| 1 | 1 | | FIRSTREGULARSESSION |
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| 2 | 2 | | HOUSEBILLNO.165 |
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| 3 | 3 | | 103RDGENERALASSEMBLY |
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| 4 | 4 | | INTRODUCEDBYREPRESENTATIVESPARKS. |
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| 5 | 5 | | 0281H.01I DANARADEMANMILLER,ChiefClerk |
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| 6 | 6 | | ANACT |
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| 7 | 7 | | Torepealsections167.627,167.630,190.246,196.990,and321.621,RSMo,andtoenactin |
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| 8 | 8 | | lieuthereoffivenewsectionsrelatingtoepinephrineproducts,withpenalty |
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| 9 | 9 | | provisions. |
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| 10 | 10 | | BeitenactedbytheGeneralAssemblyofthestateofMissouri,asfollows: |
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| 11 | 11 | | SectionA.Sections167.627,167.630,190.246,196.990,and321.621,RSMo,are |
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| 12 | 12 | | 2repealedandfivenewsectionsenactedinlieuthereof,tobeknownassections167.627, |
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| 13 | 13 | | 3167.630,190.246,196.990,and321.621,toreadasfollows: |
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| 14 | 14 | | 167.627.1.Forpurposesofthissection,thefollowingtermsshallmean: |
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| 15 | 15 | | 2 (1)"Medication",anymedicineprescribedororderedbyaphysicianforthetreatment |
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| 16 | 16 | | 3ofasthmaoranaphylaxis,includingwithoutlimitationinhaledbronchodilators[and],auto- |
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| 17 | 17 | | 4injectibleepinephrine, andsingle-useepinephrinenasalspray; |
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| 18 | 18 | | 5 (2)"Self-administration",apupil'sdiscretionaryuseofmedicationprescribedbya |
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| 19 | 19 | | 6physicianorunderawrittentreatmentplanfromaphysician. |
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| 20 | 20 | | 7 2.Eachboardofeducationanditsemployeesandagentsinthisstateshallgrantany |
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| 21 | 21 | | 8pupilintheschoolauthorizationforthepossessionandself-administrationofmedicationto |
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| 22 | 22 | | 9treatsuchpupil'schronichealthcondition,includingbutnotlimitedtoasthmaoranaphylaxis |
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| 23 | 23 | | 10if: |
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| 24 | 24 | | 11 (1)Alicensedphysicianprescribedororderedsuchmedicationforusebythepupil |
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| 25 | 25 | | 12andinstructedsuchpupilinthecorrectandresponsibleuseofsuchmedication; |
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| 26 | 26 | | 13 (2)Thepupilhasdemonstratedtothepupil'slicensedphysicianorthelicensed |
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| 27 | 27 | | 14physician'sdesignee,andtheschoolnurse,ifavailable,theskilllevelnecessarytousethe |
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| 28 | 28 | | 15medicationandanydevicenecessarytoadministersuchmedicationprescribedorordered; |
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| 29 | 29 | | EXPLANATION—Matterenclosedinbold-facedbrackets[thus] intheabovebillisnotenactedandis |
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| 30 | 30 | | intendedtobeomittedfromthelaw.Matterinbold-facetypeintheabovebillisproposedlanguage. 16 (3)Thepupil'sphysicianhasapprovedandsignedawrittentreatmentplanfor |
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| 31 | 31 | | 17managingthepupil'schronichealthcondition,includingasthmaoranaphylaxisepisodesand |
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| 32 | 32 | | 18formedicationforusebythepupil.Suchplanshallincludeastatementthatthepupilis |
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| 33 | 33 | | 19capableofself-administeringthemedicationunderthetreatmentplan; |
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| 34 | 34 | | 20 (4)Thepupil'sparentorguardianhascompletedandsubmittedtotheschoolany |
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| 35 | 35 | | 21writtendocumentationrequiredbytheschool,includingthetreatmentplanrequiredunder |
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| 36 | 36 | | 22subdivision(3)ofthissubsectionandtheliabilitystatementrequiredundersubdivision(5)of |
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| 37 | 37 | | 23thissubsection;and |
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| 38 | 38 | | 24 (5)Thepupil'sparentorguardianhassignedastatementacknowledgingthatthe |
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| 39 | 39 | | 25schooldistrictanditsemployeesoragentsshallincurnoliabilityasaresultofanyinjury |
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| 40 | 40 | | 26arisingfromtheself-administrationofmedicationbythepupilortheadministrationofsuch |
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| 41 | 41 | | 27medicationbyschoolstaff.Suchstatementshallnotbeconstruedtoreleasetheschool |
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| 42 | 42 | | 28districtanditsemployeesoragentsfromliabilityfornegligence. |
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| 43 | 43 | | 29 3.Anauthorizationgrantedundersubsection2ofthissectionshall: |
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| 44 | 44 | | 30 (1)Permitsuchpupiltopossessandself-administersuchpupil'smedicationwhilein |
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| 45 | 45 | | 31school,ataschool-sponsoredactivity,andintransittoorfromschoolorschool-sponsored |
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| 46 | 46 | | 32activity;and |
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| 47 | 47 | | 33 (2)Beeffectiveonlyforthesameschoolandschoolyearforwhichitisgranted. |
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| 48 | 48 | | 34Suchauthorizationshallberenewedbythepupil'sparentorguardianeachsubsequentschool |
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| 49 | 49 | | 35yearinaccordancewiththissection. |
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| 50 | 50 | | 36 4.Anycurrentduplicateprescriptionmedication,ifprovidedbyapupil'sparentor |
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| 51 | 51 | | 37guardianorbytheschool,shallbekeptatapupil'sschoolinalocationatwhichthepupilor |
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| 52 | 52 | | 38schoolstaffhasimmediateaccessintheeventofanasthmaoranaphylaxisemergency. |
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| 53 | 53 | | 39 5.Theinformationdescribedinsubdivisions(3)and(4)ofsubsection2ofthis |
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| 54 | 54 | | 40sectionshallbekeptonfileatthepupil'sschoolinalocationeasilyaccessibleintheeventof |
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| 55 | 55 | | 41anemergency. |
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| 56 | 56 | | 167.630.1.Eachschoolboardmayauthorizeaschoolnurselicensedunderchapter |
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| 57 | 57 | | 2335whoisemployedbytheschooldistrictandforwhomtheboardisresponsibleforto |
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| 58 | 58 | | 3maintainanadequatesupplyofprefilledautosyringesofepinephrinewithfifteen-hundredths |
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| 59 | 59 | | 4milligramorthree-tenthsmilligramdelivery, orsingle-useepinephrinenasalspraydevices, |
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| 60 | 60 | | 5attheschool.Thenurseshallrecommendtotheschoolboardthenumberofprefilled |
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| 61 | 61 | | 6epinephrineautosyringesorsingle-useepinephrinenasalspraydevicesthattheschool |
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| 62 | 62 | | 7shouldmaintain. |
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| 63 | 63 | | 8 2.Toobtainprefilledepinephrineautosyringesorsingle-useepinephrinenasal |
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| 64 | 64 | | 9spraydevicesforaschooldistrict,aprescriptionwrittenbyalicensedphysician,a |
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| 65 | 65 | | 10physician'sassistant,ornursepractitionerisrequired.Forsuchprescriptions,theschool |
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| 66 | 66 | | HB165 2 11districtshallbedesignatedasthepatient,thenurse'snameshallberequired,andthe |
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| 67 | 67 | | 12prescriptionshallbefilledatalicensedpharmacy. |
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| 68 | 68 | | 13 3.Aschoolnurse,contractedagenttrainedbyanurse,orotherschoolemployee |
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| 69 | 69 | | 14trainedbyandsupervisedbythenurseshallhavethediscretiontouseanepinephrineauto |
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| 70 | 70 | | 15syringeorsingle-useepinephrinenasalsprayonanystudenttheschoolnurse,trained |
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| 71 | 71 | | 16employee,ortrainedcontractedagentbelievesishavingalife-threateninganaphylactic |
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| 72 | 72 | | 17reactionbasedonthetraininginrecognizinganacuteepisodeofananaphylacticreaction. |
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| 73 | 73 | | 18Theprovisionsofsection167.624concerningimmunityfromcivilliabilityfortrained |
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| 74 | 74 | | 19employeesadministeringlifesavingmethodsshallapplytotrainedemployeesadministeringa |
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| 75 | 75 | | 20prefilledautosyringeorsingle-useepinephrinenasalsprayunderthissection.Trained |
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| 76 | 76 | | 21contractedagentsshallhaveimmunityfromcivilliabilityforadministeringaprefilledauto |
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| 77 | 77 | | 22syringeorsingle-useepinephrinenasalsprayunderthissection. |
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| 78 | 78 | | 190.246.1.Asusedinthissection,thefollowingtermsshallmean: |
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| 79 | 79 | | 2 (1)"Eligibleperson,firm,organizationorotherentity",anambulanceserviceor |
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| 80 | 80 | | 3emergencymedicalresponseagency,anemergencymedicalresponder,oranemergency |
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| 81 | 81 | | 4medicaltechnicianwhoisemployedby,oranenrolledmember,person,firm,organizationor |
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| 82 | 82 | | 5entitydesignatedby,ruleofthedepartmentofhealthandseniorservicesinconsultationwith |
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| 83 | 83 | | 6otherappropriateagencies.Allsucheligiblepersons,firms,organizationsorotherentities |
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| 84 | 84 | | 7shallbesubjecttotherulespromulgatedbythedirectorofthedepartmentofhealthandsenior |
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| 85 | 85 | | 8services; |
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| 86 | 86 | | 9 (2)"Emergencyhealthcareprovider": |
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| 87 | 87 | | 10 (a)Aphysicianlicensedpursuanttochapter334withknowledgeandexperiencein |
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| 88 | 88 | | 11thedeliveryofemergencycare;or |
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| 89 | 89 | | 12 (b)Ahospitallicensedpursuanttochapter197thatprovidesemergencycare. |
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| 90 | 90 | | 13 2.Possessionanduseofepinephrineauto-injectordevicesandsingle-use |
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| 91 | 91 | | 14epinephrinenasalspraydevicesshallbelimitedasfollows: |
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| 92 | 92 | | 15 (1)Nopersonshalluseanepinephrineauto-injectordeviceorsingle-use |
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| 93 | 93 | | 16epinephrinenasalspraydeviceunlesssuchpersonhassuccessfullycompletedatraining |
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| 94 | 94 | | 17courseintheuseofepinephrineauto-injectordevicesorsingle-useepinephrinenasalspray |
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| 95 | 95 | | 18devices,asappropriate,approvedbythedirectorofthedepartmentofhealthandsenior |
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| 96 | 96 | | 19services.Nothinginthissectionshallprohibittheuseofanepinephrineauto-injectordevice |
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| 97 | 97 | | 20orsingle-useepinephrinenasalspraydevice: |
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| 98 | 98 | | 21 (a)Byahealthcareprofessionallicensedorcertifiedbythisstatewhoisacting |
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| 99 | 99 | | 22withinthescopeofhisorherpractice;or |
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| 100 | 100 | | 23 (b)Byapersonactingpursuanttoalawfulprescription; |
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| 101 | 101 | | 24 (2)Everyperson,firm,organizationandentityauthorizedtopossessanduse |
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| 102 | 102 | | 25epinephrineauto-injectordevicesorsingle-useepinephrinenasalspraydevicespursuantto |
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| 103 | 103 | | HB165 3 26thissectionshalluse,maintainanddisposeofsuchdevicesinaccordancewiththerulesofthe |
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| 104 | 104 | | 27department;and |
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| 105 | 105 | | 28 (3)Everyuseofanepinephrineauto-injectordeviceorsingle-useepinephrinenasal |
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| 106 | 106 | | 29spraydevicepursuanttothissectionshallimmediatelybereportedtotheemergencyhealth |
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| 107 | 107 | | 30careprovider. |
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| 108 | 108 | | 31 3.(1)Useofanepinephrineauto-injectordeviceorsingle-useepinephrinenasal |
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| 109 | 109 | | 32spraydevicepursuanttothissectionshallbeconsideredfirstaidoremergencytreatmentfor |
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| 110 | 110 | | 33thepurposeofanylawrelatingtoliability. |
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| 111 | 111 | | 34 (2)Purchase,acquisition,possessionoruseofanepinephrineauto-injectordeviceor |
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| 112 | 112 | | 35single-useepinephrinenasalspraydevicepursuanttothissectionshallnotconstitutethe |
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| 113 | 113 | | 36unlawfulpracticeofmedicineortheunlawfulpracticeofaprofession. |
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| 114 | 114 | | 37 (3)Anypersonotherwiseauthorizedtosellorprovideanepinephrineauto-injector |
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| 115 | 115 | | 38deviceorsingle-useepinephrinenasalspraydevicemaysellorprovideittoaperson |
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| 116 | 116 | | 39authorizedtopossessitpursuanttothissection. |
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| 117 | 117 | | 40 4.Anyperson,firm,organizationorentitythatviolatestheprovisionsofthissection |
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| 118 | 118 | | 41isguiltyofaclassBmisdemeanor. |
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| 119 | 119 | | 196.990.1.Asusedinthissection,thefollowingtermsshallmean: |
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| 120 | 120 | | 2 (1)"Administer",thedirectapplicationofanepinephrineauto-injectortothebodyof |
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| 121 | 121 | | 3anindividualorthesprayingofanepinephrinenasalsprayintothenostrilofan |
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| 122 | 122 | | 4individual; |
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| 123 | 123 | | 5 (2)"Authorizedentity",anyentityororganizationatorinconnectionwithwhich |
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| 124 | 124 | | 6allergenscapableofcausinganaphylaxismaybepresentincluding,butnotlimitedto, |
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| 125 | 125 | | 7qualifiedfirstresponders,assuchtermisdefinedinsection321.621,restaurants,recreation |
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| 126 | 126 | | 8camps,youthsportsleagues,amusementparks,andsportsarenas."Authorizedentity"shall |
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| 127 | 127 | | 9notincludeanypublicschoolorpubliccharterschool; |
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| 128 | 128 | | 10 (3)"Authorizedepinephrineproduct",anepinephrineauto-injectoror |
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| 129 | 129 | | 11epinephrinenasalspray; |
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| 130 | 130 | | 12 (4)"Epinephrineauto-injector",asingle-usedeviceusedfortheautomaticinjection |
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| 131 | 131 | | 13ofapremeasureddoseofepinephrineintothehumanbody; |
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| 132 | 132 | | 14 [(4)](5)"Epinephrinenasalspray",asingle-usenasalspraydeviceusedforthe |
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| 133 | 133 | | 15administrationofasingledoseofepinephrineintothehumanbodythroughanostril; |
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| 134 | 134 | | 16 (6)"Physician",aphysicianlicensedinthisstateunderchapter334; |
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| 135 | 135 | | 17 [(5)](7)"Provide",thesupplyofoneormoreauthorizedepinephrine[auto- |
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| 136 | 136 | | 18injectors] productstoanindividual; |
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| 137 | 137 | | 19 [(6)](8)"Self-administration",aperson'sdiscretionaryuseofanauthorized |
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| 138 | 138 | | 20epinephrine[auto-injector] product. |
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| 139 | 139 | | HB165 4 21 2.Aphysicianmayprescribeauthorizedepinephrine[auto-injectors] productsin |
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| 140 | 140 | | 22thenameofanauthorizedentityforuseinaccordancewiththissection,andpharmacists, |
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| 141 | 141 | | 23physicians,andotherpersonsauthorizedtodispenseprescriptionmedicationsmaydispense |
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| 142 | 142 | | 24authorizedepinephrine[auto-injectors] productsunderaprescriptionissuedinthenameof |
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| 143 | 143 | | 25anauthorizedentity. |
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| 144 | 144 | | 26 3.Anauthorizedentitymayacquireandstockasupplyofauthorizedepinephrine |
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| 145 | 145 | | 27[auto-injectors] productsunderaprescriptionissuedinaccordancewiththissection.Such |
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| 146 | 146 | | 28authorizedepinephrine[auto-injectors] productsshallbestoredinalocationreadily |
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| 147 | 147 | | 29accessibleinanemergencyandinaccordancewiththeauthorizedepinephrine[auto- |
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| 148 | 148 | | 30injector's] product'sinstructionsforuseandanyadditionalrequirementsestablishedbythe |
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| 149 | 149 | | 31departmentofhealthandseniorservicesbyrule.Anauthorizedentityshalldesignate |
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| 150 | 150 | | 32employeesoragentswhohavecompletedthetrainingrequiredunderthissectiontobe |
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| 151 | 151 | | 33responsibleforthestorage,maintenance,andgeneraloversightofauthorizedepinephrine |
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| 152 | 152 | | 34[auto-injectors] productsacquiredbytheauthorizedentity. |
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| 153 | 153 | | 35 4.Anauthorizedentitythatacquiresasupplyofauthorizedepinephrine[auto- |
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| 154 | 154 | | 36injectors] productsunderaprescriptionissuedinaccordancewiththissectionshallensure |
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| 155 | 155 | | 37that: |
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| 156 | 156 | | 38 (1)Expected[epinephrineauto-injector] usersofauthorizedepinephrineproducts |
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| 157 | 157 | | 39receivetraininginrecognizingsymptomsofsevereallergicreactionsincludinganaphylaxis |
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| 158 | 158 | | 40andtheuseofepinephrineauto-injectorsorepinephrinenasalsprays,asappropriate |
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| 159 | 159 | | 41basedonthesupply,fromanationallyrecognizedorganizationexperiencedintraining |
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| 160 | 160 | | 42laypersonsinemergencyhealthtreatmentoranotherentityorpersonapprovedbythe |
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| 161 | 161 | | 43departmentofhealthandseniorservices; |
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| 162 | 162 | | 44 (2)Allauthorizedepinephrine[auto-injectors] productsaremaintainedandstored |
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| 163 | 163 | | 45accordingtotheauthorizedepinephrine[auto-injector's] product'sinstructionsforuse; |
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| 164 | 164 | | 46 (3)Anypersonwhoprovidesoradministersanauthorizedepinephrine[auto- |
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| 165 | 165 | | 47injector] producttoanindividualwhothepersonbelievesingoodfaithisexperiencing |
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| 166 | 166 | | 48anaphylaxisactivatestheemergencymedicalservicessystemassoonaspossible;and |
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| 167 | 167 | | 49 (4)Aproperreviewofallsituationsinwhichanauthorizedepinephrine[auto- |
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| 168 | 168 | | 50injector] productisusedtorenderemergencycareisconducted. |
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| 169 | 169 | | 51 5.Anyauthorizedentitythatacquiresasupplyofauthorizedepinephrine[auto- |
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| 170 | 170 | | 52injectors] productsunderaprescriptionissuedinaccordancewiththissectionshallnotifythe |
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| 171 | 171 | | 53emergencycommunicationsdistrictortheambulancedispatchcenteroftheprimaryprovider |
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| 172 | 172 | | 54ofemergencymedicalserviceswheretheauthorizedepinephrine[auto-injectors] products |
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| 173 | 173 | | 55aretobelocatedwithintheentity'sfacility. |
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| 174 | 174 | | 56 6.Nopersonshallprovideoradministeranauthorizedepinephrine[auto-injector] |
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| 175 | 175 | | 57producttoanyindividualwhoisundereighteenyearsofagewithouttheverbalconsentofa |
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| 176 | 176 | | HB165 5 58parentorguardianwhoispresentatthetimewhenprovisionoradministrationofthe |
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| 177 | 177 | | 59authorizedepinephrine[auto-injector] productisneeded.Provided,however,thataperson |
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| 178 | 178 | | 60mayprovideoradministeranauthorizedepinephrine[auto-injector] producttosuchan |
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| 179 | 179 | | 61individualwithouttheconsentofaparentorguardianiftheparentorguardianisnot |
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| 180 | 180 | | 62physicallypresentandthepersonreasonablybelievestheindividualshallbeinimminent |
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| 181 | 181 | | 63dangerwithouttheprovisionoradministrationoftheauthorizedepinephrine[auto-injector] |
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| 182 | 182 | | 64product. |
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| 183 | 183 | | 65 7.Thefollowingpersonsandentitiesshallnotbeliableforanyinjuriesorrelated |
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| 184 | 184 | | 66damagesthatresultfromtheadministrationorself-administrationofanauthorized |
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| 185 | 185 | | 67epinephrine[auto-injector] productinaccordancewiththissectionthatmayconstitute |
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| 186 | 186 | | 68ordinarynegligence: |
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| 187 | 187 | | 69 (1)Anauthorizedentitythatpossessesandmakesavailableauthorizedepinephrine |
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| 188 | 188 | | 70[auto-injectors] productsanditsemployees,agents,andothertrainedpersons; |
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| 189 | 189 | | 71 (2)Anypersonwhousesanauthorizedepinephrine[auto-injector] productmade |
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| 190 | 190 | | 72availableunderthissection; |
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| 191 | 191 | | 73 (3)Aphysicianthatprescribesauthorizedepinephrine[auto-injectors] productsto |
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| 192 | 192 | | 74anauthorizedentity;or |
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| 193 | 193 | | 75 (4)Anypersonorentitythatconductsthetrainingdescribedinthissection. |
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| 194 | 194 | | 76 |
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| 195 | 195 | | 77Suchimmunitydoesnotapplytoactsoromissionsconstitutingarecklessdisregardforthe |
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| 196 | 196 | | 78safetyofothersorwillfulorwantonconduct.Theadministrationofanauthorized |
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| 197 | 197 | | 79epinephrine[auto-injector] productinaccordancewiththissectionshallnotbeconsidered |
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| 198 | 198 | | 80thepracticeofmedicine.Theimmunityfromliabilityprovidedunderthissubsectionisin |
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| 199 | 199 | | 81additiontoandnotinlieuofthatprovidedundersection537.037.Anauthorizedentity |
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| 200 | 200 | | 82locatedinthisstateshallnotbeliableforanyinjuriesorrelateddamagesthatresultfromthe |
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| 201 | 201 | | 83provisionoradministrationofanauthorizedepinephrine[auto-injector] productbyits |
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| 202 | 202 | | 84employeesoragentsoutsideofthisstateiftheentityoritsemployeeoragentisnotliablefor |
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| 203 | 203 | | 85suchinjuriesorrelateddamagesunderthelawsofthestateinwhichsuchprovisionor |
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| 204 | 204 | | 86administrationoccurred.Notrainedpersonwhoisincompliancewiththissectionandwhoin |
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| 205 | 205 | | 87goodfaithandexercisingreasonablecarefailstoadministeranauthorizedepinephrine |
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| 206 | 206 | | 88[auto-injector] productshallbeliableforsuchfailure. |
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| 207 | 207 | | 89 8.Allbasiclifesupportambulancesandstretchervansoperatedinthestateshallbe |
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| 208 | 208 | | 90equippedwithauthorizedepinephrine[auto-injectors] productsandbestaffedbyatleast |
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| 209 | 209 | | 91oneindividualtrainedintheuseofauthorizedepinephrine[auto-injectors] products. |
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| 210 | 210 | | 92 9.Theprovisionsofthissectionshallapplyinallcountieswithinthestateandany |
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| 211 | 211 | | 93citynotwithinacounty. |
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| 212 | 212 | | HB165 6 94 10.Nothinginthissectionshallbeconstruedassupersedingtheprovisionsofsection |
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| 213 | 213 | | 95167.630. |
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| 214 | 214 | | 321.621.1.Forthepurposesofthissection,"qualifiedfirstresponder"shallmean |
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| 215 | 215 | | 2anystateandlocallawenforcementagencystaff,firedepartmentpersonnel,firedistrict |
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| 216 | 216 | | 3personnel,orlicensedemergencymedicaltechnicianwhoisactingunderthedirectivesand |
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| 217 | 217 | | 4establishedprotocolsofamedicaldirectorwhocomesincontactwithapersonsufferingfrom |
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| 218 | 218 | | 5ananaphylacticreactionandwhohasreceivedtraininginrecognizingandrespondingto |
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| 219 | 219 | | 6anaphylacticreactionsandtheadministrationofepinephrineauto-injectordevicesorsingle- |
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| 220 | 220 | | 7useepinephrinenasalspraydevicestoapersonsufferingfromanapparentanaphylactic |
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| 221 | 221 | | 8reaction."Qualifiedfirstresponderagencies"shallmeananystateorlocallawenforcement |
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| 222 | 222 | | 9agency,firedepartment,orambulanceservicethatprovidesdocumentedtrainingtoitsstaff |
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| 223 | 223 | | 10relatedtotheadministrationofepinephrineauto-injectordevicesorsingle-useepinephrine |
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| 224 | 224 | | 11nasalspraydevicesinanapparentanaphylacticreaction. |
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| 225 | 225 | | 12 2.Thedirectorofthedepartmentofhealthandseniorservices,ifalicensed |
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| 226 | 226 | | 13physician,mayissueastatewidestandingorderforepinephrineauto-injectordevicesor |
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| 227 | 227 | | 14single-useepinephrinenasalspraydevicesforadultpatientstofireprotectiondistrictsin |
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| 228 | 228 | | 15nonmetropolitanareasinMissouriassuchareasaredeterminedaccordingtotheUnited |
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| 229 | 229 | | 16StatesCensusBureau'sAmericanCommunitySurvey,basedonthemostrecentoffive-year |
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| 230 | 230 | | 17periodestimatedatainwhichthefinalyearoftheestimateendsineitherzeroorfive.Ifthe |
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| 231 | 231 | | 18directorofthedepartmentofhealthandseniorservicesisnotalicensedphysician,the |
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| 232 | 232 | | 19departmentofhealthandseniorservicesmayemployorcontractwithalicensedphysician |
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| 233 | 233 | | 20whomayissuesuchastatewideorderwiththeexpressconsentofthedirector. |
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| 234 | 234 | | 21 3.Possessionanduseofepinephrineauto-injectordevicesandsingle-use |
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| 235 | 235 | | 22epinephrinenasalspraydevicesforadultpatientsshallbelimitedasfollows: |
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| 236 | 236 | | 23 (1)Nopersonshalluseanepinephrineauto-injectordeviceorsingle-use |
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| 237 | 237 | | 24epinephrinenasalspraydevicepursuanttothissectionunlesssuchpersonhas |
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| 238 | 238 | | 25successfullycompletedatrainingcourseintheuseofepinephrineauto-injectordevicesor |
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| 239 | 239 | | 26single-useepinephrinenasalspraydevices,asappropriate,foradultpatientsapprovedby |
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| 240 | 240 | | 27thedirectorofthedepartmentofhealthandseniorservices.Nothinginthissectionshall |
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| 241 | 241 | | 28prohibittheuseofanepinephrineauto-injectordeviceorsingle-useepinephrinenasal |
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| 242 | 242 | | 29spraydevice: |
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| 243 | 243 | | 30 (a)Byahealthcareprofessionallicensedorcertifiedbythisstatewhoisacting |
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| 244 | 244 | | 31withinthescopeofhisorherpractice;or |
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| 245 | 245 | | 32 (b)Byapersonactingpursuanttoalawfulprescription; |
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| 246 | 246 | | 33 (2)Everyperson,firm,organizationandentityauthorizedtopossessanduse |
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| 247 | 247 | | 34epinephrineauto-injectordevicesorsingle-useepinephrinenasalspraydevicesforadult |
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| 248 | 248 | | HB165 7 35patientspursuanttothissectionshalluse,maintainanddisposeofsuchdevicesforadult |
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| 249 | 249 | | 36patientsinaccordancewiththerulesofthedepartment;and |
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| 250 | 250 | | 37 (3)Everyuseofanepinephrineauto-injectordeviceorsingle-useepinephrinenasal |
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| 251 | 251 | | 38spraydevicepursuanttothissectionshallimmediatelybereportedtotheemergencyhealth |
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| 252 | 252 | | 39careproviderasdefinedinsection190.246. |
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| 253 | 253 | | 40 4.(1)Useofanepinephrineauto-injectordeviceorsingle-useepinephrinenasal |
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| 254 | 254 | | 41spraydevicepursuanttothissectionshallbeconsideredfirstaidoremergencytreatmentfor |
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| 255 | 255 | | 42thepurposeofanylawrelatingtoliability. |
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| 256 | 256 | | 43 (2)Purchase,acquisition,possessionoruseofanepinephrineauto-injectordeviceor |
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| 257 | 257 | | 44single-useepinephrinenasalspraydevicepursuanttothissectionshallnotconstitutethe |
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| 258 | 258 | | 45unlawfulpracticeofmedicineortheunlawfulpracticeofaprofession. |
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| 259 | 259 | | 46 (3)Anypersonotherwiseauthorizedtosellorprovideanepinephrineauto-injector |
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| 260 | 260 | | 47deviceorsingle-useepinephrinenasalspraydevicemaysellorprovideittoaperson |
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| 261 | 261 | | 48authorizedtopossessitpursuanttothissection. |
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| 262 | 262 | | 49 5.(1)Thereisherebycreatedinthestatetreasurythe"Epinephrine[Auto-injector] |
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| 263 | 263 | | 50DevicesforFirePersonnelFund",whichshallconsistof[moneycollectedunderthissection] |
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| 264 | 264 | | 51moneysappropriatedtothefund. Thestatetreasurershallbecustodianofthefund.In |
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| 265 | 265 | | 52accordancewithsections30.170and30.180,thestatetreasurermayapprovedisbursements. |
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| 266 | 266 | | 53Themoneysinthefundassetforthinthissectionshallbesubjecttoappropriationbythe |
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| 267 | 267 | | 54generalassemblyfortheparticularpurposeforwhichcollected.Thefundshallbea |
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| 268 | 268 | | 55dedicatedfundandmoneyinthefundshallbeusedsolelybythedepartmentofhealthand |
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| 269 | 269 | | 56seniorservicesforthepurposesofprovidingepinephrineauto-injectordevicesandsingle- |
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| 270 | 270 | | 57useepinephrinenasalspraydevicesforadultpatientstoqualifiedfirstresponderagencies |
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| 271 | 271 | | 58asusedinthissection. |
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| 272 | 272 | | 59 (2)Notwithstandingtheprovisionsofsection33.080tothecontrary,anymoneys |
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| 273 | 273 | | 60remaininginthefundattheendofthebienniumshallnotreverttothecreditofthegeneral |
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| 274 | 274 | | 61revenuefund. |
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| 275 | 275 | | 62 (3)Thestatetreasurershallinvestmoneysinthefundinthesamemannerasother |
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| 276 | 276 | | 63fundsareinvested.Anyinterestandmoneysearnedonsuchinvestmentsshallbecreditedto |
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| 277 | 277 | | 64thefund. |
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| 278 | 278 | | âś” |
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| 279 | 279 | | HB165 8 |
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