| 1 | 1 | | FIRSTREGULARSESSION |
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| 2 | 2 | | HOUSEBILLNO.255 |
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| 3 | 3 | | 103RDGENERALASSEMBLY |
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| 4 | 4 | | INTRODUCEDBYREPRESENTATIVEBOSLEY. |
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| 5 | 5 | | 0629H.01I DANARADEMANMILLER,ChiefClerk |
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| 6 | 6 | | ANACT |
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| 7 | 7 | | Torepealsection193.145,RSMo,andtoenactinlieuthereofsixnewsectionsrelatingto |
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| 8 | 8 | | healthcare. |
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| 9 | 9 | | BeitenactedbytheGeneralAssemblyofthestateofMissouri,asfollows: |
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| 10 | 10 | | SectionA.Section193.145,RSMo,isrepealedandsixnewsectionsenactedinlieu |
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| 11 | 11 | | 2thereof,tobeknownassections192.1005,192.1010,192.1015,192.1020,193.145,and |
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| 12 | 12 | | 3197.178,toreadasfollows: |
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| 13 | 13 | | 192.1005.Sections192.1005to192.1020shallbeknownandmaybecitedasthe |
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| 14 | 14 | | 2"MissouriDignityinPregnancyandChildbirthAct". |
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| 15 | 15 | | 192.1010.Forpurposesofsections192.1005to192.1020,thefollowingterms |
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| 16 | 16 | | 2mean: |
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| 17 | 17 | | 3 (1)"Implicitbias",abiasinjudgmentorbehaviorthatresultsfromsubtle |
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| 18 | 18 | | 4cognitiveprocesses,includingimplicitprejudiceandimplicitstereotypesthatoften |
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| 19 | 19 | | 5operateatalevelbelowconsciousawarenessandwithoutintentionalcontrol; |
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| 20 | 20 | | 6 (2)"Implicitprejudice",prejudicialnegativefeelingsorbeliefsaboutagroup |
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| 21 | 21 | | 7thatapersonholdswithoutbeingawareofsuchfeelingsorbeliefs; |
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| 22 | 22 | | 8 (3)"Implicitstereotypes",theunconsciousattributionsofparticularqualitiesto |
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| 23 | 23 | | 9amemberofacertainsocialgroup.Implicitstereotypesareinfluencedbyexperience |
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| 24 | 24 | | 10andarebasedonlearningassociationsbetweenvariousqualitiesandsocialcategories, |
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| 25 | 25 | | 11includingraceandgender; |
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| 26 | 26 | | 12 (4)"Perinatalcare",theprovisionofcareduringpregnancy,labor,delivery,and |
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| 27 | 27 | | 13postpartumandneonatalperiods; |
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| 28 | 28 | | EXPLANATION—Matterenclosedinbold-facedbrackets[thus] intheabovebillisnotenactedandis |
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| 29 | 29 | | intendedtobeomittedfromthelaw.Matterinbold-facetypeintheabovebillisproposedlanguage. 14 (5)"Pregnancy-relateddeath",thedeathofapersonwhilepregnantorwithin |
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| 30 | 30 | | 15threehundredsixty-fivedaysoftheendofapregnancy,regardlessofthedurationor |
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| 31 | 31 | | 16siteofthepregnancy,fromanycauserelatedto,oraggravatedby,thepregnancyorits |
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| 32 | 32 | | 17management,butnotfromaccidentalorincidentalcauses. |
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| 33 | 33 | | 192.1015.1.Anyhospital,clinic,orotherhealthcarefacilitythatprovides |
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| 34 | 34 | | 2perinatalcareshallimplementanevidence-basedimplicitbiasprogramforallhealth |
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| 35 | 35 | | 3careprovidersinvolvedintheperinatalcareofpatientswithinthatfacility. |
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| 36 | 36 | | 4 2.Animplicitbiasprogramimplementedundersubsection1ofthissectionshall |
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| 37 | 37 | | 5includeallofthefollowing: |
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| 38 | 38 | | 6 (1)Identificationofpreviousorcurrentunconsciousbiasesandmisinformation; |
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| 39 | 39 | | 7 (2)Identificationofpersonal,interpersonal,institutional,structural,and |
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| 40 | 40 | | 8culturalbarrierstoinclusion; |
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| 41 | 41 | | 9 (3)Correctivemeasurestodecreaseimplicitbiasattheinterpersonaland |
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| 42 | 42 | | 10institutionallevels,includingongoingpoliciesandpracticesforthatpurpose; |
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| 43 | 43 | | 11 (4)Informationontheeffects,including,butnotlimitedto,ongoingpersonal |
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| 44 | 44 | | 12effects,ofhistoricalandcontemporaryexclusionandoppressionofminority |
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| 45 | 45 | | 13communities; |
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| 46 | 46 | | 14 (5)Informationaboutculturalidentityacrossracialorethnicgroups; |
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| 47 | 47 | | 15 (6)Informationaboutcommunicatingmoreeffectivelyacrossidentities, |
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| 48 | 48 | | 16includingracial,ethnic,religious,andgenderidentities; |
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| 49 | 49 | | 17 (7)Discussiononpowerdynamicsandorganizationaldecision-making; |
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| 50 | 50 | | 18 (8)Discussiononhealthinequitieswithintheperinatalcarefield,including |
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| 51 | 51 | | 19informationonhowimplicitbiasimpactsmaternalandinfanthealthoutcomes; |
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| 52 | 52 | | 20 (9)Perspectivesofdiverse,localconstituencygroupsandexpertsonparticular |
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| 53 | 53 | | 21racial,identity,cultural,andprovider-communityrelationsissuesinthecommunity; |
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| 54 | 54 | | 22and |
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| 55 | 55 | | 23 (10)Informationonreproductivejustice. |
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| 56 | 56 | | 24 3.(1)Ahealthcareproviderdescribedinsubsection1ofthissectionshall |
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| 57 | 57 | | 25completeinitialbasictrainingthroughtheimplicitbiasprogrambasedonthe |
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| 58 | 58 | | 26componentsdescribedinsubsection2ofthissection. |
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| 59 | 59 | | 27 (2)Uponcompletionoftheinitialbasictraining,ahealthcareprovidershall |
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| 60 | 60 | | 28completearefreshercourseundertheimplicitbiasprogrameverytwoyearsthereafter, |
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| 61 | 61 | | 29oronamorefrequentbasisifdeemednecessarybythefacility,inordertokeepcurrent |
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| 62 | 62 | | 30withchangingracial,identity,andculturaltrendsandbestpracticesindecreasing |
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| 63 | 63 | | 31interpersonalandinstitutionalimplicitbias. |
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| 64 | 64 | | 32 4.Afacilitydescribedinsubsection1ofthissectionshallprovideacertificateof |
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| 65 | 65 | | 33trainingcompletiontoanotherfacilityoratrainingattendeeuponrequest.Afacility |
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| 66 | 66 | | HB255 2 34mayacceptacertificateofcompletionfromanotherfacilitydescribedinsubsection1of |
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| 67 | 67 | | 35thissectiontosatisfythetrainingrequirementdescribedinsubsection3ofthissection |
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| 68 | 68 | | 36forahealthcareproviderwhoworksinmorethanonefacility. |
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| 69 | 69 | | 37 5.Notwithstandingsubsections1to4ofthissection,ifaphysicianinvolvedin |
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| 70 | 70 | | 38theperinatalcareofpatientsisnotdirectlyemployedbyafacility,thefacilityshalloffer |
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| 71 | 71 | | 39thetrainingtothephysician. |
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| 72 | 72 | | 192.1020.1.Thedepartmentofhealthandseniorservicesshalltrackdataon |
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| 73 | 73 | | 2severematernalmorbidityincluding,butnotlimitedto,allofthefollowinghealth |
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| 74 | 74 | | 3conditions: |
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| 75 | 75 | | 4 (1)Obstetrichemorrhage; |
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| 76 | 76 | | 5 (2)Hypertension; |
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| 77 | 77 | | 6 (3)Preeclampsiaandeclampsia; |
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| 78 | 78 | | 7 (4)Venousthromboembolism; |
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| 79 | 79 | | 8 (5)Sepsis; |
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| 80 | 80 | | 9 (6)Cerebrovascularaccident;and |
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| 81 | 81 | | 10 (7)Amnioticfluidembolism. |
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| 82 | 82 | | 11 2.Thedataonseverematernalmorbiditycollectedundersubsection1ofthis |
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| 83 | 83 | | 12sectionshallbepublishedatleastonceeverythreeyearsafterallofthefollowinghave |
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| 84 | 84 | | 13occurred: |
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| 85 | 85 | | 14 (1)Thedatahasbeenaggregatedbystateregionsasdefinedbythedepartment |
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| 86 | 86 | | 15ofhealthandseniorservicestoensuredatareflectshowregionalizedcaresystemsareor |
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| 87 | 87 | | 16shouldbecollaboratingtoimprovematernalhealthoutcomesorothersmallerregional |
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| 88 | 88 | | 17sortingbasedonstandardstatisticalmethodsforaccuratedisseminationofpublic |
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| 89 | 89 | | 18healthdatawithoutriskingaconfidentialityorotherdisclosurebreach;and |
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| 90 | 90 | | 19 (2)Thedatahasbeendisaggregatedbyracialandethnicidentity. |
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| 91 | 91 | | 20 3.Thedepartmentofhealthandseniorservicesshalltrackdataonpregnancy- |
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| 92 | 92 | | 21relateddeathsincluding,butnotlimitedto,alloftheconditionslistedinsubsection1of |
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| 93 | 93 | | 22thissection,indirectobstetricdeaths,andothermaternaldisorderspredominantly |
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| 94 | 94 | | 23relatedtopregnancyandcomplicationspredominantlyrelatedtothepuerperium. |
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| 95 | 95 | | 24 4.Thedataonpregnancy-relateddeathscollectedundersubsection3ofthis |
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| 96 | 96 | | 25sectionshallbepublished,atleastonceeverythreeyears,afterallofthefollowinghave |
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| 97 | 97 | | 26occurred: |
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| 98 | 98 | | 27 (1)Thedatahasbeenaggregatedbystateregionsasdefinedbythedepartment |
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| 99 | 99 | | 28ofhealthandseniorservicestoensuredatareflectshowregionalizedcaresystemsareor |
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| 100 | 100 | | 29shouldbecollaboratingtoimprovematernalhealthoutcomesorothersmallerregional |
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| 101 | 101 | | 30sortingbasedonstandardstatisticalmethodsforaccuratedisseminationofpublic |
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| 102 | 102 | | 31healthdatawithoutriskingaconfidentialityorotherdisclosurebreach;and |
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| 103 | 103 | | HB255 3 32 (2)Thedatahasbeendisaggregatedbyracialandethnicidentity. |
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| 104 | 104 | | 193.145.1.Acertificateofdeathforeachdeathwhichoccursinthisstateshallbe |
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| 105 | 105 | | 2filedwiththelocalregistrar,orasotherwisedirectedbythestateregistrar,withinfivedays |
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| 106 | 106 | | 3afterdeathandshallberegisteredifsuchcertificatehasbeencompletedandfiledpursuantto |
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| 107 | 107 | | 4thissection.Alldataprovidersinthedeathregistrationprocess,including,butnotlimitedto, |
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| 108 | 108 | | 5thestateregistrar,localregistrars,thestatemedicalexaminer,countymedicalexaminers, |
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| 109 | 109 | | 6coroners,funeraldirectorsorpersonsactingassuch,embalmers,sheriffs,attending |
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| 110 | 110 | | 7physiciansandresidentphysicians,physicianassistants,assistantphysicians,advanced |
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| 111 | 111 | | 8practiceregisterednurses,andthechiefmedicalofficersoflicensedhealthcarefacilities,and |
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| 112 | 112 | | 9otherpublicorprivateinstitutionsprovidingmedicalcare,treatment,orconfinementto |
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| 113 | 113 | | 10persons,shallberequiredtouseandutilizeanyelectronicdeathregistrationsystemrequired |
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| 114 | 114 | | 11andadoptedundersubsection1ofsection193.265withinsixmonthsofthesystembeing |
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| 115 | 115 | | 12certifiedbythedirectorofthedepartmentofhealthandseniorservices,orthedirector's |
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| 116 | 116 | | 13designee,tobeoperationalandavailabletoalldataprovidersinthedeathregistrationprocess. |
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| 117 | 117 | | 14 2.Iftheplaceofdeathisunknownbutthedeadbodyisfoundinthisstate,the |
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| 118 | 118 | | 15certificateofdeathshallbecompletedandfiledpursuanttotheprovisionsofthissection. |
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| 119 | 119 | | 16Theplacewherethebodyisfoundshallbeshownastheplaceofdeath.Thedateofdeath |
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| 120 | 120 | | 17shallbethedateonwhichtheremainswerefound. |
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| 121 | 121 | | 18 3.WhendeathoccursinamovingconveyanceintheUnitedStatesandthebodyis |
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| 122 | 122 | | 19firstremovedfromtheconveyanceinthisstate,thedeathshallberegisteredinthisstateand |
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| 123 | 123 | | 20theplacewherethebodyisfirstremovedshallbeconsideredtheplaceofdeath.Whena |
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| 124 | 124 | | 21deathoccursonamovingconveyancewhileininternationalwatersorairspaceorinaforeign |
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| 125 | 125 | | 22countryoritsairspaceandthebodyisfirstremovedfromtheconveyanceinthisstate,the |
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| 126 | 126 | | 23deathshallberegisteredinthisstatebutthecertificateshallshowtheactualplaceofdeathif |
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| 127 | 127 | | 24suchplacemaybedetermined. |
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| 128 | 128 | | 25 4.Thefuneraldirectororpersoninchargeoffinaldispositionofthedeadbodyshall |
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| 129 | 129 | | 26filethecertificateofdeath.Thefuneraldirectororpersoninchargeofthefinaldispositionof |
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| 130 | 130 | | 27thedeadbodyshallobtainorverifyandenterintotheelectronicdeathregistrationsystem: |
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| 131 | 131 | | 28 (1)Thepersonaldatafromthenextofkinorthebestqualifiedpersonorsource |
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| 132 | 132 | | 29available; |
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| 133 | 133 | | 30 (2)Themedicalcertificationfromthepersonresponsibleforsuchcertificationif |
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| 134 | 134 | | 31designatedtodosoundersubsection5ofthissection;[and] |
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| 135 | 135 | | 32 (3)Informationindicatingwhetherthedecedentwaspregnantatthetimeof |
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| 136 | 136 | | 33death,orwithinayearpriortothedeath,ifknown,asdeterminedbyobservation, |
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| 137 | 137 | | 34autopsy,orreviewofthemedicalrecord.Theelectronicdeathregistrationsystemshall |
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| 138 | 138 | | 35captureadditionalinformationregardingthepregnancystatusofthedecedent |
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| 139 | 139 | | 36consistentwiththedataelementsontheU.S.StandardCertificateofDeath.This |
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| 140 | 140 | | HB255 4 37subdivisionshallnotbeinterpretedtorequiretheperformanceofapregnancytestona |
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| 141 | 141 | | 38decedentortorequireareviewofmedicalrecordsinordertodeterminepregnancy;and |
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| 142 | 142 | | 39 (4)Anyotherinformationordatathatmayberequiredtobeplacedonadeath |
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| 143 | 143 | | 40certificateorenteredintotheelectronicdeathcertificatesystemincluding,butnotlimitedto, |
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| 144 | 144 | | 41thenameandlicensenumberoftheembalmer. |
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| 145 | 145 | | 42 5.Themedicalcertificationshallbecompleted,attestedtoitsaccuracyeitherby |
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| 146 | 146 | | 43signatureoranelectronicprocessapprovedbythedepartment,andreturnedtothefuneral |
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| 147 | 147 | | 44directororpersoninchargeoffinaldispositionwithinseventy-twohoursafterdeathbythe |
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| 148 | 148 | | 45physician,physicianassistant,assistantphysician,oradvancedpracticeregisterednursein |
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| 149 | 149 | | 46chargeofthepatient'scarefortheillnessorconditionwhichresultedindeath.Intheabsence |
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| 150 | 150 | | 47ofthephysician,physicianassistant,assistantphysician,oradvancedpracticeregistered |
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| 151 | 151 | | 48nurseorwiththephysician's,physicianassistant's,assistantphysician's,oradvancedpractice |
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| 152 | 152 | | 49registerednurse'sapprovalthecertificatemaybecompletedandattestedtoitsaccuracyeither |
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| 153 | 153 | | 50bysignatureoranapprovedelectronicprocessbythephysician'sassociatephysician,the |
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| 154 | 154 | | 51chiefmedicalofficeroftheinstitutioninwhichdeathoccurred,orthephysicianwho |
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| 155 | 155 | | 52performedanautopsyuponthedecedent,providedsuchindividualhasaccesstothemedical |
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| 156 | 156 | | 53historyofthecase,viewsthedeceasedatorafterdeathanddeathisduetonaturalcauses. |
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| 157 | 157 | | 54Thepersonauthorizedtocompletethemedicalcertificationmay,inwriting,designateany |
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| 158 | 158 | | 55otherpersontoenterthemedicalcertificationinformationintotheelectronicdeath |
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| 159 | 159 | | 56registrationsystemifthepersonauthorizedtocompletethemedicalcertificatehasphysically |
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| 160 | 160 | | 57orbyelectronicprocesssignedastatementstatingthecauseofdeath.Anypersons |
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| 161 | 161 | | 58completingthemedicalcertificationorenteringdataintotheelectronicdeathregistration |
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| 162 | 162 | | 59systemshallbeimmunefromcivilliabilityforsuchcertificationcompletion,dataentry,or |
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| 163 | 163 | | 60determinationofthecauseofdeath,absentgrossnegligenceorwillfulmisconduct.Thestate |
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| 164 | 164 | | 61registrarmayapprovealternatemethodsofobtainingandprocessingthemedicalcertification |
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| 165 | 165 | | 62andfilingthedeathcertificate.TheSocialSecuritynumberofanyindividualwhohasdied |
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| 166 | 166 | | 63shallbeplacedintherecordsrelatingtothedeathandrecordedonthedeathcertificate. |
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| 167 | 167 | | 64 6.Whendeathoccursfromnaturalcausesmorethanthirty-sixhoursafterthe |
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| 168 | 168 | | 65decedentwaslasttreatedbyaphysician,physicianassistant,assistantphysician,oradvanced |
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| 169 | 169 | | 66practiceregisterednurse,thecaseshallbereferredtothecountymedicalexaminerorcoroner |
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| 170 | 170 | | 67orphysicianorlocalregistrarforinvestigationtodetermineandcertifythecauseofdeath.If |
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| 171 | 171 | | 68thedeathisdeterminedtobeofanaturalcause,themedicalexaminerorcoronerorlocal |
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| 172 | 172 | | 69registrarshallreferthecertificateofdeathtotheattendingphysician,physicianassistant, |
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| 173 | 173 | | 70assistantphysician,oradvancedpracticeregisterednurseforsuchcertification.Ifthe |
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| 174 | 174 | | 71attendingphysician,physicianassistant,assistantphysician,oradvancedpracticeregistered |
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| 175 | 175 | | 72nurserefusesorisotherwiseunavailable,themedicalexaminerorcoronerorlocalregistrar |
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| 176 | 176 | | HB255 5 73shallattesttotheaccuracyofthecertificateofdeatheitherbysignatureoranapproved |
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| 177 | 177 | | 74electronicprocesswithinthirty-sixhours. |
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| 178 | 178 | | 75 7.Ifthecircumstancessuggestthatthedeathwascausedbyotherthannaturalcauses, |
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| 179 | 179 | | 76themedicalexaminerorcoronershalldeterminethecauseofdeathandshall,eitherby |
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| 180 | 180 | | 77signatureoranapprovedelectronicprocess,completeandattesttotheaccuracyofthe |
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| 181 | 181 | | 78medicalcertificationwithinseventy-twohoursaftertakingchargeofthecase. |
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| 182 | 182 | | 79 8.Ifthecauseofdeathcannotbedeterminedwithinseventy-twohoursafterdeath, |
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| 183 | 183 | | 80theattendingmedicalexaminer,coroner,attendingphysician,physicianassistant,assistant |
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| 184 | 184 | | 81physician,advancedpracticeregisterednurse,orlocalregistrarshallgivethefuneraldirector, |
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| 185 | 185 | | 82orpersoninchargeoffinaldispositionofthedeadbody,noticeofthereasonforthedelay, |
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| 186 | 186 | | 83andfinaldispositionofthebodyshallnotbemadeuntilauthorizedbythemedicalexaminer, |
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| 187 | 187 | | 84coroner,attendingphysician,physicianassistant,assistantphysician,advancedpractice |
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| 188 | 188 | | 85registerednurse,orlocalregistrar. |
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| 189 | 189 | | 86 9.Whenadeathispresumedtohaveoccurredwithinthisstatebutthebodycannotbe |
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| 190 | 190 | | 87located,adeathcertificatemaybepreparedbythestateregistraruponreceiptofanorderofa |
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| 191 | 191 | | 88courtofcompetentjurisdictionwhichshallincludethefindingoffactsrequiredtocomplete |
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| 192 | 192 | | 89thedeathcertificate.Suchadeathcertificateshallbemarked"Presumptive",showonitsface |
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| 193 | 193 | | 90thedateofregistration,andidentifythecourtandthedateofdecree. |
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| 194 | 194 | | 91 10.(1)Thedepartmentofhealthandseniorservicesshallnotifyallphysicians, |
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| 195 | 195 | | 92physicianassistants,assistantphysicians,andadvancedpracticeregisterednurseslicensed |
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| 196 | 196 | | 93underchapters334and335oftherequirementsregardingtheuseoftheelectronicvital |
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| 197 | 197 | | 94recordssystemprovidedforinthissection. |
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| 198 | 198 | | 95 (2)OnorbeforeAugust30,2015,thedepartmentofhealthandseniorservices, |
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| 199 | 199 | | 96divisionofcommunityandpublichealthshallcreateaworkinggroupcomprisedof |
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| 200 | 200 | | 97representationfromtheMissourielectronicvitalrecordssystemusersandrecipientsofdeath |
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| 201 | 201 | | 98certificatesusedforprofessionalpurposestoevaluatetheMissourielectronicvitalrecords |
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| 202 | 202 | | 99system,developrecommendationstoimprovetheefficiencyandusabilityofthesystem,and |
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| 203 | 203 | | 100toreportsuchfindingsandrecommendationstothegeneralassemblynolaterthanJanuary1, |
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| 204 | 204 | | 1012016. |
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| 205 | 205 | | 102 11.Notwithstandinganyprovisionoflawtothecontrary,ifacoronerordeputy |
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| 206 | 206 | | 103coronerisnotcurrentwithoriswithouttheapprovedtrainingunderchapter58,the |
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| 207 | 207 | | 104departmentofhealthandseniorservicesshallprohibitsuchcoronerfromattestingtothe |
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| 208 | 208 | | 105accuracyofacertificateofdeath.Nopersonelectedorappointedtotheofficeofcoronercan |
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| 209 | 209 | | 106assumesuchelectedofficeuntilthetraining,asestablishedbythecoronerstandardsand |
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| 210 | 210 | | 107trainingcommissionundertheprovisionsofsection58.035,hasbeencompletedanda |
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| 211 | 211 | | 108certificateofcompletionhasbeenissued.Intheeventacoronercannotfulfillhisorher |
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| 212 | 212 | | 109dutiesorisnolongerqualifiedtoattesttotheaccuracyofadeathcertificate,thesheriffofthe |
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| 213 | 213 | | HB255 6 110countyshallappointamedicalprofessionaltoattestdeathcertificatesuntilsuchtimeasthe |
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| 214 | 214 | | 111coronercanresumehisorherdutiesoranothercoronerisappointedorelectedtotheoffice. |
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| 215 | 215 | | 197.178.1.Eachhospitalshallprovideeachpatient,uponadmissionorassoon |
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| 216 | 216 | | 2thereafterasreasonablypracticable,writteninformationregardingthefollowingrights |
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| 217 | 217 | | 3ofthepatient: |
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| 218 | 218 | | 4 (1)Therighttobeinformedofcontinuinghealthcarerequirementsfollowing |
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| 219 | 219 | | 5dischargefromthehospital; |
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| 220 | 220 | | 6 (2)Therighttobeinformedthat,ifthepatientsoauthorizes,afriendorfamily |
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| 221 | 221 | | 7membermaybeprovidedinformationaboutthepatient'scontinuinghealthcare |
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| 222 | 222 | | 8requirementsfollowingdischargefromthehospital; |
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| 223 | 223 | | 9 (3)Therighttoparticipateactivelyindecisionsregardingmedicalcare.Tothe |
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| 224 | 224 | | 10extentpermittedbylaw,participationshallincludetherighttorefusetreatment; |
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| 225 | 225 | | 11 (4)Therighttoappropriatepainassessmentandtreatment; |
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| 226 | 226 | | 12 (5)Therighttobefreeofdiscriminationonthebasisofanyprotectedstatusas |
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| 227 | 227 | | 13setforthinchapter213;and |
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| 228 | 228 | | 14 (6)Therighttoinformationonhowtofileacomplaintwiththefollowing: |
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| 229 | 229 | | 15 (a)Thedepartmentofhealthandseniorservices; |
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| 230 | 230 | | 16 (b)TheMissouricommissiononhumanrights;and |
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| 231 | 231 | | 17 (c)Thestateboardofregistrationforthehealingarts. |
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| 232 | 232 | | 18 2.Ahospitalmayincludetheinformationrequiredbythissectionwithother |
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| 233 | 233 | | 19noticestothepatientregardingpatientrights.Ifahospitalchoosestoincludethis |
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| 234 | 234 | | 20informationalongwithexistingnoticestothepatientregardingpatientrights,any |
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| 235 | 235 | | 21newlyrequiredinformationshallbeprovidedwhenthehospitalexhaustsitsexisting |
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| 236 | 236 | | 22inventoryofwrittenmaterialsandprintsnewwrittenmaterials. |
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| 237 | 237 | | âś” |
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| 238 | 238 | | HB255 7 |
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