FIRSTREGULARSESSION
HOUSEBILLNO.232
103RDGENERALASSEMBLY
INTRODUCEDBYREPRESENTATIVEGALLICK.
0265H.01I DANARADEMANMILLER,ChiefClerk
ANACT
Toamendchapter160,RSMo,byaddingtheretoonenewsectionrelatingtocardiac
emergencyresponseplans.
BeitenactedbytheGeneralAssemblyofthestateofMissouri,asfollows:
SectionA.Chapter160,RSMo,isamendedbyaddingtheretoonenewsection,tobe
2knownassection160.482,toreadasfollows:
160.482.1.Asusedinthissection,thefollowingtermsmean:
2 (1)"Automatedexternaldefibrillator"or"AED",alightweight,portabledevice
3that:
4 (a)Isusedtoadministeranelectricshockthroughthechestwalltotheheart;
5 (b)Hasbuilt-incomputerswithinthedevicetoassessthepatient'sheartrhythm,
6determinewhetherdefibrillationisneeded,andadministertheshock;
7 (c)Hasaudibleorvisualprompts,orboth,toguidetheuserthroughtheprocess;
8 (d)HasreceivedapprovalfromtheU.S.FoodandDrugAdministrationofits
9pre-marketmodificationfiledunder21U.S.C.Section360(k),asamended;
10 (e)Iscapableofrecognizingthepresenceorabsenceofventricularfibrillation
11andrapidventriculartachycardiaandiscapableofdeterminingwithoutintervention
12byanoperatorwhetherdefibrillationshouldbeperformed;and
13 (f)Upondeterminingdefibrillationshouldbeperformed,eitherautomatically
14chargesanddeliversanelectricalimpulsetoanindividual'sheartorchargesand
15deliversanelectricalimpulseatthecommandoftheoperator;
EXPLANATION—Matterenclosedinbold-facedbrackets[thus] intheabovebillisnotenactedandis
intendedtobeomittedfromthelaw.Matterinbold-facetypeintheabovebillisproposedlanguage. 16 (2)"Cardiopulmonaryresuscitation"or"CPR",acombinationofrescue
17breathing,chestcompressions,andexternalcardiacmassageusedtosustainan
18individual'slifeuntiladvancedassistancearrives;
19 (3)"Defibrillation",administeringanelectricalimpulsetoanindividual'sheart
20inordertostopventricularfibrillationorrapidventriculartachycardia;
21 (4)"Emergencyservicesprovider",anypublicemployer,orgroundorair
22ambulanceserviceasthosetermsareusedinchapter190,thatemployspersonsto
23providefirefighting,dispatchingservices,andemergencymedicalservices;
24 (5)"Extracurricularevent",anyschool-sponsoredprogramorvoluntary
25activitysponsoredbytheschool,localeducationagency,oranorganizationsanctioned
26bythelocaleducationagencyatwhichstudentscompeteforthepurposeof:
27 (a)Receivinganaward,rating,recognition,orcriticism;
28 (b)Qualifyingforadditionalcompetition;or
29 (c)Preparingforandinvolvementinpublicperformances,contests,athletic
30competitions,demonstrations,displays,andclubactivities;
31 (6)"ProjectADAM(AutomatedDefibrillatorsinAdam'sMemory)",anational
32nonprofitorganizationfocusedoneducationaroundpreventingandplanningto
33respondtocardiacarrest;
34 (7)"Protocol",currentlyapprovedandacceptedproceduresdescribingspecific
35stepsaproviderisrequiredtofollowinassessingandtreatingapatient;
36 (8)"Publicschool",thesamedefinitionasinsection160.011;
37 (9)"Schoolcampus",anypublicschoolbuildingorclusterofbuildings,and
38groundsaroundsuchpublicschoolbuildingorclusterofbuildings,usedforanypublic
39schoolpurposeincluding,butnotlimitedto,anextracurricularactivity,organized
40physicalactivitycourses,earlychildhoodeducationprograms,orschooldistrict
41administration;
42 (10)"Schoolpersonnel",aschooldistrictemployeeapprovedbytheschool
43boardoracontractemployeeoftheschooldistrictwhoisrequiredtofollowschool
44policyandprocedures;
45 (11)"School-sponsoredevent",anyeventoractivitysponsoredbythepublic
46schoolorschooldistrictincluding,butnotlimitedto,athleticevents,boosterclubs,
47parent-teacherorganizations,oranyactivitydesignedtoenhancetheschoolcurriculum
48whetherontheschoolcampusornot;
49 (12)"Suddencardiacarrest",aconditionthatoccurswhentheheart
50malfunctionsandstopsbeatingunexpectedly,isduetoabnormalheartrhythms
51calledarrhythmias,andisgenerallytheresultofsomeunderlyingformofheartdisease;
HB232 2 52 (13)"Ventricularfibrillation",themostcommonarrhythmiathatcausescardiac
53arrestandaconditioninwhichtheheart'selectricalimpulsessuddenlybecomechaotic,
54oftenwithoutwarning,causingtheheart'spumpingactiontostopabruptly.
55 2.Forthe2026-27schoolyearandallsubsequentschoolyears,eachpublic
56schoolshalldevelopandimplementacardiacemergencyresponseplanthataddresses
57theappropriateuseofschoolpersonneltorespondtoincidentsinvolvinganindividual
58experiencingsuddencardiacarrestorasimilarlife-threateningemergencywhileona
59schoolcampus.
60 3.Membersofeachpublicschool'sadministrationshallcoordinatedirectlywith
61localemergencyservicesproviderstointegratethepublicschool'scardiacemergency
62responseplanintothelocalemergencyservicesproviders'protocols.Acardiac
63emergencyresponseplanshallintegrateevidence-basedcoreelements,suchasthose
64recommendedbytheAmericanHeartAssociationguidelines,ProjectADAM,or
65anothersetofnationallyrecognized,evidence-basedstandardsorcoreelements.
66 4.Thecardiacemergencyresponseplanshallintegrate,ataminimum,the
67followingcoreelements:
68 (1)Establishmentofacardiacemergencyresponseteam;
69 (2)Activationoftheteaminresponsetoasuddencardiacarrest;
70 (3)ImplementationofAEDplacementandroutinemaintenancethroughoutthe
71schoolcampus;
72 (4)Disseminationoftheplanthroughouttheschoolcampus;
73 (5)MaintenanceofongoingstafftraininginCPRandAEDuse;
74 (6)Practiceofthecardiacemergencyresponseplanusingdrillsannually;
75 (7)Integrationoftheplanintothelocalemergencyservicesproviders'protocols;
76and
77 (8)Bothannualandcontinuousreviewsandevaluationsoftheplan.
78 5.AppropriateAEDplacementshallbedictatedbythecardiacemergency
79responseplanandinaccordancewithguidelinessetbytheAmericanHeartAssociation
80ornationallyrecognizedguidelinesfocusedonemergencycardiovascularcare.AnAED
81shouldbeidentifiedwithappropriatesignageandisonsiteorplacedandmadeavailable
82inanunlockedlocationonschoolproperty.
83 6.Forschoolswithanathleticdepartmentororganizedschoolathleticprogram,
84anAEDshallbeclearlymarkedandeasilyaccessibleinanunlockedlocationateach
85schoolathleticvenueandevent.TheAEDshallbeaccessibleduringtheschooldayand
86anyschool-sponsoredathleticeventorteampracticeinwhichpupilsoftheschoolare
87participating.AnAEDshouldbeplacedonavictimwithinthreeminutes.
HB232 3 88 7.Appropriateschoolpersonnelshallbecertifiedinfirstaid,CPR,andAEDuse
89thatfollowevidence-basedguidelinessetforthbytheAmericanHeartAssociationor
90nationallyrecognizedguidelinesfocusedonemergencycardiovascularcare.Theschool
91personnelrequiredtobecertifiedshallbedeterminedbythecardiacemergency
92responseplanandshallinclude,butnotbelimitedto,athleticscoaches,schoolnurses,
93andathletictrainers.
âś”
HB232 4