FIRSTREGULARSESSION HOUSEBILLNO.1505 103RDGENERALASSEMBLY INTRODUCEDBYREPRESENTATIVEPERKINS. 3107H.01I JOSEPHENGLER,ChiefClerk ANACT Torepealsections43.505,217.075,and332.081,RSMo,andtoenactinlieuthereofeleven newsectionsrelatingtopublicsafety,withapenaltyprovision. BeitenactedbytheGeneralAssemblyofthestateofMissouri,asfollows: SectionA.Sections43.505,217.075,and332.081,RSMo,arerepealedandeleven 2newsectionsenactedinlieuthereof,tobeknownassections43.505,211.436,217.075, 3217.312,217.446,217.451,217.1200,221.108,221.520,332.081,and650.040,toreadas 4follows: 43.505.1.Thedepartmentofpublicsafetyisherebydesignatedasthecentral 2repositoryforthecollection,maintenance,analysisandreportingofcrimeincidentactivity 3generatedbylawenforcementagenciesinthisstate.Thedepartmentshalldevelopand 4operateauniformcrimereportingsystemthatiscompatiblewiththenationaluniformcrime 5reportingsystemoperatedbytheFederalBureauofInvestigation. 6 2.Thedepartmentofpublicsafetyshall: 7 (1)Develop,operateandmaintainaninformationsystemforthecollection,storage, 8maintenance,analysisandretrievalofcrimeincidentandarrestreportsfromMissourilaw 9enforcementagencies; 10 (2)CompilethestatisticaldataandforwardsuchdataasrequiredtotheFederal 11BureauofInvestigationortheappropriateDepartmentofJusticeagencyinaccordancewith 12thestandardsandproceduresofthenationalsystem; 13 (3)Providetheforms,formats,procedures,standardsandrelatedtrainingortraining 14assistancetoalllawenforcementagenciesinthestateasnecessaryforsuchagenciestoreport 15incidentandarrestactivityfortimelyinclusionintothestatewidesystem; EXPLANATION—Matterenclosedinbold-facedbrackets[thus] intheabovebillisnotenactedandis intendedtobeomittedfromthelaw.Matterinbold-facetypeintheabovebillisproposedlanguage. 16 (4)Annuallypublishareportonthenatureandextentofcrimeandsubmitsuch 17reporttothegovernorandthegeneralassembly.Suchreportandotherstatisticalreportsshall 18bemadeavailabletostateandlocallawenforcementagenciesandthegeneralpublicthrough 19anelectronicormanualmedium; 20 (5)BeginningJanuary1,2026,publishquarterlyclearancerates,asdefinedin 21section650.040,onthedepartment'swebsitebythefifteenthcalendardayofthemonth 22followingthecloseoftheprecedingquarter; 23 (6)BeginningJanuary1,2027,reportthedatacollectedpursuanttosubdivision 24(2)ofsubsection3ofthissectiontothegovernor,Missouripeaceofficersstandardsand 25trainingcommission,chairofthecommitteeonthejudiciaryandcivilandcriminal 26jurisprudenceofthesenate,chairofthecommitteeoncrimepreventionandpublic 27safetyofthehouseofrepresentatives,andchairofthecommitteeonthejudiciaryofthe 28houseofrepresentativesbyJuly1,2027,andbyJulyfirstofeachyearthereafter.The 29departmentshallalsomakethereportavailabletothepubliconthedepartment's 30website; 31 (7)Maintaintheprivacyandsecurityofinformationinaccordancewithapplicable 32stateandfederallaws,regulationsandorders;and 33 [(6)](8)Establishsuchrulesandregulationsasarenecessaryforimplementingthe 34provisionsofthissection.Anyruleorportionofarule,asthattermisdefinedinsection 35536.010,thatiscreatedundertheauthoritydelegatedinthissectionshallbecomeeffective 36onlyifitcomplieswithandissubjecttoalloftheprovisionsofchapter536and,ifapplicable, 37section536.028.Thissectionandchapter536arenonseverableandifanyofthepowers 38vestedwiththegeneralassemblypursuanttochapter536toreview,todelaytheeffectivedate 39ortodisapproveandannularulearesubsequentlyheldunconstitutional,thenthegrantof 40rulemakingauthorityandanyruleproposedoradoptedafterAugust28,2000,shallbeinvalid 41andvoid. 42 3.Everylawenforcementagencyinthestateshall: 43 (1)Submitcrimeincidentreportstothedepartmentofpublicsafetyonformsorinthe 44formatprescribedbythedepartment;and 45 (2)Submitanyothercrimeincidentinformationwhichmayberequiredbythe 46departmentofpublicsafety. 47 (a)BeginningJanuary1,2026,everylawenforcementagencyinthestateshall 48collectdatadocumentingcaseclearances,includinginformationonclearancerates,as 49definedinsection650.040,fornonfatalshootings,asdeterminedbythedepartmentof 50publicsafety,andreportsuchdatatothedepartmentonamonthlybasis. 51 (b)Allclearanceratedatacollectedandreportedpursuanttothissectionshall 52bedisaggregatedbywhethertheoffensewasclearedbyarrestortheoffensewascleared HB1505 2 53byexceptionalmeans,asdefinedinsection650.040;documenttheyearoftheoffense 54andthedemographicinformationofthevictim;anddetailtheaveragedurationper 55officefromthedateoftheoffensetothedateofclearance. 56 4.AnylawenforcementagencythatviolatesthissectionafterDecember31,2021, 57maybeineligibletoreceivestateorfederalfundswhichwouldotherwisebepaidtosuch 58agencyforlawenforcement,safetyorcriminaljusticepurposes. 211.436.1.Instrumentsofrestraint,includinghandcuffs,chains,irons,or 2straitjackets,shallnotbeusedonachildduringaproceedinginajuvenilecourtand 3shallberemovedpriortothechild'sappearancebeforethecourtunless,afterahearing, 4thecourtfindsboththat: 5 (1)Theuseofrestraintsisnecessaryduetooneofthefollowingfactors: 6 (a)Instrumentsofrestraintarenecessarytopreventphysicalharmtothechild 7oranotherperson; 8 (b)Thechildhasahistoryofdisruptivecourtroombehaviorthathasplaced 9othersinpotentiallyharmfulsituationsorpresentsasubstantialriskofinflicting 10physicalharmonhimselforherselforothersasevidencedbyrecentbehavior;or 11 (c)Thereisevidencethatthechildpresentsasubstantialriskofflightfromthe 12courtroom;and 13 (2)Therearenolessrestrictivealternativestorestraintsthatwillpreventflight 14orphysicalharmtothechildoranotherpersonincluding,butnotlimitedto,the 15presenceofcourtpersonnel,lawenforcementofficers,orbailiffs. 16 2.Ifthejuvenileofficerbelievesthatthereisanimmediatesafetyorflightrisk, 17asprovidedundersubsection1ofthissection,thejuvenileofficershalladvisethe 18attorneyforthechildandmakearequestinwritingpriortothecommencementofthe 19proceedingforthechildtoremainrestrainedduringthecourtproceedingwhileinthe 20presenceofthepartiestotheproceeding. 21 3.Ifarequestforrestraintsismadebythejuvenileofficer,thecourtshallorder 22ahearingandprovidethechild'sattorneyanopportunitytobeheardbeforethecourt 23orderstheuseofrestraints.Ifrestraintsareordered,thecourtshallmakefindingsof 24factinsupportoftheorder. 25 4.Ifrestraintsareused,therestraintsshallallowthechildlimitedmovementof 26thehandstoreadandhandledocumentsandwritingsnecessarytotheproceeding. 27Undernocircumstancesshallachildberestrainedusingrestraintsfixedtoawall,floor, 28furniture,orotherstationaryobject. 217.075.1.Alloffenderrecordscompiled,obtained,preparedormaintainedbythe 2departmentoritsdivisionsshallbedesignatedpublicrecordswithinthemeaningofchapter 3610except: HB1505 3 4 (1)Anyinformation,report,recordorotherdocumentpertainingtoanoffender's 5personalmedicalhistory,whichshallbeaclosedrecord; 6 (2)Anyinformation,report,recordorotherdocumentinthecontrolofthe 7departmentoritsdivisionsauthorizedbyfederalorstatelawtobeaclosedrecord; 8 (3)Anyinternaladministrativereportordocumentrelatingtoinstitutionalsecurity. 9 2.Thecourtofjurisdiction,orthedepartment,mayattheirdiscretionpermitthe 10inspectionofthedepartmentreportsorpartsofsuchreportsbytheoffender,wheneverthe 11courtordepartmentdeterminesthatsuchinspectionisinthebestinterestorwelfareofthe 12offender. 13 3.Departmentrecordsmaybeautomatedandmadeavailableto: 14 (1)Treatmentagenciesworkingwiththedepartmentinthetreatmentoftheoffender; 15 (2)Lawenforcementagencies;or 16 (3)Qualifiedpersonsandorganizationsforresearch,evaluative,andstatistical 17purposesunderwrittenagreementsreasonablydesignedtoensurethesecurityand 18confidentialityoftheinformationandtheprotectionoftheprivacyinterestsofthe 19individualswhoaresubjectsoftherecords. 20 4.Nodepartmentemployeeshallhaveaccesstoanymaterialclosedbythissection 21unlesssuchaccessisnecessaryfortheemployeetocarryouthisduties.Thedepartmentby 22ruleshalldeterminewhatdepartmentemployeesorotherpersonsshallhaveaccesstoclosed 23recordsandtheproceduresneededtomaintaintheconfidentialityofsuchclosedrecords. 24 5.Noperson,association,firm,corporationorotheragencyshallknowinglysolicit, 25disclose,receive,publish,makeuseof,authorize,permit,participateinoracquiesceinthe 26useofanynameorlistsofnamesforcommercialorpoliticalpurposesofanynaturein 27violationofthissection. 28 6.Allhealthcareprovidersandhospitalswhohavecaredforoffendersduringthe 29periodoftheoffender'sincarcerationshallprovideacopyofallmedicalrecordsintheir 30possessionrelatedtosuchoffenderupondemandfromthedepartment'shealthcare 31administrator.Thedepartmentshallprovidereasonablecompensationforthecostofsuch 32copiesandnohealthcareprovidershallbeliableforbreachofconfidentialitywhenacting 33pursuanttothissubsection. 34 7.Notwithstandinganyprovisionoflawtothecontrary,thedepartmentshall 35providetoanoffender,ortoanoffender'spersonalrepresentative,electroniccopiesof 36allmedicalrecordsrelatedtosuchoffenderwhileinthecustodyofthedepartmentupon 37requestfromtheoffenderortheoffender'spersonalrepresentative.Suchelectronic 38copiesshallbeprovidedwithinthirtydaysofanoffender'srequestandatnocosttothe 39offender. HB1505 4 40 [7.]8.Copiesofallpapers,documents,orrecordscompiled,obtained,preparedor 41maintainedbythedepartmentoritsdivisions,properlycertifiedbytheappropriatedivision, 42shallbeadmissibleasevidenceinallcourtsandinalladministrativetribunalsinthesame 43mannerandwithlikeeffectastheoriginals,wheneverthepapers,documents,orrecordsare 44eitherdesignatedbythedepartmentofcorrectionsaspublicrecordswithinthemeaningof 45chapter610oraredeclaredadmissibleasevidencebyacourtofcompetentjurisdictionor 46administrativetribunalofcompetentjurisdiction. 47 [8.]9.Anypersonfoundguiltyofviolatingtheprovisionsofthissectionshallbe 48guiltyofaclassAmisdemeanor. 217.312.1.Ondeliveryoftheoffendertothereceptionanddiagnosticcenter,he 2orsheshallbegiventheopportunitytodesignateapersonalrepresentative. 3 2.Thedepartmentshalldevelopaformforoffenderstomakeapersonal 4representativedesignation.Suchform,whichshallbemadeavailabletotheoffenderin 5apaperandanelectronicformat,shallincludethepersonalrepresentative'snameand 6relationshiptotheoffender,mailingaddress,emailaddress,phonenumber,andbirth 7date. 8 3.Thedirectormaypromulgateallnecessaryrulesandregulationsforthe 9administrationofthissection.Anyruleorportionofarule,asthattermisdefinedin 10section536.010,thatiscreatedundertheauthoritydelegatedinthissectionshall 11becomeeffectiveonlyifitcomplieswithandissubjecttoalloftheprovisionsofchapter 12536and,ifapplicable,section536.028.Thissectionandchapter536arenonseverable 13andifanyofthepowersvestedwiththegeneralassemblypursuanttochapter536to 14review,todelaytheeffectivedate,ortodisapproveandannularulearesubsequently 15heldunconstitutional,thenthegrantofrulemakingauthorityandanyruleproposedor 16adoptedafterAugust28,2025,shallbeinvalidandvoid. 217.446.1.Whenanypersonunderfiftyyearsofagedieswithinadepartment 2ofcorrectionsfacility,theMissouristatehighwaypatrolshallconductanindependent 3deathinvestigation. 4 2.Inconductingtheinvestigation,thehighwaypatrolshallbegrantedfullaccess 5toanyrecordsandfindingsofanautopsyconductedundersection217.412. 217.451.1.Correctionalcentersshallprovideoffenderswithreasonableaccess 2tophoneservicesduringanoffender'stermofconfinement;providedthat,phoneaccess 3mayberestrictedasadisciplinarymeasure. 4 2.Nocorrectionalcenterorotherpartyshallchargeanoffenderina 5correctionalcenteratotalamountforadomesticphonecall,includingfeesandanyper- 6minuterate,thatexceedstheequivalentoftwelvecentsperminute. HB1505 5 217.1200.1.Thedepartmentofcorrectionsmaydevelopahospicecaretraining 2programwithinthestateprisonsystem.Thedepartmentofcorrections,incooperation 3withthedepartmentofhealthandseniorservicesandthedepartmentofcommerceand 4insurance,mayjointlypartnerintheprogramtodeterminetheappropriatetrainingfor 5thepurposeofobtaininglicensureorcertificationrequiredforinmatesselectedto 6participateintheprogram. 7 2.Thedepartmentofcorrections,thedepartmentofhealthandseniorservices, 8andthedivisionofprofessionalregistrationwithinthedepartmentofcommerceand 9insuranceshalljointlyapproveprogramcurriculumforthetrainingofeligibleinmates 10currentlyinthecustodyofthedepartmentofcorrections.Thecurriculumshallinclude 11requiredprogramcreditsforeachsubjectandpracticalskillsinstruction.Training 12shallbeprovidedbyalicensedphysician,registerednurse,orotherappropriately 13licensedortrainedhealthcareprofessional,asdeterminedbythedepartmentofhealth 14andseniorservicesandthedivisionofprofessionalregistration. 15 3.Uponsuccessfulcompletionofthetrainingprogramprovidedforunder 16subsection2ofthissection,thedepartmentofcorrectionsshallissueaprogram 17completioncertificatetotheinmate.Thedepartmentofcorrectionsincooperationwith 18thedepartmentofhealthandseniorservicesandthedivisionofprofessionalregistration 19shalldevelopaprocessforsubmissionofnoticeoftrainingcompletionandapplication 20forlicensureorcertificationtothedivisionofprofessionalregistration,asprescribedby 21thedepartmentofhealthandseniorservices. 22 4.Thedepartmentofhealthandseniorservices,inconsultationwiththe 23departmentofcorrectionsandthedepartmentofcommerceandinsurance,shallhave 24theauthoritytopromulgaterulesfortheadministrationofthissection,including 25implementationofthecurriculum,asprovidedforundersubsection2ofthissection, 26andforcontinuingeducationortrainingrequirementsnecessaryformaintainingstate 27certificationingoodstanding.Anyruleorportionofarule,asthattermisdefinedin 28section536.010,thatiscreatedundertheauthoritydelegatedinthissectionshall 29becomeeffectiveonlyifitcomplieswithandissubjecttoalloftheprovisionsofchapter 30536and,ifapplicable,section536.028.Thissectionandchapter536arenonseverable 31andifanyofthepowersvestedwiththegeneralassemblypursuanttochapter536to 32review,todelaytheeffectivedate,ortodisapproveandannularulearesubsequently 33heldunconstitutional,thenthegrantofrulemakingauthorityandanyruleproposedor 34adoptedafterAugust28,2025,shallbeinvalidandvoid. 35 5.Nothinginthissectionshallbeconstruedasestablishingarightto 36employmentwithanylicensedhospiceprovider. HB1505 6 221.108.1.Jailsshallprovideinmateswithreasonableaccesstophoneservices 2duringaninmate'stermofconfinement;providedthat,phoneaccessmayberestricted 3asadisciplinarymeasure. 4 2.Nojailorotherpartyshallchargeaninmateinajailatotalamountfora 5domesticphonecall,includingfeesandanyper-minuterate,thatexceedstheequivalent 6oftwelvecentsperminute. 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 16toandfromvisitstohealthcareprovidersandcourtproceedingsorduringmedical 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 HB1505 7 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 42developedinaccordancewiththissectionuponadmissiontothejailandpostthepolicies 43andpracticesinlocationsinthejailwheresuchnoticesarecommonlypostedandwillbe 44seenbyfemaleoffenders. 332.081.1.Notwithstandinganyotherprovisionoflawtothecontrary,hospitals 2licensedunderchapter197shallbeauthorizedtoemployanyorallofthefollowingoral 3healthproviders: 4 (1)Adentistlicensedunderthischapterforthepurposeoftreatingonhospital 5premisesthosepatientswhopresentwithadentalconditionandsuchtreatmentisnecessaryto 6amelioratetheconditionforwhichtheypresentedsuchasseverepainortoothabscesses; 7 (2)Anoralandmaxillofacialsurgeonlicensedunderthischapterforthepurposeof 8treatingoralconditionsthatneedtobeamelioratedaspartoftreatingtheunderlyingcauseof 9thepatient'smedicalneedsincluding,butnotlimitedto,headandneckcancer,HIVorAIDS, 10severetraumaresultinginadmissiontothehospital,organtransplant,diabetes,orseizure 11disorders.Itshallbeaconditionoftreatmentthatsuchpatientsareadmittedtothehospitalon 12eitheranin-orout-patientbasis;and 13 (3)Amaxillofacialprosthodontistlicensedunderthischapterforthepurposeof 14treatingandsupportingpatientsofaheadandneckcancerteamorothercomplexcareor 15surgicalteamforthefabricationofappliancesfollowingablativesurgery,surgerytocorrect 16birthanomalies,extensiveradiationtreatmentoftheheadorneck,ortrauma-relatedsurgery. 17 2.NopersonorotherentityshallpracticedentistryinMissouriorprovidedental 18servicesas[defined] describedinsection332.071unlessanduntiltheboardhasissuedtothe 19personacertificatecertifyingthatthepersonhasbeendulyregisteredasadentistinMissouri 20ortheboardhasissuedsuchcertificatetoanentitythathasbeendulyregisteredtoprovide 21dentalservicesbylicenseddentistsanddentalhygienistsandunlessanduntiltheboardhas 22issuedtothepersonalicense,toberenewedeachperiod,asprovidedinthischapter,to 23practicedentistryorasadentalhygienist,orhasissuedtothepersonorentityapermit,tobe HB1505 8 24renewedeachperiod,toprovidedentalservicesinMissouri.Nothinginthischaptershallbe 25soconstruedastomakeitunlawfulfor: 26 (1)Alegallyqualifiedphysicianorsurgeon,whodoesnotpracticedentistryasa 27specialty,fromextractingteeth; 28 (2)AdentistlicensedinastateotherthanMissourifrommakingaclinical 29demonstrationbeforeameetingofdentistsinMissouri; 30 (3)Dentalstudentsinanyaccrediteddentalschooltopracticedentistryunderthe 31personaldirectionofinstructors; 32 (4)Dentalhygienestudentsinanyaccrediteddentalhygieneschooltopracticedental 33hygieneunderthepersonaldirectionofinstructors; 34 (5)AdulyregisteredandlicenseddentalhygienistinMissouritopracticedental 35hygieneasdefinedinsection332.091; 36 (6)Adentalassistant,certifieddentalassistant,orexpandedfunctionsdentalassistant 37tobedelegateddutiesasdefinedinsection332.093; 38 (7)Adulyregistereddentistordentalhygienisttoteachinanaccrediteddentalor 39dentalhygieneschool; 40 (8)Apersonwhohasbeengrantedadentalfacultypermitundersection332.183to 41practicedentistryinthescopeofhisorheremploymentatanaccrediteddentalschool, 42college,orprograminMissouri; 43 (9)Adulyqualifiedanesthesiologistornurseanesthetisttoadministerananesthetic 44inconnectionwithdentalservicesordentalsurgery; 45 (10)Apersontopracticedentistryinorfor: 46 (a)TheUnitedStatesArmedForces; 47 (b)TheUnitedStatesPublicHealthService; 48 (c)Migrant,community,orhealthcareforthehomelesshealthcentersprovidedin 49Section330ofthePublicHealthServiceAct(42U.S.C.Section254b); 50 (d)FederallyqualifiedhealthcentersasdefinedinSection1905(l)(42U.S.C.Section 511396d(l))oftheSocialSecurityAct; 52 (e)Governmentalentities,includingcountyhealthdepartments;or 53 (f)TheUnitedStatesVeteransBureau;or 54 (11)AdentistlicensedinastateotherthanMissouritoevaluateapatientorrenderan 55oral,written,orotherwisedocumenteddentalopinionwhenprovidingtestimonyorrecords 56forthepurposeofacivilorcriminalactionbeforeanyjudicialoradministrativeproceeding 57ofthisstateorotherforuminthisstate. 58 3.Nocorporationshallpracticedentistryasdefinedinsection332.071unlessthat 59corporationisorganizedundertheprovisionsofchapter355or356providedthata 60corporationorganizedundertheprovisionsofchapter355andqualifyingasanorganization HB1505 9 61under26U.S.C.Section501(c)(3)mayonlyemploydentistsanddentalhygienistslicensedin 62thisstatetorenderdentalservicestoMedicaidrecipients,low-incomeindividualswhohave 63availableincomebelowtwohundredpercentofthefederalpovertylevel,andallparticipants 64intheSCHIPprogram,unlesssuchlimitationiscontrarytoorinconsistentwithfederalor 65statelaworregulation.Thissubsectionshallnotapplyto: 66 (1)Ahospitallicensedunderchapter197thatprovidescareandtreatmentonlyto 67childrenundertheageofeighteenatwhichapersonregulatedunderthischapterprovides 68dentalcarewithinthescopeofhisorherlicenseorregistration; 69 (2)AfederallyqualifiedhealthcenterasdefinedinSection1905(l)oftheSocial 70SecurityAct(42U.S.C.Section1396d(l)),oramigrant,community,orhealthcareforthe 71homelesshealthcenterprovidedforinSection330ofthePublicHealthServicesAct(42 72U.S.C.Section254b)atwhichapersonregulatedunderthischapterprovidesdentalcare 73withinthescopeofhisorherlicenseorregistration; 74 (3)Acityorcountyhealthdepartmentorganizedunderchapter192orchapter205at 75whichapersonregulatedunderthischapterprovidesdentalcarewithinthescopeofhisorher 76licenseorregistration; 77 (4)Asocialwelfareboardorganizedundersection205.770,acityhealthdepartment 78operatingunderacitycharter,oracity-countyhealthdepartmentatwhichapersonregulated 79underthischapterprovidesdentalcarewithinthescopeofhisorherlicenseorregistration; 80 (5)Anyentitythathasreceivedapermitfromthedentalboardanddoesnotreceive 81compensationfromthepatientorfromanythirdpartyonthepatient'sbehalfatwhicha 82personregulatedunderthischapterprovidesdentalcarewithinthescopeofhisorherlicense 83orregistration;or 84 (6)AnyhospitalnonprofitcorporationexemptfromtaxationunderSection501(c)(3) 85oftheInternalRevenueCode,asamended,thatengagesinitsoperationsandprovidesdental 86servicesatfacilitiesownedbyacity,county,orotherpoliticalsubdivisionofthestate,orany 87entitycontractedwiththestatetoprovidecareinacorrectionalcenter,assuchtermis 88definedinsection217.010,atwhichapersonregulatedunderthischapterprovidesdental 89carewithinthescopeofhisorherlicenseorregistration. 90 91Ifanyoftheentitiesexemptedfromtherequirementsofthissubsectionareunabletoprovide 92servicestoapatientduetothelackofaqualifiedproviderandareferraltoanotherentityis 93made,theexemptionshallextendtothepersonorentitythatsubsequentlyprovidesservices 94tothepatient. 95 4.Nounincorporatedorganizationshallpracticedentistryasdefinedinsection 96332.071unlesssuchorganizationisexemptfromfederaltaxationunderSection501(c)(3)of 97theInternalRevenueCodeof1986,asamended,andprovidesdentaltreatmentwithout HB1505 10 98compensationfromthepatientoranythirdpartyontheirbehalfasapartofabroader 99programofsocialservicesincludingfooddistribution.Nothinginthischaptershallprohibit 100organizationsunderthissubsectionfromemployinganypersonregulatedbythischapter. 101 5.Adentistshallnotenterintoacontractthatallowsapersonwhoisnotadentistto 102influenceorinterferewiththeexerciseofthedentist'sindependentprofessionaljudgment. 103 6.Anot-for-profitcorporationorganizedundertheprovisionsofchapter355and 104qualifyingasanorganizationunder26U.S.C.Section501(c)(3),anunincorporated 105organizationoperatingpursuanttosubsection4ofthissection,oranyotherpersonshouldnot 106directorinterfereorattempttodirectorinterferewithalicenseddentist'sprofessional 107judgmentandcompetentpracticeofdentistry.Nothinginthissubsectionshallbeso 108construedastomakeitunlawfulfornot-for-profitorganizationstoenforceemployment 109contracts,corporatepolicyandproceduremanuals,orqualityimprovementorassurance 110requirements. 111 7.Allentitiesdefinedinsubsection3ofthissectionandthoseexemptedunder 112subsection4ofthissectionshallapplyforapermittoemploydentistsanddentalhygienists 113licensedinthisstatetorenderdentalservices,andtheentityshallapplyforthepermitin 114writingonformsprovidedbytheMissouridentalboard.Theboardshallnotchargeafeeof 115anykindfortheissuanceorrenewalofsuchpermit.Theprovisionsofthissubsectionshall 116notapplytoafederallyqualifiedhealthcenterasdefinedinSection1905(l)oftheSocial 117SecurityAct(42U.S.C.Section1396d(l)). 118 8.Anyentitythatobtainsapermittorenderdentalservicesinthisstateissubjectto 119disciplinepursuanttosection332.321.Iftheboardconcludesthatthepersonorentityhas 120committedanactorisengaginginacourseofconductthatwouldbegroundsfordisciplinary 121action,theboardmayfileacomplaintbeforetheadministrativehearingcommission.The 122boardmayrefusetoissueorrenewthepermitofanyentityforoneoranycombinationof 123causesstatedinsubsection2ofsection332.321.Theboardshallnotifytheapplicantin 124writingofthereasonsfortherefusalandshalladvisetheapplicantofhisorherrighttofilea 125complaintwiththeadministrativehearingcommissionasprovidedbychapter621. 126 9.AfederallyqualifiedhealthcenterasdefinedinSection1905(l)oftheSocial 127SecurityAct(42U.S.C.Section1396d(l))shallregisterwiththeboard.Theinformation 128providedtotheboardaspartoftheregistrationshallincludethenameofthehealthcenter,the 129nonprofitstatusofthehealthcenter,siteswheredentalserviceswillbeprovided,andthe 130namesofallpersonsemployedby,orcontractingwith,thehealthcenterwhoarerequiredto 131holdalicensepursuanttothischapter.Theregistrationshallberenewedeverytwenty-four 132months.Theboardshallnotchargeafeeofanykindfortheissuanceorrenewalofthe 133registration.Theregistrationofthehealthcentershallnotbesubjecttodisciplinepursuantto 134section332.321.Nothinginthissubsectionshallprohibitdisciplinaryactionagainsta HB1505 11 135licenseeofthischapterwhoisemployedby,orcontractswith,suchhealthcenterforthe 136actionsofthelicenseeinconnectionwithsuchemploymentorcontract. 137 10.Theboardmaypromulgaterulesandregulationstoensurenot-for-profit 138corporationsarerenderingcaretothepatientpopulationsassetforthherein,including 139requirementsforcoverednot-for-profitcorporationstoreportpatientcensusdatatotheboard. 140Theprovisionsofthissubsectionshallnotapplytoafederallyqualifiedhealthcenteras 141definedinSection1905(l)oftheSocialSecurityAct(42U.S.C.Section1396d(l)). 142 11.Allnot-for-profitcorporationsorganizedoroperatedpursuanttotheprovisionsof 143chapter355andqualifyingasanorganizationunder26U.S.C.Section501(c)(3),orthe 144requirementsrelatingtomigrant,community,orhealthcareforthehomelesshealthcenters 145providedinSection330ofthePublicHealthServiceAct(42U.S.C.Section254b)and 146federallyqualifiedhealthcentersasdefinedinSection1905(l)(42U.S.C.Section1396d(l)) 147oftheSocialSecurityAct,thatemploypersonswhopracticedentistryordentalhygienein 148thisstateshalldosoinaccordancewiththerelevantlawsofthisstateexcepttotheextentthat 149suchlawsarecontraryto,orinconsistentwith,federalstatuteorregulation. 650.040.1.Asusedinthissection,thefollowingtermsshallmean: 2 (1)"Clearancerates",therateatwhichlawenforcementagenciesclearan 3offensebyarrestorbyexceptionalmeans; 4 (2)"Offenseclearedbyanarrest",whenatleastonepersonhasbeenarrested, 5chargedwiththecommissionoftheoffense,andturnedovertothecourtfor 6prosecution; 7 (3)"Offenseclearedbyexceptionalmeans",whenthelawenforcementagency 8has: 9 (a)Identifiedtheoffender; 10 (b)Gatheredenoughevidencetosupportanarrest,makeacharge,andturn 11overtheoffendertothecourtforprosecution; 12 (c)Identifiedtheoffender'sexactlocationsothatthesuspectcouldbetakeninto 13custodyimmediately;and 14 (d)Encounteredacircumstanceoutsidethecontrolofsuchagencythat 15prohibitedtheagencyfromarresting,charging,andprosecutingtheoffender. 16 2.Thereisherebycreatedthe"MissouriViolentCrimeClearanceGrant 17Program"withinthedepartmentofpublicsafety.Thisprogramshallbedevelopedin 18consultationwiththeMissouripeaceofficersstandardsandtrainingcommission 19createdpursuanttosection590.120,theofficeforvictimsofcrimecreatedpursuantto 20section650.310,andthecrimelaboratoryreviewcommissioncreatedpursuantto 21section650.059. HB1505 12 22 3.Thepurposeofthisprogramistoimprovelawenforcementstrategiesand 23initiativesaimedatincreasingviolentcrimeclearancerates. 24 4.Totheextentthatsuchusescanbedemonstratedtoadvancethepurposes 25describedinsubsection3ofthissection,eligibleusesforthefundinginclude: 26 (1)Improvedinvestigatoryresources,includingthehiringofpersonnelassigned 27toinvestigateviolentcrimesorcollect,process,andtestforensicevidence; 28 (2)Developmentofevidence-basedpolicies,procedures,andtraining; 29 (3)Technicalassistance; 30 (4)Lawenforcementequipmentortechnology,includinginvestigative,evidence- 31processing,orforensic-testingequipmentortechnology; 32 (5)Contractualsupport; 33 (6)Informationsystems,withprioritizationforprojectsthatwouldimprove 34dataintegrationandtheabilitytoshareinformationacrossandbetweenlaw 35enforcementagencies,prosecutingattorneys'offices,andcrimelabs; 36 (7)Officerhealthandwellnessservices; 37 (8)Hiringandretentionofvictim-witnesscoordinators; 38 (9)Partnershipwithhospital-basedviolenceinterventionprograms; 39 (10)Partnershipwithaccreditedbehavioralhealthprograms;and 40 (11)Partnershipwithlocalcommunityserviceproviderstoimprovesupportfor 41victimsofviolentcrime. 42 5.Inawardingagrantundersubsection2ofthissectionforanallowableuse 43undersubsection4ofthissection,thedepartmentofpublicsafetyshallgivepriorityto 44lawenforcementagencies: 45 (1)Withconsistentpublicreportingoflowclearancerates; 46 (2)Thatdemonstrateacommitmenttoworkingwithcommunity-based 47organizationsandgovernmentagenciestoreduceviolentcrimerates;or 48 (3)Thatdetailaprocessforevaluatingtheeffectivenessofbothinvestigators 49andinvestigativeunits,includingthedevelopmentofspecificgoalsandperformance 50metrics. 51 6.Alllawenforcementagenciesthatreceivefundingunderthissectionshall 52reporttothedepartmentofpublicsafetyannuallyonactivitiescarriedouttoreduce 53violentcrimeandimproveclearanceratesduringtheprecedingfiscalyearincluding, 54butnotlimitedto: 55 (1)Thenumberofpersonnelhiredorassignedtoinvestigateviolentcrimes, 56disaggregatedbetweenswornlawenforcementofficersandcivilianorunsworn 57professionalstaff; HB1505 13 58 (2)Thenumberofpersonnelhiredorassignedtocollect,process,andtest 59forensicevidence; 60 (3)Thenumberofpersonnelhiredorassignedtoprovidevictimservices; 61 (4)Thedescriptionofanytrainingdevelopedorimplemented; 62 (5)Thedescriptionofanynewtechnologypurchasedoracquired; 63 (6)Howgrant-fundedactivitieshaveimpactedclearancerates; 64 (7)Therecordmanagementsystem,orequivalent,usedtocollectcase 65informationanditsabilitytointegratewithotheragencies',prosecutingattorney 66offices',andcrimelabs'recordmanagementsystems;and 67 (8)Howthegranteeworkedwithcommunity-basedorganizationstoimprove 68violentcrimeratesandclearanceratesforviolentcrimes. 69 7.Distributionofstatefundsortechnicalassistanceshallbebycontractual 70arrangementbetweenthedepartmentandeachrecipientlawenforcementagency. 71Termsofthecontractshallbenegotiableeachyear.Thestateauditorshallperiodically 72auditalllawenforcementagenciesreceivingstatefunds. 73 8.Nothinginthissectionshallprohibitanylawenforcementagencyfrom 74receivingfederalorlocalfundsshouldsuchfundsbecomeavailable. 75 9.Nostatefundsshallbeexpendedunlessappropriatedbythegeneralassembly 76forthispurpose. ✔ HB1505 14