FIRSTREGULARSESSION
HOUSEBILLNO.266
103RDGENERALASSEMBLY
INTRODUCEDBYREPRESENTATIVESHIELDS.
0754H.01I DANARADEMANMILLER,ChiefClerk
ANACT
Toamendchapter160,RSMo,byaddingtheretoonenewsectionrelatingtobleedingcontrol
kitsinpublicschools.
BeitenactedbytheGeneralAssemblyofthestateofMissouri,asfollows:
SectionA.Chapter160,RSMo,isamendedbyaddingtheretoonenewsection,tobe
2knownassection160.485,toreadasfollows:
160.485.1.Thissectionshallbeknownandmaybecitedasthe"StoptheBleed
2Act".
3 2.Asusedinthissection,thefollowingtermsmean:
4 (1)"Bleedingcontrolkit",afirstaidresponsekitthatcontainsatleastthe
5following:
6 (a)Tourniquetsthatare:
7 a.EndorsedbytheUnitedStatesDepartmentofDefenseCommitteeonTactical
8CombatCasualtyCareoritssuccessorentity;or
9 b.ApprovedforuseinbattlefieldtraumacarebytheArmedForcesofthe
10UnitedStates;
11 (b)Bleedingcontrolbandages;
12 (c)Latex-freeprotectivegloves;
13 (d)Permanentmarkers;
14 (e)InstructionaldocumentsdevelopedbytheUnitedStatesDepartmentof
15HomelandSecurity'sStoptheBleednationalawarenesscampaignortheAmerican
16CollegeofSurgeonsCommitteeonTrauma,orboth;and
EXPLANATION—Matterenclosedinbold-facedbrackets[thus] intheabovebillisnotenactedandis
intendedtobeomittedfromthelaw.Matterinbold-facetypeintheabovebillisproposedlanguage. 17 (f)Othermedicalmaterialsandequipmentsimilartothosedescribedin
18paragraphs(a)and(b)ofthissubdivision;
19 (2)"Department",thedepartmentofelementaryandsecondaryeducation;
20 (3)"Emergencymedicalservicespersonnel",paidorvolunteerfirefighters,law
21enforcementofficers,firstresponders,emergencymedicaltechnicians,orother
22emergencyservicepersonnelactingwithintheordinarycourseandscopeofthose
23professions,butexcludingphysicians;
24 (4)"Schoolpersonnel",anyemployeeofapublicschooldistrictorcharter
25school,oranyvolunteerservingatapublicschoolorcharterschool,whoisdesignated
26touseableedingcontrolkitunderthissection.
27 3.(1)BeforeJanuary1,2026,thedepartmentshalldevelopatraumaticblood
28lossprotocolforschoolpersonneltofollowintheeventofaninjuryinvolvingtraumatic
29bloodloss.Theprotocolshallmeettherequirementsofthissectionandshallbemade
30availabletoeachschooldistrictandcharterschool.
31 (2)Thetraumaticbloodlossprotocolshall:
32 (a)Requirethatableedingcontrolkitbeplacedinareaswherethereislikelyto
33behightrafficorcongregation,suchasauditoriums,cafeterias,orgymnasiums,and
34areaswhereriskofinjurymaybeelevated,includingvocationalclassessuchas
35woodworkingorautomotiveclasses,ofeachschooldistrict'sschoolbuildingsandeach
36charterschoolinaneasilyaccessiblelocationofsuchareastobedeterminedbylocal
37emergencymedicalservicespersonnel;
38 (b)Includebleedingcontrolkitsintheemergencyplansofeachschooldistrict
39andcharterschool,includingthepresentationanduseofthebleedingcontrolkitsinall
40drillsandemergencies;
41 (c)Requireeachschooldistrictandcharterschooltodesignateaschoolnurseor
42schoolhealthcareprovider,orifnoschoolnurseorschoolhealthcareprovideris
43available,aschoolpersonnelmember,ineachschoolbuildingwhoshallobtain
44appropriatetrainingannuallyintheuseofableedingcontrolkitincluding,butnot
45limitedto:
46 a.Theproperapplicationofpressuretostopbleeding;
47 b.Theproperapplicationofdressingsorbandages;
48 c.Additionalpressuretechniquestocontrolbleeding;and
49 d.Thecorrectapplicationoftourniquets;
50 (d)Requireeachbleedingcontrolkitinschoolinventoriestobeinspected
51annuallytoensurethatthematerials,supplies,andequipmentcontainedinthebleeding
52controlkithavenotexpiredandthatanyexpiredmaterials,supplies,andequipmentare
53replacedasnecessary;and
HB266 2 54 (e)Requireableedingcontrolkittoberestockedaftereachuseandany
55materials,supplies,andequipmenttobereplacedasnecessarytoensurethatthe
56bleedingcontrolkitcontainsallnecessarymaterials,supplies,andequipment.
57 4.(1)Thedepartmentshall,incollaborationwiththeUnitedStatesDepartment
58ofHomelandSecurityandthestatedepartmentofpublicsafety,includerequirementsin
59thetraumaticbloodlossprotocolforschoolpersonneltoreceiveannualtraininginthe
60useofbleedingcontrolkits.
61 (2)Thetrainingrequirementsshallbesatisfiedbysuccessfulcompletionand
62certificationunderthe"STOPTHEBLEED"courseaspromulgatedbytheAmerican
63CollegeofSurgeonsCommitteeonTraumaortheAmericanRedCross.
64 (3)Thetrainingrequirementsmayallowonlineinstruction.
65 5.(1)Ableedingcontrolkitmaycontainanyadditionalitemsthat:
66 (a)Areapprovedbyemergencymedicalservicespersonnel,assuchtermis
67definedinsection190.600;
68 (b)Canadequatelytreataninjuryinvolvingtraumaticbloodloss;and
69 (c)Canbestoredinareadilyavailablekit.
70 (2)Quantitiesofeachitemrequiredtobeinableedingcontrolkitmaybe
71determinedbyeachschooldistrict.
72 6.(1)Thedepartmentandeachschooldistrictandcharterschoolshallmaintain
73informationregardingthetraumaticbloodlossprotocolandtheStoptheBleednational
74awarenesscampaignoneachentity'swebsite.
75 (2)Uponrequestbyaschooldistrictoracharterschool,thedepartmentmay,in
76collaborationwiththedepartmentofpublicsafety,directtheschooldistrictorcharter
77schooltoresourcesthatareavailabletoprovidebleedingcontrolkitstotheschool
78districtorcharterschool.
79 7.(1)Exceptasotherwiseprovidedinthissubsection,eachschooldistrictand
80charterschoolshallimplementthetraumaticbloodlossprotocoldevelopedunderthis
81sectionbeforetheendofthe2025-26schoolyear.
82 (2)Therequirementsthatableedingcontrolkitbeplacedasrequiredin
83paragraph(a)ofsubdivision(2)ofsubsection3ofthissection,thateachkitberestocked
84asnecessary,andthatschoolpersonnelreceivetrainingunderthissectionshallbe
85subjecttoanappropriationtocoverallcostsrelatedtosuchrequirementsbythegeneral
86assembly.
87 (3)Anyschooldistrictorcharterschoolmayreceivedonationsoffundsforthe
88purchaseofbleedingcontrolkitsthatmeettherequirementsofthissectionandmay
89receivedonationsofbleedingcontrolkitsthatmeettherequirementsofthissection.
HB266 3 90 8.Thissectionshallnotbeconstruedtocreateacauseofactionagainstaschool
91district,acharterschool,oranyschoolpersonnel.Anyschoolpersonnelwhoingood
92faithuseableedingcontrolkitasprovidedbythissectionshallbeimmunefromallcivil
93liabilityforanyactoromissionintheuseofableedingcontrolkitunlesstheactor
94omissionconstitutesgrossnegligenceorwillful,wanton,orintentionalmisconduct.
âś”
HB266 4