COMMITTEE ON LEGISLATIVE RESEARCH
OVERSIGHT DIVISION
FISCAL NOTE
L.R. No.:0265H.01P Bill No.:Perfected HB 232 Subject:Education, Elementary and Secondary; Department of Elementary and Secondary
Education; Emergencies
Type:Original Date:April 3, 2025Bill Summary:This proposal requires schools to establish cardiac emergency response
plans.
FISCAL SUMMARY
ESTIMATED NET EFFECT ON GENERAL REVENUE FUNDFUND AFFECTEDFY 2026FY 2027FY 2028
General Revenue*
($227,384) or Could
exceed ($6,464,717)
($267,660) or Could
exceed ($6,425,160)
($272,697) or Could
exceed ($6,430,197)
Total Estimated Net
Effect on General
Revenue
($227,384) or Could
exceed ($6,464,717)
($267,660) or Could
exceed ($6,425,160)
($272,697) or Could
exceed ($6,430,197)
*Subject to an appropriation by the General Assembly (§160.663), in order to implement
provisions of this proposal DESE would be required to provide anti-intruder window and door
locks to school districts that will exceed the $250,000 threshold.
ESTIMATED NET EFFECT ON OTHER STATE FUNDSFUND AFFECTEDFY 2026FY 2027FY 2028Total Estimated Net
Effect on Other State
Funds $0$0$0
Numbers within parentheses: () indicate costs or losses. L.R. No. 0265H.01P
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ESTIMATED NET EFFECT ON FEDERAL FUNDSFUND AFFECTEDFY 2026FY 2027FY 2028Total Estimated Net
Effect on All Federal
Funds $0$0$0
ESTIMATED NET EFFECT ON FULL TIME EQUIVALENT (FTE)FUND AFFECTEDFY 2026FY 2027FY 2028General Revenue 2 FTE2 FTE2 FTETotal Estimated Net
Effect on FTE2 FTE2 FTE2 FTE
☒ Estimated Net Effect (expenditures or reduced revenues) expected to exceed $250,000 in any
of the three fiscal years after implementation of the act or at full implementation of the act.
☐ Estimated Net Effect (savings or increased revenues) expected to exceed $250,000 in any of
the three fiscal years after implementation of the act or at full implementation of the act.
ESTIMATED NET EFFECT ON LOCAL FUNDSFUND AFFECTEDFY 2026FY 2027FY 2028
Local Government*(Unknown)
(Unknown, Could
exceed $1,204,000)(Unknown)
*Oversight assumes an unknown cost for new training, instruction or education required under
state law or rules promulgated by DESE will be dependent on each school district’s needs.
*§160.482 would have cost to school districts for the establishment of cardiac emergency
response teams and the placement of automated external defibrillators (AEDs) throughout the
school campuses. L.R. No. 0265H.01P
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FISCAL ANALYSIS
ASSUMPTION
Due to time constraint, Oversight was unable to receive some agency responses in a timely
manner and performed limited analysis. Oversight has presented this fiscal note on the best
current information that we have or on information regarding a similar bill(s). Upon the receipt
of agency responses, Oversight will review to determine if an updated fiscal note should be
prepared and seek the necessary approval to publish a new fiscal note.
Section 160.482 Cardiac Emergency Response Plans
Officials from the Department of Elementary and Secondary Education assume the provision
will have no fiscal impact on their organization. Oversight does not have any information to the
contrary. Therefore, Oversight will reflect a zero impact in the fiscal note for this agency.
In response to a previous version, officials from the Kansas City Police Department and St.
Louis County Police Department both assumed the proposal will have no fiscal impact on their
organizations. Oversight does not have any information to the contrary. Therefore, Oversight
will reflect a zero impact in the fiscal note.
In response to similar legislation, HB 1991 (2024), officials from the Phelps County Sheriff
assumed the proposal will have no fiscal impact on their organizations. Oversight does not have
any information to the contrary. Therefore, Oversight will reflect a zero impact in the fiscal note.
Oversight notes the proposal specifies certain guidelines that a cardiac emergency response plan
shall integrate, including the establishment of a cardiac emergency response team and the
placement of automated external defibrillators (AEDs) throughout the school campus. Based on
a brief review, AEDs range in cost from $1,000 to $3,000. Oversight assumes if 50% of the
2,408 public school buildings installed AEDS, the cost is estimated at $1,204,000 using the
lower end of the price range ($1,000 * 1,204). Oversight will show a cost that could exceed
$1,204,000 to install AEDs in FY 2027. This amount does not include costs for maintenance,
accessories, or staff training.
Regular maintenance costs, including those for replacing batteries, pads, and other supplies as
required are difficult to determine and will vary by device and manufacturer specifications.
Therefore, Oversight will reflect an unknown cost in FY 28 to replace, maintain or repair AEDs
to the school districts on the fiscal note.
This proposal also requires the appropriate school personnel shall be certified in first aid, CPR,
and AED use that follow evidence-based guidelines set forth by the American Heart Association
or nationally recognized guidelines focused on emergency cardiovascular care. AED training is
often provided simultaneously with cardiopulmonary resuscitation (CPR) training. Their costs
vary depending on the provider and method of delivery. However, public school employee L.R. No. 0265H.01P
Bill No. Perfected HB 232
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training costs will vary depending on the implementation decisions and training arrangements
school districts make and the number of additional staff that need the training. Therefore,
Oversight will show an unknown cost for staff training beginning in FY 2026.
House Amendment 1
Oversight assumes this amendment will have no fiscal impact on the underlying bill.
House Amendment 2
Oversight assumes this amendment will have no fiscal impact on the underlying bill.
House Amendment 3
Section 160.480 – Emergency Operations Plan
Officials from the Department of Elementary and Secondary Education (DESE) assume this
section would require significant development of resources/protocols as well as administration of
multiple grant opportunities described in Sections 160.485 and 160.663 that exceed the current
capacity of Department of Elementary and Secondary Education (DESE) staff to implement.
Duties that could have been absorbed in prior years can no longer be absorbed at current staff
levels. In addition, current DESE staff does not have the experience or expertise in this area to
meet the guidelines as outlined and provide technical assistance to districts and charter schools
on an ongoing basis. The 2025 review of this language and current resources determined the
fiscal impact would include the addition of an FTE Director with associated salary ($74,808) and
expenses.
The development of these standards would require a workgroup to consist of individuals familiar
with school safety and emergency planning. Workgroup expenses would include a 13-member
group to meet for 12 days to develop the standards at a total cost of $79,833. DESE has
identified potential resources through the Missouri School Boards Association that could take the
place of these workgroups and so will show a potential cost of $0-$79,833.
Oversight does not have any information to the contrary. Therefore, Oversight will reflect the
estimated impact by DESE in the fiscal note.
Section 160.663 – Anti-intruder Door Locks and Windows
Officials from the DESE assume they would require anti-intruder door locks on all interior doors
and bullet-resistant window film on all exterior doors or entryways. DESE is unable to estimate
the number of each that would be required to make all schools compliant as the number of doors,
buildings, etc. varies greatly district to district and some districts have instituted these measures.
DESE would assume each district would need a minimum of one door lock and roll of bullet-
resistant film for each building at a minimum cost of $125. The number of buildings is 2,406 L.R. No. 0265H.01P
Bill No. Perfected HB 232
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plus the 57 career-technical centers multiplied by $125 for a minimum cost of $307,875. This
cost would be up to an unknown amount depending on the total buildings and doors. DESE
assumes this would be a one-time grant.
Anti-intruder door locks: $50 - $200
Bullet-resistant window film: $75 - $250 per roll
In response to a similar proposal, HS for HCS for HB Nos 1108 & 1181 (2023), officials from
DESE stated Section 160.660.1(3) requires that the state board of education shall add to the
school facilities and safety criteria provisions the requirement that each school district building
have bullet-resistant doors and windows on all first-floor entryways and bullet resistant glass for
each exterior window large enough for an intruder to enter through. Section 160.660.2 makes
this requirement subject to a specific appropriation to address school safety.
The Bipartisan Safer Communities Act funding of $15 million could be used for the replacement
of doors and windows made with bullet-resistant materials. However, DESE cannot require that
schools use the BSCA funding on only doors and windows. There are approximately 2,200
public school buildings in Missouri. It is unknown how many currently have bullet-resistant
doors and windows. It is also unknown how many doors and windows would need to be
replaced. A search on bullet-resistant products showed widely different costs depending on the
material and size selected. DESE is unable to estimate an exact cost. The cost is unknown but
DESE estimates that it could exceed $1 million.
Oversight notes Section 160.663.4 (2) states each existing exterior door or entryway, and
interior door shall be equipped with the required anti-intruder door lock and bullet-resistant
window film before July 1, 2029.
Oversight notes a bullet-resistant door can range in cost from $2,500 to more than $4,000 based
on a CNN article from 2019. Oversight notes the number of buildings is 2,406 plus the 57
career-technical centers in Missouri according to DESE. Oversight is uncertain how many school
buildings currently have bullet-resistant doors. However, if this proposal requires installing two
doors per building in half of the buildings (2,463 doors), the cost is estimated to be $ 6,157,500
(assuming a cost of $2,500 per door). Therefore, Oversight assumes the cost for this provision
could substantially exceed $6,157,500.
Oversight notes Section 160.663.3 states a school district or charter school shall not be required
to equip an interior door with an anti-intruder door lock or to equip the glass of an exterior door
or entryway with bullet-resistant window film under this section unless the general assembly
specifically appropriates moneys to cover all costs related to equipping such door or entryway
with such lock or window film. Therefore, Oversight will reflect a $0 (no appropriation) to
unknown that could exceed the cost of $6,157,500.
Oversight notes Section 160.663.6 (2) states a school district or charter school shall develop and
implement school building access policies and practices that require classroom doors with L.R. No. 0265H.01P
Bill No. Perfected HB 232
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windows and adjoining sidelights be equipped with material that provides concealment of
students and staff in lockdown while maintaining some limited visibility into the room for first
responders. Oversight is unable to determine how many doors with windows and adjoining
sidelights would need to be equipped with concealment material to meet the requirement of this
provision. Therefore, Oversight will reflect a $0 (no appropriation) to an unknown cost in the
fiscal note.
Section 170.315 – Intruder Response Training
Officials from the Department of Public Safety - Missouri Highway Patrol (MHP)
with the provisions in Section 170.315.6, the Highway Patrol does anticipate an increase in the
number of tips due to the required annual training of every student in the state. The training
component in House Bill 416 would bring the Courage2Report information to every student and
promote the use of the tip line. Courage2Report started in 2019, and since 2020 the tip line has
had a steady increase in tip volume annually. From 2020 to 2021, there was an 80% increase in
the number of tips, from 2021 to 2022 there was a 75% increase in the number of tips, from 2022
to 2023 there was a 48% increase in the number of tips, and from 2023 to 2024 there was a 25%
increase in the number of tips. This equates to 430 received tips in 2019 to 2000+ tips received in
2024. The Patrol does foresee a need for at least one (1) additional FTE to help with the
increased workload based on the projected increase in tips that go beyond what current staffing
can field.
Oversight notes this section requires that beginning in the 2026-27 school year the Active
Shooter and Intruder Response Training for Schools Program be required for teachers and school
employees on an annual basis. The bill requires that initial training be eight hours and continuing
training be four hours in length.
Oversight assumes there could be costs for school districts if annual training is required.
Oversight assumes new training, instruction or education required under state law or rules
promulgated by DESE will be dependent on each school districts’ needs. Therefore, Oversight
will reflect an unknown impact on the fiscal note.
In response to similar legislation, HB 416 (2025), officials from the Missouri Office of
Prosecution Services assumed the proposal will have no fiscal impact on their organization.
Oversight does not have any information to the contrary. Therefore, Oversight will reflect a zero
impact in the fiscal note.
In response to similar legislation, HB 416 (2025), officials from the Office of Attorney General
(AGO) assumed any potential litigation costs arising from this proposal can be absorbed with
existing resources. The AGO may seek additional appropriations if the proposal results in a
significant increase in litigation or investigation. L.R. No. 0265H.01P
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Oversight does not have any information to the contrary. Therefore, Oversight assumes the
AGO will be able to perform any additional duties required by this proposal with current staff
and resources and will reflect no fiscal impact to the AGO for fiscal note purposes.
In response to similar legislation, HB 416 (2025), officials from Crane R-III School District
assumed this bill will cost money for AED training, Stop the Bleed training and FEMA training.
In addition to the costs of the actual training, the time of having each employee training requires
more days to pay teachers. Their daily rate of a first-year teacher is $250. Take that times 51 plus
and the daily rate of one of their lowest paid staff members of $127 per day for approximately 40
more staff, they are looking at $18,000 just in added professional development days. Also, the
costs of ensuring entrances, interior and exterior doors have the proper covers and locks.
Tourniquets and AEDs are also an added expense. The batteries on the AEDs have to be replaced
every so many years and they are upwards of $400 each.
In response to similar legislation, HB 416 (2025), officials from Maries County R-II School
District assumed the financial issue will be the safety film required for the interior doors and
exterior windows. There is a significant cost and a delay in getting anyone able to install the
safety film. The cost to the district would be over $100,000 per building (3 buildings).
In response to similar legislation, HB 416 (2025), officials from the Wheaton School District
assumed the estimated financial impact of facility improvements, training requirements, and
other considerations of the bill $20,000-$30,000 initially and $3,000 annually.
Officials from the Kansas City Police Department, and Branson Police Department each
assumed the proposal will have no fiscal impact on their organizations.
In response to similar legislation, HB 416 (2025), officials from the St. Louis County Police
Department assumed the proposal will have no fiscal impact on their organizations.
In response to similar legislation, HCS HB 1946 (2024), officials from the Eureka Fire
Protection District assumed the proposal will have no fiscal impact on their organization.
Oversight does not have any information to the contrary. Therefore, Oversight will reflect a zero
impact in the fiscal note.
House Amendment 4
Section 167.167 Prohibiting zero-tolerance policies/practices of discipline in public schools
Officials from Department of Elementary and Secondary Education assume the proposal will
have no fiscal impact on their respective organization.
Oversight notes that the above mentioned agency has stated the proposal would not have a direct
fiscal impact on their organization. Oversight does not have any information to the contrary.
Therefore, Oversight will reflect a zero impact on the fiscal note. L.R. No. 0265H.01P
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Oversight does not anticipate a fiscal impact to schools as a result of this proposal, therefore,
Oversight will reflect a zero impact in the fiscal note.
Responses regarding the proposed legislation as a whole
Officials from the Office of the State Courts Administrator, Department of Mental Health,
Department of Corrections, Department of Public Safety – Office of the Director,
Department of Health and Senior Services and Department of Social Services, and
Department of Public Safety - Fire Safety assume the proposal will have no fiscal impact on
their organization. Oversight does not have any information to the contrary. Therefore,
Oversight will reflect a zero impact in the fiscal note for these agencies.
Officials from the Phelps County Sheriff’s Office assume the proposal will have no fiscal
impact on their organization. Oversight does not have any information to the contrary.
Therefore, Oversight will reflect a zero impact in the fiscal note for this agency.
Officials from the Gasconade Co. R-1 School District assume the cost to purchase and install
the AEDs at every building on every campus is a financial burden. Their current AEDs cost
$1500.00 per unit. Without specifications about where and how many, this bill could be costly
without any funding associated to offset the local cost.
Rule Promulgation
Officials from the Joint Committee on Administrative Rules assume this proposal is not
anticipated to cause a fiscal impact beyond its current appropriation.
In response to similar legislation, HB 416 (2025), officials from the Office of the Secretary of
State (SOS) noted many bills considered by the General Assembly include provisions allowing
or requiring agencies to submit rules and regulations to implement the act. The SOS is provided
with core funding to handle a certain amount of normal activity resulting from each year's
legislative session. The fiscal impact for this fiscal note to the SOS for Administrative Rules is
less than $5,000. The SOS recognizes that this is a small amount and does not expect that
additional funding would be required to meet these costs. However, the SOS also recognizes that
many such bills may be passed by the General Assembly in a given year and that collectively the
costs may be in excess of what the office can sustain with its core budget. Therefore, the SOS
reserves the right to request funding for the cost of supporting administrative rules requirements
should the need arise based on a review of the finally approved bills signed by the governor. L.R. No. 0265H.01P
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FISCAL IMPACT – State GovernmentFY 2026
(10 Mo.)
FY 2027FY 2028GENERAL REVENUECosts – MHP Personnel Service($56,300)($68,911)($70,289) Fringe Benefits($51,188)($62,654)($63,907) Expense & Equipment($3,500)($0)($0)Total Costs - MHP($110,988)($131,565)($134,197)FTE Change - MHP1 FTE1 FTE1 FTECosts – DESE Personnel Service($62,340)($76,304)($77,830) Fringe Benefits($38,146)($46,375)($46,986) Expense & Equipment($15,910)($13,416)($13,684)Total Costs - DESE($116,396)($136,095)($138,500)FTE Change - DESE1 FTE1 FTE1 FTECosts – DESE – Workgroup to Develop
Standards - §160.480 p.4$0 to ($79,833)$0$0
Transfer Out – DESE - for cost of anti-
intruder door locks on all interior doors,
bullet-resistant window film and
concealment material for doors with
windows and sidelights - §160.663 p.5
$0 to
(Unknown,
Could exceed
$6,157,500)
$0 to
(Unknown,
Could exceed
$6,157,500)
$0 to
(Unknown,
Could exceed
$6,157,500)
ESTIMATED NET EFFECT ON
GENERAL REVENUE
($227,384) or
Could exceed
($6,464,717)
($267,660) or
Could exceed
($6,425,160)
($272,697) or
Could exceed
($6,430,197)
Estimated Net FTE Change on General
Revenue2 FTE2 FTE2 FTE L.R. No. 0265H.01P
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FISCAL IMPACT – Local GovernmentFY 2026
(10 Mo.)
FY 2027FY 2028PUBLIC SCHOOLS
Transfer In - from state General
Revenue - §160.663 p.5
$0 to Could
exceed
$6,157,500
$0 to Could
exceed
$6,157,500
$0 to Could
exceed
$6,157,500
Costs - for cost of anti-intruder door
locks on all interior doors, bullet-
resistant window film and concealment
material for doors with windows and
sidelights - §160.663 p.5
$0 to
(Unknown,
Could exceed
$6,157,500)
$0 to
(Unknown,
Could exceed
$6,157,500)
$0 to
(Unknown,
Could exceed
$6,157,500)
Costs – training, instruction, and
education - §170.315 p.6(Unknown)(Unknown)(Unknown)Costs - to install AEDs in public
schools - §160.482.4(3) p.3$0
(Unknown,
Could exceed
$1,204,000) $0
Costs – AED maintenance and repairs -
§160.482.4(3) p.3$0$0(Unknown)
Costs – First aid, CPR, AED training -
§160.482.6 p.3(Unknown)(Unknown)(Unknown)ESTIMATED NET EFFECT ON
PUBLIC SCHOOLS(Unknown)
(Unknown,
Could exceed
$1,204,000) (Unknown) L.R. No. 0265H.01P
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FISCAL IMPACT – Small Business
No direct fiscal impact to small businesses would be expected as a result of this proposal.
FISCAL DESCRIPTION
Beginning with the 2026-27 school year, and all subsequent school years, this bill requires every
public school to develop and implement a cardiac emergency response plan that addresses the
appropriate use of school personnel to respond to incidents involving an individual experiencing
sudden cardiac arrest or a similar life-threatening emergency while on a school campus. A public
school with an athletic department or organized athletic program must develop and implement a
plan specific to life threatening emergencies that may occur at an extracurricular event or school-
sponsored event on campus.
Members of each public school's administration will coordinate with local emergency services
providers to integrate the public school's cardiac emergency response plan into the local
emergency services providers' protocols. A cardiac emergency response plan must integrate
evidence-based core elements, such as those recommended by the American Heart Association
guidelines, Project ADAM, or another set of nationally recognized, evidence-based standard or
core elements.
The bill specifies certain guidelines that a cardiac emergency response plan must integrate,
including the establishment of a cardiac emergency response team and the placement of
automated external defibrillators (AEDs) throughout the school campus. Appropriate AED
placement will be dictated by the cardiac emergency response plan and in accordance with
guidelines set by the American Heart Association or another set of nationally recognized
guidelines.
Appropriate school personnel will be trained in first aid, CPR, and AED use following evidence-
based guidelines set forth by the American Heart Association or nationally recognized
guidelines. The school personnel required to be trained will be determined by the cardiac
emergency response plan and include, but not be limited to, athletics coaches, school nurses, and
athletic trainers.
EMERGENCY OPERATIONS PLAN (Section 160.480)
This bill requires school districts and charter schools to adopt a comprehensive emergency
operations plan to address school safety, crises, and emergency operations. The plan will be
shared with local law enforcement, fire protection services and emergency management. Schools
must ensure a physical security site assessment annually and DESE will develop standards for
the emergency operation plans.
MISSOURI SCHOOL IMPROVEMENT PROGRAM (Section 160.660) L.R. No. 0265H.01P
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The bill requires that, beginning July 1, 2026, the State Board of Education (SBE) modify school
safety criteria in the Missouri School Improvement Program to require a primary and secondary
school safety coordinator to complete the Federal Emergency Management Administration's
(FEMA) Incident Command System training courses or any successor course created by FEMA
to replace the Incident Command System course or the Incident Command System (ICS) for
Schools course provided by the Missouri School Boards' Association's Center for Education
Safety (CES) or its successor course created by CES, within one year of being designated a
coordinator.
SCHOOL SAFETY (Section 160.663)
The bill requires that school districts and charter schools equip each interior door with an anti-
intruder door lock and each exterior door with bullet-resistant window film. This requirement is
subject to appropriations to cover all costs; however, a school may receive donations, as
specified in the bill.
Any exterior or interior door or entryway installed after the effective date of these provisions
must be equipped, as specified in the bill, and, by July 1, 2029, all schools must have all existing
doors, both exterior and interior, equipped per the specifications in the bills, and develop and
implement policies relating to access to individual classrooms and require that doors with
windows be equipped with material to cover windows during a building lockdown. Classroom
doors with windows and adjoining sidelights must be equipped with material that conceals
students and staff in a lockdown while maintaining some limited visibility into the room for first
responders.
BEHAVIOR RISK ASSESSMENTS (Sections 167.020 and 167.022)
The bill requires behavioral risk assessments to be included in the records to be requested by
school officials when enrolling a pupil.
JUVENILE COURT (Section 167.115)
Currently, school districts must be notified if a petition is filed in juvenile court with specific
allegations. This bill expands the current requirements to also include when a charge or
indictment is filed, adds the prosecutor to the list of required notifiers, and requires the notice to
be within 24 hours and reduces the requirement for a summary of facts from five days to two
business days following the case disposition. The bill allows school districts to request an
injunction to exclude students from educational services if there is a likelihood of danger to the
safety of pupils or employees in the school district. The information can be used to provide an
alternative environment for the student's educational services.
AGREEMENTS WITH LAW ENFORCEMENT (Section 167.117)
The bill authorized districts and charter schools to enter into written agreements with law
enforcement on procedures for reporting criminal offenses specified in the bill and allows for
certain offenses for students under 11 years of age to be reported to the Children's Division,
within the Department of Social Services. L.R. No. 0265H.01P
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CARDIOPULMONARY RESUSCITATION (Section 167.624)
The bill requires that cardiopulmonary resuscitation training be required for school district and
charter school employees.
ACTIVE SHOOTER AND INTRUDER RESPONSE TRAINING FOR SCHOOLS PROGRAM
(SECTION 170.315)
The bill requires that, beginning in the 2026-27 school year, the Active Shooter and Intruder
Response Training for Schools Program be required for teachers and school employees on an
annual basis. The bill requires that initial training be eight hours and continuing training be four
hours in length.
Currently, public schools are required to foster an environment where students feel comfortable
reporting a potentially threatening or dangerous situation to an adult. This bill adds the
requirement that schools must annually provide age-appropriate information on the Missouri
State Highway Patrol's Courage2ReportMO reporting mechanism. Beginning with the 2026-27
school year, schools must annually hold active shooter exercises in which students, teachers, and
school employees participate in and practice the procedures for safety and protection to be
implemented when an active shooter is present.
CARDIAC EMERGENCY RESPONSE PLANS (Section 160.482)
For the 2026-27 school year and all subsequent school years, this act requires every public
school to develop and implement a cardiac emergency response plan that addresses the
appropriate use of school personnel to respond to incidents involving an individual experiencing
sudden cardiac arrest or a similar life-threatening emergency while on a school campus.
Members of each public school's administration shall coordinate with local emergency services
providers to integrate the public school's cardiac emergency response plan into the local
emergency services providers' protocols. A cardiac emergency response plan shall integrate
evidence-based core elements, such as those recommended by the American Heart Association
guidelines, Project ADAM (Automated Defibrillators in Adam's Memory), or another set of
nationally recognized, evidence-based standards or core elements.
The act outlines certain guidelines that a cardiac emergency response plan shall integrate,
including the establishment of a cardiac emergency response team and the placement of
automated external defibrillators (AEDs) throughout the school campus. Appropriate AED
placement shall be dictated by the cardiac emergency response plan and in accordance with
guidelines set by the American Heart Association or nationally recognized guidelines focused on
emergency cardiovascular care.
For schools with an athletic department or organized school athletic program, an AED shall be
clearly marked and easily accessible in an unlocked location at each athletic venue and event.
The AED shall be accessible during the school day and any school-sponsored athletic event or
team practice. L.R. No. 0265H.01P
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Appropriate school personnel shall be certified in first aid, CPR, and AED use, as provided in the
act. The school personnel required to be trained shall be determined by the cardiac emergency
response plan and shall include, but shall not be limited to, athletic coaches, school nurses, and
athletic trainers.
This legislation is not federally mandated, would not duplicate any other program and would not
require additional capital improvements or rental space.
SOURCES OF INFORMATION
Department of Elementary and Secondary Education
Department of Public Safety - Office of the Director
Department of Public Safety - Fire Safety
Department of Public Safety - Missouri Highway Patrol
Attorney General’s Office
Department of Health and Senior Services
Department of Mental Health
Department of Corrections
Office of the Secretary of State
Joint Committee on Administrative Rules
Department of Social Services
Missouri Office of Prosecution Services
Office of the State Courts Administrator
Phelps County Sheriff’s Office
Kansas City Police Department
St. Louis County Police Department
Branson Police Department
Eureka Fire Protection District
Maries County R-1 School District
Crane R-III School District
Wheaton School District
Gasconade Co. R-1 School District
Julie MorffJessica HarrisDirectorAssistant DirectorApril 3, 2025April 3, 2025