingunderthis 14sectionshallbeprovidedwithopportunitiestodosoduringregularworkinghours. 15 3.Asusedinthissection,thefollowingtermsshallmean: 16 (1)"Animal",thesamemeaningasinsection578.029; 17 (2)"Animalwelfareassociation",anonprofitorganizationthatisestablishedto 18promoteanimalwelfare,isrecognizedbytheInternalRevenueServiceastaxexempt 19undertheprovisionsoftheInternalRevenueCodeSection501(c)(3)or501(c)(4),orthe HB1298 2 20correspondingsectionofanyfuturetaxcode,andisregisteredwiththesecretaryofstate 21underchapter355. 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 HB1298 3 36thatreasonalone,shallnotbefoundtobeanabusedorneglectedchild,andsuchparents, 37guardianorotherpersonslegallyresponsibleforthechildshallnotbeenteredintothecentral 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 HB1298 4 73subsectionshalllimitamandatedreporterfrommakingareportunderthissectionifthe 74mandatedreporterknowsorhasreasonablecausetosuspectthatanunaccompaniedyouthhas 75beenormaybeavictimofabuseorneglect. 210.191.1.Allchildren'sdivisionemployees,andcontractorsforchildren's 2services,whohavedirectcontactwithchildrenthroughthestate'schildprotectionand 3welfaresystemshallberequiredtocompleteatleastonehouroftrainingwithinthefirst 4sixtydaysofemploymentorcontract.Thetrainingshallincludethefollowing: 5 (1)Requirementstoreportanimalabuseorneglectandthepenaltiesassociated 6withfailuretoreportundersection273.410; 7 (2)Howtoidentifyanimalabuseorneglect; 8 (3)Howtomakeareportofanimalabuseorneglect;and 9 (4)Therelationshipbetweenchildabuseorneglectandanimalabuseorneglect. 10 2.Thedivision,inconsultationwithanimalwelfareassociations,shalldevelopor 11adaptanduseavailabletrainingmaterialsforthetrainingrequiredunderthissection. 12Personsrequiredtocompletetrainingunderthissectionshallbeprovidedwith 13opportunitiestodosoduringregularworkinghours. 14 3.Asusedinthissection,thefollowingtermsshallmean: 15 (1)"Animal",thesamemeaningasinsection578.029; 16 (2)"Animalwelfareassociation",thesamemeaningasinsection192.2510. 273.410.1.Whenanypsychologist,mentalhealthprofessional,socialworker, 2schoolcounselor,teacher,orotherschoolprofessional,orjuvenileofficer,law 3enforcementorpeaceofficer,probationorparoleofficer,homehealthaide,adultor 4childprotectiveservicesworker,orvolunteerorpersonnelofacommunityservice 5programthatofferssupportoradvocacyservicesforchildreninfostercarehas 6reasonablecausetosuspectthatananimalhasbeenormaybesubjectedtoabuseor 7neglectorobservesananimalbeingsubjectedtoconditionsorcircumstancesthatwould 8reasonablyresultinabuseorneglect,thatpersonshallmakeareporttothehotline 9establishedandoperatedbytheMissouriAnimalControlAssociation(MACA)within 10oneday. 11 2.Thehotlineworkershallrequestallofthefollowinginformationforthe 12report: 13 (1)Thenameanddescriptionoftheanimalinvolved,ifknown; 14 (2)Theaddressandtelephonenumberoftheownerorotherpersonresponsible 15forthecareoftheanimal,ifknown; 16 (3)Thenatureandextentofthesuspectedabuseorneglect;and HB1298 5 17 (4)Anyotherinformationthatthepersonmakingthereportbelievesmaybe 18usefulinestablishingtheexistenceofthesuspectedabuseorneglectortheidentityofthe 19personcausingtheabuseorneglect. 20 3.Uponreceivingareportofsuspectedabuseorneglect,MACAshallprovide 21thereporttoanyduly-authorizedlawenforcementofficial,countyormunicipalanimal 22controlofficer,oranyMissouripeaceofficerstandardsandtraining(POST)-certifiedor 23MACA-certifiedanimalcrueltyinvestigator. 24 4.Anypersonrequiredtoreportanimalabuseorneglectunderthissectionshall 25beimmunefromcivilandcriminalliabilityinconnectionwithmakinganyrequired 26reportsifthepersonactedingoodfaithwhenmakingsuchreport. 27 5.Notwithstandinganyprovisionoflawtothecontrary,anyinformation 28identifyingapersonwhoreportssuspectedanimalabuseorneglectunderthissection 29shallbeconfidentialandshallnotbedeemedapublicrecordandshallnotbesubjectto 30theprovisionsofsection109.180orchapter610. 31 6.Nopersonrequiredtomakeareportofanimalabuseorneglectunderthis 32sectionshallknowinglymakeafalsereport.Thepenaltyformakingafalsereportand 33thedefensestoprosecutionshallbethesameasundersection575.080. 34 7.Ifanagencyorpoliticalsubdivisionofthestatedeterminesthatanemployee 35whoisamandatedreporterunderthissectionhasfailedtomakeareportasrequiredby 36thissection,theagencyorpoliticalsubdivisionshallissueawrittennoticetosuch 37employeethatshallincludeafindingoffactsinsupportofthefailuretomakeareport 38andanexplanationofthereportingrequirement.Suchnoticeshallnotberetainedina 39permanentemploymentfileandshallberetainedinaseparatefileordatabase 40maintainedbytheagencyorpoliticalsubdivision.Suchnoticeshallbeconsidereda 41closedrecordundertheprovisionsofchapter610. 42 8.Anypersonrequiredtomakeareportunderthissectionwhoissubjectto 43professionallicensureandwhofailstomakeareportasrequiredbythissectionshallbe 44subjecttodisciplinebyhisorherrespectivelicensingboardasfollows: 45 (1)Forthefirstinstanceofafailuretoreport,thelicensingboardshallissuea 46writtennoticetosuchemployeethatshallincludeafindingoffactsinsupportofthe 47failuretomakeareportandanexplanationofthereportingrequirement; 48 (2)Forasecondinstanceofafailuretoreport,thelicensingboardshallimposea 49fineofonehundreddollars; 50 (3)Forathirdandeachsubsequentinstanceofafailuretoreport,thelicensing 51boardshallimposeafineoffivehundreddollars. 52 9.Asusedinthissection,theterm"animal"shallhavethesamemeaningasin 53section578.029. HB1298 6 273.415.1.Allpersonsemployedorservingasanimalcontrolofficersoranimal 2humaneinvestigatorswhohavedirectcontactwithanimalsshallberequiredto 3completeatleastonehouroftrainingwithinthefirstsixtydaysofemployment.The 4trainingshallincludethefollowing: 5 (1)Requirementstoreportchildabuseorneglectundersection210.115or 6eligiblepersonabuseorneglectundersection192.2405andthepenaltiesassociatedwith 7failuretoreportsuchabuseorneglect; 8 (2)Howtoidentifychildoreligiblepersonabuseorneglect; 9 (3)Howtomakeareportofchildoreligiblepersonabuseorneglect;and 10 (4)Therelationshipbetweenchild,eligibleadult,andanimalabuseorneglect. 11 2.Thechildren'sdivisionandthedepartmentofhealthandseniorservices,in 12consultationwithanimalwelfareassociations,shalldeveloporadaptanduseavailable 13trainingmaterialsforthetrainingrequiredunderthissection.Personsrequiredto 14completetrainingunderthissectionshallbeprovidedwithopportunitiestodosoduring 15regularworkinghours. 16 3.Asusedinthissection,thefollowingtermsshallmean: 17 (1)"Animal",thesamemeaningasinsection578.029; 18 (2)"Animalhumaneinvestigator",aduly-authorizedcountyormunicipal 19animalcontrolofficeroranyMissouripeaceofficerstandardsandtraining(POST)- 20certifiedorMissouriAnimalControlAssociation(MACA)-certifiedanimalcruelty 21investigator; 22 (3)"Animalwelfareassociation",thesamemeaningasinsection192.2510. ✔ HB1298 7