| 1 | 1 | | FIRSTREGULARSESSION |
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| 2 | 2 | | HOUSEBILLNO.1404 |
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| 3 | 3 | | 103RDGENERALASSEMBLY |
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| 4 | 4 | | INTRODUCEDBYREPRESENTATIVEHADEN. |
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| 5 | 5 | | 2990H.01I JOSEPHENGLER,ChiefClerk |
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| 6 | 6 | | ANACT |
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| 7 | 7 | | Torepealsections197.200and197.215,RSMo,andtoenactinlieuthereoftwonewsections |
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| 8 | 8 | | relatingtobirthingcenters. |
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| 9 | 9 | | BeitenactedbytheGeneralAssemblyofthestateofMissouri,asfollows: |
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| 10 | 10 | | SectionA.Sections197.200and197.215,RSMo,arerepealedandtwonewsections |
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| 11 | 11 | | 2enactedinlieuthereof,tobeknownassections197.200and197.215,toreadasfollows: |
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| 12 | 12 | | 197.200.Asusedinsections197.200to197.240,unlessthecontextclearlyindicates |
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| 13 | 13 | | 2otherwise,thefollowingtermsmean: |
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| 14 | 14 | | 3 (1)"Abortionfacility",assuchtermisdefinedinsection188.015; |
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| 15 | 15 | | 4 (2)"Ambulatorysurgicalcenter"[,]: |
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| 16 | 16 | | 5 (a)Anybirthingcenter;or |
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| 17 | 17 | | 6 (b)Anypublicorprivateestablishmentthatisoperatedprimarilyforthepurposeof |
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| 18 | 18 | | 7performingsurgicalprocedures[orprimarilyforthepurposeofperformingchildbirths,] and |
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| 19 | 19 | | 8[which] thatdoesnotprovideservicesorotheraccommodationsforpatientstostaymore |
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| 20 | 20 | | 9thantwenty-threehourswithintheestablishment,provided,however,thatnothinginthis |
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| 21 | 21 | | 10definitionshallbeconstruedtoincludetheofficesofdentistscurrentlylicensedpursuantto |
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| 22 | 22 | | 11chapter332; |
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| 23 | 23 | | 12 (3)"Birthingcenter",anypublicorprivateestablishmentthatisoperated |
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| 24 | 24 | | 13primarilyforthepurposeofperformingchildbirthsandthatdoesnotprovideservices |
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| 25 | 25 | | 14orotheraccommodationsforpatientstostaymorethantwenty-threehourswithinthe |
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| 26 | 26 | | 15establishment; |
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| 27 | 27 | | 16 (4)"Dentist",anypersoncurrentlylicensedtopracticedentistrypursuanttochapter |
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| 28 | 28 | | 17332; |
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| 29 | 29 | | EXPLANATION—Matterenclosedinbold-facedbrackets[thus] intheabovebillisnotenactedandis |
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| 30 | 30 | | intendedtobeomittedfromthelaw.Matterinbold-facetypeintheabovebillisproposedlanguage. 18 [(4)](5)"Department",thedepartmentofhealthandseniorservices; |
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| 31 | 31 | | 19 [(5)](6)"Governmentalunit",anycity,countyorotherpoliticalsubdivisionofthis |
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| 32 | 32 | | 20state,oranydepartment,division,boardorotheragencyofanypoliticalsubdivisionofthis |
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| 33 | 33 | | 21state; |
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| 34 | 34 | | 22 [(6)](7)"Person",anyindividual,firm,partnership,corporation,company,or |
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| 35 | 35 | | 23associationandthelegalsuccessorsthereof; |
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| 36 | 36 | | 24 [(7)](8)"Physician",anypersoncurrentlylicensedtopracticemedicinepursuantto |
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| 37 | 37 | | 25chapter334; |
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| 38 | 38 | | 26 [(8)](9)"Podiatrist",anypersoncurrentlylicensedtopracticepodiatrypursuantto |
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| 39 | 39 | | 27chapter330. |
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| 40 | 40 | | 197.215.1.Uponreceiptofanapplicationforalicense,thedepartmentofhealthand |
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| 41 | 41 | | 2seniorservicesshallissuealicenseiftheapplicantandambulatorysurgicalcenterfacilitiesor |
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| 42 | 42 | | 3abortionfacilitiesmeettherequirementsestablishedundersections197.200to197.240,and |
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| 43 | 43 | | 4haveprovidedaffirmativeevidencethat: |
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| 44 | 44 | | 5 (1)Eachmemberofthesurgicalstaffisaphysician,dentistorpodiatristcurrently |
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| 45 | 45 | | 6licensedtopracticeinMissouri,andeachpersonauthorizedtoperformorinduceabortionsis |
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| 46 | 46 | | 7aphysiciancurrentlylicensedtopracticeinMissouri; |
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| 47 | 47 | | 8 (2)Surgicalproceduresinambulatorysurgicalcentersshallbeperformedonlyby |
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| 48 | 48 | | 9physicians,dentistsorpodiatrists,whoatthetimeareprivilegedtoperformsurgical |
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| 49 | 49 | | 10proceduresinatleastonelicensedhospitalinthecommunityinwhichtheambulatory |
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| 50 | 50 | | 11surgicalcenterislocated,thusprovidingassurancetothepublicthatpatientstreatedinthe |
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| 51 | 51 | | 12centershallreceivecontinuityofcareshouldtheservicesofahospitalberequired; |
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| 52 | 52 | | 13alternatively,theapplicantshallsubmitacopyofacurrentworkingagreementwithatleast |
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| 53 | 53 | | 14onelicensedhospitalinthecommunityinwhichtheambulatorysurgicalcenterislocated, |
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| 54 | 54 | | 15guaranteeingthetransferandadmittanceofpatientsforemergencytreatmentwhenever |
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| 55 | 55 | | 16necessary. Theprovisionsofthissubdivisionshallnotapplytobirthingcenters; |
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| 56 | 56 | | 17 (3)Continuousphysicianservicesorregisteredprofessionalnursingservicesare |
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| 57 | 57 | | 18providedwheneverapatientisinthefacility; |
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| 58 | 58 | | 19 (4)Adequatemedicalrecordsforeachpatientaretobemaintained. |
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| 59 | 59 | | 20 2.Uponreceiptofanapplicationforalicense,ortherenewalthereof,thedepartment |
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| 60 | 60 | | 21shallissueorrenewthelicenseiftheapplicantandprogrammeettherequirements |
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| 61 | 61 | | 22establishedundersections197.200to197.240.Eachlicenseshallbeissuedonlyforthe |
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| 62 | 62 | | 23personsandpremisesnamedintheapplication.Alicense,unlesssoonersuspendedor |
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| 63 | 63 | | 24revoked,shallbeissuedforaperiodofoneyear. |
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| 64 | 64 | | 25 3.Eachlicenseshallbeissuedonlyforthepremisesandpersonsorgovernmental |
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| 65 | 65 | | 26unitsnamedintheapplication,andshallnotbetransferableorassignableexceptwiththe |
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| 66 | 66 | | HB1404 2 27writtenconsentofthedepartment.Licensesshallbepostedinaconspicuousplaceonthe |
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| 67 | 67 | | 28licensedpremises. |
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| 68 | 68 | | 29 4.If,duringtheperiodinwhichanambulatorysurgicalcenterlicenseoranabortion |
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| 69 | 69 | | 30facilitylicenseisineffect,thelicenseholderoroperatorlegallytransfersoperational |
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| 70 | 70 | | 31responsibilitiesbyanyprocesstoanotherpersonasdefinedinsection197.200,anapplication |
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| 71 | 71 | | 32shallbemadefortheissuanceofanewlicensetobecomeeffectiveonthetransferdate. |
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| 72 | 72 | | âś” |
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| 73 | 73 | | HB1404 3 |
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