FIRSTREGULARSESSION HOUSEBILLNO.256 103RDGENERALASSEMBLY INTRODUCEDBYREPRESENTATIVEBOSLEY. 0650H.01I DANARADEMANMILLER,ChiefClerk ANACT Torepealsection192.990,RSMo,andtoenactinlieuthereofthreenewsectionsrelatingto maternalcare. BeitenactedbytheGeneralAssemblyofthestateofMissouri,asfollows: SectionA.Section192.990,RSMo,isrepealedandthreenewsectionsenactedinlieu 2thereof,tobeknownassections192.258,192.990,and192.1030,toreadasfollows: 192.258.1.Forpurposesofthissection,thefollowingtermsmean: 2 (1)"Localpublichealthagency",acountyhealthcenterboardestablished 3underchapter205,acountyhealthdepartment,acityhealthdepartmentoragency,a 4combinedcityandcountyhealthdepartmentoragency,amulticountyhealth 5departmentoragency,oranyothercountyorcityhealthauthority; 6 (2)"Terminfants",infantswhoareatthirty-sixweeksormoreofgestation. 7 2.(1)Eachcountyshallannuallyreportinfantdeathstothelocalpublichealth 8agencyoragencieswithjurisdictionoverthecountyoranypartofthecounty. 9 (2)Thedatashallbeaggregatedtoensuredatareflectshowregionalizedcare 10systemsare,orshouldbe,collaboratingtoimprovefetalandinfanthealthoutcomes 11basedonstandardstatisticalmethodsforaccuratedisseminationofpublichealthdata 12withoutriskingaconfidentialityorotherdisclosurebreach. 13 (3)Thedatashallbedisaggregatedbyracialandethnicidentity. 14 3.Subjecttoappropriation,alocalpublichealthagencyshallestablishafetal 15andinfantmortalityreviewcommitteetoinvestigateinfantdeathstopreventfetaland 16infantdeathifbothofthefollowingapplywithrespecttothelocalpublichealth 17agency'sjurisdiction: EXPLANATION—Matterenclosedinbold-facedbrackets[thus] intheabovebillisnotenactedandis intendedtobeomittedfromthelaw.Matterinbold-facetypeintheabovebillisproposedlanguage. 18 (1)Thejurisdictionhasfiveormoreinfantdeathsinasingleyear;and 19 (2)Thejurisdictionhasaninfantdeathratethatishigherthanthestate'sinfant 20deathratefortwoconsecutiveyears. 21 4.Thedepartmentofhealthandseniorservicesshallestablishafetalandinfant 22mortalityreviewprocessinwhichalllocalpublichealthagenciesmayvoluntarily 23participate.Alocalpublichealthagencythatparticipatesinthefetalandinfant 24mortalityreviewprocessestablishedbythedepartmentofhealthandseniorservices 25shalldoallofthefollowing: 26 (1)Annuallyinvestigate,track,andreviewaminimumamountoftwenty 27percentofthejurisdiction'scasesofterminfantswhowerebornfollowinglaborwith 28theoutcomeofintrapartumstillbirth,earlyneonataldeath,orpostneonataldeath, 29focusingondemographicgroupsthataredisproportionatelyimpactedbyinfantdeath. 30Ajurisdictionthathasfewerthanfiveinfantdeathsinayearshallinvestigateatleast 31oneinfantdeath; 32 (2)Establishacommitteeforfetalandinfantmortalityreviewsledbylocal 33publichealthagencies.Thecommitteeshallincludemembersofthecommunitybut 34shallnotincludeanyoneemployedbyalawenforcementagency.Injurisdictionsin 35whichthecoroner,medicalexaminer,orothermedicalprofessionalisemployedbylaw 36enforcement,theseindividualscanshareinformationwiththecommitteeintheir 37medicalprofessionalcapacityonly.Thecommitteeshallbesubjecttothefollowing 38provisions: 39 (a)Alldataandrecordsobtained,prepared,created,andmaintainedin 40anticipationofareviewmeetingshallbeconfidential.Dataandrecordsprepared, 41created,andmaintainedinanticipationofareviewmeetingshallnotbesubjectto 42publicrecordsrequests,subpoena,orcivilprocessesandshallnotbeadmissiblein 43evidenceinconnectionwithanyadministrative,judicial,executive,legislative,orother 44proceeding; 45 (b)Allparticipantsengagedinandassociatedwiththereviewprocessshallsign 46aconfidentialityagreementthatstatessuchparticipantswillnotdiscussorshare 47informationaboutindividualcasesandtheproceedingsofthereviewmeetingoutside 48themeeting.Thisshallnotprecludethecommitteefrompublishing,orfromotherwise 49makingavailableforpublicinspection,statisticalcompilationsorreportsthatarebased 50onconfidentialinformation,providedthatthosecompilationsorreportsshallnot 51containpersonallyidentifyinginformationorotherinformationthatcouldbeusedto 52ultimatelyidentifytheindividualsconcernedandshallutilizestandardpublichealth 53reportingpracticesforaccuratedisseminationofthesedataelements,especiallywith HB256 2 54regardtothereportingofsmallnumberssoasnottoinadvertentlyriskabreachof 55confidentialityorotherdisclosure;and 56 (c)Totheextentprescribedbysection537.035,membersofthecommittee, 57personsattendingacommitteemeeting,andpersonswhopresentinformationtoa 58committeeshallnotbequestionedinanyadministrative,civil,orcriminalproceeding 59regardinginformationpresentedin,oropinionsformedasaresultof,ameeting.This 60paragraphshallnotprohibitapersonfromtestifyingtoinformationobtained 61independentlyofthecommitteeorthatispublicinformation.Ahealthcareprovider, 62healthcarefacility,orpharmacyprovidingaccesstomedicalrecordsunderthissection 63shallnotbeheldliableforcivildamagesorbesubjecttoanycriminalordisciplinary 64actionforgoodfaitheffortsinprovidingtherecords; 65 (3)Conductvoluntaryinterviewswithindividualswhohaveexperiencedchild 66lossorsurvivingfamilymembersofmaternalorinfantdeathwhohaveknowledgeof 67theevent.Theinterviewshallincludequestionstodetermineifthepregnantpersonhad 68concernsaboutperinatalcareduringanypointintheperson'spregnancyor 69postpartumcare,whetherthereweredisagreementsaboutcareofferedandreceived, 70andwhetherthepregnantpersonhadaskedforcertaincarethatwasdeniedornot 71received; 72 (4)Conductareportorinvestigation,tothedegreepracticable,withallmedical 73staffinvolvedwithamaternalorinfantdeath;and 74 (5)Offergriefcounselingtosurvivingfamilymembers. 75 5.Counties,hospitals,birthingcenters,andstateentitiesshallprovidetolocal 76publichealthagenciesdeathrecords,medicalrecords,autopsyreports,toxicology 77reports,hospitaldischargerecords,birthrecords,andanyotherinformationthatwill 78helpthelocalpublichealthagencyconductthefetalandinfantmortalityreviewwithin 79thirtydaysofarequestmadeinwritingbyalocalpublichealthagency.Thelocalpublic 80healthagencyshallnotrequest,andhealthcareprovidersshallnotprovide,reports, 81testimony,orotherinformationproducedasaresultofactivitiesundertakenbyapeer 82reviewcommittee,asdefinedinsection537.035,thathastheresponsibilitytoevaluateor 83improvethequalityofcarerenderedinahospital. 84 6.(1)Thereisherebycreatedinthestatetreasurythe"FetalandInfant 85MortalityReviewFund",whichshallconsistofmoneysappropriatedtoitbythegeneral 86assemblyandanygifts,contributions,grants,orbequestsreceivedfromfederal,private, 87orothersources.Thestatetreasurershallbecustodianofthefund.Inaccordancewith 88sections30.170and30.180,thestatetreasurermayapprovedisbursements.Thefund 89shallbeadedicatedfundand,uponappropriation,moneysinthisfundshallbeused 90solelyasprovidedinthissection. HB256 3 91 (2)Notwithstandingtheprovisionsofsection33.080tothecontrary,anymoneys 92remaininginthefundattheendofthebienniumshallnotreverttothecreditofthe 93generalrevenuefund. 94 (3)Thestatetreasurershallinvestmoneysinthefundinthesamemanneras 95otherfundsareinvested.Anyinterestandmoneysearnedonsuchinvestmentsshallbe 96creditedtothefund. 192.990.1.Thereisherebyestablishedwithinthedepartmentofhealthandsenior 2servicesthe"Pregnancy-AssociatedMortalityReviewBoard"toimprovedatacollectionand 3reportingwithrespecttomaternaldeaths.Thedepartmentmaycollaboratewithlocalitiesand 4withotherstatestomeetthegoalsoftheinitiative. 5 2.Forpurposesofthissection,thefollowingtermsshallmean: 6 (1)"Department",theMissouridepartmentofhealthandseniorservices; 7 (2)"Maternaldeath"or"maternalmortality", thedeathofawomanwhilepregnant 8orduringtheone-yearperiodfollowingthedateoftheendofpregnancy,regardlessofthe 9causeofdeathandregardlessofwhetheradelivery,miscarriage,ordeathoccursinsideor 10outsideofahospital; 11 (3)"Severematernalmorbidity",unexpectedoutcomesofpregnancy,labor,or 12deliverythatresultinsignificantshort-termorlong-termconsequencestothepregnant 13person'smentalorphysicalhealth. 14 3.Theboardshallbecomposedofnomorethaneighteenmembers,withachair 15electedfromamongitsmembership.Theboardshallmeetatleasttwiceperyearandshall 16approvethestrategicpriorities,fundingallocations,workprocesses,andproductsofthe 17board.Membersoftheboardshallbeappointedbythedirectorofthedepartment.Members 18shallservefour-yearterms,exceptthattheinitialtermsshallbestaggeredsothat 19approximatelyone-thirdservethree-,four-,andfive-yearterms. 20 4.Theboardshallhaveamultidisciplinaryanddiversemembershipthatrepresentsa 21varietyofmedicalandnursingspecialties,including,butnotlimitedto,obstetricsand 22maternal-fetalcare,aswellasstateorlocalpublichealthofficials,epidemiologists, 23statisticians,communityorganizations,geographicregions,andotherindividualsor 24organizationsthataremostaffectedbymaternaldeathsandlackofaccesstomaternal 25healthcareservices. 26 5.Thedutiesoftheboardshallinclude,butnotbelimitedto: 27 (1)Conductingongoingcomprehensive,multidisciplinaryreviewsofallmaternal 28deaths; 29 (2)Identifyingfactorsassociatedwithmaternaldeaths; 30 (3)Reviewingmedicalrecordsandotherrelevantdata,whichshallinclude,tothe 31extentavailable: HB256 4 32 (a)Adescriptionofthematernaldeathsdeterminedbymatchingeachdeathrecordof 33amaternaldeathtoabirthcertificateofaninfantorfetaldeathrecord,asapplicable,andan 34indicationofwhetherthedelivery,miscarriage,ordeathoccurredinsideoroutsideofa 35hospital; 36 (b)Datacollectedfrommedicalexaminerandcoronerreports,asappropriate;and 37 (c)Usingotherappropriatemethodsorinformationtoidentifymaternaldeaths, 38includingdeathsfrompregnancyoutcomesnotidentifiedunderparagraph(a)ofthis 39subdivision; 40 (4)Consultingwithrelevantexperts,asneeded; 41 (5)Analyzingcasestoproducerecommendationsforreducingmaternalmortality; 42 (6)Analyzingcommonindicatorsofseverematernalmorbiditytoidentify 43preventionopportunitiesandreducenear-missexperiences; 44 (7)Disseminatingrecommendationstopolicymakers,healthcareprovidersand 45facilities,andthegeneralpubliconbestpracticestopreventmaternalmortalityand 46morbidityincluding,butnotlimitedto,addressingsocioeconomicandenvironmental 47impacts,includingglobalwarming,onpregnancyoutcomes; 48 [(7)] (8)Recommendingandpromotingpreventativestrategiesandmaking 49recommendationsforsystemschanges, includingchangesindatacollectionand 50investigatoryprocesses; 51 [(8)](9)Protectingtheconfidentialityofthehospitalsandindividualsinvolvedinany 52maternaldeaths; 53 [(9)](10)Examiningracialandsocialdisparitiesinmaternaldeathsandmaking 54recommendationsonthepreventionofracialandsocialdisparities; 55 [(10)] (11)Trackingandexaminingdisparitiesexperiencedbylesbian,bisexual, 56transgender,intersex,andgender-nonconformingindividualsandreportingfindings,to 57theextentpossible; 58 (12)Subjecttoappropriation,providingforvoluntaryandconfidentialcasereporting 59ofmaternaldeathstotheappropriatestatehealthagencybyfamilymembersofthedeceased, 60andotherappropriateindividuals,forpurposesofreviewbytheboard; 61 [(11)](13)Makingpubliclyavailablethecontactinformationoftheboardforusein 62suchreporting; 63 [(12)] (14)Conductingoutreachtolocalprofessionalorganizations,community 64organizations,andsocialservicesagenciesregardingtheavailabilityofthereviewboard;and 65 [(13)] (15)Ensuringthatdatacollectedunderthissectionismadeavailable,as 66appropriateandpracticable,forresearchpurposes,inamannerthatprotectsindividually 67identifiableorpotentiallyidentifiableinformationandthatisconsistentwithstateandfederal 68privacylaws. HB256 5 69 6.(1)Theboard'sreviewofcasesofmaternalmortalityandmorbidityshall 70include,tothedegreepracticable,forpopulationsexperiencingdisparity,voluntary 71interviewswiththefollowingindividuals: 72 (a)Pertinentsurvivingfamilymembersorsupportpeoplepresentwithdirect 73knowledgeof,orinvolvementin,theevent,includingthepatientincasesofsevere 74maternalmorbidity.Theboardshalltranscribeorsummarizeinwritinganyoral 75statementsreceivedinaccordancewiththisparagraph;and 76 (b)Membersofthemedicalteamwhowerepresentorinvolvedinthedeceased 77individual'sdirectcare. 78 (2)Indeterminingthepracticabilityoftheinterviewsundersubdivision(1)of 79thissubsection,theboardmayprioritizeinterviewswithpopulationsthathavea 80documentedhigherrateofmaternaldeath. 81 7.Theboardmaycontractwithotherentitiesconsistentwiththedutiesoftheboard. 82 [7.]8.(1)BeforeJune30,2020,andannuallythereafter,theboardshallsubmittothe 83DirectoroftheCentersforDiseaseControlandPrevention,thedirectorofthedepartment,the 84governor,andthegeneralassemblyareportonmaternalmortalityinthestatebasedondata 85collectedthroughongoingcomprehensive,multidisciplinaryreviewsofallmaternaldeaths, 86andanyotherprojectsoreffortsfundedbytheboard.Thedatashallbecollectedusingbest 87practicestoreliablydetermineandincludeallmaternaldeaths,regardlessoftheoutcomeof 88thepregnancyandshallincludedata,findings,andrecommendationsofthecommittee,and, 89asapplicable,informationontheimplementationduringsuchyearofanyrecommendations 90submittedbytheboardinapreviousyear. 91 (2)Thereportshallbemadeavailabletothepubliconthedepartment'swebsiteand 92thedirectorshalldisseminatethereporttoallhealthcareprovidersandfacilitiesthatprovide 93women'shealthservicesinthestate. 94 [8.]9.Thedirectorofthedepartment,orhisorherdesignee,shallprovidetheboard 95withthecopyofthedeathcertificateandanylinkedbirthorfetaldeathcertificateforany 96maternaldeathoccurringwithinthestate. 97 [9.]10.Uponrequestbythedepartment,healthcareproviders,healthcarefacilities, 98clinics,laboratories,medicalexaminers,coroners,lawenforcementagencies,driver'slicense 99bureaus,otherstateagencies,andfacilitieslicensedbythedepartmentshallprovidetothe 100departmentdatarelatedtomaternaldeathsfromsourcessuchasmedicalrecords,autopsy 101reports,medicalexaminer'sreports,coroner'sreports,lawenforcementreports,motorvehicle 102records,socialservicesrecords,andothersourcesasappropriate.Suchdatarequestsshallbe 103limitedtomaternaldeathswhichhaveoccurredwithintheprevioustwenty-fourmonths.No 104entityshallbeheldliableforcivildamagesorbesubjecttoanycriminalordisciplinaryaction HB256 6 105whencomplyingingoodfaithwitharequestfromthedepartmentforinformationunderthe 106provisionsofthissubsection. 107 [10.]11.(1)Theboardshallprotecttheprivacyandconfidentialityofallpatients, 108decedents,providers,hospitals,oranyotherparticipantsinvolvedinanymaternaldeathsor 109anycasesofseverematernalmorbidity. Innocaseshallanyindividuallyidentifiable 110healthinformationbeprovidedtothepublicorsubmittedtoaninformationclearinghouse. 111 (2)Nothinginthissubsectionshallprohibittheboardordepartmentfrompublishing 112statisticalcompilationsandresearchreportsthat: 113 (a)Arebasedonconfidentialinformationrelatingtomortalityreviewsunderthis 114section;and 115 (b)Donotcontainidentifyinginformationoranyotherinformationthatcouldbe 116usedtoultimatelyidentifytheindividualsconcerned. 117 (3)Information,records,reports,statements,notes,memoranda,orotherdata 118collectedunderthissectionshallnotbeadmissibleasevidenceinanyactionofanykindin 119anycourtorbeforeanyothertribunal,board,agency,orperson.Suchinformation,records, 120reports,notes,memoranda,dataobtainedbythedepartmentoranyotherperson,statements, 121notes,memoranda,orotherdatashallnotbeexhibitednortheircontentsdisclosedinany 122way,inwholeorinpart,byanyofficerorrepresentativeofthedepartmentoranyother 123person.Nopersonparticipatinginsuchreviewshalldisclose,inanymanner,theinformation 124soobtainedexceptinstrictconformitywithsuchreviewproject.Suchinformationshallnot 125besubjecttodisclosureunderchapter610. 126 (4)Allinformation,recordsofinterviews,writtenreports,statements,notes, 127memoranda,orotherdataobtainedbythedepartment,theboard,andotherpersons,agencies, 128ororganizationssoauthorizedbythedepartmentunderthissectionshallbeconfidential. 129 (5)Allproceedingsandactivitiesoftheboard,opinionsofmembersofsuchboard 130formedasaresultofsuchproceedingsandactivities,andrecordsobtained,created,or 131maintainedunderthissection,includingrecordsofinterviews,writtenreports,statements, 132notes,memoranda,orotherdataobtainedbythedepartmentoranyotherperson,agency,or 133organizationactingjointlyorundercontractwiththedepartmentinconnectionwiththe 134requirementsofthissection,shallbeconfidentialandshallnotbesubjecttosubpoena, 135discovery,orintroductionintoevidenceinanycivilorcriminalproceeding;provided, 136however,thatnothinginthissectionshallbeconstruedtolimitorrestricttherighttodiscover 137oruseinanycivilorcriminalproceedinganythingthatisavailablefromanothersourceand 138entirelyindependentoftheboard'sproceedings. 139 (6)Membersoftheboardshallnotbequestionedinanycivilorcriminalproceeding 140regardingtheinformationpresentedinoropinionsformedasaresultofameetingor 141communicationoftheboard;provided,however,thatnothinginthissectionshallbe HB256 7 142construedtopreventamemberoftheboardfromtestifyingtoinformationobtained 143independentlyoftheboardorwhichispublicinformation. 144 [11.]12.Thedepartmentmayusegrantprogramfundstosupporttheeffortsofthe 145boardandmayapplyforadditionalfederalgovernmentandprivatefoundationgrantsas 146needed.Thedepartmentmayalsoacceptprivate,foundation,city,county,orfederalmoneys 147toimplementtheprovisionsofthissection. 192.1030.1.Forpurposesofthissection,thefollowingtermsmean: 2 (1)"Certifiednursemidwife",thesamemeaninggiventotheterminsection 3335.016; 4 (2)"Department",thedepartmentofhealthandseniorservices; 5 (3)"Professionalmidwife",anymidwifeallowedtopracticeinthisstatein 6accordancewiththeprovisionsofsection376.1753; 7 (4)"Programsthattraincertifiednursemidwives",anurse-midwifery 8educationprogramthatisrecognizedbythestateboardofnursingasproviding 9educationnecessarytobecomeacertifiednursemidwife; 10 (5)"Programsthattrainprofessionalmidwives",amidwiferyeducation 11programthatprovidestheeducationnecessarytopracticeasamidwifeinthisstatein 12accordancewiththeprovisionsofsection376.1753. 13 2.Subjecttoappropriation,thedepartmentshallestablishaprogramto 14contractwithprogramsthattraincertifiednursemidwivesandprogramsthattrain 15professionalmidwivesinaccordancewiththeglobalstandardsformidwiferyeducation 16andtheinternationaldefinitionoftheterm"midwife"asestablishedbythe 17InternationalConfederationofMidwivesinordertoincreasethenumberofstudents 18receivingqualityeducationandtrainingasacertifiednursemidwifeorasaprofessional 19midwife. 20 3.Thedepartmentshallcontractonlywithprogramsthattraincertifiednurse 21midwivesandprogramsthattrainprofessionalmidwivesthat,atminimum,include,or 22thatintendtocreate,acomponentoftrainingdesignedformedicallyunderserved 23multiculturalcommunities,lowersocioeconomicneighborhoods,orruralcommunities, 24andthatareorganizedtoprepareprogramgraduatesforserviceinthose 25neighborhoodsandcommunities,orthatseektorecruitandretainraciallyand 26ethnicallydiversestudents,underrepresentedgroups,orpeoplefromunderservedor 27historicallymarginalizedcommunities. 28 4.(1)Thedepartmentmayadoptstandardsandregulationsnecessarytocarry 29outtheprovisionsofthissection.Inadoptingeligibilitystandardsforprogramsthat 30traincertifiednursemidwivesandprogramsthattrainprofessionalmidwivesin 31accordancewiththestandardssetforthinsubsections2and3ofthissection,the HB256 8 32departmentmayacceptthoseeducationalstandardsandcompetenciesestablishedby 33thestateboardofnursingorbytheprovisionsofsection376.1753.Thedepartment 34shalltakecarenottoimplementeducationorcompetencystandardsbeyondwhatis 35requiredbythestateboardofnursingortheprovisionsofsection376.1753thatcould 36inadvertentlycreateanunnecessarybarrierfortrainingprogramstoobtainfundingfor 37thetrainingofmidwivesinthisstate. 38 (2)Anyruleorportionofarule,asthattermisdefinedinsection536.010,thatis 39createdundertheauthoritydelegatedinthissectionshallbecomeeffectiveonlyifit 40complieswithandissubjecttoalloftheprovisionsofchapter536and,ifapplicable, 41section536.028.Thissectionandchapter536arenonseverableandifanyofthepowers 42vestedwiththegeneralassemblypursuanttochapter536toreview,todelaythe 43effectivedate,ortodisapproveandannularulearesubsequentlyheldunconstitutional, 44thenthegrantofrulemakingauthorityandanyruleproposedoradoptedafterAugust 4528,2025,shallbeinvalidandvoid. 46 5.Thedepartmentshalldevelopalternativestrategiestoprovidelong-term 47stabilityfor,orexpansionof,thetrainingprovidedforunderthissection,suchas 48throughfundingprovidedbyprivatefoundationsandadministeredbythedepartment 49forthepurposesofcarryingoutthissection. 50 6.Nothinginthissectionpreventsthedepartmentfromdevelopingaprotocolto 51contractwithpotentialprogramsthattraincertifiednursemidwivesorpotential 52programsthattrainprofessionalmidwivesinordertosupporttheinitialstartupofnew 53trainingprogramsaslongastheeligibilityrequirementsofthissectionaremetorcanbe 54metthroughanawardoffunds. 55 7.Thedepartmentmaypaycontractedprogramsthattraincertifiednurse 56midwivesandprogramsthattrainprofessionalmidwivesinanamountcalculatedbased 57onasingleper-studentcapitationformula,orthroughanothermethod,inordertocover 58thecostsofinnovativespecialprojectsorprograms. 59 8.Fundsappropriatedtothedepartmentforpurposesofthissectionand 60awardedbythedepartmenttoeligibleprogramsthattraincertifiednursemidwivesor 61programsthattrainprofessionalmidwivesmaybeusedbythetrainingprogramto 62developnewinitiatives,projects,orcurricula,ortoexpandexistinginitiatives,projects, 63orcurricula.Awardedfundsmayalsobeusedforgeneralsupportandsustainabilityof 64theoveralltrainingprogram,ortosustainspecificcomponentsofthetrainingprogram 65including,butnotlimitedto,tuitionassistanceforstudents,supportforpreceptor 66recruitment,orsupporttosustainpreceptortrainingsitesforstudents. 67 9.(1)Thereisherebycreatedinthestatetreasurythe"MidwiferyEducation 68Fund",whichshallconsistofmoneysappropriatedtoitbythegeneralassemblyand HB256 9 69anygifts,contributions,grants,orbequestsreceivedfromfederal,private,orother 70sources.Thestatetreasurershallbecustodianofthefund.Inaccordancewithsections 7130.170and30.180,thestatetreasurermayapprovedisbursements.Thefundshallbea 72dedicatedfundand,uponappropriation,moneysinthisfundshallbeusedsolelyas 73providedinthissection. 74 (2)Notwithstandingtheprovisionsofsection33.080tothecontrary,anymoneys 75remaininginthefundattheendofthebienniumshallnotreverttothecreditofthe 76generalrevenuefund. 77 (3)Thestatetreasurershallinvestmoneysinthefundinthesamemanneras 78otherfundsareinvested.Anyinterestandmoneysearnedonsuchinvestmentsshallbe 79creditedtothefund. ✔ HB256 10